The URL can be used to link to this page

Sully-Miller Contracting CompanyWALNUT GROVE PROJECT PROJECT TABLE OF CONTENTS SECTION BID SCHEDULE..... SECTION 2 BID DATA FORMS .................. ............................... 2.A BID BOND ................................ ............................... 2.6 LIST OF PROPOSED SUBCONTRACTORS........ SECTION 3 NON - COLLUSION AFFIDAVIT........ ........ 1 . ............................... 5 . ............................... 6 .......................... 7 .... ............................... 10 CBF -15 BIDDER: SULLY- MILLER CONTRACT CBF -1 BIDDER: SULLY-MILLER CONTRACT COMPANY BID SCHEDULE SCHEDULE OF PRICES FOR WALNUT GROVE AVENUE RESURFACING PROJECT PROJECT No. P84329 BASE BID SCHEDULE CBF -2 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 1 Clearing & Grubbing per plans LS 1 and specifications. See technical provisions TP -2, TP -3 & TP -4. 0 O��o 30 s" 3o 2 Disposal of Waste Materials. LS 1 3 Cold mill 2.5- inches thick existing SF 462,580 �� pavement. y� �S y 4 Construct 1.5 inches thick TONS 4,350 pavement overlay ARHM -GG -C (PG 64 -16) as indicated on the plans. 5 Construct 1.0 inches thick TONS 2,900 Asphaltic Leveling course D1 (PG 64 -10) as indicated on the ' plans. T5, 6 Remove 6- inches of existing SF 160 pavement and replace it with 3.5- 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 SPPWC Std. Plan 113 -1. q r s _d 7 /!a S-p 8 Remove, Dispose and Construct SF 434 PCC Driveway Approaches per SPPWC Std. Plan 110 -2. e 3 9 Remove, Dispose and Construct LF 93 8- inches Curb and 24- inches Gutter per SPPWC Std. Plan 120 -2. 10 Remove, Dispose and Construct LF 20 8- inches PCC Curb Only per SPPWC Std. Plan 120 -2. �7 Syv. CBF -2 BIDDER: MILLER CONTRACTI COMPANY; i CBF -3 TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ 70 l a7, 00 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 11 Remove, Dispose and Construct EA 10 PCC Curb Ramps per SPPWC Std. Plan 111 -4. S�• Sop / 12 Remove, Dispose and Construct LF 100 PCC 6- Inches PCC Curb and 6- Inches PCC Gutter per SPPWC Std. Plan 120 -2. 13 Remove, Dispose and Construct SF 200 PCC Alley Intersection per SPPWC Std. Plan 130 -2. 14 Adjust Sewer Manhole to Grade EA 30 per APWA Std. Plan 205 -1 and 206 -1. c' S. 15 Adjust Water Valve /Gas Valve to EA 82 Grade. 16 Install Survey Well Monument EA 9 per City of Rosemead Std. Plan S08 -001. See Section 2 -9 Surveying of the General Provision -7 per details (Cover, Sleeve & Dome will be provided by the City / ! at no cost). / S - 00. 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. l�S Dot . lD$ wo 18 Prepare a Storm Water Pollution LS 1 Prevention Plan (SWPPP) Sa p . 500 19 Paint Home Addresses (Curb EA 200 / Numbering) /( i CBF -3 TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ 70 l a7, 00 - -- _ - _ I BIDDER: MILLER CONTRACTI COMPANY,, ALTERNATE BID ITEM 1 TOTAL ALTERNATE BID # 1 PRICE (SCHEDULE BID PRICE): $ Imo, S Obi, s Dollar amount in written form ALTERNATE BID ITEM 2 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 7 SpIJ, TOTAL ALTERNATE BID # 1 PRICE (SCHEDULE BID PRICE): $ Imo, S Obi, s Dollar amount in written form ALTERNATE BID ITEM 2 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. Contact person Bruce Umeck 818 -�� 324 -3534. SF 14,652 TOTAL AMOUNT INCLUDING BASE PRICE AND ALTERNATES: $ (, 75 D� i Dollar amount in CBF -4 TOTAL ALTERNATE BID # 2 PRICE (SCHEDULE BID PRICE): $ �/ ✓. BIDDER: SULLY•MILLER CONTRACT COMPANY„ Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall be added to or deducted from the Total Bid Price entered above. The owner can choose to include one or more of the alternates in the Total Bid Price of the Project. If any of the Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total Bid Price for the Project. The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall govern. Attached hereto is a certified check, a cashier's check or a bid bond in the amount of 10% OF BID Dollars ($ w/. of em ) 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 deliverto 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. i 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: SULLY-MILLER CONTRACT The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Con Documents. Addenda Nos. Nil 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. LON=. I i BIDDER: MILLER CONTRACT COMPANY] Title 135 S. STATE COLLEGE BLVD., STE 400 Business Street Address BREA, CA 92821 City, State and Zip Code 714 -578 -9600 Telephone Number Bidder's /Contractor's State of Incorporation: DELAWARE Partners