Hardy & Harper, Inc.1
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CITY OF ROSEMEAD
' MISSION DRIVE STREET RESURFACING PROJECT
FROM ROSEMEAD BOULEVARD TO VALLEY BOULEVARD
PROJECT No. 21015
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CONTRACT> BID FORMS
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CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID
SCHEDULE ................................................................... CBF1 - CBF6
SECTION 2 BID DATA FORMS ...................................... ...........................CBF7
2.A BID BOND ................................................. ...........................CBF8
2.6 LIST OF PROPOSED SUBCONTRACTORS ..................... CBF9 -CBF11
SECTION 3 NON - COLLUSION AFFIDAVIT ................ ....................CBF12 -CBF13
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SECTION 1 - BID SCHEDULE
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BID SCHEDULE
SCHEDULE OF PRICES FOR
MISSION DRIVE STREET RESURFACING PROJECT
FROM ROSEMEAD BOULEVARD TO VALLEY BOULEVARD
PROJECT No. 21015
BASE BID SCHEDULE
Pcr AddtvxAvA No• ► kW RcLjj t
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UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans
LS
1
and specifications. See technical
provisions TP -2, TP -3 & TP-4.
00
3 , p d
2
Disposal of Waste Materials.
LS
1
3 0 DO. OCR
O d
3
Cold mill 2.0- inches thick existing
SF
183,700
pavement.
U. 13
A 3 M/ • LO
4
Construct 1.5 inches thick
TONS
1,653
i
pavement overlay ARHM -GG -C
(PG 64 -16) as indicated on the
plans.
f9
5
Construct 1.0 inches thick
TONS
4,448
Asphaltic Leveling course D1
I 1 Da
(PG 64 -10) as indicated on the
1
plans.
Od
30/ 540 0
6
Remove 6- inches of existing
SF
500
pavement and replace it with 3.5-
inches of AC B -PG 64 -10 Base
Course over compacted native.
6. d
3 00 D• b D
7
Remove, Dispose and Construct
SF
7778
4- inches thick PCC Sidewalk per
SPPWC Std. Plan 113 -1.
S
y qsG
8
Remove, Dispose and Construct
SF
2270
PCC Driveway Approaches per
SPPWC Std. Plan 110 -2.
9
Remove, Dispose and Construct
LF
592
8- inches Curb and 24- inches
Gutter per SPPWC Std. Plan
120 -2.
-O l e i
le y
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TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ �j�t 7, O0D • O D
., hunJi'z J 2C f./ y,
Dollar amount in written form
/1/4 eS a17-( /V Cc�,IS
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UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
10
Remove, Dispose and Construct
EA
5
PCC Curb Ramps per SPPWC
Std. Plan 111 -4.
q
e( .6
Jo0, 06
11
Adjust Sewer Manhole to Grade
EA
29
per APWA Std. Plan 205 -1 and
206 -1.
`3SD Od
/S qjv. 0
12
Adjust Water Valve /Gas Valve to
EA
32
Grade.
l00.06
3 o200.0
13
Install Survey Well Monument
EA
5
per City of Rosemead Std. Plan
S08 -001. See Section 2 -9
Surveying of the General
Provision -7 per details (Cover,
Sleeve & Dome will be provided
by the City at no cost).
��. 00
000, 0to
14
Install Traffic Striping, Traffic
LS
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Signal Loops, and Pavement
Markers ( Including 8" Raised
Pavement markers per the
Striping Plans and Specifications
Complete.
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15
Prepare a Storm Water Pollution
LS
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Prevention Plan (SWPPP)
c) Dao. 00
2 000
16
Remove, Salvage and Install
EA
6
s /O, O
Street Name Signs on Existing
Poles; City will provide the Signs.
8 • 00
17
Remove, Salvage and Install
EA
2
Street Name Signs on new
Poles, City will provide the Signs.
p2aQ. 00
1/ 06- 0
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ �j�t 7, O0D • O D
., hunJi'z J 2C f./ y,
Dollar amount in written form
/1/4 eS a17-( /V Cc�,IS
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O / I ■ / 191 I.
ALTERNATE BID ITEM No. 1
WROUGHT IRON FENCE
INTERSECTION OF WALNUT GROVE AVENUE AND MISSION DRIVE
NO.
ITEM DESCRIPTION
UNIT OF
MEASURE
EST.
QTY.
UNIT
PRICE
ITEM
COST
18
Install Wrought Iron Fence 6
LF
320
feet, 1 112" rails and 3/4" pickets,
all tubing 100% galvanized inside
and out and powder coated and
2" post per Kingmetals or
aOQ • 00
(py 000. O
approved equal.
