16.B
connection with Contract; and suit may be brought against Surety and such other sureties, jointly and severally, or against any one or more of them, or against less than all of them without impairing Owner’s rights against the other.
1.08 Correspondence or claims relating to this bond shall be sent to Surety at the address set forth below.
IN WITNESS WHEREOF, we have hereunto set our hands this day of , 20___.
CONTRACTOR AS PRINCIPAL SURETY
Company: (Corp. Seal) Company: (Corp. Seal)
Signature Signature
Name Name
Title Title
Street Address Street Address
City, State, Zip Code City, State, Zip Code
END OF DOCUMENT
16.B
CONSTRUCTION PERFORMANCE BOND
THIS CONSTRUCTION PERFORMANCE BOND (Bond) is dated June 27th, 2022 is in the amount of $136,078.00 (Penal Sum), which is 100% of the Contract Sum and is entered into by and between the parties listed below to ensure the faithful performance of the Contract identified below. This Bond consists of this page and the Bond Terms and Conditions, Paragraphs 1 through 14 attached to this page. Any singular reference to AToM Engineering Construction, Inc. (Contractor), (Surety), CITY OF HEMET (Owner), or other party
shall be considered plural where applicable.
CONTRACTOR: SURETY:
AToM Engineering Construction, Inc.
Address Principal Place of Business
City/State/Zip City/State/Zip
CONSTRUCTION CONTRACT: Outdoor Fitness Court at Mary Henley Park – CIP 5735, dated June 27, 2022, in the amount of $136,078.00.
CONTRACTOR AS PRINCIPAL SURETY
Company: (Corp. Seal) Company: (Corp. Seal)
Signature: Signature:
Name: Name:
Title: Title:
16.B
BOND TERMS AND CONDITIONS
1. Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to Owner for the complete and proper performance of the Construction Contract, which is incorporated herein by reference.
2. If Contractor completely and properly performs all of its obligations under the Construction Contract, Surety and Contractor shall have no obligation under this Bond.
3. If there is no Owner Default, Surety’s obligation under this Bond shall arise after:
3.1 Owner provides Surety with written notice that Owner has declared a Contractor Default under the Construction Contract pursuant to the terms of the Construction Contract; and
3.2 Owner has agreed to pay the Balance of Contract Sum:
3.2.1 To Surety in accordance with the terms of this Bond and the Construction Contract; or
3.2.2 To a Contractor selected to perform the Construction Contract in accordance with the terms of this Bond and the Construction Contract.
4. When Owner has satisfied the conditions of Paragraph 3 above, Surety shall promptly (within 40 Days) and at Surety’s expense elect to take one of the following actions:
4.1 Arrange for Contractor, with consent of Owner, to perform and complete the Construction Contract (but Owner may withhold consent, in which case the Surety must elect an option described in Paragraphs 4.2, 4.3 or 4.4 below); or
4.2 Undertake to perform and complete the Construction Contract itself, through its agents or through independent contractors or Construction entities; provided, that Surety may not select Contractor as its agent or independent contractor or Contractor without Owner’s consent; or
4.3 Undertake to perform and complete the Construction Contract by obtaining bids from qualified contractors or Construction entities acceptable to Owner for a contract for performance and completion of the Construction Contract and, upon determination by Owner of the lowest responsive and responsible Bidder, arrange for a contract to be prepared for execution by Owner and the contractor or Contractor selected with Owner’s concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on the Construction Contract; and, if Surety’s obligations defined in Paragraph 6 below, exceed the Balance of Contract Sum, then Surety shall pay to Owner the amount of such excess; or
16.B
4.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor or Contractor, and with reasonable promptness under the circumstances and, after investigation and consultation with Owner, determine in good faith its monetary obligation to Owner under Paragraph 6 below, for the performance and completion of the Construction Contract and, as soon as practicable after the amount is determined, tender payment therefor to Owner with full explanation of the payment’s calculation. If Owner accepts Surety’s tender under this Paragraph 4.4, Owner may still hold Surety liable for future damages then unknown or unliquidated resulting from the Contractor Default, as agreed by Owner and Surety at the time of tender. If Owner disputes the amount of Surety’s tender under this Paragraph 4.4, Owner may exercise all remedies available to it at law to enforce Surety’s liability under Paragraphs 6 and 6.3 below.
5. At all times Owner shall be entitled to enforce any remedy available to Owner at law or under the Construction Contract including, without limitation, and by way of example only, rights to perform work, protect Work, mitigate damages, advance critical Work to mitigate schedule delay, and coordinate Work with other consultants or contractors.
6. If Surety elects to act under Paragraphs 4.1, 4.2 or 4.3 above, within the time period provided in Paragraph 4, above, and complies with its obligations under this Bond, Surety’s obligations under this Bond are commensurate with Contractor’s Construction Contract obligations.
Surety’s obligations include, but are not limited to:
6.1 Contractor’s obligations to complete the Construction Contract and correct Defective Work;
6.2 Contractor’s obligations to pay liquidated damages; and
6.3 To the extent otherwise required of Contractor under the Construction Contract, Contractor’s obligations to pay additional legal, design professional, and other costs not included within liquidated damages resulting from Contractor Default (but excluding attorney’s fees incurred to enforce this Bond).
7. If Surety does not elect to act under Paragraphs 4.1, 4.2, 4.3, or 4.4, above, within the time period provided in Paragraph 4, above, or comply with its obligations under this Bond, then Surety shall be deemed to be in default on this Bond ten Days after receipt of an additional written notice from Owner to Surety demanding that Surety perform its obligations under this Bond. Such Surety default shall be independent of the Contractor Default. To the extent Surety’s independent default causes Owner to suffer damages including, but not limited to, delay damages, which are different from, or in addition to (but not duplicative of) damages which Owner is entitled to receive under the Construction Contract, Surety shall also be liable for such damages. In the event any Surety obligation following its independent default is inconsistent or conflicts with California Civil Code Section 2809, or any other law which either prohibits, restricts, limits or modifies in any way any obligation of a surety which is larger in amount or in any other respect more burdensome than that of the principal, Surety hereby waives the provisions of such laws to that extent.
16.B
8. If Surety elects to act under Paragraphs 4.1, 4.3 or 4.4 above, within the time period provided in Paragraph 4, above, and complies with all obligations under this Bond, Surety’s monetary obligation under this Bond is limited to the Penal Sum.
9. No right of action shall accrue on this Bond to any person or entity other than Owner or its successors or assigns.
10. Surety hereby waives notice of any change, alteration or addition to the Construction Contract or to related subcontracts, design agreements, purchase orders and other obligations, including changes of time, and of any Owner action in accordance with Paragraph 5 above. Surety consents to all terms of the Construction Contract, including provisions on changes to the Contract. No extension of time, change, alteration, Modification, deletion, or addition to the Contract Documents, or of the Work (including services) required thereunder, or any Owner action in accordance with Paragraph 5 above shall release or exonerate Surety on this Bond or in any way affect the obligations of Surety on this Bond, unless such action is an Owner Default.
11. Any proceeding, legal or equitable, under this Bond shall be instituted in any court of competent jurisdiction where a proceeding is pending between Owner and Contractor regarding the Construction Contract, or in the Superior Court of the County of Riverside, California, or in a court of competent jurisdiction in the location in which the Work is located.
Communications from Owner to Surety under Paragraph 3.1 above shall be deemed to include the necessary agreements under Paragraph 3.2 above unless expressly stated otherwise.
12. All notices to Surety or Contractor shall be mailed or delivered (at the address set forth on the signature page of this Bond), and all notices to Owner shall be mailed or delivered as provided in Section 1-7.1.10 of the Special Provisions. Actual receipt of notice by Surety, Owner or Contractor, however accomplished, shall be sufficient compliance as of the date received at the foregoing addresses.
13. Any provision in this Bond conflicting with any statutory or regulatory requirement shall be deemed deleted here from and provisions conforming to such statutory requirement shall be deemed incorporated herein.
14. Definitions
14.1 Balance of Contract Sum: The total amount payable by Owner to Contractor pursuant to the terms of the Construction Contract after all proper adjustments have been made under the Construction Contract, for example, deductions for progress payments made, and increases/decreases for approved Modifications to the Construction Contract.
14.2 Construction Contract: The agreement between Owner and Contractor identified on the signature page of this Bond, including all Contract Documents and changes thereto.
16.B
14.3 Contractor Default: Material failure of Contractor, which has neither been remedied nor waived, to perform or otherwise to comply with the terms of the Construction Contract, limited to “default” or any other condition allowing a termination for cause as provided in Section 6-7.3 of the Special Provisions).
Owner Default: Material failure of Owner, which has neither been remedied nor waived, to pay Contractor progress payments due under the Construction Contract or to perform other material terms of the Construction Contract, if such failure is the cause of the asserted Contractor Default and is sufficient to justify Contractor termination of the Construction Contract.
END OF DOCUMENT
16.B
integ
OUTDOORFITNESSCOURT at MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAI.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the OUTDOOR FITNESSCOURT AT MARY HENLEYPARK, CIP No. 5735, 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 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 rated 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 OUTDOOR FITNESS COURT AT MARY HENLEYPARK, CIP No. 5735 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.
16.B
$519 Q.ms»
vnasaaa-tn1+4.n¢.nm-1e«n-ntav.1.1.~ni1«.-ktnt
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIPN0.5735 B|DDER’S PROPOSAL (cont’d)
ITEM ESTIMATED UNIT ExT:
E“|/
DIE
D
QUANTITY PRICE AMOUNT
Mobilization (Not to Exceed 5% of
1 Bid) L5 1
2 Water Quality Control L5 1
3 LS 1
Clearing, Grubbing & Removals
Remove & Relocate Ex. Sprinkler L5 1
System
CY 25
7 4" PCC Sidewalk SF 2,300
8 Sidewalk Drain Outlet EA 1
9 1% Drainage Swale LF 180
Furnish & Install Grass Seeding
10 and Fertilized Soil Ls 1
4" Fitness Court Slab (4,000 PSI) 1,440
6" Fitness Court Base (CMB) SF
13 Install Fitness Equipment (City L5 1 Furnished)
END E BND MS
****'k******'k*************'k**********
No
11 12
BASEBID- OUTDOORFITNESSCOURTAT MARYHENLEYPARK, CIP No. 5735
DESCRIPTION
Site Gradingl Excavation — Balanced Earthwork
UNIT
SF
BIDSCHEDULE
£0- ‘U1 (3<3
1,440
TOTALBASEBID(numbers)
‘(.0-D
Q‘poo b‘000.0’
M» 3.o°v.°’
(9000 lpjou
-M0 590 L15?» 6)
\Q 7;a,‘po0«)3
n V0 \;I9M
3 '70 {:400 of)
(91000 [Ck0°" 0°
\ 1 (7‘L‘
69.o3 L ?lo£01.
60 ‘yL,‘_go‘£. 00 $
67 K’
16.B
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL(cont’d)
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 schedulels) 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. ‘E¢~\»Jc¢.‘+ 969%‘!¢*
16.B
OUTDOORFITNESSCOURT at MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL (cont’d)
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.
16.B
Consmw?un,
VP9
Name anwleofse?ypartner or of?cer \)
B
Hemr} CH ‘i9.S1.u.}
rr ‘. ~ bM+
.—,~.
égna re0%éugderg §; Egate Date
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL (cont’d)
Complete the following:
ATOMEngineering Inc,
Legal name of the business, DIRReg. and Contractor License Nos.
Business (Corporation, Partnership, Sole Proprietor)
DBA(if any)
ness dress
Telephone number
Facsimile number
Name and I add primary contact
Company web address
tu Signature of Bidder
Print name and title Print nam cl
(Uthe Bidder is a corporation two signatures ofcorporate officersare required.) bsr<—mm:>I>n78 Ln. %
9%‘?
