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2021/22SB1 PAVEMENT REHABILITATIONBlDDER'SPROPOSAL (cont’d) Rev. 0 CIP N0. 5727 February 2020
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess one of the following State Contractor's License:
State of California Class ‘A’Contractor's License
Combination of Specialty Class ‘C’Contractor's Licenses
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's license(s) which:
a Bears the license number(s): 685954
b. Expireson: 3/31/2022
1/5/2022 1/5/2022
Signature of Bidder Date Signature Date
Robert J. Stone, President Travis Bomhoff, Vice President of Operations Print name and title Print name and title
(If the Bidderis a corporation two signatures ofcorporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.
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urunauuvhunvomu-nSTATELICEN I
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I CONTRACTORS
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DES
KEEPYOURCERTIFICATION PRO
-LOGINa(
mall:O§DS|jE;P@DGS gem
OSDSMainNumber;916-375454
treat, 1-400,Wes!Saclamenta,CA
Toverifymost current certi?cationstatus go to: https?www.caleprocure. ca.gov
.v. ---'.--.u--4;... ..r 1-'-ii?!-l1?RAl.SERV!CE5
Officeof SmallBusiness& DVBEServices
Certi?cationID:2755
Legal BusinessName:
CalmexEngineering, inc.
Doing BusinessAs (DBA)Name 1:
CalmexEngineering,inc.
DoingBusinessAs (DBA)Name2:
CalmexEngineering, inc.
Printedon: ‘ii’-1/202111:56:30AM
EmailAddress:
[email protected]
BusinessWeb Page:
BusinessPhone Number:
909/546-1311
BusinessFaxNumber:
Address; BusinessTypes: 2764 S. WstaAve
Bloomington Construction,Service
CA92316
CertificationType Status From
SB-PW Approved 02l15l2019
Stayinfonnedl FILEUPDATED!
Questions?
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Call 0
707 3rdS
To
02/28/
2022
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RITV
2021/22SB1 PAVEMENT REHABILITATIONBIDDER'SPROPOSAL(cont’d) Rev. 0 CIP N0. 5727 February 2020
BIDSEC FORM FOR CHECK
NOTE: HEFOLLOWINGFORM SHALLBEUSEDINTHECASEOF CHECKACCOMPANYINGBID Accompa ng this proposal is a Certified Check or Cashier's Check payable to the order of the City of Heme ereinafter referred to as "Agency", for
dollars ($ ), this
amount being 10 nt (10%) of the total amount of the bid. This check shall be returned to the undersigned only er of the following occurs:
A. Ifsaid Bid shall be cted by the Agency;
B. If said Bid shall be by the Agency and the Undersigned shall execute and deliver a Contract in the attached hereto (properly completed in accordance with said Bid) and shall furnish ds required for his/her/itsfaithful performance of said Contract and for the payment all persons performing labor or furnishing materials in connection therewith, and shall all other respects perform the Contract created by acceptance of said Bid.
Otherwise, said check shall become the p of the Agency.
Said check shall also become the property of ncy if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) cal days after the date set for the opening thereof, unless otherwise required by law, and n nding the award of the Contract to another bidder.
Signature of Bidder Date Signature idder Date
Print name and title Print name and
(If the Bidder is a corporation, two signatures ofcorporate officersare required.)
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to resident
rety _
beth stblom,
2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS:
That the undersigned
Calmex Engineering, Inc.
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (9% Amount |n words) Ten Percent of Amount Bid---
Dollars ($ 10°/o I lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bid for 2021/22SB1 PAVEMENTREHABILITATION THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 12th day of January 29 22_
(Month)
Calmex Eng Inc.
(Corporate Seal) By
Principal "e*
By North American Specialty Insurance Company
Su
(Corporate Seal) By
Eliza Attorney-In-Fact
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I .
\ Notary
M|CHELi
fubllc
SAVING
- Caillnrnla E: RlvarsmeCnunty §
‘ cummissmnn1304745 ’
i
- MyComm.Expvesseg I2‘ 2013E
ACKNOWLEDGMENT
A notary public or other officer completing this
certi?cate veri?es only the identity of the individual
who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California _ _ County of Riverside )
on January 17, 2022 before me’ Michele Savino, Notary Public (insert name and title of the officer)
personally appeared Robert 3- Stone
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 i his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the n 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
Signature (Seal)
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INII
COLORADO OTARYACKNO LEDGEMENT
( DVDUAL)
State of Colorado
County of Denver
This record was acknowledged before me on Ja“”aW12th:2022 (date) by Elizabeth Ostblom (name[s] of individual[s]).
¢ /?g (seal)
Signature of Notarial Officer
Dakota C Miller
Notary Public
Title of Office
My Commission Expires 08/10/2025
Copyright © 2018 NotaryAcknow|edgement.com. All Rights Reserved Notary Public
State of Colorado Notary D 2021403 11
n
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ny
By
of .
. Slcvell I’. Anderson
@677://1) Zéilsl
.lcfTrcyGoldberg Senior Vice Prcsidcm and Assisimll Sccrcnlf
SWISS RE CORPORATE SOLUTIONS
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Kansas City, Missouri, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Kansas City, Missouri, each does hereby make, constitute and appoint:
Brad Moody, Evan E. Moody, Andrew J. Waterbury, Karen A. Feggestad, Jody L. Anderson and Elizabeth Ostblom
JOINTLY OR SEVERALLY
Its true and lawful Attomey(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature ofa bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, providedthat no bond or undertaking or contract or suretyship executed under this authority shall exceed the ‘““°““‘ °f3 FIFTY MILLION ($5o,0o0,0oo.o0) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 18th ofNovember, 2021:
“RESOLVED, that any two ofthe President, any Managing Director, any Senior Vice President, any Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Corporation may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certi?cate bearing such facsimile signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached.” .’ ,-P
Steven P. Anderson, Senior Vice President of Washington International Insurance Company SEAL & Senior Vice President of North American Specialty Insurance Company I. mi.»
Erik Janssens, Senior Vice PI esident ofwashington International Insurance Company & Senior Vice President ofNorth American Specialty Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto af?xed, and these presents to be signed by their authorized officers this 31“ day '3e°°"‘b9' 20 2‘ North American Specialty Insurance Company
Washington International Insurance Company
State oflllinois
County of Cook SS
On this 3"‘ day of Decembel 20 2‘ , before me, a Notary Public personally appeared , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Erik Janssens , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies.
Yasmin A. Patel, Notary
I, the duly elected of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington InternationalInsuranceCompany, which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals ofthe Companies this, '25" day of \ ‘Ja"“a'V , 20 22 Jcftircy Goldberg, Senior Vice President & Assistant Secretary of Washington International Insurance Company & North American Specially Insurance Company
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Calmex Enginggring
resident
2021/22SB1 PAVEMENTREHABILITATIONBIDDER'SPROPOSAL (cont’d) Rev. 0 CIP N0. 5727 February 2020
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
I am the President of , the 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 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 correct and that this declaration is executed on 1/5/2022 Idate], at Bloominqton IcitYI, California [state]
1/5/2022
Signature of Bidder Date Signature Date
Robert J. Stone, President Travis Bomhoff, Vice P of Operations Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
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MICHELEsmuo
NotaryPublic- California
Riversidecaunzy
sq, ccmmissxannzaoms ‘
- My cum.ExpiresSep 12.2012
ACKNOWLEDGMENT
A notary public or other officer completing this
certi?cate veri?es only the identity of the individual
who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California _ _ County of Riverside )
on January 5, 2022 before me‘ Michele Savino, Notary Public (insert name and title of the officer)
personally appeared Robert -1'Stone
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 i his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the n person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTYOF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official
NNA1 VNN Signatu (Seal)
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~
Notary
mcuzne
Fublic
swmo
- Cal?omli E
3 ?g mmsmeCounty
-~A;.,.,r CummissionII2304745
«I. MyComm.ExplresSep12.2DZ3
ACKNOWLEDGMENT
A notary public or other officer completing this
certi?cate veri?es only the identity of the individual
who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California _ _ County of Riverside ,
on January 5, 2022 before me, Michele Savino, Notary Public (insert name and title of the officer)
personally appeared Travis Bomhoff
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.
Sign
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2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified. project Name * Please see attached list of references * Contract Price: Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
Project Name:
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
Project Name
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
(Attach additional pages as necessary)
Rev. 0
February 2020
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Calmex Engineering, Inc.
Agency:
Project Name:
Contact:
Phone:
Contract Amount: Completion Date:
Agency:
Project Name: Contact:
Phone:
Contract Amount:
Completion Date:
Agency:
Project Name:
Contact:
Phone:
Contract Amount:
Completion Date:
Agency:
Project Name: Contact:
Phone:
Contract Amount: Completion Date:
Agency:
Project Name:
Contact:
Phone:
Contract Amount: Completion Date:
Agency:
Project Name:
Contact:
Phone:
Contract Amount: Completion Date:
Agency:
Project Name:
Contact:
Phone:
Contract Amount: Completion Date:
Agency:
Project Name: Contact:
Phone:
Contract Amount:
Completion Date:
Agency:
Project Name:
Contact:
Phone:
Contract Amount:
Completion Date:
Project References (Prime Jobs)
CallfomiaDepartment of Transportation
11-2N0224, Rte. 78 Mehrdad Nablzadeh
619-688-6699 $10,711,207
February 2019
CallfomiaDepartment of Transportation
11-2N0124,Rte. 8/163
Rene Figueroa
858-688-1551
$6,301,679
March I 2020
Callfomia Department of Transportation
07-3W7704,Rte. 60 MartinSandoval
213-897-3656
$4,130,036
December I 201
CaliforniaDepartment of Transportation
08-1K5604
Larry Canuti
760-985-5825
$250,381
June I 2019
Callfomia Department of Transportation
11-3A2664
Shawn Rizzuto
619-688-3377
$309,214
October I 2020
Callfomia Department of Transportation
08-1K1104 Rte. 15
KhoiW
760-324-3496
$250,000
June I 2018
CallfomiaDepartment of Transportation
07-4U0404RTE 101
Mena Wasset’
805-480-4928
$909,935
October I 2021
CaliforniaDepartment ofTransportation
09-385804RTE 58
Joselyn Wdaca
760-937-1512
$824,134
October I 2021
CallfomiaDepartment of Transportation
09-387904RTE 190
Justin Castleberry
760-937-3758
$4,146,713
October I 2021
Agency:
Project Name:
Contact:
Phone: Contract Amount:
CompletionDate:
Agency:
Project Name: Contact:
Phone:
Contract Amount:
Completion Date:
Agency:
Project Name:
Contact:
Phone:
Contract Amount:
Completion Date:
Agency:
Project Name:
Contact:
Phone:
Contract Amount:
Completion Date:
Agency:
Project Name:
Contact:
Phone:
Contract Amount: Completion Date:
Agency:
Project Name:
Contact:
Phone:
Contract Amount:
Completion Date:
Agency:
Project Name:
Contact:
Phone:
Contract Amount: Completion Date:
Agency:
Project Name: Contact:
Phone:
Contract Amount:
Completion Date:
Callfomia Department of Transportation
11-2N0214, Rte.5 Genaro Genet
619-688-6699
$4,006,419
January I 2020
CaliforniaDepartment of Transportation
08-1J9404, Rte. 18
John Santos
909-383-4631
$224,000
September I 2020
Callfomia Department of Transportation
11-3A0224
Shawn Rizzuto
619-688-3377
$285,549
July I 2017
CalifomiaDepartment of Transportation
08-1F5204 Rte. 40
Thanh Pham
951-232-7262
$5,535,659.00
October I 2016
California Department of Transportation
11A3013- Emergency Repair
Trung MinhTran
619-688-3377
$241,127
December I 2019
Callfomia Department of Transportation
11-3A0734Rte. 67 Trung MinhTran
619-688-3377
$285,249
October I 2017
CallfomiaDepartment of Transportation
12-0S4704 RTE 90 Arezo Ghiam
949-278-4124
$1,651,847
October I 2021
California Department of Transportation
08-1K8404 RTE 247 Khoa Nguyen
951-232-8611
$3,158,880
October I 2021
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Mudndo |1|1n rm»: E-mm mm
Agency:
Project Name: Prime Contractor: Contact Phono: Contract Amount : camplellon Date:
Calmcx Engineering, inc.
Agency:
Project Name: Prime Contractor: Contact: Phone:
contract Amount: CompletionDate:
Agency:
Project Name: Prtme Contractor:
contact: Phone: Contract Amount:
completion Date:
Agency:
Project Name: Prtme Contractor: Contact: Phone: Contract Amount: Completion Date:
Agency:
Project Name: Prime Contractor:
contact: Email: Contract Amount: Completion Date:
Agency: Project Name: Prime Contractor: Contact: Phone: Contract Amount: Completion Date:
Agency:
Project Name: Prime Contractor: Contact: Phone:
contract Amount: Completion Date:
Agency:
Project Name: Prime Contractor: Contact: Phone: ContractAmount: CompletionDate:
Agency:
Project Name: Prime Connector: Contact: Phone: Contract Amount: CompletionDate:
Project References (Sub Jobs)
CalllomieDepartment oi‘Transportation 07-304004 O'Donnell Nell 909-394-4510 $182,095
July I 2020
CaiitamlaDepartment of Transportation
08-347704, KramerJouction, Rte. 395 KlewttinfrastructureWest Co. Chrts Otey 206-462-8987 $836,468,133 December I 2019
Calllomia Department of Transportation
11-2T2184, IISNorth Coast Corridor, Sag 18, 2 E 3 Flatiron-Skenske-Stacyand Witbeck JV Dave Sharpnack
951-295-3140 51.092.047.030
December] 2021
SANDAG
South Bay Bus Rapid Transit Segment 2 FlatironWest, Inc. Chris Wyss 858-736-5166 $647,895 December I 2018
Caltrens 07-312804 Rte 5 SEMAConstruction Mac Delaney
mde|[email protected]
$208,620 December I 2019
OHL Brenden Salnz 949-400-3836
$123,818 NovemberI 2019
Caitrena 08-1G5504 RTE 40 RV Concrete BrianPinkerton
714-888-1104
$182,984 October I 2021
Caitrana 08-165504 RTE 40 RV Concrete Brian Pinkerton
714-888-1104
$182,984 October I 2021
Celtrana 07-4W5904RTE33
inten-nountianSiuny Seal Randy Contreras 775745-9021
$327,348 October I 2021
Agenw:
Project Name: Prtmecontractor: Contact: Phone: ContractAmount: Completion Date:
Agency:
Project Name: Prime Contractor: Contact: Phone:
contract Amount: Completion Date:
Agency:
Project Name: Prime Contractor: Contact: Phone: Contract Amount: Completion Date:
Agency:
Project Name: Prime Contractor:
contact: Phone: ContractAmount: Completion Date:
Agency:
Project Name: Prime Contractor:
contact: Phone: ContractAmount: Completion Date:
Agency: Project Name: Prime Contractor: Contact: Phone:
contract Amount: Completion Date:
Agency:
Project Name: Prime Contractor: Contact: Phone: ContractAmount: Completion Date:
Agency:
Project Name: PrimeContractor:
canted: Phone: ContractAmount: CompletionDate:
calltomla Department ofTransportation
08-0O75U4, Rte. 60 in Riverside
J.McLeugh||n Engineering
Joe McLough|in 909-721-1011 51.043.347.790 December I 2021 City otLoe Angeles
Sampson Way Kiewit Shane Cunningham
562-94&1816
$430,416 October I 2019
Orange County Sanitation District Consolidated Demo8: UtilityImprovements FlatironWest, Inc. Glenn Polk 909-441-0979 $502,937 September I 2019
SANDAG
South Bay Bus RapidTransit Segment 3 Putlce construction, Inc. Lucas Cardenas 916-929-2856 $292,955 October] 2018
Eastern MunicipalWater District Perrts ii DesalinationFacility Project Klewit MikeSlppl 201-522-9024 $36,958 Octoberl 2020
Coltrane 11-404604 Rte 56 FlatironWest, Inc. Chrts Wyss 858-736-5166 $122,448
July I 2020
Ceitrane 08-1K1904 RTE 15 Velarde Concrete Construction, inc. Amanda Velarde 818- 898-2300 $163,459 October I 2021
Coltrane 08-1K1904 RTE 15 Velarde Concreteconstruction, Inc. Amanda Velarde 818- 898-2300 $163,459 October I 2021
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2021/22SB1 PAVEMENTREHABILITATIONBlDDER'SPROPOSAL(cont'd) CIP No. 5727
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description of Work Subcontractor’s DIRRegistration of Business License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
Rev. 0
February 2020
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2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSAND SUBMITTEDWITH BID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below.
STATEMENT OF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.
CERTIFICATIONOF WORKER'SCOMPENSATION INSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labor Code Section 3700, which requires 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 the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF PREVAILING WAGE RATES AND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.
CERTIFICATIONOF COMPLIANCE WITH PUBLICWORKS CHAPTER OF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non-discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
Rev. 0
February 2020
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2021/22SB1 PAVEMENT REHABILITATIONBIDDER'SPROPOSAL (cont’d) Rev. 0 CIP N0. 5727 February 2020
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never 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 safety regulation, except as indicated on the separate sheet attached hereto entitled ”Previous Disqualifications.” If a statement of "Previous Disqualifications” is attached, please explain the circumstances.
CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(a), I certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.
CERTIFICATIONREGARDINGDIRCONTRACTOR / SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.
Contractor's registration number is [please complete] 1000005380 Subcontractors’ registration numbers are as indicated in Document 00 4314.
BIDDER:
1/5/2022 1/5/2022
Signature of Bidder Date ture Date
Robe? J. Stone. President Travis Bomhoff, Vice President of Operations Print name and title Print name and title
(Ifthe Bidderis a corporation, two signatures ofcorporate officersare required.)
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" siézedrcaxxromia "
‘
.
M
V».pepaVr1m_e_nAt_' =Vlh d_Ustrial VReAlatAi
Contractor Information Registration onAs‘ History
LagaIEnmyName Eiecitive I’! Date BtpIratonI Dete CALMBIENGINEERING, INC. 05."30/18 O6/30119 I. eiE1ti T c:fP°m,°2 V" 05/01/17 06/30/13
5‘°‘“‘ Active os/oe/15 06!30I17
RegistrationNumber
1000005380 05112115 06/30/15
Registration effective date 01’13/15 05/30/15 07/01/19
Registration expiration date onmllg 06130!”
O6I30I22
MailingAddress
2764 S.VISTAAVEBLOOMINGTON 92316CAUnited
PhysicalAddress
2764S.VISTAAVEBLOOMINGTON92316CAUnited
EmailAddress
asi\[email protected]
TradeNemeIDBA
CALMB(ENGINEERING. INC.
LicenseNumber(5)
CSi.B:68595laA
Legal Entity Information
Corporation Entity Number: 1000005380 Federal Employment Identi?cation Number:
President Name: ROBERTSTONE Vice President Name: ROBERTSTONE Treasurer Name: ROSIELOPEZ Secretary Name: ROBERTSTONE CEO Name: ROBERTSTONE Agency for Service:
Agent of Service Name: ROBERTSTONE Agent of Service Mailing Address: 2764 S. VISTAAVE BLOOMINGTON92316 CA United Statesof
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responsible
__Wi""°_t be
BlDDER'SPROPOSAL
2021/22SB1 PAVEMENTREHABILITATION
CIP No. 5727
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2021/22SB1 PAVEMENT REHABILITATION,CIP No. 5727, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructed in turn—key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/or use tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency for any errors or omissions on the part of the undersigned in submitting this proposal.
Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2021/22SB1 PAVEMENT REHABILITATION,CIP No. 5727 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
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2021/22SB1 PAVEMENT REHABILITATIONBIDDER'SPROPOSAL (cont'd)
BIDSCHEDULE
BASEBID — 2021/22SB1 PAVEMENT REHABILITATION,CIP No. 5727 CIP No. 5727
ITEM DESCRIPTION
No
1 Mobilization (Not to Exceed 5% of Bid)
2 Traffic and Pedestrian Control
3 Clearing, Grubbing and Removals
4 Water Quality Control
5 Temporary Construction Project
Identification Sign
6 Field Orders
7 Remove and Replace Ex. Curb and
Gutter
8 Remove and Replace Ex. Cross Gutter
and Spandrel
9 Remove and Replace Ex. Sidewalk
10 Remove and Replace Ex. ADAAccess
Ramp
11 Unclassi?ed Excavation
12 Untreated Base
13 Hot MixAsphalt
14 Adjust Manhole to Finish Surface
15 Adjust Valve Can/Lid to Finish Surface
UNIT
LS
LS
LS
LS
EA
LS
LF
SF
SF
EA
CY
TN
TN
EA
EA
ESTIMATED
QUANTITY
EXTENDE
D ITEM
AMOUNT
UNIT
PRICE
1 $10,000 $10,000
10 7,775
50 32
6,240
5,400
6,500
37 42
Rev,
E<e%2rt2aw2562:}
,..»
