PROPOSAL
For: Construction of the City of Cotati, WEST SIERRA AVENUE SEWER
REPLACEMENT PROJECT
For the City of Cotati, Sonoma County, California.
TO THE HONORABLE CITY COUNCIL
OF THE CITY OF COTATI
The undersigned, as bidder, declares that it has carefully examined the work, the annexed proposed form of contract, and agrees that if this Proposal is accepted tr contract with the City of Cotati, under the form of contract annexed hereto, to provide all the necessary tools, apparatus, and other means of accomplishing the work as specified in the contract in the manner and time herein prescribed, and in accordance with the requirements of the Public Works Department as therein set forth, and to take in full payment thereof the following prices of the work to be done completely performed to the satisfaction of the City of Cotati, to-wit:
Contractor's Bid Proposal
WEST SIERRA AVENUE SEWER REPLACEMENT PROJECT
Base Bid
Item Item Estimated Unit of Unit Cost Total Cost
No. Description Quantity Measure (in figures) (in figures) 1 Utility Clearances 1 LS $3,500 $3,500
Construct 12-inch Sanitary 469 LF
2 $380 $ 178,220
Sewer
Construct 10-inch Sanitary 748 LF
3 $370
Sewer $276,760
Construct 8-inch Sanitary 480 LF
4 $350 $168,000
Sewer
5 Construct 60-inch Manhole 3 EA
$9,000 $ 27,000
Construct 60-inch Manhole with EA
6 1 $7,500 $7,500
Inside Drop
7 Construct 48-inch Manhole 2 EA
$6,500$13,000
8 Construct New Service Lateral 15 EA $3,500 $52,500
Connect to Existing 12-inch
9 1 EA
Sewer 87,000 $7,000
BB - 14
Connect to Existing 6-inch
10 Sewer 6 EA $4,000
$24,000
11 Water Fitting Thrust Restraint 3 EA
$2,000 $6,000
12 Sheeting, Shoring and Bracing 1 LS
$25,000 $25,000
Total Base Bid:
$$788,480
SEVEN HUNDRED EIGHTY EIGHT THOUSAND FOUR HUNDRED EIGHTY DOLLARS Total Base Bid - Dollars Written Amount
Additive A Bid
Item Item Estimated Unit of Unit Cost Total Cost
No. Description Quantity Measure • (in figures) (in figures) A1 Utility Clearances 1 LS
$2,000$2,000
A2 Replace 60-inch Manhole with
1 EA
Inside Drop $9,000 $9,000
A3 Replace Service Lateral 3 EA
$3,500$10,500
A4 Sheeting, Shoring and Bracing 1 LS
$25,000 $25,000
Total Additive A Bid:$
46,500
FORTY SIX THOSAND FIVE HUNDRED DOLLARS
Total Additive A Bid - Dollars Written Amount
Additive B Bid
Item Item Estimated Unit of Unit Cost Total Cost
No. Description Quantity Measure (in figures) (in figures) B1 Utility Clearances 1 LS
$2, 000 $2,000
B2 Construct 8-inch Sanitary
Sewer 464 LF
$350 $162,400
B3 Construct 6-inch Sanitary
Sewer 28 LF $340
1$9,520
BB - 15
B4 Construct 48-inch Manhole 2 EA
$6,000 $ 12,000
Construct 60-inch Manhole with
B5 1 EA
Inside Drop $7,000 $7,000
B6 Construct New Service Lateral 3 EA
82,500 $ 7,500
B7 Connect to Existing 6-inch
3 EA
Sewer
$2,500 $7,500
B8 Water Fitting Thrust Restraint 1 EA
$3,000 ฿3,000
B8 Sheeting, Shoring and Bracing 1 LS
$ 25,000 $ 25,000
Total Additive B Bid:$ 235,920
IND HUNDRED THIRTY FIVE THOUSAND NINE HUNORED TWENTY DOLLARS Total Additive B Bid - Dollars Written Amount
Total Base Bid plus Additive A Bid (Basis of Award): $ 834,920
EIGHT HUWDRED THIRTY FOUR THOUSAND NINE HUNORED TWENTY DOLLARS Total Base Bid plus Additive A Bid - Dollars Written Amount The undersigned further agrees to deliver and to complete the work within 55 Working Days if Base Bid and Additive A Bid is awarded, or within 65 Working Days if Base Bid and Additive B Bid is awarded from the date of issuance, by the Public Works Department, of instructions to proceed with the work, and within 10 Calendar Days of the date of mailing of the notice of award, to enter into and execute and provide to the City the necess car we t necessary bonds and her required documents, and in case of default in executing the necessary contract within the time fixed by the Instructions to Bidders, the bidder's security accompanying this bid shall become the property of and be forfeited to the City of Cotati.
