Sequel ContractorsBIDDER: SEQUEL GON T'RACTORS',INC
SECTION 1 - BID SCHEDULE
CBF -1
BIDDER: SEQUEL CONTRACTO INN
BID SCHEDULE
SCHEDULE OF PRICES FOR
MISSION DRIVE STREET RESURFACING PROJECT
FROM WESTERLY CITY LIMIT TO ROSEMEAD BOULEVARD
PROJECT No. 21007
BASE BID SCHEDULE
0
CBF -2
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans
LS
1
ZO coo
and specifications. See technical
,
!
�� 004D.
provisions TP -2, TP -3 & TPA.
!
2
Disposal of Waste Materials.
LS
1
Z sss.
Z9 SSS
3
Cold mill 2.0-inches thick existing
pavement.
SF
291,300
��
fy /,
f7
,
LJ
4
Construct 1.5 inches thick
TONS
2,735
so
pavement overlay ARHM -GG -C
3 y7�
(PG 64 -16) as indicated on the
/
plans.
5
Construct 1.0 inches thick
Asphaltic Leveling course D1
TONS
1,825
OO
(PG 64 -10) as indicated on the
!
plans.
6
Remove 6- inches of existing
SF
500
pa
pavement and replace it with 3.5-
inches of AC B -PG 64 -10 Base
�r 0
��
Course over compacted native.
7
Remove, Dispose and Construct
4- inches thick PCC Sidewalk per
SF
5,700
`
SPPWC Std. Plan 113 -1.
8
Remove, Dispose and Construct
SF
820
PCC Driveway Approaches per
SPPWC Std. Plan 110 -2.
9
Remove, Dispose and Construct
LF
423
8- inches Curb and
Gutter per Plan
Std. d
f0�
120 -2.
10
Remove, Dispose and Construct
PCC Cross Gutter per SPPWC
SF
1,500
�1 o0
490
Std. Plan 123 -2.
(/
d
0
CBF -2
BIDDER: SEQUEL CONTRACTO INN
�
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ , I q l
F dbu Y*S
Dollar amount in
4N*b - ,�l CrNTS
CBF -3
UNIT OF
EST.
UNIT
ITEM
NO,
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
11
Remove, Dispose and Construct
EA
3
CIO
PCC Curb Ramps per SPPWC
Std. Plan 1114.
12
Adjust Sewer Manhole to Grade
EA
58
per APWA Std. Plan 205 -1 and
206
/�r„�
52
-1.
13
Adjust Water Valve /Gas Valve to
Grade.
EA
50
14
Install Survey Well Monument
EA
13
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).
15
Install Traffic Striping, Traffic
LS
1
ne
aD
Signal Loops and Pavement
(p�� DOO ,
�� 0 00 ,
Markers per the Striping Plans
and Specifications Complete.
16
Prepare a Storm Water Pollution
Prevention Plan
LS
1
n 07
d6
'
(SWPPP)
p(
17
Remove, Salvage and Install
EA
47
0
Street Name Signs on Existing
Poles; City will provide the Signs.
18
Remove, Salvage and Install
Street Name Signs on Existing
EA
6
Da
//O
Poles; City will provide the Signs.
19
Furnish and Install Solar In -Road
EA
2
cc
Pavement Lighting System
Complete per Plans and
q�O
/ I
90 000.
Specifications. 2 Locations with
total of 36 In -Road Pavement
Lights.
20
Furnish and Install Solar Speed
EA
2
ap
Feedback Sign System
-7
L) OCO 1
yz V��
Complete per Plans and
7
Specifications.
�
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ , I q l
F dbu Y*S
Dollar amount in
4N*b - ,�l CrNTS
CBF -3
BIDDER: SEQUEL_ CQWRACTOR 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 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
Dollars ($ 1O90 ) said amount being not less than ent percent (10 %) of the Total
Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award,
we fail or refuse to execute the Contract and furnish the required bonds, certificates and
endorsements of insurance and other certifications within the time provided.
If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be
prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for
the Contract, and will deliver to the Owner within that same period the necessary original Certificates
of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other
documentation and certification required by the Contract.
The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body
all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton
Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the
Business and Professional Code), arising from purchases of goods, materials or services by the
Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and
become effective at the time the purchasing body tenders final payment to he Contractor.
Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence
satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence
that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting
therefrom; and (3) any other information and documentation, financial or otherwise, needed by
Owner to award a Contract to the lowest responsible and responsive bidder.
Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts
of five hundred dollars ($500.00) if project is not completed in thirty (30) 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
CBF -4
BIDDER: .Si. t r C i4ONI n pia``f'CTO INC
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 -5
BIDDER: SEQUEL CONMACTORS, INC
M
President
Title
Bidder's /Contractor's State of Incorporation:
Partners or Joint Venturers:
13546 IMPERIAL HWY.
SANTA FE SPRINGS, CALIF, 90670
Business Street Address
13546 IMPERIAL HWY.
SANTA FE SPRINGS, CALIF. 9Q670
City, State and Zip Code
(562) 802 -7227
Telephone Number
CALIFORNIA
Bidder's License Number(s):
NOTES:
1)
2)
3)
610600A
By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms.
If Bidder is a corporation, enter State of Incorporation in addition to Business Address
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 autbority to do so.
CBF -6
Thomas S. Pack
Type or Print Name
BIDDER: SEQUEL CON7F'iACTl` R , IW
SECTION 2
BID DATA FORMS
CBF -7
BIDDER: SEQUEL CONTRACTORS, INC
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 afterthe deadline for submission of bids to submit
the information requested by the Owner about each subcontractor, otherthan 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.
BIDDER: SEQUEL CONTRACTO L% INC
22 LIST OF PROPOSED SUBCONTRACTORS (continued)
["Duplicate Ned 2 Pages if needed for listing additional subcontractors.*1
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: (-WC) If o s
Address V lJCGE
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: 's XT11 �Vw� RL ' " 0 /�
!
Address: Wlo 1-M 2
Name and Location
of Subcontractor
Name: (.F EA1(TI/NE
Address: LA 4? /-E
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
,61& reele;
Description of Work
to be Subcontracted
Name:
F R S
Address
Vv\,1 LO W%
Name and Location
of Subcontractor
Name:
Address
Description of Work
to be Subcontracted
CBF - 10
BIDDER: SEQUEL laO 11iY' C O RS, 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:
L 'k."A'WED
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
2.
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
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
4.
and Address of Owner
and telephone number of person familiar with project
Contract amount Type of Work Date Completed
CBF -11
SEQUEL CONTRACTORS, INC.
ST. LIC #610600A
13546 IMPERIAL HWY
SANTA FE SPRINGS, CA 90670
Fax (562) 802 -7499 (562) 802 -7227 Office
STATEMENT OF EXPERIENCE
1.
2.
3
4.
5.
OWNER:
CITY OF ANAHEIM
ADDRESS:
200 S. ANAHEIM BLVD
ANAHEIM, CA 92805
PHONE NO.:
(310) 525 -0684
CONTACT:
ALAN BRAATVEDT
PROJECT:
KATELLA AVE. SMART STREET
PROJECT AMOUNT: $6,440,769.00
COMPLETION DATE OCTOBER 2011
OWNER:
CITY OF TUSTIN
ADDRESS:
300 CENTENNIAL WAY
TUSTIN, CA 92780
PHONE NO.:
(714) 573 -3175
CONTACT:
ERIC LOKE
PROJECT:
ANNUAL ROADWAY AND
SIDEWALK REHAB
PROJECT AMOUNT:
$2,455.881.00
COMPLETION DATE
SEPTEMBER 2011
OWNER:
PORT OF LONG BEACH
ADDRESS:
925 HARBOR PLAZA
LONG BEACH, CA 90802
PHONE NO.:
(562) 590 -4172
CONTACT:
MICHAEL MELGOZA
PROJECT:
WEYERHAEUSER PAVEMENT REHAB
AT PIER T
PROJECT AMOUNT:
$4,062,704.94
COMPLETION DATE
MARCH 2011
OWNER:
CITY OF WEST HOLLYWOOD
ADDRESS:
8300 SANTA MONICA BLVD.
WEST HOLLYWOOD, CA 90069
PHONE NO.:
(323) 848 -6475
CONTACT:
DON UYENO
PROJECT:
SUNSET BLVD REVITALIZATION
PROJECT AMOUNT:
COMPLETION DATE
$4,775,274.00
SEPTEMBER 2010
OWNER:
CITY OF ANAHEIM
ADDRESS:
200 S ANAHEIM BLVD
ANAHEIM, CA 92805
PHONE NO.:
(714) 765 -5285
CONTACT:
ROBERTPALAEOLOGUS
PROJECT:
KATELLA AVE SMART STREET
PROJECT AMOUNT:
COMPLETION DATE
$4,087,034.75
FEBRUARY 2010
SEQUEL CONTRACTORS, INC.