3 °(%l-7LoLo-Q.KDlo
‘351—zo5s= M37
\ mu a 5n‘) .C\-\'nm1°_1\ouL‘.Dn‘\"- .ABM
"|'—r§.mr1ra. (BI5u(-'J‘-(Drtstc1rn§-
— §9p;c-1-urn
and title of the owne
16.B
wh
pri o
te
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL (cont'd)
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. State lifornia ClassA Contractor's License
Specialty Class C Contractor's Licenses
2. A failure to (1) the required license, (2) t Ily set forth the following information, and/or (3) te this Certificate may ren proposal nonresponsive and nalty of perju that he/she/it possesses the required
Signature of Bidder Date Signatu of Bidder Date
(Ifthe Bidder is a corporation signatures ofcorporate officersare required.) different license feels he is qualified to bid on this work must so advise th Agency at least seven (7) days to the bid opening. The Agency may conduct a review of the ntemplated work to re-eval the required license determination. The Agency may in its so discretion maintain or nge the required license determination; Agency's decision as to required license will final.
ractor is required to possess one of the following State License:
Combinati of
permit the City to reject the p Code Section 7028.15)
a. Bears the license number(s):
b. Expires on:
Print name and title Print name and
This required license etermination has been made by the Agency. Any ractor holding osal. (Business an
3. Contractor declares, under
Contractor's licenselsi which
16.B
AL - PURPOSE
ERTIFI ATE OF A KNOWLEDGMENT
WITNE
J. Maury
mac:
mm
LYNN
~ hlufornh
uzz E
3 Riversidecaunzy i
comnusuon 1 2335172 ‘
MYCommExnlres0:1 9, 2024
otary Public Sig
6 NumberofPages 53 DocumentDate 33
President and Secreta
C C C
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached.and not the truthfulness, accuracy, or validity of that document.
State of California
County of Riverside
before me, Darci Lynn Vaez, Notary Public
(Here insert name and title of the of?cer)
personally appeared Tamara Boyer and Larry Boyer
who proved to me on the basis of satisfactory evidence to be the person@whose nameCs)is/@@subscribedto the within instrument and acknowledged to me that he/shel?i-zfyexecutedthe same in his/heuthorized capacity and that by his/hersignaturd§ on the instrument the persor@, or the entity upon behalf of which the person@)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.
SS my hand and official seal.
nature
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTIONOFTHEATTACHEDDOCUMENT
(Titleordescriptionofattacheddocumentcontinued)
CAPACITY CLAIMED BYTHE SIGNER
Individual (s)
« Corporate Officer
(Title)
Partner(s)
El Attorney-in-Fact
Trustee(s)
3 Other
2015 Version www.NotaryC|asses.com 800-873-9865
(Notary Public Seal)
INSTRUCTIONS FOR COMPLETING THIS FORM
Thisformcomplies with current Californiastatutes regarding notary wording and, ifneedea’,should be completedand attached to the document.Acknolwedgenrsfro other states may be completedfor documentsbeing sent to that state so long asmthe wording does not require the Californianotary to violate Californianotary law State and County infomtation must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment.
Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed The notary public must print his or her name as it appears within his or her commissionfollowed by a comma and then your title (notary public) Print the name(s) of document signer(s) who personally appear at the time of notarization
Indicate the correct singular or plural forms by crossing off incorrect fonns (i e he/she/they: is/are ) or circling the correct fon'ns Failure to correctly indicatethis infomiationmay lead to rejection of documentrecording.
The notary seal impression must be clear and photographically reproducible Impression must not cover text or lines If seal impression smudges, re-seal if a suf?cient area permits, otherwise complete a different acknowledgment form Signature of the notary public must match the signature on ?le with the office of the county clerk
'2' Additional infonnation is not required but could help to ensure this acknowledgment is not misused or attachedto a different document. rt‘ Indicate title or type of attached document, number of pages and date °Z° Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicatethe title (i e CEO, CFO, Secretary) Securely attach this document to the signed document with a staple On
Tm'edrdeéé? ion attacheddoc men
CI
16.B
(w—.+-—..-_»..».-.-»».. -1 qPage 36 of 252
16.B
Dae
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL(cont'd)
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/itpossesses the required Contractor's license(s) which:
a. Bears the license number(s):
b. Expires on
Signature of Bidder
Print name and titl Print 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 leas t 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 willbe final.
16.B
I
I ._ _.:.-H4-_
.
H'|.I'+'.'-.--.-.'- —n--
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER'S PROPOSAL(cont’d)
BIDSECURITYFORM FORCHECK
NOTE:THEFOLLOWINGFORM SHALLBEUSEDINTHECASEOF 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 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 ofcorporate o?icersare required.)
16.B
(Corporate ea
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL (cont'd)
KNOW BYTHESEPRESENTS
as Principal and t firmly bound unto Owner, CITYOF
HEMET, a politica the State of Califo as obligee, in the penal sum of (Dollar Amount In Words
percent (10%) of the aggregate amou of 5a Principal's base Bid, for the payment of which, well and truly to be made, we bind ou our successors, executors, administrators, and assigns, jointly and severally, firmly by th nts.
THE CONDITION OF THI BLIGATION IS SU that if the Bid submitted by the said Principal be accepted and t ract be awarded id Principal and said Principal shall nd, Construction Labor and aterial Payment Bond, insurance certificates, and all other dorsements, forms, and docum required under the Instructions to Bidders, then this obl ion shall be void, otherwise to remai n full force and effect.
IN WITNESS
day of 20
(Month)
I) Bv
Principal
Bv
Surety
Bv
BIDSECURITYFORM FOR BOND
That undersigned
(Name of Contractor)
he un gned as Surety are held a
Isubdivisio
Dollars ($ ) la money of United States of America being at least ten WHEREAS,said Principal is su itting a Bid [PROJECTNAME AND DESCRIPTION] within the required periods nter into the Contract so rded and provide the required Construction Performance
HEREOF,the above bounden parties have ted this instrument this (Corporate Seal)
16.B
BQ sg?awc}-¢..3
OUTDOOR FITNESSCOURT at MARY HENLEYPARK
CIP No.5735 BIDDER’SPROPOSAL (cont’d)
BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS:
That the undersigned
ATOM ENGINEERING CONSTRUCTION, 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 (Dollar Amount In Words) TEN PERCENT OF GREATER AMOUNT BID
Dollars ($ 10% 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.
OUTDOOR FITNESS COURT
AT MARY HENLEY PARK; CIP NO. 5735
WHEREAS,said Principal is submitting a Bidfor [PROJECTNAMEAND DESCRIPTION] THE CONDITION OF THIS OBLIGATIONIS 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 26TH day of MAY 2022;.
(Month)
ATOM ENGI ERING CONSTRUCTION, INC.
(Corporate Seal) By
Principal
By THE OHIO CASUALTY INSURANCE COMPANY
Surety
(Corporate Seal) By
MARK D. IATAROLA, ATTORNEY-IN-FACT
-E/
16.B
16.B
Sig re ta Iic
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 Anotary publicor other of?cer completingthis certificate verifies onlythe identityofthe individualwho signed the document to whichthis certificate is attached, and not the truthfulness, accuracy, or validityof that document.
State of California
County of SAN DIEGO
on 5/26/2022 before me’ TRACY LYNN RODRIGUEZ, NOTARY PUBLIC Date Here Insert Name and Title of the Of?cer
MARK D. IATAROLA
Name(s) of Signer(s)
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s-) whose namefs) is/aresubscribed to the within instrument and acknowledged to me that he/she?hey executed the same in his/he?ltheir authorized capacity(-ies), and that by his/herftheir 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 PENALTYOF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
TRACY LYNN RODRIGUEZ
COMM #2318838
SAN DIEGO COUNTY i
NOTARY PUBLIOCALIFORNIAZ
MY COMM|SSlON EXPIRES
JANUARY 1 ‘l, 2024
AAN ‘l
WlTNESS my hand and official seal.
Sig nature
Place Notary Seal and/or Stamp Above
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:
Document Date:
Signer(s) Other Than Named Above:
Number ofPages
Capacity(ies) Claimed by Signer(s)
Signer's Name; MARK D. IATAROLA
El Corporate Of?cer — Title(s):
D Partner— [:1 Limited El General
Signer's Name:
C! Corporate Of?cer — Title(s):
[:1 Partner — E Limited D General
El Individual E] Attorney in Fact D Individual D Attorney in Fact El Trustee D Guardian of Conservator El Trustee El Guardianof Conservator 1:!Other: D Other:
Signer is Representing
©2017 National Notary Association
Signer is Representing
16.B
16.B
KNOWNALLPERSONSavmes: PRESENTS:That The OhinCasuallylnsmancecanlgany is a corporationduly olganlzedmay melawsol the StateorNamHampshire.Inal |.ibenyMutualInsuranceCompanyis a oarpamllondulyolganlzedunderthe lawsat mestateolMassacnusalls. and WestAmenrl InsuranceCompanyis a corporationdulyorganized underthe laws:21meStaleolIndiana(haleincollechvolycalledme-companies"),pursuant to andbyaumomyharemsexlnnhadoes herebyname,oarlslltuleand appolnl. ltlzlcn Mnlunuy.John Ki.Malunuy. Mark I). Ialalmla.Sandra Figueroa. Tnlc Holmes‘,'|'ral:\' |.vnn Rudrigucz undldo
aclulawledgeand deliver.tor
stale cl CA eachindlviduallyillllele be male thanonenamed. itsbehallas suvefyand as ils act and deed, anyandall undevlaklngs,bonds.recognizances Cammonwealtllul Fevlnsylvnma
Munbn.
American
M/7é
I: Llewellyn.AsslstantSecretary
CU
SURETY
ThisPowerof Attorneylimitsthe acts ofthose named herein,and they have no authorityto bindthe Company except inthe mannerand to the extent herein stated.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
POWER OF ATTORNEY
\N
1912 1919 E
1991
By:
By:
\N
1912 1919 1991
call 610-832-8240 or e .COfT'l
CertificateNo: 8205111-024100
allofthe cityof itstrue and lawfulattorney-in-factto make execute,
, seal, and on and othersurety obligations,in pursuanc ofthese presents and shallbe as bindingupon the Companiesas ifthey have been dulysignedbythe president and attested by the secretary ofthe Companiesintheirown e prope persons. r
INWITNESSWHEREOF,thisPowerofAttorneyhas been subscribedbyan authorizedofficerorof?cialofthe Companiesand the corporateseals ofthe Companieshave been af?xe theretothis 29th dayof March , 202l d
LibertyMutualInsuranceCompany
TheOhioCasualtyInsuranceCompany
West InsuranceCompany
* * DavidM.Carey,AssistantSecretary StateofPENNSYLVANIA 88 CountyofMONTGOMERY
Onthis 29th dayof March 2021 beforeme personallyappeared DavidM.Carey,whoacknowledgedhimselfto be the AssistantSecretaryofLibertyMutualInsuranc Company,The OhioCasualtyCompany,and WestAmericanInsuranceCompany,and that he, as such, beingauthorizedso to do, execute the foregoinginstrumentfortheepurpose thereincontainedbysigningon behalfofthe corporationsbyhimselfas a dulyauthorizedof?cer s INWITNESSWHEREOF,Ihavehereuntosubscribedmynameandaffixedmynotarialseal at KingofPrussia, Pennsylvania,on the day andyear?rstabovewritten.
J
eresa Pastella,NotaryPublic
This Power of Attorneyis made and executed pursuant to and by authorityof the followingBy-lawsand Authorizationsof The OhioCasualtyInsuranceCompany,LibertyMutu InsuranceCompany,andWestAmericanInsuranceCompanywhichresolutionsare nowinfullforceand effectreadingas follows: al ARTICLEIV— OFFICERS:Section12.PowerofAttorney.
Anyof?ceror otherof?cialof the Corporationauthorizedfor that purpose in writingbythe Chairmanor the President, and subject to such limitationas the Chairmanor the Presidentmayprescribe,shallappointsuch attorneys-in-fact,as may be necessaryto act in behalfoftheCorporationto make, execute, seal, acknowledgeand deliveras suret any and allundertakings,bonds,recognizancesand othersurety obligations.Suchattorneys-in-fact,subjectto the limitationsset forthintheirrespectivepowersof attorney,yshal have fullpowerto bindthe Corporationby theirsignatureand executionof any such instrumentsand to attach thereto l the seal of the Corporation.Whenso executed,such instrumentshallbe as bindingas ifsigned bythe Presidentand attestedto by the Secretary.Anypoweror authoritygrantedto any representativeor attorney-in-factunderthe provisionsofthisarticlemaybe revokedat anytimebytheBoard,the Chairman,the Presidentorbythe of?ceror officersgrantingsuch powerorauthority.
