Valley Slurry SealCOPY
CITY OF ROSEMEAD
ANNUAL 2008-2009 SLURRY SEAL PROJECT
CONTRACT BID FORMS
BIDDER:
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID SCHEDULE
SECTION 2 BID DATA FORMS
2.A BID BOND
2.6 LIST OF PROPOSED SUBCONTRACTORS
...............................................1
5
6
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SECTION 3 NON-COLLUSION AFFIDAVIT .............................................................................10
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BIDDER: qatyjA
SECTION 1 -BID SCHEDULE
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BIDDER: V~~ ~-lJ
BID SCHEDULE
SCHEDULE OF PRICES FOR
ANNUAL 2008-2009 SLURRY SEAL PROJECT
CDBG PROJECT No. P46402
BASE BID SCHEDULE
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans and
specifications. See technical
specifications TP2 & TP3.
LS
1
t
2
Disposal of Waste Materials
LS
1
-OD
.00
3
Crack Sealing
LS
1
4
Slurry Seal Type II - See exhibit
"A" & "B" per street locations &
ELT
750
~
areas.
-
5
Traffic Striping and Pavement
Markers - See exhibit "C" per
l
LS
1
a .
12~a
detai
s.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ J'ilU•
:Zlw-
Dollar amount in written form
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cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and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
govem.
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.
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BIDDER: Q l 5IU
Attached hereto is a certified check, a cashier's check or bid bon in the amount of
Dollars said amount being not less than ten cent (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
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: J
31fnn~Q-&1Vs
Business Street Address
MnS.W%c
Type or Print Name
Title
W(f, ka M ~I) . CR
City, State and Zip Code
9 l LD 313 150
Telephone Number
Bidder's/Contractor's State of Incorporation: U \-~)(11-~'
Partners or Joint Venturers:
Bidder's License Number(s): ~-1~~
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,
nartnershin or ioint venture has the authority to do so.
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March 17, 2009
VaLLey
SLurrLi ssaL
To Whom It May Concern:
I, Diane M. Minor, duly4ected Secretary of Valley Slurry Seal
Company, state that the following resolution is a true and exact copy of that
resolution adopted by the Board of Directors of Valley Slurry Seal Company,
March 1, 1988.
"NOW, THEREFORE, be it resolved that Alan S. Berger as duly elected
Vice-President, be authorized to sign any and all bids and/or contracts, and/or I
legal documents for Valley Slurry Seal Company, a California Corporation, and
that his signature shall be binding on the corporation."
Diane M. Minor - Secretary
Valley Slurry Seal Company
A California Corporation
3050 Beacon Blvd, Suite 205
West Sacramento, CA 95691
P.O. BOX 981330 • WEST SACRAMENTO, CA 95798 • PHONE (916) 373-1500
FAX NO. (916) 373-1438 • CONTRACTOR'S LICENSE NO. 293727A
PIRIVEMEnT RlRinTEnRncE SPECIRLISTS
BIDDER: u ~O
SECTION 2
BID DATA FORMS
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BIDDER: valley Slur Seal Company
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 Valle Slur Seal Company as
Principal, and western surety company
as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter' called the OWNER) in the sum of
10% of Total Amount 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 Annual 2008-2009 Slurry Seal Project as set forth in the Notice
Inviting Bids and accompanying Bid Documents, dated March ls, 2009
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 4th day of March , 2009
Valley Slurry Seal C Y (SEAL)
Principal
ll-$ERG~It
By: VICE PRESIDENT By:
Signatur
Surety
Signature P.~couker,
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ACKNOWLEDGMENT
State of California
County of ~n
S'I before me, \ C ~I~C`l i S~~74c _w roe
On \
(insert name and title of the office
personally appeared \ CV--\ J , tsP C'C`«P (
who proved to me on the basis of sa6sfac tory evidence to be t e person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/t hey executed the same in
hislher/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 per son(s) acted, executed the instrument..
