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Sully-Miller Contracting Co.t ,. � � � �. "'• • Ii' BIDDER: Company CONTRACT BID FORMS TABLE OF CONTENTS SECTION BID SCHEDULE .... ........................................ ................ __ ........................ 1 ' 5 GECTk]��2 R|DDAl7�F(}RNKS...`~..--...—_---'—~'^.—"~,~^^~^`^^,`~^—^. 2.A BID BOND ............. _ ___ ..... ...................................... ...... ............................. ......... O BIDDER: Sull Miller Contracting Company SECTION 1 R BID SCHEDULE CBF -1 BIDDER; Sully - Miller Contracting Company BID SCHEDULE SCHEDULE OF PRICES FOR MISSION DRIVE STREET RESURFACING PROJECT FROM WESTERLY CITY LIMIT TO ROSEMEAD BOULEVARD PROJECT No. 21007 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 provisionsTP -2, TP -3 &TP-4. /S2 oD /S 27 - D7> 2 Disposal of Waste Materials. LS 1 I $bD- a p / Spp , a, 3 Cold mill 2.0- inches thick existing SF 291,300 pavement 4 Construct 1.5 inches thick TONS 2,735 pavement overlay ARHM -GG -C (PG 64-16) as indicated on the plans. 5 Construct 1.0 inches thick TONS 1,825 Asphaltic Leveling course D1 (PG 64 -10) as Indicated on the plans. oo 6 Remove 64nches of existing SF 500 pavement and replace it with 3.5- inches of AG B -PG 6410 Base Course over compacted native. ( 0 O 3 D8 D • DD 7 Remove, Dispose and Construct SF 5,700 4- Inches thick PCC Sidewalk per SPPWC Std, Plan 113 -1, SDD .SDD•rrD 8 Remove, Dispose and Construct SF 820 PCC Driveway Approaches per SPPWC Std. Plan 110 -2. 9 Remove, Dispose and Construct LF 423 8- inches Curb and 24- Inches Gutter per SPPWC Std. Plan 120 -2. UZ) /D, ISZ •ao 10 Remove, Dispose and Construct SF 1,500 PCC Cross Gutter per SPPWC Std. Plan 123-2. 7�b CBF -2 BIDDER: Sully- Miller Contracting Company- TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ 76a 3. 923 • Da amount in written form ,i CBF -3 UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 11 Remove, Dispose and Construct EA 3 PCC Curb Ramps per SPPWC Std. Plan 111-4. poo.00 0049-00 12 Adjust Sewer Manhole to Grade EA 58 per APWA Std. Plan 205 -1 and 206 -1. $5 . OO 3/ 90 D 13 Adjust Water Valve/Gas Valve to EA 50 Grade. 4 10D.DO ,ZD DOD - D 14 Install Survey Well Monument EA 13 per City of Rosemead Std, Plan 508 -001. See Section 2 -9 Surveying of the General Provision -7 per details (Cover, Sleeve & Dome will be provided by the City at no cost). 15 Install Traffic Striping, Traffic LS 1 Signal Loops and Pavement Markers per the Striping Plans and Specifications Complete. - 13 ODO.Da 43, 1E0. VD 16 Prepare a Storm Water Pollution LS 1 Prevention Plan (SWPPP) 3 DOD.OD 3 0049 • � 17 Remove, Salvage and Install EA 47 Street Name Signs on Existing Poles; City will provide the Signs. 33. DO c3 901. Dt7 1a Remove, Salvage and Install EA 6 Street Name Signs on Existing Poles; City will provide the Signs. g3. O0 5�98.D 19 Furnish and Install Solar In -Road EA 2 Pavement Lighting System Complete per Plans and Specifications. 2 Locations with total of 36 In -Road Pavement Lights. to 0.00 910 DOD - B� 20 Furnish and Install Solar Speed EA 2 Feedback Sign System Complete per Plans and Specifications. AZ ODb, M 44 DOD . TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ 76a 3. 923 • Da amount in written form ,i CBF -3 BIDDER: Sully- Miller Contracting 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 forthe number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract forthe 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 bid bond in the amount of Ten Percent Dollars ($ 10% ) said amount being not less t an 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 bythe Ownerfor execution, within five (5) GalendarDays following the Letter of Award for the Contract, and will deliverto the Ownerwithin thatsame 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.G. 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. CBF -4 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 BIDDER: Sully - Miller Contracting Company 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 bld 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 By: Signak re Raymond Sanchez Type or Print Name Assistant Secretary Title BIDDER: Sully - Miller Contracting Company. 