Prime Contractor BAY PALLEIL PIPELINE, INC
License # 524020 Expiration Date - 228/24
Contractor's DIR Public Works Registration No: 1000009198 BB - 16
Contractors License number and expiration date are herein stated under penalty of perjury.
Kein Caren
By: _ • Title: VICE PRESENT
Dated this 307L day of JK August 2022
(Corporate Seal)
Corporate Signature Kum Cerea
P.O. BOX 1162 NOVATO, (A 94948
Phone No.: 415) 250-1865
President's signature
Secretary's signature
Corporation organized under the laws ofthe State of CALIFORNIA Parters Name: ANA Address:
Names of Co-Partners and Addresses: N|A
Names of Individuals and Addresses: NIA
NOTE: Sign in proper space above.
BB - 17
Brelje & Race
- CONSULTING CIVIL ENGINEERS
ADDENDUM NO. 1
to
Proposal, Contract Documents
and Specifications for
West Sierra Avenue Sewer Replacement Project
City of Cotati
Sonoma County, California
BID DATE AND TIME: August 30, 2022 at 3:00 P.M.
Digitally signed by
Cay Mat , Craig A. Scott
Date: 2022.08.24
17:47:33-07'001
August 24, 2022
Craig Scott Date
NOTE: THIS ADDENDUM CONSISTS OF 1 PAGE(S).
The following changes, additions and corrections are provided:
The engineers estimate for the basis of award project is $950,000.
The structural sections on West Sierra Avenue are estimated to be as follows:
Station 1+00 to Station 9+00 approximately 5-inches of AC over 13 inches to 24 inches of AB.
Station 9+00 to the end approximately 6" of AC over 17-inches to 30-inches of AB.
Beyond the project there was a section that had approximately 8-inches of AC over 22-inches of Specifications
Section 10.02.3 After the last paragraph Insert the following paragraph. "During prior work around the existing sewer the City has experienced some minor backfill Munilenes 8/24/22
BAY PAUFIC DIRELNE, INC
475 Aviation Blvd., Suite 120 • Santa Rosa, CA 95403 • V: 707-576-1322 www.brce.com
brelje & Race
- CONSULTING CIVIL ENGINEERS
ADDENDUM NO. 2
to
Proposal, Contract Documents
and Specifications for
West Sierra Avenue Sewer Replacement Project
City of Cotati
Sonoma County, California
BID DATE AND TIME: August 30, 2022 at 3:00 P.M.
Digitally signed by Craig A.
Scott
Cang hat
Date: 2022.08.26
14:44:53-07'00
- August 26. 2022
Craig Scott Date
NOTE: THIS ADDENDUM CONSISTS OF 1 PAGE(S) AND 3 DRAWINGS.
The following changes, additions and corrections are provided:
Drawings 4, 6 and 7:
Replace drawings 4, 6, and 7 with the attached drawings.
The average dry weather flow (ADWF) for the mains follows:
East School Street to Olof: 0.078 million gallons per day (mgd) Cypress Avenue to East School Street: 0.058 mgd
Water Road to Cypress Avenue: 0.028 mgd
Peak Dry Weather Flow (PDWF) is calculated by multiplying the ADWF by 2.7.
