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CEM Construction Corp. - Bid No. 2020-07 - Rosemead Park Walking Trail Replacement BIDDER: CEM Construction Corporation CITY OF ROSEMEAD ROSEMEAD PARK WALKING TRAIL REPLACEMENT PROJECT PROJECT No. 49007 SECTION 1-BID SCHEDULE CO .;:_!;:,.:,:..::,::i:iit,,,;A„:,i. 1100:1,1,1,,.4:E,„.:,,i,:.,:ntik:.,.:'.: -J:,.:„.:.4.,::,:410,;t1Nriitc,:iro:::.: NT CT'BID FORII�IS ,v i i CBF- 1 BIDDER: CEM Construction Corporation BID SCHEDULE SCHEDULE OF PRICES FOR ROSEMEAD PARK WALKING TRAIL REPLACEMENT PROJECT PROJECT No. 49007 NO. ITEM DESCRIPTION UNIT EST. UNIT ITEM QTY. PRICE COST Mobilization,Demobilization, and LS 1 1 Miscellaneous Items of Work(Not $ 15, 000 $ 15, 000 to Exceed 5%of Bid Items 2 through 8) Clearing, Grubbing, and LS 1 2 Miscellaneous Removals $ 5, 000 $ 5, 000 3 Work Area Protection (Includes LS 1 $ 15, 000 $ 15, 000 Notification,Fencing,and Security) Demolition, Hauling, and Proper LS 1 4 Disposal of Existing Synthetic $ 27,500 $27,500 Surface Demolition, Hauling, Proper SF 10 5 Disposal, and Reconstruction of $ 15 $ 150 Existing Concrete Header 6 Subbase Preparation SF 18,156 $ 3 .75 $ 68, 085 7 Base Layer CY 58 $ 1, 894 $109, 852 Wear Layer CY 29 8 $ 8, 837 $ 256,273 TOTAL BID AMOUNT IN NUMBERS $ 496,860.00 TOTAL BID AMOUNT IN WORDS:FOUR HUNDRED NINETY-SIX THOUSAND EIGHT HUNDRED SIXTY AND 00/100 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. CBF- 2 BIDDER: CEM Construction Corporation 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 The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date,or until a Contract for the Work is fully executed by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 % Of Bid Dollars($ 10% Of Bid )said amount being not less than ten percent (10%) of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. If awarded a Contract,the undersigned agrees to execute the formal Contract,which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract,and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted,it will assign to the purchasing body all rights,title,and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting therefrom;and(3)any other information and documentation,financial or otherwise,needed by Owner to award a Contract to the lowest responsible and responsive bidder. Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts of five hundred dollars($500.00)per calendar day if project is not completed in twenty(20)working 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 CBF- 3 BIDDER: CEM Construction Corporation further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF-4 BIDDER: CEM Construction Corporation By: 8207 Brookgreen Rd Signature Business Street Address Jesus E Carrillo Downey, Ca 90240 Type or Print Name City, State and Zip Code President 323-597-1084 Title Telephone Number Bidder's/Contractor's State of Incorporation: CA Partners or Joint Venturers: Jesus E Carrillo President&Treasurer Emigdio Carrillo Vice President&Secretary Bidder's License Number(s): 951234 Department Industrial Relations Registered No. 1000000805 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- 5 BIDDER: CEM Construction Corporation SECTION 2 BID DATA FORMS CBF- 6 PLEASE SEE ATTACHMENT BIDDER: CEM Construction Corporation 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 G� /4r7---7 l KNOW ALL MEN BY THESE PRESENTS: THAT ,as Principal, and , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of DOLLARS ($ ),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 WALKING TRAIL REPLACEMENT PROJECT —as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated 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 day of , 20 . (SEAL) (SEAL) Principal Surety By: By: Signature Signature CBF- 7 iy BIDDER: C.E.M.Construction Corporation Bidder shall submit its Bid data in accordance with the fonnat shown on each of the following Bid Data Fonns. 