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19 «nun-kronannun*nuv:I:xax*n4mwau-va mm.m£a*.n.am..£m.m..ann;a4m.* 2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL(cont’d) CIP No. 5727
BASEBID- 2021/22SB1 PAVEMENTREHABILITATION,CIP No. 5727
EXTENDE
D
ITEM TIMATED UNIT
No DESCRIPTION UNIT ESUANTITY PRICE ITEM
AMOUNT
Adjust Survey Monument/Can to 16 Finish Surface EA 14
17 Signing and Striping L8 1
TOTAL BASEBID(numbers)
END OF BASE BID ITEMS
BASE BIDTOTAL (in words)
Contractor's Initials
l,€00.°’°zI,oo0."°'
Z/300":Z/goo’?/'
l,‘1‘70,7~!9.e
MM
axwi ~H«/ca0L0//MOcw/atzap wM‘5_
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Rev. In
February 202"
2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL(cont'd) CIP No. 5727
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. If the bid is illegible and cannot be reconciled it will be considered non—responsive and will not be considered for award.
If an additive and/or alternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedu|e(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedu|e(s).
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency's determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregularitylies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by "(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor's own forces.
By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above,
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Sig ur
2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bid may be rejected.
Complete the following:
MatiohCorporation, 1000004260 and 149783
Legal name of the business, DIRReg. and Contractor License Nos.
Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA (if any)
Robert M. Matich President
Name and title of the owner
Jason G. Jones, Vice President
Name and title of second partner or officer
1596 Harry Sheppard Blvd, San Bernardino, CA 92408
Business Address
(909) 332-7400
Telephone number
(909) 382-01 13
Facsimile number
Jason G. Jones - [email protected]
Name and Email address of primary contact
Matichcorp.com
Company web address
der Date ature of Bidder Date
Jason G. Jones, Vice President Randall S. Valadez, Secretary/Treasurer Print name and title Print name and title
(If the Bidder is a corporation two signatures ofcorporate o?icers are required.)
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Novem er 30 2023
2/3/22
f idd
Randall S. Valadez Secretag/Treasurer
2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess one of the following State Contractor's License:
State of California Class ‘A’Contractor's License
Combination of Specialty Class ’C’Contractor's Licenses
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's |icense(s) which:
a. Bears the license number(s): 149783 I A & B
b. Expires on:
2/3/22
S gn er Date of Bidder Date
Jason G. Jones. Vice President
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate of?cers are required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.
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noth
2/3/22 ' 2/3/22
Sign ur f udder gnature
ez, retary/Treasurer
2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL(cont’d) CIP No. 5727
BIDSECURITYFORM FOR CHECK
NOTE:THEFOLLOWINGFORM SHALLBEUSEDINTHECASEOF CHECKACCOMPANYING BID Accompanying this proposal is a Certified Check or Cashier's Check payable to the order of the City of Hemet, hereinafter referred to as "Agency", for N/A dollars ( N/A , this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:
A. Ifsaid Bid shall be rejected by the Agency;
B. If said Bid shall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance with said Bid) and shall furnish bonds required for his/her/itsfaithful performance of said Contract and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Contract created by acceptance of said Bid.
Otherwise, said check shall become the property of the Agency.
Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contract to a bid
Date of Bidder Date
Jason G. Jones, Vice President Randall S. Valad
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
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Leig cD , ttorney- Fact
2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESE PRESENTS
That the undersigned
Matich Corporation
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (M Amount In Words) Ten Percent of the Total Amount Bid
Dollars (S 10% OfBid I lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bid for 2021/22SB1 PAVEMENT REHABILITATION THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 28th day of January 20 22_
(Month)
Mati Cor ation
(Corporate Seal) By
P D
By Liberty Mutual Insurance Company
Surety
(Corporate Seal) By
no
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Reece IoelDiaz, Notary Public
_.V REECEmu nuz * Nn|.1ryPul)|l(~?a|llumI.: 15.‘: Orange County 5 » 5 1 1: _ cm.;m~zzmn —
slgnatu f
‘ My lanrw. Exams Jun 15 201)
CAI. FORM A ALL-PURPOSE AGKNOWLEDG ENT CIVILCODE § 1189 A notary public or other officer completingthis certi?cate verifies onlythe identityof the individualwhosigned the documentto whichthis certi?cate is attached.and not the truthfulness.accuracy,orvalidityofthat document.
State of California
County of Orange
On before me, , Date Here Insert Name and Titleof the Officer personally appeared Leigh MCD011011gh
Name(s) of Signerfs)
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/theirsignature(s) on the instrumentthe person(s), or the entity upon behalf of which the person(s) acted. executed the instrument.
I certify under PENALTYOF PERJURYunder the laws
of the State of Californiathat the foregoing paragraph
is true and correct.
WITNESSmy hand and official seal.
Signature
Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent realtachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Document Date:
Number of Pages: , Slgner(s) Other Than Named Above:
Capacitylies) Claimed by Signer(s)
Signer's Name: Signer's Name:
%Corporate Officer — Title(s): Corporate Officer — Title(s):
Partner — i lLlmlted l“iGeneral %Partner — i iLlmlted ‘2iGenera| ilndividual Attorney in Fact 1 Individual l _iAttorney in Fact * lTrustee LilGuardian or Conservator iTrustee %l Guardian or Conservator %Other: Other:
Signer ls Representing: Signer is Representing:
©2014 NationalNotaryAssociation- www.NationalNotary.org- 1-B00-USNOTARY(1-800-876-6827) Item#5907
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evesaPasleila‘NolaryPublic -«....m. Pnnruyivnnln Anmnlm u Nntavm ThisPowerofAttorneylimitsthe acts ofthose namedherein,and they have no authorityto bindthe Companyexcept in the mannerand to the extent herein stated.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
POWER OF ATTORNEY
KNOWNALLPERSONSBYTHESEPRESENTS:ThatTheOhioCasualtyInsuranceCompanyis a corporationdulyorganizedunderthe lawsofthe State of NewHampshire,that LibertyMutualInsuranceCompanyis a corporationdulyorganizedunderthe lawsofthe StateofMassachusetts,andWestAmericanInsuranceCompanyis a corporationdulyorganized underthe lawsoftheStateofIndiana(hereincollectivelycalledthe"Companies"),pursuantto and byauthorityhereinset forth,doesherebyname, constituteand appoint,Heather Sattarelli,James Schaller, Jeri Apodaca, Kim Luu, Leigh McDonough, Maria Guise, Michael D Parizino, Natalie Trofimof?Rachelle Rheault, Reece Joel Diaz, Rhonda C Abel
Certi?cateNo: 8206810-977460
all of the cityof Newport Beach state of CA each individuallyiftherebe morethanone named,itstrueand lawfulattorney-in-fact tomake, execute,seal,acknowledgeanddeliver,forand onitsbehalfas suretyand as itsact anddeed, anyandallundertakings,bonds,recognizancesandothersuretyobligations,inpursuance ofthese presentsand shallbe as bindinguponthe Companiesas ifthey have been dulysignedbythe presidentand attestedbythe secretaryofthe Companiesintheirownproper persons.
INWITNESSWHEREOF,thisPowerofAttorneyhas been subscribedbyan authorizedof?cerorofficialofthe Companiesandthe corporateseals ofthe Companieshave been af?xed theretothis 15th dayof November 2021
LibertyMutualInsuranceCompany
TheOhioCasualtyinsuranceCompany
WestAmericaninsuranceCompany
1912 1919 1991
By
DavidM.Carey,AssistantSecretary State ofPENNSYLVANIA
CountyofMONTGOMERY55
Onthis 15th dayof November , 202] beforemepersonallyappeared DavidM.Carey,whoacknowledgedhimselfto be theAssistantSecretaryofLibertyMutualInsurance Company,TheOhioCasualtyCompany,and WestAmericanInsuranceCompany,and that he, as such, beingauthorizedso to do, execute the foregoinginstrumentforthe purposes thereincontainedbysigningonbehalfofthe corporationsbyhimselfas a dulyauthorizedof?cer.
INWITNESSWHEREOF,Ihavehereuntosubscribedmynameandaf?xedmynotarialseal at KingofPrussia,Pennsylvania,onthedayandyear?rstabovewritten.
I,‘ PAS
Commonwealth of Pennsylvania - NotarySeal Teresa Paslella, NotaryPublic MontgomeryCounty Mycommission expires March28, 2025 Commissionnumber1126044 By: we ThisPowerof Attorneyis made and executedpursuantto and by authorityof the followingBy-lawsand Authorizationsof The OhioCasualtyInsuranceCompany,LibertyMutual InsuranceCompany,andWestAmericanInsuranceCompanywhichresolutionsare nowinfullforceandeffectreadingas follows:
ARTICLEIV— OFFICERS:Section12.PowerofAttorney.
Anyof?ceror otherof?cialof the Corporationauthorizedforthat purposein writingby the Chairmanor the President, and subjectto such limitationas the Chairmanor the Presidentmayprescribe,shallappointsuchattorneys—in-fact, as maybe necessaryto act inbehalfoftheCorporationto make,execute,seal, acknowledgeanddeliveras surety any andallundertakings,bonds,recognizancesandothersuretyobligations.Suchattorneys-in-fact,subjectto the limitationsset forthintheirrespectivepowersof attorney,shall have fullpowerto bindthe Corporationby theirsignatureand executionof any such instrumentsand to attach theretothe seal of the Corporation.Whenso executed,such instrumentsshallbe as bindingas ifsignedbythe Presidentand attested to bythe Secretary.Anypoweror authoritygrantedto any representativeor attorney-in-factunderthe provisionsofthisarticlemaybe revokedat anytimebythe Board,the Chairman,the Presidentor bythe officerorofficersgrantingsuch poweror authority.
ARTICLEXlll— ExecutionofContracts: Section5. SuretyBondsandUndertakings.
Anyof?cerofthe Companyauthorizedforthat purposeinwritingbythe chairmanorthe president,and subjectto such limitationsas the chairmanorthe presidentmayprescribe, shallappointsuch attorneys-in-fact,as maybe necessaryto act in behalfofthe Companyto make, execute,seal, acknowledgeand deliveras surety any and allundertakings, bonds,recognizancesand othersurety obligations.Suchattorneys—in—fact subjectto the limitationsset forthintheirrespectivepowersofattorney,shallhave fullpowerto bindthe Companybytheirsignatureand executionofany suchinstrumentsand to attach theretothe seal oftheCompany.Whenso executedsuch instrumentshallbe as bindingas it signedbythe presidentand attestedbythe secretary.
Certificateof Designation— ThePresidentofthe Company,actingpursuantto theBylawsoftheCompany,authorizesDavidM.Carey,AssistantSecretaryto appointsuch attorneys-infact as maybe necessaryto act on behalfofthe Companyto make, execute,seal, acknowledgeanddeliveras surety any and allundertakings,bonds,recognizancesandothersurety obligations.
Authorization— ByunanimousconsentoftheCompany'sBoardofDirectors,theCompanyconsentsthatfacsimileormechanicallyreproducedsignatureofanyassistantsecretaryofthe Company,whereverappearingupona certi?edcopyofanypowerofattorneyissuedbytheCompanyinconnectionwithsuretybonds,shallbe validandbindinguponthe Companywith thesame forceand effectasthoughmanuallyaf?xed.
I,Renee C. Llewellyn,the undersigned,AssistantSecretary,TheOhioCasualtyInsuranceCompany,LibertyMutualInsuranceCompany,and WestAmericanInsuranceCompanydo herebycertifythattheoriginalpowerofattorneyofwhichtheforegoingis a full,true and correctcopyofthe PowerofAttorneyexecutedbysaidCompanies,isinfullforceandeffectand has notbeenrevoked.
INTESTIMONYWHEREOF,Ihavehereuntoset myhandand af?xedthe seals ofsaid Companiesthis 28th dayof January , 2022 . 1912 1919 1991
callan610-832-8240 or emai .C0|'T'l. Page 154 of 216
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MatichCorporation
Sig%tua gm Signature '2S
Randall S. Valadez SecretarvITreasurer
2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont'd) CIP No. 5727
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
I am the Vice President of , the 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 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 correct and that this declaration is executed on Egbmam 3 2922 [date], at sanBernargino [city]. California [state].
2/3/22
dder Date of Bidder Date
Jason G. Jones. Vice President
Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate officersare required.)
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$2.618_032.00
2021/22SB1 PAVEMENTREHABILITATIONBIDDER'SPROPOSAL (cont’d) CIP No. 5727
CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified. project Name: Active Trasportation Program
Contract Price: $21618-032-00 Date of Completion: -IUIV2020 Name, Address, and Telephone Number of Owner's Representative Oscar Espinoza
1515 Sixth Street, Coachella, CA 92236
project Name: 2019 Pavement Rehabilitation
Contract Price: $8-586900-00 Date of Completion: June 2020 Name, Address, and Telephone Number of Owner's Representative:
Marcus Fuller
3200 East Tahquitz Canyon, Palm Springs CA 92262
project Name, 19-20 Street CIP Program
Contract Price: Date of Completion: Jurle 2020
Name, Address, and Telephone Number of Owner's Representative:
Robert Vestal
550 E. 6th Street, Beaumont, CA 92223
(Attach additional pages as necessary)
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2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL(cont’d) CIP No. 5727
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description of Work Subcontractor’s DIRRegistration of Business License No. Number
EBS Utilit usting_,Inc. Manholes 932798 A 1000004286
1320 E. 6 et, Suite 100
Corona, CA 92879
Superior Pavement Marking Striping 776306 1000001476
650 E. First St,
Beaumont, CA 92223
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
u. 9 ...i.,_ an
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Rev. [J
February 202!)
2021/22SB1 PAVEMENTREHABILITATIONBIDDER'SPROPOSAL(cont'd) CIP No. 5727
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSAND SUBMITTEDWITHBID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below.
STATEMENTOF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National LaborRelations Board.
CERTIFICATIONOF WORKER'SCOMPENSATION INSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labo Code r Section 3700, which requires 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 the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the PublicWorks Agreement and Contract Documents.
CERTIFICATIONOF PREVAILINGWAGE RATESAND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.
CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKS CHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non—discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
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2/3/22
Sig f dder Si
ary/Treasurer
2021/22SB1 PAVEMENTREHABILITATIONBIDDER'SPROPOSAL (cont'd) CIP No. 5727
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never 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 safety regulation, except as indicated on the separate sheet attached hereto entitled ”Previous Disqua|ifications.” If a statement of ”Previous Disqualifications” is attached, please explain the circumstances.
CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(a), I certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.
CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.
Contractor's registration number is [please complete] 1000004260 Subcontractors’ registration numbers are as indicated in Document 00 4314.
BIDD
2/3/22
ure Date ature of Bidder Date
Jason G. Jones, Vice President Randall S. Valadez,
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures of corporate officersare required.)
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CH
POHNHON
i
SINCE 1918
Corporate Resolution
At a meeting of the Board of Directors of MATICHCORPORATION,a Californiacorporation duly called and held on the 15"‘day of October 2021, a quorum being present the following RESOLUTIONwas adopted:
Resolved,the Corporate Officers for I\/IatichCorporation are:
PRESIDENT ROBERTM. MATICH
VICEPRESIDENT8:TREASURER RANDALLS. VALADEZ
VICEPRESIDENT&CORPORATESECRETEARY RANDALLS. VALADEZ
VICEPRESIDENT-ESTIMATING JASONG.JONES
VICEPRESIDENT—CONSTRUCTIONOPERATIONS JACOB O. READE
FURTHERRESOLVED,that the above listed Corporate Officersare dulyauthorized to sign document (bids, contracts, etc.) as may be necessary on behalf of MATICHCORPORATION.
I, RandallS. Valadez, Secretary of MATICHCORPORATIONhave compared the foregoing RESOLUTIO with original thereof, as it appears in the records of the Board of Directors of said company, N and do so certify that the same istrue and correct transcript there from, and of the whole said original RESOLUTION.
Ifurther certify that said RESOLUTIONhas not been amended or revoked and isstill in fullforce and effect.
INWITNESSTHEREOF,I hereunto set my hand as such Secretaryt day of October 2021 RandallS. Valadez, Secretary
‘I596 HARRYSHEPPARDBLVD,SAN BERNARDINO92408 v TELEPHONE(909) 332-7400 0 FAX (909) 382-0191 www.maIichcorp.com
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CONTRACTORS
ATE LICENSEBOA
ACTIVELICENSE ST RD
149783 CORP
Bus|nnssNnnu MAT|CH CORPORAT|ON
a........nu...11/30/2023 wwwcslb ca gov
C|IIu'l?c|I|or\(I) A
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2/25/2021 https://cadir.secure.force.com/Contractorsearch/PrintRegDetails https://cadir.secure.force.com/Contractorsearch/PrintRegDetaiIs Contractor Information Registration History
Legal Entity Name Effective Date Expiration Date
MATICH CORPORATION
Legal Entity Type 6/5/2018 6/30/2019
Corporation
Status 5/8/2017 6/30/2018
Active
Registration Number 6/7/2016 6/30/2017
1000004260
Registration effective date 7/8/2015 6/30/2015
7/1/2019
Registration expiration date 12/22/2014 6/30/2015
6/30/2022
Mailing Address 7/1/2019 6/30/2022
P 0 BOX 10 HIGHLAND92346 CA United States OfAmerica
Physical Address
1596 E HARRYSHEPPARD BLVD SAN BERNARDINO92408
Email Address
Trade Name/DBA
MATICH CORPORATION
License Number(s)
CSLB:149783
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APPEND X 1
BID
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resgunsible
in rate
BlDDER'SPROPOSAL
2021/22SB1 PAVEMENTREHABILITATION
CIP No. 5727
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2021/22SB1 PAVEMENT REHABILITATION,CIP No. 5727, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/or use tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency will not be for any errors or omissions on the part of the undersigned in submitting this proposal.
Contractor confirms that his/her/its bid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been teg d into their proposal, Contractor acknowledges receipt of Addenda No.(s)
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis—BaconAct if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2021/22SB1 PAVEMENT REHABILITATION,CIP No. 5727 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
A1—1
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2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont'd) CIP No. 5727
BIDSCHEDULE
BASE BID - 2021/22SB1 PAVEMENT REHABILITATION,CIP No. 5727 EXTENDED IT E Tl ED I :2” DESCRIPTION UNIT C:UZI:_TTY ERAIIC2 ITEM
AMOUNT
1 Mobilization (Not to Exceed 5% of Bid) LS 1 ISIOKSO .be 2 Traffic and Pedestrian Control LS 1
3 Clearing, Grubbing and Removals LS 1 5[’l§O_°°
4 Water Quality Control LS
I H,OIO.be
Temporary Construction Project 5
Identification Sign EA 3
6 Field Orders LS $10,000 $10,000
7 Remove and Replace Ex. Curb and 10 Gutter
8 Remove and Replace Ex. Cross Gutter SF [775 .S D ‘(lg/ (1g')
_’5n
and Spandrel
9 Remove and Replace Ex. Sidewalk SF 50 Q]_I”;
Remove and Replace Ex. ADA Access / 1o Ramp EA 32 Ll‘ \ Wm, 11 Unclassi?ed Excavation CY 6,240 ILA).o
<
12 Untreated Base TN 5,400 DUII IS om
13 Hot MixAsphalt TN 6,500
14 Adjust Manhole to Finish Surface EA 37
15 Adjust Valve Can/Lid to Finish Surface EA 42
LF ‘$011.0 0t0lL,.0o
|,0§'(..Sb
((5,/(aiD.°°
$01.00
92.15’
EsczxggS">?
s,’b”5o.
‘No.00 ‘3>',a§o. o
m
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2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL(cont’d) CIP N0. 5727
BASE BID- 2021/22531 PAVEMENT REHABILITATION,CIP N0. 5727
EXTENDED ITEM T T DESCRIPTION UNIT ESTIMA ED UNI
NO ITEM QUANTITY PRICE
AMOUNT
Adjust Survey Monument/Can to 16 Finish Surface EA 14 Q/(1833): (3’1,W5'l_ on 17 Signing and Striping L8 1 Ql%')c\_oo Q ]K'7‘i, 00
TOTAL BASEBID(numbers) ‘III,I’I’I9,°I59.03
************************************
BASEBIDTOTAL (in words) IiMn Int.» U I’\ "H.
ci—.5mn ,h\inq, If\un§relQ .)
Contractor's Initials —ITI"‘ { £ uQOIIWVD‘I "‘ ~Q7-9 F “ C 0" 5 I
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Felunmv9020
2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL (cont'd) CIPNo. 5727
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. If the bid is illegible and cannot be reconciled it will be considered non—responsive and will not be considered for award.
If an additive and/or alternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedule(s) only unless otherwise specified in the Notice inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedu|e(s).
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency's determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregu|arity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
Allbids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. item numbers followed by "(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor's own forces.
By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above,
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Mgug. wa?jpbesBIC!’
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PM 9-Qw>u°r,C#+9
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2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont'd) CIP No. 5727
including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bid may be rejected.
Complete the following:
I05!-—I,cz<.
7o73 Legal name of the business, DIRReg. and Contractor License Nos (74) ok)
Business Type ( artnership, Sole Proprietor)
DBA(if any)
Name and title of the owner \/L03
Name and title of second partner or officer
.0. 222 2?’?3/
Business Address
4Si«'73&—7éo
Telephone number
961, 2744C
Facsimile number
1 II‘. D" I’u—lo\\c,\.oo€IL$@om“
Name and Email address of primary contact .CO
Company web address
2-
Sign of Bi Date Signature of Bidder Date
P.