/
TOTAL ALTERNATE BID PRICE No. 1 (SCHEDULE �� BID PRICE):$ In y, a OD • 0 !J
5;4 -- � 1 ✓ �2 � ✓ScrV4 clv /t S
Dollar amount in written form
TOTAL U'e BASE & ALTERNATE BID PRICE �$ 1.J o2 �/ 0 6 0 • a 0
' r ` _ `/ K / / �e- c l T
I �l - ale eel, / C '• ci h T 7'/�O dSgrt d
Dollar amount in written form eLyo
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.
1 Attached hereto is a certified check, a cashier's check or a bon in the amount of
1 %• 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,
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05/14/2013 12:51 FAX
MAYOR:
POLLY LOW
MAYORPR0 7TM:
Wni ALARCON
COUNCIL MEMBERS:
SANDRA A&n A
MARGA CLARK
STEV NLY
May 13, 2013
8838 E. VALLEY BOULEVARD P.O BOX 399
ROSEMEAD. CALIFORNIA 91770
TELEPHONE (626) 569 -2100
FAX(626)307-9219
CITY OF ROSEMEAD
ROSEMEAD, CALIFORNIA
ADDENDUM NUMBER 2
To all prospective bidders under Bid Documents for the
MISSION DRIVE STREET RESURFACING PROJECT
Project No. 21015
1. You hereby informed that Alternate No. 2 shall be added to the Contract Bid
Schedule of Items:
Alternate No. 2
Storm Drain Construction
X001 /003
NO
UNIT OF
EST
UNIT
ITEM
2
ITEM DESCRIPTION
MEASURE
QTY
PRICE
COST
19
Install Storm Drain System as
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indicated on the attached Plans
yS 000 • v0
Q pp p (�
Complete.
.
TOTAL ALTERNATE BID PRICE No.2 (SCHEDULE BID PRICE):$
Dollar amount in written form
2. The rest of Bid Documents as originally issued shall be used in submitting bids, and
an acknowledgement of receipt of this Addendum Number 2 shall be entered on the
page CBF — 5 of the Contract Bid Forms. Failure to provide such acknowledgement
shall render the bid as non - responsive and subject to rejection.
BY ORDER OF THE CITY OSEMEAD
By �� ✓
Rafael Fajardo
Associate Civil Engineer
Page I
05/14/2013 12:51 FAX
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05/14/2013 12:53 FAX
BIDDER:l
we fail or refuse to execute the Contract and furnish the required bonds, certificates and
endorsements of insurance and other certifications within the time provided.
If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be
prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for
the Contract, and will deliver to the Owner within that same period the necessary original Certificates
of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other
' documentation and certification required by the Contract.
The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body
all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton
Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the
Business and Professional Code), arising from purchases of goods, materials or services by the
' Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and
become effective at the time the purchasing body tenders final payment to he Contractor.
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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 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.
Addenda Nos. #1.
The undersigned acknowledges receipt, understanding and full consideration of the following
addenda to the Contract Documents.
The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and
equipment or supplies necessary to complete the Work as described in the Bid Documents. If this
bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the
necessary bonds and accept the Total Bid Price as compensation in full for all Work under the
contract.
CBF -5
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5ltx'C h i V'GM y{r r
Type or Print Name
1 la Far"i V 1t vvt V Av w,4
Business Street Address
Ga.✓1'la ,Av101 C.4 el a'l 05 -
City, State and Zip Code
- 114-4 U q- 1
Telephone Number
' Bidder's /Contractor's State of Incorporation: Cr1LI �ornia
Partners or Joint Venturers:
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NOTES:
Bidder's License Number(s): a1595191
1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms.
2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address
3) If Bidder is a partnership or joint venture, give full names of all partners or joint
venturers.
As further discussed in the Instructions to Bidders, Bidder will be required
to provide evidence that the person signing on behalf of the corporation,
partnership or joint venture has the authority to do so_
CBF -6
MINUTES OF BOARD OF DIRECTORS
HELD ON NOVEMBER 15, 2005
The Board of Directors met this date pursuant to the president's request for a special
board meeting. Notice was waived. All directors being present in the office of the corporation
the meeting was called to order by the president and;
The Secretary then presented the waiver of notice which was agreed to by all directors
and entered in the minutes.
The following directors were present being all the acting directors:
Fred T. Maas, Jr.