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'state of Incorporation: Delaware Partners or Joint Venturers: ** * *** *5ee Attached List of Corporate nffi * * * * * ** Bidder's License Number(s): 747612 -A C -10 NOTES: 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms, 2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address 3) If Bidder Is a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the corporation, nartnershin or ioint venture has the authori to do s CBF -6 STATE OF CALIFORNIA COUNTY OF ORANGE I On June 5, 2012 before me, J. Daniels, Notary Public personally appeared Raymond Sanchez who proved to me on the basis of satisfactory evidence to be the person(s) whose name is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his /her /their authorized capacity(ies), and that by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal Signature / V w� Daniels, Notary Public Notary Seal OPTIONAL Description of Attached Document Title or Type of Document: Bid Proposal- Signature Page Document Date: June 5, 2012 Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s): Signers Name Raymond Sanchez Signer's Name Individual ❑X Corporate Officer - Title(s) ❑ Partner - Limited /General Attorney In Fact Trustee ❑ Guardian or Conservator 0 Other Assistant Secretary Right Thumbprint of Signer ❑ Individual ❑ Corporate Officer — Title(s) ❑ Partner — Limited /General ❑ Attorney In Fact ❑ Trustee Guardian or Conservator Other Right Thumbprint of Signer Signer is Representing: SULLY - MILLER CONTRACTING COMPANY J. DANIELS A COMM N 1813952 m W NVARY PUBUB • rAUMMA p Q ORANGE COUNTY .. Lily Ca dulen EXpims seta. 21,2012 who proved to me on the basis of satisfactory evidence to be the person(s) whose name is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his /her /their authorized capacity(ies), and that by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal Signature / V w� Daniels, Notary Public Notary Seal OPTIONAL Description of Attached Document Title or Type of Document: Bid Proposal- Signature Page Document Date: June 5, 2012 Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s): Signers Name Raymond Sanchez Signer's Name Individual ❑X Corporate Officer - Title(s) ❑ Partner - Limited /General Attorney In Fact Trustee ❑ Guardian or Conservator 0 Other Assistant Secretary Right Thumbprint of Signer ❑ Individual ❑ Corporate Officer — Title(s) ❑ Partner — Limited /General ❑ Attorney In Fact ❑ Trustee Guardian or Conservator Other Right Thumbprint of Signer Signer is Representing: SULLY - MILLER CONTRACTING COMPANY CERTIFICATE OF INCUMBENCY AND RESOLUTION I, Anthony L. Martino, II, do hereby certify that I am the 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 Vice President, Chief Financial Officer and Treasurer Timothy P. Orchard Vice President and Assistant Secretary Michael Edwards Vice President Scott Bottomley Secretary Anthony L. Martino II Assistant Secretary George Aldrich Assistant Secretary Raymond Sanchez 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 February 15, 2012, and that this resolution has not been in any way rescinded, annulled, or revoked but the same is still in full force and effect: " BID TENDERS: GENERAL RESOLVED, that any officer of the Corporation be and they hereby are authorized in the name and on behalf of the Corporation, under-its corporate seal or otherwise (i) to prepare proposals and bids for the supplying of construction materials and the performance by itself or in joint venture, of work of whatsoever nature in connection with the construction or paving of highways, roads and airports and in connection with earthworks and civil engineering projects of all kinds, together with all work incidental thereto, (ii) to execute and submit any and all such proposals and bids to any governmental authority, instrumentality, or agency of the United States, its several states, territories and possessions, including without limitation, any municipality or other political or corporate subdivision thereof, and to any corporation, partnership, sole proprietorship, or other business entity, (iii) in connection with any such submission, to deliver bid deposits or bonds as may be required and (iv) to execute and deliver definitive agreements binding the Corporation to perform work in accordance with any proposals and bids authorized hereby." IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal this 23rd day of April 2012, (SEAL) Anthony L. arti , Secretary Sully- Miller Contracting Company 135 S. State College Blvd., Ste. 400 Brea, CA 92821 BIDDER: Sully - Miller Contracting