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Bidder: Baker Electric
CITY OF ROSEMEAD ROSEMEAD PARK PEDESTRIAN LIGHTING PROJECT PROJECT No. 43006 CONTRACT BID FORMS BIDDER Baker Electric Inc. CONTRACT BID FORMS TABLE OF CONTENTS SECTION I BID SCHEDULE 1 -`1 SECTION 2 BID DATA FORMS 2.A BID BOND 6 2.B LIST OF PROPOSED SUBCONTRACTORS 7-8 2.0 BID BOND 9 SECTION 3 NON-COLLUSION AFFIDAVIT 10 - I I BIDDER: Baker Electric Inc. SECTION 1 - BID SCHEDULE CBF - 1 BIDDER. Baker Electric Inc. BID SCHEDULE SCHEDULE OF PRICES FOR ROSEMEAD PARK PEDESTRIAN LIGHTING PROJECT PROJECT No. 43006 BASE BID SCHEDULE UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 1 Clearing &Grubbing per plans LS 1 and specifications. See technical $42,150.00 $42,150.00 provisions TP-2 &TP-3. 2 Disposal of Waste Materials. LS 1 $2,500.00 $2,500.00 3 Install Pedestrian Lighting LS 1 including electrical conduit, $621,330.00 $621,330.00 foundations, wiring and appurtenances per plans and specifications complete. TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ 665,980.00 Six hundred and sixty-five thousand, nine hundred and eighty dollars 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 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 The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by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 bid bond in the amount of sixty six thousand Dollars ($66,598.00) said amount being not less than ten percent(10%) of the Total five hundred ninety eight CBF -2 BIDDER: Baker Electric Inc. 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 FORTY-FIVE(45)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. N/A 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 - 3 BIDDER: Baker Electric Inc. By: / 1298 Pacific Oaks Place Signature Business Street Address Ted N . Baker Escondido Ca 92029 Type or Print Name City, State and Zip Code President 760-745-2001 Title Telephone Number February 1, 2017 Date Bidders/Contractors State of Incorporation: California Partners or Joint Venturers: N/A Bidder's License Number(s): 161756 Department Industrial Relations Registered No.: 1000000466 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-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CML 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 3&'r 011953 1 On 1 — 3 I -17 before me, Dana Rasmussen, Notary Public , Date ^ n I /1 Here Insert Name and Title of the Officer personally appeared IV / . V" uGCr Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person($ whose name(a) is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same in his/Jeer/their authorized capacityQiee),and that by his/her/their signaturecet 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. DANA RASMUSSEN WITNESS my hand and official seal. tCf Commission ♦ CaQSni C�.� • e oPublic - 21175nle I � -`-' Signature\/ 4, San Diego County g Ma Comm.Emma Ain 22_2020 Signature of Notary Public 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: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: O Corporate Officer — Title(s); ❑Corporate Officer — Title(s); ❑Partner — 0 Limited 0 General ❑ Partner — O Limited 0 General O Individual ❑Attorney in Fact 0 Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee 0 Guardian or Conservator ❑Other: 0 Other: Signer Is Representing: Signer Is Representing: ..w. . ... .. . . e. .,.. ..... ....., . . .... . .... .., a ,... .. ... . .,,.m ©2014 National Notary Association•www.NationalNctary.org• 1-800-US NOTARY(1-800-876-6827) Item#5907 BIDDER: Baker Electric Inc. SECTION 2 BID DATA FORMS CBF - 5 BIDDER-. Baker Electric, 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 Bidder's name and page number. 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS: THAT Baker Electric, Inc. , as Principal, and Fidelity and Deposit Company of Maryland as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent(10%)of Total Amount Bid DOLLARS (S 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 ROSEMEAD PARK PEDESTRIAN LIGHTING PROJECT as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated February 1, 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 27th day of January , 20 17 Baker Electric, Inc. (SEAL) Fidelity and Deposit company of Maryland (SEAL) Principal Surety BY: �"`--_.