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Woodcliff CorporationBIDDER: V((OODCLJFF CO&1L' OATIO� 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 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 z7Q 000 z Site Work -G41 r 000 Demolition '"/2 000 Site Clearing -S, 000 Grading ZI r 000 Site Utilities GOD Asphaltic Concrete Paving Portland Cement Concrete Site work .ZD2�; DC G Landscaping Zq�pOd Irrigation 00C) Site Furnishings Hardscape 10 000 Other Site Work g COd� 3. Concrete Footings /Foundation /Slab 85r60U 4. Masonry 60 060 5 Metals 14-,660 Misc Steel S, 066 j I Stainless Steel Countertops 4, 000 Metal Ladders ISOD - Other Metals 3 QO C7 CBF - 1 6 Woods & Plastics Rough Carpentry Flo, QO 0 Interior Finish Carpentry (o f O OQ Architectural Woodwork (Cabinets) I li o0 Acrylic Solid Surfacing Countertops 6 0 0 D Other Woods & Plastics Q 7 Thermal & Moisture Protection 4 I 0,S00 Fiberglass Building Insulation Water - Resistive Air Barrier Membrane p p sO0 L- G�Q QOD L -_ Aluminum Metal Plate Wall Panels PVC Thermoplastic Membrane Roofing 13 j S Dd 0 ' �4y Q 0 Q Flashing and Sheet Metal Peel and Stick Flashing Z 00 Roof Hatches With Safety Pole boo 2 006 Other Thermal & Moisture Protection 6 Doors & Windows 12,?j i 0 0 0 Hollow Metal Doors And Frames Aluminum Windows, Doors And Frames Storefront ✓�0 (�QO Aluminum Folding Door System S 000 Finish Hardware S a 00 Solar Tubular Da lighting System 00 Other Doors & Windows U f 6 6 CBF - 2 9 Finishes D ff) coo 0 Metal Framing And Furring 140 QQ l Lath And Portland Cement Plaster B _O _ Gypsum Board � l b00 Ceramic Tile pOC Acoustical Ceiling Systems 6 u)O Acoustical And Tackable Wall Systems OO D Linoleum Sheet Flooring I2 000 Anti - Graffiti Coating 0 00 Painting 32 000 I Other Finishes (� 10 Specialties 2,�t 00O Marker Boards t) Toilet Partitions 00 O Signage �4O Atomic Wall Clocks 2 QOO Fire Extinguishers And Cabinets Toilet And Bath Accessories Other Specialties 'j QOd Fire Alarm 11 Equipment Appliances 6, oo o 12 Furnishings 7.6�O66 Entrance Cleaning Mats f z, 000 Roller Shades gt D�0 13 Special Construction Not Used 14 Conveying Systems Not Used CBF -3 15 Mechanical l s0 Od 0 Plumbing 710 600 HVAC S610010 Other Mechanical D 16 Electrical &0 000 Rough Electrical S 10010 Finish Electrical ?]a 0010 Lighting Fixtures lo 'coo Exterior Pole Lighting G44 OQb Fire Alarm System dD0 Intrusion Detection And Security Access Controls stems I 1000 Other Electrical 10 Finish Electrical 60D TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ 72 " l U t 5100 ` NO nuu Q1 t -E �WW R 2 N FIB i g 1�� thJ w01 r� Dollar amount in written form CBF -4 ALTERNATE BID ITEM 1 NO. ITEM DESCRIPTION UNIT OF MEASURE EST. QTY. UNIT PRICE ITEM COST 17 Removal and replacement of all LS 1 B exterior storefront windows /door SU6 Cet system in existing RCRC building with new storefront that matches the storefront system in 1 J v the new building (e.g. model, EA 11 4 I 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) fora finished appearance is part of this bid alternate. TOTAL ALTERNATE BID ITEM #1 PRICE Dollar amount in written form ALTERNATE BID ITEM 2 NO. ITEM DESCRIPTION UNIT OF MEASURE EST. QTY. UNIT PRICE ITEM COST 18 A. Modify existing downlight fixtures at EA 23 B overhang of existing RCRC SU6 Cet building. All work required to install Fixture AA -1 as described in electrical drawings 1 J v B. New Building B Substitute Fixture AA (11 total) with the following Light EA 11 4 I Fixture. Rebelle - 8000 HC 2000 35K VOLT PR CG FINISH TOTAL ALTERNATE BID ITEM #2 PRICE $ LS4 q Dollar amount in written form CBF -5 C ff ff ♦ / /�_ /] 1 ALTERNATE BID ITEM 3 NO. ITEM DESCRIPTION UNIT OF MEASURE EST. CITY. UNIT PRICE ITEM COST 19 A. Existing exposed electrical conduits (5) LS 1 on East elevation. Remove existing exposed conduits and reinstall/ relocate is 04 6 bQ d concealed within building wall. Patch & paint as necessary to fully conceal within building assemblies. B. Existing exposed downspout and leader LS 1 box (1) on West elevation. Remove existing exposed downspout & leader box and install new drain line concealed JZI(1(1 (� �Zldij6 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 $ ?