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.)
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CORPORATE RESOLUTION
——As1>HALT——
AN EOiJALOPPORTUNITYEMPLOYER
ALLAMERICAN ASPHAL
ALLAMERICANAGGREGATE T
T 951—736—7600 S F 951—
739~4671 P.O. BOX2229, CORONA, CA 92878-2229
CONTRACTORSLICENSE#267073 A,C12
Resolved, that this Corporation, All American Asphalt, on January 3, 2022 authorizes Edward J. Carlson to execute contracts and agreements on behalf of the Company in the capacity of Vice President.
Michael Farkas, Secretary
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2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont'd) CIP No. 5727
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess one of the following State Contractor's License State of California Class ‘A’Contractor's License
Combination of Specialty Class ‘C’Contractor's Licenses
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's |icense(s) which:
a. Bears the license number(s)
b. Expires on ' I-'
2-z.zoz-u 1-7»
Signatu of Bi Date Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.
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GR
CONTRACTORS
ATE LICENSEBOARD
ACTIVE LICENSE
ca
LT
@
ALLAME CAN
—-—ASPHALT—-—-
AN O PORTUNITY [MP OYER
CO
ALLAMERICANASPHA
ALLAMERICANAG EGATES
T 951-736-7600 F 951-739-4671
PO BOX 222‘). CORONA CA 92878-2229
CON RA T RS LICENSE#267073A_
D|R#l00O0010Sl C12
I o - : .no snug.--4 5 st
-|l'IlV9jnnInu.._....267073 ...com: ............. ALLAMERICANASPHALT an-an-¢uA C12
um». O1/31/2024 www.cslb.ca.gov
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2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
BIDSECURITYFORM FOR CHECK
NOTE: THEFOLLOWINGFORM SHALLBE USED IN THE CASEOF CHECKACCOMPANYIN ID Accompanying this proposal is a Certified Check or Cashier's Check payable to th rder of the City of Hemet, hereinafter referred to as "Agency", for dollars (5 , this
amount being 10 percent (10%) of the total amount of the bid. This k shall be returned to the undersigned only if either of the following occurs:
A. Ifsaid Bid shall be rejected by the Agency;
B. If said Bid shall be accepted by the Agency the Undersigned shall execute and deliver a Contract in the form attached he rly completed in accordance with said Bid) and shall furnish bonds requ for his/her/itsfaithful performance of said Contract and for the payment of all p performing labor or furnishing materials in connection therewith, and shall in other respects perform the Contract created by acceptance of said Bid.
Otherwise, said check shall become t property of the Agency Said check shall also become property of the Agency if the Undersigned shall withdraw his/her/itsbid within the pe of sixty (60) calendar days after the date set for the opening thereof, unless otherwise re ired by law, and notwithstanding the award of the Contract to another bidder.
Signature of Bidder Date
Print name and title
(If the Bidder corporation, two signatures ofcorporate officersare required.) Signature of Bidder Date
Print name and
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foregoing is true correct and that th Z 2—07'L-[
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2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL (cont'd) CIP No. 5727
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION 7106
NON—COLLUS|ON DECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned de
I am the of the 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 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 and is declaration is executed on -2- date], at
city], [state].
z/2-‘L022, 2-7.-7..o2.2..
Signatu Bid Date Signature of B Date
. L) V .
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
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. Edward J. Carlson
, , arkas
CAL FORN A JURAT GOV CODE § 8202
A notary public or other of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certi?cate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Riverside Subscribed and sworn to (or affirmed) before me on this 2"“ day of Februarv . 2022,
Date Month
By (1)
Name of Signer
Proved to me on the basis of satisfactory evidence
Nouw?ui?zflg?iforhia be the person who appeared before me (.) (,) RiversideCounty
Commission4*2260352 (and MyComm.ExpiresOct 26, 1022
(2) Michael F
Name of Signer
Proved to me on the basis of satisfactory evidence
be the person who appeared before me.)
Signature
Place Notary Seal Above Signatu Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document.
Further Description of Any Attached Document
Title or Type of Non-Collusion Affidavit Top of thumb here Top of mumb here Document Date: 2-2-2022 Number of Pages: 1
Signer(s) Other Than Named Above: None
RIHH Hlll\/ IHP'<IN
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at the Agency’s discretion, sa . W-_F»+ccpnv5Mex1l¢
2bt&/)?o:ar
, , 93, 2
o 55: B sneer- ammo,CAA /m 90? E33(2.?
pa 01)
$52 $393 ;
33a/u/7VcLosl}a>&-P.o.Ec;€7s'o% fHJ/1m .04- JaEabn+'+£4es/w we 45 am»; 6/umw §PLu\e§ ; 1 lab 7.
ame, Address, and Iephone Nu Owner‘; Re entative: éou/ma?s/ans: >152; new: at 0*- _ _ _ 6 , _ . _
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2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non—responsive bid and, id bid will be disqualified
Project Name:
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative Project Name:
Contract Price: Date of Completion
Address, and Te phone umber of Owner's p ive
Project Name:
Contract Price Date of Completion:
mber of pres
DE — Lu e«77>:o9
+.-P/N
st
(Attach additional pages as necessary)
2 U4‘?3 so
«-30
-— — -2
M)
?
00 - _ 9.
ac
Zms?u be ms- 49129;; -4. 98$"
gee A4’TA—c#€Z>
12-207.0
ll-Zbl°/
8-2017
EM
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§miller@vicLorvil|eca.gov
m‘[email protected]
rbigs@cigyofa|hambra.org
ake[n@_q_ma[ioca.gov
'lhaip§gr@|gma|igda-ca.gov
Jurupa lay.
Contac has
ckeys@'urupavallg1.org
2020
PAST WO K REFERENCES
City of Vlctorville
14343 CivicDrive
VictorvilleCA. 92393
Contact: Bruce Miller760-955-5085
Orange CountyCemetery District
25751 Trabuco Rd.
Lake Forest CA.92630
Contact: Jim Mickartz949-450-1088
Cityof Alhambra
111 S. 1*‘Street
Alhambra, CA.91801
Contact:Robert Bias 626-580-5000
Cityof Ontario
303 E. B Street
Ontario.CA.91764
Contact:Ariana Kern 909-395-2129
City ofLoma Linda
25541Barton Road
Loma Linda.CA.92354
Contact:T. Jarb Thaipejr 909-799-4400
City of Jurupa Valley
8920 LimoniteAvenue
Val CA. 92509
t: C e Keys 951-332-6464
ThirdAvenue Road Improvements
Contract Amount: $1,790,000.00
Start Date: 5/2020
End Date: 10/2020
ElToro Memorial Park Curb & Dr. Project
Contract Amount: $416,999.99
Start Date: 08/2020
End Date: 11/2020
2020 HUD Street Improvements Project
Contract Amount: $300,433.00
Start Date: 06/2020
End Date: 10/2020
2020 Fall Pavement RehabilitationProject
Contract Amount:$2,499,333.00
Start Date: 07/2020
End Date: 12/2020
Pavement Rehabilitation—BartonRoad
Contract Amount:$76B.677.00
Start Date: 04/2020
End Date: 12/2020
Granite HillDrivePavement Rehabilitati
Contract Amount: $999,777.00on
Start Date: 04/2020
End Date: 10/2020
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3rau@g1§1ofcgmarillo.org
matthew.maech|[email protected]
ttrgg@w_estmins!er.ca.gov
gharazc-ni@nawggrtbeachcagov
fuen(es@§grfcity-nb.arg
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2020
PAST WORK REFERE CES
City ofCamarillo
601 Carmen Drive
Camarillo, CA 93010
Contact:Thang Tran (805) 388-5345
County ofVentura
800 S. VictoriaAvenue, #1600
Ventura, CA93009
Contact:MattMaechier(805) 477-1911
City ofWestminster
8200 WestminsterBoulevard
Westminster, CA 92683
Contact:Theresa Tran (714) 548-3460
City of NewportBeach
100 CivicCenter Drive
Newport Beach, CA 92660
Contact:PatriciaKharazmi(949) 644-3344
Cityof Huntington Beach
2000 MainStreet
Huntington Beach,CA 92648
Contact:Joe Fuentes (714) 536-5259
County of Oran
601 N. Ross St t, 4"‘Floor
Santa Ana, CA92701
Contact: AlbertRodriguez
Earl Joseph Drive Paving
Contract Amount: $681,901.50
Start Date: 06/2020
End Date: 07/2020
Yerba Buena Rd. (South) Pavement
Resurfacing
Contract Amount: $2,298,467.40
Start Date: 03/2020
End Date: 06/2020
Citywide Overlay Street Improvements
Contract Amount:$1,131,621
Start Date: 02/2020
End Date: 06/2020
Cameo Highlands Street Reconstruction
Contract Amount:$2,425,694.00
Start Date: 07/2020
End Time: 11/2020
ArterialRehabilitationof Graham St, Slater
Ave, NewiandSt and Atlanta Ave
Contract Amount:$5,181,955.00
Start Date: 05/2020
End Date: 11/2020
JOC Pavement Maintenance
Contract Amount:$2,584,747.69
Start Date: 07/2020
End Date: 08/2020
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mvarona@ci1yo(o[ange.org
City of Norco
2870 ClarkAv
§[email protected] ca us
.CA 90220
Brittany Duh
bduhu_@andkcansu|lants.com
2020
PAST WORKREFERENCES
CityofOrange AnnualSlurry Seal FY19-20
300 E. Chapman Avenue Contract Amount: $377,737.78
Orange. CA 92886 Start Date: 06/2020
Contact:MartinVarona (714) 744-5563 End Date: 12/2020
FY2019-2020Slurry Seal Project
enue Norco, CA 92860 Contract Amount:$147,708.97
Contact: Sam Nelson (951) 270-5607 Start Date: 06/2020
End Date: 12/2020
CityofCompton AnnualResidentialStreet Rehab — Phase
205 S. WillowbrookAvenue Contract Amount: $5.295.068.00 Compton Start Date: 05/2020
Contact: n (2 &K Consultants) End Date: 11/2020
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sshesheb@simival|ey.org
[email protected]
[email protected]
'strict|[email protected]
kogerD@san-clementeorg
'rico@sogat org
2019
PAST WORK REFERENCES
City of Simi Valley
2929 Tapo Canyon Rd.
Simi Valley, CA 93063
Contact: Sarah Sheshebor (805)583-6792
County of Ventura
501 Poll Street
Ventura, CA 93001
Contact: Christopher Solis (805) 654-2054
City of Stanton
7800 Katella Avenue
Stanton, CA. 90680
Contact: Guillermo Perez (714) 890-4204
.us
City of Compton
205 S. Willowbrook Avenue
Compton, CA. 90220
Contact: John Strictland (310) 605-5505
City of San Clemente
910 Calle Negocio
San Clemente, CA. 92673
Contact: Darra Koger (949) 361-3138
City of South Gate
8650 California Avenue
South Gate, CA. 90280
Contact: John Rico (323) 563-9594
Simi Valley Minor Street Rehabilitation
Contract Amount: $510,124.25
Start Date: 07/2019
End Date: 08/2019
Yerba Buena Area Resurfacing Project
Contract Amount: $3,919,808.95
Start Date: 06/2019
End Date: 12/2019
2019 Citywide Street Resurfacing
Contract Amount: $1,206,869.00
Start Date: 10/2019
End Date: 12/2019
Road Repair Service (Pothole Repair)
Contract Amount: $1,019,100.00
Start Date: 08/2019
End Date: 11/2019
Street Rehabilitation for 8. Avenue LA
Esperanza
Contract Amount: $384,055.00
Start Date: 09/2019
End Date: 10/2019
Circle Park Driveway Project
Contract Amount: $268,576.00
Start Date: 06/2019
End Date: 09/2019
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nick.|[email protected]
k oun fontana.or
ka|[email protected]
[email protected]
2019
PAST WORK REFERENCES
Pardee Homes
1250 Corona Pointe Court, Ste. 600
Corona, CA. 92879
Contact: Nick Lasher (951) 428-4442
City of Fontana
8353 Sierra Avenue
Fontana, CA. 92335
Contact: Kimberly Young (909) 350-7632
DR Horton
2280 Wardlow Circle Ste. 100
Corona, CA. 92880
Contact: Keith Alex (951) 830-5872
City of Ontario
2201 Dupont Dr. #300
Irvine, CA. 92612
Contact: Kavous Emami (909) 628-6234
Irvine Community Development Company
550 Newport Center Dr. Ste. 550 B2
Newport Beach, CA. 92660
Contact: Mike Morse (949) 720-2560
City of Downey
11111 Brookshire Avenue
Downey, CA. 90241
Contact: Desi Gutierrez, (562) 904-7110
Railroad Canyon Widening
Contract Amount: $5,062,746.00
Start Date: 11/2018
End Time: 08/2019
Citrus Avenue Improvements
Contract Amount: $502,730.00
Start Date: 08/2018
End Date: 10/2019
Singlton Road
Contract Amount: $1,684,000.00
Start Date: 07/2018
End Date: 12/2019
Eucalyptus Street Improvements
Contract Amount: $1,580,580.00
Start Date: 3/2018
End Date: 10/2019
Portola Springs PA-6 Enclave 5B Phase1, 2
Contract Amount: $2,055,055.00
Start Date: 09/2018
End Date: 12/2019
FY 18/19 Slurry Seal Project
Contract Amount: $313,425.87
Start Date: 06/2019
End Date: 12/2019
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[email protected]
gwilson@cityof|ancasterca.org
vortiz@co|tonca.gov
‘corel|a@cathedra|city.gov
[email protected]
2019
PAST WORK REFERENCES
City of Chino
PO Box 667
Chino, CA. 91708
Contact: Dustin Postovoit (909) 334-3415
City of Lancaster
44933 Fern Avenue
Lancaster, CA. 93534
Contact: Greg Wilson (661) 570-8003
City of Colton
650 N. La Cadena Dr.
Colton, CA. 92324
Contact: Victor Ortiz (909) 370-5099
City of Cathedral City
68700 Ave Lalo Guerrero
Cathedral City, CA. 92234
Contact: John A. Corella (760) 770-0349
City of San Clemente
910 Calle Negocio
San Clemente, CA. 92673
Contact: Gary Voborsky (949) 361-6132
Slurry Seal Maintenance Work
Contract Amount: $372,805.00
Start Date: 1/2019
End Date: 12/2019
2018 Pavement Management Program
Contract Amount: $2,720,103.65
Start Date: 3/2019
End Date: 12/2019
FY 18-19 Asphalt Paving Project
Contract Amount: $1,377,700.00
Start Date: 3/2019
End Date: 11/2019
Ortega Road Widening
Contract Amount: $459,998.00
Start Date: 2/2019
End Date: 12/2019
Arterial Street Pavement Maintenance
Contract Amount: $1,187,187.00
Start Date: 3/2019
End Date: 7/2019
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SAN ?I‘<dm\.@ zw
PAST\NORK EFERENCES
City of MorenoValley
14177Frederick St.
P.O. Box 88005
Moreno Valley, CA 92552
Contact: Henry Ngo, P.E., (951) 413-3106
29,13’
City of Aliso Viejo
12Journey Street Ste #100
Aliso Viejo,CA 92656
Contact: Mari Shakir, (949) 425-2556
99111
City ofJurupa Valley
8304 Limonite Avenue Suite M
Jurupa Valley, CA 92509
Contact: Chase Keys, (951) 332-6464
.1 Q
City of lrwindale
5050 N. lrwindale Avenue
lrwindale, CA 91706
Contact: Richard Corpis, (626) 430-2200
rco
2018
Allessandro Blvd. Street Improvements at
Chogall Court and Graham Street
Contract Amount: $445,821.50
Start: 05/2018
Complete: 11/2018
Aliso Creek and Road Rehab
Contract Amount: $657,770.00
Start: 05/2018
Complete: 10/2018
FY 17-18 Alicia Parkway Arterial Pavement
Rehab
Contract Amount: $2,21 1,700.00
Start: 08/2018
Complete: 11/2018
Van Buren Blvd. Pavement Rehab P112
Contract Amount: $781,845.00
Start: 08/2018
Complete: 09/2018
lrwindale 2017-2018 Resurfacing Project
Contract Amount: $285,503.10
Start: 07/2018
Complete: 08/2018
Pine Canyon Road
Contract Amount: $3,288,999.00
Start: 06/2018
Complete: 11/2018
City of Laguna Niguel
3011 l Crown Valley Parkway
Laguna Niguel, CA 92677
Contact: Frank Borges, (949) 632-
4300 L1n.a1.1i.gL.:¢
_|..,<2.I3
County of Los Angeles
P.O. Box 7508
Alhambra.CA 91802
Contact: Hoda Hassan, (626) 458-
lj_l-VLAS 3144 9_L_I_n_1‘3:
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m:i1L?_«1uin,ln
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PAST\NORK EFERENCES
Cityof RollingHills Estates
4045 Palos Verdes Drive
Rolling Hills Estates, CA 90274
Contact: Scott Gibson (909) 210-0548
11 City of Huntington Beach
2000 Main Street
HuntingtonBeach,CA 92648
Contact: Jim Escutia (714) 536-5525
[6501 g
City of Fontana
8353 Sierra Avenue
Fontana, CA 92335
Contact: Jazmine Pena (909) 350-6648
11 32:2.
City of Lake Forest
25550 Commerccntrc Drive
Lake Forest, CA 92630
Contact: Taylor Abernathy, (949) 461-3490
City of La Quinta
74-495 Calle Tampico
La Quinta, CA 92253
£13133 1911-’:
City of Canyon Lake
31516 Railroad Canyon Road
Canyon Lake,CA 92587
Contact: KennethBailey, (951) 244-2955
kenn e gaaig
2018
2017-18 Street Resurfacing Project
Contract Amount: $1,203,292.50
Start: 03/2018
Finish: 09/2018
Heil and Main Street
Contract Amount: $2,285,562.00
Start: 11/2017
Finish: 06/2018
Valley Blvd.Median Improvement Project
Contract Amount: $164,715.00
Start: 03/2018
Finislt: 05/2018
Bake Parkway at Trabuco Road
Contract Amount: $121,621.00
Stan: 02/2018
Finish: 06/2018
Contact: Ubaldo Ayon Jr., (760)777-7051
FY 16-17 Phase 2 Desert Club
Contract amount: $697,474.76
Start date: 06/2017
Finish date 12/2017
Slurry Seal FY 2017-2018 Railroad Canyon/
Canyon Lake Drive
Contract amount: $263,241.63
Start date: 03/2018
Finish date: 12/2018
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PAST WORK REFERENCES
City ofNewport Beach West Coast Highway Landscape Improvements, 100Civic Center Drive Phase 1,Contract No. 7189-1
Newport Beach, CA 92660 Contract amount: $604,284.50
Contact: AlfredCastanon, (949) 644-3314 Start date: 06/2018 gt _)_\_{ Finish date: I 1/2018
Town of Apple Valley Navajo Road Rehabilitation
14955Dale Evans Parkway Contract amount: $849,182.00
Apple Valley, CA 92307 Start date: 07/2017
Contact: Rich Berger, (760) 240-7000 ext 7530 Finish date: I2/2017 City of IndianWells Cook Street RubberizedPavement Overlay 44-950 Eldorado Drive Contract amount: $599,599.59
Indian Wells, CA 92210 Start date: 05/2018
Contact: Ken A. Seumalo, (760) 346-2489 Finish date: I2/2018
16.J
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PAST WORK REFERENCES
City of Rancho Cucamonga
10500 Civic Center Drive
Rancho Cucamonga, CA 91730
Contact: Romeo David, (909)477~274O
City Of Ternecula
41000 Main Street
Temecula, CA 92590
Contact: William Becerra, (951)694-6444
Town Of Apple Valley
14955 Dale Evans Pkwy
Apple Valley, CA 9230?
