Bidder: Simgel Co, Inc. CITY OF ROSEMEAD
JAY IMPERIAL PARK PROJECT
PROJECT No. 41354
(Addendum No. 2)
CONTRACT BID FORMS
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BIDDER. S l MG; t Co
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION I BID SCHEDULE 1 -4
SECTION 2 BID DATA FORMS 5
2.A BID BOND 6
2.B LIST OF PROPOSED SUBCONTRACTORS 7-9
SECTION 3 NON-COLLUSION AFFIDAVIT 10- 11
BIDDER. S I "C&L ( kc
SECTION 1 - BID SCHEDULE
CBF - i
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BIDDER: S I t-1 6E ( Vi , ( ti-.,
BID SCHEDULE
SCHEDULE OF PRICES FOR j
JAY IMPERIAL PARK PROJECT '
PROJECT No. 41354
BASE BID SCHEDULE
Ili UNIT OF EST. !I UNIT ITEM
NO. ITEM DESCRIPTION MEASURE QTY. I PRICE COST
1 t=1 1 003]
1 General Conditions LS 1 50. 00�� 50,000 .OD
2 I Mobilization LS 1 160 ooO.vu] 60, 000 oD
3 Disposal of Waste Materials LS 1 15,0 00,U& f 5, 000. op
4 Grubbing and clearing LS 1 i(,0,000 uv 60 , 0 00. co
5 Remove existing Fence/Gate LF 1,130
including retaining curb, footings 10,00 2.7-, 6 00,00
per plans and specifications.
6 Earthwork per Grading Plans and LS 1 1 $00000-1 80.000, op
Specifications
T
7 Repair Existing Dirt Road. Remove LS 1
and replace 12-inches of the
existing and scarify 8-inches below 5O,0o0G' 50,000. 00
!� to 90% relative compaction.
(approximate 17,222 square feet)
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8 Adjust Utility Valves to grade EA ! 20I
SO pc 3, 0 00 p O
(water, valves. eta)
9 Install Erosion Control per plans LS 1
10,000.00 ' 10 000 . OD
and specifications
10 Purchase and Install all Picnic EA. 12 2,00040 24 000 . 60
Benches
11 Purchase and Install all Exercise EA. 10 2,0 00 Uc 2-0, 00 0 .00
Stations ,.
_._..._
12 Purchase and Install all Trash EA. 6 I 00 0.0o 6 0 0 0 . 00
Receptacles - !
13 Purchase and Install all Benches ` EA. 6 16" 00' i 9. U 00 .0 0 I
— I
i----
14 Install all 1' Earth Mounds per Plans I LS. 1 6', 0 0 0,0 J
I
and Specifications i
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BIDDER: S I /46 C L w. (btu_
UNIT OF I EST. UNIT ITEM
NO. ITEM DESCRIPTION I MEASURE I QTY. PRICE COST
15 I Install Decomposed Granite path I LS. / 1 1ba
and Concrete Mow strip Edging per , 00 (ba iQOO I
Plans and Specifications 1
16 Install Concrete Mow strips EdgingLS. 1 _140,t00 1-16,600per Plans and Specifications I_ — _ — '
17 Install Decomposed Granite paving LS. 1 5a,000 5x00
, 0
pad around existing Edison Towers
18 Install Irrigation per Plans and LS. 1 i atib,occ fa (0,000
Specifications
19 Install Planting per Plans and LS. 1 110,000 (10 ,000
Specifications
20 Install soil prep per Plans and LS. ! 1
Specifications 40 poo y0,000
day p p p L. ._.___.I
LS. 1 1104600 I l 0 i 0 013
I Plans and Specifications F
specifications. per plans ! _ I___._..--- 120,000
2, 90 maintenance eriotl er
I
• LS , I ovl 1LD, 000 , U0
22 ` Install alla Electrical and I --_
23 1 Furnish and Install Bollards Per EA 48 LOC•0c 9 600 , 00
SCE Standard Plans, Complete In
Place as Shown on the attached I
,
detail.
r-Kende 6.• •
._ _ �...._....._..._...{ ._
24 ---1---Cormey SCE Prciect Maaaa
t9U9)374-5660—
_ •
. fl- a+ -.