Company, SECTION 2 BID DATA FORMS CBF -7 Mission Drive Street Resurfacing from Westerly City limit to Rosemead Boulevard Project No. 21007 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 Contracting Company as Principal, and Liberty Mutual Insurance Company as Surety, are held firmly bound unto the C[TY OF ROSEMEAD (hereinafter called the OWNER) in the sum of Ten Percent of the Amoun Bid DULLAKS being not less than ten percent (10 1 /D) of the Total Bid.Price; forthe paymentof which sum will and trulyto 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 as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated 6/612012 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 fused by the court. S[GNED AND SEALED, this 5th day of June 20 12 Sully - Miller Contracting Company (SEAL) Liberty Mutual Insurance company (SEAL) Principal Surety By: O By: S1 natur Signature viclona M.Campbal4AUYV. RAYMOND SANCHEZ, ASSISTANT CRETARY CBF -8 STATE OF CALIFORNIA I COUNTY OF ORANGE On June 5, 2012 before me, J. Daniels, Notary Public personally appeared Raymond Sanchez who proved to me on the basis of satisfactory evidence to be the person(s) whose name is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his /her /their authorized capacity(ies), and that by his /her /their signature(s) on the $ „ M It instrument the person(s), or the entity upon behalf of J. DANEELS D which the person(s) acted, executed the instrument. COMM k 1813952 m W pOTARYPUBLIC•CWFORNIA D 1 certify under PENALTY OF PERJURY under the laws of Q �GE�+n' the State of California that the foregoing paragraph is true MYum"b "ISpinese 1411102 i Vi g ig and correct. WITNESS my hand and Signature J. aniels , Notary Public Notary Seal OPTIONAL Description of Attached Document Title or Type of Document: Bid Bond Document Date: June 5, 2012 Number of Pages: 1 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s): Signer's Name Raymond Sanchez Signers Name ❑ Individual ❑ Individual Fx Corporate Officer- Title(s) Assistant Secretary F Corporate Officer - Title(s) Partner - Limited /General ❑ Partner - Limited /General Attorney In Fact Right Thumbprint ❑ Attorney In Fact Right Thumbprint of Signer of Signer ❑ Trustee �7 [] Trustee ❑ Guardian or Conservator ❑ Other ❑ Guardian or Conservator ❑ Other Signer is Representing: SULLY - MILLER CONTRACTING COMPANY CALIFORNIA ALI PURPOSE ACKNOWLEDGMENT State of California County of Orange JUN 0 5 2012 On DATE before me, Kim Heredia, Notary Public 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 he /she /they executed the same in his /her /their authorized capacity(ies), and that by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. KIM HEHEOIA Commisaloo • 1945397 WITNESS my hand and official seal. • Notary Public • CalNOmla Orange County M Comm. Ea Irea Jul 24, 2015 "444 SI GNATURE OF NOTARY OPTIONAL 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 ❑CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN /CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES JUN 0 5 2012 DATE OF DOCUMENT SIGNER(S) OTHER 11 -IAN NAMED ABOVE THIS POVVER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. 5216976 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. Certificate No. American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company Peedess Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: ThatAmedcan Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duty organized under the laws of the State of Ohio, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, that Peeress Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein Collectively called the "Companies). pursuant to and by authority herein set forth, does hereby name, Constitute and appoint, VICTORIA M. CAMPBELL, KIM HEBEDIA, ERIK JOHANSSON, SHIRLEY BAUMAN, CHRISTINA JOHNSON, MELISSA TETZLAFF, LINDE HOTCHKISS ............................................................................................................................................ ............................... all of the city of IRVINE state of CALIFORNIA each individually lf there be more than one named, its true and lawful attomey -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, recognizanoes and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duty signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this PowerofAttorneyhas been subscribed by an authorized otficerorofficialofthe Companies and the corporate seals ofthe Companies have been affixed thereto this 2nd day of March , 2012 . �cArt erg ,Yy zv INa� ��,�a.:NSC,a �,p�suH.arc�.c �c DER ° °v c n>irwar e o � �awary ,z'„ �>�E� �� °� �' camas sE � v��'' o��b lullhwa �wE aYeo �, i 7944 I,x _ ""' .x n Sf,AI• i SRAA• o- � � SC+:AI, � rY GD$¢P ,,l A S �.