Bidder: CA Professional Engineering, Inc. CITY OF ROSEMEAD
TRAFFIC SIGNAL MODIFICATIONS PROJECT
SAN GABRIEL BOULEVARD AT RUSH AVENUE
PROJECT No. 27004
CONTRACT BID FORMS
BIDDER: California Professional Engineering, Inc.
SECTION 1 - BID SCHEDULE
CBF - 1
BIDDER:California Professional Engineering, Inc.
BID SCHEDULE
SCHEDULE OF PRICES FOR
TRAFFIC SIGNAL MODIFICATIONS PROJECT
SAN GABRIEL BOULEVARD AT RUSH AVENUE
PROJECT No. 27004
BASE BID SCHEDULE
UNIT OF EST. UNIT ITEM
NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST
1 Clearing 8 Grubbing per plans LS 1
and specifications. 11.1500 tS Co
•
2 Disposal of Waste Materials. LS 1 croo Sao
3 Construct Traffic Signal LS 1
Modifications at San Gabriel
Boulevard and Rush Avenue per 461 Iq9 `69,91 tt
Plans and Specifications
Complete.
TOTAL BASE BID PRICE (SCHEDULE BID PRICE):$ PN-r{ ONE 11401ASA-NO
NINE 1LaNOaED N(Ntxy 6Ct(1
Dollar amount in written form
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cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and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
Bidder's Bond Dollars($ 10% )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.
CBF -2
BIDDER. California Professional Engineering, Inc.
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 Bidders 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 protect 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.
The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and
equipment or supplies necessary to complete the Work as described in the Bid Documents. If this
bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the
necessary bonds and accept the Total Bid Price as compensation in full for all Work under the
contract.
CBF - 3
BIDDER: California Professional Engineering, Inc.
By. __� / 929 Otterbeln Ave, Unit E
Signature i Business Street Address
VAN NGUYEN La Puente. CA 91790
Type or Print Name City, State and Zip Code
PRESIDENT 626-810-1338
Title Telephone Number
Bidder's/Contractor's State of Incorporation: CALIFORNIA
Partners or Joint Venturers:
Bidder's License Number(s): 793907
Department Industrial Relations
Registered No. 1000001980
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-4
MINUTES OF THE ANNUAL MEETING OF SHAREHOLDERS AND DIRECTIORS
CALIFORNIA PROFESSIONAL ENGINEERING, INC.
The annual meeting of the shareholders of the above named California Corporation was duly held at the principal office of
the corporation located at 929 Otterbein Avenue, Unit E, La Puente, CA, 91748, USA on January 4,2016.
The Director present was VAN TAN NGUYEN.
President acting as Chairman, same being VAN TAN NGUYEN.
The Chairman then presented and read to the meeting a Waiver of Notice of Meeting, subscribed by all of the Directors of
the Corporation. Upon motion duly made, it was:
Resolved,that the Chairman be requested to cause the same to be spread at length upon the minutes.
Resolved,that the following persons were nominated and thereupon elected to the position opposite their names to serve
until their successors are elected and qualified:
VAN NGUYEN, PRESIDENT
VAN NGUYEN,SECRETARY
VAN NGUYEN,TREASURER
Resolved,that the above persons elected may sign all binding,contractual documents on behalf of the Corporation.
The President, Secretary, and Treasurer thereupon assumed their respective offices.
The President then presented and read the minutes of the annual meeting of shareholders of this Corporation,and the
same were, on motion duly made, seconded and unanimously carried, in all aspects ratified and adopted by this Board of
Directors.
There being no further business to come before the meeting, upon motion duly made, seconded and unanimously carried,
the same was adjourned.
The foregoing mi utes of Januaryt4, 2016 are approved:
r
VAN NGUYEN, President
(corporate seal)
P.
VAN NGUYEN, Secretary
California Professional Engineering, Inc.
goepond ium,
MEETING OF BOARD OF DIRECTORS
OF
CALIFORNIA PROFESSIONAL ENGINEERING, INC.