ARTICLEXIII— ExecutionofContracts:Section5. SuretyBondsandUndertakings.
Anyof?cerofthe Companyauthorizedforthat purposeinwritingbythe chairmanorthe president,and subjectto such limitationsas the chairmanor the presidentmayprescribe shallappointsuch attorneys-in-fact,as may be necessary to act in behalfof the Companyto make,execute,seal, acknowledgeand deliveras , surety any and allundertaking bonds,recognizancesand othersurety obligations.Suchattorneys-in-factsubjectto the limitationsset forth s, intheirrespectivepowersof attorney,shallhavefullpowerto bindthe Companybytheirsignatureand executionof anysuch instrumentsand to attachtheretothe seal ofthe Company.Whenso executedsuch instrumentsshall be as bindingas i signedbythe presidentandattestedbythe secretary. f
Certi?cateof Designation— ThePresidentoftheCompany,actingpursuantto theBylawsoftheCompany,authorizesDavidM.Carey,AssistantSecretaryto appointsuchattorneysfactas maybe necessaryto act on behalfoftheCompanyto make,execute,seal, acknowledgeand deliveras surety anyand allundertakings,bonds, in- recognizancesand othersurety obligations.
Authorization— Byunanimousconsentofthe Company'sBoardofDirectors,theCompanyconsentsthatfacsimileor mechanicallyreproducedsignatureofanyassistantsecretaryofthe Company,whereverappearingupona certi?edcopyof any powerofattorney issuedbytheCompanyinconnectionwithsurety bonds,shallbe validand bindinguponthe Companywit thesameforceandeffectas thoughmanuallyaffixed. h
l, Renee C. Llewellyn,the undersigned,AssistantSecretary,The OhioCasualtyInsuranceCompany,LibertyMutualInsuranceCompany,and WestAmericanInsuranceCompanydo herebycertifythatthe originalpowerof attorneyofwhichthe foregoingisa full,true andcorrectcopyofthe PowerofAttorneyexecutedbysaidCompanies,isinfullforceand effectand has notbeenrevoked.
INTESTIMONYWHEREOF,Ihavehereuntoset myhandandaffixedthe sealsofsaidCompaniesthis 26'l‘H dayof MAY , 2022 .
Renee
sx P43
- NoiarySea Teresa Pasiella, NolaryPublic l MontgomeryCounty Mycommissionexpires March28.2025 Commission number 1126044 Pennsylvania Associalionoi Nolaries LMS-12873 LMIC OCIC WAIC Multi Page 45 of 252 02/21
16.B
16.B
ALL- PURPO E
ERTIF ATE FA KN WLED MENT
yn . otary
mmmm mm nnnmla am» amun
mnussian '
0 (Tvllaofdascriplion01anacheadocumentcontinued)
NumberofPages I DocumentDate
lmprcssiun mu§| um uw um If ml iumucssnnn gcs, Kc-sml
‘T mmcu-nu um: pnnniu, m nnluled dHT:ren| acknn mumform Ssgnaiumof the nolmy p mnu:l\|hr: s.g,nuumon uh lhu of?c C IC 0
S
C O G
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California }
County of Riverside }
before me, Darci L n Vaez N
personally appeared LaF|'V B0Vef
Public
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)@are subscribed to the within instrument and acknowledged to me that he/they executed the same in@§/her/their authorized capacity(ies), and that by -@§5her/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 DARCILYNNVAEZ
NotaryPublic- California
2 County E
C0 ft‘2335172
Comm.ExpiresOct 9, 2024
(Notary Public Seal)
ADDITIONALOPTIONAL INFORMATION
DESCRIPTIONOFTHEATTACHEDDOCUMENT
CAPACITY CLAIMED BY THE SIGNER '
Individual(s)
I Corporate Officer .
Secretarv
(Title)
Partner(s) ° Attorney-in-Fact
Trustee(s)
Other I:
20 I5 Veision www Nolaryclasses com 800-8T3~98(-i5 '
INSTRUCTIONSFOR COMPLETING THIS FORM
Thisformcomplies with current Californiastatutes regarding notary wor'(1it1gand, zfneeded,should be completed and attached to the document.Ac/molwedgentsfro other states may be completedfor documents being sent to that state so long asmthe wording does not require the Californianolaty to violate Calt_'/Zarnianotary law State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment Date ofnotarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed The notary public Inust print his or her name as it appears within his or her commission followed by a comma and then your title (notary public) Print the name(s) of document signer(s) who personally appear at the time of notarization
Indicate the correct Singular or plural forms by crossing off incorrectfonns (i e he/she/they-,—is /&re ) or circling the correct forms Failure to correctly indicate this infonnation may lead to rejectionof document recording.
The notary seal impression must be clear and photographicallyreproducible or text or I smud ifa herwiseCOI wledg
ublicmust file w e of
the county clerk
\f' Additionalinformation is not required but could help to ensure this acknowledgment is not misusedor attached to a different document. 4- Indicate title or type ofattached document, number of pages and date ~20 Indicate the capacity claimed by the signer If the claimed capacity is a corporate officer, indicate the title (i e CEO, CFO, Secretary) Securelyattach this document to the signed document with a staple.
Cuf§
(Titleor descriptionofattache cumént
)
16.B
16.B
fore oing is true and correct and that this declaration Ligm? [citv1.?CB_IstateI. idder
ate of California 5113-1!-AL
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL (cont'd)
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID AToME“3‘WI
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 St that the is executed on [date], at
Signature Signature of Date
Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.) The undersigned declares:
Lon-u Than: (‘I 3:; .r£*1'[)v\.|
Print nam d title
16.B
/ Date
/ \
ref, MR2
/ \
K
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL(cont’d)
CONTRACTOR’SREFERENCELIST
r(s) have successfully constructed and compl projects with the same type (elements size and complexity of work. The Agen ngineer will make the fina l of whether the projects listed here are of
supply sufficient documentatio similar electric, telephone, cable and d an the Agency's discreti said bid will be disqualified Proiect Name:
Contract Price of Completion:
Owner's Representative
Project Name:
Contract Price: of Completion
Name, Address, and Telep 5 Representative
Project Name:
Contract Price Date Completion
Name, Add and Telephone Number of Owner's Rep ve
(Attach additional pages as necessary)
Attach this bid a list of three (3) projects in the past five (5) yea which the bidder and his subcon
determinati same type, size and complexity as
this project.
Failure of bidder
non-responsive bi
sanitary sewer u round facilities experie shall be considered grounds for Name Address, and Telephone
16.B
ALL- PURPOSE
ERTIFI ATE OF A KNOWLEDGMENT
' DARCILVNNVAEZ SS . ¥
Notarymun:- Ealifonua I
§ ....Riversidecounzy 3
EammlsslonI 2115172 ‘
‘ I
- My(mum. Exnxresocx9, 2024 I
may Pubnc
President and Secretay
(Tit e)
C C C
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached.and not the truthfulness.accuracy, or validity of that document.
State of California }
County of Riverside }
On before me, Darci Lynn Vaez, Notary Public
(Here insert name and title Of the officer)
personally appeared Tamara Boyer and Larry Boyer
who proved to me on the basis of satisfactory evidence to be the person@whose name@ is?gasubscribed to the within instrument and acknowledged to me that he/shetl?eyiiexecutedthe same in his/heuthorized capacity and that by his/hersignaturd@ on the instrument the persoi@, or the entity upon behalf of which the person@)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.
WITN my hand and official seal
Signature (Notary Public Seal)
ADD|'n0NAL Op1'|oNA|_ |N|:oRMAT|oN INSTRUCTIONS FOR COMPLETING THIS FORM Thisformcomplies with current Californiastatutes regarding notary wording and, DESCRlPTlONOFTHEATTACHEDDOCUMENT ifneeded, should be completed and attached to the document.Acknolwedgentsfro other slates may be completedfor documentsbeing sent to that state so long asmthe wording does not require the Californianotary to violate Californianotary law (Titleordescriptionofattacheddocument) 0 State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment I Date of notarization must be the date that the signer(s) personally appeared which (Titleor des°?ptl°" ofattacheddocumentcontinued) must also be the same date the acknowledgment is completed. 0 The notary public must print his or her name as it appears within his or her NUmberOfPages DOCUmenl commissionfollowed by a comma and then your title (notary public) 0 Print the name(s) of document signer(s) who personally appear at the time of notarization.
CApAC|TY CLAIMEDBY THE S|GNER 0 Indicate the correct singular. or plural forms by crossingoff incorrect f0tTrl S
(i e
. . he/she/tl=iey,—is /a-i=e) or circling the correct forms Failure to correctly indicate this — Individual (5)
.
infomiation may lead to rejection ofdocument recording.
I Corporate Officer 0 The notary seal impression must be clear and photographically reproducible Impression must not cover text or lines If seal impression smudges, re-seal ifa sufficient area permits, otherwise complete a different acknowledgment form.
Partner(S) 0 Signature of the notary public must match the signature on tile with the of?ce of _ the county clerk
:l Attorney-In-Fact '1' Additional information is not required but could help to ensure this Tru5tee(s) acknowledgment is not misusedor attached to a different document other 4- Indicate title or type of attached document, number of pages and date l:l -2° Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i e CEO, CFO, Secretary) 2015 Version WWW Notaryciasses com 800.873-9355 - Securely attach this document to the signed document with a staple
16.B
16.B
let
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL(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 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 Comp ion
Name, Address, and Telephone Number of Owner's Representative Project Name:
Contract Price: ate 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)
16.B
16.B
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL (cont’d)
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s DIRRegistration of Business Percentage of Work License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)
16.B
Rev. 0
January 1022
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL (cont'd)
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITH BID
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 Labor Relations Board.
CERTIFICATIONOF WORKER'SCOMPEN I-\T|O|\I IN. “RAN .E
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.
CERTIFICATION OF 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.B
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 BIDDER’SPROPOSAL (cont’d)
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 s attached, please explain 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]
Subcontractors’ registration numbers are as indicated in Document 00 4314.
BIDDER:
Signature of Bidd Signature er
Print name and title Print name title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.)
16.B
A PEND X2
16.B
ATo Engineering Construction, Inc.
DATE
9/11-11/11
9/11-2/12
1/12-7/12
2/12-2/13
3/12-4/12
4/12-8/12
6/12-1/13
OWNER/JOB
City of San Clemente
301 Acapulco Canyon Outlet Rehabilitation
910 Calle Negocio
San Clemente, CA. 92673
Gregory Deist
949-361-6154
South Orange County Community College District
302 Main ElectricalRoom Site Drainage
28000 Marguerite Pkwy.
Mission Viejo, CA. 92692
David McG|othlin (C.W. Driver)
Inland Empire UtilitiesAgency
303 IERCF Process Improvement Amendment Hopper
6075 KimballAve.
Chino, CA. 91710
Mark Peterson
City of San Clemente
304 Max Berg Plaza Park
910 Calle Negocio
San Clemente, CA. 92673
Gary Voborsky
Casitas MunicipalWater Dist.
305 FairviewPump Plant Electrical
1055 Ventura Ave.
Oak View, CA. 93022
Todd Evans
Orange County Parks
306 OC Shade Shelters
333 W. Santa Ana Blvd.
Santa Ana, CA. 92701
Karen Chieng
City of San Clemente
307 Toluca Storm Drain
910 Calle Negocio
San Clemente, CA. 92673
Gregory Deist
Rancho California Water Dist.