Contact: Rich Berger, (760)240-7000
[£3
City Of Victorville
14343 Civic Dr:
Victorville, CA 92392
Contact: Carlos Seanez, (760)955-5162
UV
City Of Santee
10601 Magnolia Ave Building 4
Santee, CA 92071
Contact: Toby M. Espinola, P,E., (619)258-4100
v
Base Line Rd. Pavement Rehab
Contract Amount: $1,130,470
Start: OS/2017
Completed: 07/2017
Margarita Road Pavement
Rehab
Contract Amount: $2,577,770
Start: OS/2017
Completed: 11/2017
Navajo Road Rehabilitation
Contract Amount: $849,182
Start: 08/2017
Completed: 11/2017
Water Warehouse ?l Paving
Project
Contract Amount: $251,008
Start Date: 04/2017
Completed: O6/2017
Citywide Slurry Seal & Roadway
Maintenance 2017
Contract Amount: $285,061.90
Start: O6/2017
Completed: 10/2017
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JROBB|NS@rct|ma,or[,r
RobertclenninggtI>aecom.com
PAST WORK REFERENCES
2017
City Of Yucaipa
34272 Yucaipa Blvd.
Yucaipa, CA 92399
Contact: John Larose, (909)797-2489
City Of West Covina
Eclipse Way & Jennifer Pl
West Covina, CA 91792
Contact: Hany Demitri, (626)939-8445
City Of Highland
McKinley Ave & 9”‘St
San Bernardino, CA 92410
Contact Name: Carlos Zamano, (909)864-8732
czamano@cityofhighlandorg
County Of Riverside
2950 Washington Street
Riverside, CA 92504
Contact Name: Justin Robbins, (951)955-6885
City Of Palm Springs
3400 E. Tahquitz Cyn Way Ste 1
Palm Springs, CA 92262
2015-2016 Micro-Surfacing
Program Project No.11043
Contract Amount: $252,379.06
Start: 07/2017
Completed: 08/2017
Residential Street Rehabilitation
SP 17038
Contract Amount: $469,960.70
Start: O5/O1/17
Completed: 06/09/2017
2015-16 CDBG Streets Pavement
Improvements
Contract Amount: $823,389.68
Start: O6/OS/17
Completed: 10/13/17
Gilman Springs
Contract Amount: $1,662,671.20
Start: 11/2016
Completed: O8/2017
TaxiwayJ Rehabilitation
Contract Amount: $291,482.99
Start: 09/2017
Contact Name: Robert Denning, (541)324-7321 Completed: 10/2017 [email protected]
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PAST WORK REFERENCES
City of Riverside
3900 Main St.
Riverside, CA 92501
Contact: Steve. Howard, (951)826-5708
City of Rancho Santa Margarita
2212 El Paseo
Rancho Santa Margarita, CA 92688
Contact: Max Maximous, (949)635-1800
City ofDiamond Bar
21810 Copley Drive
DiamondBar, CA 91765
Contact: Kimberly Young. (909) 839-7044
City ofBell
6330 Pine Avenue
Bell, CA 90201
Contact: Dahi Kim, (323)923-2628
Department of Transportation
72-800 Dinah Sl1oreDr. Ste. 104
105 Palm Desert, CA 9221 1
Contact: Khoi Vu, (951) 232-6263
Department of Transportation
3251 '/aUniversity Dr. Trailer No. 2
Irvine, CA 92612
Contact: Peter Shieh, (949)279-8636
City ol‘Victorvi1lc
14343 Civic Drive
Victorville, CA 92392
Contact: Bruce Miller, (760) 269-0045
2016
2014/2015 Preservation and Maintenance
Contract Amount: $3,400,725.00
Start: 01/2016
Completed: O6/2016
Annual Residential Overlay
Contract Amount: $245,190.00
Start: 01/2016
Completed: 09/2016
Grand Ave. Beauti?cation Project
Contract Amount: $1,939,000.00
Stan: 08/2015
Completed: 05/2016
Florence Avenue Overlay
Contract Amount: $643,000.00
Start: 04/2016
Completed: 09/2016
Route 111, Contract No. 08-lC4604
Contract: $1,536,207.00
Start: 04/2016
Completed: 09/2016
Route 73, Contract No. 12—0M1l04
Contract Amount: $1,545,163.00
Start: 4/2015
Completed: 07/2016
Bear Valley Road Reconstmction
Contract Amount: $2.61 1,215.00
Start: 04/2016
Completed: 07/2016
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PAST WORK REFERENCES
City of Perris
101 N. D Street
Perris, CA 92570
Contact: Brad Brophy, (951)943-6504
City of Palos Verdes Estates
340 Palos Verdes Drive West
Palos Verdes Estates, CA 90274
Contact: Ken Rukavina, (310)378-0383
City of Newport Beach
100 Civic Center Drive
Newport Beach, CA 92660
Contact: Alfred Czistanon, (949)644-3314
City of Newport Beach
100 Civic Center Drive
Newport Beach, CA 92660
Contact: Frank Tran, (949)644-3340
City of Aliso Viejo
12 Journey, Suite 100
Aliso Viejo, CA 92656
Contact: Chris Tanio, (949)425-2531
2 1
4"‘Street Improvement Project
Contract Amount: $545,680.00
Start Date: 03/2016
Completed: 07/2016
FY 15-16 St. Resurfacing & Slurry Seal Project
Contract Amount: $876,455.00
Start: 11/2015
Completed: 06/2016
Corona Del Mar Entry Improvements
Contract Amount: $497,497.00
Start Date: 02/2016
Completed: 05/2016
Cameo Shores Pavement Reconstruction
Contract Amount: $3,363,363.00
Start Date: 06/2016
Completed: 12/2016
Paci?c Park Rehab.-Chase to 73 Fwy
Contract Amount: $633.633.00
Start Date: 10/2016
Completed: 12/2016
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2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL(cont’d) CIP No. 5727
DESIGNATION OF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description of Work Subcontractor’s DIRRegistration of Business License No. Number
Cq;¢I(‘_.,_,Q‘S/\(u(,,’M) IBDDOOI
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(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)
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C.
Surveying * 91/lapping” g(PSServices
Cafijbrnia(DIR RegistrationW0.1000001533
Larry ‘V.Case, (P.L.S. License # £5411 303E Certifiezf
09/30/2022
BID SHEET
TO: All Bidders BID DATE: February 3, 2022
SITE: 2021/22 SB 1 Pavement Rehabilitation Project
Hemet ADDENDUMS: 2
The following is the surveying scope of work for the above site. Any item not listed below is outside the described scope of work and will be billed at our standard hourly rate (portal to portal) per our union agreement in minimum segments of 4, 6 or 8 hours. There is a 4-hour minimum for any day survey is dispatched. This bid is valid for 6 months.
0 Control
0 Cross Gutters
Sub Total ..$ 3,600.00
Tie-out and Re-Establish Existing Survey Monuments
& File Corner Records
Sub Total ..$l8,915.00
Grand Total. .$ 22,515.00
If Needed:
0 Curb Ramps (Curb Face Only) ............................................ .....................
..$ 8,500.00
( BIDPRICEEXCLUDESPOT-HOLING,BACKor WALK,RETAININGCURB,As-BUII.Ts& CERTIFICATIONS,CREATING oR ESTABLISHING SURVEY MONUMENTS WHERE NONE EXIST, AND THE CONSTRUCTION AND/oRADJUSTMENT or SURVEY WELL MONUMENTS. BIDPRICE Is PREDICATED ON WORK BEING PERFORMED IN 8 HOUR SEGMENTS.) The above bid is predicatedupon Owner/Agency, or Contractor providing signed, approved and set of constructionplans,job speci?cations, a minimum of 2 Horizontal control points, 1 Vertical control point and an electronic ?le of the project (AutoCAD 2004 or 2012 drawing format). The bid is also predicatedupon traffic control, when needed, is to be provided by the Owner/Agency. The maximum value of outstanding, unexecutedchange orders shall not exceed ?ve percent of the contract total. Additional change order work will not be priced or performed until the outstanding amount is below the ?ve percent value. Extra work must be approved in writing prior to work being performed. A minimum of one week is required after receipt of plans and/or AutoCAD, and a written request, to schedule a survey crew.
Case Land Surveying maintains Commercial General Liability Insurance with a limit of $1 million with a general aggregate limit of $2 million; Automobile Liability with a $1 million; and Professional Liability Insurance with a limit of $1 million. In addition, we maintain an Umbrella Liability Policy of $9 million which is follow-form to underlying liability policies. This gives us coverage up to $11 million. We also maintain Workers Compensation Insurance as prescribedby law with a $1 million limit per annual aggregate.
Thank you for the opportunity to bid this project.
614%/.<15:/{?o?street Orange,C/I 92868 (714)628-8948 fw((714)628—8905 E—mai[ad2{ress: c£si@case&znc{sur'I/eying. com
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Superior Markings, (Subject approval)
2/37227 K 7 _ V
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Superior Pavement Markings, Inc.
PO Box 278
Beaumont, CA 92223
Phone 951.845.2799
b‘°_°“5f# Fax 951.845.6399
mon oca
0001000001470 Proposal & Contract 38649
Submit To: Contact: roject
AllAmerican Asphalt Augustine De Los Reyes-Office 2021/22 SB1 Pavement Rehabilitation P.O. Box 2229 951-736-7600-Fax 951-736 CIP Project No. 5727 Corona, CA 92878 -7646-augustine. Hemet
de|osreyes@a|lamericanasphalt
com; ADLR.
Date: Estimator
Dale Shults
# Descri um Price Ext Price
17 Signing & Striping 1 LS 2,787.00 2,787.00
Addenda Considered = 0
One mobilization is included. Additional mobilizations at $1,750.00 ea.
A mobilization or Move-In is any work accomplished through consecutive shifts. Ifwork is unavailable or not ready for Superior an additional mobilization charge willbe incurred.
Traffic control for Superior work areas during Superior work hours only.
A Minimum Of 15 Working Days is Required Prior To Each Move In.
Quote Includes: Traf?c Paint [NO] - Thermoplastic [YES] - Rpm's [YES] - Removals [NO]- Sealing [NO] - Signing [NO] - Furnish Mast Arm Signs [NO]- Temp Striping [NO]- Berm/Curb Painting [NO] Superior Pavement Markings, Inc. Total $238100
by:
Estimator - Pavement Inc. to of?ce valid for 30 from 2/3/2022.
Date Owner/Customer: Print:
PLEASE SIGN AND REMITTHIS 1 PAGE DOCUMENTTO ABOVE ADDRESS. page 1 of 1
99/...
All areas to be free and clear off L debris prior to Superior Pavement Markings’crews arriving on-site. All moves andjob requirement are mentioned in notes- nothing is implied unless speci?cally noted. Not responsible for scheduling other sub's work or scheduling con?icts with other subs. We DOT NOT provide shop drawings of any type unless prior arrangements are made. Not responsible for removing temporary striping or temporary "tabs", tape or chip seal markers unless specifically noted. Signs on signal poles, overhead or truss structures not included unless speci?cally mentioned in proposal. Superior Pavement Markings is a union company and all jobs are bid using current union or prevailing wage rates.
I/we accept the within proposal. You are authorized to perform the work comprehended here under and I/we agree to pay the said amount in accordance with the terms set forth. By signing this Proposal/Contract below I/we agree to the attached Terms and Conditions.
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2021/22SB1 PAVEMENT REHABILITATIONBIDDER'SPROPOSAL (cont’d) CIP No. 5727
BIDDERCERTIFICATIONS
TO BE EXECUTEDBYALLBIDDERSANDSUBMITTEDWITH BID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below
STATEMENT OF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappeaiable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.
CERTIFICATIONOF WORKER'SCOMPENSATION INSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labo Code Section 3700, which requires every employer r to be insured against liability for worker's compensation or to undertake se|f—insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF PREVAILING WAGE RATES AND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.
CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKS CHAPTEROF LABOR CODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non-discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
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2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
CERTIFICATIONOF NON—DISQUAL|F|CATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never 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 safety regulation, except as indicated on the separate sheet attached hereto entitled ”Previous Disqualifications.” If a statement of "Previous Disqua|ifications” is attached, please explain the circumstances.
CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(3), I certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.
CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.
Contractor's registration number is [please complete]
Subcontractors’ registration numbers are as indicated in Document 00 4314.
BIDDER:
z.2- 2oz; z,-z-2027...
Signature der Date Signature of er Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures of corporate officersare required.)
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2021/22SB1 PAVEMENT REHABILITATIONBlDDER'SPROPOSAL (cont’d) CIP No. 5727
Bond No. 08597423
Bid Date: 02/03/2022
BID SECURITYFORM FOR BOND
KNOW ALLBYTHESE PRESENTS
That the undersigned
AllAmerican Asphalt
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITY OF HEMET,a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amount |n word5)Ten Percent of Total Amount Bid----
Dollars($10"/oOfBid l lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bid for 2021/22SB1 PAVEMENTREHABILITATION THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 21st day of January 20 22 _
(Month)
AllAmerican Asphalt
(Corporate Seal) By
V. M1
By Fidelity and Deposit Company of Maryland
Surety
(Corporate Seal) B
Rebecca Haas-Bates, Attorney-in-Fact
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022
AllAmerican Asghalt AllAmerican Asghélt
CAL FOR A ALL-PURPOSE ACKNO LEDGEME T CW L CODE 1189
A notary public or other officer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certificate is attached. and not the trnth?rlness_ accuracv. or validitv of that document.
State of California
County of Riverside
on February 2, 2022 before me, B. Rovster. Notarv Public Date Here Insert name and Title of the Officer
personally appeared Edward J. Carlson and Michael Farkas Name(s) of Signer(s)
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 Nomw?u??g??ifmniaand acknowledged to me that herlshe/theyexecuted the same in RiversideCounty hislher/their authorized capacity(ies), and that by hislher/their Commission#1260351 signature(s) on the instrument the person(s), or the entity upon behalf C°'“"" E"P“""0“ 26-1°22 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 forgoing paragraph is true and correct.
WITNESS my seal.
Place Notary Seal Above Notary Public OPTIONAL
Though the information below is not required by law, it may prove valuable to person 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 Bid Bond — Citv of Hemet
Document Date Januarv 21. 2 Number of Pages: 3
Signer(s) Other Than Named Above: Rebecca Haas-Bates. Attornev-in—Fact Capacity(ies) Claimed by Signer(s)
Signer’s Name Edward J. Carlson Signer's Name Michael Farkas El Individual D Individual X Corporate Officer — Title(s) Vice President X Corporate Off-leer_ Title(s) Secretarv :1 Partner I3 El Limited a General B Partner D D Limited D General E‘ Attorney in Fact El Attorney in Fact
Top of thumb here Top of thumb here El Trustee D Trustee '3‘ Other: El Other:
Signer is Representing: Signer is Representing
RH‘-Hw' 'Hl|MHF’R|N '»<l1iHi |’|l|l\/IHPRINY
SIGNFR S|GNFR
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who proved to me on the basis of satisfactory evidence to he person(s) whose name(s~)is/are subscribed to the within instrument and acknowledged to me he/she/they executed the same in his/her/theirauthorized capacity(i'e€J,and that by his/her/their sig rats)on the instrument the person(s), orthe entity upon behalf of whichthe person(s) acted, executed instrument.
Wm‘
Pu
Robgcca Haas-Bates
Signer ls Representing:
' eiily and DepositCom
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifiesonly the identity of the individualwho signed the document to whichthis certificate is attached, and not the truthfulness,accuracy, or validityofthat document.
State of California
County of Oranze
On 01/21/2022 before me, Liliana Gomez, Notary Public
Date Here Insert Name and Title of the Officer
persona?y appeared Rebecca Haas-Bates
Name(s)\of Signeh‘s,l
be t
that
natu
the
l certify under PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
WITNESSmy hand and official seal
LILIANAGOME_Z_ Notary Public- California
0 C [Y . commriaszigoen 32143326 Signature
MyComm. ExpiresMay20, 7-022 Signature of Notary
VNN
P/ace 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: Bid Bond Document Date: 01/21/2022 Number of Pages: Onegl) Signer(s) Other Than Named Above: All Amefi0af1ASi>ha1t Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name: _ Corporate Officer — TitIe(s): Corporate Officer — TitIe(s):
T Partner — Limited General Partner — El Limited C General T Individual ZAttorney in Fact Individual __ Attorney in Fact M Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:
Signer ls Representing:
pany of Maryland
©2014 NationalNotary Association - www.Nationa|Notary.org- 1-800-US NOTARY(1-800-876-6827) Item#5907
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Allomeys-i n-Fact
January
wwwmeggrl;[email protected]
EXTRACT FROM BY-LAWS OF THE COMPANIES
2022
By:
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
"Article V, Section 8, . The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any of?cer or any such attorney-in-fact to af?x the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time."
CERTIFICATE
I, the undersigned, Secretary of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certi?cate; and I do further certify that Article V, Section 8, of the ByLaws of the Companies is still in force.
This Power of Attorney and Certi?cate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be af?xed by facsimile on any Power of Attorney...Any such Power or any certi?cate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certi?cate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day ofMay, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or herea?er, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually af?xed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and af?xed the corporate seals of the said Companies, this 215i
__ day of
Brian M. Hodges
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Set 1
Mom;44/
2/2/22, 12:16 PM
/W9
P|anetBids Vendor Portal
City of Hemet
< Back to BidSearch
2021/22 SB1 Pavement Rehabilitation — CIP 5727
_ Q&A Pro pective Released via Addendum 01 102022-01 01/10/2022 1:23 PM (PST?— 1 an R It
1.1 on page A1-10 bffhueSBid documents — reference projects it states tha Question
on page A1-10 of the Biddocuments — reference projects it states that Biddermust show documentation of similar, electric, telephone, cable and sewer experience. These scopes are not listed inthe items and we are asking that theses requirements me removed from the form.
Answer
Yes, those items can be removed. Reference projects should be that of similar size and scope to the project being bid on.
Set 2 Released via Addendum 01242022-01 01/24/2022 8:08 AM (PST) — 1 question
2.1 Willyou be allowing curb to be removed by cutting the spandrel? Question
Willyou be allowing curb to be removed by cutting the spandrel? Answer
Yes, shiner cuts willbe authorized
REMNNWG
22:41 :30
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will not be
B|DDER'S PROPOSAL
2021/22SB1 PAVEMENT REHABILITATION
CIP N0. 5727
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2021/22SB1 PAVEMENT REHABILITATION,CIP No. 5727, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/oruse tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency responsible for any errors or omissions on the part of the undersigned in submitting this proposal.
Contractor confirms that his/her/its bid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s)
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2021/22SB1 PAVEMENT REHABILITATION,CIP No. 5727 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions General Provisions, Greenbook 2018 as amended and supplemented, technical references, , all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
Q&ASet 1,
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2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL (Cont'd) CIP No. 5727
ITEM
No
1 10
11 12
13 14
15 BIDSCHEDULE
BASEBID — 2021/22SB1 PAVEMENTREHABILITATION,CIP No. 5727
DESCRIPTION
Mobilization(Not to Exceed 5% of Bid) LS
Traffic and Pedestrian Control LS
Clearing, Grubbing and Removals LS
Water Quality Control LS
Temporary Construction Project EA Identification Sign
Field Orders LS
Remove and Replace Ex. Curb and LF Gutter
Remove and Replace Ex. Cross Gutter SF and Spandrel
Remove and Replace Ex. Sidewalk SF
Remove and Replace Ex. ADAAccess EA Ramp
Unclassified Excavation CY
Untreated Base TN
Hot MixAsphalt TN
Adjust Manhole to Finish Surface EA
Adjust Valve Can/Lid to Finish Surface EA
UNIT
EXTENDE
D ITEM
AMOUNT
UNIT
PRICE
ESTIMATED
QUANTITY
1 $10,000 $10,000
7,775
50 32
6,240
5,400
6,500
37 42
?—:'z¥x‘:'
77’(900 ’ 000
13?;00/ /30. can
‘
2£5oa7
&€@v 3797i
' é/30¢ /.
114 200
80. ’ ‘M25
S'$vw /7630”?
37¢ 233370
/$67mw I
37,wv
-'25.000
13', any ’
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9:70
2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP N0. 5727
BASEBID — 2021/22SB1 PAVEMENT REHABILITATION,CIP No. 5727
EXTENDE
ITEM ESTIMATED UNIT D DESCRIPTION UNIT ITEM
No QUANTITY PRICE AMOUNT
Adjust Survey Monument/Can to 16 Finish Surface EA 14
17 Signing and Striping L8 1
TOTAL BASE BID (numbers)
***************************'k******** *1:***************************9:****'k* BASE BIDTOTAL (in words)
Contractor's Initials
: _,:
w
T.»
§3e§3rz,1ary
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Rev. 0
February ZDZO
2021/22SBl PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. If the bid is illegible and cannot be reconciled it will be considered non—responsive and will not be considered for award.
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedu|e(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedu|e(s).
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency's determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregu|arity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by ”(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor's own forces.
By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above,
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2021/22SB1 PAVEMENTREHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bidmay be rejected.
Complete the following:
Vance Corporation; 1000008103; 414567
Legal name of the business, DIRReg. and Contractor License Nos.
Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
Derek Ritarita, President
Name and title of the owner Christian Peacock, Secretary Name and title of second partner or officer
17761 Slover Avenue, Bloomington, CA 92316
Business Address
(909)355-4333
Telephone number
(909)355-4339
Facsimile number
[email protected]
Name and Email address of primary contact
vancecorp.net
Compa web address
02/01/22 02/01/22
re of Bidder Date Signature of Bidder Date
Derek Ritarita, president Christian Peacock, Secretary
Print name and title Print name and title
(If the Bidder is a corporation two signatures of corporate officersare required.)
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2021/22SB1 PAVEMENT REHABILITATIONBlDDER'SPROPOSAL (cont’d) CIP No. 5727
CERTIFICATEREGARDING CONTRACTOR'SLICENSE
1. Contractor is required to possess one of the following State Contractor's License State of California Class ‘A’Contractor's License
Combination of Specialty Class ‘C’Contractor's Licenses
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or(3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's |icense(s) which:
_ 414567
a Bears the license number(s)
b. Expires on: 11/30/2021
02/01/22 02/01/22
Signature of Bidder Date Signature of Bidder Date
Derek Ritarita, President Christian Peacock, Secretary
Print name and title Print name and title
(If the Bidder is a corporation two signatures of corporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.
