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Geronimo Concrete Inc.BIDDER. 6ep0N /M0 00N[, QE - 7E /Nl �' CONTRACT BID FORMS TABLE OF CONTENTS ✓ 1 SECTION 1 BID SCHEDULE ....................................................................... ............................... SECTION BID DATA FORMS ................................................................... ............................... 5 / A BID BOND ................................................................................. ............................... 6 / 2.6 LIST OF PROPOSED SUBCONTRACTORS .......................... ............................... 7 SECTION 3 NON - COLLUSION AFFIDAVIT ....................................... ............................... 10 BIDDER: C�oNiMO C�I�,ZE �� SECTION 1- BID SCHEDULE CBF -1 BIDDER: C�TLANiND CD ea- rNr. BID SCHEDULE SCHEDULE OF PRICES FOR ROSEMEAD PARK IMPROVEMENTS PROJECT BASKETBALL COURTS PROJECT No. 41020 TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ - I `1 r L { - 7 Z • 4 ONE #VNl Ae-TY AV9 IVOU.5AND. AU2 # 40U-0 SE V�NTv Dollar amount in written form ' TWO D01-b P$ B 40 /00. CBF -2 UNIT ITEM NO. REM DESCRIPTION UNIT CITY. PRICE COST 1 Clearing 8 Grubbing per plans and LS 1 d r-1 Z Z Z b specifications. 2 Disposal of Waste Materials. LS 1 /Q USD 167 U5 3 Remove, Dispose existing and Tons 345 Construct 44nches Thick CMB 95 % `j y Z �Io S61- Relative Compaction Over 90 % 11 Compacted Native As Indicated on Plans and Specifications Complete. 4 Construct4- Inches Thick PCC PSI) SF 11,850 Basketball Court (3250 as 5 ZS (OZr Z(Z. Indicated on the Plans and Specifications Complete. 5 Construct 4- Inches Thick Colored SF 2,000 Concrete (Chromix) with Lithochrome Colorhardener on top per Plans and Specifications 5 1 �� 00 Complete per LM Scofield Company or Approved Equal. 6 Construct Concrete Seat Wall LF 200 including grading, concrete stairs, weep holes and miscellaneous as SI Vo indicated on the Plans and Specifications Complete. 7 Install Basketball Court Pole and EA 6 Backboard Per Manufacturer U ob 3 (DO6 Recommendations Complete; City will provide equipment. 8 Install Basketball Court Striping as LS 1. Indicated on the Plans and `� $a Q L.) I S D ' Specifications Complete. TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ - I `1 r L { - 7 Z • 4 ONE #VNl Ae-TY AV9 IVOU.5AND. AU2 # 40U-0 SE V�NTv Dollar amount in written form ' TWO D01-b P$ B 40 /00. CBF -2 BIDDER: CA N /Mb CaNC46� Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard Specifications, to stay within the budgeted amount of this project. If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall be added to or deducted from the Total Bid Price entered above. The owner can choose to Include one or more of the alternates in the Total Bid Price of the Project If any of the Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total Bid Price for the Project The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third party, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall govern. Attached hereto is a certified check, a cashier's check or a bid bond in the amount of 8 /0 ,BdN O Dollars ($ /D7 ) said amount being not less than ten percent t( 0 ° o f the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action It may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence satisfactory to the Owner of Bidder's California contractor's license(s) in good standing; (2) evidence that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting therefrom; and (3) any other information and documentation, financial or otherwise, needed by Owner to award a Contract to the lowest responsible and responsive bidder. Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts of five hundred dollars ($500.00) if project is not completed in thirty (30) calendardays. The Contract Time will begin to run ten (10) Working Days from the date of the Notice of Proceed and sublect 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. CBF -3 BIDDER: C 7 &j?ON/MD rONOa - The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. M 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 -4 BIDDER: �- Dam /MO CO✓`IC� -E rNC. By: �— . gnature C - �EJMNJMo GOPEZ Type or Print Name Pa- DENT Title Business Street Address t4S yr46eze.S 04 9 003 City, State and Zip Code (3Z3) 0 2.s - 7-01 Cp Telephone Number Bidder's/Contractor's State of Incorporation: C gt - 6e j4 Partners or Joint Venturers: 1 Bidder's license Number(s): -7-7001 