Ruin Care 8/26/22
BAY PAUFIK PIROINE, INC
475 Aviation Blvd., Suite 120 • Santa Rosa, CA 95403 • V: 707-576-1322 www.brce.com
CITY OF COTATI
Cotati, California 94931
Bid Bond No. 22-07
BID BOND
(NOTE: Bidders must use this form, use of any other bond form may render a bid non- responsive
KNOW ALL MEN BY THESE PRESENTS:
That we, as PRINCIPAL, and The Ohio Casualty Insurance Company proprietorship/corporation/partnership/joint venture) organized and existing under and by Irtue of the laws of the State of New Hampshir
luthorized to do business in the State of California, as SURETY, are held and firml Not to Exceed Ten Percent of the Total Amount Bid
lawul money of the United States of America, for the
payment of which sum well and truly to be made, we, and each of us, bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that whereas the PRINCIPAL has submitted the accompanying proposal dated_August 30, 2022 to the OBLIGEE, for the WEST SIERRA AVENUE SEWER REPLACEMENT PROJECT (designated as the "Project") which proposal is hereby made a part hereof; NOW THEREFORE, if the PRINCIPAL shall not withdraw said proposal within the ninety (90) calendar day period following the opening of bids, and if the PRINCIPAL receives written notice that the Project is awarded to the PRINCIPAL and shall, within fourteen (14) calendar days of receiving such notice: enter into a written contract with the OBLIGEE in the form prescribed in the bid package issued by the OBLIGEE concerning the Project; and give insurance and bond with good and sufficient sureties guaranteeing the faithful performance and proper fulfillment of such contract and guaranteeing payment for labor and materials used for performance of the contract as required by law; and file with the OBLIGEE all required documents and do all other thing required in accordance with the bid package issued by the OBLIGEE concerning the Project for the contract between the PRINCIPAL and the OBLIGEE to become effective and for work to commence in accordance with the bid package issued by the OBLIGEE concerning the Project, or, in the event of withdrawal of the accompanying proposal within the ninety (90) day period following the opening of bids; or failure by the PRINCIPAL to enter into such contract with the OBLIGEE or to give the OBLIGEE such bonds or to file any other documents or to do any other things required in the bid package issued by the OBLIGEE for the Project, if the PRINCIPAL shall pay the OBLIGEE the difference between the total bid price in the accompanying proposal and the amount for which the OBLIGEE may procure the required performance, if the latter amount be in excess of the former, together BB - 18
with all costs incurred by the OBLIGEE in again attempting to let the Project, and if the said PRINCIPAL shall fully reimburse and save harmless the OBLIGEE from any damage sustained by the OBLIGEE through failure of the PRINCIPAL to enter into the written contract or to file the required performance or labor and material bonds, or to file any other required documents or to do any other things required for the contract between the PRINCIPAL and the OBLIGEE to become effective and the work to commence in accordance with the bid package issued by the OBLIGEE concerning the Project, then this obligation shall be null and void; otherwise, it shall be and remain in full force and SURETY, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the bid or contract documents for the Project, or to the specifications included in the same, or to the work to be performed thereunder, or to the notice to bidders, or to any other documents concerning the Project, shall in anywise affect SURETY's obligation under this bond, and SURETY hereby waives notice of any such change, extension of time, alteration or addition to such bid or contract documents.
In the event suit is brought upon this bond by the OBLIGE and judgment is recovered, the SURETY shall pay all costs incurred by the OBLIGEE in such suit, including a reasonable attorney's fee to be fixed by the Court.
IN WITNESS WHEREOF, the above-bound parties have executed this instrument under this 24th
_, 2022, the name and corporate seals of
each corporate party being hereto affixed and these presents duly signed by their undersigned representatives, pursuant to authority of their governing bodies. (Corporate Seal) PRINCIPAL Bay Pacific Pipeline Incorporated By_ Kum Caren
(Acknowledgement) Title_ VICE DRESIDENT
SURETY_The Ohio Casualty Insurance Company
(Corporate Seal)
By_
Attorney-in-fact
Anthony F. Angelicola
(Acknowledgement) Title_Attorney-in-Fact
(NOTE TO SURETY COMPANY: A certified copy of unrevoked resolution of authority for the attorney-in-fact must be submitted with and attached to the executed bid bond.) BB - 19
This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated Liberty Liberty Mutual Insurance Company
Mutual® The Ohio Casualty Insurance Company Certificate No: 8205232-969091 SURETY West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Anthony F.
Angelicola; Terrence T. Casey
all of the city of San Francisco state of CA each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 8th day of April 2021
Liberty Mutual Insurance Company
INSURA INSURANCE The Ohio Casualty Insurance Company
NCE CASUALTY •CORPORATES INSURANCE MERICAN CORPORATE West American Insurance Company 1912 1919 1991
OHIO
INDIANA
THI SAMI By:
David M. Carey, Assistant Secretary
value guarantees State of PENNSYLVANIA
credit, SS
County of MONTGOMERY
_before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance (POA) verification inquiries, Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purpases therein contained by signing on behalf of the corporations by himself as a duly authorized officer. loan, letter of
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
TERESA PASTELLA Commonwealth of Pennsylvania - Notary Seal interest rate or residual (CANONVER Teresa Pastella, Notary Public Montgomery County Pastella please call 610-832-8240 or email [email protected].
