Bidder: Belco Elecnor Group CITY OF ROSEMEAD
TRAFFIC SIGNAL MODIFICATIONS PROJECT
SAN GABRIEL BOULEVARD AT RUSH AVENUE
PROJECT No. 27004
CONTRACT BID FORMS
BIDDERt ianur map t ectl 1c/`n.(.
CONTRACT BID FORMS
TABLE OF CONTENTS
SECTION 1 BID SCHEDULE 1
SECTION 2 BID DATA FORMS 5
2.A BID BOND 6
2.8 LIST OF PROPOSED SUBCONTRACTORS 7
SECTION 3 NON-COLLUSION AFFIDAVIT 10
BIDDER:r tura Beta) E`€c 1 I , `c.
SECTION 1 - BID SCHEDULE
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BIDDER:VieliflpiBekl-I Veil 1cInc .
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 OTY. PRICE COST
1 Clearing& Grubbing per plans LS 1
and specifications.
?,00a, Ul 5 000. 00
2 Disposal of Waste Materials. LS 1 3,000. P'0 3,no. CO
3 Construct Traffic Signal LS 1
Modifications at San Gabriel
Boulevard and Rush Avenue per
Plans and Specifications
Complete. /01/Sick . loll 80. lA
TOTAL BASE BID PRICE(SCHEDULE BID PRICE):$ / 01 & 0 . 0 O
0 M }hRJDtQ) O6f ly4vNDA..d Gk6NZ4'0Q5r
Dollar amount in written form 00“.044 MJO 21:11.0 CACI-r i
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cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and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.
R,ttac�led ttereto is a ce lfi check, a cashier's check or a bid bond in the amount of
bl, ' Dollars($ �� o)said amount being not less than ten percent(10%)of the Total
Bid Price. The undersigned ag ees 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.
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BIDDER: f17hr BetThcCinc.
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.SC. 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) 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 E id Price is inclusive of all labor, materials, and
equipment or supplies necessary to complete the W irk 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 at compensation in full for all Work under the
contract.
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BIDDER: t €Lflu Leict Mc.
By: ♦ I . 1S\ raetecA tiQ
S„ lure Business Street Address
sAa MAIc � cPvC\ LltQ
Type or Print Na a Cit', State and Zip Code
\Au Wecrkeik abil'g(13-S470
Title I� T�eephone Number
Bidders/Contractors State of Incorporation: Calrtorn\C
Partners or Joint Venturers: N 1"
Bidder's License Number(s): 13��.i{�
Department Industrial Relations
Registered No. DO NA
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
UNANIMOUS WRITTEN CONSENT IN LIEU OF
2016 ANNUAL MEETING OF THE BOARD OF DIRECTORS
OF
ELECNOR BELCO ELECTRIC, INC.
March I,2016
The undersigned, being all of the members of the Board of Directors (the "Board") of Elecnor
Belco Electric, Inc., a California corporation (the"Company"), in lieu of holding a meeting of the Board,
hereby take the following actions and adopt the following resolutions by unanimous written consent:
WHEREAS, the Board has determined that it is in the Company's best interests to appoint a
revised slate of Officers of the Company.
NOW, THEREFORE, BE IT RESOLVED, that the following persons be, and hereby are,
elected to the offices set forth opposite their respective names, to hold such offices until their respective
successors are elected and qualified at or before the next annual meeting of the Board,or until their earlier
respective deaths, resignations or removals:
President and Chief Executive Officer Juan Bravo
Chief Financial Officer Jeroni Gervilla
Executive Vice President Alberto Garcia
John Wong Vice President for Construction
Secretary Pedro Enrile
Roger De V ito Assistant Secretary
FURTHER RESOLVED,that Juan Bravo, Jeroni Gervilla and Alberto Garcia in their respective
capacities of President and CEO, Chief Financial Officer and Executive Vice President subject to such
supervisory powers of the Board of Directors, hereby are authorized and directed to perform all the duties
commonly incident to that office;shall have authority to execute in the name of the Corporation contracts,
leases and other written instruments to be executed by the Corporation; and, shall perform such other
duties as the Board of Directors may from time to time determine.