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) 3) 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, p rtnersh'p joint venture has the nutborily to do so. CBF -5 BIDDER: 6& - p , �W 11 VO CbNGy 7 /N�. SECTION 2 BID DATA FORMS CBF -6 BIDDER: Geronimo Concrete, I nc. Bidder shall submit its Bid data in accordance with the formal 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 Geronimo Concrete, Inc. a Principal, and Merchants Bonding Company (Mutual) , as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of TEN PERCENT OF THE BID AMOUNT * * * * * ** DOLLARS ($ * * *IOZ * ** 1 , being not less than ten percent (10 %) of the Total Bid Price; forthe payment of which sum will and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents, WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work required for the ROSEMEAD PARK IMPROVEMENTS PROJECT- BASKETBALL COURTS as set forth in the Notice Inviting Bids and accompanying Bid Documents, dated January 22, 2014 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 fixed by the court. SIGNED AND SEALED, this 15th day of January 20 14 Merchants Bonding Gerouimo Concrete, Inc. (SEAL) Company (Mutual) JSEAQ Principal Qp Sur By: Z _ —^ �-j By: Geronimo Lopez, President RyaK Mantle, Attorney -in -Fact CBF - 7 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California County of Orange On ��- 2 OIy before me, Mary Martignoni - Notary Public Date Here Insert Name ana l,ll¢ of me Umi personally appeared Ryan Mantle who proved to me on the basis of satisfactory evidence to be the persorrK whose naml isW subscribed to the within instrument and acknowledged to me that MARY MARTIGNONI he/sh executetl the same in his r1A6�7' authorized E - COMM. # 1947853 i capacity(94 and that by hisdiPt lil iCsignature(y� on the z ° ]v My Comm. Expires Sept. 9, 2015 NOTARY PUBLIC - CALIFORNIA 3 instrument the person, or the entity upon behalf Of ORANGE COUNTY which the personjpacted, 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. Place Nma , Seal newa Signatu OPTIONAL Though the intormalion 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: Number of Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signers) Signer's Name: Ryan Mantle 7 Individual Corporate Officer Title(s): Partner Limited L General Attorney in Fact Trustee Te at mums Pepe -_ Guardian or Conservator Other: Signer is Representing: Merchants Bonding Company (Mutual) Signet's Name' ❑ Individual J Corporate Officer — Title(s): LI Partner — L Limited '-: General C Att orney in Fact n Trustee IJ Guardian or Conservator ❑ Other: Noel OPSIGNER Signer is Representing: 2`Nq]Nalm,al Ndary Assma'. am- 9350 Ce5eto H,re,PO.am 2402•Lnatsw,0,CP 913112< @•vnrv.NalronalNOlaryorg Item b590] ReoNer Call Tit I Free LQW 9 ➢6 C527 MERCHANT BONDING COMPANY. POWER OF ATTORNEY Know AS Persons By These Presents, Rat MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both t ry eing aoatons duty ongann tae ed under laws UM of me S a Iowa (Herein mlemwy mW me 'Companies'), and Blat BM Companies do hereby make, mr stXNe and appoint. 111dINdWlly, Les M Mande. Rym Mande Of FDllenoa and Slate& California their true and law1d ACome,, aFact, with lull power and aut hereby mdened In t ek name, planes antl stead, to sign. eae use, mJkmwkdge amp defwer in they beret as surety any pad all tunas, uMnUMngs, maDgm antes is otM vw&en obligations k the nature there&, Subject to the kmilation the any sukh Instr shall not Oaeed Re amount & TWENTY MILLION (520,000,000.00) DOLLARS end to blind the Companies thereby as fully am or Me same extent as K sutler bard or underbking was signed by me duly aNhess ed of0orere & me Companies, and all me ads of Sam Aaomey4n,FaQ pursuant to Me mmomy herein given, are heneby raliFand am conRmed. This PawerIX -Nemry is made and executed pursuant to am by hamonty of me following Bylaws adopted by the Bond of Directors of the Mm&aeess Bonderg Company IMutua9 on Apt! 23, 2011 am adopted by tae Boam of Dte&aS of Merchants National Boding, Imo., on October 24, 2011. 'floe Pnshade t Sevetary, T.... or airy AssisUa ThesMer or any Asyslwa SecnNary or any Via President mail haw paver and a OrKy M appoe Mwreyatinfad, am to sudaooe "in W eae u e om behat of the Company, and anada the seal of Re Compay terser. boas and udedakings, re o,sawn., — a M & imdenlndy antl oRMr emerg; a&gatory m Use natural Vessel. The agnaNe of any aJtotaed baker am m, seal of Vas Company may W afteed by Uainik o electronic bamm¢sion to erry Power of Audrey or CerGfiuton buere& edhomag the eaeoAon am delivery of arty herd, lenders". moogm o mm, or other surelyshy obligations of b Company. and sAfn sigraetae and seal when an used shall have Re same mr. and effect as thagh manually faed' In VMtness Where &, the Competes haw mused the InsWment ro be signed and sealed burs 28th day of Me, . 