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Bidder: CA Professional Engineering Inc. CITY OF ROSEMEAD ROSEMEAD PARK PEDESTRIAN LIGHTING PROJECT PROJECT No. 43006 CONTRACT BID FORMS BIDDER California Professional Engineering, Inc. CONTRACT BID FORMS TABLE OF CONTENTS SECTION 1 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 10 - 1 I BIDDER:California Professional Engineering, Inc. SECTION 1 - BID SCHEDULE CBF- 1 BIDDER California Professional Engineering, 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 plars LS and specifications. See technical $20,000 $20,000 provisions TP-2&TP-3. 2 Disposal of Waste Materials. LS 1 $6,000 $6,000 3 Install Pedestrian Lighting LS 1 including electrical conduit, foundations, wiring and $467,000 $467,000 appurtenances per plans and specifications complete. TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ 492,000 Four hundred ninety two thousand dollars no cents. 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 The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by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 10 % Bidder's Boncfollars($ )said amount being not less than ten percent(10%) of the Total CBF -2 BIDDERCalifornia Professional Engineering, 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 California Professional Engineering, Inc. By: 929 Otterbein Ave Unit E Signature 1 Business Street Address Van N.0 en I a Puente CA 91748 Type or Print Name , City, State and Zip Code President (626) 810-1338 Title Telephone Number 2/01/2017 Date Bidders/Contractor's State of Incorporation: California Partners or Joint Venturers: N/A Bidders License Number(s): 793907 Department Industrial Relations Registered No.: 1000001980__ 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. CBF-4 California Professional Engineering, Inc. c rp cepand aapectatienr MEETING OF BOARD OF DIRECTORS OF CALIFORNIA PROFESSIONAL ENGINEERING, INC. A meeting of the Board of Directors of California Professional Engineering, Inc. was held on January 31st.2017 whereby a resolution was passed authorizing Van Nguyen to sign on behalf of the Corporation, by his signature, to enter into any and all contractual obligations on behalf of this corporation. President See attached jurat. 929 Otterbein Ave Unit 6 La Puente,CA 91748 0 Ph:(626)810-1338 0 Fax: (626)810-1322 0 Email:van(ieepengineeringinc.com JURAT Z ; • State of California 1 $ l County of Los Angeles J SS. ` 4 31st January17 4 iti Subscribed and sworn to (or affirmed) before me on this day of , 20 , by ; 4 Van Nguyen ,proved to me on the basis of satisfactory evidence • 4 4 to be the person(sl who appeared before me. 4 1 4 4 4 4 • 4 4 4 4 4 4 4 4 4 • 4 4 4 44 4 4 %� f`IEM CHU f 4 .--.-i-- c::,%,.,C # 2242313 ' V �� 2 ass', FTw i' of , 2: A"f NOTARY'S SIGNATURE ' 4 A notary public or other office 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. 4 PLACE NOTARY SEAL IN ABOVE SPACE 4 4 OPTIONAL INFORMATION 4 4 4 • The infomation below is optional. However,it may prove valuable and could prevent fraudulent attachment 4 of this form to an unauthorized document.4 4 4 4 4 CAPACITY CLAIMED BY SIGNER(PRINCIPAL) DESCRIPTION OF ATTACHED DOCUMENT 4 I DI INDIVIDUAL 4 4 ® CORPORATE OFFICER President Secretary Treasurer.Manager TITLE OR TYPE OF DOCUMENT $ 0 PARTNER(S) ins) 4 4 o ATTORNEY-IN-FACT 'CRUS TEES) NUMBER OF PAGES • 0 GUARDIAN/CONSERVATOR 4 ` OTHER: DATE OE DOCUMENT 1 I $ OTHER _.— $ 4 E 4 4 ABSENT SIGNER(PRINCIPAL)IS REPRESENTING: RIGHT ' NAME OFPERSON(S)ORErmTYUFS) THUMBPRINT 2 4 California Professional Engineering,Inc. _ SIGNER 4 4 — 4 4 4 4 4 4 2aa.'MR' NOTARY BONDS.S ',PLIES AND RAMS ATHITP.,/WWW.VALLEY-SIERRA COM 020415-2108 VALLEY-SIERRA INSURANCE MINUTES OF THE ANNUAL MEETING OF SHAREHOLDERS AND DIRECTIORS CALIFORNIA PROFESSIONAL ENGINEERING. INC. The annual meeting of the shareholders of the above named California Corporation was duly held at the principal office of the corporation located at 929 Otterbein Avenue, Unit E, La Puente, CA, 91748, USA on January 4.2016. The Director