>ak� 'YFE EN"-�.N�' R °m�a /�rQP STATE OF WASHINGTON as COUNTY OF KING American Fire and Casualty Company The Ohio Casualty Insurance Company Liberty Mutual Insurance Company Peerless Insurance Company West American Insurance Company Gregory W. Davenport, Assistant Secretary On this 2nd day of March , 2012 before me personalty appeared Gregory W. Davenport, who ac himself to be the Assistant Secretary of American Fire and Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty Company, Peerless Insurance Company and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle, Washington, on the day and year first above written, - N9TFRV By: zus - KD Riley, Note Public This Power of Attorney is made and executed pursuant to and by authority of the following By -laws andAliiliorizations ofAmedcan Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, West American Insurance Company and Peerless Insurance Company, which resolutions are now in full force and effect reading as follows: ARTICLE IV OFFICERS — Section 12. Power ofAtomey.Any officer or other official of the Corporation authorized for that purpose In writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such atomeys -in -fad, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in- 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 execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or atomey -in -fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE All — Execution of Contracts — SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chalmhan or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys -In -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such 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 signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Gregory W. Davenport, Assistant Secretary to appoint such atomey -in -fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that 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 biding upon the Company with the same force and effect as though manually affixed. I, David M. Carey, the undersigned, Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, West American Insurance Company and Peeress Insurance Company do hereby cerlify that the original power of attorney of which the foregoing is a full above and foregoing is a We and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this5 - y „ day of _ J14 Mr , 20 f 2— . ( acee Y IN&p� �,�pivau4gk, � / UP_ti�cF �5S A9f�rC � // /� //�l s ac or„v n p J , o Vi iactm�R�'° �!( 4 � � wxicaaa�,�' By: "� t15A1• o- SF�AL, $ David M. Carey, Assistant Secretary F 3i5 arn5�t? ^A "`£SNE,NR 4gcE C0$ POA -AFCC, LMIC, OCIC, PIC & WAIC LMS 12873_012012 BIDDER, Sully - Miller Contracting Company 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 W ork in an amount in excess of one -half of one percent (greater than 0.5 %) of the Bidder's Total Bid Price, or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one -half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104, the Owner has determined that itwill allow Bidders twenty -four (24) additional hours after the deadlirnetor 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 orten 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 -9 BIDDER: Sully - Miller Contracting Company . 2.8 �ST'ptPN�ROPOSip BICON7�RAGTORS� Name and Locaton Description of Work of Subcontractor to be Subcontracted Name: Address Name and Location Description of Work to be Subcontracted of Subcontractor Name: ag'^ -,� Address g V �r� J on - Description of Work Name and Locati of Subcontractor to be Subcontracted AddreA A*Oa Name and Location Description of Work of Subcontractor to be Subcontracted ,i / /// 7/1.1 - 'ter Name and Locati on of Subcontractor Name: Address: Description of Work to be Subcontracted CBF -10 BIDDER: Sully - Miller Contracting Company . 