EBS General Engineering Inc.WALNUT GROVE AVENUE RESURFACING PROJECT
PROJECT •
BIDDER: EBS General Engineering, Inc.
CONTRACT DID FORMS
TABLE OF CONTENTS
SECTION BID SCHEDULE ............................................................ ...............................
SECTION 2 BID DATA FORMS., ................................... 5
.................
2.A BID BOND .............................................................................. ............................... 6
2.B LIST OF PROPOSED SUBCONTRACTORS ..................
SECTION 3 NON - COLLUSION AFFIDAVIT .. ............................... ......... 1.0
..................
CBF -15
BIDDER: EBS General Engineering, In
CBF -1
BIDDER: EBS General Engineering, Inc
BID SCHEDULE
SCHEDULE OF PRICES FOR
WALNUT GROVE AVENUE RESURFACING PROJECT
PROJECT No. P84329
BASE BID SCHEDULE
1
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UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans
LS
1
and specifications. See technical
9 OW ® alzi
59 ®00 ® p0
provisions TP -2, TP -3 & TP4.
2
Disposal of Waste Materials.
LS
1
3
Cold mill 2.5- inches thick existing
SF
462,68D
E
td® 9 J
pavement.
a
4
Construct 1.5 inches thick.
TONS
4,350
86-00
pavement overlayARHM-GG -C
3lq l Op.Oc�
(PG 64-16) as indicated on the
r
plans.
5
Construct 1.0 inches thick
TONS
2,900
Asphaltic Leveling course D1
-13 a
(PG 64 -10) as indicated on the
plans.
6
Remove 6- inches of existing
SF
160
pavement and replace it with 3.5-
t0
11n0Q ® 00
inches of AC B -PG 64 -10 Base
Course over compacted native.
7
Remove, Dispose and Construct
SF
6,025
4- inches thick PCC Sidewalk per
C 00
t �r ®13
SPPWC Std. Plan 113 -1.
®
8
Remove, Dispose and Construct
SF
434
PCC Driveway Approaches per
0�
SPPWC Std. Plan 110 -2,
-M - 77—
9
Remove, Dispose and Construct
LF
93
g929 ®®
8- inches Curb and 244nches
®
Gutter per SPPWC Sid. Plan
120 -2.
10
Remove, Dispose and Construct
LF
20
8- inches PCC Curb Only per
45-aa
9 00 ® 00
SPPWC Std. Plan 120 -2.
CBF -2
BIDDER: EB General Enginee In c.
TOTAL BASE BID PRICE (SCHEDULE 131D PRICE):$ 9Y�Q,'101 A0
\.
Do llar
CBF -3
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
11
Remove, Dispose and Construct
EA
10
PCC Curb Ramps per SPPWC
2WO-00
20,200 e 00
Std. Plan 111 -4.
12
Remove, Dispose and Construct
LF
100
PCC 6- Inches PCC Curb and 6-
11
'
A � ® 0Q
Inches PCC Gutter per SPPWC
>00
Std. Plan 120 -2.
13
Remove, Dispose and Construct
SF
200
8.o0
PCC Alley intersection per
1(000-00
SPPWC Std. Plan 130 -2.
FEA
14
Adjust Sewer Manhole to Grade
30
per APWAStd. Plan 205 -1 and
(oZO _00
Z®,1 ®Q ®00
206 -1,
15
Adjust Water Valve/Gas Valve to
Grade.
EA
82
Z00.00
1 (0 400_®0
16
Install Survey Well Monument
EA
9
per City of Rosemead Std: Plan
SOB -001. See Section 2 -9
/AN60 00
Surveying of the General
.540 .00
Provision -7 per details (Cover,
Sleeve & Dome will be provided
by the City at no cost).
17
Install Traffic Striping, Traffic
LS
1
Signal Loops including DLC
cable, Pullboxes, rigid cable, and
Pavement Markers per sheets 6,
7, 8, & 9 of the Striping Plans
and Specifications Complete.
18
Prepare a Storm Water Pollution
LS
1
4��® ®®
��90 Q®
Prevention Plan (SWPPP)
19
Paint Home Addresses (Curb
EA
20O
Numbering)
TOTAL BASE BID PRICE (SCHEDULE 131D PRICE):$ 9Y�Q,'101 A0
\.
Do llar
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BIDDER: EBS General Engineering, Inc.