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2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
BID SECURITYFORM FOR CHECK
NOTE: THE FOLLOWINGFORM SHALLBEUSED IN THE CASEOF CHECKACCOMPANYING BID Accompanying this proposal is a Certified Check or Cashier's Check payable to the order of the City of Hemet, hereinafter referred to as "Agency", for dollars (S , this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:
A. Ifsaid Bid shall be rejected by the Agency;
B. If said Bid shall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance with said Bid) and shall furnish bonds required for his/her/itsfaithful performance of said Contract and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Contract created by acceptance of said Bid.
Otherwise, said check shall become the property of the Agency Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contract to another bidder.
Signature of Bidder Signature of Bidder
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
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2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP N0. 5727
BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS
That the undersigned
Vance Corporation 17761 Slover Ave, Bloomington, CA 92316 (Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITY OF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of_(D_()l| 21_r Amount In Words)
Dollars ($10% of bid amount I lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid,for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bid for 2021/22SB1 PAVEMENT REHABILITATION THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 313'‘ day of Januarv 2022.
(Month)
Va
(Corporate Seal) By
Principa| Derek Ritarita
By The Ohio Casualty Insurance Company
Surety
(Corporate Seal) By />/
Tonja hmon, AttBrnPage 206 of 216
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§ ‘X Sm Bernard i
' C I I
‘
I
Q My
nmmssan E
Vance Corgoration
otary
GAL FORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completingthis certificate verifies only the identity of the individualwho signed the document to whichthis certificate is attached.and not the truthfulness, accuracy, or validityof that document.
State of California )
San Bernardino County of )
_ on February 1st, 2022 before me.
Macaw1 Muhammad, Notary Pubhc
Date Here Insert Name and Title of the Of?cer
personally appeared Derek Dean R1tarita
Namerfsxof Signer?s);
who proved to me on the basis of satisfactory evidence to be the personfsjt whose nametsiis/tare:
subscribed to the within instrument and acknowledged to me that he x executed the same in hisritvex/Xbtrxixauthorizedcapacityftersg, and that by hisziherzitlrmixsignatureizsxonthe instrument the persontzsi, or the entity upon behalf of which the personlsx acted, executed the instrument.
I certify under PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
MACAWIMUHAMMAD WITNESS my hand and official seal.
NotaryPublic- California
lnoCounty
it 2362182
Comm.ExpiresJun 22, 2025 Signature
Signature Public
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.
Bid B0nd—City of Hemet _?_?:c(::p_1I:_'°n of Attached D-ocument 2021/22 SB1 Pavement Rehab 01/31/2022 ype of Document. CIP No.5727 Document Date _ . Number of Pages: 1 Signerést Other Than Named Above: 339- DlshmonsAtt0meY‘1n‘ Capacity?ga) Claimed by Signerlgl FaCt
Signer’s Name: Derek Dean Ritarita Signer’s Name:
{XiCorporate Officer — Title(s): President if] Corporate Officer — Title(s):
l'l Partner — llllLimited General i ’iPartner — [TilLimited General l;i individual D Attorney in Fact [1 Individual {TlAttorney in Fact :1 Trustee Eff]Guardian or Conservator 5Trustee L] Guardian or Conservator Q Other: C] Other:
Signer ls Representing: Signer ls Representing:
©2014 NationalNotaryAssociation- www.Nationa|Notary.org - 1-800-US NOTARY(1-800-876-6827) Item #5907
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% ;;_:Notary Public
ly orHeme:
cmcnl Rehab
Vnncc comrmion
CAL FORM A ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individualwho signed the document to whichthis certificate is attached, and not the truthfulness, accuracy, or validityof that document.
State of California )
County of San Bernardino )
on January 31st, 2022 before me,
Macawi Muhammad, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Tonja Charlene Dishmon
Namefsji of Signer(s);
who proved to me on the basis of satisfactory evidence to be the personeek whose namelstis/apex subscribed to the within instrument and acknowledged to me that ;bg/shei?tlgmgexecuted the same in lxlx/herzltlmirauthorized capacity?asa, and that byxils/her/Xttahtsignatureiat on the instrument the person?sx or the entity upon behalf of which the personiiei acted, executed the instrument. l certify under PENALTYOF PEFlJUFlYunder the laws
of the State of California that the foregoing paragraph is true and correct.
MACAWI MUHAMMAD WITNESS my hand and official seal.
NotaryPublic- California
SanBernardinoCounty
Commissionfl2362182 _ Comm.ExpiresJun 22, 2025 Signature Signature
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 Bid B°“d' Cl
. . . Title or Type of Document:
202]/22 SB1 Pav ‘Manon
Document Date: JAN31
Number of Pages: 1 Signer(s) Other Than Named Above: No other signer Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer’s Name:
I iCorporate Officer — Title(s): 1].]Corporate Officer — Title(s) lfi Partner — lfjflLimited General l iPartner — =§f_fl Limited D General l _iIndividual _ Attorney in Fact [Tl Individual ii Attorney in Fact ' Trustee l_f_Guardian or Conservator ij.iTrustee [.1]Guardian or Conservator LLOther: l‘_‘?iOther:
Signer is Representing: Signer Is Representing
©2014 NationalNotaryAssociation- www.Nationa|Notary.org - 1-800-USNOTARY(1—800—876—6827) Item #5907
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human!to
copy 4:!IkeP24? wasthis day0!
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ThisPower of Attorney limitsthe acts of those named herein,and they have no authorityto bind the Companyexcept inthe manner and to the extent hereinstated.
Certi?cate No 8196529 — LibertyMutualInsuranceCompany
TheOhioCasualtyInsuranceCompany WestAmericanInsuranceCompany SURETY
POWER OF ATTORNEY
KNOWNALLPERSONSBYTHESE PRESENTS:That The OhioCasualty 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 corporationduly organized under the laws of the State of Indiana (herein collectivelycalled the “Companies"),pursuant to and by authorityherein set forth, does hereby name, constituteand appoint, Tonia C. Dishmon; Amanda Johnson; Ashlev King; Alissa Lehman; Tamara M. Lentz; Christopher J Moore; Judith A. Randolph; Jaime A. Ftandolph; Jessica Ann Romero
allofthe cityof BEDLANDS state of CA each individuallyiftherebe morethanone named,itstrue and lawfulattorney-in-factto make, execute,seal, acknowledge and deliver,forand on itsbehalfas suretyandas itsact and deed, any andallundertakings,bonds,recognizancesand othersuretyobligations,inpursuanceofthese presents and shall be as bindinguponthe Companiesas iftheyhave been dulysignedbythe presidentand attestedbythe secretaryofthe Companiesintheirownproperpersons INWITNESSWHEREOF,thisPowerofAttorneyhas been subscribedbyan authorizedofficeror officialofthe Companiesand the corporate seals ofthe Companieshave been affixed theretothis 10th dayof September , 2018
INS _ The OhioCasualtyInsuranceCompany
1912 1991 LibertyMutualInsuranceCompany
West InsuranceCompany
it By
STATEOF PENNSYLVANIA 93"” 'V'- Se°’e‘a’V
COUNTYOFMONTGOMERY
Onthis10th dayOfSeptember , 2018 , before me personallyappeared DavidM Carey, who acknowledgedhimselfto be the Assistant Secretary of LibertyMutualInsurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrumentfor the purposes thereincontainedby signingon behalfof the corporations by himselfas a dulyauthorizedofficer INWITNESSWHEREOF,I have hereunto subscribed my name and affixedmynotarialseal at Kingof Prussia, Pennsylvania,onthe day and yearfirstabove written COMMONWEALTH OF PENNSYLVANIA Notarial Seal By ?'\ £1/i,(/4:)%£4/&,[[;u
Teresa Pastella, Notary Public Upper MerionTwp , Montgomery County Teresa Pastella, Notary Public My Commission Expires March 28, 2021 Member.Pennsylvania Association of Notaries This Power of Attorneyis made and executed and by authority of the following By-lawsand Authorizationsof The Ohio Casualty Insurance Company, LibertyMutual Insurance Company, and WestAmerican Insurance Company whichresolutions are nowin fullforce and effectreading as follows:
ARTICLEIV— OFFICERS— Section12.PowerofAttorney.AnyofficerorotherofficialoftheCorporationauthorizedforthatpurpose inwritingby theChairmanorthe President,and subject to such limitationas the Chairmanorthe Presidentmay prescribe,shallappointsuch attorneys-in-fact,as maybe necessaryto act in behalfofthe Corporationto make, execute,seal, acknowledgeand deliveras suretyany andallundertakings,bonds,recognizancesandothersurety obligations.Suchattorneys-in-fact,subjecttothe limitationsset forthintheirrespective ' powersof attorney,shallhavefullpowerto bindthe Corporationbytheirsignatureand executionof any such instrumentsand to attachtheretothe seal of theCorporation. Whenso executed,such instrumentsshallbe as bindingas itsigned bythe Presidentand attestedto bythe Secretary.Anypowerorauthoritygrantedtoany representativeor attorney-in—fact under the provisionsofthisarticlemaybe revokedat any timebythe Board,theChairman,the Presidentor bythe officerorofficersgrantingsuch poweror authority.
ARTICLEXIII- ExecutionofContracts— SECTION5. SuretyBondsandUndertakings.AnyofficeroftheCompanyauthorizedforthat purposeinwritingbythe chairmanorthe president, andsubjectto suchlimitationsas the chairmanorthe presidentmayprescribe,shallappointsuchattorneys-in-fact,as maybe necessaryto act inbehalfofthe Companyto make,execute, _ seal, acknowledgeand deliveras surety any and allundertakings,bonds,recognizancesand othersurety obligations Such attorneys-in-factsubjectto the limitationset forthintheir respectivepowersofattorney,shallhavefullpowerto bindtheCompanybytheirsignatureandexecutionofanysuchinstrumentsandto attachtheretothe seal oftheCompanyWhenso executedsuch instrumentsshallbe as bindingas ifsigned bythepresidentandattestedbythe secretary Certificate of Designation— ThePresidentofthe Company,actingpursuantto the Bylawsofthe Company,authorizesDavidM.Carey,AssistantSecretaryto appointsuch attorneys-infact as may be necessary to act on behalfofthe Companyto make, execute, seal, acknowledgeand deliveras suretyany and allundertakings,bonds, recognizancesand othersurety obligations.
Authorization— Byunanimousconsent ofthe Company'sBoardofDirectors,the Companyconsentsthatfacsimileormechanicallyreproducedsignatureofanyassistantsecretaryofthe Company,whereverappearingupon a certifiedcopy ofany powerofattorneyissuedbytheCompanyinconnectionwithsuretybonds,shallbe validand bindinguponthe Companywith the same force and effectas thoughmanuallyaffixed.
I, Renee C Llewellyn,the undersigned,Assistant Secretary, The Ohio Casualty Insurance Company, LibertyMutualInsurance Company, and West AmericanInsurance Company do hereby certifythat the originalpower of attorney of which the foregoingis a full,true and correct said Companies,is in fullforce and effect and has not been revoked.
INTESTIMONYWHEREOF,Ihavehereuntoset myhand and affixedthe seals ofsaidCompan , 20 F\ 1919 1912 1991 3 BY
Renee C. Secretary
at
215 of 500 LMS 128 73 052018 To1-610-832-8240 confirm the validity between of9:00 this amPower and of4:30Attorney pm ESTcallon any business day
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2021/22SB1 PAVEMENT REHABILITATIONBIDDER'SPROPOSAL (cont’d) CIP No. 5727
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITH BID The undersigned declares:
President I am the of Vance Corporation the 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 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 correct and that this declaration is executed on Feb lst’ 2022 date], at Bloomington city], CA state]
02/01/2022 02701-/§2022i:§r
Signature of Bidder Date Signature of Bidder Date
Derek Ritarita, President Christian Peacock, Secretary
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures of corporate officersare required.)
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SanBemardlnoConn
CommlssiauIt 1361181
My cumm,ExpiresJun 22, 2025
Capacity(ies) claimed b S|gne_r(s)‘
signers Name; Derek ean R1tar|t_a
buCorpovate Officer — TIt|e(5): Pfesldent
CAL FORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identityof the individualwho signed the document to whichthis certificate is attached, and not the truthfulness, accuracy, or validityof that document.
State of California
San Bernardino County of
on February 1st, 2022 before me’
Macawi Muhammad, Notary Public
Date Here Insert Name and Title of the Of?cer
personanyappeared Derek Dean R1tar1ta
Name(s) of Signer(s)
Christian Levon Peacock
WITNESS my hand and official seal.
§ § Signature
Public
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. - - Non—co1lusionAffidavit Description of Attached Document City OfHement Title or Type of Document: Document Date: 02/01/2022
Number of Pages: 1 Signer(s) Other Than Named Above: __No other signer signers Name Christian Levon Peacock
Corporate Officer — Tit|e(s): Secretarv
él Partner — iii Limited General i ‘lPartner — [fl Limited D General Individual D Attorney in Fact [Ti Individual l7iAttorney in Fact f Trustee [LlGuardian or Conservator iil Trustee lj Guardian or Conservator i lOther: Other:
Signer ls Representing: Vance Corporation Signer Is Representing Vance Corporation ©2014 NationalNotary Association- www.Nationa|Notary.org - 1-800-US NOTARY(1—800—876-6827)Item #5907 who proved to me on the basis of satisfactory ev dence to be the person(s) whose name(s)xmare subscribed to the within instrument and acknowledged to me that ixe/she/they executed the same in X?@iPiBiXtheir authorized capacity(ies), and that by D?xtiivex/theirsignature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph
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$ 1,439,981.92
Larlos ..amano, (909) 864-62461
m
2021/22SBl PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified. project Name Varner Road Resurfacing
$ 2,020,000.00 06/11/2021 Contract Price: Date of Completion Name, Address, and Telephone Number of Owner's Representative:
County of Riverside Transportation Department — 3525 14th Street, 2nd Floor, Riverside, CA 92501 ]oe1Iimenez, P.E. (951) 955-1537
Project Name :
2019 CitywideStreet Improvement
Contract Price: $ 2,355,371.40 Date of Completion 06/11/2020 Name, Address, and Telephone Number of Owner's Representative City of Perris — 101 North "D"Street, Perris, CA 92570
Brad Brophy, P. E. (951) 943-6504
. Victoria Avenue Pavement Rehabiliation Project Name
01/18/2019 Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
City of Highland — 27215 Base Line, Highland, CA 92346
(Attach additional pages as necessary)
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/41
2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP N0. 5727
DESIGNATION OF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description of Work Subcontractor’s DIR Registration of Business License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§410O ETSEQ.)
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February 2020
2021/22SB1 PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont’d) CIP No. 5727
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSAND SUBMITTED WITH BID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below.
STATEMENT OF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.
CERTIFICATIONOF WORKER'S COMPENSATION INSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labor Code Section 3700, which requires 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 the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF PREVAILINGWAGE RATES AND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.
CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKS CHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATION OF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non-discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
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2021/22SBl PAVEMENT REHABILITATIONB|DDER'S PROPOSAL (cont'd) CIP No. 5727
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never 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 safety regulation, except as indicated on the separate sheet attached hereto entitled ”Previous Disqua|ifications.” If a statement of "Previous Disqua|ifications" is attached, please explain the circumstances.
CERTIFICATIONOF ADEQUACYOF CONTRACT AMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(a), certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.
CERTIFICATIONREGARDING DIRCONTRACTOR/ SUBCONTRACTOR REGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.
Contractor's registration number is [please complete] 1000003103 Subcontractors’ registration numbers are as indicated in Document 00 4314.
BI
02/01/22 02/01/22
Signature of Bidder Date re of Bidder Date
Derek Ritarita, President Christian Peacock, Secretary
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.) 1!an
n
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Sources: Esri, HERE, Garmin, USGS, Intermap, INCREMENT P, NRCan, Esri Japan, METI, Esri China (Hong Kong), Esri Korea, Esri (Thailand), NGCC, © OpenStreetMap contributors, and the GIS User Community
Hemet, CA
445 E Florida Avenue
Hemet, CA 92543 March 2022
2021/22 SB1 PAVEMENT REHABILITATION
LOCATION MAP
Legend
PROJECT STREETS
City Boundary
City Council Districts
1 2
3 4
5 ·
HRG PLOT: 12:35:52 PM 3/1/2022 BY: ckeys FILE: J:\2018\181743\CIP\5727 - 2021-22 SB1 Pavement Rehab\ex-20220301-Location_Map_21-22_SB1_Pvmt_Rehab.mxd
EATON AVENUE KIRBY STREET
FRUITVALE AVENUE Page 216 of 216
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City of Hemet
City Council Meeting
STAFF REPORT
Meeting: City Council Meeting - Mar 08 2022
Department: Public Works
Submitted by: Christopher Lopez, City Manager
Steve Loriso, City Engineer;
☐ Receive and File ☒ Consent Calendar ☐ Business Item ☐ Public Hearing TITLE:
A Resolution of the City Council of the City of Hemet, California, Rejecting the Low Bidder’s, Horizons Construction Co. Int’l, Inc., Bid Proposal for the 2021/22 Citywide Slurry Seal Project, CIP 5725, Awarding American Asphalt South, Inc. the 2021/22 Citywide Slurry Seal project, CIP 5725, in the Amount of $409,245, and Waiving any Minor Bid Irregularities, and Authorizing the City Manager to Execute all Contract Documents and Approve Additional Construction Expenditures Not to Exceed $41,000, which is approximately 10% of the contract amount, and Authorizing the City Clerk to Record the Notice of Completion upon Acceptance of the Work by the City Engineer RECOMMENDED ACTION:
It is respectfully recommended that the City Council:
Adopt a Resolution of the City Council of the City of Hemet, California, Rejecting the Low Bidder’s, Horizons Construction Co. Int’l, Inc., Bid Proposal for the 2021/22 Citywide Slurry Seal Project, CIP 5725, Awarding American Asphalt South, Inc. the 2021/22 Citywide Slurry Seal project, CIP 5725, in the Amount of $409,245, and Waiving any Minor Bid Irregularities, and Authorizing the City Manager to Execute all Contract Documents and Approve Additional Construction Expenditures Not to Exceed $41,000, which is approximately 10% of the contract amount, and Authorizing the City Clerk to Record the Notice of Completion upon Acceptance of the Work by the City Engineer.
BACKGROUND:
The City of Hemet receives Measure ‘A’ funds annually to pay for local streets and road improvement projects. The 2021/22 Citywide Slurry Seal Project is one of those projects eligible for this funding and was approved by City Council as part of the City’s Five-Year Measure ‘A’ CIP on April 27, 2021.
City staff prepared the bid package for the Project and the City Engineer approved this bid package on November 16, 2021. On November 22, 2021, the notice inviting bids was published in the PressEnterprise. The bid package was uploaded to PlanetBids, the City’s bid solicitation service provider, where interested bidders could obtain the complete bid document package.
ANALYSIS:
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Project Description:
The project involves the removal and replacement of failed asphalt concrete pavement, placement of crack seal and slurry seal, and replacement of traffic striping, all located on the streets and limits identified in Attachment 3.
The timeline for completion of the project is forty (40) working days.
On December 14, 2021, the Purchasing office received six (6) bids, as shown below:
Bidder Total Bid
1. Horizons Construction Co.
Int’l, Inc. $387,769.00
2. American Asphalt South, Inc. $409,245.00
3. Roy Allan Slurry Seal, Inc. $428,228.00
4. Pavement Coatings Co. $449,525.00
5. All American Asphalt , Inc. $487,845.00
6. VSS International, Inc. $525,125.00
Engineer’s Estimate $412,775.00
Formal bidding procedures were followed in conformance with the Public Contracts Code. On December 15, 2021, a formal bid protest was received regarding the bid proposal submitted by Horizons Construction Co. Int’l, Inc. (Horizons). The bid protest was submitted by the apparent second low bidder, American Asphalt South, Inc., and it was contested that Horizons was not a licensed slurry seal contractor, nor did they have the equipment, crews or experience placing slurry seal. The bid protest can be seen in Attachment 3.
Per the contract documents advertised by the City, each contractor must submit three projects completed in the past five years on which the bidder and his subcontractors have successfully completed of the same type (elements), size, and complexity of the work to be constructed. The reference list provided by Horizons in their bid proposal did not contain any projects of the same type, size, and complexity of the project being bid.
On January 11, 2022, City staff contacted Horizons regarding this issue of responsiveness and provided them with an opportunity to submit additional information. Horizons submitted five additional project references, none of which were of the same size, type, and complexity of the project. In consulting with the City Attorney's office, a review of the bids was completed, and it was determined that the list of projects provided by Horizons in the original bid submittal, as well as the additional five provided did not meet the requirements outlined in the contract documents. Understanding Horizons lacked the necessary experience to construct this project, it was determined that Horizons' bid was non-responsive and that American Asphalt South, Inc. is the verified lowest responsive and responsible bidder.
As such, City staff recommends that the City Council find the bid submitted by Horizons to be disqualified as non-responsive.
Engineering Department staff will provide construction management and inspection services.