25 I Install water fountain as indicated i EA 2 i10,J00 .0°I
on the attached detail including 10, 000 .00
connection to new water meter.
I Verify exact location from water
purveyor. Contractor to install I
' pressure regulator and line size '
I backflow up stream of fountain and 11 I
I set in box marked drinking fountain. I I
I All water fountain shall be grounded
per SCE Standard.
1
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TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ 11355, a0O
one M* on t"JO Ytmd.( C% fifty s tno\-)scW\d two hundred dollars
Dollar amount in written form
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BIDDER: f �CP i c Cr - ICL
ALTERNATE BID ITEM No. 1
24 Construct 6-Foot Wide Synthetic SF : 16,080 I z.00 91 960, 00 •
'..
Surface Pedestrian Trail, Including
Excavation, Grading, Striping,
Complete. See attached detail.
TOTAL ALTERNATE PRICE (SCHEDULE B�IDJ-PRICE):$ I 2 2 , 9 6o .0 o
Ont Nva d ftd N l n( fr,,,a ��t 0 di 64,44--/ lV ,,.r- ILL AN S'4vU e ✓e
Dollar amount in written form
TOTAL BASE BID PRICE &ALTERNATE: $ 1,114i , Abp
Ovwt m\VtA Fo‘)< hwc\d<edi Fourty tight toisosurd ire t\LYndred fifty dicAafs
Dollar amount in written form
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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
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
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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
CBF -4
BIDDER 5 /P-46,1 (n ficc
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
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satisfactoryto 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 ONE HUNDRED TWENTY (120)
calendar days. The Contract Time will begin to run ten (10) Working Days from the date of the
Notice of Proceed and subject to•the terms and conditions described in the Contract Form and the
Contract Documents.
Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be
incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder
further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data
submitted herewith into a contract arising out of this Bid.
The undersigned acknowledges receipt, understanding and full consideration of the following
addenda to the Contract Documents.
Addenda Nos. t Z 3
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
City of ppsemea6
)c1 OR PRO I LIO:
SNCI I VAI !Y 110111/WARD fo HON 309
I a rr:( u(riI N16A0CAI II OMIA 91)70
I LLLPIIONl.(6_6)560-2100
1 0'" 1 AF(6241'01-028
xi-v�klv
February 13, 2017
CITY OF ROSEMEAD
ROSEMEAD,CALIFORNIA
ADDENDUM NO. 1
JAY IMPERIAL PARK PROJECT
PROJECT No.41534
To All Prospective Bidders:
Please note the following revisions on the specifications for the above project:
1. You are hereby informed that the Bid Opening scheduled for 11:00 a.m. on Wednesday
February 15, 2017 has been changed to February 22, 2017 at 11:00 a.m. The City of
Rosemead will receive sealed bids up to 10:30 a.m.on February 22, 2017 and will follow up
with publicly opening the bids at 11:00 a.m.
The Addendum No, 1 forms a part of the Contract Documents for the above project and shall supplement
or supersede reference sections of original specifications. This Addendum No. 1 must be signed,
acknowledge on Page CBF - 5 of the Contract Bid Forms of the Specifications and submitted along with
the Bidder's Proposal.
BY ORDER OF THE CITY OF ROSEMEAD
Date: February 13,2017 / 1
. ? '
Rafael ftFajardo P.E.
