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Cal Averland Construction Inc.CITY OF ROSEMEAD ROSEMEAD COMMUNITY RECREATION CENTER EXPANSION AND FACADE IMPROVEMENT PROJECT PROJECT No. 31004 CONTRACT BID'FORMS BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, INC. CONTRACT BID FORMS TABLE OF CONTENTS SECTION 1 BID SCHEDULE .... .................. . ...... ... ..... .................. SECTION 2 BID DATA FORMS... ........_..__...._........_.... 2.A BID BOND .............. ................. .__... ... ... ................ _. 2.8 LIST OF PROPOSED SUBCONTRACTORS .............. SECTION 3 NON - COLLUSION AFFIDAVIT.......... CBF -16 SECTION 1- BID SCHEDULE BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, INC. BID SCHEDULE SCHEDULE OF PRICES FOR ROSEMEAD COMMUNITY RECREATION CENTER EXPANSION AND FACADE IMPROVEMENT PROJECT PROJECT No. 31004 BASE BID SCHEDULE DIVISION NO. ITEM DESCRIPTION ITEMIZED COST DIVISION COST TOTAL 1 General Requirements 0 7 2 Site Work Demolition *y 6, Doo 243,'z�{o Site Clearing Grading v 0 Site Utilities 2,} 000 Asphaltic Concrete Paving 5-00 Portland Cement Concrete Site work e OCAD Landscaping M 0100 Irrigation 6 ago Site Furnishings S COO Hardscape 31 -+44Q Other Site Work 01:0 3, Concrete Footings /Foundation/ Slab nnn 4, Masonry S coo 5 Metals Misc Steel # �Q $2%100 Stainless Steel Countertops 10 Soo Metal Ladders If boo Other Metals CBF -1 BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, INC. 6 Woods & Plastics Rough Carpentry 0j0 000 Interior Finish Carpentry �S Cep Architectural Woodwork (Cabinets) 'LS oco Acrylic Solid Surfacing Countertops I SCD Other Woods & Plastics IQ oco 7 Thermal & Moisture Protection Fiberglass Building Insulation _ _ Water- Resistive Air Barrier Membrane *(o L>M pp7 r r� Y 17 ' loo Aluminum Metal Plate Wall Panels PVC Thermoplastic Membrane Roofing 4 p'� Flashing and Sheet Metal 2$ oco _ _ Peel and Stick Flashing _ Roof Hatches With Safety Pole. Other Thermal & Moisture Protection 0M 8 Doors & Windows Hollow Metal Doors And Frames �Z c L) Aluminum Windows, Doors And Frames (Storefront) o0o Aluminum Folding Door System CiL� Finish Hardware � � Solar Tubular Daylighting System �.�J i Other Doors &Windows O CBF -2 BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, INC. 9 Finishes Metal Framing And Furring 2 2y Lath And Portland Cement Plaster ZS CJ(�i Gypsum Board 2b coo Ceramic Tile V Acoustical Ceiling Systems ppO Acoustical And Tackable Wall Systems p Linoleum Sheet Flooring .Zo Coo Anti - Graffiti Coating 0� Painting Other Finishes 10 Specialties Marker Boards 9 ot7� Toilet Partitions b OC)C) Signage •� SQD Atomic Wall Clocks Fire Extinguishers And Cabinets Toilet And Bath Accessories S Other Specialties Fire Alarm 11 Equipment Appliances 12 Furnishings Entrance Cleaning Mats I l`il7Q Roller Shades 13 Special Construction Not Used 14 Conveying Systems Not Used CBF - 3 BIDDER CALIFORNIA AVERLAND CONSTRUCTION, INC. 15 Mechanical Plumbing 42 Ob0 HVAC -+o OOD Other Mechanical 6", 16 Electrical Rough Electrical Finish Elecmcal Lighting Fixtures q� �-� Exterior Pole Lighting Fire Alarm System L O0� Intrusion Detection And Security Access Control S stems p O� O Other Electrical S DOD Finish Electrical TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ r I I 0 to r _7— ONE- M(WiDV4 fnjr, 1WND12to FOUPTU touw- T{finulR�l Dollar amount In written form '' ftv Pov n -Try D ()uAWJ CBF -4 BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, INC. ALTERNATE BID ITEM 1 NO. ITEM DESCRIPTION UNITOF MEASURE EST. CITY. UNIT PRICE ITEM COST 17 Removal and replacement of all LS 1 exterior storefront windows /door I 3pA 3 L / system in existing RCRC building with new storefront that matches the storefront system in the new building (e.g. model, EA 11 stile, door, color, glazing etc). G' 9 O 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 #1 PRICE s 3 6 cc0 t7 } �1 r iv 'S' k IL o.lSc rot cE v1(av c Dollar amo t In written form ALTERNATE BID ITEM 2 NO. ITEM DESCRIPTION UNIT OF MEASURE EST. CITY. UNIT PRICE ITEM COST 18 A. Modify existing downlight fixtures at EA 23 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 AA (11 fatal) with the following Light Fixture: Rebate - 6000 HC 2000 G' 9 O 35K VOLT PR CG FINISH TOTAL ALTERNATE BID ITEM #2 PRICE Dollar amount in written CBF -5 fo-T BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, INC. ALTERNATE BID ITEM 3 NO. ITEM DESCRIPTION UNIT OF MEASURE EST. QTY. - UNIT PRICE ITEM COST 19 A. Existing exposed electrical conduits (5) LS 1 on East elevation Remove existing exposed conduits and reinstall relocate concealed within building wall. Patch & / 000 41000 paint as necessary to fully conceal / within building assemblies. 