_7 i p6 � Dollar amount in written form TOTAL BASE BID PRICE INCLUDING ALTERNATE BID ITEM No. 1, No. 2 & No. 3 f I (Si 4,rd Dollar amount in written form Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall be added to or deducted from the Total Bid Price entered above. The 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 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 ($ ) 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 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. 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. H3/ ' BIDDER. %V60WUFP C00W4( I0J By �� `� 1849 SAwtr=L .� OLVD. #610 Signature / Business Street Address P.X�O,49 0150o�Y 141 ArfGEI�S, CA-.9 W 25 Type or Print Name . City, State and Zip Code �RtsID 310 - 3) 2 -1 y o 0 Title Telephone Number Bidder' s / Contractor's State of Incorporation. CPL) FOCZI4)A, Partners or Joint Venturers: 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 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 so. M".3� 1 WOODCLIFF CORPORATION A California Corporation November 13 2007 Meeting of the Board of Directors We, the undersigned, representing all of the Directors of WOODCLIFF CORPORATION, having met and discussed the business herein set forth, have unanimously: RESOLVED, that Babak Nehoray, as President, or Mohamed Tabrizi, as Vice President/ Secretary, are authorized to sign documents on behalf of and contractually bind the Corporation. Dated this 13'^ of November. 2007 ohamad T Babak Nehoray Vice Pr ent f Se etary President AArrnn11 ^^ SECTION 2 BID DATA FORMS CBF - s BIDDER: WOODCLIFF CORPORATION PROJECT NO. 31004 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 property identified with the Bidder's name and page number. 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS: THAT WOODCLIFF CORPORATION as Principal, and Great American Insurance Company as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the CITY) in the sum of TEN PERC ENT (10 %) of the Total Amount Bid- - - - - -- ---------------------- -DOUAR S--($ - -- ------------------------ - - - - -- ), 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 CITY to perform all Work required for the Rosemead Community Recreation Center Expansion and Fagade Improvement Project as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated June 11, 2014 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 to guarantee payment for labor and materials) furnishes the required insurance certificates and endorsements, and furnishes any other certifications as may be required by the Contract, then this 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 and judgment is recovered, said Surety shall pay all costs incurred by the CITY in such suit, including reasonable attorneys' fees to be fixed by the court. SIGNED AND SEALED, this 6th day of WOODCLIFF CORPORATION (SEAL) Principal [iASA1C N By: )=V# -0 By: Si nature / 11111--hilill[t June , 2014 Great American Insurance Company SEAL) Surety Slgneture Edward N. Hackett, Attorney -in -Fact CALIFORNIA ALL - PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Oil JUN 062014 before me, C. Maestas Notary Public Iflm Innn num, yl.1 rill, of Ili, wr,w personally appeared Edward N. Hackett who proved to me on the basis of satisfactory evidence to be the person(&) whose name(&) Ware subscribed to the within instrument and acknowledged to me that he /shel+ey executed the same in hisfhet4iteir authorized capacity(ies), and that by hisAwr/their signature(s) on the instrument the person(s), or the entity upon behalf of which the per lQs) acted, executed die instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Ili II 111 WITNESS my hand and official seal. Siluluna vary N61. u II II 11,11 !I 1 Ill II I11111i llll�, C rNES F Commisslon 9 1945424 r x1 NoeryPubic Ca,laa, orarga cPbmy — ly c Ele", Jw 24. 