ALTERNATE BID ITEM 1
TOTAL ALTERNATE BID # 1 PRICE (SCHEDULE BID PRICE):
Dollar amount in written form
ALTERNATE BID ITEM 2
1
NO.
ITEM DESCRIPTION
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
20
Construct Landscape and
Irrigation on the median along
Rush Avenue as indicated on the
Plans and Specifications Complete
on sheets 11, 12 and 13.
LS
1
01. ®�
t
��' 12®
TOTAL ALTERNATE BID # 1 PRICE (SCHEDULE BID PRICE):
Dollar amount in written form
ALTERNATE BID ITEM 2
1
NO.
ITEM DESCRIPTION
UNIT OF
MEASUR
E
EST.
QTY.
UNIT
PRICE
ITEM
COST
21
Remove, Dispose and Construct
Colored PCC Cross Walk
(Chromix) with Lithochrome
Colorhardener on top per Plans
and Specifications on Exhibit "A"
Complete per LM Scofield
Company or Approved Equal.
01. ®�
t
��' 12®
Contact person Bruce Umeck 818-
324 -3534.
SF
14,652
TOTAL ALTERNATE BID # 2 PRICE (SCHEDULE BID PRICE): $ 10 .
a:
:i.► :
J
Ie
Dollar amount in written f 0firn
CBF -4
BIDDER: EBS General Engineering, Inc.
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 amountshall be considered the Total
Bid Price for the Project.
K 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 amount bid Dollars ($ said amount being not less than t (10 %) of the Total
I Sid 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 Ownerwithin 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 (Chapter2 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.
CBF -5
BIDDER: EBS General Engineer Inc.
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 -6
By:
Signature
Joseph Nanci
Type or Print Name
President
Title
BiddeeslContractor's State of Incorporation:
Partners or Joint Venturers:
BIDDER: EBS General Engineering, In
1 E 6th St #100
Business Street Address
Corona, CA 92879
City, State and Zip Code
(9 51) 279 -6869
Telephone Number
California
s
Bidder's License Number(s): 720016A
I NOTES:
1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
I 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,
nartnerchin or inint venture has the authority to do so.
CBF -7
MINUTES OF MEETING OF THE BOARD OF DIRECTORS TAKEN BY UNANIMOUS WRITTEN
CONSENT OF EBS GENERAL ENGINEERING, INC.
A California Corporation
The undersigned, all being directors of EBS General Engineering, Inc. a California Corporation,
acting in accordance with the bylaws of the corporation and taking said action without a formal meeting to
hereby adopt the following resolutions:
BE IT THEREFORE RESOLVED that 1) Joseph Nanci, President, 2) Thomas Nanci, Controller
and 3) Hugh Lee, Chief Estimator are hereby authorized to execute contracts and other legal instruments
and to bind said corporation accordingly as is appropriate.
BE IT THEREFORE RESOLVED further that the signature of either of the above three individuals,
acting alone, and /or executing contracts alone, will bind the above corporation. Third parties may rely upon
said individual signatures without the need for any other officer or board of director's signature on said
contract(s) or other legal instruments.
BE IT FURTHER RESOLVED THAT until revoked by the board of directors, that this UWC shall be
binding upon the corporation and that this UWC shall be inserted into the corporate records of the above
corporation,
IN WITNESS THEREOF, the undersigned, being all of the directors of the corporation, has executed
the Consent effective as of this I st day of February, 2011.
Board of Directors:
Dated: Z 2s m
Joseph Nanci, Sole Member of the Board of Directors
UNANIMOUS WRITTEN CONSENT OF THE
BOARD OF DIRECTORS
OF EBS GENERAL ENGINEERING, INC..
A California Corporation
The undersigned, all being directors of EBS General Engineering, Inc. a California Corporation, do
hereby unanimously vote for, consent to and authorize the following action, it being understood that this
UWC is in lieu of a regularly notice Board of Directors meeting. .
BE IT THEREFORE RESOLVED that 1) Joseph Nanci, President, 2) Thomas Nanci, Controller
and3) Hugh Lee, Chief Estimator are hereby authorized to execute contracts and other legal instruments and
to bind said corporation accordingly as is appropriate
BE IT FURTHER RESOLVED THAT until revoked by the board of directors, that this UWC shall be
binding upon the corporation and that this UWC shall be inserted into the corporate records of the above
corporation.
Board of Directors:
Dated:Z Z!Zz�m
Joseph Nanci, Sole Member of the Board of Directors
BIDDER: EBS Genera Engineering, Inc.