present was VAN TAN NGUYEN. President acting as Chairman, same being VAN TAN NGUYEN. The Chairman then presented and read to the meeting a Waiver of Notice of Meeting, subscribed by all of the Directors of the Corporation. Upon motion duly made, it was: Resolved,that the Chairman be requested to cause the same to be spread at length upon the minutes. Resolved,that the following persons were nominated and thereupon elected to the position opposite their names to serve until their successors are elected and qualified: VAN NGUYEN. PRESIDENT VAN NGUYEN, SECRETARY VAN NGUYEN. TREASURER Resolved,that the above persons elected may sign all binding, contractual documents on behalf of the Corporation. The President, Secretary.and Treasurer thereupon assumed their respective offices. The President then presented and read the minutes of the annual meeting of shareholders of this Corporation, and the same were,on motion duly made, seconded and unanimously carried, in all aspects ratified and adopted by this Board of Directors. There being no further business to come before the meeting, upon motion duly made, seconded and unanimously carried, the same was adjourned. The foregoing mi utes of January 4, 2016 are approved: VAN NGUYEN, President (corporate seal) /tSlic VAN NGUYEN, Secretary BIDDER:California Professional Engineering, Inc. SECTION 2 BID DATA FORMS CBF -5 a1'-fcrnia 1 -p_e_ BIDDER: c,_-,eneericg-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 California Profess o-:u_ -ny_near_ng _no. ,as Principal, and A1_ied n'.rld Irsuralwe Company , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ic- _he Cofal n. f oinocnr. 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, anc 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 Fenruar0 1, c.._. 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 z.n, day of January 20 _r ,.,. - (SEAL) Principal 1M -ty By. By: Signatt — e _- r. CBF - 6 ALL-PURPOSE ACKNOWLEDGMENT State of California County of los Angeles NS. On January 31.2017 , before me, Diem Chu ,Notary Public, • nmE personally appeared Van Nguyen ,who proved to me on the basis of satisfactory evidence to be the person(h) whose named is/SRR subscribed to the within instrument and acknowledged to me that heSbe/ikey executed the same in his4hStlwkr authorized capacity(xaa), and that by his/Itedabeia signature(e) on the instrument the person(*), or the entity upon behalf of which the person(sj 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. Cart*x 2042313 : tti erlRa N p NOTARY'S SIONHIL Ra A notary public or other office 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. PLACENOFARY SEAL IN ABOVESPACE OPTIONAL INFORMATION The information below is optional. However,it may prove valuable and could prevent fraudulent attachment of this form to an unauthorized document. CAPACITY CLAIMED BY SIGNER(PRINCIPAL) DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL © CORPORATE OFFICER President,Secret ry Ircasurer. Manager TI'I LE OR TYPE OF DOCUMENT ❑ PARTNER(S) ILL(s) ❑ ATTORNEY-IN-FACT ❑ TRGSTEE(S) NUMBER OF PAG ES ❑ GUARDIAN/CONSERVATOR ❑ OtHER' _ _._ —_-- -_ - DATE OF DOCUMENT OTHER SIGNER(PRINCIPAL)IS REPRESENTING: NAME OF PERSON(S)OR ENTH.Y(IlSI RIGHT California Professional Engineering.Inc. THUMBPRINT OF SIGNER APA IP.T] NOT ARY PONDS,SUM IFS AND FORMS AT IIrIP'/WWW VAT EY-SIF'RRA COM 02W5-2W8 VALI EY-SIERRA INSURANCE CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ]ll 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 January 27, 2017 before me, Kathryn Lopez _ Notary Public, Dere Insert Name of Notary exactly as it appears on me Dottie/seal j personally appeared Christine Hoang Nara sl of Signer(sl 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) o, acted, executed the instrument. w ra, KATHRYN LOPEZl.. rJt0N'. COMM. #2158796A NOTARYPUOUGCWWZ FORNI certify under PENALTY OF PERJURY under the laws of , x Y, . ORANGE COUNTY N the State of California that the foregoing paragraph is true e aim MY COMM.LW JULY 1,2020 and correct. Witness my han offi :al. Signature �S A Piave Notary Seal Above eignar of Notary Pu•fathryn Lopez 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 Bid Bond Document Date January 27, 2017 Number of Pages: 1 Signer(s) Other Than Named Above'. None L. Capacity(ies)Claimed by Signer(s) Signers Name. Christine Hoang Signers Name _ Individual LJ Individual TT Corporate Officer—Tltle(s). E Corporate Officer -Title(s) Partner El Limited C General ❑ Partner 7 Limited General .m_ Attorney in Fact RIGHT THUMBPRINT ❑ Attorney in Fact RIGHT THUMBPRINT Trustee OF SIGNER El Trustee OF SIGNER ] Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ] Other. ❑ Other I Signer is Representing: Signer is Representing'. Allied World Insurance - Company _. ALLIED WORLD INSURANCE COMPANY WORLD Philadelphia,Suite PAt19103 USA POWER OF ATTORNEY Issue Date:October 26,2016 No. 32826-A1470 Single Transaction Limit:$10,000.000 KNOW ALL MEN BY THESE PRESENTS: Allied World Insurance Company,a New Hampshire corporation(the'Company")does hereby appoint NAME(s): lames W.Moilanen Yung T.Mulllck Christine Hoang FIRM: The Bond Exchange&Insurance Agency 24800 Chrisanta Drive Suite 160 Mission Viejo,CA 92691 Its true and lawful Attomey(s)-in-Fact,with full authority to execute on its behalf bonds,undertakings, recegnizances and other contrails of indemnity and wings obligatory in the nature hereof,issued in the course of its business,and to bind the Company thereby.This Power of Attorney shall remain in full force and effect for one year from the issued date above-referenced and shall expire on close of business of the first anniversary of such Issue Date. IN WITNESS WHEREOF, ALLIED WORLD INSURANCE COMPANY has caused these presents to be executed by the officer named below,who is duly authorized and empowered to execute on the Company's behalf, ���� This 26tM1 day of October,ID16 ewxrgwv NQTARM SEMNlrlv6uWA �y +/ NOTARW.StHo Etter Nu a en Hovey Pw!p r.ev PnpyleL', cera f!,rns ye.r...,.e.,..M c.o,rs writ!" .,... t--.—• Name:Robert E.Staples Ttle:Senior Vice President-Surety State of Pennsylvania ) County of Philadelphia )ss. • On this 26th day of October,2016,before me came the above-named officer of L� ,141` ALLIED WORLD INSURANCE COMPANY,to me personally known to be the individual and officer described herein,and acknowledged that he executed the foregoing Notary instrument and Mixed the seals of said corporation thereto by authority of his My Commission Expires:08/05/2018 office. CERTIFICATE Excerpt of Resolution adopted by be Board of Directors of the ALLIED WORLD INSURANCE COMPANY(the"Corporation'),on December 31,2012. RESOLVED,that the proper officers of the Corporation,the head of the surety business line for the Carpurahn and ter eppanled designees leach an'Autlgrized officer end collectmay.the"Authorized ONcers')I and each hereby is,auhcized to appoint one Dime AtromeysmFad to rep int and ad for and on WADE al the Corporation in the transactionof he Company's surely business to execute (under the common seal of the Cplxral'm,n a4mpriate)bonds,undedakirgs,recommences adother crawls of indemnity and wihngs obligatory el the nature thereof RESCUED,That in connection with the Corporation's transaction or surety buSinesL to Signatures and allestalgns of Ne At&Mmmm Otters and the seal of the Corporaben may be afIYef to any such Paver of Attorney Cr to any certificate rebating hereto by faaimx,and any such Pourer of Attorney or certificate teanng s1N facsimile signatures or facsimile seal shall be vara and binding upon the Corporation wren so affixed ivith respect to any band,undertaking recgnizaee or other contra{of indemnity orMfing obligatory in the whim Defect RESOLVED,DM in mina{n wih the Cupaah s transaction ofsurety business,hefawn*or mechanraly reproduced signature of any Autlnr¢ed Offcer whetter male heretpbre or hereafter, wherever a hrg upMl a copy of any F4wIDofAttorney of Corporation,wit signatures alfiud a;mid above rimed.Mall be valid and binding upon he Comora*an will thesame arse and WWI as Wugh manually affixed. RESOLVED,that