308 Glen Oaks &De Anza PRV
42135 Winchester Rd.
Temecula, CA. 92590
Heath McMahon
949-261-5100
909-993-1600
949-361-6132
805-649-2251
949-585-6454
949-361-6154
951-296-6900
Attachment "A"
TOTAL CONTRACT
56,697.32
$ 175,724.30
$ 285,728.12
$ 696,267.50
104,398.00
$ 107,398.00
$ 21,503.00
$ 498,398.00
11/11-5/12
16.B
11/12-12/13
10/12-12/12
9/12-1/13
3/13-6/13
3/13-5/13
5/13-6/13
5/13-8/13
5/13-6/13
4/13-5/13
City of Glendora
309 Well 14 Pump House
116 E. FoothillBlvd.
Glendora, CA. 91741
Jason Roehrborn 626-914-8253
Metropolitan Water District
310 Inland Feeder PC-1
Storage Tank Installation
700 N. Alameda St.
Los Angeles, CA. 90012
Janice Richardson 213-217-6000
IndioWater Authority
311 Plant 3 AltitudeValve Retrofit
83101 Ave. 45
Indio, CA. 92201
David Merrell
State of California
Dept. of Parks &Recreation
312 San ElijoLifeguard Tower
4477 Paci?c Hwy.
San Diego, CA. 32110
Casey Wear 619-688-3336
Inland Empire UtilitiesAgency
313 IERCF Process Improvement Amendment Hopper
6075 KimballAve.
Chino, CA. 91710 909-993-1600
Jeff Zeigen bein
City of Palm Desert
314 LeftTurn Pocket
73510 Fred Waring Dr.
Palm Desert, CA. 92260
Joel Montalvo 760-346-0611
Los Angeles Co. Sanitation Dist.
315 Puente HillsLiquids Handling
1955 Workman MillRd.
Whittier, CA. 90601
City of Hermosa Beach
316 Protective Bollards at Pier Plaza
1315 Valley Dr.
Hermosa Beach, CA. 90254
Chris McNary 714-920-6904
State of California
Dept. of Parks &Recreation
317 San Clemente Beach Paving
3030 Avenida del Presidente
San Clemente, CA. 92672
Jennifer Tustison 949-366-4888
689,398.00
98,398.00
50,398.00
39,398.00
29,398.00
60,398.00
157,398.00
85,962.00
25,962.00
16.B
7/13-9/13
7/13-10/13
7/13-8/13
8/13-11/13
11/13-12-13
10/13-5/14
1/14-2/14
1/14-2/14
3/14-7/14
State of California - CALTRANS
318 MinorB Concrete Wingwall
1727 30th St.
Sacramento, CA. 95816
Dianne Morris 916-227-6076
City of Rancho Cucamonga
319 Central Park Pavilion
10500 CivicCenter Dr.
Rancho Cucamonga, CA. 91730
Karen Emery-McGuire 909-477-2740
Fallbrook Union High School District
320 Fallbrook HS Fencing
2234 8. Stage Coach Ln.
Fallbrook, CA. 92028
Sheila Duncan 760-723-6332
Elsinore Valley MWD
321 Gafford Tank Erosion Repair
31315 Chaney St.
Lake Elsinore.CA. 92530
Gayle Malone 951-674-3146
City of Riverside
322 North Park Pergola Restoration
3900 MainSt.
Riverside, CA. 92501
Chris Scully 951-826-5967
Southeastern California Conference
323 Pine Springs Ranch
11330 Pierce St.
Riverside, CA. 92505
FritzWuttke 951-659-3173
City of Poway
324 Reservoir Safety Modi?cations
13325 Civic Center Dr.
Poway, CA. 92064
Melody Rocco 858-668-4622
City of Fullerton
325 Altura Drive Storm Drain
303 W. Commonwealth Ave.
Fullerton, CA. 92832
Kevin Kwak 714-738-6865
City of Oceanside
326 St. Malo Sewer Force Main
300 N. Coast Hwy.
Oceanside, CA. 92054
Amy Czajkowski 760-518-6266
76,398.00
217,398.00
109,937.00
175,398.00
54,398.00
75,000.00
70,398.00
85,962.00
147,398.00
16.B
5/14-6/14
$ 10,398.00
$ 162,398.00
City of Poway
327 Directional Sign Replacement
13325 CivicCenter Dr.
Poway, CA. 92064
Pam Gravel 858-668-4702
5/14-8-14 Ramona Municipal Water District
328 Poway PS Conduit $ 240,398.00
105 Earlham St.
Ramona, CA. 92065
Ricardo Soto 760-788-2260
7/14-10/14 City of Oceanside
329 GolfCourse LiftStation $ 154,398.00
300 N. Coast Hwy.
Oceanside, CA. 92054
Shawnele Morelos 760-547-1956
10/ 1.4-2!15 State of California
Dept. of Parks &Recreation
330 Carlsbad Electrical Upgrade
4477 Pacific Hwy.
San Diego, CA. 32110
Casey Wear 619-688-3336
6/14-6/14 City of Palm Desert
331 Aquatic Center Conduit $ 23,962.00
73510 Fred Waring Dr.
Palm Desert, CA. 92260
Ryan Stendell 760-346-0611
10/14-5/15 Rancho CaliforniaWater Dist.
332 Los Caballos PRS $ 349,943.00
42135 Winchester Rd.
Temecula, CA. 92590
Heath McMahon 951-296-6900
12/14-6/15 Inland Empire UtilitiesAgency
333 Replacement of Check Valves $ 67,398.00
6075 KimballAve
Chino, CA 91708
John Scherck 909-993-1600
2/15-3/15 City of Poway
334 Parkway Retaining Wall $ 12,398.00
PO Box 789
Poway, CA 92074
Diane Mann 858-668-4704
City of Coronado
335 Pine Street Pump Station $ 250,398.00
1825 Strand Way
Coronado, CA 92118
Dave Johnson 619-522-2425
16.B
2/15-5/15
11/15-3/16
4/15-6/15
6/15-7/15
8/15-9/15
6/15-7/15
9/15-10/15
12/15-5/16
10/15-5/16
Inland Empire UtilitiesAgency
336 CCWRF Lagoon Rip-Rap Retrofit
6075 "A"KimballAve
Chino, CA 91710
Matthew Poeske 909-573-6188
Vallecitos Water District
337 LiftStation No. 1 Improvements
201 Vallecitos De Oro
San Marcos, CA 92069
Carlos Fimbres 760-744-0460
Olivenhain MunicipalWater District
338 Thornton Pump Station Pipeline Relocation
1966 Olivenhain Rd
Encinitas, CA 92024
Paul Mochel 760-753-6466
City of Redlands
339 2015 Storm Drain Repair
35 Cajon Street Ste. 15A
Redlands, CA 92373
Goutam Dobey 909-798-7584
City of Chino
340 Pine Avenue Flood Safety Gates
13220 Central Ave
Chino, CA 91708
Karen Campbell 909-334-3403
San Jacinto Uni?ed School Dist
341 SJ Leadership Academy New Portable
2045 S. San Jacinto Ave
San Jacinto, CA 92583
Barry Mulcock 951-654-7769
City of Rancho Mirage
342 Gerald Ford Drive LeftTurn Picket Improvements
69-825 Highway 111
Rancho Mirage, CA 92270
Gloria Griego 760-770-3224
City of Lake Elsinore
343 City Entry Welcome Monument Signs
130 S. Main Street
Lake Elsinore, CA 92530
Deepak Spolanki 951-674-3124
State of California
344 Dept. of Parks &Recreation
312 San ElijoLifeguard Tower
4477 Pacific Hwy.
San Diego, CA. 32110
Casey Wear 619-688-3336
51,398.00
443,398.00
137,398.00
62,398.00
41,398.00
176,398.00
165,398.00
246,398.00
12,398.00
16.B
10/15-12/15
$
$ 62,398.00
1.1./1.5-12/15
$ 57,398.00
$
$ 234,398.00
10/15-12/15
1/16-2/16
12/15-1/16
12/15-12/16
12/15-1/16
3/16-5/16
6/16-12/16
Lake Elsinore Unifed School District
345 Elsinore High School Storm Drain Improvement
545 Chaney Street
Lake Elsinore, CA 92530
Francine Vaccarino 951-253-7000
Valley Center MunicipalWater Dist.
346 Aerie Road Intertie
29300 Valley Center Road
Valley Center, CA 92082
Fernando Carrillo 760-735-4500
City of Riverside
347 Pergola Restoration
3900 Main Street
Riverside, CA 92522
Edward Lara 951-826-5311
Inland Empire UtilitiesAgency
348 Magnolia Channel Repair
6075 "A"KimballAve
Chino, CA 91710
Matthew Poeske 909-573-6188
City of Riverside
349 Metal Door Assembly
3900 Main Street
Riverside, CA 92522
Tamarat Seyoum 951-826-5672
City of Palm Springs
350 Entry Monument Signs
3200 E. Tahquitz Canyon Way
Palm Springs, CA 92262
Craig Gladders 760-322-8368
Vallecitos Water District
351 Waterman Valves Replacement
201 Vallecitos de Oro
San Marcos, CA 92069
Jason Hubbard 760-744-0460
Ramona Municipal Water District
352 San vicente EQ &Brine Pond Rehab
105 Earlham St
Ramona, CA 92065
Ricardo Soto 760-789-1330
City of Newport Beach
353 Balboa Village EntryArch
100 Civic Center Dr.
Newport Beach, CA 92660
Eric Loke 949-644-3311
317,962.00
45,398.00
89,398.00
498,398.00
107,398.00
228,398.00
16.B
= s''''
‘I. |_. ._- .. .
.i""". _I.|g.l.
- .| .-
I
— I
In‘. u‘. I-- I-'— ' —
' ”“°
4- *=.*. '— E:-1...
-I - I In ' —-—.; . . .
'__:.:_-Mil
I
I— II...-.-I-'-
II
_- I.-I-I. -I-I .""""" _ H n_'.';_.:_:,i-.--
. _:_I. I___.
-I--II. I
-u .I . --
""'
- . -1
II I I... &
I IJ
I'-I I
'
I:'JI-
.._.-.-Z
._.-..