A meeting of the Board of Directors of California Professional Engineering, Inc. was
held on April 5. 2017 whereby a resolution was passed authorizing Van
Nguyen to sign on behalf of the Corporation, by his signature, to enter into any and all
contractual obligations on behalf of this corporation.
President i
See attached jurat.
929 Otterbein Ave Unit E La Puente,CA 91748 0 Ph: (626)810-1338 0 Fax: (626)810-1322 0 Email: van)epengineeringinc.com
JURAT
e 4
4 4
1 State of California 4
7 1
1
County of Los Angeles Ss. 1
11
1 Subscribed and sworn to (or affirmed) before me on this 5th day of April , )p 17 , by 1
1
fvan Nguyen _,proved to me on the basis of satisfactory evidence 4
4 4
2 to be the person(s/who appeared before me. 4
1 4
4 4
4 4
4 4
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.1 b DIEM CHIT $
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1 FOTMti fSIt N4[CRG 1
1 A notary public or other office completing this certificate verifies only the identity of the individual who signed the document ;
1 to which this certificate is attached.and not the truthfulnessaccuracyor validity of that document. _ 1
4 PIAL El NOTARY SEAL I'4ABOVESVICN 1
1
1 OPTIONAL INFORMATION 1
1 1
1 The information below is optional. However,it may prove valuable and could prevent fraudulent attachment •
1of this form to an unauthorized document. 1
4 4 4
4
4 CAPACITY CLAIMED BY SIGNER(PRINCIPAL) DESCRIPTION OF'ATTACHED DOCOMEN'I' 1
1 ❑ INDIVIDUALS
4 ® CORPORATE OFFICER President,Secretary,Treasurer,Manager IITLE OR TYPE OFO(NIJMNN1 1
1 LI PARTNERS) puree4
•4 ❑ ATTORNEY-IN-PACT _...--. — -...--
it
NUMBER OF PAGES
1 ❑ TRUSTEE(St 1
4 ❑ GUARDIAN(CONSERVATOR 4
s ❑ OTHER _ __. _ HAi i UI UOe t MINI 4
1 4
1 OTI IFR 1
4 1
1 ABSENT SIGNER(PRINCIPAL)IS REPRESENTING: R GIIT _ 1
4.
nnnv;npprxsowsloR rscm?ars) THUMBPRINT 4
1
California Professional Engineerinnc. OF .. It
_..— g, ISIGNER
1 _ 1
SS 1
$ $
1 1
1 1
4
l/27 NOTARY Bt.NIri.SUPPLIES ANDPE/HMS Al HI 11)AVA V:.VAT hi SPEER A COM II T}IS]ry)g VALI E1 SI CRR A IIISI NAM II
BIDDER: California Professional Engineering, Inc.
SECTION 2
BID DATA FORMS
CBF -5
BIDDER: California Professional Engineering 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 California Professional Enginoo Hq V.€.. as
Principal, and Allied World Insurance Company
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten Percent of aid Amount
DOLLARS
($_
10% 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 ail Work
required for the TRAFFIC SIGNAL MODIFICATIONS PROJECT AT SAN GABRIEL
BOULEVARD AND RUSH AVENUE as set forth in the Notice Inviting Bids and
accompanying Bid Documents, dated April s,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 thewritten 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,therm 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 ':n day ofagrlm , 20.17
California Profegsidna!Endinaernf In / (SEAL) Allied World Insurance Company (SEALI
Principal Surety
Signature m' Signatur• Chri-rine Hoang,Airornay-!rFFact
CBF -6
•
ALL—PURPOSE ACKNOWLEDGMENT
State of Cali forma 'I
} SS
County of Los Angeles _
Y
b On April 5,2017 _ before me, Diem Chu , Nola!). Public. '
personally appeared Van Nguyen , who proved to me on the
y basis of satisfactory evidence to be the person whose name is'>3#fd subscribed to the within Instrument
k and acknowledged to me that hessiv ktty executed the s
same in hisilairt authorized capacity(it), and that 3'
Xby his/keefthezx signature* on the instrument the 3
person(fda), or the entity upon behalf of which the
X person(1 acted, executed the instrument.
swI certify under PENAL:FY OF PERJURY under the
8 laws of the State of California that the foregoing H
paragraph is true and correct. X
DIEM CHU WITNESS my hand and official seal. X
X m Com # 2042313 N
sky ( uo - Rut FNI ....e
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'' '11.' 11 h r 4. "I f _
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NO 1tl sSl N1'tRL
A notary public or other office 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.