My commission expires March 28, 2025 By: fireas
Commission number 1126044
ПОТАРУ РИВІ Member, Pennsylvania Association of Notaries Teresa Pastella, Notary Public This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Not valid for mortgage, note, insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV - OFFICERS: Section 12. Power of Attorney. For bond and/or Power of Attorney Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the currency rate, President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shal have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIlI - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attoreys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary.
Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations.
Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 24th day of August _2022 JAL
CORPORATE I CORPORATE CORPORATEL
1912 1919 1991 Railmen
HOW HAMBAI By:
1L479 ANVANT ISEN INDIANA ANTON Renee C. Llewellyn, Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 02/21
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
County of San Francisco
On _, before me, _D. Tschaplizki, Notary Public,
personally appeared Anthony F. Angelicola
who proved to me on the basis of satisfactory evidence to be the person(g) whose names) is/axe subscribed to the within instrument and acknowledged to me that he/stexasy executed the same in his/exx authorized capacity(x8x), and that by his/her/their signature(s) on the instrument the person(8), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of State of California that the foregoing paragraph is true and correct.
D COMM. # 2291784 3 . TSCHAPLIZKI
FINOTARY PUBLIC - CALIFORNIA D WITNESS my hand and official seal.
SAN FRANCISCO COUNTY O
COMM. EXPIRES JUNE 7. 2023 T
SIGNATURE
PLACE NOTARY SEAL ABOVE SIGNATURE OF NOTARY PUBLIC
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:
Signers) Other than Named Above:
CONTRACTOR LICENSE INFORMATION
The bidder acknowledges that a license is required for performance of WEST SIERRA AVENUE SEWER REPLACMENT PROJECT.
The bidder holds the following California Contractors License(s):
License No. 524020 class A _ Expiration Date. 2/28/24
DIR Public Works Registration No. T000009198
2. License No. _ Class. _ Expiration Date
DIR Public Works Registration No.
License No. _ _ Class , Expiration Date
DIR Public Works Registration No.
License No. _ _ Class. , Expiration Date
DIR Public Works Registration No.
License No. _ Class , Expiration Date
DIR Public Works Registration No.
License No. _ , Class. , Expiration Date
DIR Public Works Registration No.
License No. _ Class _ Expiration Date
DIR Public Works Registration No.
License No. _ _ Class , Expiration Date
DIR Public Works Registration No.
License No. _ _ Class _ Expiration Date
DIR Public Works Registration No.
10. License No. _ _ Class _ Expiration Date
DIR Public Works Registration No.
Bidder's Taxpayer Identification No. _ 04-3056784
BB - 20
LIST OF SUBCONTRACTORS
In accordance with the requirements of the Subletting and Subcontracting Fair Practices Act, California Public Contract Code Section 4100 and following, listed below are the name, business location, and the portion (type or trade) of the Project work to be subcontracted to each subcontractor that will perform a portion of the Project work (including special fabrication and installation of a portion of the work) valued in excess of one half of one percent of the total bid price. If the Project work includes construction of streets or highways, listed below are the name, business location, and the portion (type or trade) of the Project Work to be subcontracted to each subcontractor that will perform a portion of the Project work (including special fabrication and installation of a portion of the work) valued in excess of one half of one percent of the total Project bid price, or ten thousand dollars, whichever is greater. Also listed below are the proposed subcontract dollar amount and current California Contractor's License Numbers) for each proposed subcontractor. Bids that fail to include complete proposed subcontractor information in accordance with this form and Public Contract Code Section 4100 and following may be deemed non-responsive.
In accordance with California Public Contract Code Section 4106, for any portion of the Project work with a value of more than one half of one percent of the total bid price for which no subcontractor is listed, or for which more than one subcontractor is listed, the bidder certifies by submission of its bid that the bidder is qualified to perform that portion of the Project work and that the bidder will perform that portion of the Project work with its own forces. The penalties listed in California Public Contract Code Section 4111 will apply to any substitution of another subcontractor for a subcontractor listed below except as permitted by the City in accordance with Section 4107 and following of the California Public Contract Code.