City Engineer
Acknowledgement:
Company: SI (ic- iel-C
(
Bidder: �JJo ti n , <` �1 ee '
Title: (YP.J'_( cit., '� ^7
Date: ---- 271_..3 f_C.-1-7
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MAYOR'. City of c l)semed
SANDRA ARMFTTA _V
MAYOR PRO I'EM:
Polls Low p r 8838 E.VALLEY BOULEVARD P.O BOX 399
ROSEMEAD,CALIFORNIA 91770
COUNCIL MEMBERS:
WILLIAM ALARCON 'FAXEL(626) E30 -921 569-2100
MARC,AR 1CARK FAX(626)307-921 P
STEVEN1;i
February 15,2017
CITY OF ROSEMEAD
ROSEMEAD,CALIFORNIA
•
ADDENDUM No.2
•
JAY IMPERIAL PARK PROJECT
PROJECT No.41534
To All Prospective Bidders:
Please note the following revisions on the specifications for the above project:
1. There are only 12 Light Poles. #KCT2-10-K118-EDISON-REVA, 240V. WI 10'
DECORATIVE POLE. SEE DETAIL"A)E-1"
2. On plan sheets 4.01 &4.02 for Planting,There is a Symbol called out CHI(46 EA),
which there are no description on the legend stating the Botanical name and size
of this plant. Please clarify?
Cercis occidentalis)Western Redbud-multi 24" box and this is however on
the plant legend.
3. There are a couple of Remote Control Valve Symbols on drawing 3.01 (attached) •
at the south east corner of the job site with no valve size. Was this a typo error?
Please clarify.
These are extra symbols which did not get picked up. All valves seem to be
accounted for please move quick coupler from these symbols to next to
Valve A23.
4. Per Irrigation Legend the Main Line is to be a Schedule 80 PVC Pipe but don't say
anything about the fittings if we could use Schedule 40 or Schedule 80. Please
clarify.
All fittings shall match Pipe schedule.
jay Imperial Park Project Addendum No.2 Page 1 oft
•
•
5. Per specs and details Cover Mulch is to be installed after planting. Can you please tell me the
depth required?
2" shredded redwood shavings. •
6, Attached Contract Bid Forms (Addendum No.2)supersedes the previous Contract Bid
Forms.
The Addendum No.2 forms a part of the Contract Documents for the above project and shall supplement or
supersede reference sections of original specifications.This Addendum No.2 must be signed, acknowledge
on Page CBF—5 of the Contract Bid Forms of the Specifications and submitted along with the Bidder's
Proposal.
Failure to acknowledge receipt of addendum will disqualify the Bidder.
BY ORDER OF THE CITY OF ROSEMEAD
Date: February 15, 2017.
Very truly yours,
By%/74
Rafael M. Fajardo P.E. •
City Engineer
Acknowledgement: r
Company: S 1 M 69e L W - I tiC •
•
Bidder: ESasoe- -v
Title: Pre it (//{t f
Date: 2 - ! 6 - 17
Iay Imperial Park Project Addendum No,2 Page 2 oft
MAYOR:SANDRA ARMINIPA
City of c�[�
ernead
MAYORPROTEM,
POLLyz[,fi' � 8838 E.VALLEY BOULEVARD P.O BOX 399
COUNCIL MEMBERS: 2` ROSEMEAD,CALIFORNIA 91770
wrttIAM ALmcvn TBLP,1'(IONE(626)569-2100
MARGARET CI ass FAX(626)307-921S
SIEVPS LY
•
February 16,2017
CITY OF ROSEMEAD
ROSEMEAD, CALIFORNIA
ADDENDUM No.3
JAY IMPERIAL PARK PROJECT •
PROJECT No.41534
•
To All Prospective Bidders:
•
Please note the following revisions on the specifications for the above project:
1. The following Bid Item 24 shall be deleted from the Base Bid Schedule and not
included in the total base bid price.
UNIT OF EST. UNIT ITEM •
NO. ITEM DESCRIPTION I MEASURE QTY. , PRICE COST
24 rSCE 4S
_ .• ._.! ..
Cen���(909)
� - ice..--�------ L-----------
The Addendum No.3 forms a part of the Contract Documents for the above project and shall supplement or
supersede reference sections of original specifications.This Addendum No. 3 must be signed,acknowledge
on Page CBF — 5 of the Contract Bid Forms of the Specifications and submitted along with the Bidders
Proposal.
Failure to acknowledge receipt of addendum will disqualify the Bidder.
BY ORDER OF THE CITY OF ROSEMEAD
Date: February 16,2017.
Very truly yours,
By
afael M.Fajardo P.E.
