GRFCO Inc.CITY OF ROSEMEAD
GARVEY AVENUE SEWER RELIEF LINE PROJECT
PROJECT No. 21845
BIDDER: WFCO,1NC.
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION1 BID SCHEDULE ......................................................................... ..............................1
SECTION 2 BID DATA FORMS ..................................................................... ..............................5
2.A BID BOND .................................................................................. ..............................6
2.13 LIST OF PROPOSED SUBCONTRACTORS ............................ ..............................7
SECTION 3 NON - COLLUSION AFFIDAVIT ................................................. .............................10
�;
SE CTION 1 - BID SCHEDULE
C.BF - 1
BIDS SCHEDULE
SCHEDULE OF PRICES FOR
GARVEY AVENUE SEWER RELIEF LINE PROJECT
PROJECT No. 21845
BASE BID SCH17m11 F
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
UNIT
QTY.
PRICE
COST
1
Clearing & Grubbing per Plans and
LS
1
Specifications, See Technical Provisions
( c,C3C
t
) hICx�Cs.
Pages TP -2 & TP -3 per Details.
2
Disposal of Waste Materials,
LS
3
Prepare a Storm Water Pollution
LS
1
Prevention Plan (SWPPP).
3 —
c,)Oo
4
Traffic Control Plans prepared by a
LS
1
Registered Traffic Engineer.
15 `-
I'-` 0CX) —
5
Unclassified Excavation.
CY
100
60
6
Remove and Dispose existing manhole
EA
3
including bedding, backfilling and Paving
r
per Plans and Specifications Complete.
1, 000 ,
3 0 00
7
Construct Extra Strength 15 -Inch
LF
2,600
diameter Vitrified Clay Pipe (VCP)
r sc� IO
including bedding, backfilling and Paving
per Plans and Specifications Complete.
8
Construct 15 -Inch diameter Ductile Iron
LF
81
(DI) Sewer Pipe including pipe structure
3
support per SPPWC Std. Plan 224 -2,
3UO,
bedding, backfilling and paving per Plans
and Specifications Complete
9
Remove and Dispose existing 8" Vitrified
LF
330
Clay Pipe (VCP) sewer including pipe
,1 s ,
5�,� 6
plugs, bedding, backfilling and Paving
per Plans and Specifications Complete.
10
Construct extra strength 8 -Inch diameter
LF
176
Vitrified Clay Pipe (VCP) including
bedding, backfilling and Paving per
Plans and Specifications Complete.
11
Construct Reinforced Precast Concrete
EA
11
Manhole per LACDPW Std. Plan 2003 -2.
Sj ',
6- --
TOTAL BASE BID PRICE
Dollar amount in written
f c) d ®f'j ff U e,. q J`►Cr tr'S
CBF -3
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
UNIT
CITY.
PRICE
COST
'12
Construct Drop Manhole per CSD Std.
Plan S
EA
1
c �, (—
-a -205.
' 0oo
'13
Install House Connection Remodeling
EA
41
including pavement per SPPWC Std.
C7CX, "`jf)Cic�
aT
Plan 223 -2
'14
House Lateral Replacement per SPPWC
EA
10
r
Std. Plan 222 -2. *(approx. 25% of
�C1C C J
�)� OcX;
existing laterals)
'15
Construct Wye per LACDPW Std. Plan
2024
EA
50
_
400
—
�I o
-1.
,
j000
'16
Construct 72" Manhole Type "E" (case II)
per CSD Std. Plan S -a -205. And detail
LS
1
1 C �
on sheet D1
'17
Remodel and plug existing sewer
manhole per detail "A" on sheet D1
LS
1
,C�
-�
'I8
Remove existing and Construct 18"
LS
1
diameter RCP (2000 -D), including
concrete collars per SPPWC Std. Plan.
q C'oc).
Li, CY)o
380-4, complete as shown on the plans
'19
Sewer Flow Bypassing at all locations as
LS
1
Ct
S1 C0.