201s INulary's!'.M 11111 1 11 mbl lb abbl III 1111a.bmdr ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT ITi l o d- 1.1...1 ul ml:mb.J axmmcno ITi:knr wminu Jl Number of Pages Document Dale JUN 06 IA.Wiriwul s.1l I CAPACITY CLAIMED BY TI IE SIGNER o Individual (s) 0 Corporate Officer fT.I o Partnor(s) / b Attorney- in -I'll e o Trustee(s) o Other PIOA \'<nun CAPA v 11. 1 0A1 WNI- a ➢!INbi n \, v. NOlnryClaaas.cn.n INSTRUCTIONS FOR COMPLETING TI IS FORM A. 'r4 1Ngnenr ...uPbwJ br Cob /...... nlrnr ....x,111 rrrmrge enx,q n nprynrx nlm,e. rube nnrtn;r sr v au 1n:krmn.uJg.nuru Ib.nunusl be Pulped, n I'va"I nn✓ mb.)"I b 11 r4sIun..1, In m.1, . xxpliry A i/ n Jxnurenr 1..o Lo 1111111W o 111 WC.? /1.'111.. /n nI.b numncs .111 nlrnn.nbc ,.A 1"l, ,e.Mgee m ..nr be pr innN .... .n. had,,, ".—I "o IonY ns .be erbl..,. Aur rx4ul . IA., "'d _ 11 : rlra rb .'d I.. (a1/ l- n.�r (' I I..hI l "I o" b 1m , PI )cd rbe J.nrmwn a .x.611, P Prep., .xe.duh.rrrJnrp nJunw1, "", W. ...... pq.r'vd Slat ndC.aal abil11awly I all Ik ill sl'l' Aod C.anyU1",, all J.RIn11ir, siyncrtsl rc nal1,arpb,mJ bob — faro, pubic ILr acknmd dl Dam ofuwad,.tiou nnul betlm dx lbal rbe signer..Ilwwadlc uPl *vrcJ nbich nl elm M Jlc aim lLne the mk.wn Ialgmen b con.p "i .TI na:lryrublic bl1,dell ms w' bcr n:lm. a.it al`Paan u;lbl.l bis orber nn falkvN bYnaumn.a and dmn..or lil4-l.umn PnWi.L Print l's nmlwlsl afJmunwm siuucrl vl oleo P ✓smnllY nPln`vr m Nc line. of .ndicile III. • InJieac Ibc e.rmn ei.yulnr nr rbnea Ib.'.m by cr x on In al ..ruin li.e. 1re.Vevhep• hrirt I or vimlinx ILo cu ma form.. fi.ilurc ¢r mnx,ly InJic:ne Ibis Infom er kaJ w rcjn l of do,nnlanl rcmrdinp. • Tne no:uy noel imrrcssiun'n sl Le Jenr -d rbuwyrnrbicallly rcrmd 1 blc. Imrrcn unl nut co\.ncxl orlince. I f mar inty nlWecz, r cnl ifa sum,;, nn PmnnG Olnbr\.ivJ C,y 10 ..........., I, sahltoml. Signa of III notary runlia urns n.meb the siy^vnm on fro lrilh Ile orrice ul lie coon.1 lit d AdyFlb.ul inlivnmliml is lol ^Vnind bur cool) IwIP lu a. < all vaknon Lden or,is lwv nlialx.d or alaeheJ w a Jilise.n docnnxr,, ti I.Nirnc line o,ry ,fan:ebnly llh m nbr II III I raES and Jim. a InJii,officer,jily.Iaii .1i by live CTO l 10. chinedanPa'_ n cornwal <oamcr, illJ:r< ne nne r.<. cco ceo. slaryl. sec:.mly as >n Inis aUn.n.m In In:.JP.ed du<\:.11..11 GREAT AMERICAN INSURANCE COMPANY® Adminletre5ve Office: 301 E 4TH STREET a CINCINNATI, OHIO 452D2 a 513- 359 -5DDO *FAX 513- 723 -2740 The number of persons authorized by Ilds power of avomey is not more than TWO No .0 14555 POWEROFATTORNEY RNOWALLMEN BY THESE PRESENTS: thatthe GREATAM MCANf SURANCECOMPANYecarpomfimmgenizedandexistingwrier eM by virtue of the laws of she Sore of ONo, does hereby nominate, conafim¢ and appoint the person m persons named bebw, each mdividnally if more Nan one is named, its true ands of suenomey -m -fact, for iI end bl its name, place and studo exmum w behalf of the said Company, as m any any and all bond, undertakings red contracts of suretyship, err other wrisan obligations in the nature thereof, limit provided thin the Eeb9iry of the said Company on any such bond, wdemking or contract of suretyship executed under this authority dull not etteed the limit sorted below. Name Address Limit of Power EDWARD N. HACKETT BOTH OF BOTH CHRISTINE MAESTAS IRVINE, $100,000,000.00 CALIFORNIA This Power ofAnomry revokes ell previous powers ovation behalf of the attomey(s) -m-Gn named above. W WFFNESS WHEREOF the GREATAMERICAN INSURANCE COMPANYhas causedthese presents m be signed and mosted by its appropriate officers and its coryo me seal hereunto affixed this 19TH day of MARCH 1 2014 Attest GREAT AMERICAN P SURANCE COMPANY " e 'C" n Auiemnr5 crsary pi,vicnal Senior Nee Rurdmt STATE OF OHIO, COUNTY OF HAMILTON - ss: waoc.ImcNw anon -zaoa7 On skis 19TH day of MARCH 2014 • before me persosulty appeared DAVID C. KITCHIIN, to me kvawv, being duly some, deposes and says that he resides in Cincinnati. Ohio, that he is a Divisional Semer Vice