City Engineer
Jay Imperial Park Project Page 1 of 2
Acknowledgement:
Company'. 5 I M 6 t L Co •
. )w
Bidder: � vvta in l/ ? I S01.30 tl
Q •
Title. _ Pre C l d r vt-t-
Date: 2- l_l7 /2017
Jay Imperial Park Project Page 2 of 2
/�/,,G/,y/// BIDDER:.{-S Ft(1%E I Co I IL e
By: C C /L
___.----"°<-#7.----
-_' Zt7J 1.4/c:two ..4 .(jvt '/f Z /
Signature Business Street Address
•
E vo c: vl ve f j
Sas C GI i•t( J L '/A- C. C+ , 7fr/ Z
Type or Print Name • City, State and Zip Code
Pre 5( dp„,ti� 310 -- 475 _ —1663
Title Telephone Number
Z,/LL/Lee 7
Date
Bidder's/Contractors State of Incorporation: _ Cid •
Partners or Joint Venturers:
I
Bidder's License Number(s):
63831
Department Industrial Relations , vel CI S r, 3Registered No.:
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.
CBF-6
BIDDER: S I Cr L (c)
SECTION 2
BID DATA FORMS
CBF -7
BIDDER: Singel Construction
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 Singel Construction ,as
Principal, and U.S. Specialty Insurance Company
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
"'Ten percent of amount bid not to exceed One Hundred and Fifty Thousand and No/100
Dollars ($150,000.00)".
DOLLARS
($ 150,000.00 1, 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 JAY IMPERIAL PARK PROJECT as set forth in the Notice Inviting
Bids and accompanying Bid Documents, dated February 15, 2017
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 7th day of February 20 17 ,
Simgel Construction L) U.S. Specialty Insurance Compant(SEAL)
Principal Surety
By: L L` � By: pit1AAAit, 6 . D/UNoK.
Signature Signature Laurie B. Druck,Attorney-in-Fact
CBF-8
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
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 `
/) ss.
County of San Bernardino
On February 7. 2017 before me, Cynthia J. Young, Notary Public
Name and title of Officer(e.g.,"Jane Doe.Notary Public)
personally appeared Laurie B. Druck
Name(s)of Signer(s)
who proved to me on the basis of satisfactory evidence
to be the person whose name is subscribed to the
within instrument and acknowledged to me that she
executed the same in her authorized capacity,
runt HIP YOUNG- - { and that by her signature on the instrument the
Notary P od r Califora a t person, or the entity upon behalf of which the person
adi '' San Bernardino Co my acted, executed the instrument.
Comm scion a 2157044
�� z
z � i
3 My Comm Expires Jul f 5.20200 I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is
true and correct.
WIT iS my hand and
• 2-2t7f
/- ial e.1.
er�ce__ ,.(-- . Pub
OPTIONAL
Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent
removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: FT THUMBPRINT
OF SIGNER
❑ Individual Top of thumb here
❑ Corporate Officer
Title
❑ Partner -- ❑ Limited ❑ General
❑ Attorney-in-Fact
❑ Trustee
❑ Guardian or Conservator
Other:
Signer is Representing:
POWER OF ATTORNEY
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY
UNITED STATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY
KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas
Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, a Maryland
corporation and U.S. Specialty Insurance Company,a Texas corporation (collectively,the"Companies"),do by these presents make,
constitute and appoint:
Jay P.Freeman,Pamela McCarthy,Laurie B.Druck,or Cynthia J.Young of San Bernardino,California
its true and lawful Attomey(s)-in-fact,each in their separate capacity if more than one is named above,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 riders, amendments, and consents of surety, providing the bond
penalty does not exceed *****Three Million***** Dollars (S **3.000,000.00** ),
This Power of Attorney shall expire without further action on December 20,2017. This Power of Attorney is granted under and by
authority of the following resolutions adopted by the Boards of Directors of the Companies:
Be it Resolved.that he President,any Vlcc-President,any Assistant VicPresidcot.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 Anurneyls)-in-Fact to represent and act for and on behalf of the Company subject to the following
pro runs_
Attorney—in—Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver,any and all bonds,
recognizances, contracts agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained
percentages nd/ or final estimates on engineering and construction contracts,and any and all notices and documents canceling or terminating the Company's liability
thereunder,and any such instruments so executed by any such 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.