in connection wird be Corporations transaction of surety buslress,any such AXmey-nFad ddkedng a seoelanal or other cuNhatixt that the foregoing resnlutbns still be in effect may insert in such certlfcaffn date d Era",said date to be W later than the date ofdel`.erg thereof by such Attorney-in-Fact RESOLVED,hal W Aullxdmd Offices he.and each hereby isauthuaed to Warble Wider the common seal of he Co'paaton,if approphatef,make.file Did Other in the name and on behai of the Grporabon any and all wnsems,%NTcales,agreements,amendments,supplenents.Insrunentu and other documents whatsoever,apo do any and all other Dings whatxevu in connection with the Cupralbn's transaction of surety business.as suds Auterized Officer shall in his u her absolute deaetbn deem or determine approprate and any of the Mewing resolutions.be transact ons cmlempaled thereby and any aollay matters faeto andfN to cony DOW purposes and Intent hereof such deernbg ordelvminadm to to conclusively edhnced by any.cart execution or the taking of any such auxin by such Autimizel Officer. L Daniel zharkovky,Secretary of the ALLEID WORLD INSURANCE COMPANY,do hereby certify Mat he faegoig exempts of Resolution adopted by the Bcerd of Directors of Ns mpr..Mn,and he Paver of Attmrey issued eursuanrtheteld,are true and correct,and Nal both the Resolution and the Pave'of Attorney are to NII Mee and effect IN WITNESS WHEREOF,I have hereunto set my hand and affixed the facsimile seal of tlewy:rake,Nsllday of St\Oka\On / 20 7' j L +/ �V Daniel 2harkovky,AVP,AVAssistant General Counsel SUR 00046 00(05/2016) No. 31864 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAN FRANCISCO Amended Certificate of Authority THIS IS IO CERTIFY that,pursuant iv the Insurance Code ofhe State of California, Allied World Insurance Company of Nen Hampshire, organised under the laws of.Vew Hampshire,subject to its Articles of or otherfundamenralatgantzatianal documents,is hereby au harizedto transact with!this State,subject to all provision!of this Certificate the following classes of insurance_ Fire,Marine,Surety,Plate Class,Liability,Workers'Compensation, Common Carrier Liability,Boiler and Machinery,Burglary,Credit, Sprinkler,Team and Vehicle,Automobile,Aircraft,and Miscellaneous as such classes are now or may hereafter be defined in the la<uranue Lent s of the Slate of California. THIS CERTIFICATE is expressly conditioned upon the holder!woof noh and hereafter being in full compliance with all,and not in violation of any,of the applicable lean and lawful requirements made under authority of the laws of the State ofCalifornia as long as such laws ur requirements are in effect and applicable, and as such Imrs and requirements now are, or may hereafter be changed or amended N WITNESS WHEREOF,e fierttve as of the 22n°day of Ma},2013. I have hereunto set my hand and caused my official seal to be agired this 22"^day al 2013. `ttf53? Dave Jones a s Y Y i y Susaal.Stapp for Nettie Hoge Cm.;D pug NO1ICE. Qa:,ficaaon with the Secretary of State must be accomplisher as immured by the California Corporetiam Cede promptI otter issuance oftbis Certificate ofAuthonty Failure redo su mil.bea.IolaE.uu of lmureace Code sector.701 and will 'mounds for revoking this CediM:we of Authority pursuant to'.he covmaumm made in the applicator.therefor and the condtioas mntamed BIDDER: California Professional Engineering, Inc. 2.B 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. California Professional Engineering, Inc. 2.B LIST OF PROPOSED SUBCONTRACTORS(continued) N I C\ I—Duplicate Next 2 Panes II needed for RUIN oddNmal subcontractors 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. Name and Location Description of Work of Subcontractor to be Subcontracted Name. Address: License No.: Department of Industrial Relation Registration No. CBF - 8 BIDDER: California Professional 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: f. Please see attached 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-9 929 Otterbein Ave., Unit E La Puente,CA 91748 