AND IT IS FURTHER RESOLVED, that all actions heretofore taken by the officers of the
Company on behalf of and in the name of the Company, relating to the conduct of the business of the
Company, the expenditure of money, the making of contracts and all other acts taken or omitted in the
performance of their duties to the Company be,and the same hereby are, in all respects,approved,ratified
and affirmed,as of the date taken, done or omitted, respectively.
The actions taken by the Board Consent shall have the same Force and effect as if taken by the
undersigned at a meeting of the Board of Directors, duly called and constituted pursuant to the Bylaws of
the Corporation and the laws of the State of California. This Board Consent may be executed in
counterparts, each of which shall be deemed an original, but all of which together shall constitute one and
the same document.
SIGNATURE PAGE FOLLOWS)
IN WITNESS WHEREOF, the undersigned, being all of the members of the Board of Directors
of Elecnor Belco Electric. Inc., have executed these actions by written consent as of the date first written
above.
•
Argimiro Ramon; Director Ignacio Pr o, D'' ector
Jose Miguel Franco, Director
B DDER:FEecklrledvir,I rK
SECTION 2
BID DATA FORMS
CBF- 5
BIDDER: Elector Belcn Electric,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 Bidders name and page number.
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT Elecnor Belco Electric,Inc. ,as
Principal, and Fidelity and Deposit Company of Maryland
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten Percent of Amount Bid
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 all 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 Aprils,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 stn day of April , 2017
Decrier Belco Electric,Inc (SEAL) F3drIlly and K r=. ryL.,,^ (SEAL)
Principal , Surety
�f /C qq
By: Aid By: 1_,1,( Q(�e. Call C10-v
lure SignatureutuNicole Ann Clark,Attorney-In-Fac
i \\J Dr� �nF
CBF -6
ALL- PURPOSE
CERTIFICATE OF 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 ed\i'trnici }
County of c--
\t fl 9eT1C1(cli410 }
On k0\ 512001 before me, O\\\ 1(i CneaI nctOY\ YUkoU(
lase nag name and Cee at e omen
personally appeared DVII V1 W1 0
who proved to me on the basis of satisfa tory evidence to be the person(s) whose
name(s)Coare subscribed to the within instrument and acknowledged to me that
Imo,.he/they executed the same in Is er/their authorized capacity(ies), and that by
OJ, er/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. _
— OLIVIA CHEA I
WI k r • d official seal. �l)p 1 a Commission No.2107474 �,
•• t q ' i NOTARY SAM8I IARDNO COUNTIAY 2
f SANBEPo OLIO- ACOUNTY
IMy Lamm.Eons APRIL i4.2019
Notary Public Signature (Notary Public Seal)
•
ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM
This form complies with current California statutes regarding notary xording and,
DESCRIPTION OF THE ATTACHED DOCUMENT of needed,should be completed andanached to the dnranem Acknolwedgentfrom
(6 �{�(� U ellka other stales may be completed for documents being sent to that state so long as the
wording does not requre the California notary In',Safe Calfrmnotary law
(Title r descripnovf , document) State tand County information must be theStateand County wherethedocument
C)-c- Kto d
.� signer(slP II pusedhefdattten notary til f r k dog t
•Dille ord fan of attached document continued) Datelnotarizationmust the thedate
ledghat g ( pl personally appeared which
must also be the scme hohecpled
• [he notary publicmusty pont his or her nameas it appearsryblit) his or her
Number of Pages Document nate_ on followed) f docmmmaand
er s w onido(amarypeatlo)
• Pont zae nam{s) of document signer(sl who personally appear at the time of
notarization
CAPACITY CLAIMED BY THE SIGNER • Inmate the correct singular or plural forms by crossing off incorrect forms(i e
heih Hwr—is.aue 1 or circling the correct terms Yailure to correctly indicate this
Individual (s) information a d to j t f document recording
Lrperal Ogce • Thenotary seal 0 must be and photographically reproducible
4'L S I Impressionmust not coveror linesimpression If seal mudges re-seal d a
I le) sufficiepermits,area sufficient area otherwisecomplete a different acknowledgment form
❑ Panner(e) • Signature of the notary public must match the signature on file with the office of
the county clerk
❑ Attorney-In-Fact a Additional information is not required but could help to ensure this
❑ Trustee(s) acknowledgment F not misused or attached to a different document
Other
* Indicate title or type of attached document.number of pages and date.