1. Subcontractor Name Raj's SEWER SERVICE
Business Location, P.0. Box 763 NovATo, cA 94948- 0763
Trade CCTV
Subcontract Amount $ 7,000
Current Contractor's License No.(s) _49 / 815
Subcontractor DIR Public Works Registration No. 10000 25160
2. Subcontractor Name
Business Location
Trade
Subcontract Amount
Current Contractor's License No.(s)
Subcontractor DIR Public Works Registration No.
3. Subcontractor Name
Business Location
Trade
Subcontract Amount
Current Contractor's License No.(s)
BB - 21
Subcontractor DIR Public Works Registration No.,
4. Subcontractor Name
Business Location
Trade
Subcontract Amount
Current Contractor's License No.(s)
Subcontractor DIR Public Works Registration No. -
5. Subcontractor Name
Business Location
Trade
Subcontract Amount
Current Contractor's License No.(S)
Subcontractor DIR Public Works Registration No.
6. Subcontractor Name
Business Location
Trade
Subcontract Amount
Current Contractor's License No.(s)
Subcontractor DIR Public Works Registration No.
7. Subcontractor Name
Business Location
Trade
Subcontract Amount
Current Contractor's License No.(s)
Subcontractor DIR Public Works Registration No.
8. Subcontractor Name
Business Location
Trade
Subcontract Amount
Current Contractor's License No.(s)
Subcontractor DIR Public Works Registration No.
9. Subcontractor Name
Business Location
Trade
Subcontract Amount
Current Contractor's License No.(s)
Subcontractor DIR Public Works Registration No. _
10. Subcontractor Name
Business Location
Trade
BB - 22
Subcontract Amount
Current Contractor's License No.(s)
Subcontractor DIR Public Works Registration No.
11. Subcontractor Name
Business Location
Subcontract Amount
Current Contractor's License No.(s)
Subcontractor DIR Public Works Registration No. _
12. Subcontractor Name
Business Location
Subcontract Amount
Current Contractor's License No.(s)Subcontractor DIR Public Works Registration BB - 23
WORKERS COMPENSATION INSURANCE CERTIFICATION
By submitting its bid the bidder certifies as follows:
I am aware of the provisions of California Labor Code Section 3700, which require every such provisions before commencing performance of the work of this Contract.
BB - 24
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
The bidder's execution on the signature portion of this proposal shall also constitute an endorsement and execution of those certifications which are a part of this proposal.
The bidder BAY PACIFIC PIPELINE, IN C
_, proposed
subcontractor Roy's SEWEr, SORiCE
_ hereby
certifies that he has has not participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements.
Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor.
BB - 25
NON-COLLUSION AFFIDAVIT
TO BE EXECUTED BY BIDDER
AND SUBMITTED WITH BID
(Title 23 United States Code Section 112 and
Public Contract Code Section 7106)
STATE OF CALIFORNIA
COUNTY OF Sonoma
In accordance with Title 23 United States Code Section 112 and Public Contract Code EVIN ARi _ being first duly
sworn, deposes and says that he or she is
BAY PACIFIC PIPELINE, INC nels party making the oregoing bid, that the bic
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.
Renew 8/29/22
Signature of Bidder
Subscribe and mom bore me y _ this
_day of , 2022.
(SEAL)
ALIFORNIA. JURAT
ATTACHED
Notary Public
BB - 26
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 • See Attached Document (Notary to cross out lines 1-6 below) • See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) 1_
4 5
Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) 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 Subscribed and sworn to (or affirmed) before me County of Marin
on this 29 day of August
- 2022,
by Date Month Year
(1)_ Kevin Carew
(and (2). -),
Name(s) of Signers)
•E. NAM
COMM. # 2405187
NOTARY PUBLIC-CALIFORNIA LIO proved to me on the basis of satisfactory evidence
MARIN COUNTY
My Comm. Expires MAY 22, 2026 to be the person(s) who appeared before me.
Signature S hau
Signature of Notary Public
Seal
Place Notary Seal Above
- OPTIONAL -
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Non Collusion Affidavit
Number of Pages: Signers) Other Than Named Above:
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910
DEBARMENT CERTIFICATION
By submitting its bid, the bidder certifies in accordance with California Public Contract Code Section 6109 that neither the bidder nor any subcontractor included on the list of proposed subcontractors submitted with the bid is ineligible to perform work on public works projects pursuant to California Labor Code Sections 1777.1 or 1777.7. In accordance with California Public Contract Code Section 6109, Contractors and subcontractors who are ineligible to perform work on public works projects pursuant to California Labor Code Sections 1777.1 or 1777.7 may neither bid on, be awarded or perform as a subcontractor on public works projects.