President of the Bond Division of Great American Insumnce Company, the Company described in and which executed the above inatrummt: the, he kmws the seed of the said Co.,.,; that the seal affixed to the said irutrumeas is each corporate seal; that it was so affixed by authority atlas office under. the By -Laws of said Company, and that he signed his name thereto by like authority, I: i• I w ibis PowerofAnt dated is greeted by authority oftbe fvllmvingrcmlmions adopadby the Bovd of Directors ofGeetAmericm Insumaae Compevy by unammoue written convent dated lun<9, 2008. RESOLVED: That the Divisional President, the sm•eral Divenamil &a., Pce President. DSVirional Pre Presidents and Domma l Arrbranl Pre Presidenn, or am• one fthem, be and hereby it aarhorized from time in nme, 0 appoint, one m more Amonrys -in -Fact ro monale on bAu fofrhe Company, urem ti, and all&nds,nndermkings and cmaraarslsuretyshtp, or other wrinen obligations in the norom 'ha —f, to prescribe Their mrper.a duties and the respective limits oftheir authority: and m revoke any such aprumtmmr at any nme. RESOLVED FURTHER Thar the Cam ➢anv sea! and the signature oforry o/the 1 resaid suers and am Secreary or ASVrmnr Saretan• Company roan be wed by /aasimrte ro any ➢oxer ofarromey or cernc�am ofeirher given jot, rM1e axurion ofany bond underrating, ronnan ojrure� rher wrinen obliganonmrhe namrerhe Jmch rignamre and seal when sa used being hereby adopted byvM1e Companv as the ongmal signanaec der and rbe origins( seal jibe Company, ro be vabd oral binding upon Poa Company a•irh the tame force aM � e or rhongh manual /y wed. CERTIFICATION L STEPHEN C. BERAHA, Assistant Secretary ofGreatAmerman Insurance Company, do hereby certify that the foregoing Power ofAnomcy and the Resolutions of the Board of Directors of June 9, 2008 have not been tevokel and are now in full force and effort. Signed and sealed this JUN 06 2014 day of Aonanr5wremry stazam(lDlal 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 ($10,000), whichever is greater, for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after City approval. CBF -11 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) I^Dupliele Neel 2 Pages II needed for listing additional subconrracend "I Name and Location Description of Work of Subcontractor to be Subcontracted Name: - I�YF(e-(D RU14 PS 'CYt6' }Rd�f uOT l�r C "c -PC-7& Address Name and Location of Subcontractor Name: Vli LflzJDSC G7 Address�f0(LZID�F r• �' Name and Location of Subcontractor Name: �Q y Address: CC n i%� Name and Location of Subcontractor Name Address: Name and Location of Subcontractor Name. A3L) Fl- r Address: b IJ-ar CBF - 12 Description of Work to be Subcontracted (T` -ViGib t L-KnD-�eW(Nlc Description of Work to be Subcontracted Sl7s SIOTLEy, p( Uvuf3cn7� Description of Work to be Subcontracted (Mft�rCFk Cy Description of Work to be Subcontracted �OVGq 04'YIZF-V-r3TK -y 2.B LIST OF PROPOSED SUBCONTRACTORS (continued) I"Dupliate Neel 2 Pages lneeded br lesi ggddt al suM nradors'I Name and Location Description of Work of Subcontractor to be Subcontracted Name: (—O - j VAIGT fZ Address: IA- - -$ f Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address C 1C1-E i j�'C Name and Location Description of Work of Subcontractor to be/�S/ubc�onttracted Atv", itmA p� Name_ 1CJA S _ Address. r"- r�W%(LJ FI /ISR KC � SffT. M45 f Name and Location Description of Work of Subcontractor to be Subcontracted Name: Addressi f\ G r Name and Location Description of Work of Subcontractor ttoo�b�ep Subcontracted �p 1 Name KAVI � A000 Ci"ST rN Address CBF - 12 2.B LIST OF PROPOSED SUBCONTRACTORS (continued) I °eopnenic Neq H Pages if needed ror listing adii xuomn rado s'I Name and Location Description of Work of Subcontractor to be Subcontracted Name: � j &Jd 1l (� Cv� c X11 Address' (rte T —� Name and Location of Subcontractor r A7rirr5[tiI�IS�� Description of Work to be Subcontracted FA M- YtG i MT-1- Cl Name and Location Description of Work of Subcontractor (I to be Subcontracted