BID PROPOSAL DOCUMENTS
All documents provided in Section C, including this page, must be completed. Unless otherwise specified, all Bid Proposal documents must be submitted to be considered for award for this bid solicitation.
1. Bid Proposal Documents and Certification.. C-1
2. Bid Schedule C-2
Addenda Acknowledgement. C-6
List of Subcontractors... C-7
Bid Bond C-8
Non-Collusion Declaration C-9
Certification of Non-Discrimination by Contractors C-10 Worker's Compensation Insurance Certificate. ...C-11
9. Certificate of Site Examination...... C-12
10. Information to Comply with Labor Code 2810... ..C-13
11. Iran Contracting Act of 2010 Compliance Affidavit..... C-14
12. Statement of Bidder: Qualification and Experience Statement. ..C-15
13. Compliance with Applicable Laws, Rules, Regulations and Ordinances. C-16 1, - Iron farou (Bidder), certify that all of the above required documents have been completed. I also understand that failure to submit a completed bid package (fully completed and executed) will result in rejection of bid.
BIDDER INFORMATION
The following information will be used for statistical analysis only:
Is the Bidder a Disadvantaged Business (DBE)? If yes, Certification No.
Is the Bidder a Minority-Owned Business? _ _ Which racial minority? Is the Bidder a Women-Owned Business?
Is the Bidder a certified Small Business? If yes, Certification No.
Dated 6/19/25 Dak Hollow Restoration, Fac
(Bidder)
(Signature)
Iron larr
(Printed Name)
Secretam
(Tile)
C-1
Project No.: IB259
BIDDER'S NAME: Dake Hollow hesduration Inc.
In accordance with the Notice Inviting Bids for this Work in the City of Chino, California, Bidder offers to furnish all necessa labor, tools, materials, appliances and equipment for and to perform all Work mentioned in the Notice Inviting Bids, in 1 compliance with all documents, including plans, specifications, attachments and exhibits at the prices listed below. if nig work is approved by the Project Manager, the Contractor shall not receive any additional compensation.
Bidder understands that these quantities are estimates only and are given solely for the purpose of facilitating the comparis of Bids, and that the Contractor's compensation will be computed on the basis of the actual quantities in the completed wo
BID SCHEDULE
Owen's Bistro Restoration Project
Project No.: IB259
EST UNIT
ITEM DESCRIPTION UNIT TOTAL CO:
QTY PRICE
Work under this item includes furishing all labor, $ $
material, and equipment to mobilize and demobilize,
provide cleanup of construction site, provide all bonds, insurances and multiple move-ins/relocations. Provide
project phasing as needed to minimize disruption to
residents and businesses. Provide continuous water
service including all costs of highlining utility services as 1 $85,000 $85,000 LS
required. Public Work permits and fees in the City of
Chino. This bid item also includes all items as
necessary to complete the Project Work from the
General Provisions which are not contained within the
itemized Bid Schedule below. (When amount exceeds
5% of the total bid will be paid over the term of the
contract.) Complete for the lump sum price of:
$ $
2 No fee permit & compliance LS
Furnish all labor, material, and equipment as required to $ provide safety and traffic control for pedestrian and
3 vehicles including traffic control per the WATCH 1 LS Manual, warning signs, high level warning devices, $8,500 8,500 delineators, regulatory signs, and barricades, and
complete for the lump sum price of:
Scaffolding, plastic sheeting, fans, blowers, filtration, $ $ particulate respirators and all other materials that maybe 4 needed to isolate the workspace, sequester dust and 1 LS $43,030 13,030 debris, and ensure the restaurant remains operational
during construction.
Personal protective equipment such as respirators and $ $ 5 all other items that maybe required in order to comply 1 LS 1$5,620 with Department of Industrial Relations and Cal OSHA 5,620 standards for worker health and safety.
Mortar sampling and laboratory analysis (ASTM C1324), $ $ 6 1 LS 4,560 4,560
preparation of test panel mockup (4'x4').
C-2
Project No.: I8259
Demolition/Removal
Masonry surface cleaning (non-abrasive, interior and $ $ 7 10,000 SF 3.89 38,900
exterior)
8 Removal of deteriorated mortar (by hand tools, per 10,000 SF 9.27 Preservation Brief #2) 92,700
$ $
Provide unit cost for mortar removal exceeding the 10,000 1 SF 9 9.75 9.75
square foot base bid
Restoration
Repointing with compatible historic lime-based mortar, $ $ 10 interior and exterior per methods described in 10,000 SF 11.53 115,300
Preservation Brief #2.