or Joint Venturers: Bidder's License Number(s): 747612 A 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 -7 CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA COUNTY OF ORANGE On May 16, 2011 before me, M. Hidalgo personally appeared Gary Downey Assistant Secretary I certify under PENALTY OF PERJURY under the laws of "00" 90900400P 30000000003300004-00 the State of California that the foregoing paragraph is true yoee44 : M. HIDALGO and correct. COMM * 1817413 M WITNESS m hand and offici seal W NOTARY PUBLIC - CALIFORNIA y OR coUNTV J a My Cammisslon Fxpires Oct.15, 2012 A -03oatrtr 3000499 -09040044000004-00909040300 Signature Y M. Hi algo, Notary Public Notary Seal OPTIONAL Description of Attached Document Title or Type of Document: Document Date: May 12, 2011 Number of Pages: Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s): Signer's Name Gary Downey Signers Name Individual ® Corporate Officer - Title(s) Partner - Limited /General Attorney In Fact Trustee Guardian or Conservator Other Signer is Representing: Right Thumbprint of Signer who proved to me on the basis of satisfactory evidence to be the persons) whose names) is/are subscribed to the within instrument and acknowledged to me that he executed the same in his /hprlth° authorized capacity(, and that by his /hartthe signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Individual Corporate Officer - Title(s) Partner - Limited /General Attorney In Fact Trustee Guardian or Conservator Other SULLY - MILLER CONTRACTING COMPANY Right Thumbprint of Signer I, Gary Downey, do hereby certify that I am the Assistant Secretary of Sully- Miller Contracting Company, a Delaware corporation, and that as such I have access to and custody of the corporate records and minute books of said corporation. And I do hereby further certify that the following persons are duly elected officers of said corporation. TITLE NAME Chairman of the Board Gordon R. Crawley President David Martinez Chief Financial Officer /TreasurerNice President Timothy P. Orchard Vice President/Assistant Secretary Michael Edwards Vice President Scott Bottorn Secretary Anthony L. Martino II Assistant Secretary George Aldrich Assistant Secretary Gary Downey Assistant Secretary Dennis Gansen I further certify that the following is a true and correct copy of a resolution duly adopted by the Board of Directors of said Company at a meeting held on August 11, 2009, and that this resolution has not been in any way rescinded, annulled, or revoked but the same is still in full force and effect: Resolved, that any officer or assistant officer of this Company be and each of them is hereby authorized to execute in the name and on behalf of this Company under its corporate seal any and all proposals for the sale of products, merchandise and services of this Company and any bids and performance bonds required in connection therewith, to the United States, and of the State, territories and dependencies of the United States, the District of Columbia, cities, towns, townships, counties, school districts, and to the department, political subdivisions, agencies or wholly -owned corporations thereof, or to any other person." R4 WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal this 21" day of April 2010. (SEAL,) till y - M ller Contracting 135 S. ate College Blvi Secretary 400 92821 BIDDER: SULLY-MILLER CONTRACTING COMPANY SECTION 2 BID DATA FORMS Walnut Grove Ave. Resurfacing Project 10 No. P84329 BIDDER: Sully- Miller Contracting 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 Sully- Miller Contract Company as Principal, and Liberty Mutual Insurance Company , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten percent of 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 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 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 12 day of May 1 20 11 Sully- Miller Contracting Company (SEAL) Liberty Mutual Insurance Company (SEAL) Principal 9 — �. Surety A By: Ltd Victoria M. , ASSISTANT CBF -9 CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA COUNTY OF ORANGE On May 16, 2011 before me, M. Hidalgo personally appeared Gary Downev 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/shelthey executed the same in hislherAheir authorized capacity0es), and that by his /"erfth° signature(s) on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. poa00000000000000000000000000aeeeooeeeoag X M. HIDALGO I ¢ COMM 4181 7413 m W , NOTARY PUBLIC • CALIFOflNW ORANGE COUNTY My Commisslun Expires Oct. 1 00904. d.000 2 O7�$ 00S940o099009994000-09 Notary Seal Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Number of Pages: 1 Capacity(ies) Claimed by Signer(s): Signer's Name Gary Downey Signer's Name Individual ® Corporate Officer - Title(s) Partner - Limited /General Attorney In Fact Trustee Guardian or Conservator Other Signer is Representing: Individual Assistant Secretary ❑ Corporate Officer— Title(s) ❑ Partner — Limited /General 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 pffic(al seal Signature OPTIONAL 12.2011 Right Thumbprint of Signer Attorney In Fact Trustee ❑ Guardian or Conservator Other SULLY - MILLER CONTRACTING COMPANY Right Thumbprint of Signer CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California County of Orange On May 12, 2011 before me, Kim Heredia, Notary Public DATE NAME, TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC' personally appeared Victoria M. Campbell , who proved to me on the basis of satisfactory evidence to be the person(s) whose names (s) is /are subscribed to the within instrument and acknowledged to me that tae /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(&) 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. SIGNATURE OF NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑INDIVIDUAL DESCRIPTION OF ATTACHED DOCUMENT ❑CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑.LIMITED ❑ GENERAL ® ATTORNEY -IN -FACT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAN /CONSERVATOR MAY 12 2011 ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) THAN NAMED ABOVE. • KIM HERE ®IA L _;,ry. ± COMM. 81757050 � (��'� - NOTAflY PUBLIC CALIPOgNIA —� [Q ORANGE COUNTY 9 My Comm. Eagres July 1A, 2011 WITNESS my hand and official seal. SIGNATURE OF NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑INDIVIDUAL DESCRIPTION OF ATTACHED DOCUMENT ❑CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑.LIMITED ❑ GENERAL ® ATTORNEY -IN -FACT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAN /CONSERVATOR MAY 12 2011 ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) THAN NAMED ABOVE. 2987572; _ THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. '`- <_ This Power of Attorney limits the acts of those named herein,: and they have no authority to bind the Company except in the manner: and to the extent herein stated. LIBERTY MUTUAL INSURANCE COMPANY - BOSTON,MASSACHUSETTS" - POWER OF ATTORNEY KNOW ALL PERSONS BY THESE PRESENTS: That Liberty; Mutual Insurance Company (the 'Company"), a- Massachusetts stock insurance company, pursuant to and by authority of the By -law and Authorization hereinafter set forth, does hereby name, constitute and appoint VICTORIA -M. CAMPBELL; LISA CLANK KIIM HEREDIA DAOUSSIS, ERIK;JOHANSSON, SHIRLEY BAUMAN, ALL OF THE CITY OF IRVINE, STATE , 60 CALIFORNIA ............... . ............. each individually If there be more tbamone named, its true and lawful attorney- m to make eexecute,ast, acknowledge and deliver, for and on its _. behalf as surety and as its act and dead, an and all 'undartakin s bonds, recognances and other surety obligations in the penal sum not exceeding ONE HUNDRED MILLION AND 007100_ * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * *` iz DOLLARS ($ 1gM00 ,000.00 * * * * * * * * * * *** * * each, and the execution of such undertakings, bonds;: recognizances and other surety obligations, in pursuance of - these presents, shall be as binding upon the Company as if they had been duly signed by the president and attested by the Secretary of the Company in their own"proper persons,= That this power is made and executed pursuant to and by authority of tha folowing By law antl Authorization.. - ARTICLE All - Execution of Contracts: Section 5. Surety Bonds and Undertakings..ti - - Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations:: as the chairman or the president may prescribe,, shall appoint such attorneys in -fact, as may be necessary to act inbehalf of the- Company:to make, R . execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety_ obligations.- Such a y attorneys -in -fact, subject to the limitations _set forth in their respective powers of attorney, shall have full power to bind the Company by their N; O signature and execution of any such instruments and to attach thereto: the seal of the Company:; When so executed such Instruments shall be -d: CL as binding as if signed by the president and attested by the secretary. O N .ed y By the following instrumentthe chairman or the president has authorized the officer or other official named therein to appoint attorneys T 4 C Pursuant to Article XIII, Section 5 of the By -Laws, Garnet W. Elliott; Assistant Secretary of Liberty Mutual Insurance Company, is hereby '. ..: authorized to appoint such attorneys -in -fact as may be necessary to act in behalf of the Company to make,: execute, seal, acknowledge and _: C v M deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. m O O) [- 01- w d) That the By -law and the Authorization set forth above are true copies thereof and are now in full force and effect. d Wf > E E IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an :authorized officer or official of the Company and the corporate seal of C o. Liberty Mutual Insurance Company has been affixed thereto in Plymouth Meeting, Pennsylvania this 28th day of June o ... d 2010 ::- Q co m y LIBERTY MUTUAL INSURANCE COMPANY Oi ` 0 �. o d BY �,✓_ CL G m � d Garnet W. Elliott, Assistant Secretary m o. W COMMONWEALTH OF PENNSYLVANIA ss + y COUNTY OF MONTGOMERY - 0 IM 'C c >, this 28th day of June 2010 , before me, a Notary Public, personally came Garnet W. Elliott to me known, . and acknowledged w d: O •- that he is an Assistant Secretary of Liberty Mutual Insurance Company; that he knows the _seal of said corporation; and that he executed the above v � • a�S Power of Attorney and affixed the corporate seal of Liberty Mutual Insurance Company thereto with the authority and at the direction: of said corporation. ;a? - - . >, IN TESTIMONY WH : P unto subscribed my nameland affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year X-w. 0 first above written. ON a N C ( �` COMM(k!YfEAtikeP GENNSYLVANIA - E� ,4'• T° Noranai sE� - - � �M O V OF TCle6a Pacfilk, NMary Puplc '- /L� co 3 PYn'ouIM111'1p MaFP�unsYGan!y "By Z 0 ° MY�t'm 4�n FP� Ada cn28.2U19 �. q Ter spa Pestella, Notary Public 0 r Yth NmrLOtfMU YNU'cM5o: a1 �rfhMOrmy _ O tp . CERTIFICATE I, She undersigned, Assistan ecretary of Liberty Mutual Insurance Company, do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy, is in full force and effect on the dato of this certificate; and t do further certify that the officer or of who executed the said power of attorney is an Assistant Secretary specially authorized by the chairman or the:: president to- appoint attorneys -in -fact as provided in Article XIII, Section 5 o the By -laws of Liberty Mutual Insurance Company. This certificate: and the above power of attorney may be signed by facsimile` or mechanically reproduced signatures under and- by authority of the ,following to Af the board-of directors of Liberty Mutual Insurance :Company at ;a meeting duly called and held on the 12th day of March, 1980. VOTED that the :facsimile or mechanically reproduced signature of any assistant secretary of the company, wherever appearing :upon a certified copy of any power of attorney issued by the company in connection with surety bonds, shall be valid and binding upon the company with the same force and effect: as though manually affixed. _ IN TESTIMONY WHEREOF, 1 have hereunto subscribed my name and affixed the corporate seal of the said company, this MAY 1 2 - - day of - David M. Carey, Assi of Secretary BIDDER: SULLY - MILLER CONTRACT 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 -10 BIDDER SULLY- MILLER CONTRACTING COMPAN* j 2.13 LIST OF PROPOSED SUBCONTRACTORS (continued) ["Duplicate Next 2 Pages if needed for listing additional subcontractors."] Name and Location Description of Work of Subcontractor to be Subcontracted Name: _K /riw aa Address: w. Ca (l Name and Location of Subcontractor Name: L�(7✓/�fl Sj Address: / a i tu r l C ll�rf cq 9Ar)l Description of Work to be Subcontracted (,vo/vS Name and Location of Subcontractor Description of Work to be Subcontracted Name: �o/D7�. i')n /«.vzi•. Address c w b rr 5 f 6 Y-, Name and Location of Subcontractor Name: Address: I I Name and Location of Subcontractor Name: Address: Description of Work to be Subcontracted Description of Work to be Subcontracted CBF - 11 BIDDER SULLY-MILLER CONTRACTING 2.6 LIST OF PROPOSED SUBCONTRACTORS (continued) I - Duplicate Next2 Pages if needed for listing additional subcontractors."] 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: 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 Name and Location of Subcontractor Name: Address: Description of Work to be Subcontracted CBF -11 i i BIDDER: MILLER CONTRACTI COMPANYi 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: . **PLEASE SEETHE ATTACHED LIST OF EXPERIENCE & QUALIFICATIONS * ** Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed EA Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed 3. Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed 4. Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed CBF -12 SULLY- 1VIILLER CONTRACTING: CO. Project Name /Number: TORRANCE BOULEVARD / 28791C Year of Project. 10/2008 — 05/2010 Project Description: STREET RECONSTRUCTION & ARHM OVERLAY Agency Name: CITY OF TORRANCE Contact Person: BETH OVERSTREET Telephone: 310 - 618 -3074 Fax: 310 - 781 -6802 Original Contract Amount: $5,904,267 Final Contract Amount: $6,133,068 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: LONG BEACH ANNUAL 2009 / 28810C Year of Project. 01/2009 — 05 -2010 Project Description: AC /ARHM — CONCRETE — BASE — SIGNALS — SURVEY — STRIPING - LANDSCAPE Agency Name: CITY OF LONG BEACH Contact Person: CHARLES RAMEY Telephone: 562 -570 -5170 Fax 562 -570 -5176 Original Contract Amount: $5,000,000 Final Contract Amount: $4,290,000 Annual Contract — work was done on an as needed basis. Project Name /Number: LACMA PHASE II PAVILION PROJECT 28006 / 29820C Year of Project. 02/2009 — 04/2010 Project Description: B PERMIT Agency Name: MATT CONSTRUCTION CORPORATION Contact Person: GREG WADE Telephone: 562- 903 -2277 Fax: 562- 903 -2290 Original Contract Amount: $92,507 Final Contract Amount: $420,000 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name/Number. LA SOUTHWEST COLLEGE PARKING LOT 3 / 28795C Year of Project. 09/2008 - 01/2010 Project Description: AC — BASE — CONCRETE— STRIPING Agency Name: CHEVRON ENERGY SOLUTIONS Contact Person: STEVE PELASYED Telephone: 714 - 577 -1374 Fax: 714 -577 -1330 Original Contract Amount. $1,120,315 Final Contract Amount: Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: 3R STREET BETWEEN RECORD AVENUE TO WOODS AVENUE / 28787C Year of Project, 11/2008 - 12/2009 Project Description: AC — CONCRETE — UNDERGROUND - LANDSCAPE — STRIPING - SIGNALS Agency Name: LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS Contact Person: FAHIM RAHIMI Telephone: 626- 458 -3112 Fax: 626 - 458 -2197 Original Contract Amount: $3,411,736 Final Contract Amount: $3,628,000 Change in original contract amount is due to extra work and /or contract change orders adding work. Updated August 2010 1 SULLY- MILLER CONTRACT - ING CO. F I E Project Name /Number: 2007 -2008 PAVEMENT REHABILITATION- 28750C Start and Finish Dates: 612008 TO 7/2008 Project Description: AC /ARHM — MANHOLES — SURVEY — STRIPING — COLD MILL Agency Name: CITY OF HAWAIIAN GARDENS Contact Person: STEVE STEINBRECHER Telephone: 562- 908 -6200 Fax: 562- 695 -2120 Original Contract Amount: $451,112 Final Contract Amount: $456,287 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: STREET PAVING PROGRAM- 28735C Start and Finish Dates: 3/2008 TO 5/2008 Project Description: ARHM — MANHOLES — MONUMENTS — STRIPING — SWPPP- COLD MILL Agency Name: CITY OF WEST HOLLYWOOD Contact Person: MILA SOLOGUB Telephone: 323 -848 -6338 Fax: 323 - 848 -6564 Original Contract Amount: $340,986 Final Contract Amount: $315,916 Change in contract amount is due to items of work being deleted by the agency. Project Name /Number: STREET AND WATER IMPROVEMENTS IN PIONEER BOULEVARD - 277090 Start and Finish Dates :: 11/2007 TO 4/2008 Project Description: WATER LINE AND STREET IMPROVEMENTS Agency Name: CITY OF CERRITOS Contact Person: RASH SYED Telephone: 562- 860 -0311 Fax: 562- 916 -1371 Original ContractAmount. $1,507,833 Final Contract Amount: $1,443,408 Change in contract amount is due to items of work being deleted by the agency. Project Name /Number: THE LACMA TRANSFORMATION PROJECT- 27662C Start and Finish Dates: 6/2007 TO 4/2008 Project Description: B PERMIT Agency Name: MATT CONSTRUCTION CORPORATION Contact Person: GREG WADE Telephone: 562- 903 -2277 Fax: 562- 903 -2290 Original Contract Amount: $912,402 Final Contract Amount. $1,363,596 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name /Number: CATALINA MEDIA / THE POINTE- 27732C Start and Finish Dates: 1/2008 TO 3/2008 Project Description: SEWER MAIN INSTALLATION Agency Name: KRISMAR CONSTRUCTION COMPANY, INC. Contact Person: GARY MORRISON Telephone: 310 - 458 -3170 Fax: 310- 458 -9063 Original Contract Amount: $315,955 Final Contract Amount: $411,955 Change in original contract amount is due to extra work and /or contract change orders adding work. Updated August 2010 SULLY- MILLER CONTRACTING CO.. Project Name /Number: PACIFIC ELECTRIC INLAND TRAIL PHASES 2 & 3 / 27653C Start and Finish Dates: 3/07 TO 1/08 Project Description: R/R CONCRETE /AC — LANDSCAPE /IRRIGATION — SIGNALS — STRIPE - UTILITIES Agency Name: CITY OF RANCHO CUCAMONGA Contact Person: WALTER STICKNEY Telephone: 909 - 477 -2740 Fax: 909 -477 -2746 Original ContractAmount. $3,424,781 Final Contract Amount: $3,424,780 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: MARQUARDT AVENUE / 27689C Start and Finish Dates: 7/2007 TO 9/2007 Project Description: R/R CONCRETE — AC ON FABRIC — ADJUST UTILITIES Agency Name: LOS ANGELES COUNTY DEPT. OF PUBLIC WORKS Contact Person: EMIL KURLYAND Telephone: 626 - 458 -3166 Fax. 626 -458 -2197 Original Contract Amount: $183,915 Final Contract Amount. $183,915 Project Name /Number: ALPACA STREET IMPROVEMENT PROJECT / 27699C Start and Finish Dates: 8/2007 TO 1112007 Project Description: R/R CONCRETE 8i ASPHALT — STRIPING — ADJUST UTILITIES Agency Name: CITY OF SOUTH EL MONTE Contact Person: GEORGE CASTILLO Telephone: 562- 682 -3620 Fax: 562- 684 -0130 Original Contract Amount: $135,000 Final Contract Amount: $167,074 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: REHABILITATION OF LA MIRADA BLVD. / 27664C Start and Finish Dates: 5/2007 TO 912007 Project Description: ARHM / AC PAVING, CONCRETE WORK — LOOP DETECTORS /.SIGNALS Agency Name: CITY OF LA MIRADA Contact person: GARY SANUI Telephone: 562- 943 -2385 Fax: 714 -522 -5800 Original Contract Amount: $2,164,089 Final ContractAmount: $2,575,166 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: CSULB PARKING LOT 13 REPAIR — REPAVE / 27694C Start and Finish Dates: 7/2007 TO 8/2007 Project Description: AC GRIND / OVERLAY — ASPHALT REPAIR - MINOR CONCRETE REPAIR Agency Name: CALIFORNIA STATE UNIVERSITY, LONG BEACH Contact Person: ENRIQUE ROBLES Telephone: 562 -985 -4175 Fax: 562-985-2308 Original Contract Amount: $375,823 Final Contract Amount: $380,572 Change in original contract amount is due to extra work and /or contract change orders adding work. Updated August 2010 SULLY - MILLER CONTRAC "rING CO. Project Name /Number: ORANGE LINE — CANOGA STATION PARK AND RIDE / 25568C Start and Finish Dates: 3/2006 TO 1/2007 Project Description: NEW TRANSPORTATION STATION INCLUDING AC PAVING &CONCRETE WORK Agency Name: METROPOLITAN TRANSPORATION AUTHORITY Contact Person: GHULAM SHAIKH Telephone: 818 - 262 -6300 Fax: 213- 922 -7384 Original Contract Amount: 13,732,500 Final Contract Amount. $12,415,392 Change in Contract amount is due to items of work being deleted by the agency. Project Name /Number: SOUTH COAST PLAZA PARKING LOT/26608C Start and Finish Dates: 712006 TO 10/2006 Project Description: COMPLETE REMOVE AND REPLACE OF PARKING LOT, CONCRETE CURB & GUTTER, LOOP DETECTORS, AND STRIPING Agency Name: SOUTH COAST PLAZA Contact Person: ROBERT THOMAS Telephone: 714 -546 -0110 Fax: 714 - 546 -9835 Original Contract Amount. $3,100,009 Final Contract Amount: $3,932,226 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: RESIDENTIAL STREET REHABILITATION WORK if 26573C Start and Finish Dates: 2/2006 to 8/2006 Project Description, ASPHALT CONCRETE OVERLAY AT VARIOUS LOCATIONS CITYWIDE Agency Name: CITY OF WEST COVINA Contact Person: OSCAR CAPLIN Telephone: 626- 939 -8445 Fax: 626 - 939 -8660 Original Contract Amount: $1,430,888 Final Contract Amount: $1,512,463 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: BERTH 401 -406 BACKLAND IMPROVEMENTS / 25567C Start and Finish Dates: 1/2006 to 4/2006 Project Description: ASPHALT AND CONCRETE PAVING / SITE IMPROVEMENT PROJECT Agency Name: PORT OF LOS ANGELES Contact Person: KEN HARBOR Telephone: 310 - 831 -5389 Fax: 310- 831 -5389 Original Contract Amount. $3,286,800 Final Contract Amount. $3,386,333 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: 195 STREET IMPROVEMENT/ 25506C Start and Finish Dates: 5/2005 to 11/2005 Project Description: MEDIAN ISLAND and STREET REPAIRS Agency Name: CITY OF CERRITOS Contact Person: VIC MASAYA Telephone: 562- 916 -1231 Fax: 562- 916 -1371 Updated August 2010 4 Eamn SULLY - MILLER CONTRACTING CO. VP Original Contract Amount: $862,370 Final Contract Amount: $742,488 Project Name /Number: MALL PARKING LOT IMPROVEMENTS / 25492C Start and Finish Dates: 3/2005 to 10/2005 Project Description: REPAIR and PLACE NEW AC PAVING and STRIPE PARKING STALLS Agency Name: CITY OF TEMPLE CITY Contact Person: JANICE STROUD Telephone: 626 -285 -2171 Fax: 909 - 594 -2858 Original Contract Amount: $828,837 Final Contract Amount: $894,012 Change in original contract amount is due to extra work and /or contract change orders adding work. Change in contract amount is due to items of work being deleted by the agency. Project Name /Number: HELLMAN AVENUE STREET IMPROVEMENTS / 24477C Start and Finish Dates: 6/2004 to 1112005 Project Description: STREET RECONSTRUCTION PROJECT Agency Name: CITY OF ROSEMEAD Contact Person: KEN RUKABINE Telephone: 562 -908 -6262 Fax: 562- 695 -2120 Original Contract Amount: $1,051,667 Final Contract Amount; $1,067,429 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: HOLGATE AREA STREET REHABILITATION AND WATER MAIN / 24446C Start and Finish Dates: 3/2004 to 6/2005 Project Description: STREET REHABLITATION AND WATER MAIN REPLACEMENT Agency Name: CITY OF LA HABRA Contact Person: CHUCK STEPHAN Telephone: 562- 905 -9720 Fax. 562 -905 -9643 Original Contract Amount: $2,996,461 Final Contract Amount. $3,566,942 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: PIER 400 BACKLANDS PHASE 2 / 23301C Start and Finish Dates: 4/2003 to 8/2004 Project Description: TRANSTAINER FACILITY, GRADING, PAVING, UNDERGROUND, CONCRETE. PROJECT FINISHED ON TIME — EXTRA DAYS FOR EXTRA WORK ONLY Agency Name: PORT OF LOS ANGELES Contact Person; MAHMOUDIRSHEID Telephone: 310 -732 -3525 Fax: 310- 831 -5389 Original Contract Amount: $30,618,798 Final Contract Amount: $30,030,429 Change in contract amount is due to items of work being deleted by agency. Project Name /Number: PHANTOM WEST STREET IMPROVEMENT/ 82803C Start and Finish Dates: 12/ 2002 to 8/ 2003 Project Description: UNDERGROUND, ASPHALT REHAB, CURB & GUTTER, COLD MILLING Agency Name: CITY OF VICTORVILLE Contact Person: MARK MILLER Telephone: 760- 955 -9158 Updated August 2010 5 Mm SULLY - MILLER CONTRACTING CO. ��, � -. .. ,1:'' .�, 1, rR t•1�i , .� �� `i� �� Fax: 760- 955 -5159 Original Contract Amount: $4,771,477 Final ContractAmount: $4,994,840 Project Name/Number. ARROW HIGHWAY - LIVE OAK AVENUE PHASE II / 22273C Start and Finish Dates: 11/ 2002 to 8/ 2003 Project Description: AC GRIND OVERLAY — NEW MEDIANS & DECORATIVE CONCRETE Agency Name: CITY OF IRWINDALE Contact Person: KWOK TAM Telephone: 626- 430-2212 Fax: 626 - 962 -2018 Original Contract Amount. $4,289,147 Final Contract Amount: $4,654,815 Change in original contract amount is due to extra work and /or contract change orders adding work. Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: PIER 400 CONTAINER TERMINAL / 21130C Start and Finish Dates: 1/ 2001 to 9/ 2002 Project Description: BACKLAND IMPROVEMENTS, PHASE I Agency Name: PORT OF LOS ANGELES Contact Person: MAHMOUDISHEID Telephone: 310 - 732 -3525 Fax: 310 - 831 -5389 Original Contract Amount: $78,134,500 Final Contract Amount: $74,226,254 Change in contract amount is due to items of work being deleted by agency. Updated august 2010 6 t Project Name /Number: FOSTER PARK, VALLEY VIEW AVE / FOSTER ROAD / 29891C Year of Project. 02/2010 - 01/2011 Project Description: R/R STREETS, (AC /CMB /C &G), STORM DRAIN IMPROVEMENTS Agency Name: CITY OF LA MIRADA Contact Person: GARY SANUI Telephone: 562 - 349 -2727 Fax: 562 -943 -1464 Original Contract Amount: $2,148,000 Final Contract Amount. $3,075,872 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: OFFSITE EUCLID STREET IMPROVEMENTS / 28803C Year of Project: 11/2008 - 05/2010 Project Description: OFFSITE IMPROVEMENTS, STORM DRAIN, ELECTRICAL, AC PAVING, CONCRETE IMPROVEMENTS Agency Name: WATSON LAND COMPANY Contact Person: ROBERT DEBERARD Telephone: 310- 952 -6429 Fax: 310 -522 -8785 Original Contract Amount: $4,083,052 Final Contract Amount: $3,849,675 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: VALLEY WAY / ARMSTRONG ROAD / 27680C Year of Project: 01/2007 - 01/2009 Project Description: RCP, STORM DRAIN, STRUCTURES, MANHOLES, AC /ARHM, CONCRETE IMPROVEMENTS, BASE, ELECTRICAL, STRIPING Agency Name: COUNTY OF RIVERSIDE Contact Person: STAN DERY Telephone: 951- 955 -6785 Fax: 951 - 955 -3164 Original Contract Amount: $4,813,000 Final Contract Amount. $6,190,475 Change in original contract amount is due to extra work and /or contract change orders adding work. Project Name /Number: DOUGLAS PARK STREET IMPROVEMENTS AND INFRASTRUCTURE / 26595C Year of Project: 03/2006- 07/2007 Project Description. INFRASTRUCTURE - SEWER, WATER, STORM DRAIN Agency Name: BOEING REALTY CORPORATION Contact Person: STEVE GARIS Telephone: 562 -593 -4730 Fax: 714- 850 -0086 Original Contract Amount. $11,256,511 Final Contract Amount: $19,932,964 Change in original contract amount is due to extra work and /or contract change orders adding work. Updated March 2011 Project Name /Number: PORTOLA SPRINGS AND MOD]ESKA / 25S34C Year of Project: 04/2005 - 06/2006 Project Description: SEWER, WATER, STORM DRAIN IMPROVEMENTS Agency Name: IRVINE COMMUNITY DEVELOPMENT COMPANY Contact Person: BILL MARTIN Telephone: 714- 734 -8100 Fax: 949 - 464 -9715 Original Contract Amount: $8,625,848 Final Contract Amount: $9,602,943 Change in original contract amount is due to extra work and /or contract change orders adding work. Updated March 2011 2 ULM SULLY - MILLER CONTRACTING CO.. Project Name /Number: ANNUAL OVERLAY PROGRAM / 27697C Start and Finish Dates: 8/07 TO 7/08 Project Description: ARHM OVERLAY — CONCRETE (C &G, SIDEWALK, DRIVEWAY) - LOOPS Agency Name: CITY OF CARSON Contact Person: RICK BOUTROS Telephone: 310- 952 -1700 ext. 1830 Project Value: $2,397,755 Project Name /Number: 2006 -2007 MAJOR ARTERIAL OVERLAY PROJECT / 27681C Start and Finish Dates: 7107 TO 1/08 Project Description: ARHM OVERLAY — CONCRETE SIDEWALK /RAMPS — LOOPS — STRIPING Agency Name: CITY OF COMPTON Contact Person: CHARLES BERGSON Telephone: 310 - 605 -5696 Project Value: $1,846,709 Project Name /Number: NORMANDIE AVENUE — STPL- 5953(451) if 26647C Start and Finish Dates: 3/07 TO 9/07 Project Description: ARHM /AC PAVE — LANDSCAPE — CONCRETE - SIGNALS /LIGHTING /LOOPS Agency Name: LOS ANGELES COUNTY — DEPT. OF PUBLIC WORKS (LACDPW) Contact Person: EMIL KURLYAND Telephone: 626 -458 -3166 Project Value: $2,713,186 Updated October 2008 1 AA -Y-MILLER �.C�NITRAC'TCNG CA:). Licen;� 747512A 13.7 S. StutS Coilego s7c' =ICU ('A 9282 1 ' °NONE 7;4- S7,'4 -9c00 pavement• Preservation References: 1ohNo. lohyalue Description Owner Contact 29881c 106,49.1 AC paving, sealcoatand re- Kinder Morgan David Lennon stripe. Carson Facility 310 - 251 -6893 29375c 257,093 Coldmill,AC overlay, sealcoat Pratt Whitney Jeff Stern and restripe the North Lots Rorleetdyne 818 -585 -680:1. at the DeSoto Facility, CA 29869c 266,286 AC paving, sealcoat and restripe Swinerton Raj Rin anathan Salvation Army parking lot Builders 213- 440 -4585 '...... in Anahelm, CA, 29853c 78,167 AC paving, sealcoat and re- Hathaway- Reno Contreras., stripe parking lots atThe Dinwiddte 562 -944 -9331 Buckley School. 2881sv. 280,472 AC paving, sealcoat and restripe Jorgelrsen 0111 Vkzza .... Toyota Airflite Terminal at 925 -244 -1203 Long Beach Airport, CA. 28792c 369,575 AC repairs, sealcoat & restripe Toyota Logisistics ion Keller Port of Los Angeles, CA. 714 -336 -2409 27686c 369,931 AC /PCC repairs, sealcoat and Pratt Whitney Mike Daley restripingat two facilities In Ilocketdyne 8111 -586 -9052 Canoga Park, CA.'... •27675c 623,996 AC /PCC repairs, sealcoat and The Boeing Wayne Holt !. restriking at three facilities in Company 562- 197 -4284 Anaheim, Huntington Beach, and Seal Beach, CA. 23293c 327,946 South Coast Drive Realignment tJ Segerstrom Grant Wilson Included Type II Roark Slurry & Sons 714 -438 -3276 w/2% Latex 232920 266,922 llurhorfilvd realignment CJ Segerstrom Grant Wilson Included Type II Road Slurry Rt Sons 714. 438.3276 W /2% Latex 2,,2277c 1,450,716 South Coast Drive Realignment Cl Segerstrom Grant Wilson Included Type11 Road Slurry & Solis 714438 -3276 w/2% Latex I BIDDER: MILLER CONTRACTI COMPANY I i � I E I i i I_ l SECTION 3 .j i N ON- COLLUSION AFFIDAVIT CBF -13 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. —_ SULLY - MILLER CONTRACTING COMPA Bidder * ** PLEASE SEE THE ATTACHED NOTARY JURAT FOR PROPER WORDING * ** Subscribed and sworn before me This _ day of 20_ (Seal) Notary Public in and for the State of California My Commission Expires: CBF -14 ASSISTANT SECRETARY Title CALIFORNIA JURAT WITH AFFIANT STATEMENT STATE OF CALIFORNIA COUNTY OF ORANGE Subscribed and sworn to (or affirmed) before me on this 16 day of May 2011, by Gary Downey proved to me on the basis of satisfactory evidence to be the person who appeared before me. eoeoeeoaee0000000aeoeoeee000 r M. HIDALGO w COMM # 1817413 m WITNESS my hand and ffi ' I seal Q NOTARY PUBLIC •CALIFORNIA ORANGE COUNTY J �- My Commleslon Expires Oct. 15, 2012 Signature 0009oPboAOa000000eooeeooee M. i Igo, Notary P T Notary Seal OPTIONAL Description of Attached Document Title or Type of Document: Non - Collusion Affidavit Document Date: May 12 2011 Number of Pages: Signer(s) Other Than Named Above: ❑ Individual Capacity(ies) Claimed by Signer(s): Signers Name Gary Downey Signer's Name ❑ Individual ® Corporate Officer — Title(s) Partner — Limited /General Attorney In Fact ❑ Trustee Guardian or Conservator Other Signer is Representing: Assistant Secretary ❑ Corporate Officer — Title(s) Right Thumbprint of Signer None F] Partner — Limited /General D Attorney In Fact ❑ Trustee Guardian or Conservator Other SULLY - MILLER CONTRACTING COMPANY Right Thumbprint of Signer