Daniel Maas
Steven M. Kirschner
Kristen S. Paulin
The President, Fred T. Ivlaas Jr., then called the board's attention to the purpose of the
meeting which was to authorize Daniel Maas as a director and CEO, Steven M. Kirschner as a
director and Vice President, and Kristen S. Paulin as a director and secretary of the corporation
to enter into contracts, bids and other documents on behalf of the corporation.
On motion unanimously carried the following resolution was adopted:
Daniel Maas, Steven M. Kirschner, and Kristen S. Paulin are authorized to sign
contracts, bids, credit applications and necessary documents on behalf of the corporation to bind
the corporation as he and the president of the corporation agree.
'There being no turther business, the meeting was adjourned.
DATED: November 15.2005
FRED T. MAAS, JR., President
r
TfI . PA LINO, Secretary
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SECTION 2
BID DATA FORMS
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1 BIDDER: rAq Q ✓ nn.
' 2.6 LIST OF PROPOSED SUBCONTRACTORS
In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100
' through 4114 of the California Public Contract Code, and any amendments thereto, each
Bidder shall provide the information requested below for each subcontractor who will
perform work, labor or render service to Bidder in or about the construction of the Work in an
amount in excess of one -half of one percent (greater than 0.5 %) of the Bidder's Total Bid
Price, or, in the case of bids or offers for the construction of streets or highways, including
bridges, in excess of one -half of 1 percent of the Contractor's total bid or ten thousand
' dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work
which will be done by each subcontractor. Bidder shall list only one subcontractor for any
one portion of the Work.
Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow
Bidders twenty -four (24) additional hours after the deadline for submission of bids to submit
' the information requested by the Owner about each subcontractor, other than the name and
location of each subcontractor.
If the Bidder fails to specify a subcontractor for any portion of the Work to be performed
' under the Contract, it shall be deemed to have agreed to perform such portion itself, and
shall not be permitted to subcontract that portion of the Work except under the conditions
hereinafter set forth below.
Subletting or subcontracting of any portion of the Work in excess of one half of one percent
(greater than 0.5 %) of the Total Bid Price or, in the case of bids or offers for the construction
of streets or highways, including bridges, in excess of one -half of 1 percent of the
Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no
subcontractor was designated in the original bid shall only be permitted in cases of public
emergency or necessity, and then only after Owner approval.
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CBF -9
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Name and Location
of Subcontractor
' 2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
[ — Duplicate Next 2 Pages if needed for listing additional subconbactors. -- ]
Name and Location Description of Work
' of Subcontractor to be Subcontracte
Name: cf
' Address S� o //
�-6 S �q. ✓� m s � T
�-
' Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: 7 6-S 1���• �• • cS d �e
Address: / 3,X-„ I^ fo 4 - n
Cit? a n Cf C /`}-
1
Name: �y -, (�0 /'41 7,[ / a -2 -
Address y9j7/
Sun (/a l��i� r1 /3 z
Description of Work
to be Subcontracted
'
Name and Location
of Subcontractor
Name:
Address:
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
"IC[ K egs
Name:
Address:
Description of Work
to be Subcontracted
CBF -10
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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:
.Se{ At lw\r\r�A
and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
2.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
3.
Name and Address
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
Name and Address
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
CBF - 11
Attachment A
Mardy cMarper, Inc.
Owner /Agency Contact. Project (Amount & End Date)
City of Paramount
Juan de Castro, PE
FY 2012 Arterial Street
16400 Colorado Ave.
(562)220 -2020
Resurfacing
Paramount, CA 90723
f.(562)220 -2105
$ 747,000.00 10/12
City of Palos Verdes Estates
Floriza Rivera, PE
2012/13 Overlay Project
340 W. Palos Verdes Drive
(310)378 -0383 x 2221
Palos Verdes Estates, CA
frivera @pvestates.org
90723
$ 747,000.00 10/12
City of Desert Hot Springs
Hal Goldenberg, PE
2012 Street Rehabilitation
65 -950 Pierson Blvd.
(760)329 -6411
Program, Phase 2
Desert. Hot Springs, CA
hgoldenberg @cityol'dhs.org
92240
$ 1,212,000.00 11/12
2012 Grind & Overlay
City of Perris
Chris Sunde, PE
Rehabilitation /
101 N. "D" St.
Tri Lakes Consultants
Metz Rd. & Goetz Rd.
Perris, CA 92572
(951)943 -6504
Paving Project
chris@trilakeeonsultant.s.coin
$ 789,000.00 11/12
City of Orange
Alan Truong, PE
FY 11/12 CDBG Alley &
300 E. Chapman Ave.
(714)744 -5568
Street. Improvements
Orange, CA 92866 -1508
atruong @cityoforange.org
$ 755,000.00 12/12
Attachment A
7Cardy zs 7farper, Inc.