8. Existing exposed downspout and leader LS 1 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 u concrete splash pan. Patch & paint as necessary to fully conceal within building assemblies. TOTAL ALTERNATE BID ITEM #2 PRICE $ CA Okto'ys Dollar amo 1 in written form TOTAL BASE BID PRICE INCLUDING ALTERNATE BID ITEM No. 1, No. 2 & No. 3 $ Dollar amount in written form 1(.e,1 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 Forms 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 BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, INC. 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 Dollars ($ BID BOND ) 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 Bidders 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 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. Addenda Nos. nun 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 Signature JOSEPH KIM Type or Print Name PRESIDENT Bidder's/Contractofs State of Incorporation: Partners or Joint Venturers: Bidder's License Number(s): NOTES: BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, INC. 339 N. VIRGIL AVE Business Street Address LOS ANGELES, CA 90004 City, State and Zip Code 323 - 667 -0071 Telephone Number 810681 CALIFORNIA By its signature on this Bid, the Bidder certifies under penally 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 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 corporation partnership or joint venture has the authority to do CBF -8 BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, INC. SECTION 2 BID DATA FORMS CBF - s E1p D ER: CALIFORNIA AVERLAND CONSTRUCTION, INC. Blbder sha t seam its Lid data In aocorcance with the fcrul sri on each of the foldwing Bit! Deta Forms. Bidders shall prepare and use as many sheets as are necessary to adequatety provide the insormedon required. Sidder shall ensure that every page of Its Bid Data Forms are properny;dentified with the Bidder's name and page number. 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS: THAT CALIFORNIA AVERLAND CONSTRUCTION, INC. as Principal and PHILADELPHIA INDEMNITY INSURANCE COMPANY , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the CITY) in the sum of TEN PERCENT OF AMOUNT BID DOLLAR S (5 MI ), being not less than ten percent (10%) of the ToPal 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 bio to the CITY to perform all Work recurred for the Rosemead Community Recreation Center Expansion and Pascoe Improvement Project as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated 11h lit 12614 NOW, THEREFORE, if said Principal is awarded a Contract for the Work by the CITY 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 is guarantee payment for labor and materials) furnishes the required insurance certificates and endorsements, and furnishes any other certifications as may be required by the Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect. In the event suit is brought upon this bond by the CITY andjudgmenl is recovered, said Surety shall pay all casts incurred by the CITY in such suit, including reasonable attorneys' fees to be fixed by the court. SIGNED AND SEALED, this 6TH day of JUNE 20 14 CAL. AVERLAND CONSTRUCTION, INC. (SEAL) oul1 er,F1 oule 1slnr.rN1 Princip 1 By: Stgahture CBF -10 PHILADELPHIA INSURANCE COMPANIES PHILADELPHIA INDEMNITY INSU RANCE COMPANY 231 St. Aupb's Rd., Suite 100 Bala Cynwyd, PA 19004 -0950 Pm.... FAR orney KNOW ALI. PERSONS BY THESE PRESENTS: Test PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a empnmtion organized and existing under the taxes oflhe Commonwealth of Pennsylvania, does hereby constitute and appoint PHILIP E. VEGAOF C& D BONDING& INSURANCE SERVICES, INC. Its true and lowful Attorney (s) In fact with full authority to execute oa its behalf bonds, uMermkmg, recogaboure's old other contacts of indemnity and writings obligatory In the nature thereof, issued'.a the course ends business and to bind [It, Company thereby, in on amoum not to ¢speed $5 MULE 00. This Poorer of Atio ney is granted and is signed and sealed by facsimile under and by the awhnrity cote following Resolution adopted by tes Board