SECTI
BID DATA FORMS
BIDDER: GENERAL ENGINEERI INC.
BONDII 8739462 PREMIUM: NIL
Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid
Data Forms. Bidders shalt 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 EBS GENERAL ENGINEERING, INC.
as Sur
CITY OF ROSEMEAD (hereinafter called
TEN PERC ENT OF AMOUNT BID
as
are held firmly bound unto the
OWNER) in the sum of
f* IDi 1 , being not less than ten percent (t 0 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 Walnut Grove Avenue Resurfacing Project as set forth In the
Notice Inviting Bids and accompanying Bid Documents, dated
MAY 18, 2011
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 cerlificates 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 13TH day of MAY , 2p 11 ,
FIDELITY AND DEPOSIT
E L ENG ERRING. IN (SEAL) COMPANY OF MARYLAND (SEAL)
Principal Surety
By: • B
Signature ®sue, \� �o��� Signature RICHARD A. COON
ATTORNEY -IN -FACT
CBF -9
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of Orange }
On 5 -13 -11 before me, Lexie Sherwood, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Richard A. Coon
Name(s) of Signer(s)
r
COMM. #1856389 a
u
N OTARY PUBLIC Ll
ORANGE COUNTY
Comm. Exp. JULY 27 2073
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 my hand and official�se�1..
Signature /
�l� „ �(CCI1idCG
Place Notary Seal Above Signature o Public
OPTIONAL
IONAL
Though the information below is not required bylaw, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document
Signer(s) Other Than Named
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
El Corporate Officer— Title(s): '
11 Partner — El Limited 11 General
❑ Attorney in Fact
❑ Trustee
El Guardian or Conservator
El Other:
Signer Is Representing:
LEXIE SHERWOOD
COMM. #1856389
RIGHTTHUMBPRINT
OF SIGNER
op of thumb . h er e
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer
El Partner —❑ Limited El General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
0 2007 National Notary Association - 9350 De Soto Ave., P.O. 6. 2402 - Chatsworth, CA 91313 -2402 - www,NatlonaIN.Iarye, Item 95907 Reorder: Call Toil -Free 1- 800 -876 -6827
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a
corporation of the State of Maryland, by WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary,
in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said Company, are set forth on the
reverse side hereof and are hereby certified to be in full force and effect on the date h e ( s by nominate, constitute
and appoint Richard A. COON, Charles L. FLAKE, David L. CULB � n e OOD, all of
Anaheim, California, EACH its true and lawful agent and a a d deliver, for, and on
its behalf as surety, and as its act and deed: any an o n xecution of such bonds or
undertakings in pursuance of these sen 1 n i as fully and amply, to all intents and
purposes, as if they had been d preq t BEl# a h gularly elected officers of the Company at its office
in Baltimore, Md., p PeL attorney revokes that issued on behalf of Richard A. COON,
Charles L. FLAKE, C a ew P. FLAKE, Lexie SHERWOOD, dated November 7, 2005.
The said Assistant es ereby certify that the extract set forth on the reverse side hereof is a true copy of Article VI,
Section 2, of the By -L s said Company, and is now in force.
IN WITNESS WHEREOF, the said Vice - President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 15th day of
November, A.D. 2006.
F.VW_1 .�lII�
eo ocvos,
r .
9 tEV6 i
4 Mnm�
State of Maryland
ss:
City of Baltimore
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Eric D. Barnes Assistant Secretary
By:
Willianr J. Mills Vice President
On this 15th day of November, A.D. 2006, before the subscriber, a Notary Public of the State of Maryland, duly
commissioned and qualified, came WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being
by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid,
and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of
the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above
written.
� \ \ \\
Constance A. Dunn Notary Public
My Commission Expires: July 14, 2011
POA -F 012 -4150H
ACKNOWLEDGMENT
.................. .......•...................•... a....•..... a........•...
State of California
County of } ss.
On CM t A1, Z before me, —��
Notary Pub la�sonally appeared
who proved to me on the basis of satisfactory evidence to be the person l whose
namie(s is re subscribed to the within instrument and acknowledged to me that
4wi /#hey executed the same in his het/their authorized capacity(ies), and that by
signatures(s), on the instrument the personK or the entity upon behalf of
ch the person(gacted, 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.