2.8 LIST OF PROPOSED sU ®CONTRACTORS (continued) I"bupllmle Na Pages IF needed fw listinganumonalsubconU6mm-1 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 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 Name and Location of Subcontractor Name: Address: Description of Work to be Subcontracted CBF -10 BIDDER: Sully - Miller Contracting Company 2.0 REFERENCES The following are the names, addresses and telephone numbers forthree public agencies forwhich BIDDER has performed similar work within the past two (2) years: "Please See Attached List of Project References' Name and Address of Owner Name and telephone number of person familiar with project Contract amount I 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 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 Data Completed CBF -11 MEW SULLY- 1VIILLFR CONTRACTING CO BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name /Number; TORRANCE BOULEVARD / 28791C Year of Project: 10/2006 — 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 heeded 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 Telephoner 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: 3 RD 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: 626458 -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 SULLY - MILLER CONTRACTING CC). BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name /Number; 2007 -2008 PAVEMENT REHABILITATION- 28750C Start and Finish Dates: 6/2008 TO 712008 Project Description: AC /ARHM - MANHOLES — SURVEY — STRIPING — COLD MILL Agency Name: CITY OF HAWAIIAN GARDENS Contact Person: STEVE STEINBREC_HER 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 512008 Project Description: ARHM - MANHOLES - MONUMENTS'- STRIPING — SWPPP- COLD MILL Agency Name: CITY OF WEST HOLLYWOOD Contact Person: MILASOLOGUB 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- 27709C 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 P%11111111114 SULEY- MILLER CONTRACTING CC). BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number PACIFIC ELECTRIC INLAND TRAIL PHASES 2 & 3 / 27653C Start and Finish Dates: 3/07 TO 1108 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 Contract Amount: $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: 712007 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. $ 163,915 Project Name/Number. ALPACA STREET IMPROVEMENT PROJECT / 27699C Start and Finish Dates: 8/2007 TO 11/2007 Project Description: R/R CONCRETE & 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 Descriptlon: 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 Contract Amount: $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 Wig pni"M SLJLLY- MTLLGR CONTRACTING CO. SIDDEWS EXPERIENCE AND QUALIFICATIONS Project Name /Number: ORANGE LINE - CANOGA STATION PART( 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: 7/2006 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 T_ HOMAS 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 / 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: Start and Finish Dates: Project Description: Agency Name: Contact Person: 195P STREET IMPROVEMENT/ 25506C 5/2005 to 11/2005 MEDIAN ISLAND and STREET REPAIRS CITY OF CERRITOS VIC MASAYA Telephone: 562 -916 -1231 Fax: 562- 916 -1371 Updated August 2010 MJ fi SULLY - MILLER C0NTRACTING CO BIDDER'S EXPERIENCE AND QUALIFICATIONS 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: 14ELLMAN AVENUE STREET IMPROVEMENTS / 24477C Start and Finish Dates: 6/2004 to 11/2005 Project Description; STREET RECONSTRUCTION PROJECT Agency Name: CITY OF ROSEMEAD Contact Person: KEN RUKABINE Telephoner 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 / 244 Start and Finish Dates: 3/2004 to 6/2005 Project Description: STREET REHABILITATION 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 WORT( ONLY Agency Name: PORT OF LOS ANGELES Contact Person: MAHMOUDIRSHEID Telephone: 310 -732 -3525 Fax: 310- 831 -5389 Original ContractAmoum: $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 M EW SULLY - MILLER CONTRACT INC, C.O. BIDDER'S EXPERIENCE AND QUALIFICATIONS Fax: 760 - 955 -5159 Original Contract Amount: $4 ; 771,477 Final Contract Amount. $ 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 ContractAmount: $74,226,254 Change in contract amount Is due to items of work being deleted by agency. Updated August 2010 ENI S I.J LLY- MILLER CONTRACTWC, CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS PROTECTS INVOLVING HEAVY STORM DRAIN, SEWER AND WATER IMPROVEMENTS 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 ContractAmount: $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 ContractAmount; $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 SCJLLKMILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUAILIFIICATIIONS Project Name /Number: PORTOLA SPRINGS AND MODJESKA / 25534C Year of Project. 