Hoffman Management ConstructionCITY OF ROSEMEAD
ROSEMEAD COMMUNITY RECREATION CENTER INTERIOR
RENOVATION PROJECT
PROJECT No. 31004
CONTRACT BID FORMS
BIDDER: � �, l6VIC L
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID SCHEDULE ...........................
SECTION 2 BID DATA FORMS ....................... ...............................
2.A BID BOND .................................... ...............................
2.B LIST OF PROPOSED SUBCONTRACTORS.. ...........
SECTION 3 NON - COLLUSION AFFIDAVIT
. ..............................1
..................... 5
.....................6
.....................7
10
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SECTION 1- BID
SCHEDULE
BIDDER: k l' +A1
BID SCHEDULE
SCHEDULE OF PRICES FOR
ROSEMEAD COMMUNITY RECREATION CENTER
INTERIOR RENOVATION PROJECT
PROJECT No. 31004
BASE BID SCHEDULE
NO.
ITEM DESCRIPTION
UNIT OF
MEASU
RE
EST.
CITY.
UNIT
PRICE
ITEM
COST
1
General Conditions
LS
1
OURY
dppp o
1
UT - 11
2
Disposal of Waste Materials
LS
1
1
0
Multi- purpose Room 1 (Room
0
3
Restroom Removal & Replacement
LS
1
107). Repaint all wall surfaces,
ov
4
Flooring
LS
1
G( 2 e
(
t?Vo
5
Painting
LS
1
-� 3
5 � ov
6
HVAC Work
LS
1
�I has"
11S �� o0
7
Electrical work
LS
1
8
Sitework
LS
1
lil
ab
11
�WL
9
Acoustical Panels
LS
1
b� a
01
5t av
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ D b @ b - j l
9)
Dollar
ALTERNATE BID ITEM 1
NO.
ITEM DESCRIPTION
UNIT OF
MEASURE
EST.
CITY.
UNIT
PRICE
ITEM
COST
10
Removal of flooring & base and
replacement with Unoleum
LS
1
y 9 ,
dppp o
1
flooring & 6" rubber base for
I f
Multi- purpose Room 1 (Room
107). Repaint all wall surfaces,
soffit, doors and ceiling surfaces,
etc.
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BIDDER:
T OTAL ALTERNATE BID ITEM #1 PRICE $ ��}�.
written
ALTERNATE BID ITEM 2
NO.
ITEM DESCRIPTION
UNIT Of
MEASURE
EST.
QTY.
UNIT
PRICE
ITEM
COST
1
Removal of flooring & base and
LS
1
replacement with Linoleum
flooring & 6' rubber base for
/
I b /��
U
Multi- purpose Room 2 (Room
102). Repaint all wall surfaces,
soffit, doors and ceiling surfaces
TOTAL ALTERNATE BID ITEM #2 PRICE
q
Dollar amount in written form ' 17 L} y
TOTAL BASE BID PRICE INCLUDING ALTERNATE BID ITEM #1 & #2 $
m4ud yw "u4 6l�
Fl!� el,I"
amount in writt n 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 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.
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BIDDER. i' 1&a1'II
tt the her to is a certified check, a cashier's check or a bid bond in the amount of
b "u tUl 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,
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 Ownerfor 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 liouidated damaaes shall apply to this Contract in the amounts
of five hundred dollars ($500.00) if project is not completed in one hundred twenty (120) calendar
days. The Contract Time will begin to run ten (10) Working Days from the date of the Notice of
Proceed and subject to the terms and conditions described in the Contract Form and the Contract
Documents.
Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be
incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder
further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data
submitted herewith into a contract arising out of this Bid.
The undersigned acknowledges receipt, understanding and full consideration of the following
addenda to the Contract Documents.
Addenda Nos. N try,
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.
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BIDDER: i $M Aj v 0
By:
Signature
Type or Print Name /
1/.' 1e 40 S i
Title
Business S treet Address
10 fte , l ��01�
City, Stale d Zip Code
Telephone Number
Bidder's /Contractor's State of Incorporation: Q inm
Partners or Joint Venturers:
Bidder's License Number(s):
54 b92
NOTES:
1)
2 )
3)
By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms.
If Bidder is a corporation, enter State of Incorporation in addition to Business Address
If Bidder is a partnership or joint venture, give full names of all partners or joint
venturers.
As further discussed in the Instructions to Bidders, Bidder will be
required to provide evidence that the person signing on behalf of the
corporation, partnership or joint venture has the authority to do so.
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BIDDER: *o � U I}Ll
SECTION 2
BID DATA FORMS
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BOND NO. 1000955102 -26
Premium Included in BBSU.