Signature
�JEfr LEE
Commission # 1771954
'< : - �rs < , Notary Public - California
° `' Riverside County
�-
My Comm. Expires Oct 5, 2011
(sealj
• ........................................ n ..............................I
OPTIONAL INFORMATION
Date of Document
Type or Title of Document
Number of Pages in Document
Document in a Foreign Language
Type of Satisfactory Evidence:
Personally Known with Paper Identification
Paper Identification
Credible Witness(es)
Capacity of Signer:
Trustee
Power of Attorney
CEO/CFO/COO
President / Vice - President / Secretary / Treasurer
Other:
Other Information:
Thumbprint of Signer
Check here if
no thumbprint
or fingerprint
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BIDDER: EBS General Engineering, Inc.
23 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 aboutthe 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 itwill allow
Bidders twenty -four (24) additional hours afterthe deadline for submission of bids to submit
the information requested bythe 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
(greaterthan 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 -10
BIDDER: EBS Genera] Engineering, Inc.
2.13 LIST OF PROPOSED SUBCONTRACTORS (continued)
. !"Duplicate Next 2 Pages If needed for listing additional suboontractors.`"J
Name and Location Description of Work
of Subcontractor to be Subcontracted
c z
A ddress:
Name and Location
of Subcontractor
'fci
�I�III
Name and Location
of Subcontractor
MN.,
�
Add - .i;
V e +&
&6C- C-
Description of Work
to be Subcontracted
Description of Work
to be Subcontracted
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: C rlu vt En ACT.
Address a ,
CA hoi�lz e CA
LrlUC
CBF -11
BIDDER: EBS General Engineering, Inc.
2.0
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:
City of Long Beach 333 W. Ocean Blvd., Long Beach, CA 90802
Name and Address of Owner
Charles Ramey (562) 57 -6200
Name and telephone number of person familiar with project
$3,517,661 Street Improvements 01/2011
Contract amount Type of Work Date Completed
2 City of South Pasadena 1414 Mission Street, South Pasad CA 91030
Name and Address of Owner
Gabriel B. Nevarez (626) 403 -72
Name and telephone number of person familiar with project
$1,119,132 Street Improvements 11/2010
Contract amount Type of Work Date Completed
S City of Pomona 505 S. Garey Av Pomona, CA 91769
Name and Address of Owner
Linda Lowry ( 909) 620 -2261
Name and telephone number of person familiar with project
$2,239,960 Street Improve 09/2010
Contract amount Type of Work Date Completed
q City of Riverside 3900 Main Street, Riverside, CA 92522
Name and Address of Owner
Cwiak (951) 826 -5852
and telephone number of person familiar with project
Street Improvements 06/2010
amount Type of Work Date
CBF -92
BIDDER: EBS General Engineering, Inc.
SECTS ®N,3
�NON-COLLUSION AFFIDAVIT
CBF -93
��
NON - COLLUSION AFFIDAVIT
EBS General Eng ineering, Inc.
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, orthat 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, bidpository, or to any member or agent
thereof to effectuate a collusive or sham bid. Ir
Joseph Nanci
Typed or Printed Name
President
Title
E BS General Engineering, Inc.
Bidder
Subscribed and sworn before me
This _ day of 120—
(Seal)
Notary Public in and for
the State of California
My Commission Expires:
CBF -14
R MUi
m s e a e u e v e® a . a m®® a ......a ®e e® ®® n e u a®® n® e®• a v® ®®o®.... a • . n....... a ®n ® ®e®.
State of Calif
County of I ss.
Subscribed and sworn to (or affirmed) before \� me on this day of
20 �_ by \t Gi
proved to me on the basis of satisfactory evidence to be the personKwho appeared
before me.
JEFF 14, E
Commission 7777954
x - Notary Public - California
`i Riverside County
My Comm. Expires Oct 5, 2071
{seal)
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Signat re 6Notary
OPTIONAL INFORMATION
Date of Document
Type or Title of Document
Number of Pages in Document
Document in a Foreign Language
Type of Satisfactory Evidence:
Personally Known with Paper Identification
Paper Identification
Credible Witness(es)
Capacity of Signer:
Trustee
Power of Attorney
CEO /CFO /COO
President / Vice - President / Secretary / Treasurer
Other:
Other
Thumbprint of Signer
❑ Check here if
no thumbprint
or fingerprint
is available.
&) 2008 Alstate Notary Preparation, Inc. - (800) 689-8456 - w .allstatenotsry.cam