IN WITNESS WHEREOF,The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this
1st day of December,2014.
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY
UNITED STATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY
Corporate Seals
r.,''.,`° t^ i By:
Fte
* Daniel P.Aguilar,Vice President
A notary public or other officer completing this certificate venues 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
County of Los Angeles SS:
On this 1st day of December,2014, before me,Maria G.Rodriguez-Wong,a notary public, personally appeared Dan P.Aguilar,Vice President of American
Contractors Indemnity Company,Texas Bonding Company,United States Surety Company and U.S.Specialty Insurance Company who proved to me on
the basis of satisfactory ex idence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in
his authorized capacity,and that by his signature on the instrument the person,or entity upon behalf of which the person acted,executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that he foregoing paragraph is true and correct.
WITNESS my hand and official seal. — --
,,.�..,5 1MNPa G,POGPUFLNO
V GolmArm0 n YIGUZ.W 1NG
Signature _ (Seal) query.' NODry Public California
Diemen
Los Angeles County
♦0Eultn Dec 20.tMTE
I,Michael Chalekson,Assistant Secretary of American Contractors Indemnity Company,Texas Bonding Company,United States Surety Company
and U.S.Specialty Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by
said Companies,which is still in full force and effect;furthermore.the resolutions of the Boards of Directors,set out in the Power of Attorney are in
full force and effect. �f
In),: css Whereof,I have hereon o set my hand and affixed the seals of said Companies at Los Angeles,California this / _day
laPA
Corporate Seals
Bond No. 93W (50110Nla * '.: ' Michael Chalekson,Assistant Secretary
Agency No. 3501 - +,t
BIDDER: 7 ,t 4G I W ((-�
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 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 ($10,000),whichever is greater, for which no
subcontractor was designated in the original bid shall only be permitted in cases of public
emergency or necessity, and then only after Owner approval,
CBF -9
1
BIDDER_ S ( HCEL CC . (a<
2.6 LIST OF PROPOSED SUBCONTRACTORS(continued)
[^Duplicate Ned 2 Pages if needed for usen9 additional subcontractors"'
Name and Location Description of Work
of Subcontractor to be Subcontracted J < �' l
F- 1- dlL-A -to ati
Name: 5 pet: ral 'r1 /Kc. _ 928 9
Address: SSS 5. ?rtr ar-& fiv- (OSCr.Y' ct C�
License No.:f S 4479
Department of Industrial Relation Registration No. 1000002 615
Name and Location Description of Work
of Subcontractor to be Subcontracted if r(c)(4.tion Gnq
•
Name: 5\'(COs LQr\4SCGp2 te\te\OP(ncrt Inc 1andSa\p.B9
Address: P.c Pr07,SM:3<o6 vcaa:atCA Rwbo
License No.: 5\ 3%
Department of Industrial Relation Registration No.\000°D i-\45S
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
License No.:
Department of Industrial Relation Registration No.
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address.
License No.: •
•
Department of Industrial Relation Registration No.
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address:
License No:
Department of Industrial Relation Registration No.
CBF- 10
BIDDER: 5 iM6t1, W . /WC.