Owner /Agency Contact Project (Amount & End Date)
County of Los Angeles
Hoda Hassan, PE
Colima Road et al.
9000 S. Fremont Avenue
(626)458 -4955
Phase 2
Alhambra, CA 91803
hhassan @dpw.lacounty.gov
$ 1,186,000.00 7/11
City of Inglewood
Albert Mendoza, PE
Street Improvements
1 Manchester Blvd.
(714)595 -8563
FY 2010 -11
Inglewood, CA 90301
amendoza @cityofinglewood.org
$ 769,000.00 8/11
City of Redlands
Bassam Alzammar, PE
Resurfacing of Church,
35 Cajon Street
(909)798 -7584
Center & Alessandro
Redlands, CA 92373
balzammar@cityofredlands.org
Streets
$ 919,000.00 9/11
City of Palm Springs
Mike Lytar, Senior Inspector
2010 -I1 Annual AC
3200 Tahquit.z Canyon Way
(760)323 -8734
Overlay
Palm Springs, CA 92263 -2743
mike.lytar @palmsprings- ca.gov
S 1,345,000.00 9/11
City of Moreno Valley
Quang Nguyen, PM
2011 Pavement Resurfacing
14177 Frederick Street
(951)413 -3159
S 1,441,000.00 10 /11
Moreno Valley, CA 92552
quang @moval.org
2011 . Local Street Pavement
Resurfacing Phase 1
$ 2,096,000.00 10/11
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SECTION 3
NON - COLLUSION AFFIDAVIT
CBF -12
i BIDDER:
i NON-
COLLUSION AFFIDAVIT
In accordance with Public Contract Code Section 7106, the undersigned, being first duly
sworn, deposes and says that he or she holds the position listed below with the bidder, the
'
party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any
undisclosed person, partnership, company, association, organization, or corporation; that the
bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced
i
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
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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
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contained in the bid are true; and, further, that the bidder has not, directly or indirectly,
submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged
information or data relative thereto, or paid, and will not pay, any fee to any corporation,
partnership, company association, organization, bW depository, or to any member or agent
thereof to effectuate a collusive or sham b' .
Signature
i Stpup
K irsib v o r
Typed or Printed Name
Vice Pr"S,AlaV1+
Title
i Bidder
i
Subscribed and sworn before me
i This _ day of 20_
(Seal)
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Notary Public in and for
the State of California
My Commission Expires:
3p ,�{ +6tt1^ld NfJ�'Orietk �d,rct+ f(O(h CAA�( tt;kO(.
CBF -13
1
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE g 8202
N See Attached Document (Notary to cross out lines 1-6 below)
❑ See Statement Below (Lines 1-6 to be completed only by document signerfs], not Notary)
n
Signature of Document Signer No. 1
State of California
County of Orange
DEBBIE MATSEN
Commission # 1958174
a kw Notary Public • California i
i - Riverside County .
M Comm. Expires Nov 22, 2015
Place Notary Seal Above
Signature of Document Signor No. 2 (it any)
Subscribed and sworn to (or affirmed) before me
on this 21 stday of May PO 13
Date Monty Yav
by
(�) Steve Kirschner
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me (.) (,)
(and
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me.)
Signature JO UJ I A .t. t _
cgoature of Notary Public
OPTIONAL
Though the information below Is not required by law, it may prove valuable
to persons relying on the document and could prevent fraudulent removal
and reattachment of this form to another document.
Further Description of Any Attached Document
Title or Type of Document:
Document Date:
Non - Collusion Affidavit
21, 2013
Signer(s) Other Than Named Above:
Number of Pages: 1
None.
RIGHT THUMBPRINT RIGHr:THUPABPRINT
-OF SIGNER 07 � OF SIGNER K2 ""-'
O 2010 National Notary Association • NatlonalNotery.Drg • 1 -80DUS NOTARY (1-80e-876.6827) 110. 45910
ITT �r
MAY 17 2013 LJJ BIDDER: Hardy & Harper, Inc.