2013 . a .�S.Q»., �a0 \NG COMP, MERCMANISBONDING CdIPAHY (MUTUAL) i as + g R1 ^ 0i OPPOq'.7=. MERCHANTS NATIONAL BONDING, INC. '�: •„",:2 o e % . GI �`•.• 2003 ; ',o S : y:, 1937 :'c: f By STATE OF IOWA p J� // \ . COUNTY OF POLK as. "*••••"" • Preside& On tes 28th day of May , 2013 berre me appeared Lary T.yAo.10 me pereo Mown, who being by me duly swum old say that ha k Preside& cf Rae MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATONAL BONDING. INC.: aM Inert Ire seek a8aed ro the laepnng irmbortie& a me Coryonate Seek &me CarganMS; aM mat tlae said inabame& was signed aM sealed n 0.vuH &Me Compares Dy eWOdy & taeir resptttive Boards & Okedore. In Testlmay Whereof I have lawman s& my land and affixed my' Official Beal H tae City of Des Manes, Iowa. tae day am year fim, above whom. rj4 MARANOA GREENWALT ' " C'""V"" (�/,,. canmmbnxmb.rTrodu a `"`// *�' My ComnNaabn FspYn IyckMD,IWA No My PUbye, Polk COUntY, bona STATE OF IOWA COUNTY OF P as. 1. Name Warner, Jr., Secretary &Re MERCHANTS BONDING COMPANY (MUTUAL) antl MERCHANTS NATIONAL BONDING. INC.. do hereby asdtythal the atem and bregoirg e a aus and mlect copy& the POWER-DFATTORNEY exe by said Canparkes, wli&r a still In N form and sled and has not been amended or revoked, In Wt ess Venereal. I have hereunto ml my hand am amaed the seal of pe Cory,,mm; or: "15thdaY &January, 2013 *5/,1 .. -' %*G O o 101 M•a •/ . � .� .... iki = 2003 • i. 1937 �.. POA0014(11111) _uda'�y'••.— •.'+JO •;b•Jl{•' :¢�� \,A .• BIDDER: 6 7 EZ61W116) C0NCeE "Vl. 2.13 LIST OF PROPOSED SUBCONTRACTORS In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100 through 4114 of the California Public Contract Code, and any amendments thereto, each Bidder shall provide the information requested below for each subcontractor who will perform work, labor or render service to Bidder in or about the construction of the Work in an amount in excess of one -hall of one percent (greater than 0.5 %) of the Bidders 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. CBF -8 BIDDER. 76 Q, -pN /MD 22 LIST OF PROPOSED SUBCONTRACTORS (contlnued) [^DUWl W N.d2 Plg .If nee W fW IWil aU M.II4 SUEmnlranon." I Name and Location Description of Work of Subcontractor to be Subcontracted Name: NI W Address Name and Location Description of Work of Subcontractor /t to be Subcontracted Name: Nt I--F- Atldress: Name and Location Description of Work of Subcontractor t� I to be Subcontracted Name: Address Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: Name and Location Description of Work of Subcontractor t� I to be Subcontracted Name: Address: CBF -9 BIDDER: E7E12DN /MD C'ONCQ�'> /NC. 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: /-fit/SO 333 s / 10s Ao r664P5 CA °1001 Name and Address of Owner Mh&ply& OR (a /3) fsly- qW, Name and telephone number of person familiar with project y£�, 3sa '/3 4-0 57. ES ly /11 /1 z Contract amount Type of Work Date om leted 2. I- 333 S 8E COS /�y,/1,� (,> 7 Name and Address of Owner F#OAlni� pp -y4ml Isz-- ) moo z Name and telephone number of person familiar with project fOU� UDO Ed—ST 40 -S/ EA 4 P J VIIV6 CE�v�Yl Contract amount Type of Work Date Co pleted s. /Ty t 6e�/� 1 01VC' Cft� 04PC&6 3PEA GA '1 I Nam and Address of Owner BILL 80vWLu5 f7141 `1` q6 - 7 V ` Name and telephone number of person familiar with project Name Name and telephone number of person familiar with project Contract amount Type of Work Date Completed CBF -10 BIDDER 3��E e-CNiMO CONC(LE /H' SECTION 3 NON - COLLUSION AFFIDAVIT CBF - 11 BIDDER: C�EQdNrMO CONCL /N` NON - COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly swom, 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, comparry, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Si gnature 6�—"N /MO Typed or Printed Name Pe,Fsi — r Title Bidder Subscribed and hworn before me This Jf day A,7L 201--il— (Seal coGuu GIISTAVO ARRIAZA STA on ♦ 2 AZA Notary Publi in and for .: Noury PuElic Caldo nia n the State o California $ San 8ernamino COUnIy � 1 —�7� ] '4Y Cam.. Npirea Jan 31, 2317 My Commission Expires. ) 777} - - - - CBF -12