Concept Consultant Inc. BIDDER: de1Lef/iC av do 1, i/9C
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID SCHEDULE 1
SECTION 2 BID DATA FORMS 5
2.A BID BOND 6
2.B LIST OF PROPOSED SUBCONTRACTORS 7
SECTION 3 NON-COLLUSION AFFIDAVIT 10
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BIDDER: -11 flflk✓JL/�0
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ISECTION 1 - BID SCHEDULE!
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BIDDER: Ceeket 1 < ,L.,1/ 1//?c
BID SCHEDULE
SCHEDULE OF PRICES FOR
DUFF PARK IMPROVEMENTS PROJECT
BASE BID SCHEDULE
UNIT OF EST. r UNIT ITEM
$
NO. ITEM DESCRIPTION MEASURE QTY. PRICE 40 COST
1 Clearing &Grubbing per plans LS 1
and specifications. See technical 3On. 3 no
provisions TP-2, TP-3 &TP-4. '
2 Disposal of Waste Materials. LS 1 :ACV- ,2,000
3 Remove, Dispose and Construct SF 1,225
4-inches thick PCC Sidewalk per Ili / 7 /SO
SPPWC Std. Plan 113-1.
4 Remove, Dispose and Construct 20 LF 130
feet high chain link fence 9 gage
and 2 inches mesh with top rail and ,Z 2 7 Z 5-/c2
bottom tension wire including poles
and baseball backstop complete.
5 Remove, Dispose and Construct e LF 434
feet high chain link fence 9 gage 5_
and 2 inches mesh with top rail and / 9 3 3O
bottom tension wire including poles
complete.
6 Construct 4 feet high home run LF 380 ,/
fence 9 gage and 2 inches mesh 4 10 4.5-12 oo
with top rail and bottom tension wire
including poles complete.
7 Construct Dugout Complete(30 feet EA 2 2600 572.0(2
x10 feet)
8 Furnish and Install 3 Row Aluminum EA 2
Bleachers—Seating Capacity 15. '2,25° 41—5-0 0
9 Furnish and Install Dugout benches EA 4
Elite Bench per Baseball Rack or 7 co 2,too
approved equal.
10 Install 4 feet wide Gate as indicated EA 3 65-o
on the plans. 9,5-o
11 Install 20 feet wide Gate as EA 2 /9522 39 00
indicated on the plans.
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BIDDER: (cdtetir(/Ikek✓% �17C
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ /OS SliOO
One£'nclrclive dlan l'Ve1/4/ynke.1at/ WM.,' end
Dollar amount in written form / /p°
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
.3, a,nd hr/ g"a 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 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.
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BIDDER: eoaCePI-C.11u,G'rro (fizc
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) 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. /Y%//e
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: &COC'OJ d it-!`,/
/
/Z,0 ire- X73
Signature ` v Business Street Mdress
> ive4 7a-
Type or Print Name City, State'and Zip Code
nef,% f i/c) - p.37 - erig
Title Telephone Number /
Bidders/Contractors State of Incorporation: C'rC i�U� - C urforden `CS(449271
Partners or Joint Venturers: A//12
Bidders License Number(s): 9f 23..5
Department of Industrial Relations
Registered No. Nvt 2S4r;Pi& s
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 joint venture has the authority to do so.
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BIDDER: dvkd//Cn ,j;/thin///[c
SECTION 2
BID DATA FORMS
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BIDDER: Concept Consultant, Inc.
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 Concept Consultant, Inc. ,as
Principal, and Sure'I'ec Insurance Company
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
10% of amount bid
DOLLARS
(g 10%of hid ), 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 Principal has submitted a bid to the OWNER to perform all Work
required for the Duff Park Improvements Project as set forth in the Notice Inviting
Bids and accompanying Bid Documents, dated February 4,2015 .
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 30th day of January , 20 15
Concept Consultant, Inc. (SE ) SureTec Insurance Company(SEAL)
Principal / Surety
By: ✓/l�/� By: r /�
Signature /—�... Signature'
David Noddle, Attorney in Fact
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ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California Angeles
LOS
County of )
JAN 3 0 2015 Christopher John Rizzotti, Notary otti, Nota Public
On before me,
(insert name and title of the officer)
personally appeared David Noddle
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 instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and offici:l -al.
Signature /f (Seal)
•
POA a: 510010
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
David Noddle
its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name,place and stead, to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for:
Five Million and 00/100 Dollars($5,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President,sealed with the corporate
seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment shall continue in force until 10/31/2016 and is made under and by authority of the following
resolutions of the Board of Directors of the SureTec Insurance Company:
Be it Resolved, that the President, any Vice-President,any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-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,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20th of April,
1999.)
In Witness Whereof,SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal
to be hereto affixed this 21st day of March,A.D.2013.
SXggN W„" SURETEC INSURANCE COMPANY
W�,, =I9 By:
w ♦ in- John lsnox Jr."resident
/ co
State of Texas ss: 9t: 1, i
County of Harris / /
On this 21st day of March,A.D.2013 before me personally came John Knox Jr.,to me known,who,being by me duly sworn,did depose and say,that he
resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
¶O JACaoetvry MAmONAoo //�1
Notary p.Sit ,/ �/���
State xp.51te I
� ro, My comm.e.psna1zon Jacq elyn Maldonado,Notary Public
My commission expires May 18,2017
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston,Texas this _ day of AN 3 Q 2015 A.D.
