Bidder: All American Asphalt CITY OF ROSEMEAD
GARVEY AVENUE RESURFACING PROJECT
FROM DEL MAR AVENUE TO EASTERLY CITY LIMIT
PROJECT No. 21026
CONTRACT BID FORMS
•
BIDDER. All American Asphalt
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID SCHEDULE 1
SECTION 2 BID DATA FORMS 5
2.A BID BOND 6
2.8 LIST OF PROPOSED SUBCONTRACTORS 7
SECTION 3 NON-COLLUSION AAFFIDAVIT 10
BIDDER. All American Asphalt
SECTION 1 -BID SCHEDULE
CBF- 1
BIDDER. All American Asphalt
BID SCHEDULE
SCHEDULE OF PRICES FOR
GARVEY AVENUE RESURFACING PROJECT
FROM DEL MAR AVENUE TO EASTERLY CITY LIMIT
PROJECT No. 21026
BASE BID SCHEDULE
UNIT OF EST. UNIT ITEM
NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST
1 Clearing 8 Grubbing per plans LS 1
and specifications. See technical a0t000 2.000 o
provisions TP-2, TP-3 8 TP-4
2 Disposal of Waste Materials. LS 1 5O0 .00 500 , 00
3 Cold mill 1.5-inches thick existing SF 553,200 -i l 9 16
pavement. O.i
4 Construct 1.5 inches thick TON 5,186
pavement overlay ARHM-GG-C Ta.,0 0 31 3 3q a,
(PG 64-16) as indicated on the
plans.
5 Remove 6-inches of existing SF 5,000
pavement and replace it with 4.5- 4.00 ‘0‘s 0 0
inches of AC B-PG 64-10 Base
Course over compacted native.
6 Remove Existing, Dispose and SF 3,885
Construct 4-inches thick PCC ?,50 33,Oaa.So
Sidewalk per SPPWC Std. Plan
113-1.
7 Remove Existing, Dispose and LF 100
Construct 8-inches Curb and 24- 10,o o 710o 0
inches Gutter per SPPWC Std.
Plan 120-2.
8 Remove Existing, Dispose and EA 1
Construct PCC Curb Ramps per 5,800 540' '
SPPWC Std. Plan 111-4.
CBF - 2
BIDDER. All American Asphalt
UNIT OF EST. UNIT ITEM
NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST
9 Adjust Sewer Manhole to Grade EA 85
per SPPWC Std. Plan 205-1 and H I 5.0o 35‘a15
206-1.
10 Adjust Water Valve/Gas Valve to EA 100
195.0o I`6 50 0
Grade.
11 Install Survey Well Monument per EA 24
City of Rosemead Std. Plan 508-
001. See Section 2-9 Surveying of
the General Provision-7 per
details (Cover, Sleeve& Dome
will be provided by the City at no
cost).
12 Install Traffic Striping, Traffic LS 1
Signal Loops and Pavement 1,9 199 5 J 3q�Agq,5 D
Markers per the Striping Plans
and Specifications Complete.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE): $ 6d9 Q-15,oo
Dollar amount in written form 5 or 6 urdcedt
}wn n'ne- tkOUSand six hon.�.rtd cod-
dollo.rs aid Le oc�rkp
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.
rhe undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be
withdrawn for the number f 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,
CBF - 3
BIDDER: AIIAmerican Asphalt
Attached hereto is a certified check, a cashier's check or a bid bond in the amount of
10%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 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 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 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 THIRTY (30) 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.
CBF - 4
/hi
r/ // BIDDER: All American Asphalt
By: /r�^'/�"��. . _400 F_9ixth Street
Sig tore / Business Street Address
EdwardJ. Carlson corona. CA 92679__
Type or Print Name City, State and Zip Code
_Vice President _(96.1)736-7600__
Title Telephone Number
Bidder's/Contractors State of Incorporation: Califcrnia
Partners or Joint Venturers.
Bidder's License Number(s): 26707.3 .
Department Industrial Relations
Registered No. 700000i05]___ .
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.
CBE - 5
��x. ALL AMERICAN ASPHALT
ALL AMERICAN AGGREGATES
T951-736 7 600 F 951-739-4671
ALL AIvtE RICAN 1>0. PO}2279.CoItoNA.CA 92878-2229
CONTRACTORS LICI.NSF-167073 A,Cl2
--ASPHALT— rnR=1000001051
AN FgyAL OPPORTUNITY FMPI.YCR
CORPORATE RESOLUTION
Resolved, that this Corporation, All American Asphalt, on January 3, 2017 authorizes
Edward J. Carlson to execute contracts and agreements on behalf of the Company in the
capacity of Vice President.
