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Bidder: EBS General Engineering Inc. CITY OF ROSEMEAD SAFE ROUTE TO SCHOOL PROGRAM SAVANNAH ELEMENTARY PROJECT No. 21025 toCcil 41:t BKPROR BIDDER: ERS General Engineering, Inc. CONTRACT BID FORMS TABLE OF CONTENTS SECTION 1 BID SCHEDULE 1 SECTION 2 BID DATA FORMS 5 2A BID BOND 6 2.8 LIST OF PROPOSED SUBCONTRACTORS 7 SECTION 3 NON-COLLUSION AFFIDAVIT 10 CBF-13 BIDDER' EBS General Engineering, Inc. SECTION 1 - BID SCHEDULE! IL CBF- 1 BIDDER: EBS General Engineering, Inc. BID SCHEDULE SCHEDULE OF PRICES FOR SAFE ROUTE TO SCHOOL PROGRAM SAVANNAH ELEMENTARY PROJECT No. 21025 BASE BID SCHEDULE UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE OTT. PRICE COST 1 Clearing&Grubbing per plans LS 1 and specifications. 01( 000— k COO --- 2 2 Disposal of Waste Materials. LS 1 JC n L/ Dy)O 3 Remove,dispose and Construct SF 45,570 /' / 4-inch thick PCC sidewalk per C 3 �I/ .�� SPPWC Std. Plan 113-2. J • 4 Remove,dispose and Construct EA 28 PCC Curb Ramps per SPPWC Std. Plan 111-5. //L�(XjQ ' 0C)0 5 Remove,dispose and Construct SF 2300 PCC driveway approach per SPPWC Std.Plan 110-2. )d. - ) 7 (2w- 6 Construct 8-12-inch PCC LF 1,580 variable retaining Curb. \S 39 / C2 7 Furnish and Install In-road LS 1 Pavement Lighting System per sheet 15 and specifications complete. 39i OCC) to n B Furnish and Install Flashing LS 1 Beacon System per sheet 15 and specifications complete. UCO ' /)(X) — i 9 Furnish and Install signage as LS 1 indicated on sheets 11, 12, 13& /y 14 and specifications complete. -'b (r0- 1 z�(Yln • 10 Furnish and Install Speed EA 2 Feedback sign location to be lay out on the field by the Public Works Inspector. I2. 0[){)-- 2V -- CBF-2 CBF-2 BIDDER: EBS General Engineering, Inc. UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 11 Install Pavement Striping, LS 1 Pavement Markers and miscellaneous as indicated on sheets 11, 12, 13, 814 complete. W 000l�-�1 -- L/4 j3 TOTAL BASE BID PRICE(SCHEDULE BID PRICE):$ 9k a 51:3Q.,-‘ Y�J nCN�J -A4J6 J Da`t \Mou'5 � 424+ kindle 9e ?n (c✓2, Dollar amount in written form J JJj(LtrS cr 0 C2t5 Note:The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-2.2.1 of the Standard Specifications,to stay within the budgeted amount of this project. If the Bid Documents specify alternate bid items,the following Alternate Bid amounts shall be added to or deducted from the Total Bid Price entered above.The owner can choose to include one or more of the alternates in the Total Bid Price of the Project. If any of the Alternate Bids are utilized by the Owner,the resulting amount shall be considered the Total Bid Price for the Project The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date,or until a Contract for the Work is fully executed by the Owner and a third party,whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price,the written amount shall govern. Attached hereto is a certified check, a cashier's check or a ditd bocci>in the amount of 10%bid amount Dollars($ )said amount being not less than ten percent(1 D%)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. If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution,within five(5)Calendar Days following the Letter of Award for the Contract,and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted,it will assign to the purchasing body all rights,title,and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant become effective at the time the purchasing body tenders final payment to he Contractor. and Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidences to the Owner of Bidder's California contractors license(s)in good standing;(2) ) 3 CBF BIDDER: PBS General Engineering,Inc. 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 understands and agrees that liquidated damages shall apply to this Contract in the amounts of five hundred dollars ($500.00) if project is not completed in SIXTY (60) calendar days. The Contract Time will begin to run ten (10)Working Days from the date of the Notice of Proceed and subject to the terms and conditions described in the Contract Form and the Contract Documents. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be • incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. 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. • Ili CBF-4 / BIDDER: EBS General Engineering,Inc. By: _ / 1320 E. Sixth St.,Ste 100 Signature Business Street Address Joseph A.Nanci Corona CA 92879 Type or Print Name City, State and Zip Code President 951-279-6869 Title Telephone Number Bidder's/Contractor's State of Incorporation: CA Partners or Joint Venturers: N/A • Bidder's License Number(s): 720016 • Department Industrial Relations 1000005295 Registered No. 