S��
shown on the plans.
20
Construct Terminal Cleanout Structure
Plan 204
EA
1
"�
0 Y
per SPPWC Std. -2
21
Abandon Existing Sewer. Fill with low
LF
830
density cellular concrete (LDCC) or
)3.
controlled low strength material (CLSM)
with min. compressive strength of
3000PSI @ 28day and plug ends
22
Provide temporary and permanent
support for the 36" RCP Sewer per CSD
EA
1
Cx-
Cxoo.
Std. Plan S -a -222 and S -a -217.
Complete in place.
TOTAL BASE BID PRICE
Dollar amount in written
f c) d ®f'j ff U e,. q J`►Cr tr'S
CBF -3
.. �
A LTERNATE BID ITEM 1
B ARLETT AVENUE STREET RESURFACING
TOTAL ALTERNATE BID PRICE
Dollar amount in written
9
$ I baiQ(oY- Lro
of -Jey• "W%cl I .i4owA r ed Sll;4q EIdJ dodl a.rs'
TOTAL BASE & ALTERNATE BID PRICE
re
amount in written form
i Cvtti - 1
$ I,�f27, 09Y�(PO
UNIT
EST.
UNIT
ITEM
IVO.
ITEM DESCRIPTION
QTY.
PRICE
COST
1
.0- inches thick existing
SF
91,562
®
pavement
2
Construct 2.0 inches thick pavement
TONS
1,170
C
CAF
overlay ARHM -GG -C (PG 64 -16) as
f �j�'O j�jfj
indicated on the plans.
3
Remove Existing, Dispose and
SF.
1,200
Construct 4- inches thick PCC Sidewalk
G00
r-hD GO.
per SPPWC Std, Plan 113 -1.
4
Remove Existing, Dispose and
EA
4
Construct PCC Curb Ramps per
34 .a
fa r (}CX3
SPPWC Std. Plan 111-4.
5
Remove Existing and Construct 6-
Inches Thick Driveway Approach per
SF
200
I off. oo —
�q ()C).
SPPWC Std. Plan 110 -2
6
Adjust Sewer Manhole to Grade per
EA
13
SPPWC Std. Plan 205 -1 and 206 -1.
(P
7
Install Survey Well Monument per City
EA
8
of Rosemead Std. Plan S08 -001. See
Section 2 -9 Surveying of the General
300
a400
Provision -7 per details (Cover, Sleeve
& Dome will be provided by the City at
no cost).
8
Install Traffic Striping, Traffic Signal
LS
1
Loops and Pavement Markers per the
—
l
jGh C)C3Q..�
Striping Plans and Specifications
Complete.
9
Install 36 -Inch Box Parkway Tree Crape
EA
20
Myrtle "Muskogee" including 90 -days
L f --
�rr 0W. "-
maintenance period and tree wells per
SPPWC Std. Plan 520-4.
TOTAL ALTERNATE BID PRICE
Dollar amount in written
9
$ I baiQ(oY- Lro
of -Jey• "W%cl I .i4owA r ed Sll;4q EIdJ dodl a.rs'
TOTAL BASE & ALTERNATE BID PRICE
re
amount in written form
i Cvtti - 1
$ I,�f27, 09Y�(PO
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
lie 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 bid bond in the amount of
/O ;�) Dollars ($ /0 o ) 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.
11' 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
CBF -5
BIDDER: M101 M
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.
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 -6
By:
Sigdature
G�e
Type or P nt Name
Pr2s
Eidder's /Contractor's State of Incorporation:
1,11
CO, INC,
_
6 (,51 - 7 Av(z-
Business Street Address
s C 9
City, State and Zip Code
rS /)�5'7 -g9R - 7
Telephone Number
Partners or Joint Venturers:
Bidder's License Number(s): _ —/o 13
Department Industrial Relations
Registered No. ���oocgOC/5�
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 -7
BIDDER: r1o, M.