Michael Farkas
Secretary
BIDDER. All American Asphalt
SECTION 2
BID DATA FORMS
CBF- G
Bond No. 08597423
BIDDER. All American Asphalt
Bidder shall submit its Bid data in accordance with the format shown on each of tie 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 will' the Bidder's
name and pane number.
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT All American Asphalt as Principal.
and Fidelity and Deposit Company of Maryland -.
as Surety are veld firmly bound dnto the CITY OF
ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten Percent of Total Amount Bid
- _ .__.. DOLLARS
(g 10% of Bid ).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 GARVEY AVENUE RESURFACING PROJECT - FROM DEL MAR AVENUE TO
EASTERLY CITY LIMIT as set forth in the Notice Inviting Bids and accompanying Bid
Documents, dated August 30, 2017
NOW.THEREFORE. if said Principal is awarded a Contract for the'Work by the O'JJN ER and.
within the lime 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 attorney,' fees to be fixed by the court.
SIGNED AND SEAL ED. this 25th day of August 2017
All American Asphalt (SEAL)Fidelity and Deposit Company of Maryland(SEAL)
Principal Surety
Sign alp it. a"dS,@Art(d[4�1• Signat e
William Syrkiq Attorney-in-Fact
CBF - 7
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 Oranee
On 08125/2017 before me, A. MacFarlane,Notary Public
Date Here Insert Name and Title of the Officer
personally appeared William Syrkin .-
Name($of Signer?$
who proved to me on the basis of satisfactory evidence to be the person* whose name* is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/twit authorized capacity(2s),and that by his/hec/their signaturej$on the instrument the person(a),
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.
,-gr- bA�°AkLaV_
` P qe Cou �a� Signature
nty
L.4<-10
d,t 4 ✓/ P2 Signature of Notary Public
3e•. :,• -•pre:� .2021
Place Notary Seal Above
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: _ Bid Bond Document Date 08/25/2017
Number of Pages: Onefti Signer(s) Other Than Named Above: All American Asphalt
Capacity(ies) Claimed by Signer(s)
Signer's Name: William Syrkin Signer's Name:
L i Corporate Officer - Title(s): ❑Corporate Officer - Title(s): _
1 I Partner - C Limited HI General _Partner - Cl Limited C General
H Individual Attorney in Fact Li Individual 1111 Attorney in Fact
1.1 Trustee J Guardian or Conservator ❑Trustee C Guardian or Conservator
i_Other: __. . . . . ❑ Other:
Signer Is Representing: Signer Is Representing:
Fidelity and Deposit Company of Maryland
« " - - ...«... , - .,«...... ..«� - _. .tom+
02014 National Notary Association •www.NationaLNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V,Section 8.Attorneys-in-Fact. The Chief Executive Officer.the President,or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I. the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUAL I'V AND SURF IV COMPANY, and the FIDItI.I'I Y AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V, Section 8,of
the By-laws of the Companies is still in force.
This Power of Attorney and Certificate may he signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICI I AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVF.D: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Atomey..Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may he signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
fleeting duly called and held on the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice-President, Secretary,or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company,shall he valid and binding upon the Company with the same force and effect
is though manually affixed.
IN TESTIMONXWHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this 26"mday of .20 i1 .
® µ1% { OM lb
b
Michael Bond,Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED
INFORMATION TO:
Zurich American Insurance Co.
Attn: Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
•
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT 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 Riverside
On 08/29/2017 before me, Rebecca Angela Parra,Notary Public ,
Date Here Insert name and Title of Me Officer
personally appeared Edward J. CarlsonNamef�1 of slgnercal
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/sheHhey executed the same in
his/her/their authorized capacity(ies), and that by his/her/their
REBECCA ANGELA PARRA signature(s)on the instrument the person(s), or the entity upon behalf
` H",�•
NotaryP Ldec n n a t of which the person(s)acted, executed the instrument.
`", k eyE¢C County Jzly. r COMM-l5on$2192458
My comm.Erp ref May 1/,2021 I certify under PENALTY OF PERJURY under the laws of the State of
California that the forgoing paragraph is true and correct.
