Bidder: PK Construction BIDDER: \ ' CV n Sk- rkC-40"
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION I BID SCHEDULE I -4
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: P h C—(S1 STY—Lric 'M
SECTION 1 - BID SCHEDULE
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BIDDER: ~ -c ' ` r
SECTION 3
NON-COLLUSION AFFIDAVIT
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BIDDER: P h cs-Nn s\-rt d-lav%
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 T 5 -
provisions TP-2&TP-3. I � ILraS�—
2 Disposal of Waste Materials. LS 1
c, ` y_ ic 'h
3 Install Pedestrian Lighting LS 1
including electrical conduit, 62 1 of
foundations, wiring and 3 [ aoL Tom"( ,ac-Th>o
appurtenances per plans and
specifications complete.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ S DZT )
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cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and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
5 91 o"-I'.G' Dollars ($S2e)L)said amount being not less than ten percent (10%) of the Total
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BIDDER: VY--- C-Sr'SC-rLJbt'
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 contractors 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($500.00)if proiect is not completed in FORTY-FIVE(45)calendar daye.The
Contract Time will begin to run ten (10)Working Days from the date of the Notice of Proceed and
subject to the terms and conditions described in the Contract Form and the Contract Documents.
Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be
incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder
further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data
submitted herewith into a contract arising out of this Bid.
The undersigned acknowledges receipt, understanding and full consideration of the following
addenda to the Contract Documents.
Addenda Nos.
The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and
equipment or supplies necessary to complete the Work as described in the Bid Documents. If this
bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the
necessary bonds and accept the Total Bid Price as compensation in full for all Work under the
contract.
•
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BIDDER: p 0.
QV. Ctr..$ -rt.r}ian
7
By: �K 3�)N \h5a-.
Signature Business Street Address
mac-`-(Moa\
Type or Print Name City, State and Zip Code
cLv
(.*04 -721-(Oc1 (o3
Title Telephone Number
I 101`I
Date
Bidder's/Contractors State of Incorporation: 1 \4o(o."70
Partners or Joint Venturers:
Bidder's License Number(s): -/� 1Clion O
Department Industrial Relations \1 1���� (. `1Registered No.: Z�
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.
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BIDDER: CIN C s\ r ,4 t"n
SECTION 2
BID DATA FORMS
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BIDDER: Qv-
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 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 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.
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BIDDER:
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
[—Duplicate Next 2 Pages if needed for listing additional subcontractors"1
Name and Location Descriptio •f Work
of Subcontractor to be S .contracted
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 R tration No.
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
License No.:
Department of Industri. Relation Registration No.
Name and Locator Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
License No:
Departmer of Industrial Relation Registration No.
Nam- -nd Location Description of Work
of S •contractor to be Subcontracted
Name.
Address:
License No.:
Department of Industrial Relation Registration No.
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California Department of Industrial Relations - Contact DIR Page 1 of 1
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Contactor Legal Name' pkmLmUuol
License Number: trample I23456
County: Soled Corny J
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IX CONSTRII TtOe 10.0O18483 LOS ANGELES AtTADENA 07/0I/2016 06/30/2017
Legal Name Legal Entity Type
PK CONSTRUCTION SOLE PROPRIETOR 6270160101
Trade Mame
Ne CONSTRUCTION
License Numbuls) _ .....
CSLN:n8e70 ._. ..
Mai6tq Address -
2362 WINDSOR
ALTAGENA,CA 91001
Physical gbrB .: , ..
2362 WINDSOR
ALTADENA,CA 91091
Email Address
2KKINGPKSIFGMAIL COM
https://efiling.dir.ca.gov/PWCR/Search.action 2/1/2017
BIDDER: Pu- Csy\
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. `\r,(s;\
Name and Address of Owner
Vier‘-.•
Name and telephone nu ber of person familiar with project
C y „ OSS: tAi GI 15e14 t r
Contraclamount Type of Work Date Completed
2.