I" T6/16-8/16
6/16-2/17
11/16-3/17
8/16-11/16
7/16-12/16
11/16-4/17
11/16-7/17
11/16-3/17
1/17-4/17
1/17-4/17
Moreno Valley Unified Schools
354 Serrano ES Headstart Portable
23301 Dracaea Ave
Moreno Valley, CA 92553
Emmauel Lopez 951-571-4516
CA Department of Fish and Wildlife
355 New Manufactured Home Infrastructure
1812 NinthSt, Ste 100
Sacramento, CA 95811
Chris Ladeas 916-323-1611
City of Oceanside
356 Oceanside Golf Course Phase 2
300 N. Coast Highway
Oceanside, CA 92054
Amy Czajkowski 760-518-6266
Moreno Valley Unified Schools
357 Canyon Springs HS Stair Repair
25634 Alessandro Blvd
Moreno Valley, CA 92553
Tiffiney Martinez 951-571-7500
Murrieta Unified School District
358 Vista Murrieta HS 2016 Stadium Improvements
41870 McAlbyCourt
Murrieta, CA 92562
Randy Rogers 951-696-1600
City of Lake Elsinore
359 Serenity Park Improvements Phase 2A
130 S. Main Street
Lake Elsinore, CA 92530
Nicole McCa|mont 951-674-3124
City of San Bernardino Municipal Water District
360 Unit 2 Aeration Basin Anoxic Mixers Electrical Upgrade $ 300 North D Street
San Bernardino, CA 92418
Sydney Morrison 909-384-5393
Hemet UnifiedSchool District
361 2016 Hamilton HS Ramp Replacement
1791 W. Acacia Ave
Hemet, CA 92545
Hans Twardowski 951-232-3830
California Dept. of Park and Rec
362 Stone Creek Vault Reline
17801 Lake Perris Dr.
Perris, CA 92571
Ervia Atkinson 951-940-5642
Inland Empire Utilities Agency
207,398.00
148,000.00
215,398.00
64,398.00
527,398.00
798,398.00
298,398.00
76,398.00
42,398.00
16.B
3/17-3/17
6/17-7/17
6/17-9/17
6/17-8/17
6/17-10/17
9/17-2/18
2/18-6-18
363 DavitCrane Insert Replacement
6075 A KimballAve
Chino, CA 91708
Ryan Walker 909-993-1710
Cuhla Vista SDA
364 Church Sidewalk
225 D Street
Chula Vista, CA
Kenny Hill 619-997-8464
Lake Elsinore Unified School District
365 Temescal HS Metal Pool Equip Cover
545 Chaney St
Lake Elsinore, CA 92530
KwokSu 714-541-2390
Murrieta Unified School District
366 Thompson Parking Lot&Bus Lane
41870 Mcalby Court
Murrieta.CA 92562
Lori Noorigan 951-696-1600
City of Redlands
367 Service Club Monument Signs
35 Cajon St Suite 222
Redlands, CA 92373
Kathleen Giorgianni
909-798-7655
Temecula Uni?ed School District
368 RES Charter School Access
31350 Rancho Vista Rd
Temecula, CA 92592
Meredith Killion 951-506-7925
Carlsbad Unified School District
369 Sage Creek HS Athletic Modi?cations
3900 Cannon Rd
Carlsbad, CA 92008
KellyFlemming 760-535-7038
Rancho CA Water District
370 Berenda Road Pipeline Relocation
42135 Winchester Rd
Temecula CA 92589-9017
Heath McMahon 951-296-6900
Vallecitos Water District
371 North&South Pressure Reducing Station
201 Vallecitos De Oro
San Marcos, CA 92069
Carlos Fimbres 760-744-0460
4,444.00
67,398.00
498,398.00
24,398.00
316,398.00
282,030.00
298,398.00
387,398.00
$ 81,590.00
16.B
1/18-1/18
6/18-6/18
3/18-5/18
6/18-7/18
5/18-10/18
6/18-5/19
10/ 18-8/20
7/18-12/18
10/18-12/18
11/18-1/19
Inland Empire UtilitiesAgency
372 RP-1 Bleach Tank Replacement $
6075 "A"KimballAve
Chino, CA 91708
Ryan Walker
City of San Clemente
909-993-1710
373 Traffic Calming Speed Cushion Measures on Riachue $ Riachuelo st
San Clemente, CA 92673
Tom Frank
City of Norco
949-361-6127
374 Andalusian Dr and Spencer Blvd Storm Drain Project $ Andalusian Dr &Spencer Blvd
Norco, CA 92860
Sam Nelson
County of Orange
951-270-5678
375 Traffic Delineators at Caspers Park $
33401 Ortega Hwy
San Juan Capistrano, CA 92675
Nicholas Murray
City of Lake Elsinore
714-667-1659
376 Masonry, Landscape Segmental Retaining Wall, Conc $ 32040 Riverside Dr
Lake Elsinore, CA 92530
Gus Papagolos
San Jacinto Unified School Distri
377 San Jacinto HS Athletic Field Improvements
2045 S. San Jacinto Ave
San Jacinto, CA 92583
Mary Diaz
City of Riverside
378 Riverside Substation Metal Gate Replacement
3920 Mulberry St.
Riverside, CA 92507
Stephanie Heyl
Redlands Unified School District
379 Citrus Valley HS Parking Lot
800 W. Pioneer Ave
Redlands, CA 92374
Amy Drummond
Rancho CA Water District
380 Crystalaire Dr. Potable Water Pipeline Replacement $ Crystalaire Dr
Temecula, CA 92591
Rhonda Barkey
Inland Empire UtilitiesAgency
951-764-24 7
(951) 929-7700 ext. 4681
951-826-2412
909-748-6716 X20701
951-296-6984
27,398.00
76,398.00
158,398.00
167,398.00
357,398.00
247,398.00
998,398.00
95,962.00
234 398.00
16.B
n
1/15/19-8/19
3/19-4/19
3/19-9/19
5/13/19-8/19
4/ 19-2/20
5/19-8/19
5/19-5/20
7/18-8/19
381 RP1—DAFT No. 3 Hopper Piping Upgrades
2662 E. Walnut St
Ontario, CA 91761
James Spears 909-993-1851
lnand Empire UtilitiesAgency
382 Agency-Wide Threshold Improvements and RP-1 Raill $ 2662 Eeeee. Walnut St
Ontario, CA 91761
Christian Gomez 909-993-1516
Vallecitos Water District
383 Meadoelark Reclamation FacilityElectrical Vault Raisin $ 2941 Corintia
Carlsbad, CA 92009
Dawn McDoug|e 760-744-0460 X 400
San Jacinto USD
384 Hyatt E!ementa.y A chool Parking Lot Ev =n 400 E Shaver San Jacinto, CA 92583
Mary Diaz 951-929-7700 ext. 4681
.. .. .. n einn
.....\. \dL n,..............
City of Poway
385 Poway Dam Security Upgrades $
14644 Lake Poway Rd
Poway, CA 92064
Dianne Carrion 858-668-4606
City of Wildomar
386 Fire Station 61 Remodel $
32637 Gruwell St
Wildomar, CA 92595
Cameron Luna 951-677-7751 x245
Inland Empire UtilitiesAgency
387 RP-4 Outfall Pipeline ARV Replacement/Relocation $
2332 E Walnut St
Ontario, CA 91761
James Spears 909-993-1851
Hemet Unified School District
388 2019 Additional(4) Relo Classrooms @ Hemet ES $
633 E KimballAve
Hemet, CA 92543
Mike Sattley 951-765-5100 x5400
City of San Jacinto
389 San Jacinto Library Parking Improvements $
595 S San Jacinto Ave
San Jacinto, CA 92583
Kristy Rightmire 951-654-3592
City of Poway
390 PCPA Smoke Hatch Winch Replacement $
27,398.00
345,398.00
12,398.00
228,398.00
140,398.00
111,398.00
598,398.00
348,398.00
576,398.00
13,962.00
16.B
10/21-11/19
8/20-10/19
1/20-2/20
12/ 19-7/20
11/19-12-19
12/19-12/19
12/19-1/20
3/20-7/20
15498 Espola Rd
Poway, CA 92064
Jeff Beers 858-668-4624
San Bernardino MWD
392 Wate Quality Sample Stands Replacement Project Pl $ 399 Chandler Place
San Bernardino, CA 92408
Sydney Morrison 909-384-5393
Inland Empire UtilitiesAgency $
393 Walnut Well Rehabilitation
8800 East Walnut St.
Ontario, CA 91761
Matt Poeske 909-993-1723
Inland Empire UtilitiesAgency $
394 San Bernardino LiftStation Facility Improvement Project 13707 San Bernardino Ave
Fontana, CA 92335
Travis Sprague 909-993-1501
Inland Empire Utilities Agency $
395 RP-1 Plant Sludge Piping Repair
2662 E. Walnut
Ontario, CA 91761
Joel Ignacio 909-993-1501
Inland Empire UtilitiesAgency $
396 San Sevaine Basin Wet Well Restoration
6000 Cherry Ave
Rancho Cucamonga, CA 91739
Joel Ignacio 909-993-1501
Moreno Valley Unified School District $
397 Box Springs Elementary POT Improvements
11900 Athens Dr.
Moreno Valley, CA 92557
Jacob Romero 951-571-7500
San Jacinto Unified School District $
398 Concrete Pad @ Hyatt Elementary School
400 E. Shaver St.
San Jacinto, CA 92583
Barry Mulcock 951-929-7700
County of Riverside $
399 Jurupa Valley Boxing Club Parking Lot Improvements
92,698.00
26,962.00
118,392.00
107,398.00
17,962.00
24,398.00
27,148.00
322,962.00
6/19-7/19 San Jacinto Uni?ed School District
391 Installation of 2 Shade Structures at San Jacinto HS $ 500 IdyllwildDr
San Jacinto, CA 92583
Barry Mullock 951-929- 700
124,398.00
16.B
12/19-1-20
5/20-10/20
4/20-4/20
7/20- 2/21
4/20-6/20
4/20-8/20
5626 Mission Blvd
Riverside, CA 92509
Blanca Limon
Kris Sanders
400 Bathroom Remodel
County of Orange
401 Misting System at Prima Deshecha
601 N. Ross St
Santa Ana.CA 92701
Hunter Smith
IEUA
949-728-3055
402 RP-1 Headworks Sump Pump Drain
2662 E. Walnut St
Ontario, CA 91761
James Spears
Olivenhain Municipal Water District
909-993-1851
404 Morning Sun Pressure Reducing Station
1966 Olivenhain Rd
Encinetas, CA 92024
Jason Hubbard
San Jacinto USD
406 San Jacinto HS Animal Shelter
500 ldyllwildDr.
San Jacinto, CA 92583
Barry Mulcock
Hemet USD
407 CNG Compressor Replacement @ Maintenance Yard
1791 W. Acacia Ave
Hemet, CA 92545
Mike Sattley
IEUA
408 930 Zone Valve Replacement
6075 "A"Kimball Ave
Chino, CA 91708
Adham Almasri
760-753-6466
951-929-7700
951-765-5100
909-993-1462
$
16,398.00
387,962.00
21,962.00
5/20-6/20 City of Chino
403 Riverside Dr. Bridge Repair
5050 Schaefer Ave
Chino, CA 91710
Benjamin Orosco
951-955-9138
909-334-3445
4,600.00
$437,962.00
67,398.00
12,362.00
43,962.00
4/20 - 4/20 San Jacinto USD $ 14,398.00
405 Hyatt Preschool Gazebo Concrete In?ll
400 E. Shaver St.
San Jacinto, CA 92583
Barry Mulcock 951-929-7700
16.B
6/20-10/20
8/20-8/20
8/20-10/20
8/20-8/20
9/20-1/21
12/20-1/21
2/21 -4/21
5/21 -5/21
3/21-3/21
4/21 -5/21
Temecula Prepatory School $
409 Temecula Prepatory Weight Room
35777 Abelia St
Winchester, CA 92596
Marty Stiefel
167,398.00
951-926-6776
IEUA $
410 IECRF Roof Damage - Glulam Repair
6075 "A"KimballAve
Chino, CA 91708
James Spears
176,398.00
909-993-1851
Poway Unified School District $
411 Solar Removal &Reinstallation at Poway High School
13626 Twin Peaks Rd
Poway, CA! 2064
Janay Greenlee
78,398.00
858-679-2544
San Jacinto Unified School District $
412 SJHS Ag Water System
500 IdyllwildDr.
San Jacinto, CA 92583
Barry Mulcock
9,210.00
951-929-7700
City of Menifee $
413 Police Headquarters Wall Plan Phase I
29844 Haun Rd
Menifee, CA 92586
Don Sharp
228,398.00
858-472-0251
City of Poway $
414 Swim Center Valve &Strainer Replacement
13325 Civic Center Dr
Poway, CA 92064
Roger Morrison
27,398.00
858-668-4581
City of Corona $ 427,398.00
415 R-3 Potable Water Tank Ring Drain 8. Pavement Repair &Access Road Paving 400 S. Vicentia Ave.
Corona, CA 92882
Barry Ghaemi 951-739-4961
City of Hemet $
416 FloridaAve Emergency Repair
445 E. Florida Ave.
Hemet, CA 92543
Lorena Rocha
127,398.00
951-765-2331
Rubidoux Community Services District $
417 Anita B. Smith Vessel Foundation Project
3590 Roubidoux Blvd.
Jurupa Valley, CA 92519
Ted Beckwith
96,398.00
951-684-7580
City of Norco $ 61,398.00
13
16.B
6/21 — 11/21
6/21 - 3/22
6/21 — 2/22
11/21-3/22
12/21-1/22
418 ADA Parking Improvements - George lngalls Equestrian Event Center 2870 Clark Ave.
Norco, CA 92860
Brian Petree 951-270-5633
City of San Bernardino
422 Kendall Dr. Slope Rehabilitation
201 N. E Street 2nd Floor
San Bernardino, CA 92401
Nadeem Syed
$654,321.00
909-384-5902
Ontario - Montclair School District $
423 BuildingDemolitionand Site Improvements of DistrictTransportation Yard 950 W. D Street
Ontario.CA 91762
Angie Redelsperger
208,398.00
909-418-6476
San Jacinto Unified School District $
424 TruTouch MonitorInstallation
2045 S. San Jacinto Ave.
San Jacinto, CA 92583
Chawn Lytle
217,398.00
951-929-7700
City of Temecula
425 Flood Control Channel Reconstruction
Pala Community Park 44900 Temecula Lane
Temecula, CA 92592
Nino Abad
$998,398.00
951-308-6385
County of Orange S 58,398.00
426 BollardReplacement at Riley Park
60 . Ross St.
