PROPOSAL
Cotati City Hall, Community Center & Cotati Room Exterior Painting Project
For: Construction of the City of Cotati, City Hall, Community Center & Cotati Room Exterior Painting 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 to 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
COTATI CITY HALL, COMMUNITY CENTER & COTATI ROOM EXTERIOR
PAINTING PROJECT
Base Bid
Item Unit of Unit Cost Total Cost
Item Description Quantity Measure (in figures) (in figures) No.
Mobilization including Environmental 1 LS 0.00
1 0.00
Requirements
2 City Hall Exterior Painting 1 LS 0.00 18,220.00
3 Community Center Exterior Painting 1 LS 0.00 19,339.00 4 Cotati Room Exterior Painting 1 LS 0.00 6,928.00
5 Cotati Room Entrance 1 LS 0.00 1,974.00
Total Base Bid: $ 46,461.00
Forty six thousand four hundred and sixty one dollars.
Dollars Written Amount
BB - 20
The undersigned further agrees to deliver and to complete the work within 30 Working Days, from the date of issuance, by the Public Works Department, of instructions to proceed with the work, 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 necessary contract with the necessary bonds and other 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 KBI Painting, Inc.
License # 944475 Expiration Date 3-31-2024
Contractor's DIR Public Works Registration No: 1000005867 Contractors License number and expiration date are herein stated under penalty of perjury.
By: William Brady Title: Vice President
Dated this 28th day of March _ 2023
(Corporate Seal)
Corporate Signature
Address: PO Box 750397 Petaluma, CA 94975
Phone No.: 707-795-49$5
Address:
Names of Co-Partners and Addresses:
Names of Individuals and Addresses:
NOTE: Sign in proper space above.
BB - 21
City of Cotati
Sonoma County, California CITY
COTATI
DATE: March 22, 2023
TO: ALL PLANHOLDERS
SUBJECT: CITY OF COTATI
COTATI CITY HALL, COMMUNITY CENTER & COTA. II RC ON EXTERIOR
PAINTING PROJECT
NO. of PAGES: 2 including this page
ADDENDUM NO. 1
This package provides an adderdum to the Project Contract Documents. This Addendum shall become part of the Contract and all provisions of the Centract shall apply thereto Bidders shall acknowledge receipt of this Addendum by signing and attaching the acknowledgement to your proposal. Failure to do so may cause rejection of your bid as being non-responsive. • Bid item 3 - Community Center Exterior Paieking, shall include plugging of approximately 200 rafter vents with plywood plugs (sec attachta photo). Holes are 2" diameter. Plugs shall be glued in and sanded flush to provide suitable surface for subsequent painting.
This extra work shall be included in the Lump Sum (LS) bid amount for Bid item 3, and no additional payments will be allowed
• Contractor's Bid Proposal (page BB-20) romains unchanged. • Bid date remains unchanged on March 28th, 2023. at 2:00PM.
ATTACHMENTS:
Photo
Approved by:
Celet bart
Craig A. Scott, P.E.
Director of Public Works / City Engineer
3-28-2023
Acknowledged by: Date:
201 West Sierra Avenue, Cotati, CA 94931-4217 • TELEPHONE 707•792•4600 • FAX 795•7067 Bond No. CSBA-23487
CITY OF COTATI
Cotati, California 94931
BID BOND
(NOTE: Bidders must use this form. Use of any other bond form may render a bid non- responsive)
KNOW ALL PERSONS BY THESE PRESENTS:
By vitorship/corporation partnersh lewint venture organized and existing under ale That we, as PRINCIPAL, and Atlantic Specialty Insurance Company by virtue of the laws of the State of_New York _and an admitted surety insurer authorized to do business in the State of California, as SURETY, are held and firmly bound unto the City of Cotati, as OBLIGEE, in a penal sum equal to ten-percent (10%) the total bid price including the base bid and alternates specified in the proposal of the PRINCIPAL, to the OBLIGEE for the work described below, which penal sum is Ten Percent of the Amount Bid Dollars
$ 10% ) lawful 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.
*KBI Painting, Inc.
THE CONDITION OF THIS OBLIGATION IS SUCH that whereas the PRINCIPAL has submitted the accompanying proposal dated March 28th 2023 to the _'-
OBLIGEE, for the COTATI CITY HALL, COMMUNITY CENTER & COTATI ROOM EXTERIOR PAINTING 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 fulfilment 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 BB - 22
amount be in excess of the former, together 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 effect.