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-5 • California All-Purpose Acknowledgement State of California} County of Orange On (p - \3t ( 7 before me, William E. Ellis, Jr. ,a Notary Public personally appeared Joseph A. Nanci who proved to me on the basis of satisfactory evidence to be the personts) whose name(s},is/arr;subscribed to the within instrument and acknowledged to me that he/ sheithey executed the same in hisNwr/their authorized '.. WILLIAM E ELLIS Jp, capacity(bb4}, and that by his/hurl/their signaturets),on Commission u .L •I NotaryPublic- 21X7998 the instrumentchthe pthe person d, or the entity upon behalf d� California of which the person acted,executed the instrument. Orange County My Comm Expires om 23.2019 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. Notary Public Seal Notary Public Signature OPTIONAL Description of Attached Document Title or Type of Document Dochment Date: Number of Pages: Signer(s)Other than Named Above: Capacity(ies) Claimed by Signer(s) ThumbpkIM Sipa,'1 . o Individual ❑Individual ne ❑Corporate Officer: Thumbplinl of Sipner2 0 Corporate Officer: ❑Partner- 0 Limited 0 General ❑Partner- 0 Limited O General ❑Attorney-in-Fact ❑Attorney-in-Fact ❑Trustee 0 Trustee ❑Guardian or Conservator O Guardian or Conservator ❑Other: 0 Other: Signer is Representing: Signer is Representing: ACTION AND RESOLUTION BY TI-IE BOARD OF DIRECTOR OF EBS GENERAL ENGINEERING, INC A CALIFORNIA CORPORATION All of the Board of Directors of EBS General Engineering,Inc.,desiring to insure that all the proper and authorized individuals, who have corporate authority to bind the said corporation to any and contracts executed by such authorized individuals,have been approved by the board of directors of EBS General Engineering,held a meeting on January 3,2010. The Board, following a review of the foregoing matter,and upon motion made and seconded,the Board of Directors hereby determines and votes unanimously as follows: BE IT THEREFORE RESOLVED that Joseph Nanci is hereby designated. authorized and empowered, to be duly authorized with all the attendant powers and authorizations related thereto,to bind,obligate and commit LBS General Engineering, Inc. to any and all contracts executed by and between EBS General Engineering, Inc. and any other contracting party. There being no further or pending business before the Board.the meeting was adjourned. BOARD OF DIRECTORS Date: January 3, 2010 Josep . anti, Sote Director ATTESTATION I, being the Secretary of the above referenced corporation, do hereby certify that the above resolution is the resolution of the corporation. Dated: t/3/0 �`""' Jos p anti.Secretary BIDDER: EBS General Engineering,Inc. SECTION 2 BID DATA FORMS CBF-6 BONDll 3-B PREMIUM: NIL BIDDER: EBS GENERAL ENGINEERING, INC. 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 Bidders name and page number. 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS: THAT EBS GENERAL ENGINEERING, INC. ,as Principal, and SURETEC INSURANCE COMPANY , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of TEN PERCENT OF AMOUNT BID DOLLARS ($ 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, executors, administrators, successors, and assigns,jointly and severally, firmly by these presents. WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work required for the SAFE ROUTE TO SCHOOL PROGRAM — SAVANNAH ELEMENTARY as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated JUNE 14, 2017 NOW, THEREFORE, if said Principal is awarded a Contract for the Work by the OWNER 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 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 8TH day of JUNE , 20 17 EBS GENERAL ENGINEERING, INC. (SEAL) SURETEC INSURANCE QMPANY (SEAL) Principal Su � By: By Signature Signa ure C ES L. FLAKE Joseph A.Nanci,President ATTORNEY-IN-FACT CBF-7 • 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 Orange I On 6-08-17 before me, Lexie Sherwood , Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Charles L. Flake Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) 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), .,4rest LEXIE SHERWOOD and that by his/her/their signature(s) on the instrument the 8 COMM.