SBS CorporationCITY OF ROSEMEAD
ROSEMEAD COMMUNITY RECREATION CENTER INTERIOR
RENOVATION PROJECT
PROJECT No. 31004
CONTRACT BID FORMS
BIDDER:
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID SCHEDULE... ..................... ......................... __ ... .......... I - ..........° ___
° --1
SECTION2 BID DATA FORMS ................................................................... ..............................5
2.A BID BOND_ ............................................................................................................ 6
2.B LIST OF PROPOSED SUBCONTRACTORS .......................... ..............................7
SECTION 3 NON - COLLUSION AFFIDAVIT....
...............10
GBF -12
SECTION 9 - BID
SCHEDULE
BIDDER: SSS Corporation
BID SCHEDULE
SCHEDULE OF PRICES FOR
ROSEMEAD COMMUNITY RECREATION CENTER
INTERIOR RENOVATION PROJECT
PROJECT No. 31004
1
BASE BID SCHEDULE
NO.
ITEM DESCRIPTION
UNIT OF
MEASU
RE
EST.
QTY.
UNIT
PRICE
ITEM
COST
1
General Conditions
LS
1
/�p
2
Disposal of Waste Materials
LS
1
3
Restroom Removal & Replacement
LS
1
4
Flooring
LS
1
X7(0,00
5
Painting
LS
1
soffit, doors and ceiling surfaces,
O 1 1.5
6
HVAC Work
LS
1
etc_
4 3po pp
7
Electrical work
LS
1
-3 Ste, Oa
S
Sitework
LS
1
'IU la b q &D
9
Acoustical Panels
LS
1
C
�y ()
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ ,5`4.1 ` ` l
yz- f �a r;,t,4
Dollar amount in written form 5,105 - F-66y-, p`p -o
ALTERNATE BID ITEM 1
NO.
ITEM DESCRIPTION
UNIT OF
MEASURE
EST..
QTY,
UNIT
PRICE
ITEM
COST
1 0
Removal of flooring & base and
LS
f
replacement with Linoleum
flooring & 6' rubber base for
Multi- purpose Room 1 (Room
107). Repaint all wall surfaces,
soffit, doors and ceiling surfaces,
etc_
CBF -1
TOTAL ALTERNATE Blb ITEM #1 PRICE
AL TERNATE BID ITEM 2
BIDDER'_ SBS Corporation
3y 6T2,�'7��
$
NO.
ITEM DESCRIPTION
UNIT OF
MEASURE
EST.
QTY.
UNIT
PRICE
ITEM
COST
i t
Removal of flooring & base and
LS
f
replacement with Linoleum
/ y
flooring & 6" rubber base for
9K 5-
Multi- purpose Room 2 (Room
102). Repaint all wall surfaces,
soffit, doors and ceiling surfaces
TOTAL ALTERNATE BID ITEM #2 PRICE
Dollar 6rdbunt in written form
$ l, .-2.- S'31 7i' `
TOTAL BASE BID PRICE INCLUDING ALTERNATE BID ITEM #1 & #2 $ �°Z / "
Dollar amount in written form
Note: The City of Rosemead reserves the right to reduce or increase the quantifies of any items in Gam!
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
afterthe bid opening date, or until a Contractfor the Work isfully executed by the Owner and a third
party, whichever is earlier. The undersigned also agrees that if there Ise discrepancy between the
written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall
govern.
CBF -2
BIDDER: SsS Corporation
Attached hereto is a certified check, a cashier's check or a bid bond in the amount of
Tn Hid Amt of Dollars ($ ioa said amount being not less than ten percent (iD %) of the Total
Bid Price. The undersigned agrees that said amount shall be retained by the Owner H, 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 utter of Award for
the Contract, and will deliver to the Ownerwithin 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.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.
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. none
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 -3
BIDDER: SBS Corporation
} By:
555 St. Charles Dr., Suite 202
Business Street Address
Thousand Oaks, CA 91361
City, State and Zip Code
805- 494 -4363
Telephone Number
Type or Print Name
President /CEO
Title
Bidder's /Contractor's State of Incorporation: California
Partners or Joint Venturers: none
Bidder's License Number(s):
742782
NOTES:
1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms.
2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address
3) If Bidder is a partnership or joint venture, give full names of all partners or joint
venturers.
As further discussed in the Instructions to Bidders, Bidder will be
required to provide evidence that the person signing on behalf of the
corporation. partnership or ioint venture has the anthority to do so.