Provide a unit price to repoint and restore existing interior $ $ and exterior brickwork in a manner consistent with the 1 EA 12.25 11 12.25
methods described in Preservation Brief # 2 for work
exceeding the base bid
$ $
Moist curing and protection (shading, misting, SF
12 10,000 .80 8,000
temperature control
13 Brick unit replacement (only with prior approval) 50 LS 1,365 68,200
$
14 Brick unit replacement for quantities exceeding base bid 1 EA with prior approval 1,365 1,365
$ $
15 Project documentation (photos, reports, warranty, LS submittals 24,760 24,760
TOTAL BID PRICE IN NUMBERS (ITEMS 1 - 15) $ 466,007.00
TOTAL BID PRICEN WORDS: Four Hundred Sixty Six Thousand Seven Dollars and 00100 -
C-3
Project No.: IB259
Owen's Bistro Restoration Project
Project No.: IB259
ADDENDA ACKNOWLEDGEMENT/SIGNATURE
This Bid is submitted with respect to the changes to the Plans & Specifications included in the following addenda numbers:
1 2 3 4 5 6 7
(Initial above all appropriate numbers)
Bidder certifies that Bidder has examined the site and that the Bid is complete. By signing below, Bidder certifies that the Contractor will not submit a claim based on failure to examine the site thoroughly.
Respectfully submitted,
6/19/25
Bidder Signature Date
Tron Parm / out Secretary
Print Name / Title
Oak Hollow Restoratin, Inc. 444 sixth st, Nurco CA 92860 Legal Name of Company Business Address (Actual Address - Post Office Box) 951-595-2530 Troy @ Oak Hollow Restoration.com
Telephone Number Email Address
1051967 1000364957
Contractor's License Number DIR Registration Number
C-4
Project No.: IB259
LIST OF SUBCONTRACTORS
In accordance with the requirements provided in the "Subletting and Subcontracting Fair Practices Act" Division 2 Part 1, Chapter 4 of the California Public Contract Code, the Bidder shall set forth hereon the name, the location of the place of business, Department of Industrial Relations registration number, and the California contractor license number of each subcontractor who will perform work or labor or render service to the prime contractor in or about the construction of the work or improvement, or a subcontractor licensed by the State of California who, under subcontract to the prime contractor, specially fabricates and installs a portion of the work or improvement according to plans and specifications, in an amount in excess of one-half of 1 percent of the prime contractor's total bid 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 prime contractor's total bid or ten thousand dollars ($10,000), whichever is greater. The prime contractor shall also set forth hereon the portion of the work (type and dollar value) that will be done by each subcontractor. The prime contractor shall list only one subcontractor for each portion as defined by the prime contractor in his or her bid. Information requested, other than the subcontractor's name, location of business, Department of Industrial Relations registration number, contractor license number, and the portion of work that will be done by each subcontractor, may be submitted by the prime contractor within 24 hours after the deadline for submission of bids.
N/A-
Name: Type of Work:
Address: _ Email Address:
Phone No.: Dollar Value of Subcontract: $
License No. _ DIR Registration No. _
Name: Type of Work:
Address: Email Address:
Phone No.: Dollar Value of Subcontract: $
License No. DIR Registration No. _
Name: Type of Work:
Address: Email Address:
Phone No.: Dollar Value of Subcontract: $
License No. DIR Registration No.
Name: Type of Work:
Address: Email Address:
Phone No.: Dollar Value of Subcontract: $
License No.. DIR Registration No.
C-5
Project No.: IB259
NON-COLLUSION DECLARATION
(TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID)
The undersigned declares:
I am the Secretar- _or Dak Hollow PResbaigthe party making the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding.
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. All statements contained in the bid are true. 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, to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and declaration executed 6/19/25 at
Wildomar CA [State].
CONTRACTOR
(Signature)
Tray herates larr
Secretary
(Title)
1qth day of June _ 20_25 by CheriBower
Subscribed and sworn to before me this
Notary Public in and for the County of _ Riverside
State of California.