04/2005- 06/2006 Project Description: SEWER, WATER, STORM DRAIN IMPROVEMENTS Agency Name: IRVINE COMMUNITY DEVELOPMENT COMPANY Contact Person: BILL MARTIN Telephoner 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 S CJLLY -M I1.1XR CONTRACTING CO. BIDDE WS EXPERgENCE AND QUALRFICA4EONS ASPHALT RUBBERIZED HOT MIX (ARHM) PROJECTS Project Name/Number: ANNUAL OVERLAY PROGRAM / 27697C Start and Finish Dates: 8/07 TO 7/08 Project Desciption: AR11M 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: NORMANDIE AVENUE — S T PL- 5953(451) / 26647C Start and Flnlsh Dates: 3/07 TO 9/07 Project Description: ARHM /AC PAVE — LANDSCAPE — CONCRETE - SIGNALS /UGNTING /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 SULLY-MILLER CONTRACTING CC). Lic: n:e ]•I7G I ?A l a:i .c:.Sicrte fJc!le l)r L NIO.. S+C..ICO + 81 c7A 9282 1 fH0;( X- 714. 5719 Pavement Preservation befereucos: .ieh Nu. Joly Value Descr6rtiot7 owner fultuc 298810 106,411 AC paving, sealcoat and re- Kinder Morgan David Lennon stripe Carson Facility 7:1.0. 151.6098 29B75c 257,093 Coldmlll,AC Overlay, sealraat ProttWhitney. leff Stara and restrilm the North LOU Itocketdyne W -60111 at the Desoto Paclllty, CA 290690 266,206 AC paving, sealcoatand rostripa Swlnerton IkQ Ilnnlanufhan Salvation Army parking lot builders 213.440 -4585 In Anaheim, CA. 296580 70,167 AC paving, sealcuatand re- llatheway- Reno Cuntreras stripe parting lots atThc Dinwlddle 562- 944 -9331 Buckley School. 200150 260,472 AC paving, sealcout and r ®stripe Jorgensen 0111VIz'[a Toyota AlrillteTel'mhtal at 925- 244.1209 Long Beach Ahport, CA. 297920 369,575 ACrepah's,sealCoat &reshiryc ToyotaLogisislirs Jon Keller Part of Los Angeles, CA. 714-336-2409 276860 369,931 AC /PCC repairs,.sealcoat. and Vratt Whltltey Mike Daley restrlpingat two facilities [it ilo kettlyne 010 -SOD -9052 Canoga Park,. CA. , 2767Sc 623,996 AC /PCC repairs, sealcoat and Tito Boeing Wayne Bolt restriping at three facilities In Company 502- 797 -4284 Anaheim, Huntington Dead), and Seal Beach, CA. 232930 327,946 South Coast. Drive Realignment CJSegerstrnot Grant Wilson Included Type II Road Slung St Suns 7:1.4.430 3'276 w/2 % Latex 232920 266,922 1 larbor Blvd realignment CJ Sogelstrom Grant Wilson Included Type 11 1101(1 Sk ly 8t Sons 7:14- 430 -3276 w /?% Later 222770 [,450,73.6 South Coast DriveReullgpment CJSegersttum Grant Wilson Included Typo 11ltoadSlurty & 714438 -3276 w /2% Latex BIDDER: Sully - Miller Contracting Company SECTION 3 NON COLLUSION AFFIDAMIT CBF -12 BIDDER: Sully - Miller Contracting Company N ON- COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly swam, deposes and says that he or she holds the position listed below with the bidder, the party making the foregoing bid, thatthe bid is not made in the Interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; thatthe bid is genuine and not collusive orsham; that the bidder has notdirectly 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, orthe 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 share bid. A N n � Signature Y (� Raymond Sanchez Typed or Printed Name Assistant Secretary _ Title Sully - Miller Contracting Company Bidder Subscribed and sworn before me This _ day of 20 (Seal) " *Please See Attached California Notary Jurat for Proper Wording" Notary Public in and for the State of California My Commission Expires: CBF -13 STATE OF CALIFORNIA COUNTY OF ORANGE Subscribed and sworn to (or affirmed) before me on this 5t day of June, 2012, by Raymond Sanchez proved to me on the basis of satisfactory evidence to be the person who appeared before me. 6MM�NM��MM�M�N� J. DANIBLS COMM N 1913852 m WITNESS my hand and official seal Q NOT N GE OO utronxu auwoe courrry ` j,... MrCwnmlwonE.plrwsept24,20 Signature (� J. Daniels, Notary Public Notary Seal OPTIONAL Description of Attached Document Title or Type of Document: Document Date: June 5, 2012 Signer(s) Other Than Named Above: Individual Capacity(ies) Claimed by Signer(s): Signers Name Raymond Sanchez Signers Name Individual 0 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 Affidavit Number of Pages: 1 ❑ Partner - Limited /General Attorney In Fact Trustee ❑ Guardian or Conservator ❑ Other Right Thumbprint of Signer SULLY - MILLER CONTRACTING COMPANY