Name. Ai pp — M((o (1 •A-C- Address: 1 4:—] IAG 1 Name and Location Description of Work of Subcontractor to be Subcontracted Name: ab kCi Address: VfflML2l Name and Location of Subcontractor Name'. Address: Description of Work to he Subcontracted C l v oLI[Arl 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) I^0up—dr Ne12Pages it needed for Ilsteg a d1lional subwnlratlors "I 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: Name and Location of Subcontractor Name: Name and Location of Subcontractor Name: 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 2.6 LIST OF PROPOSED SUBCONTRACTORS (continued) �"Dupbrale NeY J Pages if nCedea for rsM9 additional subeontranors •'I Name and Location Description of Work of Subcontractor to be Subcontracted Name' Address: Name and Location of Subcontractor Name: Description of Work to be Subcontracted 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 Description of Work of Subcontractor to be Subcontracted Name. Address CBF - 12 23 LIST OF PROPOSED SUBCONTRACTORS (continued) [ ^nupGCate Nest 3 Pegas if needed for listing adOtllonal suU rtranorsl Name and Location Description of Work of Subcontractor to be Subcontracted Name: 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: 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 BIDDER_ yrOODGUFF COR.POCPTte I 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' �{T� 9� Dl�iriO�tD �A1z NTT i LI- 4 U kilAf boo Name and Address of City and telephone dumber of person -11 lerl Il Contract amount Completed 2. AnIn nlc Name and Address of City 1 1x« 4oi s. TWrk sr Name and telephone number of person familiar with project J!1.9 M �ufo(i'c We & O- 2[ayll Contract amount Type of Work Date Completed 3 ALMMA Pmt PW, /cUmn PcA-y/ gK1Tr' MW 3Cawnd G Name and Address of City Au 60- dos 690300 -�3arh W Contrac Completed 4. m.n FM Name and Address of City IV— Na'OfAM Ob C4 Name and telephone number of person familiar with project 4 5 B M � G�.t� g��13 Contrdct amount TVoe of Work Date _ Completed CRC - 1 � SECTION 3 NON - COLLUSION AFFIDAVIT CBF - 14 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. t I Signal re 5}w Typed or Printed Name �sQg�HT Titlee I V40pG.7FF faP ?,4TIO� L Bidder Subscribed and sworn before me This _V_11 day of JON I— .20 1 (Seal) J otary Public in d for the State of C orma My Commission Expires. JUP/ 2 ,201(0 KLAN w „gRgE comml.uen � 1N1013 Henn Not - Cowan” n Cew o r- Jet will, CBF - 15 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California County of L'� `7"r(4(-6Lk_S i On JUl'i II 2014 before me, ___.. t3I.�2 "A-y PPSt� Dale Here Insert Name and Title A the Officer personally appeared JOK4A� Nnmalsl ol9gnege) ALLLM1 Y.,IOROE Commls� ion ♦ t 81013 Vall Public - CYlll Lq MOnlq Courdy Calm. = Jul Z, 1018 who proved to me on the basis of satisfactory evidence to be the personj s)'whose name(a)- isare subscribed to the within instrument and acknowledged to me that he /spreftery—executed the same in his/17edtheirauthorized capacityi4es); and that by his/berst i signaturEW—on the instrument the person(S); or the entity upon behalf of which the persons) 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 han nd official seal. Signature Place all Seal An— :i Side, PU�lic OPTION Though the Infordeal/en below le net required by law, d may, p e valuable to per ns r mg on the document and could prevent fraudulent removal and reaBacherent of this to= a er document Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signers) Signer's Name: Individual Corporate Officer— Title(s): Partner — - Limited. General Attorney in Fact Trustee - Guardian or Conservator Other: Signer Is Representing. 0 Number of Pages. Signer's Name: Individual Corporate Officer — Tire(s): 11 Partner — I Limited General I Attorney in Fact -1 Trustee - Guardian or Conservator Signer is Representing: RIGHTTHUM9PRINT OF SIGNER 02007 der Hit ,Aernia -9350 De SoloA PQ Bar 292Cfi 6wntlh, CA r1311 2ne2—smisherartarrhat 111 #5907 Rather: 0211 TIFFree loon 876 M27