of DfNc.rs of PHILA DEI PUPA INDEMNITY INSUIdANCE COMPANY at a meeting duly called the I ]']'day of July, 2011. RESOLVED: That Cho Board of Directors Hereby autMrises the President or any Vice President of the Company to (1) Appoint Anortley(s) in Fact and authonto the Adorray(s) in Fact to execute on behalf of the Company bonds Ofd undedmkings, common, of indemnity and otter writings obligatory In the round, thereof and to attach the seal of the Company thereto; and (2) to « , at any time, any such Attm oey -in Fact and revoke the a whiny given. And, be It e FUR'1'H ER RESOLVED: That the signatures of suC11 officers and the seal of the Company unity be Offered to any such Power of Attomey or cenifmate relating thereto by facsimile, and any such Power of Attorney ad extracted and certified by facslmlle signatures mid faesimlle seal shall be valid and biding upon the Companry la the future with he respect [a any bond or undetlaking to which it,, ancient IN TESTIMONY W ( HEREOF, PHILADELPHIA INDEMN ITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGN ED AND ITS CORPORATE SEALED BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 18... DAY OF JULY, 2011. •..,.P VOOA,r�'S :`CpvCRgiEAr 2•i il 4 Q 19_27 `m_ - President %., .... . n Christopher J. Magnum ♦ FN•,•`• Presldenl Philadelphia Indemnity lm'urewe COmparry,a Penrttylvania Coryoralion. On this 18 tin day of Jm, 2011, before me come the individual who executed the preceding dePamere, to me peandally known, antl being by me duly sworn said that IN ,, the dterei i described and autbmired officer of the Pill LADELPHIA INDEMNITY INSURANCE COMPANY{ that Rated] affixed w said instrument Is No Corporal¢ seal ofsold Company, that the said Corporate Seal and his signature here d111y affixed. COMMONWEALTH OF PENNSYLVANIA Note al Seel K-11 P. Kent Ff NObryPUNlc Lewar Madanlple,MontBomaryCLa' My COmmlulmeNtian Da.18.2012 `at MemEer, PenmNvantn Mere a— .Nalerina I, Craig P. Keller, LwArive Vice President, Chief Firs cial Officer and Saari of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do herby certify that the foregoing rsolu mn of the Board of Directors antl this Power of Attomey issued pursuant thereto on this I8'... tley of Jury 2M tare Race nM mrrem and to still in full force and ,[feet. 1 do facurr cendy that Christopher 1. Maguire, who executed the Power of Attorney as President, was on the data of execution of fire attached Power of Attorney the duly earned ed President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof l have subscribed my Rome and affixed the facsimile seal of each Company this 6TH__ day M JUNE 2014 Cmlg P. Keller Executive Vice President, Chief Financial Offc" as Secretary CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL eooE § Ilag State of California County of Los Angeles On _ 4 before me, Monica Blaisdell,_ Notary Public BN 0.6 I��m�n uAma ar,a nee on��omro. _ _- personally appeared Philip E. Vega Nnmafz� o! 9igncrysl who proved to me on the basis of satisfactory evidence to be the person)K whose nani is /ere- subscribed to the within instrument and acknowledged MDIgCA BWSDELL to me that he /s`WH;ity executed the same in 6Emnftial11 owil his /hiskVietr authorized capacity(bialt and that by MaW0 ve •CMBMNt �O. EnyE MW personrK, or the entity on the instrument the DEEEE. Im Mr If. 2016 �- person(Q, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature' 'I.. Nr1.1 seal eoo�d BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, 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 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 BIDDER CALIFORNIA AVERLAND CONSTRUCTION, INC. 2.1!1 LIST OF PROPOSED SUBCONTRACTORS (continued) i ^o,r-. N. z cages nneeaca ror asang eaenb�i s�eromranos «i Name and Location Description of Work of Subcontractor to be Subcontracted Name CPrL.NA`CIVE LAW Q S r- pi0Q- LNNDY ft-PE Address: �RkPrf GA Name and Location Description of Work of Subcontractoryf/ to be Subcontracted Name: +' 1 v `�H ✓� u&I- Address `� : CR-� )N �� VATS t�U yS� G1� Name and Location Description of Work of Subcontractor to be Subcontracted Name. SPrMUGti M2-- ItDOV2- Addres �0u� s: NJ NtoP-1W--iV r ca Name and Location Description of Work of Subcontractor to be Subcontr acted Name: IONS 'S'C -" Cori ST(zU C-TI E tJ AddreSIt.