SECTION 2
BID DATA FORMS
(IBF - 8
GRFCO, Inc.
Bidder shall submit its Bid data In accordance with the format shown on each of the follow ng Bid
Data Forms. Bidders sisal) prepare and use as many sheets as are necessaryto adequately I 1 rovIde
the information required. Bidder shall ensure that every page of its Bid Data Forms are p operly
Identified with the Biddor's name and page number.
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT GRFCO, Inc.
Principal and — The Guarantee Company of North America US
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten Percent of the Total Amount of the Rid
($ 10% ) , 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, executers, 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 forthe OARVEY AVENUE SEWER RELIEF LINE PROJIECTas setforth in
the Notice, Inviting Bids and accompanying Bid Documents, dated
June 25, 2015 , _
NOW, THEREFORE=, if said Principal is awarded a Contract for the Work by the
OWNER and, wilhin the time and in the manner required by the above- referenced
Bid Documents, enters into the written form of Contract bound with sold Bid
Documents, fumishras the required bonds (one to guarantee faithful performance
and the other to guarantee payment for labor and materiels) furnishes the required
insurance certificates and endorsements, and furnishes any other certifications as
may be required by tile Contract, then this obligation shall be null and void; otherwise
it shall remain in lull 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 3 m w „ r day of July 20 15
The Guarantee Company
GRFCO, In . (SEAL) of North America USA (SE
t �1 A 2 " reckena ! as N AfIIrF �IU tLlrt7 Mar . Att By: or ev -in -Fact
CBF -9
CALIFORNIA ALL PURPOSE: ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who
signed the document, to which this certificate: is attached, and not the truthfulness, accuracy, or validity of
that document.
STATE OF CALIFORNIA
COUNTY OF RIVERSIDE )
On - jo f , 2U"/ __before me , _ Ja Craig Jackson _ � Notary
/" Ddte Insert Name and Title of the officer
Public, personally appeared __ George Fr ost _�
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) is /are
subscribed to the within instrument and acknowledged to me that he /she /they executed the same in
his /her /their authorized capacity(ies), and that by his /her /their signature(s) on the instrument the
person(s), or the entity upon behalf' of which the person(s) 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.
�., JAMES CRAIG JACKSON
COMM. #2085465 0
NOTARY PUBLIC - CALIFORNIA
RIVERSIDE COUNTY ;
My Comm. Expires 0dober 10, 2018
Signature i
------•• •-•-••° .............°-- -------- ---- --- - ---- -----•-- OPTIONAL --- ---- - -----
Though this .section is optional, completing this information can deter alteration of the document or fraudulent
attachment of this form to an unintended document.
Descriptlon of Attached Document
Title or Type of Document: _ __ Document
Number of Pages:_ Signer(s) Other Than Named Above:__
Capacity(ies) Claimed by Signer(s)
Signers Name: George Frost— _
0Corporate Officer — Tltle(s) President &Secretaar _
❑ Partner - ❑ Limited ❑ General
❑ Individual ❑At:torney in Fact
❑'Trustee ❑Guardian or Conservator
❑ Other:_
Signer is Representing: GRFCO, Inc.
Signers Name:_
❑ Corporate Officer — Title(s)_
❑ Partner- ❑ Limited ❑ General
❑ Individual ❑Attorney in Fact
❑ Trustee ❑Guardian or Conservator
❑ Other:_ _
Signer is Representing __�
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County of Los Angeles )
On July 03, 2015 before me, Julie M. Shreckengast, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Mark E. Shreckengast
Name(s) of Signers)
who proved to me on the basis of satisfactory evidence to be the person(O whose name(O is /aNX
subscribed to the within instrument and acknowledged to me that he /shmAdxiay executed the same in
his /kxKM)vtr authorized capacity, and that by his /laenEtt)eiz signature* on the instrument the person(s),
or the entity upon behalf of which the person(o 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.