PI ACE N(rIARV SEAI IN AM'VL SPACE
OPTIONAL INFORMATION
The information below is optional. However,it may prove valuable and could prevent fraudulent attachment
of this form to an unauthorized document. It
X1
CAPACITY CLAIMED BY SIGNER(PRINCIPAL) DESCRIPTION OF ATTACHED DOCL MEN /t
❑ INDIVIDUAL
® COILPOKATG UfFICt:R President,Secretarylreasurer,Manager I CLE OK t YPt OF DOC CMUNI
Ei PARINIR(S) 1II[A( i
y 0 ATTORNEY-IN-FACT ___
4 El TRUSTEL(S1 N -MH[1t or PAGPS
0 GUARDIAN ( ONSI RVATOR �'J)
OIIIER UM F OF DO(LMIN r-- ---
OlHER
SIGNER(PRINCIPAL)IS REPRESENTING: L X
N VDII 01 PI RSON SI ON I NIIIVLII•S " /(
RICHT
California Professional Engineering, Inc. TIILMBPRIN I a
OF
SIGNER .
E.
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+s _ KXX XX AXX'aci"Xx_Cr'XXXXse:ecxXXxx.xx X_XXK:rCX>CDOCYx'XX7C>
AY41311_ N1 AR1M(1S1?.SI III II SA>DH ORM,.A 111.. KVAACVVIIF SI1 INA.(tM r.DA 21.r$N.1IIIYS AR', N>,RAlt.£
ALLIED WORLD INSURANCE COMPANY
WORLD Philade phhi,Suite
A 19103
USA
POWER OF ATTORNEY
Issue Date:February 23,2017 No,32826-A1506 Single Transaction Limit:$10,000.000
KNOW ALL MEN BY THESE PRESENTS:
Allied World Insurance Company,a New Hampshire corporation(the"Company')does hereby appoint
NAMEIs). lames W.Moilanen Yung T.Mullick
Christine Hoang
FIRM: The Bond Exchange&Insurance Agency 24800 Chrisanta Drive Suite 160 Mission Viejo,CA 92691
Its true and lawful Attaney(s)-in-Fact,with NII authority to execute on its behalf bonds,undertakings,recognizances and other contracts of indemnity
and writings obligatory in the nature thereof,issued in the course of As business,and to bind the Company thereby.This Power of Attorney shall remain
in full force and effect for one year from the issued date above-referenced and shalt expire on close of business of the first anniversary of such Issue
Date.
IN WITNESS WHEREOF, ALLIED WORLD INSURANCE COMPANY has caused these presents to be executed by Me officer named belew,who is
duly authorized and empowered to execute on the Company's behalf.
This 23rd day of February,2017 fAMMQ RMArTA OP SDLPtrerW:ifiC
NOrARUI SEAL
AMA
EltiI to raN &f.L t r P,
ee dPv mature Pmt r !
r ..,,rte sA,m..?. SiItTame:Senior
ViC.Presids
Title:aeriror Vice President-Surety
State of Pennsylvania
County of Philadelphia )ss.
on this 23rd day of February,2017,before me came the above-named officer of n�� 7�-"-"
ALLIED WORLD INSURANCE COMPANY,to me personally known to be the individual
and officer described herein,and acknowledged that be executed the foregoing Notary
instrument and affixed the seals of sad corporation thereto by authority of his My Commission Expires:08/05/2018
office.