CBF -A
David Alatorre
MINUTES OF SPECIAL MEETING OF
THE BOARD OF DIRECTORS OF
SBS CORPORATION
a California Corporation
A special meeting of the Board of Directors of SBS Corporation, a California Corporation, was held
on January 10, 2012, at 7 o'clock pm of said day, at Westlake Village, California, pursuant to Article
III, Section 3.08 of the bylaws.
There were present at the special meeting the following Directors:
David Alatorre, CEO /CFO
Cheryl Alatorre, Vice - President
Ellie Saucedo, Corporate Secretary
The President and Secretary of the Corporation acted, respectively, as Chairman and Secretary of the
meeting.
The Chairman announced that the meeting was duly convened and that the Board was ready to
transact such business as may lawfully come before it.
The minutes of the last meeting of the Board of Directors were read and approved.
On motion duly made, seconded, and carried, the following resolution was adopted:
RESOLVED, that David Alatorre, CFO /CEO, has complete and absolute power to affix his
signature for and on behalf of said Corporation whenever deemed necessary.
Dated this 11th day of January, 2012, @ Westlake Village, CA
WITNESSETH
Secretary
(�Ti
Char
eheorleorpmM12 -1
CERTIFICATION OF CORPORATE MINUTES
This is to certify that the foregoing is a true and correct copy of the Corporate
Minutes recorded for the Board of Directors' meeting held on
Dated: oq/f 7
- i
Ellie Saucedo
Corporate Secretary
SBS CORPORATION
31416Agoura Road, Suite 135
Westlake Village, CA 91361 -4621
Seal
BIDDER:
SBS Corporation
SECTION 2
BID DATA FORMS
CBF -5
BIDDER SBS 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
CtTY OF ROSEMEAD (hereinafter called the OWNER) ,tn the sum of
Ten Percent (10 %) of Amount Bid
DOLLARS
($ 10% of Amount Bid )„ being not less. than teh percent(10 %) of the: Total:
Bid Price; for the payment of which sum will and truly to be made, we bind
ourselves, our heirs, executors, administrators, successors, and assigns, jointly and
severally; firmly by these presents,
WHEREAS, said Principal has submitted a bid t6 the OWNER to perrorm all Work
required for the Rosemead Community Recreation Center Interior Renovation
Project asset forth in the Notice Inviting, Bids and accompanying Bid Documents,
dated
1 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 OWN ER and judgment is recovered, said Surety shall pay all costs
incurred by the OWNER in suchsuit, including reasonable attorneys' fees to be fixed
by the court.
SIGNED AND SEALED, this 15th day, of April 20
Z ME
By:.
David AtaXnyw , Wisat ha ( Cell
L) The Ohio Casualty Insurance Company (Sj A,E)
Surety
By -��
Signature
Christopher Lydick, Attorney -in -Fact
CBF 6
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
Certificate No. 5962306
Amercan Fire and Casualty Company Liberty Mutual Insurance Company
The Ohio Casually Insurance Company West Amercan Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: ThatAmerican Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of
the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the Stale of Massachusetts, and WestAmerican 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, Bobbl D. Pendleton Camille Smitri; Christopher.Lydick; Heatfter Burroughs; .Kenneth J. Peeples; Kitara A. Smith; Neil Biller; Phoebe C.
Honeycutt
all of the city of Durham slate of NC each individually if [here be more than one named, its true and lawful attorney -in -fact to make, execute, seal, acknowledge
and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surely obligations, in pursuance . of these presents and shall
be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies . in their own proper persons..
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 24th day of January : , 2013
c c v iNT� s n�u 4. American Fire and Casualty Company
'N'F The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
_ &-t�196C J jjj o ''' / / 919 191
WestAmerican Insurance Company
a) � � , ._� ., la
15 STATE OF WASHINGTON as Gregory W. Davenport, Assistant Secretary
m
COUNTY OF KING
On this 24th day of January 2013 before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of American -
y Fire and Casually Company, Liberty Mutual Insurance Company, The Ohio Casually Company, and West American Insurance Company, and that he, as such, being authorized so to do,
2 execute the foregoing instrument for the purposes [herein contained by signing on behalf of the corporations by himself as a duly authorized officer.
f> 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.
U) o ne y X1.