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 OBLIGEE 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 their several seals this 24th day of March _ 2023,
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 KBI Painting, Inc
(Acknowledgement) Tile VP-Commecial operatins
SURETY Atlantic Specialty Insurance Company
(Corporate Seal)
By SAUL
(Attorney-in-fact) Shaunna Rozeile Ostrom
(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 - 23
ACKNOWLEDGMENT
A notary public or other officer completing this
ertificate verifies only the identity of the individua
ho signed the document to which this certificate i
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Orange
On _ 03/24/2023 before me, _ Melissa Ann Vaccaro, Notary Public (insert name and title of the officer)
personally appeared Shaunna Rozelle Ostrom
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.
MELISSA ANN VACCARO
WITNESS my hand and official seal. COMM. #2401942
3002 Notary Public-California FRS3
ORANGE COUNTY
My Comm. Expires May 12, 2026K
Signature alr
(Seal)
Melissa Ann Vaccaro
Bond No. CSBA-23487
[intact
INSURANCE Power of Attorney
KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York corporation with its principal office in Plymouth, Minnesota, does hereby constitute and appoint: Arturo Ayala, Daniel Huckabay, Frank Morones, Shaunna Rozelle Ostrom, Ben Stong, Michael D Stong. enjamin Wolfe, Chelsea Liberatore, Adrian Langrell, cach individually if there be more than one named, its true and lawful Attorney-in-Fact, to make, execute, seal an eliver, for and on its behalf as surety, any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof; provided that no bond o undertaking executed under this authority shall exceed in amount the sum of: unlimited and the execution of such bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof in pursuance of these presents, shall be as binding upon said Company as if they had been fully signed by an authorized officer of the Company and sealed with the Company seal. This Power of Attorney is made and executed by authority of the following resolutions adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the President, any Senior Vice President or Vice-President (each an "Authorized Officer") may execute for and in behalf of the Company any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and affix the seal of the Company thereto; and that the Authorized Officer may appoint and authorize an Attorney-in-Fact to execute on behalf of the Company any and all such instruments and to affix the Company seal thereto; and that the Authorized Officer may at any time remove any such Attorney-in-Fact and revoke all power and authority given to any such Attorney-in- Fact.
Resolved: That the Attorney-in-Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney-in-Fact shall e as binding upon the Company as if signed and sealed by an Authorized Officer and, further, the Attorney-in-Fact is hereby authorized to verify any affidavi equired to be attached to bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012:
esolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed t simile to any power of attorney or to any certificate relating thereto appointing an Attorney-in-Fact for purposes only of executing and sealing any bon ndertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Compar s the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as thoug manually affixed.
IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company to be affixed this twenty-seventh day of April, 2020.
Аперивт
STATE OF MINNESOTA AEW YORK Paul J. Brehm, Senior Vice President
HENNEPIN COUNTY
On this twenty-seventh day of April, 2020, before me personally came Paul J. Brehm, Senior Vice President of ATLANTIC SPECIALTY INSURANCE COMPANY, to me personally known to be the individual and officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me duly sworn, that he is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company ALISON DWAN NASH-TROUT Hombatents
- NOTARY PUBLIC MAHESOTA
My Commission Expires
January 31, 2025 Notary Public
force and has nod, seoked and here sion set try sure are cow Wey, New York Corpration, do hereby ceri that the forgoing power of atomy is in fall Signed and sealed. Dared_24th _day of March
W CORPORATE
SEAL
19C6 KaaliBau
This Powerary 31, r0y expires NEw Yont
Kara Barrow, Secretary
Please direct bond verifications to surery/@intactinsurance.com
CONTRACTOR LICENSE INFORMATION
The bidder acknowledges that a license is required for performance of COTATI CITY
HALL, COMMUNITY CENTER & COTATI ROOM EXTERIOR PAINTING PROJECT The bidder holds the following California Contractors Licenses):
License No. 944475 , Class_C-33, Expiration Date_3-31-2024 DIR Public Works Registration No. 1000005867
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.
5. License No. . Class _, Expiration Date
DIR Public Works Registration No.
Bidder's Taxpayer Identification No._27-1264701
BB - 24
LIST OF SIMILAR CONTRACTS SATISFACTORILY COMPLETED BY
CONTRACTOR IN THE LAST THREE YEARS
The following similar contracts have been satisfactorily completed in the last three years for the person, firm, or authority indicated, and to whom reference is made: (Name five contracts.)