#2031782 3 acted,person(s), or the entity upon behalf of which the person(s) o. ,. NOTARY C COUNTY•CALIFORNIA n acted, executed the instrument. ORANGE COUNTY Comm.Exp.JULY v,2017 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 an official seal / / Signature (,// r M Place Notary Seal Above Signature of N ary Public Lexie Sherwood OPTIONAL Though the information below is not required by law it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ] Individual ❑ Individual ] Corporate Officer—Title(s): ❑ Corporate Officer —Ttle(s): Partner ]Limited ❑General ❑ Partner ]Limited❑General ] Attorney in Fact RIGHT THUMBPRINT 0 Attorney in Fact RIGHT THUMBPRINT ] Trustee OF SIGNER ❑ Trustee OF SIGNER ] Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ] Other: ❑ Other: Signer is Representing: Signer is Representing'. POA e: 510123 SureTec Insurance Company LIMITED POWER OF ATTORNEY Anow All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Charles L.Rake, David L.Culbertson,Spencer Flake its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety for,providing the bond penalty does not exceed Five Million and 00/100 Dollars($5,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President,sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the premises. Said appointment shall continue in force until 12131/2019 _and is made under andby authority of the following resolutions of the Board of Drectors of the SureTec Insurance Company: Be it Resolved,that the President, any Vice-President,any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all I li notices and documents canceling or terminating the Company s liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be a Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20ih of April 1999) In Witness Whereof SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal to be hereto affixed this 12th day of April ,A.D. 2017 . SURETEC I RAN .ANY SdRANCFc w. %I9 `+� By: F' i+ w�,Ics '=t John Knox o, 'resir.nt State of Texas ss: so, 1 County of Harris * On this 12th day of April ,AD.eon before me personally came John Knox Jr.,tome known,who,being by me duly sworn,did depose and say,that he resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY,the company described in and which executed the above instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. „o`Ma., XENIA CHAVEZ 9.r.5_4::%- 9.Notary Public,State of Texas '.rt Comm.Expires 09-10-2020 °'r`$ c.' Notary ID 129117659 X tai"ravez,Notary Public i. ly commission expires September 10,2020 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that he above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. • Given under my hand and the seal of said Company at Houston, Texas this— da of ir, i_ , A D. tTTT/tty/v/v/'///,lllyyy///Lt �/ '. B •nt Be ,Assistant Sc etary Any instrument issued in excess of the penalty stated above is totally void and without any validity. Far verification of the authority of this power you may call(713)812-0800 any business day between 8:00 am and 5:00 pm CST. California All-Purpose Acknowledgement State of California} County of Orange On t' • 13 r ( 1 before me, William E. Ellis, Jr. a Notary Public personally appeared Joseph A. Nanci 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/ alley executed the same in hisflw,/tk,i, authorized WILLIAM E. ELLIS Jp. capacity(tas}, and that by his/he,ftheie signaturejs}on ,.�.- Commission u 2127993 the instrument the person(„ or the entl[y upon behalf IW Natar Puallc- z O ealitnmia of which the rson acted,executed the instrument. Orange County n My Comm ange sOct 27,2019 Icertify 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. Notary Public Seal Notary Public Signature ON OPTIONAL Description of Attached Document Title or Type of Document: Pediment Date: Number of Pages: Signer(s)Other than Named Above: Capacity(ies) Claimed by Signer(s) ThumbpAnl of Sipnert O Individual ❑Individual ❑Corporate Officer: Thumbplinl of Sioner2 0 Corporate Officer: O Partner- 0 Limited❑General O Partner- 0 Limited O General O Attorney-in-Fact 0 Attorney-in-Fact O Trustee O Trustee O Guardian or Conservator 0 Guardian or Conservator ❑Other: 0 Other: Signer is Representing: Signer is Representing: BIDDER' EBS General Engineering,Inc. 2.8 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 Totanotal Bid Price, or, in the case of bids or offers for the construction of streets or highways, g bridges, in excess of one-half of 1 percent of the Contractors 