CERTIFICATE
Excerpt of Resolution adopter.by De Board of Directors of he ALLIED WORLD INSURANCE COMPANY the"Corporation"),on December 31,2012
RESOLVED,Rat be corer officers of the C rpoaton.the head of the surety*si.ss lire fry the Corporation and their appointed designees(each an'AU*OZnd Otte'and collectively,the'Authorized
Officers")be,and each hereby k,authored atop,if
appoinl*eor mere Atlb
rneysinFacl to represent andem andonb'ehalf ofthe Cwpoaatn In the transaction of he Campo*surety bushed to exeale
(underlie common seal of he Corporation,lappocoale)sods,urdedaltingsrexynizanas and other-contra ofi*emot-ad*Ns obligatory in the nature thereof.
RESOLVED,that in connection nth he Cel s transaction of surety business,the signatures and attestations of the Authahnd Officers and the zeal of the Caparatlm may he afirei to dry such
Pacer of Attorney or to any arbfimt relating teeto by facsimile,anc any such Power of Attorney cc indicate bear*sot facsimile sgratures or*simile sM shall Ce valid and binding upon be
Corporation when spatted with respect m any bond,undenekig,recognizance salter nob*of indemnity or*ring oblgalprym the flare boot
RESOLVED,that in mmlec6 with he Corpmatims Vans- tor of surety business,the los*or mechanicalty rep-educed signature of any ANhaized Officer,whether mad=heretofore a herearer,
Wherever a peaeg upon ampy of any Fe erofAtonney of be Corporation.with signatures atm*as next above noted,shall be veld and bed*upon the Corporation with the sane face and effect as
though manually ehmt.
RESOLVED,that In mnnecten who be Corporate*bansaikn of surety*snot,any such Moneytn,Faci dSirenpg a secreladal or other centifratkn that the**inn resodia's atlll oe In effect may
insert n such der fkatbe the date tempi,sMdale to be rotlaler than thedateof delivery thereof by such Attoreyin-FFsl.
RESOLVED,Oat he Authorized 01fr ev he,and each hereby S,aute'ieel to execute(Wrier the xrnnm mal of be Coparffion,if gpigx ana),make,hie and deliver in the name awl on behalf of the
Corpra411 any and NI myCat6,*doles,of n .rile,amendments.supplements.ieslurients and other documents whataeea2L and d any and all'Its things eat**in connect*VAth the
C goalh is Vaxsa4n of sorely business,as such Authored Officer shall in It or her absolute disoetim dem or determine appropriate and any of the fcelpng resdulans,the trenstons
untemplatd thereby and any anciay masters thereto ander to carryout the purposes and mien*reef such deeming or detemJnatn to be conclusively bedenced byany such ersmfan a the taking of
any such*eon by such AuVahzed Crim.
I,Daniel Zharkavky,Smeary of be ALLEID WORLD INSURANCE COMPANY,do hereby comfy that the foregoing excapte of Resoa on adopted by the Board of[tractors of is
wrpoahon,and he Pater of Attorney ssrebplrsuanl thereto,are Rue and eared,and that bot the Resoibce and the Powwweraof AAAzxney ore in lull Mee ad effect
IN WITNESS WHEREOF,I have hereunto ser my hand and alfaei the facsimile seal of he Palmation this ifi‘ day of 2a��
Daniel Zharkovky,AVP,Assistant General Counsel
SUR 00046 00(05/2016)
No. 3186-4
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE
SAN FRANCISCO
Amended
Certificate of Authority
fills IS TO CERTIFY that, pursuant w the In. mons Cade of the Stare ufCalforma,
Allied World Insurance Canysuny
ulNew Hampshire,organized under the laws of Nets Hampshire suc/cct to its Articles of Incnrporalion or
oterfurhdanental organieatlonai documents,tc heresy authorized totransact wvthtn this Stara,snbjeer roan
provisions of ruts Certificate. thetonewing classes efins:eranr a_
Fire,Marine,Surety,Plate Claw,liability,Workers'Compenradon,
Common Carrier Liability',Boiler and Machinery,Burglary,Credit,
Sprinkler,Team and Vehicle,Automobile,Aircraft,and Miscellaneous
as such classes are now or may hereafter be defined in the insurance Lutes of the Slate ofCalifarnia.