J
Bidder shall submit its Bid d4ta - Vgith the format shown on each of the following Bid
Data Forms Bidders shall' prepare and use as' many sheets as are necessary toiadequatefy 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 Bond No. HARHA -1279
KNOW ALL MEN-BY THESE PRESENTS:
THAT Hardy & Harper. .Inc. as
Principal, and International Fidelity Insurance Company
„ as Surety are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten Perrent of Amount Bid
($ * * * * * * * * ** ) ,.being not less than ten percent (10 %) of the .Total
Bid Price; for the payment of which sum will and, truly to-be made, we bind ourselves,
our heirs; executors, administrators, successors, and assigns, jointly and severally,
firmly by these presents:
WHEREAS, said Principalihas submitted a bid to the OWNER to perform all Work
required forthe Mission Drive Street Resurfacing Projectas setforth in;the Notice
Inviting Bids and accompanying Bid Documents, dated May 22, 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, fumishes 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'broughtupon this bond by
the OWNER and judgment is recovered, said Surety, shall pay all costs incurred by
the OWNER in such suit, including reasonable attorneys' fees to be fixed by the
court.
SIGNED AND SEALED, this 16th day of May 2013
Hard er Inc. (SEAL)
Prin I UW�
By'. By:
Signature
G&e �IrSCt^IrlevyICY T(Kow '
International Fidelity
Insurance Companv (SEAL)
Surety
Signature Dwight Reilly
Attorney -in -Fact
��]
ACKNOWLEDGMENT
State of California
County of Orange )
On May 16, 2013 before me, Susan Pugh, Notary Public
(insert name and title of the officer)
personally appeared Dwight Reilly ,
who proved to me on the basis of satisfactory evidence to be the person(&) whose name(s) is /am
subscribed to the within instrument and acknowledged to me that he /shelbW executed the same in
his /herAh& authorized capacity(bes), and that by his /heMbeis signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
SUSAN PUGH
WITNESS my hand and official seal. '= COMM . k1984229
_ Notary P ublic - California r
ORANGE COUNTY
p M Expires Apr 2 9,2015
Signature (Seal)
Susan Pugh
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
State of California
County of Orange
r
On May 21, 2013 before me,
Debbie Matsen, Notary Public
Date
Here Insea Name a.M The of 9,a Offimr
personally appeared
Steve Kirschner
Neme? of Signor(
who proved to me on the basis of satisfactory
evidence to be the person(,af) whose name(s) Ware -
subscribed to the within instrument and acknowledged
to me that he /shefthey— executed the same in
hisA wrAhelr authorized capacity(kw4, and that by
DEBBIE MATSEN
his/Ner4h it signature($) on the instrument the
Commission # 1958174
person('), or the entity upon behalf of which the
z ,cm Notary Public - California z
personV acted, executed the instrument.
z Riverside County
M Comm. Expires Nov 22,2015!
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature
Place Notary Seal Above — Saylature of Notary Pubib
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: Bid Bond
Document Date:
May 16, 2013
Number of Pages:
SignerW Other Than Named Above: Dwight Reilly
Capacity(lies) Claimed by Signer(
Signer's Name: Steve Kirschner Signer's Name:
X Corporate Officer — Title(py: Vice Pres . ❑ Corporate Officer — Title(s):
❑ Individual .
❑ Partner — L7 Limited ❑ General Top of thumb We
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Hardy & Harper, Inc.
❑ Individual
❑ Partner — ❑ Limited ❑ General Top of thumb here
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
0 2010 National Notary Assoaation • NatlonaLNotary.org • 1- 800-US NOTARY (1-800.876£827) rya. 451107
05/08/2013 1 4 :41 FAX
MAYOR:
FOLLY Low
MAYOR PRO TEM:
WILLIAM ALARCON
COUNCIL MEMBERS:
SANDRA ARMENTA
MARGARET CLARK
STEVEN LY
ra001 /001
City of 1psemead
8838 E. VALLEY BOULEVARD P.O BOX 399
ROSEMEAD, CALIFORNIA 91770
TELEPHONE (626) 569.2 100
FAX(626)307 -9218
CITY OF ROSEMEAD
ROSEMEAD, CALIFORNIA
ADDENDUM NUMBER 1
To all prospective bidders under Bid Documents for the
MISSION DRIVE STREET RESURFACING PROJECT
Project No. 21015
1. Bid Item No. 5 of Base Bid Schedule on CBF — 2 EST. QTY. (Estimated
Quantity) 1,1102 Tons shall be replaced by 1,102.00 Tons.
2. The rest of Bid Documents as originally issued shall be used in submitting bids, and
an acknowledgement of receipt of this Addendum Number 1 shall be entered on
the page CBF — 5 of the Contract Bid Forms. Failure to provide such
acknowledgement shall render the bid as non - responsive and subject to rejection.
BY ORDER OF THE CITY OF ROSEMEAD
Date: May 7, 2013.
B y
Ra ael Fajardo
Associate Civil Engineer