❑ 4 Indicate the capacity claimed by the signer_if the claimed capacity is a
corporate officer,indicate the title Ii e CEO.CFO,Secretary)
• Securely attach this document to the signed document with a staple
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. _ _
Cu nnecticut
State of U'aIifoa)thc Hartford
County of )
On April 5, 2017 before me, Ashley Sinclair, Notary Public
(insert name and title of the officer)
personally appeared Nicole Ann Clark ,
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 official seal. ASHLEY SINCLAIR
NOTARY PUBLIC-173125
/,%/N//�/ WY COMMISSION IXPINES JAN.31,2022
Signatur: .� :1-6C_ 1: / 1 (Seal)
if
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY.a corporation of the State of New
York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland,and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"). by
GERALD F.HALEY,Vice President,in pursuance of authority granted by Article V,Section 8.of the By-Laws of said Companies,which
are set forth on the reverse side hereof and are hereby certified to he in full force and effect on the date hereof. do hereby nominate,
constitute, and appoint Nicole Ann CLARK,Jennifer M.GARTEN,Danielle D.JOHNSON,Aiza LOPEZ,Adam MARTIN,Michelle
Anne McMAHON,Aimee R.PERONDINE,Brian PETERS and Donna M.PLANETA,all of Hartford,Connecticut, EACH its true
and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver.for,and on its behalf as surely,and as its act and deed:any and all
bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents. shall be as binding upon said
Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected
officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York.,the regularly elected officers of the
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected
officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper
persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8.of
the By-Laws of said Companies,and is now in force.
IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND.this 26th day of September,A.D.2016.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
iiu'R",...
g,,sw�ap fid ;-•-•;F
!fib NtF ep VI' IBM rf5
e..rk 7
BY
Secretary Vice President
Eric D. Baines Gerald F. Haley
Stale of Maryland
County of Baltimore
On this 261h day of September.A.D.2016,before the subscriber.a Notary Public of the Siam of Maryland.duly commissioned and qualified,GERALD
F.HALEY,Vice President,and ERIC D.BARNES,Secretary. of the Companies,to me personally known to be the individuals and officers described in
and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn.deposeth and saith that he/she is the said
officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate
Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF.I have hereunto set my hand and affixed my Official Seal the day and year first above written.
t mtrtl ';
/f.&/s ue,yl /✓/2'sr^ - Q
Maria D.Adamski,Notary Public
My Commission ExpiresJuly K 2019
POA-F 063-9180A
BIDDER:E @ r Peg) ✓ cw1 rr.
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: j e yr M,CID irleC„,`(f 1i1(
2.B LIST OF PROPOSED SUBCONTRACTORS(continued)
rOuptcate Next 2 Pages it needed for listing additional subcmbaclws.^I
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: N Q S US
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.
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-8
BIDDER: t1IC-C iIf( E DO ri(l(lt(.
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:
t.