JULIE M. SRRECKENGAST
comm. 02019504
S NOTARY PUBLIC CALIFORNIA
xvv�na LOS ANGELES COUNT'
Commission Expires APRIL 26, 2077
Place Notary Seal Above
WITNESS my hand and official seal.
Signature
Signature of Notary Public
OPTIONAL
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:
Number of Pages:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
Fl Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
71 Other:
Signer Is Representing:
02014 National Notary Association • www.NationaiNotary.org • 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5907
THE GUARANTEE COMPANY OF NORTH AMERICA USA
Southfield, Michigan
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS: That THE GUARANTEE COMPANY OF NORTH AMERICA USA, a corporation organized and existing under the
Iowa of the State of Michigan, having its principal office in Southfield, Michigan, does hereby constitute and appoint
Marls E. Shreckengast
Sumrnit Surety Insurance Services
its true and lawful attorney(s)- in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of
indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract
or otherwise.
The execution of such instrument(s) in pursuance of these presents, shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA
USA as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at the
principal office.
The Power of Attorney Is executed and may be certified so, and may be revoked, pursuant to and by authority of Article IX, Section 9.03 of the By -Laws
adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 31" day of December, 2003.
The President, or any Vice President, acting with any Secretary or Assistant Secretary, shall have power and authority:
1. To appoint Attorneys) -in -fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds
and undertakings, contracts of indemnity and other writings obligatory in the nature thereof; and
2. To revoke, at any time, any such Attorney -in -fact and revoke the authority given, except as provided below
3. In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given
to the Attorney -in -Fact Includes any and all consents for the release of retained percentages and/or final estimates on engineering and
construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of
Florida Department of Transportation making payment of the final estimate to the Contractor and /or Its assignee, shall not relieve this surety
company of any of its obligations under its bond.
4. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to
the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such Intent has been given to the Commissioner —
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting
duly called and held on the 6th day of December 2011, of which the following is a true excerpt:
RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification
thereof authorizing the execution and delivery of any bond, undertaking, contracts of indemnity and other writings obligatory in the nature thereof, and
such signature and seal when so used shall have the same force and effect as though manually affixed.
IN WITNESS WHEREOF, THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and
µ�> o*� its corporate seal to be affixed by its authorized officer, this 23rd day of February, 2012.
q, C7 THE GUARANTEE COMPANY OF NORTH AMERICA USA
oNI HT� 0 .� �1 4
STATE OF MICHIGAN Stephen C. Ruschak, Vice President Randall Musselman, Secretary
County of Oakland
On this 23rd day of February, 2012 before me came the individuals who executed the preceding instrument, to me personally known, and being by me
duly sworn, said that each is the herein described and authorized officer of The Guarantee Company of North America USA; that the seal affixed to said
instrument is the Corporate Seal of said Company; that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of
Cynthia A. Takai
Notary Public, State of Michigan
County of Oakland
My Commission Expires February 27, 2018
Acting in Oakland County
IN WITNESS WHEREOF, I have hereunto set my hand at The Guarantee
Company of North America USA offices the day and year above written.
& 4_ttti 0, T�
I, Randall Musselman, Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify that the above and foregoing is a true
and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA, which is still in full force and effect.
IN WITNESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 3rd day of luiy 2015
S O
Randall Musselman, Secretary
CO, M.
BIDDER:
21.6 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, incl�{ding bridges, in excess of one -half of 1 percent of the
Contractor's total bid or ten thbusand 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 -10
113 LIST OF PROPOSED SUBCONTRACTORS (continued)
( "Duplicate Next 2 Pages if needed for listingedditional subcontractors.")
Name and Location Description of Work
o f Subcontractor to be Subcontracted
Department of Industrial Relation Registration No.
Name: ASS 5 Ai I E fi 1
Address: AP)Cao CJ Ar_nt(l - r Ate':, Sf � t L�
License No.:
N ame and Location
o f Subcontractor
Description of Work
to be Subcontracted
Name: C PC
Address -1 00 -IL--- C-'d N', LA P0 �N7
License No.:
[)apartment of Industrial Relation Registration No.