BIDDER: Management & Construction
Corporation
Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid
Data Forms. Bidders shall prepare and use as many sheets as are necessary to adequately
provide the Information required. Bidder shall ensure that every page of its Bid Data Forms are
properly identified with the Bidder's name and page number,
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT Hoffman Management & Construction Corporation, ; as
Principal, and American Contractors Tnd Pmnit Cmm�an� _
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten Percent of the Total Amount of the Bid in ---------
($ 107 ), 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, ourheirs, 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 Rosemead Community Recreation Center Interior Renovation
Project as set forth in the Notice Inviting Bids and accompanying Bid Documents,
dated _ April 17 2013
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 adomeys'fees to be fixed
by the court,
SIGNED AND SEALED, this 16th day of
Hoffman Management &
Construction Corporation (SEAL)
Principal
By: By:
St nature
April, ' 2013 .
American Contractors
V co
� � J
Ig 111
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
State of California
County of Los Ameles
On A pril 16, 2013 before me, M. S. Rodriguez. Notary Public
Dale Here Insert Name and Thle of Ne Officer
personally appeared ELISAEETE SA LAZAR
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to
be the person( whose name(g) is/are subscribed to the
within instrument and acknowledged to me that
he/she/thW executed the same in beither/their authorized
capacity(ise), and that by J;Wher /their signature(s) on the
instrument the person($), or the entity upon behalf of
which the person(§r) acted, executed the instrument.
M. S. RODRIGUEZ
NOTARY PUBLIC - CALIFORNIA
Los ANG ELES COUNTY
MY COMM RE P IAN=2, 2010
Place Notary Seal Above
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 1 and official sea].
Signature C�� �";5��
Signature of Notary g blfc
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
FJ Corporate Officer— Title(s):
I I Partner — ❑ Limited ❑ General
Attorney in Fact
IJ Trustee
❑ Guardian or Conservator
Other:
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
0
Number of Pages:
Signers Name:_
❑ Individual
❑ Corporate Officer — Title(s): _
❑ Partner — FA Limited ❑ General
❑ Attorney in Fact
IJI Trustee
IJ Guardian or Conservator
❑ Other:
Signer Is Representing:
RIGHTTHUMBPRINT
OF SIGNER
®2W7 National NOlary Assccialiolr93 De SOW AW,P.0.BOa2402•ChalamrrtIn CA 91313 -2402•vMay.NalionalNolaryorg Ileme5907 Reorder Call Tol4Fnae 1- 30Ue16-8027
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POWER OF ATTORNEY
RS INDEMNITY COMPANY UNITED STATE SURETY COMPANY U.S. SPECIALTY AMERICAN CONTRALTO AN UN S INSURANCE COMPANY
�,) Y P IVlli IIVI . III I IIII II P ContractorsUd �` t a lifomia corpmattoa,> - atfced Seta es
�F THESE P I E I, � I r.
eta p a Maryland VIII I Il l f l l ' I��Itpecialty Insur MmRan� as corporation— �u�ttt� h
b these resent e, d It an a point:
Patricia Zenizo or Elisabete Salazar of Los Angeles, California
its true andl -in -fact eac in their- s �azat e capacity if more than one i e¢, rI
ferc aer� edits name, lat�ea IWII II Ilol III ILlly hlllbove, with full power and a udwl
�'
bar p e €r e lmowledge a 'ill d ICI 99uR� da, recogmznnee?�u�erSa
° o� -0t ffer mst or contrac - ni nde riders a II9 IIII Il�.� 11111 ',p�
�# III � is c lru, rslli'�ts of surety, p t��DS
_._ pens dues not exceed — * *Three Million * ** Ill I IIIV III IIIIII Dollars (s *t900;)W.00')
This Power of Attorney shall expire without further action on December 08, 2016. This Power of Attorney is granted under and by
authority of the following resolutions adopted by the Boards of Directors of the Companies:
Be it Resolved, that the President, any Vice - President, any Assistant Vice - President, any Secretary or any Assista Se cretary shall be and is hereby vested with fu
d au�out�-- appoint any one or mo IIII �� erso I II I { Q ey(s) -in -Fact to repres ^d f ocand -�ialf of the Company subject W.A
_
a of and on behal
`sI I l�
drrr nce given full powe II 'III II Irl�I tI III le £mnp� - o— acknowledge and �e li_ver - ar Imnds
recog =nces;_contracts, agreements or n �ry Idyll othe onditional or obligatory undertaking s, urcludmg any and all consents for Iht- releases retained
percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability
thereunder, and any such instruments so executed by any such Attomey -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected
by the Corporate Secretary.