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 Fonns are properly identified with the Bidder's name and page number. 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS: THAT C.E.M.Construction Corporation as Principal, and Merchants Bonding Company(Mutual) , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten percent of the total bid amount DOLLARS (5 10.0%of bid amount ),being not less than ten percent(10%)ofthe 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 WALKING TRAIL REPLACEMENT PROJECT —as set forth in the Notice Inviting Bids and accompanying Bid Documents,dated June 2;2020 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 fora 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 28th day of May , 20 20 C.E.M.Construction Corporation (SEAL) Merchants Bonding Company(Mutual) Principal S6Vy ^ �, By: By: Signature eir/f r. L ii L Signature Vanessa Copeland,Attorney-in-fact CBF - 7 v CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 1189 h�i V/,V::✓ls Ay,3:-,yfyhvA•%Vl;✓/y�luy;„- V^uv/�VAVVhVVhv/:v/.vw;:%,rl�J4%•V:/hr7/.F/Tr."/\/✓\m,:y,.,••„•-l.�l,f•%��%::n l�"n v✓/�v/�v/-lvl\%:Avk',,<zvAv�-x%vAA�'A✓n.M1f�vn 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 thetruthfulness, accuracy,or validity of that document. State of California ) County of Orannge �'�j�, ) On S-?C�' U . before me. Natassia Kirk-Smith ,.Notary Public, personally appeared Vanessa Copeland Name(s)of Signer(s) who proved to 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 h-e/she/the• 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 ,.;o„:. NArAssia KIRK sMtTH paragraph is true and correct.. !� _ Notary Public-California `' f Orange County > Commission#2253818 WITNESS my hand and offici. °s"°'i My Comm.Expires Aug 12,2022! /, Signatt c: Ilk i il��.�I A'0 i�.�,J1► Signature of•f ublic Place Notary Seal Above Though the information below is not required by it may prove valuable to persons relying on the document and could present fraudulent and reattaclunent of this form to another document. Description of Attached.Document Type or Title of Document: Document Date: — Nimiber of Pages: Signer(s) Other Than Named Above; Capacity(ies) Claimed by Signer(s) Capacity(ies)Claimed by Signers) Signer's Name: Vanessa Copeland Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer-"Title(s): ❑ Corporate Officer-Title(s): ❑ Partner: ❑Limited ❑ General ❑ Partner: ['Limited ❑General. ® Attorney in Fact ❑ Attorney in Fact ❑ Trustee 111 Trustee ❑ Guardian or Conservator ❑ 'Guardian or Conservator ❑ Other: ❑ Other: Signer.Is Representing:. Signer Is Representing: vuvuv.uu^...-w.,✓v✓..,---uuwuvv,,w,, ✓,-,, u n,,,'...,,,,..ce/— �v✓✓^✓u-✓v✓.,,,,uuuu✓uu�,,,,,,�Fuuvvv,;—,r..., SAA/././�/�:/�/.Al.1.h./,f�/,l.Ali/./•,1/../ /•./�h/A/,/^.!)/`./�i^.A/.AI`.l,..Al,.�.Al�/�/.A.,/,/,..,,,,,,,,,,`,,,,,,,,,""",^`,/,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,. /�ff././�/./.. Rev. 1-15 's M...E.RCHA TS BONDING COMPANY;., POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute,and appoint,individually, Eric Lowey;Jennifer Grenrood;Kevin Cathcart;Mark Richardson; Michael Castaneda;Teresa I Jackson;Vanessa Copeland their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts arid other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This.Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company(Mutual)on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President,Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize themto execute:on behalf of the Company, and attach the seal of the-Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of.Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 4th day of March , 2020 •.ps•�10:Nq< • p\NG,CO,,• . . • h�ORP04c „Ne.„, e�p•ckpo , , 4* MERCHANTS BONDING COMPANY(MUTUAL) i..G ,�,�. .y•V ',4'---0-% MERCHANTS NATIONAL BONDING,INC. 0% 2003 .,si: .y. 1933 c; By /1"77 77‘..... ...4'••.. ..'•,31....' ...4 t,,r • `. •.• President STATE OF IOWA �•"•.. ...** COUNTY OF DALLAS ss. On this 4th day of March 2020 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL)and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ,„gatAZ.s POLLY MASON o p Atlj, ° Commission Number 750576 Y1V.C60-% dab . : My Commission Expires •--------sus toWP January 07,2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 28th day of May ,2020 . �� GORPORq�•Z1. ..C.) OAq gy�a dn/ 47 x' 2003 LZ •�•• -1933 �•C Secretary 1,0 . ted • • :d ,.ate .•4 3w •.• •r • • POA 0018 (1/20) "" • CACI OO LMOA AU-PURPOSE ACGOMJdEDDOMENT CML C.DE§ 1189agittEEENIMMIZESEMMEamaCCIMINECOMEMEMMINNEMMEWMEMEMEMORIM'EnErMagaZamlifsairioaLizsgrilaWAREiinotary 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 I 4 � ' � , v f JUN 0 1 202(, • ® ®n_ — before me, ___ P1e T. Velasquez 1Vota1�►Pllblic bate Here Insert Name and Title of the Officer personally appeared S US x t I lt0.________________________ Name(s)"of Signer() who proved to me on the basis of satisfactory evidence•• be the person(gj whose names, 'rark subscribed to the within instrument and acknowl ged to me tha he sl/e/th;�y executed the same in Of authorized capacity(iefs), and that by i /h the/r signet re(s on the Instrument the person t,or the entity upon behalf of which the person(R)a .ed,executed the instrument. • I certify under PENALTY OF PERJURY under the •�.� �•ti TONIT.VELASQUEZ laws of the State of California that the foregoing a, .60.:Q>. Notary Public-California paragraph is true and correct. i ,7,::2;:,�1''" Los Angeles County g -r.4s Commission H 2231830 411"° My Comm.Expires Feb 23,2022_ WITNESS my hand and official seal. Signature V Place Notary Seal and/or Stamp Above T Signature a'Notary Public OP4000N LL - Completing this information can deter alteration of the document or fraudu/ent reattachment of this form to on unintended document. legerrupffi©e of Attached DD ocurt,>nl en•E Title or Type of Document: 17 0 nil Document Date: JUN 0 1 2020 Number of Pages: Signer(s) Other Than Named Above: m IN) / A Cplaa utAkeD COagraned by Mernc rriN) Signer's ame: Signer's Name: ❑ Corporate r—Title(s): 0 C orate Officer—Title(s): ❑ Partner— 0 Limlte General 0 Partn 0 Limited ❑ General. ❑ Individual ❑ • ney in Fact •❑ Individual - 0 Attorney in Fact ❑ Trustee ❑ Guardian of Conservator ❑ Trustee • ,.rdian of Conservator ❑ Other: 0Other: _ Signer is Representing:----- Signer is Representing: iii$5HzII743f PhFigig Nil3!'`E ra miumaigi.'i3[zmi'Mi'1Ni$il ataikiNgeW:4i ;REOfay.iailif3MitiYi 4?:T}ii`3+:iii€iriiMI3iME>:l3 fiMICSINEMII EZIZI Eifil ©2017 National Notary Association BIDDER: CEM Construction Corporation 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- 8 BIDDER: CEM Construction Corporation 2.B LIST OF PROPOSED SUBCONTRACTORS (continued) [**Duplicate Next 2 Pages if needed for listing additional subcontractors.