Contract Reference Name, and
Year Type of Work Location Phone Number
Amount
2020 Exterior anti- $22,535.00 Oakland, CA Christina Stafford 925-567-6781
graffiti
coating.
2022 Exterior painting, $35,026.00 Santa Rosa, CA Josh Kurczeski IBEW Siding & 707-310-1649
Window [email protected]
Replacement
2023 Exterior and Int. $447,085.00 Fremont, CA David Martin paint., Dominican 510-792-6515
Sisters Rosary
Restoration
2023 Exterior Painting, $156,586.00 Geyseville, CA Neil Garner Geyserville New 415-535-0027
Tech Academy
2021 Exterior Painting, $358,165.00 Novato, CA Charlie Slack JR San Marin HS 415-209-0229
Ext Skins
BB - 25
KBI Painting, Inc. will be self performing on the project.
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 None
Business Location
Trade
Subcontract Amount
Current Contractor's License No. (s) -
Subcontractor DIR Public Works Registration No.
2. Subcontractor Name
Business Location
Trade
Subcontract Amount
Current Contractor's License No.(s)
Subcontractor DIR Public Works Registration No.
BB - 26
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 employer to be insured against liability for workmen's compensation or to undertake self-insurance in accordance with the provisions of the Labor Code, and I will comply with such provisions before commencing performance of the work of this Contract.
WilliAin BrADy
3-28-2023
BB - 28
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 KBI Painting, Inc. _ proposed
subcontractor _ hereby
certifies that he has _, has not X _ participated in a previous contract or SU025, 1914, or 114, and tuat, hore euled he as elded by ever ers Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee 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 - 29
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 7106 William Brady _ being first duly
sworn, deposes and says that he or she is Vice President _, the party making the foregoing bid, that the bid
KBI Painting, Inc.
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.
Signature of Bidder
Subscribed and sworn before me by _ , this
_ day of , 2023.
(SEAL)
Notary Certificate Aleched
Notary Public
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•CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 SARDAN
SECT GRACEN
D See Attached Document (Notary to cross out lines 1-6 below) • See Statement Below (Lines 1-6 to be completed only by document signers], not Notary) 2 3
5 6.
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 Califomia Subscribed and sworn to (or affirmed) before me County of . Donome March _ 202
on this 28th day of _
Date Month Year
by
(1)_ Willian Brady
(and (2). ),
Name(s) of Signer(s)
TIMOTHY J. TAYLOR
Notary Public • California
Sonoma County proved to me on the basis of satisfactory evidence Commission # 2384817 to be the person(s) who appeared before me.
My Comm. Expires Nov 30, 2025
Signature
Place Notary Seal Above Signature of Notary Public
• 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: Nun Calluseen Affadet Document Date:
Number of Pages: Signers) Other Than Named Above:
CWATTANIOTA
©2016 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.
WilliAm BRADY
3-28-2023
BB - 31
TITLE 49, CODE OF FEDERAL REGULATIONS - PART 29
DEBARMENT AND SUSPENSION CERTIFICATION
The bidder, under penalty of perjury, certifies that, except as noted below, he/she or any person 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. Hay a cout of condent jed orind a cinderer tendered in 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.
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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 _ 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 10285.1.
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.
BB - 33
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 from 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.
BB - 34
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.
328-2023
BB - 35
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 COTATI CITY HALL, COMMUNITY CENTER & COTATI ROOM EXTERIOR PAINTING PROJECT ("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 30 Working Days 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 KBI Painting, Inc.
By: William Brady Title: Vice President
Dated this 28 day of March _ 2023
(Corporate Seal)
Corporate signature
Address: PO Box 750397 Petaluma, CA 94975
Phone No.: 707-795-4955
Secretary's signature Heresa Kareen
BB - 36
Corporation organized under the laws of the State of California Partnership Name:
Address:
Names of Co-Partners and Addresses:
Names of Individuals and Addresses:
NOTE: Sign in proper space above.
Date: 3-28-2023 William Brady
(Typed or printed name)
(Signature)
KBI Painting, Inc.
(Bidder)
Bidder business address (street, city, state and zip code) 1310 Ross Street, Suite A Petaluma, CA 94954
PO Box 750397 Petaluma, CA 94975 - Mailing
Bidder Business phone: (707) 795-4955
Bidder Business fax: ( ) NONE
BB - 37