Santa Ana, CA 92701
Amer Moujtahed 714-667-4976
1N
16.B
2/22- City of Escondido
429 NFC Fitness Court Install Library
201 N. Broadway
Escondido, CA 92025
12/21-1/22 City of Yucaipa $ 7,962.00
428 Five Winds Ranch Barn Building Relo
34272 Yucaipa Blvd
Yucaipa, CA 92399
Debbie Shortlidge 909-797-2489
$ 87,398.00
3/22-3/22 San Bernardino Municipal Water Department $ 34,962.00 430 Replacement of 42" Low Pressure AirLine BF Valve
1350 South E Street
San Bernardino, CA 92408
Sydney Morrison 909-384-5393
TOTAL $ 25,077,361.24
16.B
16.B
responsible
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the OUTDOOR FITNESS COURT AT MARY HENLEYPARK, CIP No. 5735, and appurtenant work i n 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, al other l 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 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 integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s) l ,1, ,3) .
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 OUTDOOR FITNESS COURT AT MARY HENLEYPARK, CIP No. 5735 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.
16.B
¢:n:1«1a4a4r1r1:s:n-¢a9a«44:v:~n4:«~k1:ve«*1a¢:¢:1:1rnn-a OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735
ITEM
No
10 11
12 13
B|DDER'S PROPOSAL (cont’d)
BIDSCHEDULE
BASEBID- OUTDOOR FITNESSCOURT AT MARY HENLEYPARK,CIP No. 5735
DESCRIPTION
Mobilization (Not to Exceed 5% of
Bid)
Water Quality Control
Field Orders (stipulated item)
Clearing, Grubbing & Removals
Remove & Relocate Ex. Sprinkler
System
Site Grading] Excavation — Balanced Earthwork
4" PCCSidewalk
Sidewalk Drain Outlet
1% Drainage Swale
Furnish & Install Grass Seeding
and Fertilized Soil
4" Fitness Court Slab (4,000 PSI)
6" Fitness Court Base (CMB)
Install Fitness Equipment (City
Furnished)
UNIT
LS
CY
SF
EA
SF
SF
EXTENDED
ITEM
AMOUNT
UNIT
PRICE
ESTIMATED
QUANTITY
1 $5,000 $5,000
25 “:00
2,300
180
1,440 2_ 1
1,440
TOTAL BASEBID (numbers) 2I 7/717
END OF E D *************'k'k***************'k*****
\o3*t7 l0, 3+7
goOC> gamj
Z0xbO 2£LOOC)
3,000 3,000
\CLO®O
'9 $1,500
7000 ‘loco
2% LLH
I%ooOOI
I
3\,\o
$‘<O
H 20,190
5 3,000 53, O00
16.B
vf ’e\/\'r\+\n‘ 6| ‘\’‘A A ’rwev\ Sex/2
;-3 éonar?.
Qné Zct/c)
Ce»/\f§
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL (cont’d)
BASE BIDTOTAL (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/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 schedule(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.
16.B
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL (cont’d)
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. r‘ M, E‘-,r_w
16.B
E9‘-\\ae_« Con:-\-md-‘on\r\L. moooosss? Ioymgts
ECQ "CK \-1 J
7&0 1
5o.sonKama sonab M \'(‘€xJ
N /1’?
'
{/6 /2022Kim‘(QM
z ' ?ate
Jk? 3 o<aL P12e:n>e
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL (cont’d)
Complete the following
1>lR— Ll Q.
8 Legal name of the business, DIRReg. and Contractor License Nos CorooroC\'\o(\
Business Type (Corporation, Partnership, Sole Proprietor) Bunkex \' near!
DBA(if any)
AotxonBUAKQV.Prcsi &er\‘\'
Les \u4, gur?cef ; 3cc,re,*-oval
Name and title of second partner or officer
‘*l°Iz°I°l Cochran BY. lnclio. Cr-X °iz2c>\
“mo 1066-‘£155
Telephone number
Facsimile number
Act \:>uvnK€.Y' e meer
Name and Email address of primary contact
Company web address
s/3\/
Signature of Bidder 22
on mu m’ Lesut? Bow KER, Y
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare required.) Name and title of the owner
Business Address
16.B
i (UL )
Wu‘-3:7022
/Thf?suvx P>LL|L‘CL\ MM L?éll? 61$,‘CH
hand and
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
validitv of that document.
State of Californ
County of
On before me,
(insert name and of e of?cer)
personally appeared
who proved to me on 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 n 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 of?cial seal
Sign (Seal)
\\/“M
NNA1
A
LORRAINEWATSON
Notary Public- California
RiversideCounty
CommissionIt2272265
MyComm.ExpiresJan 15, 2023
\C
16.B
vgnature
€ 3 /2
Date
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER'S PROPOSAL (cont'd)
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): I 03“ltp“‘l'S
b Expires on I /3\ /Z0Z"l
Z s/3 \ /
of Bidder Signature of Bidder 22
Jiesozv 'BcL~rCdP—, P/Zen DENT Le">lltKhmer, StC‘fc‘l‘a\,L,i Print name and title Print name and title
(Ifthe 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.
16.B
idily
. >
- hm Akm\V
\?7u“.
uDJ51l
jtsuq‘?)LLu4LL1_/uLA L€5\I<’. gbkgxlétl .
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
val of that document.
State of California
County of
On before me
(insert me and title of the of?cer)
personally appeared
who proved to me on e 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 n 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 nd and official seal
Sig (Seal)
HMO
LORRAINEWATSON
NotaryPublic- California
RiversideCounty CommissionIf2272265
MyComm.ExpiresJan 15, 202
16.B
ACCO
Vi P3Y
an
Bidd r
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL (cont'd)
BID SECURITYFORM FOR CHECK
NOTE: THE FOLLOWINGFORM SHALLBEUSEDINTHE CASEOF CHECK ANYINGBID Accompa ng this proposal is a Certified Check or Cashier's Check le to the order of the City of Hem hereinafter referred to as "Agency", for
dollars ($ , this
amount being rcent (10%) of the total amount of the .This check shall be returned to the undersigned on if either of the following occurs
A. Ifsaid Bid shall be cted by the Agency
ncy and the Undersigned shall execute and
deliver a Contract in the atta hereto (properly completed in accordance with said Bid) and shall furnish n uired for his/her/itsfaithful performance of said Contract and for the payment all persons performing labor or furnishing materials in connection therewith, and II all other respects perform the Contract created by acceptance of said Bid
Otherwise, said check shall e the prope of the Agency
e the property Ofthe if the Undersigned shall withdraw
his/her/itsbid within th period of sixty (60) calen after the date set for the opening thereof, unless othe required by law, and notwith nding the award of the Contract to another bidder.
Date
title Print name and title
is a corporation, two signatures ofcorporate o?icersare required.) /I/miWED
B. If said Bid shall be a ted by th
Said check shall also
Signature of Bidder Signature of Bidd Date
Print name
(Ifthe
16.B
. dba Bunker Engmgmna r
Amount In Words) Percem of the Amountof me?id
(
Bond No. CSBA-20973
OUTDOORFITNESSCOURTat MARYHENLEYPARK Rev. 0
CIPN0.5735 BlDDER'SPROPOSAL(cont'd) Januarv 3032
BIDSECURITYFORM FORBOND
KNOW ALLBYTHESEPRESENTS
That the undersigned
Bunker Construction 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 (Qo_Ha _r
Ten
Dollars 10% 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 [PROJECTNAMEANDDESCRIPTION] Outdoor Fitness Court at Mary Henley Park, CIP No. 5735 THE CONDITIONOF THIS OBLIGATIONIS 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 fullforce and effect.
IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 23rd day of Mav 2022.
(Month)
Bunker Construction, Inc. dba Bunker Engineering
(Corporate Seal)
ncipal
i0 rance Company
D. Stong, In-Fact
(Corporate Seal) By
16.B
R. NAP?!
Maury Public - cmcrm
vsvsvceCuu-v|y
on : 211797:
My Ccmm. Expires Juw 7, 2024
ACKNOWLEDGMENT
A notary public or other of?cer completing this
certificate verifies 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 23 2022 before me‘ R. Nappi "Notary Public"
(insert name and title of the officer)
personally appeared Mi°hae' D‘ St°“9
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.
IVNN Signature (Seal)
16.B
Muttlltayl.
KNOWNALLPERSONSBYTHESEPRESENTS:ThatThe OhioCasually insuranceCompanyis a corporauondulyorganizedunder the laws at the State at NewHampshire.Ina! LibertyMutualInsuranceCompanyIs a onrporalivndulyavganizedunderthe lawsoftheState0!Massachusetts,andWestAmericanlnsuranaeCompanyis a carpcratkzndulyorganized underthe law:attheSlat: at Indiana(hereincollectivelynailedthe'Companies'),pursuanttoand byanlhnrilyhereinset lorlh does herebyname‘ constituteand appoint‘ Amzru Aynln. Ben Slang: BenjaminWolfe: Chelsea Arnold; Daniel Huckabuy; Dwight Reilly: Frank Momncs xchaclD. Slong: R. Nappi; Shannnn R015] I: Oslmnl Orange
mg
David Assistant
aresa Paslella, NotaryFuhllc
ReneeC.Llewellyn,AssistantSecretary
SURETY
This Powerof Attorneylimitsthe acts ofthose namedherein, and they have no authority to bind the Companyexcept in the mannerand to the extent hereinstated.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
POWER OF ATTORNEY
1912 1919 1991
1912 1991
ibe a|.comes, i/OS calla 610-832-8240
Bond No. CSBA-20973
CertificateNo: 8207865-969561
allofthe cityof state of CA each individuallyiftherebe morethanonenamed, itstrue and lawfulattorney-in-factto make, execute,seal, acknowledgeanddeliver,forandon itsbehalfas suretyandas itsact anddeed, any andallundertakings,bonds,recognizancesandothersuretyobligations,inpursuanc e of these presents and shallbe as bindinguponthe Companiesas ifthey have been dulysigned bythe presidentand attested by the secretary ofthe Companiesintheirown prope r persons.
INWITNESSWHEREOF. this PowerofAttorneyhas been subscribedbyan authorizedof?ceror of?cialofthe Companiesand the corporateseals ofthe Companieshave been af?xed theretothis 21st day of April
LibertyMutualInsuranceCompany
TheOhioCasualtyInsuranceCompany
WestAmericanInsuranceCompany
M.Carey, Secretary
State ofPENNSYLVANIA
Countyof MONTGOMERY
On this 21st dayof April ,_2022 beforeme personallyappeared DavidM.Carey, whoacknowledgedhimselfto be theAssistantSecretary ofLibertyMutualInsuranc Company,The OhioCasualty Company. e and West AmericanInsuranceCompany,and that he, as such, beingauthorizedso to do, execute the foregoinginstrumentforthe purposes thereincontainedbysigningon behalfofthe corporationsbyhimselfas a dulyauthorizedof?cer.
INWITNESSWHEREOF,Ihave hereuntosubscribedmynameandaf?xedmynotarialseal at KingofPrussia,Pennsylvania,on the dayand year?rstabovewritten.
This Powerof Attorneyis made and executed pursuantto and by authorityof the followingBy-lawsand Authorizationsof The OhioCasualty InsuranceCompany,LibertyMutu al InsuranceCompany,andWestAmericanInsuranceCompanywhichresolutionsare nowinfullforceandeffectreadingas follows:
ARTICLEN — OFFICERS:Section12.PowerofAttorney.
Any of?cer or other of?cialof the Corporationauthorizedfor that purposein writingby the Chairmanor the President, and subjectto such limitationas the Chairmanor the Presidentmayprescribe,shallappointsuch attorneys-in-fact,as maybe necessary to act in behalfofthe Corporationto make, execute, seal, acknowledgeand deliveras suret y
any and allundertakings,bonds, recognizancesand othersuretyobligations.Such attorneys-in-fact,subjectto the limitationsset forthintheirrespectivepowersof attorney,shal l have fullpowerto bind the Corporationby theirsignatureand executionof any such instrumentsand to attach thereto the seal of the Corporation.When so executed,suc h instrumentsshallbe as bindingas ifsigned by the Presidentand attestedto bythe Secretary.Anypoweror authoritygrantedto any representativeor attorney-in-factunderth e provisionsofthisarticlemaybe revokedat any timebythe Board,the Chairman,the Presidentor bythe of?cerorof?cers grantingsuch poweror authority.