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STRATEGIC PLAN INTEGRATION:
GOAL ONE: QUALITY OF LIFE:
To ensure that Hemet is safe, clean, attractive and comfortable for all who live, work, and visit.
Completing CIP projects throughout the City will enhance the visual appearance of the community to make it attractive and reduce blight.
FISCAL IMPACT:
The 2021/22 Citywide Slurry Seal Project, CIP 5725, is funded by the City’s Measure ‘A’ allocation of $500,000, which is sufficient for the award of this recommended agreement and related services. The total estimated project costs are as follows:
Design/Bid Package Preparation $12,500.00
Construction Contract $409,245.00
Contingency (10%) $41,000.00
CM/Inspection $37,000.00
Total $499,745.00
There is no General Fund impact.
ALTERNATIVE(S):
1. Reject the bid protest letter provided by American Asphalt South, Inc. and award Horizons Construction Co. Int’l, Inc. the 2021/22 Citywide Slurry Seal project, CIP 5725,
2. Reject all bids presented and re-advertise for bids, or
3. Provide alternate directions to City Staff.
REVIEWED BY LEGAL:
☒ Staff report ☒ Resolution
☐ Ordinance ☒ Agreement
ATTACHMENT(S):
Attachment 1: Resolution
Attachment 2: Location Map
Attachment 3: Bid Protest
Attachment 4: Bids Received
American Asphalt South - Agreement
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CITY COUNCIL RESOLUTION NO. 2022-xxx
CITY OF HEMET
Hemet, California
RESOLUTION NO. 2022-XXX
A RESOLUTION OF THE
CITY COUNCIL OF THE CITY
OF HEMET, CALIFORNIA,
REJECTING HORIZONS
CONSTRUCTION CO. INT’L,
INC., BID PROPOSAL DUE
TO NON-RESPONSIVENESS,
AWARDING AMERICAN
ASPHALT SOUTH, INC. THE
2021/22 CITYWIDE SLURRY
SEAL PROJECT, CIP 5725,
IN THE AMOUNT OF
$409,245 AND WAIVING ANY
MINOR BID
IRREGULARITIES AND
AUTHORIZING THE CITY
MANAGER TO EXECUTE
ALL CONTRACT
DOCUMENTS AND
APPROVE ADDITIONAL
CONSTRUCTION
EXPENDITURES NOT TO
EXCEED $41,000, WHICH IS
APPROXIMATELY 10% OF
THE CONTRACT AMOUNT,
AND AUTHORIZING THE
CITY CLERK TO RECORD
THE NOTICE OF
COMPLETION UPON
ACCEPTANCE OF THE
WORK BY THE CITY
ENGINEER.
WHEREAS, the City of Hemet Engineering
Department is responsible for pavement maintenance
projects that include slurry seal; and
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CITY COUNCIL RESOLUTION NO. 2022-xxx
WHEREAS, staff recommends to reject the bid
proposal submitted by Horizons Construction Co. Int’l,
Inc. due to non-responsiveness; and
WHEREAS, staff recommends to waive any
minor irregularities within the American Asphalt
South, Inc. bid submittal; and
WHEREAS, staff recommends to award a City
of Hemet Contractor Agreement to American Asphalt
South, Inc., in the amount of $409,245; and
WHEREAS, staff recommends the City Council
Authorize the City Manager to execute all contract
documents and to approve additional project
expenditures not to exceed $41,000, which is
approximately 10% of the contract amount; and
WHEREAS, staff recommends the City Council
Authorize the City Clerk to record the Notice of
Completion upon acceptance of the work by the City
Engineer.
NOW, THEREFORE, THE CITY COUNCIL OF
THE CITY OF HEMET DOES HEREBY FIND AND
RESOLVE TO:
1. Reject the bid proposal submitted
by Horizons Construction Co. Int’l,
Inc. due to non-responsiveness, and
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CITY COUNCIL RESOLUTION NO. 2022-xxx
2. Approve the construction
agreement for the 2021/22 Citywide
Slurry Seal Project, CIP 5725, to
American Asphalt South, Inc. in the
amount of $409,245, and
3. Waive any minor bid irregularities
within the American Asphalt South,
Inc. bid submittal, and
4. Authorize the City Manager to
execute all contract documents and
approve additional project
expenditures not to exceed $41,000,
which is approximately 10% of the
contract amount, and
5. Authorize the City Clerk to record
the Notice of Completion upon
acceptance of the project.
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CITY COUNCIL RESOLUTION NO. 2022-xxx
PASSED, APPROVED AND ADOPTED this 8th
day of March 2022.
____________________________
Malcolm Lilienthal, Mayor
ATTEST:
_____________________________
John Maier, City Clerk
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CITY COUNCIL RESOLUTION NO. 2022-xxx
State of California )
County of Riverside )
City of Hemet )
I, John Maier, City Clerk of the City of Hemet,
do hereby certify that the foregoing resolution was
adopted by the Hemet City Council on the 8th day of
March 2022, and was passed by the following vote:
AYES: Council Members:
NOES: Council Members:
ABSTAIN: Council Members:
ABSENT: Council Members:
_____________________________
John Maier, City Clerk
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OF SHEET FILE NO. City of Hemet 510 E. FLORIDA AVENUE HEMET, CA 92543 (951) 765-2360 CITY OF HEMET ENGINEERING DEPARTMENT 5725 2 CIP No. 5725 1 2021/22 Citywide Slurry Seal Project Total Square Footage = 1,395,914 s.f. ± THE CONTRACTOR AGREES TO ASSUME SOLE AND COMPLETE RESPONSIBILITY City's Notice to Contractor FOR JOB SITE CONDITIONS DURING THE COURSE OF CONSTRUCTION OF THE PROJECT, INCLUDING SAFETY OF ALL PERSONS AND PROPERTY; THAT THIS REQUIREMENT SHALL APPLY CONTINUOUSLY AND NOT BE LIMITED TO NORMAL WORKING HOURS AND THAT THE CONTRACTOR SHALL DEFEND, INDEMNIFY AND HOLD THE CITY, AND ITS EMPLOYEES AND AGENTS, HARMLESS FROM ANY AND ALL LIABILITY, REAL OR ALLEGED, IN CONNECTION WITH THE PERFORMANCE OF WORK ON THIS PROJECT, EXCEPTING FOR LIABILITY ARISING FROM THE SOLE NEGLIGENCE OF THE CITY, ITS EMPLOYEES AND/OR AGENTS. NOTE: CONTRACTOR IS RESPONSIBLE FOR DETERMINING THESE QUANTITIES, (NUMBERS SHOWN ARE APPROXIMATE). 2. ALL CRACKS GREATER THAN 1-1/2 INCH SHALL BE DIGGED OUT AND 1. ALL CRACKS GREATER THAN 1/4 INCH SHALL BE CRACK SEALED. FILLED WITH CONVENTIONAL ASPHALT CONCRETE, SEE DETAIL HEREON. Notes: 3. THE CONTRACTOR SHALL REPLACE ALL FIRE HYDRANT SPOTTERS PER C.O.H. STD. NO. W-700B, "BLUE DOT", TO ALL DISTURBED AREAS TO THE SATISFACTION OF THE PUBLIC WORKS SENIOR INSPECTOR. 4. THE CONTRACTOR SHALL REPLACE ALL STRIPING, "IN KIND" OR BETTER, TO ALL DISTURBED AREAS TO THE SATISFACTION OF THE PUBLIC WORKS SENIOR INSPECTOR. = CRACK SEAL & SLURRY = CITY LIMITS DIG - OUT DETAIL NO SCALE MIN. 1.5" CRACK AND FILL WITH MIN. 12" MIN. 0.10' GRIND CONVENTIONAL ASPHALT CONC. EXIST. A.C. PAVEMENT PATCH WORK DETAIL NO SCALE 2" GRIND & 4' MIN. EXIST. A.C. PAVEMENT (BOTH WAYS) OVERLAY Total Lineal Feet = 6,256 l.f. ± Total Square Footage = 7,955 s.f. ± Legend O TWO WORKING DAYS BEFORE YOU DIG Underground Service Alert LL AC O EB F RE Y 227-2600 1-800
D Call: TOLL FREE GI U SCALE: DATE: BENCHMARK: DATE: PREPARED UNDER THE SUPERVISION OF: DESIGNED BY: DRAWN BY: CHECKED BY: DATE: REVISIONS: NO: BY: APPROVED: STEVE R. LORISO, R.C.E. CITY OF HEMET, PUBLIC WORKS DEP'T COH COH 10/04/2021ACTING CITY ENGINEER COH 648,738 s.f. AREA 1 278,750 s.f. AREA 2 76,305 s.f. AREA 3 392,121 s.f. AREA 4 NO SCALE FLORIDA AVENUE FLORIDA AVENUE DEVONSHIRE AVE FRUITVALE AVE ESPLANADE AVE STETSON AVENUE
DOMENIGONI
PARKWAY
WARREN ROAD
CAWSTON AVE
SANDERSON AVE
KIRBY STREET
PALM AVE
STATE STREET
11/16/2021
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merican Asp alt
South Inc
Sincereiz. 7
December15”‘,2021
City of Hemet
445 East Florida Avenue
Hemet, CA92543
Attn: ChaseKeys
Re: Bid Protest Letter; 2021/22 Citywide Slurry Seal, CIP No. 5725 AmericanAsphalt South, Inc. wishes to submit a protest of the apparent low bidder, Horizon Construction Company, International, Inc. on the above referenced bid.
Basedupon the listofsubcontractors they have provided for this project they did not includea Licensed Slurry Seal Contractorto place the Slurry Seal on this contract. To the best of our knowledge, they do not have any equipment, crewsor experience placing slurry seal themselves. In addition, if they are intending to subcontractout the slurry seal for this project, then they would not be performing at least 50% of the work with their own forces as required in the Instructions to Bidders, section 7.
Consequently,we feel that they have submitted a deceitfulbidto the City of Hemet and they should be disquali?ed.
We look forwardto your response
Jeff Petty
President
www.americanasphaltsouth.com
~ Lic.# 784969
P.0.BOX310036- FONTANA, CA92331 - PHYSICALADDRESS: 19792ELRIVINOROAD- RIVERSIDE, CA92509 - (909)427-8276- FAX(909)427-
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BID
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will not be
B|DDER'S PROPOSAL
2021/22CITYWIDESLURRYSEAL
CIP No. 5725
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2021/22CITYWIDESLURRYSEAL,CIP No. 5725, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructedin turn—key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/oruse tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency responsible for any errors or omissions on the part of the undersigned in submitting this proposal
Contractor confirms that his/her/its bid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated 0 their proposal, Contractor acknowledges receipt of Addenda No.(s)
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2022/22CITYWIDESLURRYSEAL,CIP No. 5725 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d)
CIP No. 5725
BIDSCHEDULE
BASE BID — 2021/22CITYWIDESLURRYSEAL,CIP No. 5725
'15:" DESCRIPTION um ?gm?fff ykrjg
1 glilglailization (Not to Exceed 5% of
L5 1 gag / 9/00 0
2 Traffic and Pedestrian Control L5 1 poo Odo
3 Field Orders (stipulated item) LS 1 $5,000 $5,000
4 Slurry Seal (Type IIw/ 2% Latex) SY 155,500 2, 2 5' 349/375. 5 2" AC (HMA) Patch Repair SF 7,800 3 .75 2 9/2 50_
6 Large Crack Dig Out Per Detail LF 6,300 yo 2 q, 7 10 , Thermoplastic & Painted Pavement
7 Striping, Markings, Legends and L5 1
Raised Pavement Markers
TOTAL BASEBID (numbers) 1/37,845'.
END OF BASE BID ITEMS
I BASEBIDTOTAL (in words)
44% /M Ctmfs
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. If the bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedu|e(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedule(s). 7; pt d0//
£5
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[rIluII.n\l A: m 2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d) CIP No. 5725
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency's determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregu|arity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by "(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor's own forces.
By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above, including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bid may be rejected.
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont'd)
CIP N0. 5725
Complete the following:
AllAmerican Asphalt; D|R:10000O1051; License: 267073 Class A Legal name of the business, DIRReg. and Contractor License Nos.
Corporation
Business Type (Corporation, Partnership, Sole Proprietor) **NlA*-k
DBA(if any)
Owned by: Daniel D. Sisemore & Betty L. Sisemore 100% Trust Name and title ofthe owner
Edward J. Carlson Vice President
Name and title of second partner or officer
400 East Sixth Street, Corona, CA 92879
Business Address
951-736-7600
Telephone number
951-736-7646
Facsimile number
Edward J. Carlson, Vice President publicworks@a||americanaspha|t.com Name and Email address of primary contact
www.a||americanaspha|t.com
Company web address
Si of Bidd Date Signature of Date
Edward J. Carlson, Vice President Michael Faikas. Secretary Print name and title Print name and title
(If the Bidder is a corporation two signatures ofcorporate officersare required.)
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December 14 2021 Sarah Amanda Lanzlev NotarvPublic
Explm
mm uumy sun Above Slunalunar Nomy Puhllc
Bidder's Proposal
AllAmerican Asphalt AllAmerican Asgha-It
CAL FORM A ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE 1189
A notary public or other of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certi?cate is attached. and not the truthfulness. accuracv. or validitv ofthat document.
State of California
County of Riverside
On
Date
personally appeared
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 helshe/they executed the same in hislher/their authorized capacity(ies),
signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
SARAHMANDALANGLEY
NotaryPublic- California
RtvorstdeCounty
Commission# 2337877
MyComm. Nov20, 2024
I certify under PENALTY OF PERJURY under the laws of the State of before me, Here Insert name and Title of the Of?cer Edward J. Carlson and Michael Farkas Name(s) of Signer(s)
and that by hislher/their
California that the forgoing paragraph is true and correct.
WITN
S
OPTIONAL
hand and seal.
Though the information below is not required by law, it may prove valuable to person 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: 12/14/2021
Signer(s) Other Than Named Above
Capacity(ies) Claimed by Signer(s)
Signer’s Name: Edward J. Carlson
El Individual
X Corporate Of?cer — Title(s):
El Partner D [3 Limited II] General
in Attorney in Fact
Vice President
D Trustee Top of thumb here
El Other:
Signer is Representing:
Number of Pages: 4
Signer’s Name:
a Individual
X Corporate Of?cer — Tit|e(s)
El Partner U :1 Limited in General
El Attorney in Fact
III Trustee
:1 Other:
Signer is Representing
Michael Farkas
Secretarv
Top of thumb here
-<|liH ‘HLIMHURIN «NEH 'HU|\/IHIJHIN OF SIGNER
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CORPORATE RESOLUTION
Resolved, that this Corporation, AllAmerican Asphalt, on January 7, 2021 authorizes Edward J.
Carlson to execute bid proposals, contracts and agreements on behalf of the company in the capacity of Vice President.
Michael Farkas
Secretary
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d)
CIP No. 5725
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess one of the following State Contractor's License State of California Class A Contractor's License
Combination of Specialty Class C Contractor's Licenses
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's |icense(s) which:
a. Bears thelicense number(s) 267073
b. Expireson 01/31/2022
Signature of Bid Date Signature of der Date
Edward J. Carlson, Vice President Michael Farkas. Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.
1
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C ucsmsaBOA . CONTRACTOR5 E 3 STATE L RD
-=—-~~=----- ACTNE LICENSE
-_r.uru‘uvovr Emlv
euumm 01/31/2022 www.cs|b.ca.gov
5 C’-I-?clww C12
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d)
CIP No. 5725
BIDSECURITYFORM FOR CHECK
NOTE:THEFOLLOWINGFORM SHALLBEUSED INTHECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier's Check payable to the order of the City of Hemet, hereinafter referred to as "Agency", for dollars ( , this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:
A. Ifsaid Bid shall be rejected by the Agency;
B. If said Bid shall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance wit said Bid) and shall furnish bonds required for his/her/itsfaithful performance of hsaid Contract and for the payment of all persons performing labor or furnishing materials i connection therewith, and shall in all other n respects perform the Contract created b acceptance of said Bid. y
Otherwise, said check shall become the property of the Agency Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contract to another bidder.
Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.) HM//A96
%
96%
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\
Bond No. 08597423
Bid Date: 12/14/2021
‘ 2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d)
CIP No. 5725
BID SECURITYFORM FOR BOND
KNOWALLBYTHESEPRESENTS:
That the undersigned
AllAmerican Asphalt
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITY OF HEMET,a political subdivision of the State of California, as obligee, in the penal sum of [Dollar Amount In Words) Ten Percent of Total Amount Bid-----
Dollars 10% OfBid lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bidfor [PROJECTNAME AND DESCRIPTION]* 2021/22 CITYWIDE SLURRY SEAL - CIP NO. 5725
THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 9th day of December 2o§_
(Month)
AllAmerican Asphalt
(Corporate Seal) By
By Fidelity and Deposit Company of Maryland
Surety
(Corporate Seal) By
Rebecca Haas-Bates, Attorney-in-Fact
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before , ,_ , ,,
Rhvavil?l
mmlsslnn
Sipnllule nl umry Public
‘ Representing:
All American Asghalt
CAL FORM A ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE 1189
A notary public or other officer completing this certi?cate verifies only the identity of the individual who signed the document to which this certi?cate is attached. and not the truthfulness. accuracv. or validitv of that document.
State of California
County of Riverside
On December 14:2021 me, Sarah Amanda Langlev. Notarv Public Date Here Insert name and Title of the Of?cer
personally appeared Edward J. Carlson
Namem-ofSigner(s7-
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(e) is/are subscribed to the within instrument SA and acknowledged to me that he/sheltheyexecuted the same i his/hemhei: authorized capacity(+ee), and that by his/l=le#the county signature(s) on the instrument the person(s), or the entity upon +i= behalf co It2337877 of which the person(e) acted, executed the instrument.
Comm.ExpiresNov20, 2024
I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct.
WITN hand and al seal.
S
Place Notary Seal Above OPTIONAL
Though the information below is not required by law, it may prove valuable to person 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 Bid Bond
Document Date: 12/09/2021 Number of Pages: 3
3igne,(s) other Than Named Above; Rebecca Haas Bates-Attorney in Fact Capacity(ies) Claimed by Signer(o)
Signer's Name: Edward J. Carlson signers Name; N/A
D '"°“Vl°'Ua' El Individual
XCorporate Of?cer— Tit|e(s): Vice President D Corporate 0ff,cer_ 1-me(s); N/A 3 Partner U *3 Limited '3' General a Partner El El Limited El General '3 A?omey in Fad D Attorney in Fact
D Trustee Top of thumb here D Trustee
TOP07lhumb here
D Ollie“ El Other: N/A
Signer is Representing Signer is
‘<|liH Hlm/|H|J‘<|N '4I(1‘H HU|\/|H|’R\N OF SIGNER OF SIGNER
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I I OWL
ribed to the within Instrument and acknowledged to he/she/they executed r/theirauthorized capacitytfe?.and that by his/her/their eI§)on the instrument t entity upon behalf of which the persona) acts
I»
,
,5;
,,._ . .__. Bates
SignerIs Represamln
?delity and Deposit Co pany
CAI. FOIIN A ALL-PURPOSE AGKN EDGMENT CIVILCODE § 1189
A notary public or other officercompletingthis certificate verifiesonly the identity of the individualwho signed the documentto whichthis certificateis attached.and not the truthfulness,accuracy, or validityofthat document.
State of Califomia )
County of Oran?e )
On 12/09/2021 before me, Liliana Gomez, Notarv Public
Date Here Insert Name and Titleof the Officer
personally appeared Rebecca Haas-Bates
NamelwtofSigner(s,l
who proved to me on the basis of satisfactory evidence to be the personte) whose name(s). is/are subsc me that the same in
his/he signatur he personfsl,
or the d, executed the instrument.
I certify under PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and of?cial seal.
LILIANAGOMEZ
Notary Public— California
Orange County _ CommissionI:2243326 Signature
MyComm. ExpiresMay 20, 2022 signature of Pubjjc
NNAI VNN
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: _ Bid Bond Document Date; 12/09/2021 Number of Pages: One(1) Signer(s) Other Than Named Above: A“Ameri°a“ Asphalt capacity(ies) claimed by Signer(s)
Signer's Name: Rehecca Ham Signer's Name:
[I Corporate Officer — Title(s): 3 Corporate Officer — Title(s):
Partner — El Limited D General _ Partner — l: Limited General I: Individual lBAttorney in Fact Individual ZlAttorney in Fact E Trustee Guardian or Conservator I] Trustee Guardian or Conservator T Other: Zl Other:
Signer ls Representing: of Maryland
©2014 NationalNotaryAssociation- www.NationalNotary.org- 1-800-US NOTARY(1-800-876-6827) Item#5907
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xvwwxcgorlsfclaims{rDzuricIma.com
EXTRACT FROM BY-LAWS OF THE COMPANIES
of December 2021
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
800-626-4577
"Article V, Section 8, . The Chief Executive Of?cer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any of?cer or any such attomey-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time."
CERTIFICATE
I, the undersigned, Secretary of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in ?lll force and effect on the date of this certi?cate; and I do further certify that Article V, Section 8, of the ByLaws of the Companies is still in force.