PI-easy r-eeatt&cca-K
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
2.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
3.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
4.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
CBF- 9
belco References
elecnor grouo
Project Name Interconnect and Traffic Signal at La Mesa
Project Description Interconnect,Traffic Signal, Fiber Optics
Approximate Construction Date January 2014 - May 2014
Agency City of Victorville
Address 14343 Civic Drive
Contact Person Greg Heldreth
Telephone 760-243-6360
Original Contract Value $1,169,918.00
Final Contract Value $1,278,432.85
Comments Extra work intiated by Agency
Project Name Harvey/Wilson and Broadway Traffic Signal
Project Description Traffic Signal
Approximate Construction Date July 2015-September 2015
Agency City of Glendale
Address 600 E. Broadway Room 2015, Glendale,CA 91206
Contact Person Sarkis Oganesyan
Telephone 818-548-3945
Original Contract Value $308,000.00
Final Contract Value $316,285.83
Comments Extra work initiated by Agency
Project Name Glasse!!St and Palm Ave Traffic Signal
Project Description Traffic Signal
Approximate Construction Date May 2015-September 2015
Agency City of Orange
Address 300 E.Chapman Avenue, Orange, CA 92866
Contact Person Medel Llanes
Telephone 714-744-5535
Original Contract Value $293,000.00
Final Contract Value $322,096.87
Comments Extra work initiated by Agency
Project Name Traffic Signal Modernization Phase 6
Project Description Traffic Signal,Street Lighting, Fiber Optics
Approximate Construction Date October 2014- February 2015
Agency City of Newport Beach
Address 100 Civic Center Drive, Newport Beach, CA 92660
Contact Person Brad Sommers
Telephone 949-644-3311
Original Contract Value $734,072.00
Final Contract Value $837,264.73
Comments Extra work initiated by Agency
Project Name Greenspot Road Improvements
Project Description Traffic Signal,Street Lighting, Fiber Optics
Approximate Construction Date June 2014- December 2014
Agency City of Highland
Address 27215 Baseline, Highland,CA 92346
Contact Person Carlos Zama no
Telephone 909-864-6861
Original Contract Value $1,606,300.00
Final Contract Value $1,724,048.57
Comments Extra work initiated by Agency
Project Name Stewart Street Underpass
Project Description Traffic Signal,Street lighting
Approximate Construction Date January 2014-August 2014
Agency City of Loma Linda
Address 25541 Barton Rd., Loma Linda, CA 92354
Contact Person USS Cal Builders *Subcontract Work
Telephone 714-828-4882
Original Contract Value $471,050.00
Final Contract Value $551,122.10
Comments Extra work initiated by Agency
Project Name Grand Avenue Widening From 1st St to 4th St
Project Description Traffic Signal,Street Lighting, Fiber Optic
Approximate Construction Date November 2014-September 2015
Agency City of Santa Ana
Address 20 Civic Center Plaza,Santa Ana,CA 92701
Contact Person Excel Paving 'Subcontract Work
Telephone 562-599-5841
Original Contract Value $494,087.00
Final Contract Value $557,097.90
Comments Extra work initiated by Agency
Project Name Gateway Cities ATMS Improvement Project
Project Description Video Detection Systems
Approximate Construction Date February 2015-June 2015
Agency County of Los Angeles Department of Public Works
Address 9005. Fremont Ave.,Alhambra,CA 91803
Contact Person Omid Eman
Telephone 626-607-7444
Original Contract Value $1,362,615.00
Final Contract Value $1,362,615.00
Comments
Project Name Jeffrey Regional Bike Trail
Project Description Bike Trail Lighting
Approximate Construction Date January 2014- May 2014
Agency Irvine Community Development Company
Address 550 Newport Center Dr., Newport Beach, CA 92660
Contact Person Hillcrest Contracting "Subcontract Work
Telephone 951-273-9600
Original Contract Value $281,000.00
Final Contract Value $281,000.00
Comments
Project Name Barham Blvd Street Improvements
Project Description Traffic Signal and Street Lighting
Approximate Construction Date December 2014- May 2015
Agency City of Los Angeles
Address 555 S. Flower St, Los Angeles,CA 90071
Contact Person USS Cal Builders"Subcontract Work
Telephone 714-828-4882
Original Contract Value $106,400.00
Final Contract Value $106,400.00
Comments
•
BIDDER:El-cawr Eeko FIecT(,ln( .
SECTION 3
NON-COLLUSION AFFIDAVIT
CBF- 10
' BIDDER. tIOf l e1 co Uectrtc lac.
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.
JO
At
Si�ure
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Bidder
Subscri and sworn eforQ me
This 1j a , Y" I 20 17
1 (Seal)
.F A \ A I o e OLIVIA CHER
otary Public in and for `—J ,• 'i. CommWm No.2107474 jA
1
the State of California j:fa NOTARY PLMLICCALIFORNIA
•.:r RAR BERNARDINO COUNTY 1
W Csmn.twos APRIL iA»1Y
My Commission Expires: ri l vg r 21-4e] - '—"
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.
CBF- 11