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Bidder: Salix Development Inc CITY OF ROSEMEAD ROSEMEAD PARK PEDESTRIAN LIGHTING PROJECT PROJECT No. 43006 CONTRACT BID FORMS BIDDER: 5o J?Y` Oeue/opq(nt1 INC CONTRACT BID FORMS TABLE OF CONTENTS SECTION I BID SCHEDULE I -4 SECTION 2 BID DATA FORMS 2.A BID BOND 6 2.6 LIST OF PROPOSED SUBCONTRACTORS 7-8 2.0 BID BOND 9 SECTION 3 NON-COLLUSION AFFIDAVIT I0 - I 1 BIDDER: Soju1- °e(Jeor/`epj Pt SECTION 1 - BID SCHEDULE CBF - 1 BIDDER: 5Al7k Pewig44 enl 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 s cd:— .J±CCC:— provisions TP-2 8 TP-3. 2 Disposal of Waste Materials, LS 1 4, _ may' �. C C /2/16" : / 3 Install Pedestrian Lighting LS 1 including electrical conduit, .� ¢f — foundations, wiring and 442, coC 44-,2,00e appurtenances appurtenances per plans and specifications complete. TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ M Lp . OcO.^ rOt1r H61t1 tl eve 4/ W krie j jottSc^"c� do lie . 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 3-22.1 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 The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by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 e-y.yoc Dollars ($4.1-3C ) said amount being not less than ten percent (10%) of the Total CBF - 2 BIDDER: SAI7A Dee(ynad 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. 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: SaIi QfLelc rrwf l„C By: 7°42 NartSkin s-I w 279 Sr natur Business Street Address kit/Oa" Yoc Not-fiche CA 1132s- Type r Print Name City, Stale and Zip Code Pees +-I 818 -4188 is 75-- Title sTitle Telephone Number I /s )// 7 Date Bidders/Contractors State of Incorporation: Coil ifaN70- Partners or Joint Venturers: Bidder's License Number(s): di '193(7 Department Industrial Relations Registered No.: / 00003 hg I 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 Bidden,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. Aid CBF -4 BIDDER: 5604 tetebr iar( IHC SECTION 2 BID DATA FORMS CBF- 5 BIDDER. taC S4Ii j !)r opl OIC 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 Salk Development, Inc. , as Principal, and American Contractors Indemnity Company , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten percent of bid amount DOLLARS ($ 10.0% 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 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 casts incurred by the OWNER in such suit, including reasonable attorneys' fees to be fixed by the court. SIGNED AND SEALED. this 1st day of February 20 17 American Contractors Salix Development, Inc. (SEAL) Indemnity Company (SEAL) Principal G Adri# By: /ry \ By: ignaturq Signatu e Stephanoang,Attorney-in-Fact 41111 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 the document to which this certificate is attached and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange ) On 2\\\c-1 111 before me, Barbara Copeland ,Notary Public, personally appeared Stephanie Hoang 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), 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 r7RA COPELAND paragraph is true and correct. Commission M 2016318 i 4-44r - Notary Public-California > WITNESS my hand and official seal. 1 Orange County - i 7 My Comm.Expires Apt 19,201 -` Signature: /dcC C r't ( 6 __,L_. Siguaure of N?In' Public Place Noiar'sad MoveLt - OPTIONAL ------_—__--__--_—__ Though the information below is not required by law,it may prove valuable to persons relying on the document and could present fraudulent and reattachment of this form to another document. Description of Attached Document Type or Title of Document. Document Date: Number of Pages: Signer(s) Other Than Named Above: _ _ — Capacity(ies)Claimed by Signer(s) Capacity(ies)Claimed by Signer(s) Signer's Name: Stephanie Hoang Signers Name: - ❑ Individual ❑ Individual E Corporate Officer–Title(s): _ D Corporate Officer–Title(s). E Partner: 0 Limited ❑ General ❑ Partner: ❑Limited ❑General ® Attorney in Fact ❑ Attorney in Fact ❑ Trustee ❑ Trustee ❑ Guardian or Conservator ❑ Guardian or Conservator ❑ Other: _ 0 Other Signer Is Representing: Signer Is Representing: Rev. 1-15 POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, a Maryland corporation and U.S. Specialty Insurance Company, a Texas corporation(collectively,the"Companies"), do by these presents make, constitute and appoint: Eric Lowey,Stephanie Hoang,Mark Richardson,Shawn Blume,Jennifer Anaya or Kevin Cathcart of Costa Mesa,California its true and lawful Attomey(s)-in-fact, each in their separate capacity if more than one is named above,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 riders, amendments, and consents of surety, providing the bond penalty does not exceed *****Ten Million"•"•" Dollars (S "10,000,000.00" ), This Power of Attorney shall expire without further action on December 20,2017. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of Directors of the Companies: 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 Attorney(M-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 on behalf of the Company,to execute,acknowledge and deliver,any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts,and any and all 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 it 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. IN WITNESS WHEREOF,The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 1st day of December,2014. AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY Corporate Seals UN:TED SPATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY •AF �-11 1E1 SS "b} fY_ gwi Psi AZ/� � 1 v A 8. By' , �—�c {�Iry-...r� „ - 4, Daniel P.Aguilar,Vice President 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 SS: On this 1st day of December,2014, before me,Maria G.Rodriguez-Wong,a notary public, personally appeared Dan P.Aguilar,Vice President of American Contractors Indemnity Company,Texas Bonding Company,United States Surety Company and U.S.Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity,and that by his sikmature on the instrument the person,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 ofCalifornia that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ([ Ws MARIA GCommt.sr coni 019777llN Signature (0 (Seal) Notary Public California o ♦ �ty Itj Comm. 21 Wins Die 20.2011E I,Michael Chalekson,Assistant Secretary of American Centractors Indemnity Company,Texas Bonding Company,United States Surety Company and U.S.Specialty Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Companies,which is still in full force and effect;furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are in full force and effect. • In W i i- s. hereof, I have hNerp.j to set my hand and affixed the seals of said Companies at Los Angeles,California this 'St day of £A ,'JI) j. E�I'(//�0 Corporate Seals .f„ 4 .itaps„,xB"` M�./iRV�/� ,*. "� sv . Bond No. ��.. yn 3 " ;4=_ Michael Chalekson,Assistant Secretary Agency No. , a.,..J' . . 1 g y � 16200 �e rw� 'w„, eorti �,d”' BIDDER: SaIIF kr)fnnd Inc 2.6 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, 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: Sol li;l OfitellofMG4 /et_ 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 Name: inEka4.c Inc GIce icAi Address: 22.4a Cies.. ills eev(rnJ He-oat c `11-ntf License No: 1 ootl-43 Department of Industrial Relation Registration No. I eeeo1iT92 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 BIDDER: 56117/ Pneb finerr4 IIiC 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. 'Wo • 7 i,ion 1038 Venice ( / _ el. C ' 900/5- Name 0e/cName and Address of Owner C00% Astir" 243- 747-279 0 Name and telephone number of person familiar with project 33 foo aksktlkll Carl w/L2s4+7ty (4(20/5- Contract amount Type of Work Dale Completed 2. MBCA S7o we pi Ave 26 Los Arks CA goat- Name and Address of Owner Scoi4 1-mcdowh 714-541 -23 90 Name and telephone number of person familiar with project 290,°°° Pakk24Cr( C0414“01+`, w/i-7914 e t °2017 Contract amount Type of Work Date Completed a. Ciij of 7•owzvice 3 031 lots-cc atwd Tcrwcc CA Name and Address of Owner Jess Caballero 3 4o- 781' 610o Name and telephone number of person familiar with project 198,000 Bocce Car{ (ffptalbf,on (2/10(7 Contract amount Type of Work Date Completed 4. Cii of AiA/fn+lsw Beach I400 N'uWrrrJ Se Madn++w, Read, CA 1°2a Name/and"Address of Owner Isb / warrno 3/o - 302-S000 Name and telephone number of person familiar with project 386,0oo $rick park C2/1017 Contract amount Type of Work Date Completed CBF - 9 BIDDER: 54IIL OWeIoj4.nil MC SECTION 3 NON-COLLUSION AFFIDAVIT CBF - 10 BIDDER: 591i, q*"41 jnL 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 Typed or Printed Name Title S6)14i 96elg°n-. 4 114C Bidder Subscribed and sworn before me This 3 I day of TaHz,iii , 20 i7 (Seal) Notary Public in and for the State of California My Commission Expires: a e e CBF - 11 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§3202 ����pp((� e Attached Document(Notary to cross out lines 1T6 below) ,- See Statement Below(Lines 1-6 to be completed only by dooume - •nerfs],not Notary) Signature of Document Signer No. I 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 Dir/-/��'.,33._6 on this 3I Stday of 20n, by Date Month Year • (1)-_. • • / (and (2)_. _ __- ). �' MAL1/INOEfl KAUR _ Name(s)of Signer(s) = Commission#2121992 'a L proved to me on the basis of satisfactory evidence Ir Notary Public-California to be the person(s) who appeared before me. 97 Los Angeles County kg-l-/-e- Signature My Comm.Ex Ires Au 29,2019 r 1 . Cly 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 ,Af0�^/'`,,,y�1 Title or Type of Document: NV\-6-�n°^- 0' Document Date: ( 31 IP Number of Pages: Signer(s)Other Than Named A.hove: _- - ©2014 National Notary Association •wvw.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5910