Ph: (626)810-1338 Fax: (626)810-1322 www.cpengineeringinc.com California Professional Engineering, Inc. Street Lighting-Job References PROJECTS: Design—Build High Voltage Streetlight System Rewiring Amount:$547,044.66 Owner: City of Santa Aria Project Manager: Tyrone Chesanek Email: tchesanek@santa-ana.org Contact Phone#: (714)647-5690 Fax#: (714) 647-5622 Status: Completed Approximate Start/End Dates: Feb 2015-March 2016 Description of Supplies, Equipment, or Services Provided: Convert High Voltage Wiring to Low Voltage Wiring, Design/Build, Installation of Lighting Fixtures, and Conduit. Installation of Sport Field Lighting System Amount:$65,501.00 Owner: City of Huntington Park Project Manager:rosette Espinosa Email:jespinosa@hpca.gov Contact Phone#: (323)584-6216 Fax#: (323) 588-4577 Status: Completed Approximate Start/End Dates: Dec 2015-Jan 2016 Description of Supplies, Equipment,or Services Provided: Installation of Conduit& Wiring, Pull Box, Sports Field Lighting Fixtures, and Lighting Poles. Firestone Blvd Improvement Project Amount:$409,305.58 Owner: City of Downey Project Manager: Keith They Page I of 3 I uman!Last lllx(nled 1510/6 Email:khoey@downeyca.org Contact Phone#: (562) 622-5898 Fax#: (562) 904-7296 Status: Completed Approximate Start/End Dates:April 2014-August 2014 Description of Supplies, Equipment,or Services Provided: Installation of Conduit& Wiring/Conductors, Pull Boxes, Pedestals, LED Fixtures, and Light Poles. Street Light in Lieu Amount: $244,716.35 Owner: City of Ontario Project Manager:Johnson Hua Email:jhua@ci.ontario.co.us Contact Phone#: (909) 395-2131 Fax#: (909)395-2122 Status: Completed Approximate Start/End Dates:Jan 2014-April 2014 Description of Supplies, Equipment, or Services Provided:Installation of Conduit& Wiring/Conductors, Pullboxes, Pedestals, LED Fixtures, and Light Poles. Old Towne Street Lighting Improvements Amount:$453,145.00 Owner: City of Orange Project Manager: Medel Danes Email: mllanes@cityoforange.org Contact Phone#: (714) 744-5535 Fax#: (714) 744-5573 Status: Completed Approximate Start/End Dates:Jan 2012-April 2012 Description of Supplies,Equipment, or Services Provided: Installation of Conduit, Pullboxes, Pedestals, Street Lights w/Fixtures, and Light Poles. Installation of Street Lighting on Mountain Street from Craig Ave Amount:$335,166.00 Owner: City of Pasadena Project Manager: Chris Hernandez Email: cehernandez@cityofpasadena.net Contact Phone#: (626) 744-4303 Fax#: (626) 396-7931 Status: Completed Approximate Start/End Dates:Jon 2012-May 2012 Description of Supplies, Equipment,or Services Provided:Installation of Conduit, Street Light Pullboxes, LED lamps, Post Top Concrete Streetlights, Street Light Conductors, and Modify Existing Street light Feed Point. Page 2 of 3 Document Lae,(Mated 4 5 2016 Street Light Installation—Guinida Lane Amount:$202,345.50 Owner: City of Anaheim Project Manager: Mark Brawnrigg Email:mbronwrigg@anaheim.net Contact Phone It: (714) 765-4300 Ext.4596 Fax p: (714) 765-5225 Status: Completed Approximate Start/End Dates:Aug 2011-March 2012 Description of Supplies, Equipment, or Services Provided: Installation of Conduits, Wirings, Service, Foundations, Street Light Poles, and Luminaires. • Page 3 of 3 Docnmem It, Opdamd 15 MI6 BIDDER:California Professional Engineering, Inc. SECTION 3 NON-COLLUSION AFFIDAVIT CBF - 10 BIDDERCalifornia Professional 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,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,orthe 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, .r to any member or agent thereof to effectuate a collusive or sham bid. 1/2 Signat re Van Nguyen Typed or Printed Name President Title California Professional Engineering,Inc. Bidder Subscribed and sworn before me This_day of , 20 (Seal) Notary Public in and for the State of California My Commission Expires: ti.. CBF - 11 JURAT 4 it State of California 1 1 Los.Aneeles /SS. 1 1 County of 1 1 31st January17 1 4 Subscribed and sworn to (or affirmed) before me on this day of , 20 , by ;