2.0 REFERENCES
The following are the names,addresses and telephone numbers for three public agencies for which BIDDER
has performed similar work within the past two(2)years:
1. Ike ej ofCos ,9.� d.t ( Lnc �o In Pa,]
Name an Addre Owner U
Vic-74;r Parra z , 3 — 978- f 92- 1
Name and telephone number of person familiar with project
I X59, ! 86 . QB rod provd,..2..J 4 pl41gso✓wd losfi Lag
Contract amountType of Work 14j Date Completed
2. [At wen kg,„,„u Owe, . (, yrs f Pa,/r far?cc? )
Name a Ad ss of Owner/ (/ 0
Davit C90 iaak.c? 313— 848. 6400
Name and telephone number of person familiar with project
-$ 6L 6. 299 .0 PmI I pro rif 4 rt&c+u 240 9
Contract amount A i
Nit)of Work Date Completed
3. ITw (0,1— 'r// ( is Ay/Li (whtt, it41rroi s ' ad( �Y02iL
Name and Ads 6f Owner (�
Joz CaWt_CJII /6 62- 6_ 300- 2340
Name and telephone number of person familiar with project r�
96 , 000 Pak i» prowe e 7i 1 Rc5llduw. guilt a-00 &
Contract amount
� Type of Work m w. PNonni u.
Date
Completed
4. 777e eYSof�/o C .414.q-e /v ( fa is c Nctcs vcI
Name an AddrVJ
1Rc t. IJ Mt et l 518 - 55 - 96S6 zi3 - 84 '7- 4786
Name and telephone number of person familiar with project
I, 974, 309 PccL, Q( Jgr014 , £57rod /;a, l% . Z005
Contract amount CJU Type of Work Date Completed
CBF - 11
BIDDER: S I N4 6G ( �,,_ ((Li
SECTION 3
NON-COLLUSION AFFIDAVIT
CBF - 12
BIDDER. 51 /47 L � . l .
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 , t
thereof to effectuate a collusive or sham bid. /.
- - 2-,c)
Signature
Typed or Printed Name
reSldi
Title
• 5IHGL lwr .
Bidder
Subscribed and sworn before me
This day of , 20_
(Seal)
�zC
Cuvivict.GL./244
Notary Public in and for
the State of California
My Commission Expires:
•
CBF- 13
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
County of LOS Mr-f @e/PS
Subscribed and sworn to (or affirmed) before me on this 90 if-
day
kday of Feb/Vary , 2019-, by Emanuel Sasaoni><
proved to me on the basis of satisfactory evidence to be the
person(sj who appeared before me.
LILIAN #2177IBOWO
21. COMM.02177007 A
\i-�•/ osmoE EscouGUN��
Cantu Exp.JAN.23,2021 /�
(Seal 19 _/ �>
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u OIDESCRIPTION j
O LEM OA 5" DIA. STD. GALV. PIPE, 7'-0" LONG
(PIPE TO BE FILLED WITH CONC.,
PRIMER SUITABLE FOR GALV. METAL
AND PAINTED "TRAFFIC YELLOW" FOR
TOP VIEW TOPDOOR PORTIONOSURE ONLY) (PIPE EXPOSED
THIMBLEYE, 2" DIA.
X 4" LONG GALV. STEEL
ai MATERIAL FOR N" BOLT
4 JOSLYN J-6551 \- '
OR EQUAL) - 4tc 1
a
I
€ 0 3/q" DIA. SQUARE
A HEAD BOLT (GALV. )
W/ SQUARE NUT
(INSTALL BEFORE
GROUND LINE--I FILLING W/ CONCRETE)
EH re31
0 •
i ,„ —.
' 0' CONCRETE e , > � �n 3 EA. h"0 x 0'-4 0
4 MINIMUM :` M — STUDS EQUALLY w
- DIMENSIONS :� J _ Q --. a
_ } SPACES (TYP.)
tp I U
O
od I I NOTES: a
1 . CONCRETE 2500 PSI @ 28 DAYS. z
e 1 '-8" 2. ANY DAMAGED NON-PAINTED SURFACE w
" I- --- — SHALL BE COATED WITH GALVANOX
s " TYPICAL INSTALLATION TYPE 1 . w
3. PIPE SHALL BE INSTALLED PLUMB ce
°"
o AND STRAIGHT. 91(
Location: $S EEM
BOLLARD PROTECTION FOR
SECONDARY LAND USE
JlVWMOINGWRANIA
EDISONMHOISONIN1ANAT1ONALComyeny o
0 SECONDARY LAND USE P.M. D/L
M55569 0 S3
No. Revisions Made I.Dyf
L_."'"G"Y VM YY _.. _.
YYY