ARTICLEXIII— Executionof Contracts: Section5. SuretyBondsandUndertakings.
Anyof?ceroftheCompanyauthorizedforthatpurposeinwritingbythe chairmanorthe president,and subjectto suchlimitationsas the chairmanorthe presidentmayprescrib e, shallappointsuch attorneys-in-fact,as may be necessary to act in behalfof the Companyto make,execute,seal, acknowledgeand deliveras surety any and allundertaking s, bonds,recognizancesand othersurety obligations.Suchattorneys-in-factsubjectto the limitationsset forthintheirrespectivepowersof attorney,shallhave fullpowerto bindth e Companybytheirsignatureand executionof any such instrumentsand to attachtheretothe seal ofthe Company.Whenso executedsuch instrumentsshallbe as bindingas i f signedbythe presidentand attestedbythe secretary.
Certificate of Designation— ThePresidentoftheCompany,actingpursuanttothe BylawsoftheCompany,authorizesDavidM.Carey,AssistantSecretaryto appointsuchattorneysin- fact as may be necessaryto act on behalfofthe Companyto make, execute,seal, acknowledgeand deliveras surety any and allundertakings,bonds, recognizancesand othersuret y obligations.
Authorization— Byunanimousconsent oftheCompany'sBoardofDirectors,theCompanyconsentsthatfacsimileor mechanicallyreproducedsignatureofany assistantsecretary ofth e Company,whereverappearingupona certi?edcopyofanypowerofattorneyissuedbytheCompanyinconnectionwithsurety bonds,shallbe validandbindingupontheCompanywit h the same forceandeffectas thoughmanuallyaf?xed.
I, Renee C. Llewellyn,the undersigned,AssistantSecretary,The OhioCasualtyInsuranceCompany,LibertyMutualInsuranceCompany,and West AmericanInsuranceCompanyd o
herebycertifythattheoriginalpowerof attorneyofwhichthe foregoingis a full,true and correct copyofthePowerofAttorneyexecutedbysaidCompanies,isinfullforceandeffectan d
has notbeen revoked.
INTESTIMONYWHEREOF,I havehereuntoset myhandandaf?xedthe seals ofsaidCompaniesthis 23rd dayof May 2022 2022
- Nolsry Teresa Pasteila. Public MontgomeryCounty
Mycommissionexpires March28, 202
commissionnumber11260445
OCIC WAIC Multi Page 86 of 252 Co 02/21
16.B
)
LcwmM Wrtkm
(he
Dzhu%1 P
x
k»\,IL
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 Ca
County of
On before me,
(insert name and title of of?cer)
personally appeared
who proved to me on 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 n 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 (Seal)
“(?atH19:(CL
3 Z1
ltm
LORRAINEWATSON
Notary Public- California
RiversideCou
CommissionI!22 5
MyComm.ExpiresJan 15,
16.B
BM/K51 am?mm
I I
V _ »
L :3, __.‘5 5Z34@z.
'
at ate
_1,55o~3 KEK ‘P:/25:/J>€A/T gggfaxmrma 552,657-A-RH
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER'S PROPOSAL(cont'd)
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON—COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERAND SUBMITTEDWITHBID The undersigned declares:
I am the PR€SID€NT of he party making the
foregoing bid /NC‘
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 ?3g[;L [date], at //VD/0 Icity], [state]
ure of Bidder Signature of Bidder
uuu
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures corporate are required.) Date
16.B
Iidity
‘f‘TL~t1;“{Ah 1 ‘
‘Z01 Mg}m[ ‘?)?l§(I‘1\
Z‘ n
>
of
_
of?cer)
)
m‘
appeared . .. 4 V. . . . .7 W],
- . —,, %L\«7\«k4’
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
va of that document
State of Cal
County of
On before me,
(insert title the
personally
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 n 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 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
Signature (Seal)
?)iiMLMMA U 1
LORRAINE WATSON
Notary Public- California
RiversideCounty
CommissionI!2272265
MyComm.ExpiresJan 15, 2023
|VNN
‘
16.B
Hgv\+ ‘%wmc\/x big; :‘ !5)4>.+evl gvxé 35;,“ \mgrge&gj$ D
V €sP¢;=..1—_¢; . EASE c. Fu\\e,\('f‘O\’\ cn 92583
'7\-1 52- 91$
gboudo Pwapn EH Co»\\¢ TA\am§9\CO lg Qgxvdb C9 ?Lz€3
$.24-is\z-¢, CD(\S¢\r\JOc\3g(\ C£~w\P Sb pkveuggnf QaI2\mcem¢r'<\' OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL (cont'd)
CONTRACTOR'SREFERENCE LIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.
Project Name: Li
Contract Price: 3‘ l‘l7 ‘+8? - LC’ ate of Completion: 0‘-l /l"l/1022 Name, Address, and Telephone Number of Owner's Representative:
Nxclo - 2.r>l % ue, Av
— '7 ‘El
Project Name: Fr. ‘\-L ‘Bums Pawlt.$\&euoo_\\c anal. Pourburg Contract Price: in 10 , S104' 00 Date of Completion lo / \*'l Name, Address, and Telephone Number of Owner's Representative - 7 ‘IS
"It.o— 717 - ‘I/?x.
Project Name: ‘Eh
Contract Price: R‘’).S(o, ?7_‘‘l- ‘'0 Date of Completion S /U /2022.
Name, Address, and Telephone Number of Owner's Representative ll\/\a-\\- lV\g\r_oA - 330 IS ?xco‘\'\S‘\-acKé . ‘\’\'-nxv\t3r F °-|7<."l"l 6181-310- (9133
(Attach additional pages as necessary)
16.B
[email protected]
Nesgosito?cityofful|erton.ccm
Job Number
Project Name:
Project Number:
Construction Dates
Agency Name:
Contact Person:
Title/Position:
Email:
Address:
Telephone:
Original Contract Amount:
Final Contract Amount:
Project Description/Scope of Work:
Additional Comments
Project Team:
Job Number
Project Name:
Project Number:
Construction Dates:
Agency Name:
Contact Person:
Title/Position:
Email:
Address:
Telephone:
Original Contract Amount:
Final Contract Amount:
Project Description/Scope of Work:
Additional Comments
Project Team
Project References
431
Bautista Conservation Camp #36 Pavement Replacement
3CA05616
4/21/2022To: 5/21/2022
Department of Forestry and Fire Protection
Matt McCleod
CivilEngineer — Southern Region
33015 Bautista Road
Hemet, CA92544
(951) 320-6133
S 256,824.70
$ 256,824.70
Demo and replace asphalt concrete pavement with 6" Class IIBase and 6" Asphalt Concrete, Seal coat and Striping.
Jason Bunker, Project Manager—Schedu|ing, Project Tracking, Safety Compliance, Site Supervision
430
Hunt Branch Library Water and Sewer Improvements
55050
2/7/2022To:
City of Fullerton
Nick Esposito
Public Works - Engineering
4/14/2022
201 S. Basque Ave.
Fullerton, CA92833
(714) 738-6851
S 197,805.00
$ 197,458.25
Install 8" ductile iron water pipe, 2" water services, 6" HDPEsewer via pipe bursting, and appurtenances.
Project remained within budget due to field engineering to reduce quantities while covering unforeseen costs.
Jason Bunker, Project Manager—Schedu|ing, Project Tracking, Safety Compliance, Site Supervision
16.B
ee orbalindaca. ov
Job Number
Project Name:
Project Number:
Construction Dates:
Agency Name:
Contact Person:
Title/Position:
Email:
Address:
Telephone:
Original Contract Amount:
Final Contract Amount:
Project Description/Scope of Work:
Additional Comments:
Project Team:
Job Number
Project Name:
Project Number:
Construction Dates:
Agency Name:
Contact Person:
Title/Position:
Email:
Address:
Telephone:
Original Contract Amount:
Final Contract Amount:
Project Description/Scope of Work:
Additional Comments:
Project Team:
Project References
428
ElDorado Ranch Park Irrigation Installation Phase III
11153
9/16/2021To:
City of Yucaipa
Mike Seal
Special Projects and Maintenance Engineer
[email protected]
34272 Yucaipa Blvd
Yucaipa, CA92399
(909) 797-2489
S 78,849.00
$ 78,497.50
Install Irrigation System including mainline and lateral piping. 10/22/2021
Jason Bunker, Project Manager—Schedu|ing, Project Tracking, Safety Compliance, Site Supervision and Equipment Operator.
426
City Hall Electric Vehicle Charging Station Infrastructure Project 21—0002558
9/9/2021To:
City of Yorba Linda
RickYee
Deputy Public Works Director/AssistantCity Engineer
11/12/2021
4848 Casa Loma Ave
Yorba Linda, CA
(714) 961-7170
S 91,851.00
$ 91,851.00
Electrical room upgrades and infrastructure to prepare the rear parking lot at City Hallfor the future installation of five (5) ChargePoint CPF50 dual-port Level II electrical vehicle (EV)charging stations to serve ten (10) parking spaces for fleet vehicle charging. Work includes trenching and repaving surfaces to install electrical conduit, remove and install pavement, signage and striping, temporary traffic control and all other appurtenant work
Jason Bunker, Project Manager—Schedu|ing, Project Tracking, Safety Compliance, Site Supervision and Equipment Operator.
16.B
Char|es.Hernandez@sdd .sbcounty.gov
[email protected]
Project References
Job Number 425
Project Name: On-Call Pipeline Maintenance and Repair Services Project Number: SDD-O14
Construction Dates: 7/1/2021To: 6/30/2026
Agency Name: San Bernardino County Department of PublicWorks -Special Districts Contact Person: Chuck Hernandez
Title/Position: Staff Analyst ll, Project Management Division Email:
Address: 222 W. Hospitality Lane, 2nd Floor
San Bernardino, CA 92415-0450
Telephone: (909) 386-8800
Original Contract Amount: $ 1,700,000.00
Final Contract Amount: $ 1,700,000.00
Project Description/Scope of Work: Provide on—ca|l routine and emergency maintenance and repairs to water and wastewater pipelines located throughout the County of San Bernardino.
Team Members:
Job Number 424
Project Name: Construct Drainage Pipe
Project Number: 07-A4997
Construction Dates TBD To: TBD
Agency Name: California Department of Transportation
Contact Person: Fred Tieu
Title/Position: Resident Engineer
Email:
Address: 39115 Trade Center
Palmdale, CA93551
Telephone: (213) 792-4663
Original Contract Amount: $ 291,782.00
Final Contract Amount: $ 291,782.00
Project Description/Scope of Work: Construct drainage pipe and concrete drainage structures across Route
16.B
[email protected]
cescarre a la uintac
Project References
Job Number 421
Project Name: Mission Bay Drive Drainage Project
Project Number: C-7889-1
Construction Dates 11/16/2020To: 12/14/2020
Agency Name: City of Newport Beach
Contact Person: Patrick Aciniega
Title/Position: Project Manager
Email:
Address: 100 CivicCenter Drive
Newport Beach, CA 92660
Telephone: 949-644-3321
Original Contract Amount: $ 143,983.00
FinalContract Amount: S 148,164.59
Project Description/Scope of Work: Install solid and perforated subdrain pipe.
Team Members: Jason Bunker, Project Manager—Schedu|ing, Project Tracking, Managing Crew.
Leslie Bunker, Office Manager— Administrative Duties, payroll, accounting, Human Resource compliance and Safety Compliance John Denboer, Superintendent- Oversaw site crew, equipment, project scheduling.
Job Number 420
Project Name: Fritz Burns Park Sidewalk and Parking
Project Number: 2017-22
Construction Dates: 9/12/2020To: 10/14/2020
Agency Name: City of La Quinta
Contact Person: Ubaldo Ayon
Title/Position: Management Assistant
Email:
Address: 78495 Calle Tampico
La Quinta, CA92253
Telephone: 760-777-7096
Original Contract Amount: $ 77,585.00
Final Contract Amount: S 80,569.00
Project Description/Scope of Work: Parking lot and sidewalk improvements Project Team: Jason Bunker, Project Manager-Scheduling, Project Tracking, Safety Compliance, Cost Estimating, Constructibility Reviews
Leslie Bunker, Office Manager— Administrative Duties, payroll, accounting, Human Resource compliance and Safety Compliance John Denboer, Superintendent- Oversaw site crew, equipment, project scheduling.