� �- By: CA Signature Ted N. Baker, President Signature Lawrence F. McMahon Attorney-in-Fact CBF - 6 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 Ithe document,to which this certificate is attached,and not the truthfulness, accuracy or validity of that document. STATE OF CALIFORNIA County of San Diego On JAN 872017Date before me, Janice R.Insert Martin of Notary exactly as it appears on the om Iseal • Notary Public, personally appeared Lawrence F. McMahon eamels)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(* whose name(*)) is/8fy subscribed to the , within instrument and acknowledged to me that he/WnffN$' executed the same in his/rylyn,(t, authorized capacity(( JANICE R.MARTIN I and that by his/f�//,Wphf signature* on the instrument the E COMM.82158852 o aced, or the entity upon behalf of which the person/ y 1 NOTARY"4 DIED CnuionxW w acted, executed the instrument. FO� ,r SAN DIEGO COUNTY n 'tl JULY 29°202020 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. Signatu e _ Place Notary Sea Above Srenat1 • Paws Jani e R. Martin 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: I J Individual D Individual D Corporate Officer---Title(s) D Corporate Officer - Title(s): ❑ Partner I i Limited Cl General D Partner D Limited D General LI Attorney in Fact RIGHT THUMBPRINT D Attorney in Fact R GHT THUMBPRINT D Trustee OF SIGNER D Trustee OF SIGNER Li Guardian or Conservator Top of thumb here D Guardian or Conservator Top of thumb here D Other: D Other: Signer is Representing: Signer is Representing: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by MICHAEL BOND,Vice President, in pursuance of authority granted by Article V, Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and arc hereby certified to be in MI force and effect on the date hereof, do hereby nominate, constitute,and appoint Lawrence F.MCMAHON,Maria GUISE and Sarah MYERS,all of San Diego,California, EACH its true and lawful agent and Attorney-in-Fact,to make, execute, seal and deliver, for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents mid purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President docs hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 13th day of September,A.D.2016. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND yrvttes erraL ePris1 y`.y�.�s,� /,',s Te 4 t a,'% BBALp'- ad, '�° %Ltik /1 1$1 ^/Jr/. I+/^�r///�/1 • � 'a'' ikAA Secretary Vice President Michael McKibben Michael Bond State of Maryland County of Baltimore On this 13th day of September, A.D. 2016, before the subscriber, a Notary Public of the State of Maryland. duly commissioned and qualified, MICHAEL BOND,Vice President,and MICHAEL MCKIBBEN,Secretary,of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that helshe is the maid officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations_ IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. - Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 POA-F 012-9310N CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CML CODE§1189 rice r,reAre MXi +reke rceRe•Y-Al4' 9Ypracek`rnAreMrttrv-PflY'N PY' 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 {� ) h County of J� pimp ) On I -3)-)7 before me, Dana Rasmussen, Notary Public Date ,,J Alrr2 Here Insert Name and Title of the Officer Mpersonally appeared 136-to Name(s)of Signer(s) 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/tbey executed the same in his/bar/their authorized capacity(iae),and that by his/her/their signature(%)on the instrument the person(sJ, 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. DANA RASMUSSEN WITNESS my hand and�{ official410r I. Commission X 1117531 r�/�'e"""' (/ -.II Notary Public California ��n.7 San oieoo County Y Signature _ M Comm.byes At 22.2020` Y e � Signature of Notary Public 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: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: 0 Corporate Officer — Title(s): U Corporate Officer — Title(s): U Partner — 0 Limited U General 0 Partner — U Limited 0 General 0 Individual U Attorney in Fact 0 Individual U Attorney in Fact O Trustee U Guardian or Conservator U Trustee 0 Guardian or Conservator O Other: 0 Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 BIDDER: Baker Electric 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 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, 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 Owner approval. CBF - 7 BIDDER: Baker Electric Inc. 2.8 LIST OF PROPOSED SUBCONTRACTORS (continued) (—Duplicate Next 2 Pages d needed for listing additional subcontractors") Name and Location Description of Work of Subcontractor to be Subcontracted Name: Allied Paving Company Demo and repair asphalt Address: 1234 North Blue Gum St. Anaheim CA 92806 /concrete surfaces License No.: 780394 Department of Industrial Relation Registration No. 1000008370 Name and Location Description of Work of Subcontractor to be Subcontracted Name: Roadway Construction Services Traffic lane closures Address:12731 Los Nietos Rd., Santa Fe Springs, CA 90670 License No.: C-31 984499 Department of Industrial Relation Registration No. 1000018585 Name and Location Description of Work of Subcontractor to be Subcontracted Name: Under.round Solutions inc. Utilityunderground Address: 120 N. Andreasen Dr., Escondido, CA 92029 9 License No.: 826001 locating service Department of Industrial Relation Registration No. 1000007851 Name and