4/tib'
.Bre•t Beaty,Assistant ecretary
Any Instrument issued in excess of the penalty stated above Is totally void and without any validity.
For verification of the authority of this power you may call(713)812.0800 any business day between 8:00 am and 6:00 pm CST.
BIDDER: (cIteel Leah e r, /,7
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 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: 6/262?-1�✓✓� A��c
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
rouplicate Next 2 Pages it needed for Ilstlng additional subcontractors."1
Name and Location Description of Work
of Subcontractor /r k Cto be Subcontracted
Name: 60/i �iounI Cti,'CY k C-N�
Address: /8R5— !a/. n✓e L 04nfa der'
License No.: q 68ati
Department of Industrial Relation Registration No. , 4rf 41/n.hi S&
Name and Location Description of Work
of Subcontractor to be Subcontracted
•
Name: [ZUI'/A '4 Pea Gt („.plan] I'
Address: 3ono �,1!t, 5,. la-ca Yp y
License No: g7sys, /
Department of Industrial Relation Registration No. K./ ewe F 4.4_41
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
License No.:
Department of Industrial Relation Registration No.
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
License No.:
Department of Industrial Relation Registration No.
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name.
Address:
License No.:
Department of Industrial Relation Registration No.
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BIDDER: 6/2eei (7•24van/J/2e
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:
1, 9GCd - Ed 0;74 o,a,ws
Name and Address of Owner
,94/9 ie✓/rrtin - 3/0 -Ai 7/C'-S2os,
Name and telephone number of person familiar with project
',//.3oectrJ 47.44-)441 bo'/%rs d/6l/-exii,
Contract amount Type of Work Date Completed
/� J 4 //zinc_ _ 4720 h/e,/ffot //rt.- _
2 Narr(e and Address of Owner ����� en
/tler'et) 24r.r-F e — P/2 S,/3
Name and telephone number of person familiar with project
P//1,- Pc "ft all-amen F /'enet Wdli .67e1/2v/if
Contract amount Type of Work Date Completed
3. l/c7n - 64 '66/ (o n7flcrS
Name and Address of Owner /,
N 4.246! 717;ce-C Sic —92:J - Sfl'o ///no/2o/3
Name and telephone number of person familiar with project
pii,yeov e ne- M) a ?A„ llcft Hie earn
Contract amount p Type of Work Date Completed
C-on
4. }/- c,/ 6Y Verq'?
Nan{ee and Address of Owne
hfe yen F. ;} on 3/0 -a63-661s7
Name and telephone number of person familiar with project �J
f 3.i�ou f4Jaij Joe /e jr„r ii 2d,ze(s-
Contr_ct amount Type of Work Date Completed
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BIDDER: Cr/JCeP/C -nUhn 1. /kr;
SECTION 3
NON-COLLUSION AFFIDAVIT
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BIDDER: Ge--1/70., I,--/ ,A
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
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.
il'Cil
Signature1/
A4(72 22/://4//11 4.0
Typed or Printedd Name
Title JJ
C0/2Cet/6),l f/of /1/c
Bidder
Subscribed and sworn before me
This . day of FP h rt.,or.7 , 20 C S�
(Seal)
ar-
Nota - in and for
the State of California "'�<+ MICHAEL J.sORIANO
Z `a ��'{ r 4�," COMM.a 2069810
My Commission Expires: /b/c- 7 J Mf r• r NOTARY PUBLIC-CALIFOR IA 5
/ f i ORANGE COUNTY
My comm.Expres May 30,2018
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ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California A
County of (_a$ /9-4,to(eS )
S /L, :A,��( ,7,5 .E ea N°f
On c�� /�2 /.�.�� before me, i (J..-74• c—
,( ek (insert name and title of the officer)
personally appeared / i r ek S4. A. Ali
who proved to me on the basis of satisfactory evidence to be the personlrwhose name$)Q3Yp4
subscri ed to the within instrumen and acknowledged t9 me that e ((..{{e/t y executed the same in
hi /h /their authorized capacity _ s), and that byj r/their signature on the instrument the
personysj or the entity upon b alf of which the perso2(4) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
n o` i MICHAELJ.SORIANO
WITNESS my hand and official seal. s OOMM.#2os8810
3 . NOTARY PUBLIC-CALIFORNIA a
ORANGE COUNTY
Ia \ ,.� My Comm.Expraa May 90.2018
Signature (Seal)
CONCEPT CONSULTANT, INC .
2355 Westwood Blvd#901 Los Angeles, CA 90064
tel 310.439 8516 I fax 310.400 5829 I nicksammadi{dgmail.com
Date : 02/04/2015
To : City of Rosemead- Public work Department
Subject : Authorization of signature
Reference : Duff park improvement project
Hereby we inform the City of Rosemead that Mr. Nick Sammadi as president of company has
authorization to sign any requires documents on behalf of the Concept Consultant, Inc.
Sincerely,
77; - a%y//
NNiiicckk�Sammadi
President