By:
i� c �� - KD Riley, No Public
;.O cG
d
This Power ofAttorney is "made and executed pursuam to and by authoriy of the following By -laws and Authorizations ofAmerican Fire and Casualty Company, The Ohio Casualty Insurance
Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
�` ARTICLE IV- OFFICERS — Section 12. Power ofAtlomey. Any officer or other official of the Corporation authorized for that purpose in wnting by the Chairman or the President, and subject
w to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute;. seal,
S acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such altomeys -in- fact, subject to the limitations se[ forth in their fespec[ive
a ; 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 attorney -in -Fact under
the provisions of [his 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. "
i.� ARTICLE XIII — Execution of Contracts — SECTION 5. Surety .Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president,
ad. and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act In behalf of the Company to make, execute,
seal, acknowledge . and deliver as surely any and all undertakings, bonds, recognizances and other surety obligations. Such at omeys- in- factsubject to the limitations set forth In their '
w 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 appoint such
attomeys -in- factors may 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 binding 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, and West
American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and Correct Copy of the Power of Attorney executed by said Companies,
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 this 1 O_ day of 20 .
By:
' David M. Carey, Assistant Secretary
s
r
LMS 128]3 092012 125 of 200
CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT
.................................... ...............................
State of North Carolina
County of Durha
On April 15, 2013 before me,
Dale
personally appeared Christopher Lydick
Kitara A. Smith
Name and Tine of Nolm,
Name and or Names or Slgner(s)
Who proved to me on the basis of satisfactory evidence
to be the person(s) whose name(s) is /are subscribed
to the within instrument and acknowledged to me that
he /she /they executed the same in his /her /their authorized
capacity(ies), and that by his /her /their signature(s) on the
lllllllll /t
r executed
PtiA A. SM�ls
which the person(s) the instrument.
42 ````
Notary Public
I certify under PENALTY OF PERJURY under the laws of
_ Wake County =
the State of California that the foregoing paragraph is true
=MV C Imes
and correct.
Witness my han a d official se
Z 1°SIf
/ O � rr f/ I CARO����`�
Signature
o = ifirairm
Place Nalary Public Seal Above
OPTIONAL
Though the information below is not required by law, it may prove valuable to the persons relying on the document and could prevent fraudulent removal
and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document
Document Date
Number of Pages:
Signer's Name:
❑ Individual
❑ Individual
❑ Corporate Officer — Title(s):
❑ Corporate Officer — Title(s):
❑ Partner - ❑ Limited []General
❑ Partner - ❑ Limited ❑ General
❑ Guardian or Conservator
Top of Thumb
❑Guardian or Conservator Mam
Top of Ihlmlb
❑x Attorney -in -Fact
❑ Attorney -in -Fact
❑ Trustee
❑ Trustee
❑ Other:
❑ Other:
Signer is representing
Signer is representing
BIDDER: SBS Corporation
2.B LIST OF PROPOSED SUBCONTRACTORS
In compliance with the "Subletting and Subcontracting Fair Practices Act,' Sections 4100
through 4114 of the California Public Contract Code, and any amendments thereto, each
Bidder shall provide the information requested below for each subcontractor who will
perform work, labor or render service to Bidder in or about the construction of the Work in
an amount in excess of one -half of one percent (greater than 0.5 %) of the Bidder's Total
Bid Price, or, in the case of bids or offers for the construction of streets or highways,
including bridges, in excess of one -half of 1 percent of the Contractor's total bid or ten
thousand dollars ($10,000), whichever is greater, and shall further set forth the portion of the
Work which will be done by each subcontractor. Bidder shall list only one subcontractor for
any one portion of the Work.
Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow
Bidders twenty -four (24) additional hours afterthe deadline for submission of bids to submit
the information requested by the Owner abouteach subcontractor, other than the name and
location of each subcontractor.
If the Bidder fails to specify a subcontractor for any portion of the Work to be performed
under the Contract, it shall be deemed to have agreed to perform such portion itself, and
shall not be permitted to subcontract that portion of the Work except under the conditions
hereinafter set forth below.
Subletting or subcontracting of any portion of the Work in excess of one half of one percent
(greater than 0.5 %) of the Total Bid Price or, in the case of bids or offers for the construction
of streets or highways, including bridges, In excess of one -half of 1 percent of the
Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no
subcontractor was designated in the original bid shall only be permitted in cases of public
emergency or necessity, and then only after Owner approval.
CBF -7
BIDDER: SBS Corporation
221 LIST OF PROPOStA SUBCONTRACTORS (continued)
rou &WWrerDeftwdSowumco0Wbm I
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name' All Power Systems
Address : Canyon Country, CA Electrical
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: Gilbert Ferez General Concrete Const ruction
Address: Oxnard, CA Concrete
Name and Location
of Subcontractor
Name: I & E Cabinets, Inc.