BB - 27
TITLE 49, CODE OF FEDERAL REGULATIONS - PART 29
DEBARMENT AND SUSPENSION CERTIFICATION
he bidder, under penalty of perjury, certifies that, except as noted below, he/she or any erson associated therewith in the capacity of City, partner, director, officer, manager
1. Is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; and
2. Has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal Agency within the past 3 years; and
3. Does not have a proposed debarment pending; and,
4. Has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following space:
Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or administrative sanctions.
The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification.
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PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT
In accordance with Public Contract Code Section 10285.1 (Chapter 376, Stats, 1986), The bidder hereby declares under penalty of perjury under the laws of the State of California that the bidder has - has not V _been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University. The term "bidder" is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section Note: The bidder must place a check mark after "has" or "has not" in one of the blank spaces provided.
The above Statement is part of the Proposal. Signing the Contractor's Proposal on the signature portion thereof shall also constitute signature of this Statement.
Bidders are cautioned that making false certification may subject the certifier to criminal prosecution.
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PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE
In accordance with Public Contract Code Section 10162, The Bidder shall complete, under penalty of perjury, the following questionnaire:
Has the bidder, any officer of the bidder, or any employee of the bidder who has a proprietary interest in the bidder, ever been disqualified, removed, or otherwise prevented trom bidding on, or completing a federal, state, or local government project because of a violation of law or a safety regulation?
Yes - No
If the answer is "Yes," explain the circumstances in the following space.
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PUBLIC CONTRACT SECTION 10232 STATEMENT
In accordance with Public Contract Code Section 10232, the Contractor hereby states under penalty of perjury that no more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the immediately preceding two year period because of the Contractor's failure to comply with an order of a federal court which orders the Contractor to comply with an order of the National Labor Relations Board.
Note: The above Statement and Questionnaire are part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire.
Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution.
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BIDDER'S SIGNATURE PAGE
By signing this proposal the bidder certifies, under penalty of perjury under the laws of the State of California, that the information submitted with this proposal for the WEST SIERRA AVENUE SEWER REPLACEMENT PROECT ("Project"), which information includes, but is not limited to, the Bidder's Check List, Proposal and Schedule of Bid Prices, Bid Bond, Contractor License Information, List of Subcontractors, Workers Compensation Insurance Certification, Non-collusion Affidavit, Debarment Certification, Debarment and Suspension Certification, Public Contract Code Section 10285.1 Statement, Public Contract Code Section 10162 Questionnaire, Public Contract Code Section 10232 Statement and Bidder's Questionnaire, if any, is accurate, true and correct, and is submitted in accordance with the requirements of the bid package issued by the City of Cotati concerning Project and applicable law. By signing this proposal the bidder representative specified below certifies that he or she is legally authorized to bind the bidder.
The bidder agrees to deliver and to complete the Project within 55 Working Days if Base Bid and Additive A Bid is awarded, or within 65 Working Days if Base Bid and Additive B Bid is awarded from the date of issuance, by the Public Works Department, of instructions to proceed with the Project, and within 10 Days of the date of mailing of the notice of award, to enter into and execute and provide to the City the Project contract, bonds and all other documents specified in the Contract Check List included in the bid package, and in case of default in executing the Project contract within the time fixed by the Instructions to Bidders, the bidder's security accompanying this bid shall become the property of and be forfeited to the City of Cotati.
Prime Contractor, BAY DAUFIC PIPELINE, INC
By: _ Ken Caren Title: VICE PRESIDENT
Dated this 30 th day of August _, 2022
(Corporate Seal)
Corporate signature.
Lem Caren
Address:
Phone No.:
President's signature
Secretary's signature
Corporation organized under the laws of the state of CALLFORNIA Partnership Name:
Address: N/
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Names of Co-Partners and Addresses:
NA
Names of individuals and Addresses NA
NOTE: Sign in proper space above.
Date: 8/30/22 KEVIN CAREW
(Typed or printed name)
Pum caren
(Signature)
BAL DALLAC PIPELINE, INC
(Bidder)
Bidder business address (street, city, state and zip code) P.D. BOX 1162 NOVATO, (A 94948
Bidder Business phone: 115, 897-6958
Bidder Business fax: 415) 897-1409
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