THIS CJiRIIFICA 113 u expressly conditioned seen the holder linear now and hereafter being in
full compliant:with all,and not in violation clan),ofthe applicants Imes and Iawfid requirements made
under authority of the Imes ol'the State JCal3arnra ae Ions as such laws or requirements are in effect and
applicable, and as such tines and requiramente now arc, or uac he,caner in changed or amended
IN WITNESS WIILRPOP,eifaetive as of the 22'd y ofMa ,2013.
I have hereunto set nip hall am amt.,ednn•ficial tea!to be q/ftred
this 22'4 day nr May.21,13
05- '% Dave Jones
•- 0
By Susan I.Stapp
for Nettle Hoge
crud nnney
NOTICE.
QueCn u vith ths a as n N' ' . de.h 1 c Lode p eµsl: her
!ate in
tssueuse
f➢s Cartigs.ne
An ;I tv r 1 t m,hw AIL Es ,In the Im ;• htrgorton.th and ilong,wdvtDd
vo6ieg this Cartifaua of Authority pursuant ho the.mmuno mass m the y�pueahior,mernfea[Ind m:conditions wnainaa
herein.
CALIFORNIA ALL-PURPOSE 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
County of Orange
On April 4, 2017 before me, Kathryn Lopez _, Notary Public, •
Date Insert Name of Notary exactly as rt appears on the official seal
•
personally appeared Christine T. Hoang
Name(s)of Signer(s) 1
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/are subscribed to the
I 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)
• N vgs.g•r"ra KATHRYN LOPEZ acted, executed the instrument.
COMM.#2158796 z
t • WARY RIJBLIC.CAt1FOR14Ay certify under PENALTY OF PERJURY under the laws of
ORANGE COUNTY m the State of California that the foregoing paragraph is true
1 1.. COMM.
COMM.EXP.JULY 1,2020 and correct.
Witness my .n/,. offi eal.
Signature 'y.1fir�
Place Notary Seal Above Signature. Notary• . Kathryn Lopez
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 the form to another document.
Description of Attached Document
Title or Type of Document Bid Bond •
• Document Date: April 4, 2017 Number of Pages. 1
Signer(s) Other Than Named Above: None
Capacity(ies)Claimed by Signer(s)
Signer's Name: Christine T. Hoang Signer's Name:
❑ Individual ❑ Individual
❑ Corporate Officer—Title(s). ❑ Corporate Officer Title(s):
❑ Partner 9 Limited 9 General ❑ Partner ❑Limited U General
d Attorney in Fact RIGHT THUMBPRINT 0 Attorney in Fact RIGHT THUMBPRINT
9 Trustee OF SIGNER 0 Trustee OF SIGNER
9 Guardian or Conservator Top of thumb here 0 Guardian or Conservator Top of thumb here
' 9 Other 0 Other
I
I
Signer is Representing: Signer is Representing:
Allied World
Insurance Company __
BIDDER: California Professional Engineering, Inc.
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.
CBF- 7
BIDDER: California Professional Engineering, Inc.
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
l'"Duplicate Next 2 Pages it needed for listing additional subcontaclors"]
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: N/A
Address: N/A
License No.: N/A
Department of Industrial Relation Registration No. N/A
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: N/A
Address: N/A
License No.: N/A
Department of Industrial Relation Registration No. N!A
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: NIA
Address: NIA
License No.. N/A
Department of Industrial Relation Registration No. N/A
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: N/A
Address: Na
License No.: N/A
Department of Industrial Relation Registration No. N/A
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: N/A
Address: N/A
License No.: N/A
Department of Industrial Relation Registration No. NIA
CBF - 8
BIDDER'. California Professional Engineering, Inc.