WITNESS my hand orf— I seeaall.
Signature / ,/'�/ .� .
Place Notary Seal Above Signature of N((U9gq//f:+NrY Public
OPTIONAL
Though the information below is not required by law,it may prove valuable to person relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document Bid Bond
Document Date: 08/25/2017 Number of Pages: One (I)
Signer(s)Other Than Named Above: Fidelity and Deposit Company of Maryland
Capacity(ies)Claimed by Signer(s)
Signer's Name: Edward J. Carlson Signer's Name:
o Individual c Individual
X Corporate Officer—Title(s): Vice President o Corporate Officer—Title(s)'.
o Partner r c Limited o General o Partner I t o Limited o General
RIGHT THUMBPRINT RIGHT THUMBPRINT
o Attorney in Fact OF SIGNER o Attorney in Fact OF SIGNER
Top of thumb here Top of thumb here
o Trustee o Trustee
o Other: o Other:
Signer is Representing: Signer is Representing:
All American Asahalt
BIDDER. _All American Asphalt
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 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, 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 tor 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 th>tportion 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 ($10,000), whichever is greater, for which no subcontractor was designated in the
original bid shall only be permitted in cases of public emergency or necessity, and then only after
Owner approval.
CBF - 8
BIDDER. All American Asphalt
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
["Duplicate Next 2 Pages if needed for listing additional subcontractors. *]
Name and Location Description of Work
of Subcontractor to be Subcontracted
lades
Name: 5rMI 44Aac c irkr�:c_ _..
Address: (0‘3$ ILes5 tto Lry.0sc caco c. CR867
License No.. 6Lk_4L5L_____—_
Department of Industrial Relation Registration No.f aoaocz1kfii_
Name and Location Description of Work
of Subcontractor to be Subcontracted
s+rtpr+�
Name: Inc }c/ACC c_Sgc�;m1�5
Address: .la$__W_csUSa„}Nsr2.a\-t yrs .ac gc5
License No: ?76K6
Department of Industrial Relation Registration No. Ipoo fro 5 503_
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.
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
License No.:
Department of Industrial Relation Registration No.
CBF - 9
BIDDER: All American Asphalt
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:
*See Attached*
1
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 arid 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
"2016"
PAST WORK REFERENCES
City of Riverside 2014/2015 Preservation and Maintenance
3900 Main St. Contract Amount: $3,400,725.00
Riverside, CA 92501 Start: 01/2016
Contact: Steve Howard, (951)826-5708 Completed: 06/2016
City of Rancho Santa Margarita Annual Residential Overlay
2212 El Paseo Contract Amount: $245,190.00
Rancho Santa Margarita, CA 92688 Start: 01/2016
Contact: Max Maximous, (949)635-1800 Completed: 09/2016
City of Diamond Bar Grand Ave. Beautification Project
21810 Copley Drive Contract Amount: $1,939,000.00
Diamond Bar, CA 91765 Start: 08/2015
Contact: Kimberly Young, (909) 839-7044 Completed: 05/2016
City of Bell Florence Avenue Overlay
6330 Pine Avenue Contract Amount: $643,000.00
Bell, CA 90201 Start: 04/2016
Contact: Dahi Kim, (323)923-2628 Completed: 09/2016
Department of Transportation Route 111, Contract No. 08-1C4604
72-800 Dinah Shore Dr. Ste. 104 Contract: $1,536,207.00
105 Palm Desert, CA 92211 Start: 04/2016
Contact: Khoi Vu, (951) 232-6263 Completed: 09/2016
Department of Transportation Route 73, Contract No. 12-0M1104
3251 ' University Dr. Trailer No. 2 Contract Amount: $1.545,163.00
Irvine, CA 92612 Start: 4/2015
Contact: Peter Shieh. (949)279-8636 Completed: 07/2016
City of Victorville Bear Valley Road Reconstruction
14343 Civic Drive Contract Amount: $2,611,215.00
Victorville, CA 92392 Start: 04/2016