**] Name and Location Flex Ground Description of Work of Subcontractor 2029 Opportunity Drive#3 to be Subcontracted Rubberway Softwalk Roseville,CA 95678 ADD ALT-Aliphatic Name: Flex Ground Address: 2029 Opportunity Drive#3 Roseville CA 95678 License No.: 1003439 Department of Industrial Relation Registration No.1000021294 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- 9 BIDDER: CEM Construction Corporation 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. Diamond Bar 21810 Copley Dr, Diamond Bar, CA 91765 Name and Address of Owner Nasser Abbaszadeh 909-839-7000 Name and telephone number of person familiar with project $999,140 Sycamore Canyon Park Slope Trail Repair 11/14/2019 Contract amount Type of Work Date Completed 2. City of Compton 1300 West El Segundo Compton, CA 90220 Name and Address of Owner Marvin Hunt (310) 761-1448 Name and telephone number of person familiar with project decomposed granite walking trail, shade shelters, landscape planting, modifications $878,196.17 7/13/2018 Contract amount Type of Work Date Completed 3. City of Rosemead 8838 East Valley Blvd Rosemead, CA 91770 Name and Address of Owner Rafael M. Fajardo 626-672-5991 Name and telephone number of person familiar with project removing and replacing damaged sections of existing concrete sidewalk, curb&gutter $122,850.00 6/8/18 Contract amount Type of Work Date Completed CBF- 10 BIDDER: CEM Construction Corporation 4. City of Diamond Bar 21810 Copley Drive Name and Address of Owner Jason Williams 909-839-7059 Name and telephone number of person familiar with project $481,495.75 Develop new trial up mountain. 05/17/2017 Contract amount Type of Work Date Completed CBF- 11 BIDDER: CEM Construction Corporation SECTION 3 NON-COLLUSION AFFIDAVIT CBF- 12 BIDDER: CEM Construction Corporation 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. ignature Jesus E Carrillo Typed or Printed Name President Title CEM Construction Corporation Bidder Subscribed and sworn bef re me This ,42-8'day of, , , 20 20 o f J v - - A .v (Seal) 111 7 1I��1g ary Publ in and for the State of California " ,e TONI T.VELASQUEZ R fy Notary Public-California My Commission Expires: 'r(�, ,O/'1, � , ` Los sC Commission M 2231830 1 -'"""" My Comm,Expires Feb 23,2022 _ �a CBF- 13 C ALAFOO I vllLa ALL-RSE P©AIN ACC3N©NJL EDORMIT CMLCODE§ 11E 9mt St S1f mExre1 amie ^^li nSPosfiminImm13ilim3locvA €a "o. IIHf9 ii9ciIIf� .!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 197_c,, s__l1,f)g� A } On JUN O 1 2026T®nsueNotary oary Public ----_— before me, __— l�ate Jere insert Name and Title of the Officer personally appeared 11-x--SC f•h 1 r, • Name(s9 of Signer(d) who proved to me on the basis of satisfactory eviden a the person(t1)whose name. .;• i, to the within instrument and acknowi ged to me that1sh6/thigy executed the same I kir h r subscribed authorized capacity(i�'s),and that by 'I /h j/their signature($) on the instrument the perso , 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 4.,,,,o,rM1F TONIT.VELASQUEZ Q � �o'. NotaryPublic—California paragraph is true and correct. _ so Los Angeles Countyf. ^~ Commission a 2231830 - WITNESS NESS my hand and official seal. 4 `''' My Comm.Expires Feb 23,2022 Signature Place Notary Seal and/or Stamp Above ' Signature o Notary Public OP4i0ON„Li, - —. Completing this information can deter alteration of the document or fraceeftr/ent reattachment of this form to an unintended document. Dr oeviPieit of Anes ped Docs ltt om Title or Type of Document: non- coin D fl 1 .h d c fi r Document Date: JUN 0 1 2020 NumberofPages: 1 Signer(s) Other Than Named Above: N / C a padtypes11 C©Vaur uect by SkinerrN)) Sic•er's Name: Signer's Name: ❑ Corp. -te Officer–Title(s): D Cor Officer–Title(s): ❑ Partner _imited 0 General 0 Partner– o ❑ General ❑ Individual 0 Attorney in Fact . .❑ Individual • -. •_.ney in Fact 0 Trustee © v,: ian of Conservator ❑ Trustee ❑ Guardian - _•_ ervator 0 Other: 0Other: Signer is Representing:—_— —_ Signer is Representing: ifM3Q3$+53 it dei, , -i.nfdi8IHD ilavj3 lialsA3l1 13y,Yfilf4iiFflFstir3MDE:i,5'0dzfi:FMNI.nri:}J'v£siRII:efSIOiitiglillgEgiritteII§fait 4}i3r;: §RIEMMQVII NEtDRMi2i$i ?5EIMi ©2017 National Notary Association