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. City of Pasadena 100 N. Garfield Ave Pasadena, CA 91109
Name and Address of Owner
John Ramey 626-744-6912
Name and telephone number of person familiar with project
$110,684.96 Traffic Signal Modification Jan 2016
Contract amount Type of Work Date Completed
2. City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701
Name and Address of Owner
Edward Torres 714-647-5029
Name and telephone number of person familiar with project
$707,855.63 Traffic Signal Modification Aug 2015
Contract amount Type of Work Date Completed
3 County of Los Angeles DPW 900 South Fremont Avenue,Alhambra, CA 91803
Name and Address of Owner
Joel Zaragoza 626-458-4973
Name and telephone number of person familiar with project
$1,746,742.55 Traffic Signal Modification Feb 2017
Contract amount Type of Work Date Completed
4, County of Los Angeles DPW 900 South Fremont Avenue,Alhambra, CA 91803
Name and Address of Owner
At Dana 626-458-3110
Name and telephone number of person familiar with project
$1,352,897.25 Traffic Signal Modification Jan 2017
Contract amount Type of Work Date Completed
CBF -9
BIDDER: California Professional Engineering, Inc.
SECTION 3
NON-COLLUSION AFFIDAVIT
CBF- 10
BIDDER: California Professional Engineering, Inc.
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 .-pository, or to any member or agent
thereof to effectuate a collusive or sham bid. •
•
Signature
VAN NGUYEN
Typed or Printed Name
PRESIDENT
Title
California Professional Engineering, Inc.
Bidder
Subscribed and sworn before me
This 5 day of MARCH , 2017
(Seal)
Notary Public in and for
the State of California
My Commission Expires:
CBF - 11
JURAT
4
1 State of California 4
4Los Angeles } SS. 4
County of
4 4
4 Subscribed and sworn to (or affirmed) before me on this 5th day of April , 20 17 , by l
10 4
4 Van Nguyen ,proved tome on the basis of satisfactory evidence 1
4 4
1 to be the person(sa who appeared before me. 1
4 4
4
1 4
44
4 4
4
4
44 4
4 p-
♦ it x DIEM CHU ' 1
1 / � Cave # 1041313
1 s 3 + 1 _'' 'Aewaxin RI 4
4 NOI:AAY 59GNAIURE l
4 A notary public or other office completing this certificate verifies only the identity of the individual who signed the document 4
1 to which this certificate is attached.and not the truthfulness.accuracy.or validity of that document. 1
4 PLACE,NOTARY SEAL INABOVE SPACE 4
4 OPTIONAL INFORMATION 4
4 4
4 The information below is optional. However,it may prove valuable and could prevent fraudulent attachment
1 of this form to an unauthorized document. 1
1 4
4 CAPACITY CLAIMED BY SIGNER iPRINCIPAL) DESCRIPTION OE ATTACHED DOCUMENT 4
4 0 INDIVIDUAL ♦
4
lg CORPORATE OFFICER PresidenTSecretaty,Treasurer, Manager TITLE OR TYPE OF DOCUMENT ♦
♦ 0 PARTNERIS) IMES} 4
4 0 ATTORNEY-TN-FACT - 4
NI:MUER OF RAGES 4
1 0 TRUSTEE(S)
4 0 GUARDIAN/CONSERVATOR 4
4 0 OTHER' --DMFOP DO(t MEM 1
4 4
4 0
OL}ibR
i 4
4 4
4 ABSENT SIGNER(PRINCIPAL)IS REPRESENTING: RIGHT s 4
1 NAME OFPERSONrS I OR EN 11 rY ENI
THUMBPRINT 4
1
California Professional Engineering, Inc. OF — II
SIGNER 4
$ - 1
1 _._.... _ __..____ ♦
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$ 4
4 4
101^_008 NOTARYBONDS SUPPLI1S%ND II/RMSAIHUE rIWWW.VAILE SIERRA CON s.'0'U SARA V.0 IkV OIERNA IASI RAMIE