N ame and Location
o f Subcontractor
Description of Work
to be Subcontracted
Name:
Address:
License No.:
Department of Industrial Relation Registration No.
Name and Location
o f Subcontractor
Description of Work
to be Subcontracted
Name:
Address:
License No.:
Department of Industrial Relation Registration No.
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Name:
Address:
License No.:
Department of Industrial Relation Registration No.
CBF - 11
BIDDER: f`01c.
2,C
The following are the names, addresses and telephone numbers for three public agencies forwhich BIDDER
has performed similar work within the past two (2) years:
Name and telephone number of person familiar with project
amount
Type of Work Date Completed
2. _
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work
3.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
9
and Address of Owner
and telephone number of person familiar with project
Contract amount Type of Work Date Completed
CBF -12
r_� wc.
SECTION 3
NON - COLLUSION AFFIDAVIT
CBF -13
BIDDER: tIva), LTqc,
NO COLLUSIQN 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, organizatjo'ri; bid depository, or to any member or agent,
thereof to effectuate a collusive of sham bid
Sig aturd
�reP� �1�
Typed or Frinted Name
Title
MIFCO, INC.
Bidder
Subscribed and sworn before me
This 5?' day of —7 20 C�
(Seal)
Notary Public in and fo JAMESCRAIG JACKSON
the State of California 60MM. #2095455,
NOTARY PUBLIp- CALIFORNIA
My Commission Expires: OCT / 2c� t8 m DE COUNTY
MyCOmm. E>ryires Odaber 10, 2018
CBF -14
GRFCO, INC.
Contract References
Los Angeles County Sanitation Districts- $479,325 "Madison Street Trunk Sewer"
Contact: Ms. Rosanne Paracuelles (562) 908 -4288 Start: Sept' 15- Complete: In Progress
Project Summary: 1389' of 8" HDPE in 12" Steel Casing
City of Pasadena- $1,347,410
Contact: Mr. Adolfo Vargas (626) 744 -4331
Ms. Natalie Ouwersloot (626) 744 -7011
"Lake Ave. Ductile Iron Water Mains"
Start: June' 15- Complete: In Progress
Project Summary: 6300' of 8" DIP, Services, Paving
City of Fullerton- $582,055
Contact: Mr. Mr. AI O'balles (714) 595 -6718
Mr. Pete Acosta (714) 732 -90Ei0
Project Summary: 2475' of 12" VCP, Manholes, Paving
"Nutwood Ave. Sewer Replacement"
Start: May' 15- Complete: In Progress
Helix Water District- $192,550
Contact: Mr, Billy Gaston (619) 944 -1042
Project Summary: Remove and Replace 6 large Valves
California Dept. of Park and Recreation- $277,000
Contact: Mr, James Buenviaje (619) 221-7045
Project Summary: 5600'of PVC Water Pipe
City of Norco - $513,028
Contact: Mr. Dan Cuthbertson (951) 545-7872
Mr. Sam Nelson (951) 270 -5677
Project Summary: 360' of 42" RCP, 646' of PRCB
City of Orange- $45,000
Contact: Mr, Alan Truong (714) 744 -5568
Project Summary: Place 24" RCP and 8" PVC Drains
City of San Clemente- $63,000
Contact: Mr. Greg Deist (949) 337 -3139
"Large Valve Replacement Project 4458"
Start: Apr' 15- Complete: In Progress
"San Onofre Main Waterline Replacement"
Start: Mar' 15- Complete: May'15 (on time)
"MDP Line NB -2 and S -5A Projects"
Start: Jan' 15 — Complete: April' 15 (on time)
"Feather Hill Drive Storm Drain"