My Commission Expires - 20
C-7
Project No.: IB259
CERTIFICATION OF NON-DISCRIMINATION BY CONTRACTORS
As suppliers of goods and services to the City of Chino, the company listed below certifies that, except as permitted in Government Code section 12940, it does not discriminate in its employment on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, or military and veteran status of any person; that it is in compliance with all federal, state, and local laws regarding non-discrimination in employment; and that it agrees to positively and aggressively pursue the principle of equal opportunity in employment.
We agree specifically:
1. To establish or observe employment policies which affirmatively promote opportunities for minority persons at all job levels.
2. To communicate this policy to all persons concerned, including all company employees, outside recruiting services, especially those serving minority communities, and to the minority communities at large.
3. To take affirmative steps to hire minority employees within the company.
COMPANY NAME. Oak Hollow Restoration, Inc.
NAME OF PERSON SIGNING Troy Para
TITLE OF PERSON SIGNING Secretary
SIGNATURE
DATE — 6/19/25
Please include any additional information available regarding equal opportunity employment programs now in effect within your company.
C-8
Project No.: IB259
Owen's Bistro Restoration Project
Project No.: IB259
WORKERS' COMPENSATION INSURANCE CERTIFICATE
The Contractor shall execute the following form as required by the California Labor Code, Section 1860 and 1861:
I am aware of the provisions of Section 3700 of the State Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of this contract.
DATE: — 6/19/25
Oak Hollon Restration, Inc.
CONTRACTOR
(Signature)
Tron , farra
(Printed Name)
Secretan
(Title)
C-9
Project No.: IB259
Owen's Bistro Restoration Project
Project No.: IB259
CERTIFICATION OF SITE EXAMINATION
Each bidder shall be fully informed of the conditions relating to the construction of the work and the employment of labor thereon. Failure to do so will not relieve Contractor of the obligation to furnish all material and labor necessary to carry out the provisions of the Contract Documents. Each bidder shall examine the site for the work described herein. Bidders shall attend a mandatory pre-bid meeting of the site conducted by the City. Failure to attend the mandatory pre-bid meeting shall be cause for rejection of the bid.
This is to certify that I have examined the site and the bid is complete and there will be no additional payment for failure to examine the site thoroughly.
5/29/25 Oak Hollow Resheration, Inc
Date of Site Examination Bidder
Trey
Printed Name of Bidder Representative
Signature of Representative
6/19/25
Date
C-10
Proiect No.: 18259
INFORMATION TO COMPLY WITH LABOR CODE SEC. 2810
To comply with Labor Code Sec. 2810, Contractor shall complete and submit this Information Sheet which shall be incorporated into and be a part of the Contract:
1) Workers' Compensation Insurance:
a. Policy Number: _
Ace American Insurance Co.
b. Name of Insurer (NOT Broker): -
c. Address of Insurer: _
d. Telephone Number of Insurer: _
2) For vehicles owned by Contractor and used in performing work under this Contract:
a. VIN (Vehicle Identification Number): 66087
b. Automobile Liability Insurance Policy Number:
c. Name of Insurer (NOT Broker): - State Fam
d. Address of Insurer: _
e. Telephone Number of Insurer: _
3) Address of Property used to house workers on this Contract, if any: - N/A 4) Estimated total number of workers to be employed on this Contract: _ 6 $78 per hor
5) Estimated total wages to be paid those workers: —
6) Dates (or schedule) when those wages will be paid (Describe schedule: For example, weekly or every other week or monthly: Weekl
7) Estimated total number of independent contractors to be used on this Contract:_ 1 8) Contractor's Taxpayer's Identification Number:
C-11
Project No.: IB259
IRAN CONTRACTING ACT of 2010 COMPLIANCE AFFIDAVIT
(Public Contract Code Sections 2202-2208)
The California Legislature adopted the Iran Contracting Act of 2010 to respond to policies of Iran in a uniform fashion (PCC §2201(q)). The Iran Contracting Act prohibits bidders engaged in investment activities in Iran from bidding on, submitting proposals for, or entering into or renewing contracts with public entities for goods and services of one million dollars ($1,000,000) or more (PCC § 2203(a)). A bidder who "engages in investment activities in Iran" is defined as either:
1. A bidder providing goods or services of twenty million dollars ($20,000,000) or more in the energy sector of Iran, including provision of oil or liquefied natural gas tankers, or products used to construct or maintain pipelines used to transport oil or liquefied natural gas, for the energy sector of Iran; or
2. A bidder that is a financial institution (as that term is defined in 50 U.S.C. § 1701) that extends twenty million dollars ($20,000,000) or more in credit to another person, for 45 days or more, if that person will use the credit to provide goods or services in the energy sector in Iran and is identified on a list created by the California Department of General Services (DGS) pursuant to PCC § 2203(b) as a person engaging in the investment activities in Iran.