16.B
o §UN(ER GINEER\NG
[email protected]
Rarmenta@cigofelca'on.us
Project References
Job Number 416
Project Name: CivicCenter Sewer LiftStation LidReplacement Project Number: C-7858-1
Construction Dates: 6/15/2020To: 9/11/2020
Agency Name: City of Newport Beach
Contact Person: Tom Sandefur
Title/Position: Assistant City Engineer
Email:
Address: 100 Civic Center Drive
Newport Beach, CA92660
Telephone: 949-644-3321
Original Contract Amount: $ 34,543.00
Final Contract Amount: S 34,543.00
Project Description/Scope of Work: Remove and replace sewer lift station lid with gas—tight/watertight li d
Project Team: Jason Bunker, Project Manager-Scheduling, Project Tracking, Safety Compliance, Site Supervision and
Equipment Operator.
Job Number 414
Project Name: ElCajon Bicycle Parking Enhancements
Project Number: 400582
Construction Dates 8/31/2020To: 9/4/2020
Agency Name: City of ElCajon
Contact Person: Raul Armenta
Title/Position: Associate CivilEngineer
Email:
Address: 200 CivicCenter Way
ElCajon CA 92020
Telephone: 619-441-1665
Original Contract Amount: $ 12,942.00
Final Contract Amount: $ 15,653.00
Project Description/Scope of Work: Furnish and install new bicycle racks and remove existing rack.
Project Team: Jason Bunker, Project Manager-Scheduling, Project Tracking, Safety Compliance, Site Supervision and
Equipment Operator.
16.B
'nelsonQcityofgalmdesertorg
[email protected]
Project References
Job Number 410
Project Name: Palm Desert Aquatic Center Restroom Partitions Project Number: A39910
Construction Dates: 4/13/2020To: 4/16/2020
Agency Name: City of Palm Desert
Contact Person: Jennifer Nelson
Title/Position: Management Analyst
Email:
Address: 73510 Fred Waring Drive
Palm Desert, CA92260
Telephone: (760) 346-0611
Original Contract Amount: $ 6,815.00
Final Contract Amount: $ 6,815.00
Project Description/Scope of Work Replace and Install New Restroom Partitions at the Palm Desert Aquatic Center
Project Team: Jason Bunker, Project Manager—Schedu|ing, Project Tracking, Safety Compliance, Site Supervision and Equipment Operator.
Job Number 307
Project Name: Utility Tunnel Piping Condition Assessment Project Number: 789
Construction Dates: 11/4/2019To: 11/8/2019
Agency Name: Elsinore Valley Municipal Water District
Contact Person: Karl Erbacher
Title/Position: Senior Construction Manager
Email:
Address: 31315 Chaney Street
Lake Elsinore, CA92530
Telephone: (951) 396-4980
Original Contract Amount: S 25,400.00
Final Contract Amount: S 25,400.00
Project Description/Scope of Work: Access confined space, remove insulation, UT and replace insulation Project Team: Jason Bunker, Project Manager—Schedu|ing, Project Tracking, Safety Compliance, Site Supervision and Equipment Operator.
16.B
mmonson ucal
aca|houn@cvw org
Project References
Job Number 306
Project Name: Uptown Parking Lot and Alley Improvements Project Number: 11046
Construction Dates: 7/9/2019To: 9/6/2019
Agency Name: City of Yucaipa
Contact Person: Margaret Monson
Title/Position: Engineering
Email:
Address: 34272 Yucaipa Blvd
Yucaipa, CA92399
Telephone: (909) 797-2489
Original Contract Amount: $ 112,827.00
Final Contract Amount: $ 127,632.25
Project Description/Scope of Work: Demolition, grading, asphalt paving, curb & gutter, sidewalk and striping for an ADA compliant parking lot.
Project Team Jason Bunker, Project Manager-Scheduling, Project Tracking, Safety Compliance, Site Supervision and Equipment Operator.
Job Number 305
Project Name: LiftStation 55-01 Insulation Replacement
Project Number:
Construction Dates 4/9/2019To: 5/19/2019
Agency Name: Coachella Valley Water District
Contact Person: Andy Calhoun
Title/Position: Mechanical Shop Supervisor
Email:
Address: 75525 Hovley Lane East
Palm Desert, CA92211
Telephone: (760) 398-2661
Original Contract Amount: $ 22,811
FinalContract Amount: $ 22,811
Project Description/Scope of Work Remove and replace insulation in metal building.
Project Team: Jason Bunker, Project Manager-Scheduling, Project Tracking, Safety Compliance, Site Supervision and Equipment Operator.
16.B
msaal ucai a.or
Project References
Job Number 204
Project Name: ElDorado Ranch/FiveWinds Irrigation Improvements Project Number: 11082
Construction Dates 9/18/2018 To: 12/18/2018
Agency Name: City of Yucaipa
Contact Person: Michael Seal
Title/Position: Special Projects and Maintenance Engineer Email:
Address: 34272 Yucaipa Blvd
Yucaipa, CA92399
Telephone: (909) 797-2489
Original Contract Amount: S 38,169
FinalContract Amount: S 53,169
Project Description/Scope of Work Install Irrigation System including mainline and lateral piping.
Additional Comments: City of Yucaipa requested additional work due to project completion on time and within budget.
Project Team: _ _ ' _ Jason Bunker, Project Manager—Schedu|Ing, Project Tracking, Safety Compliance, Site Supervision and Equipment Operator.
16.B
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL (cont’d)
DESIGNATION OF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor's
of Business Percentage of Work License No.
0“ S{>oW\,\_ Lama, 'S.2rVc,\1\‘r\o) Lona . LS% \ 33 $Ufve,~\u"c3 OJ; l-5°/o wow (Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE §4100 ETSEQ.)
DIR Registration
Number
\oc>ooo3\c>o
16.B
<§§?POIN
T
E tmat
On Point Land Surveying, Inc.
1906 Orange Tree Lane
Suite 240
Redlands, Ca 92374
Name I Address
Estimating Department
P.O. No. Date Estimate #
5/31/2022 000-11 147
Project Terms
000-11147 Outdoor Fitness Court, Hemet Net 30
Description Total
1) SURVEY CONTROL - Verify horizontaland vertical control as provided by project engineer. Set additional control for 960.00 constructionstaking ptuposes.
2) CONCRETE FLATWORK - Construction staking for concrete ?atvvork as shown on plans. (1 trip max) 1,920.00 Thank you for the opportunity to provide you with this proposal! Authorization to Proceed
(909) 792-2221 fax (909) 784-1836
[email protected] www.onpointlandsurveying.com
INC
16.B
POINT
E timat
On Point Land Surveying, Inc.
1906 Orange Tree Lane
Suite 240
Redlands, Ca 92374
Name / Address
Estimating Department
P.0. No. Date
5/31/2022
Project
000-11147 Outdoor Fitness Court, Hemet
Description
This proposal does not include any services other than those speci?cally detailed herein.
Client is responsible for all access and right of way permits required by project agencies, including training required. Client is responsible for all required traffic control.
Cut sheets are standard staking deliverable. All point plots and exhibits prepared will be performed on a time and materials basis according to the rates below.
Services requested or required that are outside those detailed herein will be billed at the following rates: Field Crew @ $240 an hour (min 4 hr/trip) ($260/hr for projects that are subject to PLA - Project Labor Agreement) Of?ce @ $120 an hour Travel @ $120 an hour
State License number is LS 8133. DIR registration number 1000003100.
On Point Land Surveying, Inc. is certi?ed as a Small Business Enterprise (SBE) with a Coalition of Southern California Public Agencies (#24235) and is also certi?ed as a Micro Small Business (MB) with the State of California (#1447060).
On Point Land Surveying, Inc. is a non-union company. Does pay prevailing wage and provides certi?ed payroll on all public works projects.
This proposal is valid for 120 days.
Client is responsible for all fees with the Cities and Counties for processing maps, comer records and records of survey Billing will be on a monthly basis based on the fees earned for the billing period.
Payment is required within 30 days of receipt of invoice.
Thank you for the opportunity to provide you with this proposal! Tota Authorization to Proceed
(909) 792-2221 fax (909) 784-1836
[email protected] www.onpointlandsurveying.com
9 Estimate #
000-1 1147
Terms
Net 30
Total
$2,880.00
SURVEYING N C.
16.B
Rev. D
Januarv 2011
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL(cont'd)
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'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 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.B
V dale
KER
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL (cont’d)
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” i s attached, please explain 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 liste d 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] loomSSS‘\S Subcontractors’ registration numbers are as indicated in Document 00 4314. of Bidder Signature of Bidder Date
\/xsniu Bow baa); 7>/ae=..s'iD(’7uv’ LESLIE Bow €=(’/aE77‘l-RV Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
16.B
idity
"’°'?n%1s'1?,
m0LL|15l\Z!’—"LL \¢DWlIiMwiklim
the
T\M7u\L\
bf?cer)
9%
/[gumVaumkm(LM UslucEwxlaq
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
val of that document
State of Ca
County of
On before me,
(insert name and title of
personally appeared
who proved to me on 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 and official seal.
(Seal)
LORRAINEWATSON
Notary Public- California
RiversideCounty
Commission# 2272265
MyComm.ExpiresJan 15, 2023
16.B
responsible
_Wi"_?_D1he
0-(s)_12L_
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the OUTDOOR FITNESSCOURT AT MARY HENLEYPARK, C P No. 5735, 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, speci?cations, 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/its bid is submitted with respect to the changes to the Contract and/or Contract 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 N
The undersigned has examined the current State of Californiaschedule 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 OUTDOOR FITNESS COURT AT MARY HENLEYPARK, CIP No. 5735 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.
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735
ITEM
No
10 11
12 13
BIDDER'SPROPOSAL (cont’d)
BIDSCHEDULE
BASEB D - OUTDOOR FITNESSCOURT AT MARYHENLEYPARK, C P No. 5735
DESCRIPTION
Mobilization (Not to Exceed 5% of
Bid)
Water Quality Control
Field Orders (stipulated item)
Clearing, Grubbing & Removals
Remove & Relocate Ex. Sprinkler
System
Site Grading/Excavation — Balanced Earthwork
4" PCCSidewalk
Sidewalk Drain Outlet
1% Drainage Swale
Furnish & Install Grass Seeding
and Fertilized Soil
4" Fitness Court Slab (4,000 PSI)
6" Fitness Court Base (CMB)
Install Fitness Equipment (City
Furnished)
um
LS 1
LS 1
LS 1
LS 1
LS 1
CY 25
SF 2,300
EA 1
LF 180
LS 1
SF 1,440
SF 1,440
LS 1
UNIT EXTEND
ED
PRICE ITEM
AMOUNT
17,184.00 17,184.00
8,256.00 8,256.00
$5,000 $5,000
30,000.00 30,000.00
10,000.00 10,000.00
500_o0 12,500.00
13_oo 41,400.00
8,000.00 8,000.00
167.00 30,060.00
18,000.00 18,000.00
30.00 43,200.00
7.00 10,080.00
110,000.00 110,000.00
TOTAL BASEBID(numbers) 343-
END OF BASE BID ITEMS 53000
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BIDDER’SPROPOSAL(cont'd)
3155 319 1-01-AL(in wows) Three Hundred Forty Three Thousand Six Hundred Eighty Dollars and zero cents Contractor's Initials BWW
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 willbe 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 schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bidson 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).
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/deductive or alternate bid items/schedules, or to othenivise add or remove certain work 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 irregularity(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.
16.B
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL(cont'd)
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 Bidmay be rejected.
16.B
—..._-~-.....-.. ._,- 000386458 -,.-_.
7714411 (U. 6/"2022 WK/(Al/\ 7g1/
2022
oiéjider
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL (cont'd)
Complete the following:
BWW & COMPANY INC. 1 514007
Legal name of the business, DIRReg. and Contractor License Nos
CORPORATION
Business Type (Corporation, