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Pardess Air Inc.BIDDER: WDFSS 41A 114C. BID SCHEDULE SCHEDULE OF PRICES FOR ROSEMEAD CITY HALL HVAC REPLACEMENT PROJECT PROJECT No. 31002 BASE BID SCHEDULE TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ i, , (100. 0 (� )0-5ct n � Ld , I ey,r Dollar amount in written form Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. If the Bid Documents specify alternait uid 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 The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by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 130 Bop a Dollars ($ 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, Xd= UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE CITY. PRICE COST 1 Clearing & Grubbing LS 1 2000 9 ,0001 2 Disposal of Waste Materials. LS 1 1 000 10 0 u 3* Remove and Dispose Existing AC LS 1 Unit Complete. Install new HVAC �� {�`7 0 Unit as indicated on the Plans and Specifications Com late. TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ i, , (100. 0 (� )0-5ct n � Ld , I ey,r Dollar amount in written form Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. If the Bid Documents specify alternait uid 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 130 Bop a Dollars ($ 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, Xd= 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 -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. CBF -2 By. _- Signature 11014FF Y Type or Print Name PlzNS I pr e Title 17.6 Kri'nN h vg Business Street Address lA 1A 10P.? 3 City, State and Zip Code 310- q77- 34dY Telephone Number Bidder's /Contractor's State of Incorporation: C'AdIPMR A m Partners or Joint Venturers: Bidder's License Number(s): 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 -3 y PARDESS AIR INC. 1769 Kelton Avenue Los Angeles, CA 90024 Tel: 310-477-3628 Fax: 310-479-5255 Date: October 17, 2011 To: City of Rosemede JOB: Rosemeade City Hall HVAC Replacement Project No. 31002 Re: Authorization to sign bid documents Dear Sir/ Madam; This is to verify that Mr. Mozaffar Shaye is authorized to sign all the bid documents related to the above referenced project on behalf of Pardess Air Inc. Should you have any question, please call. Regards; Behrokh Shaye Treasurer, Officer Sex Mozaf far Shaye President PA ) Z OESS + BID DATA FORMS SECTI 6A 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 informatlon required. Bidder shall ensure that every page of its Bid Data Forms is properly identified with the Bidder's name and page number. KNOW ALL MEN BY THESE PRESENTS: THAT Pardess Air, Inc. as Principal and First National Insurance Company of America , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten percent of amount bid BIDDER: Pardess Air, Inc. ($ 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, eggoutors, administrators, successors, and assigns, jointly anal severally, firmly by these presents. WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work required for the ROSEMEAD CITY HALL HVAC REPLACEMENT PROJECTas set forth in the Notice Inviting Bids and accompanying Bid Documents, dated October 19, 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 tabor 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 ;�Gsonable attorneys' fees to be fixed by the court. SIGNED AND SEALED, this 13th day of October 2011 Pardess Ai , Inc. First National Insurance Company of America Principal (SEAL) Sure (SEAL) By: _ r C Signa ure Signature Pamela McCarthy, Attorney- in -��rt CBF -5 State of California !) SS. County of San Bernardino On October 13. 2011 before me, Cynthia J. Young, Notary Public Name and Title of officer (e.g., "Jane Doe, Notary Public") Personally appeared Pamela McCarthy Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence CYNTtfta4 J° YOUiC to be the person whose name is subscribed to the �� COMM. # 14 within instrument and acknowledged to me that she R & E - CAUForaNl�a� faoTAray�usf�c- o�ras executed the same in her authorized capacity, P Y, SAN ssaa COUNTY r and that by her signature on the instrument the i' My Gomm. E*lr July 15, 2( s2 person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. 4V & gnaty/ of Notary P c OPTIONAL Though the information below is not required by law, 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 Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ® Individual ® Corporate Officer 13 Partner -- O Limited O General ® Attorney -in -Fact ® Trustee ® Guardian or Conservator Other: Signer is Representing: THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. " 43 q4 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.' FIRST NATIONAL INSURANCE COMPANY OF AMERICA SEATTLE, WASHINGTON POWER OF ATTORNEY KNOW ALL PERSONS BY THESE PRESENTS: That First National Insurance Company of America (the "Company"), a Washington stock insurance company, pursuant to and by authority of the By -law and Authorization hereinafter set forth, does: hereby name, constitute and appoint. JAY P. FREEMAN,I PAMELA MCCARTHY,'CYNTHIA J YOUNG, LAURIE B. DRUCK, ALL OF THE CITY OF SAN BERNARDINO, STATE OF CALIFORNIA ........ ......... ......... ........ ......... ......... ........ each individually if there be more than one named, its true and lawful attorney -in -fact to make; execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations l: in the penal sum not exceeding FIFTY MILLION AND 00M00 *' * * * * * * * * * * * * * * * * * * * ** * DOLLARS ($ 50, 000, 000.00 * * * * * * * * * * * * * * * * * * * * * * * *) each, and the execution of such undertakings, bonds, recognizances and other surety obligat ions, in pursuance of these presents, shall be as binding upon the Company as ff 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 the following By -law and Authorization: ` ARTICLE IV - Execution of Contracts: Section 12. Surety Bonds and Undertakings. :. y Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitations Q. as the Chairman or the President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, d c w execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in w y fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and '' m s c executed, such instruments shall be as binding as if signed by the president and attested by the secretary. c W By the following instrument the chairman or the president has authorized the officer or other official named therein to appoint attorneys-in-fact: ` c a Pursuant —o d to Article IV, Section 12 of the By -laws, Garnet W. Elliott, Assistant Secretary of First National Insurance Company of America, is authorized 6 N v y to appoint such attorneys -in -fact as may be necessary to act in behalf of the Corporation to make; execute seal; acknowledge and deliver as surety W p any and all undertakings, bonds, recognizances and other surety obligations. C E > R That the By -law and the Authorization set forth above are true copies thereof and are now in full force and effect. OC 'O. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Company and the corporate seal of . a o is First National Insurance Company of America has been affixed thereto in Plymouth Meeting; Pennsylvania this 27th day of January 0 2011 m ai c '60 FIRST 3 46 NATIONAL INSURANCE COMPANY OF AMERICA (L W 01 y hi t 1 BY 6 ri✓ .Y C) pt rs2a Garnet W. Elliott, Assistant Secretary C d '�. COMMONWEALTH OF PENNSYLVANIA as 0 E'- COUNTY OF MONTGOMERY ai w On this 2 7th '.. day of January 2011 ; before me, a Notary Public, personally came Garnet W. Elliott ; to me known, and >. p p p, acknowledged that he is an Assistant Secretary of First National Insurance Company of America; that he knows the seat of said corporation; and that he L v ' executed the above Power of Attorney and affixed the corporate seal of First National Insurance Company of America thereto with the authority and at the "" e00 Y direction of said corporation. E N �.. M 0 IN TESTIMONY WHEREOF avgx to subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year Meet in 0 p first above written. �, �¢ : . �• ga gONW qP� YrUn Sant e�0' � Terrsa Pnste a kctrr i ppc By W � L'Ktit.A/ r1 C t r Ol0 N t ,. M ^i�u 0 *3 Teresa Pastella,. Nota Public CERTIFICATE: OF rnn. -.fiYCa nm aaYr, ¢x}r7t aPfl_r 2U.20 rlre Me' .bar, Peans;l S.aac znnn of W dr,s I, the undersigned, Ass to ® ,¢b rst National Insurance. Company of America, do hereby certify that the original power of attorney of which She foregoing: is a full, true . y, is in full force and effect on the date of this certificate; and I do further certify that the officer or official who executed the said power of a is an Assistant Secretary : specially authorized by the chairman or the president to appoint attorneys in -fact as provided in Article IV, Section 12 of the By -laws of First Nationale Insurance Company of America. This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority . of the following vote of the board of directors of First National Insurance Company of America at meeting duly called and held on the 18th day of September, 2009. 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, I have hereunto subscribed my na ; a - 'xed the corporate seal of the said company, thi day of f t sxe ,4 �,s BY David MCarey, A stant Secretary �ar�. �, ,AgM 2.13 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 -6 a Y 2.B 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: Address: il i� 6 Name and Location of Subcontractor Description of Work to be Subcontracted Name: PC& L f c l- cr i 5c)GL fi ✓ , 3 Tlely Address: OV[,__04 C Name and Location of Subcontractor Name: 1 1 Address: Description of Work to be Subcontracted (20 N RC � Name and Location of Subcontractor Name: f`f B c Address j at Name and Location of Subcontractor M yq S Name: C herePrc) 161(6 Address: Description of Work to be Subcontracted T 5 T N , UA Description of Work to be Subcontracted �17�7 2.B LIST OF PROPOSED SUBCONTRACTORS (continued) ["Duplicate Next 2 Pages if needed for listing additional subcontractors. "i Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: !� Name and Location of Subcontractor Name: Address: Name and Location of Subcontractor Name: Address: Description of Work to be Subcontracted Description of Work to be Subcontracted Name and Location of Subcontractor Name: Address: Description of Work to be Subcontracted Name and Location of Subcontractor Name: Address: Description of Work to be Subcontracted CBF -7 BIDDER: PAR V6 .41& J/yP 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: t. el a c.t ®n ®a kvc. 04 9a7'�3 Name an Address of wner Name an telephone number of person familiar with project Contract amount Type Work 210 t) Completed 2. C17w 0 VTItM - 13L30 C. Pies 3y 1 tr�cb L� 90 j0� Name and Address of Owner ALr - RVDa 14 ire Rg$4Dp, r - 305 34P Name and telephone number of person familiar with project )um �� of Work / ` Date C io/ao /J 3. ® 1� Name and Address of Owner TL MIS ANotrncn lu 9,/1 2-Ty1 r° Name and telephone number of person familiar with project zadn � ,�79 d 1 Ivrar• Contract amount .2+&3 060 ZT/ f Type of Work c'7 14A-" DAU P-wn Date Completed t/z a/® 4. Clzd ate InwC �tnx�L INaT.� n�pq - i &av 1 tJ/tnDLUkr R� , ?`07 Name and Address of Owner h1)ztg r.. Hoa2I c6}oz cT 7a 63v 422 Name and telephone number of person familiar with project Contract amount 3 - 3 to a® Type of Work 14✓ /dc, SECTION 3 NO N-COLLUSION AFF IDAVIT 14". M&7 BIDDER: P pip DL`s�s A) rt l AC , 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 parry 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. A, ---- Signature IYozA - rr-kR 5W4 ye Typed or Printed Name P(ZCfS7D�Nr Title PAIAp�ss Bidder Subscribed and sworn before me This _ day of 20_ (Seal) Notary Public in and for the State of California My Commission Expires: CBF -10 JURAT State of California County of Los Angeles Subs rib .d and sworn to (or affirmed) before me on this ay of 20 k , by proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. f NOTARY S. JAN(Seal) COMM. PUB Signature LOS ANGE MM. EXPIRES JAN. 29 2014,1