ST. LIC #610600A
13546 IMPERIAL HWY
SANTA FE SPRINGS, CA 90670
Fax (562) 802 -7499 (562) 802 -7227 Office
STATEMENT OF EXPERIENCE
6. OWNER:
ADDRESS:
PHONE NO.:
CONTACT:
PROJECT:
PROJECT AMOUNT:
COMPLETION DATE
CITY OF GLENDALE
633 E. BROADWAY
GLENDALE, CA 91206
(818) 937 -8250
ARMOND SIMONIAN
COLORADO STREET
WIDENING
$2,335,764.23
DECEMBER 2009
OWNER:
PORT OF LOS ANGELES
ADDRESS:
925 S. PALOS VERDES STREET
SAN PEDRO, CA 90731
PHONE NO.:
(310) 732 -7634
CONTACT:
JILL SHIMAMOTO / BRIAN CHUC
PROJECT:
SAN PEDRO WATERFRONT ENHANCEMENTS
PROJECT AMOUNT:
COMPLETION DATE
$6,866,722.86
DECEMBER 2009
8. OWNER:
CITY OF SANTA MONICA
ADDRESS:
14374 IH STREET
SANTA MONICA, CA 90401
PHONE NO.:
(310) 458 -8732
CONTACT:
ALLAN SHETH
PROJECT:
ANNUAL STREET, SIDEWALK MAINTENANCE
PROJECT AMOUNT:
$7,509,562.72
COMPLETION DATE
SEPTEMBER 2009
9. OWNER:
CITY OF INDUSTRY
ADDRESS:
255 NORTH HACIENDA BLVD.
INDUSTRY, CA 91744
PHONE NO.:
(626) 333 -0336
CONTACT:
GERRY PEREZ
PROJECT:
AZUSA AVE / RAILROAD STREET.
WIDENING
PROJECT AMOUNT:
$5,206,130.08
COMPLETION DATE
SEPTEMBER 2008
10. OWNER:
CITY OF WESTMINSTER
ADDRESS:
8200 WESTMINSTER BLVD.
WESTMINSTER, CA 92683
PHONE NO.:
(714) 898 -3311
CONTACT:
JAKE NGO
PROJECT:
WESTMINSTER BLVD.
MEDINA ISLANDS
PROJECT AMOUNT:
$2,157,180.00
COMPLETION DATE
FEBRUARY 2008
SEQUEL CONTRACTORS, INC.
ST. LIC #610600A
13546 IMPERIAL HWY
SANTA FE SPRINGS, CA 90670
Fax (562) 802 -7499 (562) 802 -7227 Office
ATEMENT OF EXPERIENCE
IL
OWNER:
CITY OF COSTA MESA
ADDRESS:
77 FAIR DRIVE
COSTA MESA, CA 92628
PHONE NO.:
(714) 754 -5223
CONTACT:
TOM BANKS
PROJECT:
17 STREET BEAUTIFICATION
PROJECT AMOUNT:
$2,801,689.75
COMPLETION DATE
OCTOBER 2007
12.
OWNER:
CITY OF DOWNEY
ADDRESS:
11111 BROOKSHIRE AVE.
DOWNEY, CA 90241
PHONE NO.:
(562) 904 -7118
CONTACT:
NOE NEGRETE
PROJECT
LAKEWOOD BLVD. IMPROVEMENTS
PHASE 1A
PROJECT AMOUNT:
$6,274,630.00
COMPLETION DATE
AUGUST 2006
13.
OWNER:
PORT OF LONG BEACH
ADDRESS:
925 HARBOR PLAZA
LONG BEACH, CA 90802
PHONE NO.:
(562) 590 -4172
CONTACT:
GARY CARDAMONE
PROJECT:
PIER E BERTH D28 -E27
NEW GATE
PROJECT AMOUNT:
$6,279,157.00
COMPLETION DATE
APRIL 2006
14.
OWNER:
CITY OF TUSTIN
ADDRESS:
300 CENTENNIAL WAY
TUSTIN, CA 92780
PHONE NO.:
(714) 573 -3030
CONTACT:
DENNIS JUE
PROJECT:
IRVINE & NEWPORT
INTERSECTION
PROJECT AMOUNT:
$4,034,000.00
COMPLETION DATE
APRIL 2006
BIDDER: SEQUEL CONTRACTO ING
SECTION 3
NON - COLLUSION AFFIDAVIT
CBF -12
BIDDER: SEQUEL COMMACTOR INC
NON - COLLUSION AFFIDAVIT
In accordance with Public Contract Code Section 7106, the undersigned, being first duly
sworn, deposes and says that he or she holds the position listed below with the bidder, the
party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any
undisclosed person, partnership, company, association, organization, or corporation; that the
bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced
or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly
colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham
bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly
or indirectly, sought by agreement, communication, or conference with anyone to fix the bid
price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the
bid price, or of that of any other bidder, or to secure any advantage against the public body
awarding the contract of anyone interested in the proposed contract; that all statements
contained in the bid are true; and, further, that the bidder has not, directly or indirectly,
submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged
information or data relative thereto, or paid, and will not pay, any fee to any corporation,
partnership, company association, organization, bid dep itory, or to any member or agent
thereof to effectuate a collusive or sham bid.