Be it Resolved t the signature of any authorized officer amLsc lv c Company heretofore or hereafter a l to,,lan power of attorney or any ce rtifica te redanr
rmnde n to whtoh I[ s alla d � rsa{e Br yn I VIII I �� IIII 11 I ' '�di.binding upon the=Contgan � W
s
— Y Po = Y ae�tmile signature or s r ' I
l� I II Il i ill I lli I,I.
-- IN WHEREOF, The Companles'Pave caused this instrument to fgn d their corporate seals to be ff ereto a�fxed, this
10th day of December, 2012.
AMERICAN CONTRACTORS INDEMNITY COMPANY .UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY
Oi�3 e��a _ u N S pnc.o x N IIIiI`s i 1��V VIII �� /j� IIII
o I I� III
State of California
h 7iI11V � E
°- Daniel AP Daniel sill Vice President
*„
IIIIII II IIII IIIIe9lili'I --
Z'nnrrt les SS: '
O tf day December, 2012, be &d m�nessWight, a a notary publi I e I d I � ull,�''I'l I a II I Ill�tl ar a D VIII gu t - mi
e Daniel P. A flace Prestde_nT_of
American Contractors Indemnity Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me
on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that
he executed the same in his authorized capacity, and that by his signature on the instrument t p erson(s), or the entity upon behalf o
w hfch_th rs acted, executed
in& IIII IIIIII �I II - -
WITNES nd a d Y OF i e ilh I I 111111,1111111 l f the State of s o 11 mooing pazagraph tat -ri. nd_c otmE€t -
t ill s e t
�. eamalloon / IOMIS I
ila
Signature (Seal) uyt- r�getw
___. tam A" it" euuMY Ili
_ � ty III I IIV � I f M Civil to I aM Q rata _
�Illu i� III'
=.eanmee tap=hnY , t do t hereb ta re �ttalarwfore a `III Ili c
_ s I , ety Compan39" S&c tE
- lftrance O y g g p, I�e d Po II " a Power of At tr`ruey ceestted }
-- said Companies, which is still in fultTorce and effect; furthermore, the reso u of the Boards of Directors, set out the Power of
Attorney are in full force and effect.
In Witness W hereof , l have hereunto set m hand xed the seals of said Com Los-A ngeles, California this 16th da
f PrL 201311III' III mIIIII VIlll VIII II
Corporate Seals
`.c`o�,lnPCroas g.,, so
Bond No 1000955102 - 26
Mil
u,P 'II�I,II'llll�ll
X57 ,, Ye *1+ jlll'i,'IIIinIIe Cant Secretary
Vie I,sll',; -
_ I 111'1111 ( II II , VIII
V I ,I „
1 1 I IIiI I II —_
BIDDER: LI,
v.
2.8 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 itwill 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.
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BIDDER: WW U I r�T 1'�NUL�IVl7
2.13 LIST OF PROPOSED SUBCONTRACTORS (continued)
t "Duplicate Next 2 Pages If needed for listing additional subcontractors.. "t
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: f"1`Amy � �
Address: I q
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
1`f % �Viyv #�°f���
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Name: h'CNIC�� tkQ t t��C "l �
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
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BIDDER: I MW NA'241 hl'6'C'
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:
,. 2222 S. ';'041o\ LLC _ Bt I V)
Name and AMess of Owner
b1p 1wk N& 31 ; -M -. >_`
Name and teleph ne number of person familiar with project
MVIY
Contradt amount Type of Work I Date Completed
2. C -LA ` �% N. L6� AVW 6 V'- 40)
Name and telephone number of person familiar with project
1152 m-� r�2oz1� �c 'i��151� W4 J O�11W1 .2 12
oontra amount Type of Wdrk Date Completed
3. �cuc � uS ua wS l iv Iwn
Name and Addr s of wne
4.
Name and tdlephone number of person famil
I vi '167 to t 11.. L.
and
iar with project N
1 I Types o11 k Date Completed
L kc . c—A
Namd and telephone number of person familiar with project
j 71S 1 m).'° tattt °}� ���t� 3'�� r l� Wiv \`f�1-
( n ract amount vDe of Work Date ComDle I d
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BIDDER: G 14 46 ch�
SECTION 3
NON - COLLUSION AFFIDAVIT
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BIDDER: Y) IYAl
kj
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 notcoilusive or sham; that the bidder has notdirectiy 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 oranyone 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 tofix
the bid price of the bidder or any other bidder, orto 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 sham bid.
Signature
Evr; � �crFfma�v�
Typed or Printed Name
V 2e, PyPSIJC n
Title
H n a E I
Bidder
Subscribed and sworn before me
This I 7 day of A Dr; I 20J 3
r ar y Public in and .O1
e of California
My Commission Expires: a D O 1 q
(Seal)
a _ - - - --
-7 ;0 y
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