Location Description of Work of Subcontractor to be Subcontracted Name California Constructors Trenching, concrete Address: 7062 Convoy Ct., San Diego, CA 92111 work License No.: 981722 Department of Industrial Relation Registration No. 1000036422 Name and Location Description of Work of Subcontractor to be Subcontracted Name: Mariposa Landscapes Inc., Address: 15529 Arrow Highway, Irwindale, CA 91706 Re-seed and re-sod of License No.: 592268 grass in the disturbed Department of Industrial Relation Registration No. 1000005079 areas of the project. CBF - 8 BIDDER: Baker Electric Inc. 2.8 LIST OF PROPOSED SUBCONTRACTORS (continued) ("Duplicate Neat 2 Pages if needed for listing additional subcontractors") Name and Location Description of Work of Subcontractor to be Subcontracted Name: Modern Landscape - Danny Chung Addres51090 VILLAGE DRIVE OCEANSIDE, CA 92057 License No.: 427499 Department of Industrial Relation Registration No. 1000045263 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. Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. CBF - 8 o' — v o _ 2 e2 „2 a Lu 0 w o w o w $ UJ o w a s Q 0 _ 5 0 0, o• o g CC o m o a` o a o a o a s Cr o 0 a c 0 z LIJ• Lx o uL a a a- ¢ -4UU 3 w 2 V w 0 ¢ uY O w ¢ - V O cn co w 0 O ' O 00 • 0 O 0 U O a f o D o 2 ¢ _ 2 a • ¢ e e i o 0 0 o N U w 0 -J 0 0n O N A s E E E E E E E E Z 2 zZ 2 Z 0 ZZ O Z O o Q aZ Ct H O CO 0• 0 O_ CO w 0 0 0 UKE EI a E E E ¢ E o wZ Z Z ¢ 2 O Z Z $ a C) BIDDER: Baker Electric 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: San Diego Unified School District -Physical Plant Operations 4860 Ruffner St. San Diego, CA 92111 Name and Address of Owner Christopher Palis, Energy Utilities Program Coordinator office#858-627-7171 Cell#619-507-5503 Name and telephone number of person familiar with project Not To Exceed$3,000,000 Annually.This Is An On-Going Project Involving Multiple School Sites Within The City of San Diego Contract amount Type of Work Date Completed 2, Snowline Joint Unified School District- District Office : 4075 Nielson Rd. Phelan, CA 92371 Name and Address of Owner Mike Schene: Maintenance and Operations Office 760-868-5817 Cell#619-507-5503 Name and telephone number of person familiar with project $3,689,456 Interior/Exterior Lighting and Controls End of August 2016 Contract amount Type of Work Date Completed UCSD Facilities Management-9500 Gilman Drive La Jolla Ca 92037 ............._ Name and Addiessof Owner ---- _- Doug Darios Cell#858-354-6505 Name and telephone number of person familiar with project Up to$5,000,000 Per Year for 3 Year Starting 2015- Electrical Service Agreement On-Going Contract amount Type of Work Date Completed q Central Justice Center-Orange County-700 Civic Center Drive West Santa Ana Ca 92701 Name and Address of Owner Tom Gleason #714-673-8161 Name and telephone number of person familiar with project $250,000 annually Maintenance for Low Though High Voltage Requirements and Equipment On Going Contract amount Type of Work Date Completed CBF - 9 BIDDER: Baker Electric Inc SECTION 3 NON-COLLUSION AFFIDAVIT CBF - 10 BIDDER: Baker Electric Inc NON-COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly sworn, deposes and says that he or she holds the position listed below with the bidder,the party making the foregoing bid,that the bid is not made in the interest of, or on behalf of,any undisclosed person, partnership,company,association,organization,or corporation;that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding;that the bidder has not in any manner, directly or indirectly,sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof,or the contents thereof,or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Signature Ted N. Baker Typed or Printed Name President Title Baker Electric Inc. Bidder Subscribed and sworn before me This day of , 20 (Seal) 5e.e APilkateI Notary Public in and for the State of California My Commission Expires: CBF - 11 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 viart e - ...s...a .9.<.%, Q>..-a- ...4.......4.- s ^,a - - - --^teac.. j(See Attached Document (Notary to cross out lines 1-6 below) See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) 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 Subscribed and sworn to (or affirmed) before me County of Sam 0i‘jo3/ da on this y of Jq.YI U arc! , 20 /7, by Date Month Year (1) Ted N. 4/kfer- (andd (2) r _ ), t Name(s)of Signer(s) DANA RASMUSSEN - proved to me on the basis of satisfactory evidence ?'y`- Commission it 2147531 1to be the person(Is) who appeared before me. -'x . ?a Nelary Public -California \1 w, San Diego County jail Comm.�iresyr 22.2024 Signature Signature of Notary Public Seal 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: Document Date: Number of Pages: Signer(s)Other Than Named Above: ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) hem#5910