Thomas S. Pack
Typed or Printed Name
President
Title
SEQUEL GONTFIACTORS, INC
Bidder
Subscribed and sworn before me
This _ day of , 20_
(Seal)
Notary Public in and for
the State of California
My Commission Expires:
CBF - 13
aGr: .o.,. .' aLa a a. ..� a..a_. at,.aca .s •.. a. =a,. a a3,r -.�.• a �. a<,� ate- aLa.,. - � e _ was
State of California 1
County of L ANGELES J
On JUN 0 6 2012 before me, naniel Bustamante, Notary Public
Date Here Insert Name and Tills of the Officer
personally appeared Thomas S. Pack President
Narrate) 01 Signer(s)
!1 f 4040004 ?11494444001111090490 H M 0000? 01m
e E DANIEL BUSTAMANTE
D COMM, #1825327
� NOTARY PUBLIC - CALIFORNIA p
LOS ANGELES COUNTY
My Commission Expires December 20, 2012 d
1101140111114111111011 /11111111040111110114
who proved to me on the basis of satisfactory evidence to
be the person/g3'j whose name( is /ire subscribed to the
within instrument and acknowledged to me that
he /she/they executed the same in his/her /their authorized
capacity(iss), and that by his /bar /their signature(a) on the
instrument the person(a), 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 m1�,hand offic al.
Signature J► (/^ 1 : 2
Place Notary Seal Above Signature of Notary Public
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 anothgr document.
Description of Attached Document
Title or Type of
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
Number of Pages:
Signer's NamE
❑ Individual .
❑ Corporate Officer — Title(s):
❑ Corporate Officer — Title(s):
_ _
❑ Partner — ❑ Limited ❑ General
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
•
❑ Attorney in Fact
❑ Trustee
Top of thumb here
❑ Trustee
Top of thumb here
❑ Guardian or Conservator
❑ Guardian or Conservator
❑ Other:
❑ Other:
Signer Is Representing:
Signer Is Representing:
02007National Notary Association -9350 De Sato Ave,,P.O.Box2A02•Chanworth,CA 91313-2402•w.aw.NaBonalNofary.org Item 45907 Reorder: Call Toll -Free 1A0D876 -6821
SEQUEL CONTRACTORS, INC.
ST. LIC #610600A
13546 IMPERIAL HWY
SANTA FE SPRINGS, CA 90670
Fax (562) 802 -7499 (562) 802 -7227 Office
ACTION BY UNANIMOUS WRITTEN CONSENT OF THE BOARD OF
DIRECTOS OF SEQUEL CONTRACTORS, INC.
The undersigned being all of the Directors of SEQUEL CONTRATORS, INC. a California
Corporation, do hereby take the following action by this written consent at a meeting of the Board
of Directors held on April 4, 2004 in accordance with the Bylaws of the Corporation and the
California Corporation Code.
WHEREAS, the Board of Directors deems it advisable to authorize the officers of the
Corporation, Abel Magallanes, Thomas S. Pack and Michael A. Mahler, respectively, to execute
bid bonds on behalf of the Corporation with any agency, person, company or municipality;
RESOVED FURTHER, that Abel Magallanes, Thomas S. Pack and Michael A. Mahler are
authorized to execute labor, material, and faithful performance bonds in connection with contracts
to be entered into with any agency, person, company or municipality;
RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack and Michael A. Mahler are
authorized and directed to execute and deliver street improvement contracts and related
agreements with any agency, person, company or municipality on such terms conditions as they
deem advisable in their sole discretion;
RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack and Michael A. Mahler be, and
they hereby are authorized by their sole signatures on any document to bind this corporation to
contract, bids, bonds, etc.;
RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack and Michael A. Mahler be, and
they hereby are authorized and directed to take any and all such other actions and execute such
other documents as may be necessary or appropriate to carry out the purposes of the foregoing
authorizations.
In witness thereof, the undersigned Directors have executed this unanimous written consent to
indicate this adoption of the consent of the foregoing resolution and the action set forth therein.
Dated: APA1.64, 2004
& President
0 �
r t y
Abe�all es
Director, Vice President & Secretary
Il4ichael A. Mahler
Assistant Secretary
HIDER: Sequel Contractors, Inc.
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 1D BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT Sequel i
Principal, and
as
as Surety, are held firmly bound unto the
CITY OF ROSEME.AD (hereinafter called the OWNER) in the sum of
Ten percent of the total amount of the bid -
($ 10% ) , being not less than ten percent (10 %) of the Total
Bid Price; far 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 Mission Drive Street Resurfacing Project asset forth in the Notice
Inviting Bids and accompanying Bid Documents, dated dunes, 2012
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 hound 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 29th day of May , 2012 .
I-A
_ BY:
S. Pack PleskW
Travelers Casualty and
Surety Company of America (SEAL)
Sur ry
Slgnat Douglas
Att orney in Fact
CBF -8
CALIF
State of California l
County of L ANGELES )}
On
MAY 2 9 2012
before me, Daniel Bustamante, Notary Public
Here Insert Name and Title of the Officer
Date
personally appeared Thomas S. Pack Pr®SkWA
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DANIEL BUSTAMANTE e
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COMM. #1825827
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NOTARY PUBLIC - CALIFORNIA O
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LOS ANGELES COUNTY -�
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My Commission Expires December 20, 2012
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who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(a) ish^ 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/thet signature(o) on the
instrument the personal, or the entity upon behalf of
which the person(R)' 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
Place Notary Seal Above Signature of Notary Public
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:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
• Corporate Officer — Title(s):
• Partner — ❑ Limited ❑ General
• Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
RIGHTTHUMBPRINT
- OF SIGNER r'
LE
Signer's Nal
❑ Individual
Number of Pages:
❑ Corporate Officer— Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
RIGHTTHUMBPRINT.
' OF SIGNER
um
02987 National Notary Association• 9350 De Soto Aw., P.O. Box 24M- Chatsworth, CA 91313- 2402 -w NationalNotaryorg Item N5907 Raorder .GaIITWI- Free1- 81ME78-8112]
ACKNOWLEDGMENT
State of California
County of Ora
On 05/29/2012 before me, Debra Swanson, Notary Public
(insert name and title of the officer)
personally appeared UOUgiaS A. Kapp
who proved to me on the basis of satisfactory evidence to be the person(i,!) whose name($) isAOFe
subscribed to the within instrument and acknowledged to me that he /eheAMey executed the same in
his /*@FAkelf authorized capacity(i*, and that by hisAwfigl4eir signature(05 on the instrument the
person($), or the entity upon behalf of which the person(yr) 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.
WETNESS my hand and official seal " °`'w DEBRA ;;A 5
o- ' COMM. # 1522117 X
® NOTARYPUBLICCALFORNN X
` ORANGE COUNTY N
My Comm. Wres NOV % 2012
Signature � (Seal)
WARNING: THIS
POWER OF ATTORNEY
TRAVELERS / J Farmington Casualty Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St. Paul Guardian Insurance Company
Attorney -In Fact No. 224524 Certificate No. 0 0 4 7 5 2 9 / O
KNOW ALL MEN BY THESE PRESENTS: That St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance
Company are corporations duly organized under the laws of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and
Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty
Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under
the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin
(herein collectively called the "Companies "), and that the Companies do hereby make, constitute and appoint
Timothy D. Rapp, and Douglas A. Rapp
of the City of A 'cn Viejo , State of California , their one and lawful Attomey(s) -in -Fact,
each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and
other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or permitted in any or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 6th
day of March 20t2
Farmington Casualty Company
Fidelity and Guaranty Insurance Company
Fidelity and Guaranty Insurance Underwriters, Inc.
St. Paul Fire and Marine Insurance Company
St. Paul Guardian Insurance Company
St. Paul Mercury Insurance Company
Travelers Casualty and Surety Company
Travelers Casualty and Surety Company of America
United States Fidelity and Guaranty Company
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State of Connecticut
City of Hartford as.
By: At��
Georg Thompson, tpce President
On this the 6th day of March 2012 , before me personally appeared George W. Thompson, who acknowledged
himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters,
Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety
Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do,
executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
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In Witness Whereof, I hereunto set my hand and official seal. TAA ' W wk l..
My Commission expires the 30th day of June, 2016. * 'OUBLIG t► Marie C. Tetreault, Notary Public
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58440 -6 -11 Printed in U.S.A.