Name and Address of ,nn Owner \ ,
ev—T-4 --\ i
Name and telephone number of person familiar with project
Contract amount 1 Type ofWork ate Completed
3. C--l\r\, 6- 041/45 D
Name and Add�ress of Owner
, (r
Name and telephone number of person familiar with project
p,,,6 ‘-e-... -y I
Contract afnount Type of Work Date Completed
4. \ r..s
Name and Address of Owner
Name and telephone number of person familiar with project
3K(> 4 S\L Qtv4e IL) I i
Contract amount Type of Work Date Completed
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BIDDER. PK Construction
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 PK Construction 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 the Total Amount Bid
DOLLARS
($ 10% ), being not less than ten percent (10%)of the Total
Bid Price;for the payment of which sum will and truly to be made,we bind ourselves,
our heirs, executors. administrators.successors,and assigns,jointly and severally,
firmly by these presents.
WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work
required for the 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 31St day of January PO 17
American Contractors
PK Construction (SEAL) Indemnity Company (SEAL)
Principal Surety
By: �.� 9o( By. ._�=.✓�-
signature ZhaQPaul King, Owner a _ . - Faustina, Attorney-in-Fact
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ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Los Angeles )
On 1/31/17 before me, A. Weiss Faustina, Notary Public
(insert name and title of the officer)
personally appeared James Faustina
who proved to me on the basis of satisfactory evidence to be the person(s`f whose name(s) is/ar€
subscribed to the within instrument and acknowledged to me that he/sP1e/they executed the same in
his/her/their authorized capacity(,ies); and that by his/ti€r/tileir signature(s on the instrument the
person(sr or the entity upon behalf of which the person(sracted, 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. E
CommssionS FAWSTINA
k 2125958 L
WITNESS myhand and official seal. _ $*
1(-e fpr, Notary oueuo— Car'crnia z
s Los Angeles County
11 M; -omn_ res Set 28,2019
, i.,)-Lut-i'.VA1\ (Seal)
POWER OF ATTORNEY
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY
UNITED STATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY
KNOW ALL MEN BY (NESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas
Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, a Maryland
corporation and U.S. Specialty Insurance Company,a Texas corporation (collectively, the"Companies"), do by these presents make,
constitute and appoint:
James Faustina of Granada Hills,California
its true and lawful Attorney(s)-in-fact,each in their separate capacity if more than one is named above,with full power and authority
hereby conferred in its name,place and stead,to execute,acknowledge and deliver any and all bonds,recognizances,undertakings
or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond
penalty does not exceed """""One Million***** Dollars ($ "1,000,000.00" ).
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 Auorney(skin-Fact to represent and act I''or 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 undenakings, 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 cancel ins 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.
Bea 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 UNITED STATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY
N ft
W... a x -a Daniel P.Aguilar,Vice President
....,.PgrtOM�mA •ry ......�,tF of-tEl�: .......
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 O.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 signature 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 of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal. _ ((
(5/ MARIA G. ie 2ELWORO
Commissionsion/2019111
Signature (Seal) i Notary Public.California
3Los Angeles County
MYComm.resCee 20.2011
I.Michael Chalekson,Assistant Secretary of American Contactors 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 Jfa:—
In
��
In Wit,'(�`,ss Whereof,I have hi��e set my hand and affixed the sea of said Companies at Los Angeles,California this.-.)/ day
ofo Jn'I UKP/ pr(/I /(/J�Ma
Corporate Seals -Jly T o 'o /!E(aN�.Pi�
��Idc,, ,,—.„.„.....3; a _ y
Bond No.
Michael Chalekson,Assistant Secretor
Vr
7929 �' s - -"
AgencyNo. ,2;p`.L`.P."^;r.4
BIDDER: 1 v\ C Or\S�Ymk`_lp✓i
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.
f
Signature
� esti P
Typed orr Printed Name
Title
cic,on
Bidder
Subscribed and sworn before me
This 3 / day of ✓.4NV4-4.U , 20/ 7-
(Seal)
Notary Public in and for
the State of California
My Commission Expires: bee X 201.6 CEREB A.CRANOTO
fy C�0tomo
ComNtsbn•2174810
... Comm.E -res Dec 0,2020
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