Address : Van Nuys. CA
Name and Location
of Subcontractor
Nam,: Prime Acoustics
Address* Village, CA
DescrifoWn of Work
to to Suboorrtracted
Millwork
Description of Work
to be Sub=trsoted
Acoustical Ceilings
Name and Location
of Suboontractor
Name: Royal Service Air Conditioning
Address: San Gabriel, CA
Description of Work
to be Subcontracted
HVAC
CBF -8
BIDDER: SBS Corporation
2.8 UST OF PROPOSED SUBCONMACTORS (con inui d)
C'Dupkift N"2 Pages I Abb Wfor MWQad"" 8%b6W**0
Name and Location Description of Work
of Subcontradw to be Subcontracted
Name: Visible Graphics
Address: Canoga Park, CA Signage
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: Direct Office Solutions Toilet Partitions
Address: Lake Elmo, MN and Accessories
Name and Location Description of work
of Subcontractor to be Subcmtracted
Naas' J, Colavin & Son Inc.
Address: Los Angeles, CA Ceramic Tile
Name and Location Description of Work
of Subcontractor to be Subcontracted
Narne: "M ,12 � , I
Address /.��y °LSS:cI r1fnT�rV
Name and Location
of Subcontractor
Nerve: �` �L/ AL3/ �JdG+/2 ai ex.,0 6
Addres vs�
Description of Work
to be Subcontracted
rlw"Aldo
CBF -6
BIDDER SBS Corporation
2M LIST OF PROPOSED SUBCONTRACTORS (continued)
f••WpOnte RM2r`aoftihaededIN#M* aMMMM subMftctW'l
Name and Location Description of Work
of Subcorractor to be Subcontracted
Name: pe-� f— /" ee (!A/!; '+7 C r 1n.5 - = /��
Address ezc'1,rx/Tia, 0,4- 7 / v 4ilv-
Name and Location
of subcontractor
Name:
Address: /r—
Description of Work
to be Subcontracted
O
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
I:RRF -1
Name and Location
of Subcontractor
Name:
Descrbtbn of Work
to be Suboontracted
Description of Work
to be Subcontracted
Description of Work
to be Subcontrac g eed
CBF -8
BIDDER: SBS Corporation
2.0 REFERENCES
The following are then ames, addresses and telephone numbers for three public agencies for which BIDDER
has performed Similar work within the past two (2) years:
See Attached
i.
Name and Address of Owner
and telephone number of person familiar with project
Contract amount Type of Work Dale Completed
2.
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 Data Completed
C
Name and Address of Owner
Name and telephone number of person famlllarwith project
Contract amount Type of Work Date Completed
CBF.9
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BIDDER:
SBS Corporation
SECTION 3
NON - COLLUSION AFFIDAVIT
CBF -10
BIDDER: SBS Corporation
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, 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 olthe bidder or any other bidder, or to fix any overhead, profit, orcost 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 willAot pay, any fee to any
corporation, partnership, company association, organization, / i depository, or to any
member or agent thereof to effectuate a cotl"Ive or sham bid.
David Alatorre l/
Typed or Printed Name
President /CEO
Title
SBS Corporation
Bidder
Subscribed and swom before me
This _ day of —.20—
(Seal)
Notary Public in and for
the State of California
My Commission Expires;
CBF - 11
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202
V See Attached Document (Notary to cross out lines 1 -6 below)
L� a Statement Below (Lines 1 -6 to be completed only by document signer[s], not Notary)
County of V Qti I U f 6q
om ASS M 23032 R - CALIFORNIA U OUNTY 1 . Jan.24, 2015
Place Notary Seal Above
Signature of Notary Public (1, _/
Though the information below is not required by law, it may prove valuable 'fop of thumb here Top of thum ere
to persons relying on the document and could prevent fraudulent removal
and reattachment of this form to another document.
Further Description of Any Attac //h��ed Document (� I
Title or Type of Document: �N U 1 u . ; i YA 4
Document Date: _ Number of Pages:
Signer(s) Other Than Named Above:
A04
Signature of Document Signer No. 2 (if any)
Subscribed and
�� sworn to (or affirmed) before me
�4'—
on this / ay of 20_(
Data Month Year
b
(1) (AId p 11 I G1 f7
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me
(and
in of Signer
proved to me n t e is of satisfactory evidence
to be the rso appeared before me.)
0 2010 National Notary Association • NalionalNotaryarg • 1800 -US NOTARY (1800 -8]6 -682]) Item N5910
State of California