Start: Mar' 15- Complete: March'15 (on time)
"Recycled Water Meter Services"
Start: Feb' 15- March'15 (on time)
Rev 06/18/15
City of Newport Beach$1,289,650 "Storm Drain Improvements"
Contact: Mr. Peter Tauscher (949) 644 -3316 Start: Sept '14 — Complete: Feb'15 (on time)
Project Summary: Placement of 5 Hydrodynamic Separation Units
City of Inglewood - $840,803
Contact: Mr. Boytrese Osias (310) 412 -5333
Project Summary: 147 Sewer Point Repairs
"Sewer Point Repair Project- Phase II"
Start: July '14 —Complete: Nov' 14 (on time)
Central Basin Municipal Water District- $1,756,933 "Recycled Water Main"
Contact: Mr. Jonathan Tat (323) 201 -5552 Start: June '14 — Complete: Nov'14 (on time)
Project Summary: 2346' of 24" CML &C Steel Pipe, Jack casing under 5 fwy
City of Chula Vista - $638,485
Contact: Mr, Mike Schedine (619) 397 -6119
Project Summary: 1300' of 18" PVC, Manholes
"Industrial Blvd Sewer Improvement"
Start: June '14 — Complete: Sept' 14 (on time)
City of Fountain Valley- $1,364,289 "Garfield Sewer Replacement"
Contact: Mr. Temo Galvez (714) 593 -4517 Start: January '14— Complete: July' 14 (on time)
Project Summary: 2475' of 10" and 8" PVC, Dewatering, Sewer Bypass, T -lock Manholes
County of San Diego - $1,625,999 "Trunk D Sewer Improvements"
Contact: Mr. Hasem El-bahsh (619) 306 -8151 Start: June' 13 — Complete: May' 14 (on time)
Project Summary: Jack and Open Cut 2225' of 18" PVC /HDPE, Manholes, Paving
Los Angeles County Sanitation District - $1,902,712 "Union Street Trunk Sewer"
Contact: Mr. Ted Brodeur (310) 701 -4935 Start: June 2013 — Complete: Feb' 14 (on time)
Project Summary: Jack and Open Cut 993' of 18" Fiberglass Pipe, Manholes, Gas Probe Relocation
City of Santa Fe Springs - $301,302 "5 Freeway Water Main"
Contact: Mr, Frank Beach (562) 868 -0511 Start: October' 13 — Complete: December' 13 (on time)
Project Summary: 770' of 12" DIP, Testing, R &R Pipe in Casing
Los Angeles County Sanitation District - $572,850 "Puente Hills Landfill Drainage Improvements"
Contact: Mr. Kurt Greeb (310)710 -1663 Start: April' 13 — Complete: August' 13 (on time)
Project Summary: 700' of 42" HDPE Pipe, 1516' of Trapezoid Channels, Structures
Rev 06/18/15
Allstate Engineering /W.J. Lent Contracting Services - $353,544 "Vandenberg AFB — Demolish Housing'
Contact: Mr. Leonard Reyes (951) 746 -8653 Start: April '13 — Complete: August' 13 (on time)
Project Summary: Reduce 91,362 Tons of Asphalt /Concrete to 2" Minus
TEG/LVI Environmental Services, Inc. - ,$375,615 "Downey Studios"
Contact: Mr. Lon Omer! (562) 407 -0570 Start: April' 13 — Complete: June' 13 (on time)
Project Summary: Reduce 148,871 Tons of Asphalt /Concrete to 1" Minus
City of Fullerton - $259,660 "Euclid Sewer Replacement"
Contact: Mr. Pete Acosta (714) 732 -90(50 Start: February 2013 — Complete: March' 13 (on time)
Mr, Eric Villagracia (714) 738 -6853
Project Summary: 1285' of 10" VCP, Manhole Paving
City of Fullerton - $50,000
Contact: Mr. Tony Reynoso (714) 412 -1116
Project Summary: Remove /Replace T -lock Manholes
"Morningside Manholes"
Start: Sept. 2013 — Complete: Sept' 13 (on time)
Rev 06/18/15