I certify under PE NALTY OF PERJURY under the laws of the State of Cali fomia that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal. MANDI FITZGERAID
COMM. #1715629 Z
/i Z Notary Public.California o
Sacramento Courity
My ^?m•r Expires an. 11. ZOl l
ACKNOWLEDGMENT
State of California
County of SACRAMENTO )
On March 4, 2009 before me, Rosalie A. Miszkiel, Notary Public
(insert name and title of the officer)
personally appeared P.A. Gouker ,
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
paragraph is true and correct.
WITNESS cial seal.
Signature
ROSALIE A. MISZKIEL
2 ~ COMM. #1818581 a)
m Notary Public-Callfomia Z
SACRAMENTO COUNTY
My Comm. Exp. Nov. 18, 2012
(Seal)
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby
make, constitute and appoint
Thomas R Hucik, Jo Anne Hucik, Rosalie A Miszkiel, P A Gouker, Individually
of Folsom, CA, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds,
undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Senior Vice President and its corporate seal to
be hereto affixed on this 3rd day of November, 2006.
?SUrrcrrc WESTERN SURETY COMPANY
Paul . Bruflat, Senior Vice President
State of South Dakota
ss
County of Minnehaha
On this 3rd day of November, 2006, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say. that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Senior Vice President of WESTERN SURETY COMPANY described in and
which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was
so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporation.
My commission expires ++ti+ti~.•.Y..ti~.~~~~'~~~~~~"' +
f D. KRELL J
November 30, 2012 f NalAW PUBLIC SEAL i
fUWSOUTH DAKOTAi
+titititititi~ti titi44bV tititi~„1ti1ti +
D. Krell, N Public
CERTIFICATE
1, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force, and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. in testimony whereof 1 have hereunto subscribed
my name and affixed the seal of the said corporation this 4th day of March.. 2009
WESTERN SURETY COMPANY
®r~=""'qw
L. Nelson, Assistant Secretary
Form F4280-09-06
BIDDER:
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
Principal, and
as
as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
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 Annual 2008-2009 Slurry Seal 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
Principal
By:
Signature
By:
(SEAL)
Surety
Signature
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BIDDER:
2.113 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.
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1-
BIDDER: i W
2.19 LIST OF PROPOSED SUBCONTRACTORS (continued)
["Duplicate Next 2 Pages if needed for listing additional subcontractors."]
Name and Location
of Subcontractor
Name:
Address: > C9
Description of Work
to be Subcontracted
Hem3
CJCO,tly--.~Ut~9
~J
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
W(Y-4-5
Name: 010 "
Address: K
Name and Location
of Subcontractor
Name:
Address:
Description of Work
to be Subcontracted
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
Name:
Address:
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
Name:
Address
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BIDDER:
J
2.C 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. `/1 1
Name and
C
Name arW
number of person familiar with
Type of Work
2. UI t 1
Name aru~
yYl~
Name and
I, C~-
Contract a
of Owner
3(]A ct
e number of person familiar with
3. i" ILN"% La U1
Name and Address of
KCyiY)
Name and telephone i
883 ,14t~
Contract amount
Date Completed
Work
Date
person familiar with project
of Work
4. 1 V 1 t/ v
Name and dress of Owner
Ann tleLC q1tj q-113-
Name and telephone number of person familiar with project
11 `~Z~ 1 • ~ m .
Contract amount Type of
Date Completed
S Wo ~1KUrOR
Date Completed
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I. -
BIDDER:
SECTION 3
NON-COLLUSION AFFIDAVIT
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BIDDER: eo
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 deposito o any member or agent
thereof to effectuate a collusive or sham bid.
Typed or Printed Name
V, d-,
~tes~d~c~t
Title
vale s4ffq Q ~.o
Bidder
Subscribea,n~d sworo 1) efor me
This -076a Y ofd , 2001
N P and for
the Sta alifornia
My Commission Expires: q^21r 11
(Seal)
JAMIE DAVIS-HOLTZ
Comminlon 0 1733659
:-m Notary Public - California z
Yolo County
MyOmim. EowApr21, 2011
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