Contact: Bruce Miller, (760) 269-0045 Completed: 07/2016
City of Perris 4th Street Improvement Project
101 N. D Street Contract Amount: $545,680.00
Penis, CA 92570 Start Date: 03/2016
Contact: Brad Brophy, (951)943-6504 Completed: 07/2016
City of Palos Verdes Estates FY 15-16 St. Resurfacing& Sluny Seal Project
340 Palos Verdes Drive West Contract Amount: $876,455.00
Palos Verdes Estates, CA 90274 Start: 11/2015
Contact: Ken Rukavina, (310)378-0383 Completed: 06/2016
City of Newport Beach Corona Del Mar Entry Improvements
100 Civic Center Drive Contract Amount: $497,497.00
Newport Beach,CA 92660 Start Date: 02/2016
Contact: Alfred Castanon,(949)644-3314 Completed: 05/2016
City of Newport Beach Cameo Shores Pavement Reconstruction
100 Civic Center Drive Contract Amount: $3,363,363.00
Newport Beach, CA 92660 Start Date: 06/2016
Contact: Frank Tran, (949)644-3340 Completed: 12/2016
City of Aliso Viejo Pacific Park Rehab.-Chase to 73 Fwy
12 Journey, Suite 100 Contract Amount: $633,633.00
Aliso Viejo, CA 92656 Start Date: 10/2016
Contact: Chris Tanio, (949)425-2531 Completed: 12/2016
"2015"
PAST WORK REFERENCES
City of Hawthorne Hawthrone Blvd Reconstruction
4455 W. 162"d Street Contract Amount: $12,579,000.00
Hawthorne, CA 90250 Start: 4/2014
Contact: Heecheol Kwon, (310) 349-2980 Completed: 5/2015
City of Inglewood Florence Ave
One Manchester Blvd, 3rd Floor Contract Amount: $2,639,000.00
Inglewood, CA 90301 Start: 4/2015
Contact: Hunter Nguyen, (310) 412-4252 Completed: 10/2015
County of Ventura Pavement Resurfacing, Phase II
800 S. Victoria Ave Contract Amount: $2,40L970.00
Ventura, CA 93009 Start: 4/2015
Contact: Jeewoong Kim, (805) 654-3987 Completed: 10/2015
City of Montclair Northeast Montclair Street Rehabilitation
5111 Benito Street Contract Amount: $514,150.00
Montclair, CA 91763 Start: 4/2015
Contact: Steve Stanton, (909) 625-9444 Completed: 7/2015
Riverside County Transportation Commission Route 74 Widening
4080 Lemon Street, 3rd Floor Contract: $1,970,004.00
Riverside, CA 92501 Start: 4/2014
Contact: Bill Seitz. (949)300-9132 Completed: 7/2015
City of Riverside 2014/15 Arterial Streets
3900 Main Street Contract Amount: $1,683,076.00
Riverside, CA 92501 Start: 4/2015
Contact: Steve Howard, (951) 826-5708 Completed: 9/2015
Long Beach Unified School District Garfield Elementary School Pavement
2201 E. Market Street Contract Amount: $1,976,508.00
Long Beach, CA 92805 Start: 6/2015
Contact: Nancy Chinchilla, (562) 997-7513 Completed: 11/2015
BIDDER: All American Asphalt
SECTION 3
NON-COLLUSION AFFIDAVIT
CBF- 71
BIDDER. All American Asphalt
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.
Sigaturf re
Edward J. Carlson
Typed or Printed Name
Vice President
Title
All American Assphalt
Bidder
Subscribed and sworn before me
This._.. day of___.. , 20
(Seal)
Notary Public in and for
the State of California
My Commission Expires:
CBF - 12
CALIFORNIA JURAT GOV CODE § 8202
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 Subscribed and sworn to (or affirmed) before
me on this 29th day of August 2017
Date Month
By (1) Edward J. Carlson
Name of Signer
Proved to me on the basis of satisfactory evidence
be the person who appeared before me (.) (,)
••�- REeECCA giiGEIAPARRA fa
^
�
Not Riverside
ryw sdie County
unity t [�' ^�
to. • Commission 2192458
My Comm.Expires May 11,2021 (2) Name-of-Sfener
Signature A Jc
Pine Notary Seal Above Signature of No Public
OPTIONAL
Though the information below is not required by law,it may prove
valuable to person relying on the document and could prevent
fraudulent removal and reattachment of this form to another document.
Further Description of Any Attached Document
RICHT THUMBPRINT RIGHT UMEPR wr
OF SIGNER OF SIGNER
Title or Type of Document Non Collusion Affidavit Top at humb here Top of mumb here
Document Date: None Number of Pages'. 1
Signer(s)Other Than Named Above: None