This Power of Attorney and Certi?cate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certi?cate thereof hearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certi?cate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or herea?er, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually af?xed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and af?xed the corporate seals of the said Companies, this 9th day
By: Brian M. Hodges
Vice President
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I declare under penalty of perjury under the laws of the State of California executed on |7’Ml7" _
rl
1«/*v/«IQ \ <
der
2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont'd)
CIP N0. 5725
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION7106
NON—COLLUSlONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
I am the Vice President of A|lAmerican Asphalt the 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 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.
that the
foregoing is true and correct and that this declaration is ldate], at Corona [city], California [state]
Signatu of Bid Date Signature of Bidder Date
Edward J. Carlson, Vice President Michael Farkas, Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.) \LlH
16.K
December 14, 2021 -_._.. ...
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CAL FORN A ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE 1189
A notary public or other of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certi?cate is attached. and not the truthfulness. accuracv_ or validitv ofthat document.
State of California
County of Riverside
On
Date
personally appeared
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 and that by hieiher/their
signature(s) on the instrument the person(s), or the entity upon behalf hielher/their
Here Insert name and Title of the Of?cer Edward J. Carlson and Michael Farkas Name(s) of Signer(s)
authorized capacity(ies),
before me, Qarah Amanda lanolev Nntnrv Pnhlir‘.
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 forgoing paragraph is true and correct.
WITNES
Place Notary Seal Above OPTIONAL
hand and seal.
Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document
Document Date: 12/14/2021
Signer(s) Other Than Named Above
Capacity(ies) Claimed by Signer(s)
Signer's Name Edward J. Carlson
El Individual
X Corporate Officer— Title(s):
El Partner IIIa Limited El General
Vice President
L: Attorney in Fact
D Trustee Top of thumb here
D Other:
Signer is Representing
Number of Pages: 1
Signer's Name:
anIndividual
X Corporate Officer — Tit|e(s)
a Partner Ll a Limited El General
D Attorney in Fact
r:rTrustee
El Other:
Signer is Representing
Michael Farkas
Secretarv
Top of thumb here
-<|(»jH' HLIMHPRIN an ‘.14 HI H\/|H|!l{)N OF SIGNER OF SIGNER
16.K
2021/22CITYWIDESLURRYSEAL
CIP N0. 5725
B|DDER'S PROPOSAL (cont’d)
CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and hi subcontractor(s) have successfully constructed and completed projects with s the same type will make the final
size and complexity as
(elements), size and complexity of work. The Agency Engineer determination of whether the projects listed here are of the same type, this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non—responsive bid and, at the Agency's discretion, said bid will be disqualified.
Project Name: Base Line Road Pavement Rehabilitation
Contract Price: $1330-470-00 Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
City of Rancho Cucamonga;10500 Civic Center Drive, Rancho Cucamonga, CA Romeo David; (909) 477-2740; [email protected]
Project Name:
Contract Price: $445321-50 Date of Completion
Name, Address, and Telephone Number of Owner's Representative City of Moreno Valley - PO Box 88005 Moreno Valley, CA 92552 Henry Ngo; (951) 413-3106; [email protected]
Project Name: Yerba Buena Area Resurfacing Projet
Contract Price: $3,919,808.95 Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
County of Ventura; 501 Poll Street, Ventura, CA 93001
Christopher Solis; (805) 654-2054; chris.so|[email protected] (Attach additional pages as necessary)
07/2017
91730
Alessandro Blvd. Street Improvements at Chogall Ct. &Graham Street 1 11/2018
12/2019
16.K
[email protected]
'thaige'[email protected]
ckeys@‘uruQava|Iey.org
albertrodri uez cc w,oc ov.com
bduhn@zandkconsu|tants.com
'fuen'([email protected]
2020
PAST WORK REFERENCES
City of Ontario
303 East B Street
Ontario, CA 91764
Contact: Ariana Kern (909) 395-2129
City of Loma Linda
25541 Barton Road
Loma Linda, CA 92354
Contact: T. Jarb Thaipejr (909) 799-4400
City of Jurupa Valley
8920 Limonite Avenue
Jurupa Valley, CA 92509
Contact: Chase Keys (951) 332-6464
County of Orange
601 N. Ross Street, 4”‘Floor
Santa Ana, CA 92701
Contact: Albert Rodriguez
City of Compton
205 S. Willowbrook Avenue
Compton, CA 90220
Contact: Brittany Duhn (Z & K Consultants)
City of Huntington Beach
2000 Main Street
Huntington Beach, CA 92648
Contact: Joe Fuentes (714) 536-5259
2020 Fall Pavement Rehabilitation Project
Contract Amount: $2,499,333.00
Start Date: 07/2020
End Date: 12/2020
Pavement Rehabilitation — Barton Road
Contract Amount: $768,677.00
Start Date: 04/2020
End Date: 12/2020
Granite HillDrive Pavement Rehabilitation
Contract Amount: $999,777.00
Start Date: 04/2020
End Date: 10/2020
JOC Pavement Maintenance
Contract Amount: $2,584,747.69
Start Date: 07/2020
End Date: 08/2020
Annual Residential Street Rehabilitation — Phase 1
Contract Amount: $5,295,068.00
Start Date: 05/2020
End Date: 11/2020
Arterial Rehabilitation of Graham St, Slater
Ave, Newland St and Atlanta Ave
Contract Amount: $5,181,955.00
Start Date: 05/2020
End Date: 11/2020
16.K
[email protected]
ttran westminstenca. ov
[email protected]
[email protected]
matthew.maech|[email protected]
man cit ofcamari||o.or
2020
PAST WORK REFERENCES
City of Newport Beach
100 Civic Center Drive
Newport Beach, CA 92660
Contact: Patricia Kharazmi (949) 644-3344
City of Westminster
8200 Westminster Boulevard
Westminster, CA 92683
Contact: Theresa Tran (714) 548-3460
Crescenta Valley Water District
2700 Foothill Boulevard
La Crescenta-Montrose, CA 91214
Contact: Brook Yared (818) 236-4117
City of Alhambra
111 S. 15‘Street
Alhambra, CA 91801
Contact: Robert Bias (626) 580-5000
County of Ventura
800 S. Victoria Avenue, #1600
Ventura, CA 93009
Contact: Matt Maechler (805) 477-1911
City of Camarillo
601 Carmen Drive
Camarillo, CA 93010
Contact: Thang Tran (805) 388-5345
Cameo Highlands Street Reconstruction
Contract Amount: $2,425,694.00
Start Date: 07/2020
End Time: 11/2020
Citywide Overlay Street Improvements
Contract Amount: $1,131,621
Start Date: 02/2020
End Date: 06/2020
Final Paving of Pennsylvania Ave
Contract Amount: $82,620.00
Start Date: 02/2020
End Date: 04/2020
2020 HUD Street Improvements Project
Contract Amount: $300,433.00
Start Date: 06/2020
End Date: 10/2020
Yerba Buena Rd. (South) Pavement
Resurfacing
Contract Amount: $2,298,467.40
Start Date: 03/2020
End Date: 06/2020
Earl Joseph Drive Paving
Contract Amount: $681,901.50
Start Date: 06/2020
End Date: 07/2020
16.K
sne|[email protected]
[email protected]
2020
City of Norco
2870 Clark Avenue _ CA EZ.i?§§‘i23§’u§1-“$
¥4?e$$§;°%e°‘ C t t: S N I 951 270-5607 ' '
' °" ac am 6 3°" ( ) Start Date: 06/2020
End Date: 12/2020
City of Orange Annual Slurry Seal FY 19-20 Various
300 E. Chapman Avenue Locations
Orange, CA 92886 Contract Amount: $377,737.78
Contact: Martin Varona (714) 744-5563 Start Date: 06/2020 End Date: 12/2020
16.K
[email protected]
[email protected]
[email protected]!anton.ca
’strict|[email protected]
kogerD@san-c|emen!e.org
'[email protected]
2019
PAST WORK REFERENCES
City of Simi Valley
2929 Tapo Canyon Rd.
Simi Valley, CA 93063
Contact: Sarah Sheshebor (805)583-6792
County of Ventura
501 Poli Street
Ventura, CA 93001
Contact: Christopher Solis (805) 654-2054
City of Stanton
7800 Katella Avenu
Stanton, CA. 90680
Contact: Guillermo Perez (714) 890-4204
.us
City of Compton
205 S. Willowbrook Avenue
Compton, CA. 90220
Contact: John Strictland (310) 605-5505
City of San Clemente
910 Calle Negocio
San Clemente, CA. 92673
Contact: Darra Koger (949) 361-3138
City of South Gate
8650 California Avenue
South Gate, CA. 90280
Contact: John Rico (323) 563-9594
Simi Valley Minor Street Rehabilitation
Contract Amount: $510,124.25
Start Date: 07/2019
End Date: 08/2019
Yerba Buena Area Resurfacing Project
Contract Amount: $3,919,808.95
Start Date: 06/2019
End Date: 12/2019
2019 Citywide Street Resurfacing
Contract Amount: $1,206,869.00
Start Date: 10/2019
End Date: 12/2019
Road Repair Service (Pothole Repair)
Contract Amount: $1,019,100.00
Start Date: 08/2019
End Date: 11/2019
Street Rehabilitation for S. Avenue LA
Esperanza
Contract Amount: $384,055.00
Start Date: 09/2019
End Date: 10/2019
Circle Park Driveway Project
Contract Amount: $268,576.00
Start Date: 06/2019
End Date: 09/2019
16.K
nick.|asher@garde
k oun fontana.or
[email protected]
d utierr downe ca.or
2019
PAST WORK REFERENCES
Pardee Homes
1250 Corona Pointe Court, Ste. 600
Corona, CA. 92879
Contact: Nick Lasher (951) 428-4442
ehomes.com
City of Fontana
8353 Sierra Avenue
Fontana, CA. 92335
Contact: Kimberly Young (909) 350-7632
DR Horton
2280 Wardlow Circle Ste. 100
Corona, CA. 92880
Contact: Keith Alex (951) 830-5872
Irvine Community Development Company
550 Newport Center Dr. Ste. 550 B2
Newport Beach, CA. 92660
Contact: Mike Morse (949) 720-2560
City of Downey
11111 Brookshire Avenue
Downey, CA. 90241
Contact: Desi Gutierrez, (562) 904-7110
Railroad Canyon Widening
Contract Amount: $5,062,746.00
Start Date: 11/2018
End Time: 08/2019
Citrus Avenue Improvements
Contract Amount: $502,730.00
Start Date: 08/2018
End Date: 10/2019
Singlton Road
Contract Amount: $1,684,000.00
Start Date: 07/2018
End Date: 12/2019
Portola Springs PA-6 Enclave 5B Phase1, 2
Contract Amount: $2,055,055.00
Start Date: 09/2018
End Date: 12/2019
FY 18/19 Slurry Seal Project
Contract Amount: $313,425.87
Start Date: 06/2019
End Date: 12/2019
16.K
[email protected]
gwilson@cityof|ancasterca.org
[email protected]
'corella@cathedra|ci:y.gov
voborskyg@san-clementaorg
2019
PAST WORK REFERENCES
City of Chino
PO Box 667
Chino, CA. 91708
Contact: Dustin Postovoit (909) 334-3415
City of Lancaster
44933 Fern Avenue
Lancaster, CA. 93534
Contact: Greg Wilson (661) 570-8003
City of Colton
650 N. La Cadena Dr.
Colton, CA. 92324
Contact: Victor Ortiz (909) 370-5099
City of Cathedral City
68700 Ave Lalo Guerrero
Cathedral City, CA. 92234
Contact: John A. Corella (760) 770-0349
City of San Clemente
910 Calle Negocio
San Clemente, CA. 92673
Contact: Gary Voborsky (949) 361-6132
Slurry Seal Maintenance Work
Contract Amount: $372,805.00
Start Date: 1/2019
End Date: 12/2019
2018 Pavement Management Program
Contract Amount: $2,720,103.65
Start Date: 3/2019
End Date: 12/2019
FY 18-19 Asphalt Paving Project
Contract Amount: $1,377,700.00
Start Date: 3/2019
End Date: 11/2019
Ortega Road Widening
Contract Amount: $459,998.00
Start Date: 2/2019
End Date: 12/2019
Arterial Street Pavement Maintenance
Contract Amount: $1,187,187.00
Start Date: 3/2019
End Date: 7/2019
16.K
P WRR RENE
henryn@mova|.org
Mshakir@cityofalisovie o.com
ckeys@'urugava||ey.org
[email protected]
H2018”
City of Moreno Valley
14177 FrederickSt.
P.O. Box88005
Moreno Valley, CA92552
Contact: Henry Ngo, P.E., (951)413-3106
City of AlisoViejo
12 Journey Street Ste #100
AlisoViejo, CA92656
Contact: Mari Shakir, (949)425-2556
City ofJurupa Valley
8304 Limonite Avenue Suite M
Jurupa Valley, CA92509
Contact: Chase Keys, (951)332-6464
City of lrwindale
5050 N. lrwindale Avenue
lrwindale, CA91706
Contact: Richard Corpis, (626)430-2200
Alessandro Blvd. Street Improvements at
Chogall Court and Graham Street
Contract Amount: $445,821.50
Start: 05/2018
Complete: 11/2018
AlisoCreek and Road Rehab
Contract Amount: $657,770.00
Start: 05/2018
Complete: 10/2018
Van Buren Blvd. Pavement Rehab.- PH2
Contract Amount: $781,845.00
Start: 08/2018
Complete: 09/2018
lrwindale 2017-2018 Resurfacing Project
Contract Amount: $285,503.10
Start: 07/2018
Complete:
16.K
P W RKR FERE E
HHASSAN@dpw.|acaunty.gov
[email protected]
'escutia@surfcity»hb.org
'[email protected]
((2018))
County of Los Angeles
P.O. Box 7508
Alhambra, CA91802
Contact: Hoda Hassan, (626)458-3144
City of Rolling HillsEstates
4045 Palos Verdes Drive
Rolling HillsEstates, CA90274
Contact: Scott Gibson (909)210-0548
City of Huntington Beach
2000 Main Street
Huntington Beach, CA92648
Contact: Jim Escutia (714)536-5525
City of Fontana
8353 Sierra Avenue
Fontana, CA92335
Contact: Jazmine Pena (909) 350-6648
Pine Canyon Road
Contract Amount: $3,288,999.00
Start: 06/2018
Complete: 11/2018
2017-18 Street Resurfacing Project
Contract Amount: $1,203,292.50
Start: 03/2018
Finish: 09/2018
Hell and Main Street
Contract Amount: $2,285,562.00
Start: 11/2017
Finish: O6/2018
Valley Blvd. Median Improvement Project
Contract Amount: $164,715.00
Start: 03/2018
Finish:O5/2018
16.K
P RKR REN E
[email protected]
uayon@|a-guinta.org
kennethbai|ey_@caagrofessionalscom
[email protected]
((2018))
City of Lake Forest
25550 Commercentre Drive
Lake Forest, CA92630
Contact: Taylor Abernathy, (949)461-3490
City of La Quinta
74-495 CalleTampico
La Quinta, CA 92253
Contact: Ubaldo Ayon Jr., (760)777-7051
City of Canyon Lake
31516 Railroad Canyon Road
Canyon Lake,CA 92587
Contact: Kenneth Bailey, (951)244-2955
City of Newport Beach
100 CivicCenter Drive
Newport Beach, CA 92660
Contact: Alfred Casta non, (949) 644-3314
Bake Parkway at Trabuco Road
Contract Amount: $121,621.00
Start: O2/2018
Finish:06/2018
FY16-17 Phase 2 Desert Club
Contract amount: $697,474.76
Start date: 06/2017
Finish date 12/2017
Slurry Seal FY2017-2018 Railroad Canyon/
Canyon Lake Drive
Contract amount: $263,241.63
Start date: 03/2018
Finish date: 12/2018
West Coast Highway Landscape Improvements,
Phase 1, Contract No. 7189-1
Contract amount: $604,284.50
Start date: 06/2018
Finishdate: 11/2019
16.K
P TW RKREFEREN E
rberger?agglevalleynrg
"2018"
Town of Apple Valley Navajo Road Rehabilitation
14955 Dale Evans Parkway Contract amount: $849,182.00
Apple Valley, CA92307 Start date: 07/2017
Contact: RichBerger, (760)240-7000 ext 7530 Finish date: 12/2017 City of Indian Wells Cook Street Rubberized Pavement Overlay 44-950 Eldorado Drive Contract amount: $599,599.59
Indian Wells, CA92210 Start date: 05/2018
Contact: Ken A. Seumalo, P.E., (760)346-2489, Finish date: 12/2018
16.K
[email protected]
Wi|[email protected]
H2017”
PAST WORK REFERENCES
City of Rancho Cucamonga
10500 Civic Center Drive
Rancho Cucamonga, CA91730
Contact: Romeo David,(909)477-2740
City OfTemecula
41000 Main Street
Temecula, CA92590
Contact: William Becerra, (951)694-6444
Town Of Apple Valley
14955 Dale Evans Pkwy
Apple Valley, CA92307
Contact: RichBerger, (760)240-7000
[email protected]
City Of Victorville
14343 Civic Dr.
Victorville, CA92392
Contact: Carlos Seanez, (760)955-5162
[email protected]
City Of Santee
10601 Magnolia Ave Building 4
Santee, CA92071
Contact: Toby M. Espinola, P.E., (619)258-4100
[email protected]
Base Line Rd. Pavement Rehab
Contract Amount: $1,130,470
Start: 05/2017
Completed: 07/2017
Margarita Road Pavement
Rehab
Contract Amount: $2,577,770
Start: 05/2017
Completed: 11/2017
Navajo Road Rehabilitation
Contract Amount: $849,182
Start: 08/2017
Completed: 11/2017
Water Warehouse #1 Paving
Project
Contract Amount: $251,008
Start Date: 04/2017
Completed: 06/2017
Citywide Slurry Seal & Roadway
Maintenance 2017
Contract Amount: $285,061.90
Start: 06/2017
Completed: 10/2017
16.K
"[email protected]
Han .Demitri westcovina. ov
czamano@cityofhighlandorg
City Of Yucaipa
34272 Yucaipa Blvd.
Yucaipa, CA92399
Contact: John Larose, (909)797-2489
City Of West Covina
Eclipse Way & Jennifer Pl
West Covina, CA91792
Contact: Hany Demitri, (626)939-8445
City Of Highland
McKinleyAve & 9”‘St
San Bernardino, CA92410
Contact Name: Carlos Zamano, (909)864-8732
County Of Riverside
2950 Washington Street
Riverside, CA92504
Contact Name: Justin Robbins, (951)955-6885
JROBB NS(Drct|ma.org
City Of Palm Springs
3400 E.Tahquitz Cyn Way Ste 1
Palm Springs, CA92262
2015-2016 Micro-Surfacing
Program Project No.11043
Contract Amount: $252,379.06
Start: 07/2017
Completed: 08/2017
Residential Street Rehabilitation
SP 17038
Contract Amount: $469,960.70
Start: O5/O1/17
Completed: 06/09/2017
2015-16 CDBGStreets Pavement
Improvements
Contract Amount: $823,389.68
Start: 06/05/17
Completed: 10/13/17
Gilman Springs
Contract Amount: $1,662,671.20
Start: ll/2016
Completed: 08/2017
TaxiwayJ Rehabilitation
Contract Amount: $291,482.99
Start: 09/2017
Contact Name: Robert Denning, (541)324-7321 Completed: 10/2017 [email protected]
16.K
[email protected]
,,_,, E
County Of Orange Pavement Maintenance and Repair
P.O. Box 4048 Contract Amount: $3,115,000.00
Santa Ana, CA27074 Start: 08/2016
Contact Name: RickCathay, (949)252-5171 Completed: 12/2017 City Of Anaheim Santa Ana Streets from Claudia to
200 S. Anaheim Blvd. Claudia
Anaheim, CA92805 Contract Amount: $589,270.00
Contact Name: Bob Palaeologus, (562)879-3602 Start: 06/2016 roalaeo ogusfbsimolusmanagementcom Completed:
16.K
Km/c.r.S¥a-/faS-/r:/nu
4 Srjn
Fv?fanq Ga,
2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d)
CIP No. 5725
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description of Work Subcontractor’s DIR Registration of Business License No. Number
5+"’””’7 S’.38’é/5’ /ooaoo 7945‘
€4nl‘£5k/%"?°”'7“’ ¢raek 47/
Z?kl.?u’: Sf’ Ca.
796096 /ooooo 4.438
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)
16.K
rm -3
1m-nw Z?ln
2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont'd)
CIP No. 5725
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITH BID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 8, below.
STATEMENT OF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.
CERTIFICATIONOF WORKER'SCOMPENSATIONINSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labo Code Section 3700, which r requires 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 the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF PREVAILINGWAGE RATESAND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.
CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKS CHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non—discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
16.K
I I
2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d)
CIP No. 5725
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never 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 safety regulation, except as indicated on the separate sheet attached hereto entitled "Previous Disqualifications.” If a statement of ”Previous Disqua|ifications” i attached, please explain s the circumstances.
CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(a), certify that, if awarded the Contract based on the undersigned’s Bid,the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.
CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.
Contractor's registration number is [please complete] 1000001051 Subcontractors’ registration numbers are as indicated in Document 00 4314.
BIDDER
Signatu Bid Date Signature of Date
Edward J. Carlson, Vice President Michael Farkas.Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
16.K
Contractor Information
Legal Entity Name
ALLAMERICANASPHALT
Legal EntityType
Corporation
Status
Active
Registration Number
1000001051
Registration e?ective date
7/ 1/2020
Registration expiration date
6/30/2023
Mailing Address
PO BOX 2229 CORONA 92878 CA United States
Physical Address
400 E SIXTHST CORONA 92879 CA United State...
Email Address
Trade Name/DBA
License Number(s)
CSLB:267073
CSLB:267073
Legal Entity Information
Corporation Number:
057879
Federal Employment Identi?cation Number:
President Name:
MARKLUER
Vice President Name:
EDWARDJ CARLSON
Treasurer Name:
MICHAELFARKAS
Secretary Name:
MICHAELFARKAS
CEO Name:
Agent of Service Name:
MICHAELFARKAS
Agent of Service Mailing Address:
400 E SIXTHST CORONA 92879 CA United States of America
Workers Compensation
Registration History
Effective Date
5/11/2018
5/8/2017
5/2/2016
6/9/2015
8/25/2014
7/1/2019
7/1/2020
Expiration Date
6/30/2019
6/30/2018
6/30/2017
6/30/2016
6/30/2015
6/30/2020
6/30/2023
16.K
Do you lease employees No
through Professional
Employer Organization
(PEO)?:
Please provide your
current workers
compensation insurance
information below:
PEO PEO PEO
PEO InformationName Phone Email
Insured by Carrier
Policy Holder Name:ALL AMERICAN ASPHALTInsurance Carrier:
ZURICH AMERICANINSURANCE COMPANYPolicyNumber:WC593205701Inception date:
7/31/2019Expiration Date:8/30/2020
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APPENDIX1
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No.(s) J~ 2.
B|DDER'S PROPOSAL
2021/22CITYWIDESLURRYSEAL
CIP No. 5725
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2021/22CITYWIDESLURRYSEAL,CIP No. 5725, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/or use tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency for any errors or omissions on the part of the undersigned in submitting this proposal.
Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2022/22CITYWIDESLURRYSEAL,CIP No. 5725 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont'd)
CIP No. 5725
BID SCHEDULE
BASE BID — 2021/22CITYWIDESLURRYSEAL,CIP No. 5725
EXTENDED ITEM ESTIMATED UNIT DESCRIPTION UNIT ITEM No QUANTITY PRICE AMOUNT
1 Nlobilization (Not to Exceed 5% of
L5 1 Bid)
2 Traffic and Pedestrian Control L5 1
3 Field Orders (Stipulated item) LS 1 $5,000 $5,000
4 Slurry Seal (Type IIw/ 2% Latex) SY 155,500
5 2" AC (HMA) Patch Repair SF 7,800
6 Large Crack Dig Out Per Detail LF 6,300
Thermoplastic & Painted Pavement
7 Striping, Markings, Legends and LS 1
Raised Pavement Markers
TOTAL BASE BID (numbers)
************************************ *****~k****************************** BASE BID TOTAL (in words)
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. If the bid is illegible and cannot be reconciled it will be considered non—responsive and will not be considered for award.
If an additive and/or alternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedule(s) only unless otherwise specified in the Notice inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedule(s).
Contractor's Initials
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d)
CIP No. 5725
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency's determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregu|arity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
Allbids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by "(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor's own forces.
By signing and submitting this bid the Contractor con?rms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above, including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bid may be rejected.
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d)
CIP No. 5725
Complete the following
Legal name of business, DIRReg. and Contractor License Nos (Corporation, Partnership, Sole Proprietor)
A///
DBA(if any)
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Name and title of the owner
Name and title second partner or officer
Business Address
217/
Telephone number
Facsimile number
Name and address of prima contact
Company web address
ature of Bidder Date
Print name and Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.)
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2021/22ClTYWlDESLURRYSEAL B|DDER'S PROPOSAL (cont’d)
CIP No. 5725
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess one of the following State Contractor's License:
State of California Class A Contractor's License
Combination of Specialty ClassC Contractor's Licenses
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's license(s) which:
a. Bears the license number(s) /
b. Expires on:
of Bidder Date er Date
Print name e Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.
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2021/22CITYWIDESLURRYSEAL BlDDER'SPROPOSAL(cont'd) Rev. 0 CIPNo. 5725 February 2020
BID SECURITY FORM FOR BOND
KNOW ALLBYTHESEPRESENTS:
That the undersigned
American Asphalt South. Inc
{Name of Contractor)
as Principal and the undersigned as Surety are held and ?rmly bound unto Owner, CITY OF HEMET,a political subdivision of the State of California, as obligee, in the penal sum of (Dollar Amount In Words) Ten Percent of Amount Bid
Dollars 10% of Amount Bid lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, ?rmly by these presents.
WHEREAS,said Principal is submitting a Bidfor 2021/22 CITYWIDESLURRY SEAL CIP No. 5725 THE CONDITIONOF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, othenivise to remain in full force and effect.
IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 17”‘ day of , 20$.
(Month)
American Asphalt South, Inc.
(Corporate Seal) By
ncipal
Everest rance
By
surety Mary Collins, Attorney—ln—Fact
(Corporate Seal) By
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ACKNOWLEDGMENT
A notary public or other officer completing this
certi?cate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
valid of that document.
State of California _ County of San Bernardino )
on December 14, 2021 before me, Rosa Maria Arteaga- Notary (insert name and title of the officer)
personally appeared Jeff Petw
, who proved to me
on the basis of satisfactory evidence to be the person(s) whose name(e) is subscribed to the within instrument and acknowledged to me that he executed the same in hisauthorized capacity(ies), and that by hislhealtheir 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 of?cial seal
iron}
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KATMEENLE
OOOM,I 2380925
'- uomzvPUBLICcmmmtu commnrsummemn I
l, CoIIwn.ExnlnuDC1 31.2025
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
validitvof that document.
State of California
County of Sacramento )
on November 17 2021 before me, Kathleen Le, Notary Public (insert name and title of the officer)
personally appeared MarvCollins
who proved to me on the basis of satisfactory evidence to be the person(x) whose name(s) is/am subscribed to the within instrument and acknowledged to me that ism/she/tbmpexecuted the same i )bts/her/tbetxauthorized capacity(@, and that by kljsiher/ttJe:i1(signature(s) on the instrument the n 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
SSUV ARS3
Signature (Seal)
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Phillips,
49"!/ERES'\
KNOW ALL PERSONS BY THESE PRESENTS: That Everest Reinsurance Company, a corporation of the State of Delaware (“Company") having its principal office located at 477 Martinsville Road, Liberty Comer, New Jersey 07938, do hereby nominate, constitute, and appoint:
Elizabeth Collodi, John Hopkins, K Corey Ward, John J. Weber, Joseph H. Weber, Man'ssa Robinson, Renee Ramsey, Sara Walliser, Mindy Whitehouse, Jennifer Laknann, Deanna Quinteno, Bill Rapp, Jason March, Matthew Foster, Tony Clark, Mary Collins, Kristie Claudine Gordon, Michael K Feeney, Samantha Vlbtkins, Phil Watkins, Brad Espinosa, Paula Senna, Pam Sey
its true and lawful Attorney(s)—in-fact to make, execute, attest, seal and deliver for and on its behalf, as surety, and as its act and deed, where required, any and all bonds and undertakings in the nature thereof, for the penal sum of no one of which is in any event to exceed UNLIMITED,reserving for itself the full power of substitution and revocation Such bonds and undertakings, when duly executed by the aforesaid Attorney(s)-in-fact shall be binding upon the Company as fully and to the same extent as if such bonds and undertakings were signed by the President and Secretary of the Company and sealed with its corporate seal
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Board of Directors of Company (“Board") on the 28th day of July 2016:
RESOLVED, that the President, any Executive Vice President, and any Senior \/ice President and Anthony Romano are hereby appointed by the Board as authorized to make, execute, seal and deliver for and on behalf of the Company, any and all bonds, undertakings, contracts or obligations in surety or co-surety with others and that the Secretary or any Assistant Secretary of the Company be and that each of them hereby is authorized to attest to the execution of any such bonds, undertakings, contracts or obligations in surety or co-surety and attach thereto the corporate seal of the Company RESOLVED, FURTHER, that the President, any Executive \/ice President, and any Senior Vice President and Anthony Romano are hereby authorized to execute powers of attorney qualifying the attorney named in the given power of attorney to execute, on behalf of the Company, bonds and undertakings in surety or co-surety with others, and that the Secretary or any Assistant Secretary of the Company be, and that each of them is hereby authorized to attest the execution of any such power of attorney, and to attach thereto the corporate seal of the Company
RESOLVED, FURTHER, that the signature of such of?cers named in the preceding resolutions and the corporate seal of the Company may be affixed to such powers of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be thereafter valid and binding upon the Company with respect to any bond, undertaking, contract or obligation in surety or co-surety with others to which it is attached IN WITNESS WHEREOF, Everest Reinsurance Company has caused their corporate seals to be affixed hereto, and these presents to be signed by their duly authorized officers this 28th day of July 2016 Everest Reinsurance Company
193'5
Attest: Nicole Chase, Assistant Secretary By: Anthony Romano, Vice President On this 28th day of July 2016, before me personally came Anthony Romano, known to me, who, being duly sworn, did execute the above instrument; that he knows the seal of said Company; that the seal affixed to the aforesaid instrument is such corporate seal and was affixed thereto; and that he executed said instrument by like order ES 00 O1 0416
POWER OF ATTORNEY
EVEREST REINSURANCECOMPANY
DELAWARE
SEAL
LINDA ROBINS
Notary Public, State of New York
No 01R06239736
Qualified in Queens County
Term Expires April 25, 2023
Linda Robins, Notary Public
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company, at the Liberty Corner, this 17th day of November 2021
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2021/22CITYWIDESLURRYSEAL BIDDER'SPROPOSAL(cont’d)
CIP No. 5725
BIDSECURITYFORM FOR CHECK
NOTE: THEFOLLOWINGFORM SHALLBE USEDINTHECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier's Check payable to the order of the City of Hemet, hereinafter referred to as "Agency", for dollars (S ), this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:
A. Ifsaid Bidshall be rejected by the Agency;
B. If said Bid shall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance with said Bid) and shall furnish bonds required for his/her/itsfaithful performance of said Contract and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Contract created by acceptance of said Bid.
Otherwise, said check shall become the property of the Agency Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contract to another bidder.
Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures of corporate officersare required.)
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont'd)
CIP No. 5725
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares
I am the of the 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 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 that the is executed on date], at
ature of Bidder Date
Print name and Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.) Date Sig at Bidder D‘
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d)
CIP No. 5725
CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.
Project Name:
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
Project Name:
Contract Price: Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
Project Name
Contract Price: Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
(Attach additional pages as necessary)
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL(cont'd)
CIP No. 5725
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description of Work Subcontractor’s DIRRegistration of Business License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d)
CIP No. 5725
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSAND SUBMITTEDWITHBID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 8, below
STATEMENTOF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National LaborRelations Board.
CERTIFICATIONOF WORKER'SCOMPENSATIONINSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labo Code Section 3700, which r requires every employer‘ to be insured against liability for worker's compensation or to undertake se|f—insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF PREVAILINGWAGE RATESANDRECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.
CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKS CHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non-discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
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2021/22CITYWIDESLURRYSEAL BIDDER'SPROPOSAL (cont’d)
CIP No. 5725
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never 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 safety regulation, except as indicated on the separate sheet attached hereto entitled "Previous Disqua|ifications.” If a statement of "Previous Disqua|ifications” i attached, please explain the circumstances. s
CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to LaborCode Section 2810(a), certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.
CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code Contractor's registration number is [please complete]
Subcontractors’ registration numbers are as indicated in Document 00 4314.
BIDDER:
Si ureof Bidder Date Date
Print name and Print name and title
(If the Bidder is a corporation, two signatures ofcorporate officersare required.) /,2—/é/»2/
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TABLEOF CONTENTS
BIDDINGAND CONTRACTDOCUMENTS
INSTRUCTIONTO BIDDERS
STANDARDSPECIFICATIONS
SPECIALPROVISIONS
Part One - General Provisions
Section 1 — Terms, Definitions, Abbreviations,
and Symbols
Section 2 - Scope ofthe Work
Section 3 — Control of the Work
Section 4 - Control of Materials
Section 5 — Legal Relations and Responsibilities
Section 6 — Prosecution and Progress of the Work
Section 7 — Measurement and Payment
Section 8 — Intentionally Omitted
Section 9 - Miscellaneous
Part Two - Technical Provisions
Pavement Preparation, Weed Killing,Crack Sealing and
Pavement Repair
Emulsion Aggregate Slurry Seal
12 13
29 40
80 123
143
154
155
T-1
T-3
Traffic Striping, Pavement Markings and Raised Pavement Markers T-11 Utilities
APPENDIX
Appendix 1 - Bid Documents
Appendix 2 - Award & Contract Documents
Appendix 3 - Certified Payroll Forms
Appendix 4 - Close-out Documents
Appendix 5 — Project Exhibits
T—
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B|DDER'S PROPOSAL
2021/22CITYWIDESLURRYSEAL
CIP No. 5725
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2021/22CITYWIDESLURRYSEAL,CIP No. 5725, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly asidelineatedabove) and the requirements of the Public Works Contract, and also‘understands‘that the Project shall be completely constructed in turn-key condition' acceptable to the Owner within the Project time requirements for the price of the proposal,including all fees and sales and/oruse tax upon any materials so furnished, including any unit prices _and additive/deductiveitems. The undersigned has also carefully checked allof the figures given and understands that the Agency for any errors or omissions on the part of the ‘undersigned in submitting this proposal.
Contractor confirms that his/her/its bid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s)
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the 2022/22CITYWIDESLURRYSEAL,CIP No. 5725 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
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2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont'd)
CIP No. 5725
BIDSCHEDULE
BASE BID — 2021/22CITYWIDESLURRYSEAL,CIP No. 5725
EXTENDED
ITEM ESTIMATED - NIT
No DESCRIPTION UNIT
QUANTITY ERICE. ITEM
AMOUNT
1 I\/.IOI)|IlZa'llIOn (Not to Exceed 5% of
L5 1 Bid)
2 Traffic and Pedestrian Control LS 1
3. Field Orders (stipulated item) L5 1 $5,000 $5,000
4 Slurry Seal (Type IIw/ 2% Latex) SY 155,500
5 2" AC (HMA) Patch Repair SF 7,800
6 Large Crack Dig Out Per Detail LF 6,300
Thermoplastic & Painted Pavement
7 Striping, Markings, Legends and LS 1
Raised Pavement Markers
TOTAL BASEBID(numbers)
OF BASE BID ITEMS 1:*1:-I:1-**1-*1-*************************1.- BASEBIDTOTAL(in words)
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. If the bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedu|e(s) only unless ptherwisespecified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedu|e(s).
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Rev. 0
February ZD20
2021/22ClTYWlDESLURRYSEAL B|DDER'S PROPOSAL(cont'd)
CIP No. 5725
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. Ifonly one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency's determination as to the reasonablenessof any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregu|arity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice lnviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract. 9 All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that theactual quantities of work to be done will correspond therewith. Item numbers followed by"’(S)”are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor's own forces.
By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above, including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bid may be rejected.
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2/13/21
2021/22CITYWIDESLURRYSEAL
CIP No. 5725
Complete the following
Hnri7nn< ('nn<tr| irtirm ("n |n1"l lnr
Legal name of the business, DIRReg. and Contractor License Nos Business Type (Corporation, Partnership, Sole Proprietor) l\l/A
DBA(ifany)
Hatem Ibrahim President
Name and title of the owner Kinan Kotr Vice P de
Name and title of second partner officer
432 W. Meats Ave, Qra
Business Address
W7
714-626-0000
Telephone number
714-626-0006
Facsimile number
Ya7minrzi)Hnri7nnc.rri.cnm
Name and Email address of primary contact
Company web address
Signature der
Kinan Kotrash. Vic President
Print name and title
12/13/21
Date
B|DDER'S PROPOSAL (cont’d)
of er
Kinan Kotrash.
Print name and title
(If the Bidder is a corporation two signatures ofcorporate officersare required.) A1—4
Date
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825022 / A,B.C
12/13/21
Signatgegfa?deé Signazéof
Kinan Kotrash.Secretarv
2021/22CITYWIDESLURRYSEAL BIDDER'SPROPOSAL (c0nt’d)
CIP N0. 5725
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess one of the following State Contractor's License:
State of California Class A Contractor's License
Combination of Specialty Class C Contractor's Licenses
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor'slicense(s) which:
a. Bears the license number(s): 2.C8;C12:C20,C21.C36
b. Expires on: 09/30/2023
12/13/21
Date Bidder Date
Kinan Kotrash.Vice President
Print name and title Print name and title
(If the Bidder is a corporation two signatures ofcorporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.
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an Internatio
Rep ret Cornpan
Matthew n-Sect
Bond No.: HORCO-1017
2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL (cont’d) Rev. 0 CIP No. 5725 February 2020
BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS
That the undersigned
Horizons Construction Comoanv International, Inc.
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum Mi Amount In Words) Ten Percent of the Total Amount Bid
Dollars ($ 10% of Bid ) lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid,for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bid for [PROJECTNAME AND DESCRIPTION] THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 10th day of December 2021
(Month)
Horizons Construction Com nal Inc.
(Corporate Seal) By
Princi
Old ublic Su
Bv
surety R. Dobyns / Attorney-i
(Corporate Seal) By
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Rep Sure! Compan n-gent
Bond No.: HORCO-1017
2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL(cont’d) Rev. 0 CIP N0. 5725 February 2020
BID SECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS
That the undersigned
Horizons Construction C anv International, Inc.
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITY OF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of (D_c)| _|a1_r Amount In Words) Ten Percent of the Total Amount Bid Dollars 10% of Bid lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal's base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bidfor [PROJECTNAME AND DESCRIPTION] THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 10th day of December 2021
(Month)
Horizons Construction Com In
(Corporate Seal) By
Princi
Old ublic
BY
surety Matthew R. Dobyns / Attorney-i
(Corporate Seal) By
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ERIKA G. MORGAN, NQTARYPUBLIQ,
“W
‘CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certi?cate is attached, and not the truthfulness, accuracy, or validity of that document.
State of CALIFORNIA
County of ORANGE
before me,
E who proved to me on the basis of satisfactory evidence to be the person(s) whose nameés) is/aresubscribed to the within instrument and acknowledged to me that hefshefthey executed the same in hisfherftheir authorized capacity fies), and that by hisfherftheirsignatureésa on the instrument the personés), or the entity upon behalf of which the person(s) acted, executed the instrument.
ERIKAG. MORGAN I certify. under PENALTYOFPERJURYunderthe laws of the State of COMM #2354018 California that the foregoing paragraph is true and correct.
NOTARYPUBLIC0 CALIFORNIA
ORANGECOUNTY
2°25 WITNESS and official seal.
nature
Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF AITACHED DOCUMENT
E INDIVIDUAL
I: CORPORATE OFFICER
PARTNER(S) El LIMITED
ATTORNEY-IN-FACT
TRUSTEE(S)
GUARDIAN ICONSERVATOR
OTHER:
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
personally appeared _ MA1THEW R. DOBYNS
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[ .
12/13/21 /21
KinanKotrash. ecretarv
2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL(cont’d)
CIP No. 5725
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODE SECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID Th cl ' eun emgne dd ec Iares . . Horizons Construction I am the Vice President of Co.|nt'l.lnc the 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 solicitedany other bidder to put in a false or sham bid. The bidder has notin any manner, directlyor 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‘orany breakdownthereof, or the contents thereof, or divulged information or data relative‘ thereto, to any corporation, partnership, company, association, organization, bid depository, orrto 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 correct and that this declaration is executed on 12/13/2021 ldate], at Oranqe citvl. California [state]
Signature der Date Signature of Bidder Date
Kinan Kotrash, VicegPresident
Print name and title Print name and title
(Ifthe Bidder is a corporation, two‘signatures ofcorporate officersare required.)
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v 209—219;6517
2021/22CITYWIDESLURRYSEAL B|DDER'S PROPOSAL(cont’d)
CIP No. 5725
CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.
Project Name:
Contract Price: Date of Completion March 2 17
Name, Address, and Telephone Number of Owner's Representative City of cho Cucamonaa. 10500 Civic Center Dr, Rancho Cucamona _(‘A 91730 Project Name: Atprial ?irlpwalk Rnmmlal R:Rnrnnctrnrtinn Contract Price: Date of Completion: May 2020
Name, Address, and Telephone Number of Owner's Representative KAII amha7 714-765-5071‘:-
Project Name:
Contract Price: _$_?,_1_9L3_8_Q_]6 Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
City of Rancho Cucamonaa, 10500 CivicCenter Dr., Rancho Cucamonqa, CA 91730 (Attach additional pages as necessary)
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