-- LOS ANC -cv. -s, CA- Name and Location Description of Work of Subcontractor to be Subcontracted Name:_ V be ( S Addressp,rJ'r %(?G��j GA- CBF -12 BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, INC. 2.B LIST OF PROPOSED SUBCONTRACTORS (continued( p•oaWrca�e rven z aagas.r aeeam mr emoa aaeeooai eenmm�.a�... ^I Name and Location Description of Work of Subcontractor to be Subcontracted Name: UNION (,.' NSTRUGTiehl C0Nc�z�T� Address: L-tJ p Fin LL - -, (Jr Name and Location Description of Work of Subcontractor to be Subcontracted Name: (j-y-S ewT•6(.1} C'Tn-IL ' 1TGN"514 u % Kit N-7 CPC Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: I ��� M •�(, H-T" ((.i�V S �L Mo�re� c� Name and Location Description of Work of Subcontractor to be Subcontracted Name �� _ GV22 M {kSSd 1H`1 �1i TNb • I P c f�v! p It�� " Address: PANOYL/AI Gi'Cy,,cov Name and Location of Subcontractor Name: CBF -12 Description of Work to be Subcontracted BIDDER. CALIFORNIA AVERLAND CONSTRUCTION, INC 2.8 LIST OF PROPOSED SUBCONTRACTORS (continued) PET,i2 nettzvalesavamoal!.:"g oaeiuonai suemmrzaors.•.i Name and Location Description of Work of Subcontractor to be Subcontracted Name: uwItg �OfJSTi%JC T(6Y� Address: T /.�r 51 NDPL -, CA' Name and Location Description of Work of Subcontraccttor1r�1� to be Subcontracted Name' Cfk✓Ir Vf'-NIR TF�E/�i Address: ^�-rr ^I�� L 0 S -w GrzV -C--' CF}- Name and Location Description of Work of Subcontractor to be Subcontracted Name: '&VT-�!!RS7 YVtagryT 6r Address: L05 IkN(,rs(sr CA 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. CAL, SPEC'j P j Address y 5"rA -t N L t' s S ���� cc,,,, GIIL^ VAMI CA C0ONTUYf -Tc0i CBF -12 BIDDER: CALIFORNIA AVERLAND CONSTRUCTION, INC. 2.0 REFERENCES The following are the names, addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two (2) years: QC•SV� S/itvllGl Yvle-Z 20015 Qo n,\A i-V✓ �2t�uv��tic�t Name and Address of City C 01-W ` lkl T,9ACT7 'q "'k- SE `f k cc IW I - `I 3R r <P+�tT,C 7ilt7rpr, �0S 0--00 ame and elephone number of person amiliar with project 2 t"J 12 contract amount Type of Work Date Completed 2. F-N-e d,e CC SAew CerAr -- C, gvovhuv` Name and Address of City (zoo \ 3rrt S4, , N � � co , CA Cl 2-6 6G QX11e "orvs / °BSI- 222-scoo Name and telephone number o person familiar with project !��o%O /0 ©O ReYNJ \(% -rlc.— 01/2G�`� Contract amount Type of Work Date Completed 3, 1 1\ t' T� ✓ I� 10 VGTIIuY rvmue auu. rumens of i,iry / 4 1 p,re I (3�t3b hl. ✓S'CA /�" ,r 2- o.l�efv� �Cnri r1 I4ev�} E L I/ 'j i P- 4 I (;-- R a Name and telephone numberof person familiarwith project Contract a ount Type of Work Date Completed 4, 7:yC).S VyL\ �v,� Name and dress of City � I S a I� ^s rdi S +r IV �r�'r and telephone number of 202-,4- Lt0 Completed CBF -13 -iA o,-\- b I /tot. I BIDDER'. CALIFORNIA AVERLAND CONSTRUCTION, INC. SECTION 3 NON - COLLUSION AFFIDAVIT CBF -14 BIDDER. CALIFORNIA AVERLAND CONSTRUCTION, 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. Subscribed and sworn before me This _ day of Notary Public in and for the State of California My Commission Expires: fl \ 1 Sl� JOSEPH KIM or Printed Name PRESIDENT CALIFORNIA AVERLAND CONSTRUCTION, INC. Bidder 20_ SQQ J U rti+- CBF - 15 (Seal) i CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 V See Attached Document (Notary to cross out lines 1-6 below) 1 -'. See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 State of California County of Lo S R- As.eles Signature of Document Signer No. 2 (if any) Subscribed and sworn to (or affirmed) before ,1 It, on this 1 It 0 day of S�Ne 20, by Date Month Year ' Names) of Signeris) proved to me on the basis of satisfactory evidence to be the person(s) who a eared before me. Signature_`._ Place Notary Seal Above ignatu otary Public OPTIO L Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Number of Pages: © 2013 National Notary Association • www.NationalNotary.org • 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5910 JOHN rOUNG CHI coNN. r2os�f67 167 MOrungaB; -GL N LOB MI:IHES CdMry N w �. Bpw ra a ama Signature of Document Signer No. 2 (if any) Subscribed and sworn to (or affirmed) before ,1 It, on this 1 It 0 day of S�Ne 20, by Date Month Year ' Names) of Signeris) proved to me on the basis of satisfactory evidence to be the person(s) who a eared before me. Signature_`._ Place Notary Seal Above ignatu otary Public OPTIO L Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Number of Pages: © 2013 National Notary Association • www.NationalNotary.org • 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5910