The bidder shall certify that at the time of submitting a bid for new contract or renewal of an existing contract, the bidder is not identified on the DGS list of ineligible businesses or persons and that the bidder is not engaged in investment activities in Iran in violation of the Iran Contracting Act of 2010.
California law establishes penalties for providing false certifications, including civil penalties equal to the greater of $250,000 or twice the amount of the contract for which the false certification was made; contract termination; and three-year ineligibility to bid on contracts (PCC § 2205).
To comply with the Iran Contracting Act of 2010, the bidder shall provide its vendor or financial institution information below:
OPTION #1 - CERTIFICATION
I, the official named below, certify I am duly authorized to execute this certification on behalf of the vendor/financial institution identified below, and the vendor/financial institution identified below is not on the current list of persons engaged in investment activities in Iran created by DGS and is not a financial institution extending twenty million dollars ($20,000,000) or more in credit to another person/vendor, for 45 days or more, if that other person/vendor will use the credit to provide goods or services in the energy sector in Iran and is identified on the current list of persons engaged in investment activities in Iran created by DGS.
Vendor Name/Financial Institution (Printed) Federal ID Number (or n/a) Oak Hollow Restoration, Ine.
By (Authorized Signature)
Printed Name and Title of Person Signing Parm
Secretary
Date Executed Erected in Wildomer, CA.
6/19/25
OPTION #2 - EXEMPTION
Pursuant to Public Contract Code sections 2203(c) and (d), a public entity may permit a vendor/financial institution engaged in investment activities in Iran, on a case-by-case basis, to be eligible for, or to bid on, submit a proposal for, or enters into or renews, a contract for goods and services.
If you have obtained an exemption from the certification requirement under the Iran Contracting Act, please fill out the information below, and attach documentation demonstrating the exemption approval.
Vendor Name/Financial Institution (Printed) Federal ID Number (or n/a) By (Authorized Signature)
Printed Name and Title of Person Signing Date Executed
C-12
Project No.: IB259
STATEMENT BY BIDDER: QUALIFICATION AND EXPERIENCE STATEMENT The following outline is a record of the undersigned Bidder's experience in construction of five (5) projects of a type similar in magnitude and character to that contemplated under Project No: TBD within the past five (5) years. Include the location of each project as well as the name, address, and phone number of the owner, and name of individual to contact.
Subcontractors performing in excess of one half of one percent of the prime Contractor's total bid, or in the construction of streets or highways, one half of one percent of the prime contractor's total bid or ten thousand dollars ($10,000), whichever is greater shall provide a similar outline. Additional pages outlining this portion of the Bid may be attached. Failure to provide this statement may result in rejection of the bid by the City of Chino.
1. Owner's Name: Joanna Miller
Contact Person: Nick Runeare Phone:
Address of Owner:
Project Description: Disnen Bungalow Restration
Amount of Contract: 3.5 million Completion Date: 12/24
2. Owner's Name: Cit of Aliso Viejo,
Contact Person: _ Sim WilSon Phone:
Address of Owner:
Project Description: Aliso Viejo. Ranch Restoration
10/22
Amount of Contract 2.4 million Completion Date:
3. Owner's Name: City of Fullerton
David Graham Phone:
Contact Person:
Address of Owner:
Restoration of Muckenthaler Center
Project Description:
Amount of Contract: 3100 k Completion Date: 6/25
C-13
Project No.: IB259
Owen's Bistro Restoration Project
Project No.: IB259
Contractor agrees to comply with all federal, state, and local laws, rules, regulations, and ordinances, as applicable. It is further acknowledged that contractor certified compliance with all provisions, laws, acts, regulations, etc. as specifically noted above.
Contractor's Name/Company Name: Dak Hollow Restoratien Inc.
Address: 444 Sixth Street, Norco, CA 92860
Phone Number. _ 951-595-2530 Email: Troy@ oak Hollow Restration Name of Authorized Representative: Trop Parry
Title of Authorized Representative: _ Secretary
T-
Signature of Authorized Representative: _
Date: 6/19/25
C-14
Project No.: IB259