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 ids to submit Bidders twenty-four deadline rsubmission o the information requested by the Owner eachsbontactor,other than 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 Contractors total bid or ten thousand dollars($10,000),whichever is greater,for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after Owner approval. • IL CBF-8 BIDDER: EBS General Engineering, Inc. 2.B LIST OF PROPOSED SUBCONTRACTORS(continued) rOupb®ie Nex12 Pages if needed for listing Bddibonai subco*?cton."I Name and Location Description of Work of Subcontractor to be Subcontracted Name: 5.1Pe-liOr Rc1V...X n DX(klni1 Address: —7k3ID- C> ,UOS�(Q-h5 /0G30 License No.: 77(03777 t0 5 Department of Industrial Relation Registration No. ( 0 0 Cc) 7(77G Name and Location Description of Work of Subcontractor o (� (� to be Subcontracted [� 1 Name: `gG1lCi, r�?c ,p CJ IeL-N, cs�� Address: ldl lT 1-P(�PAq. ✓�VQ ha-C. I'd:ilk LicenseNo.: 193707 [; Department of Industrial Relation Registration No. /OIk)OO� /s Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. CBF-9 BIDDER: EBS General Engineering,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: 1 See attached reference list Name and Address of Owner Name and telephone number of person familiar with project Contract 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 Date Completed 3. Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed 4. Name and Address of Owner Name and telephone number of person familiar with project • Contract amount Type of Work Date Completed • CBF- 10 3 YEAR REFERENCES— PUBLIC WORKS 1. Project Name 2014/2015 Citywide Curb,Gutter,Sidewalk, Driveway Repairs Project Address Owner Various Locations City of Riverside Principal Contact Phone Secondary Project Contact Danny Cwiak,Construction Project Manager (951)377-5514 Steve Howard Price of Contract Type of Work Dates $407,628 Curb+Gutter, Ramps 11/2014 to 2/2015 2. Project Sewer Replacement Project Project Address Owner Various Locations City of Fullerton Contact Phone Eric Villagracia,Public Works Dept. (714)738-6853 Price of Contract Type of Work Dates $998,151.00 Sewer,Curb+Gutter 1/2012 to 2/2013 3. Project Sewer Manhole Surface Repair PH II Project Address Owner Fairview and Newport,City of Costa Mesa Costa Mesa Sanitary District Contact Phone Robin Hamers, District Engineer (949)548-1192 Price of Contract Type of Work Dates $47,420.00 Manhole Repairs 1/2016 4. Project Annual Concrete Repair FY 2014-15 Project Address Owner Various Locations City of Rancho Santa Margarita Contact Phone E. Maximous,Public Works Director (949)635-1805 Price of Contract Type of Work Dates $53,550.00 Sidewalk 4/2015 to 5/2015 3 YEAR REFERENCES— PUBLIC WORKS r""Jt Project Grand Avenue Widening Project Address Owner Grand Ave.from First St.to Fourth St. City of Santa Ana Contact Phone Tyrone Chesanek, Principal Civil Engineer (714)647-5074 Price of Contract Type of Work Dates $172,000.00 Curb+Gutter, Bus Pad 11/2014 to 9/2015 6. Project Concrete Street Rehabilitation, FY 2015-16 Project Address Owner Various Locations City of Orange Contact Phone Matthew Lorenzen,Project Manager (714)744-5566 Price of Contract Type of Work Dates $574,850 Minor Concrete,Street Improvements 7/16 to 10/16 7. Project Name Improvements of Livingston Drive Project Address Owner Livingston Dr. between Termino Ave. &2nd St. City of Long Beach Contact Phone: Danny Besabella (562)577-6192 Price of Contract Type of Work Dates $1,254,000.00 Street Improvement 8/2012 to 2/2013 BIDDER: EBS General Engineering, Inc. SECTION 3 NON-COLLUSION AFFIDAVIT CBF- 11 • BIDDER: EBS General Engineering,Inc. NON-COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly sworn, deposes and says that he or she holds the position listed below with the bidder,the party making the foregoing bid,that the bid is not made in the interest of,or on behalf of,any undisclosed person,partnership,company,association,organization,orcorporation;thatthe 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. A 11 Signature Joseph A.Nanci Typed or Printed Name President Title EBS General Engineering,Inc. Bidder Subscribed and sworn before me 20 ( -] This coY' day of 1-LA(V2- 1 Cat (Seal) �,.ry biffin ! Cati NtStary Public in and for the State of California ]]] ((((E WILLIAM E. ELLIS JR. L MyCommission Tres: I O Z3 .1 q Expires: (� ? Commission #2127998 . s`-�!). Notary Public-California z Orange County �_ �' My Comm. Expires Oct 23,2019E CBF- 12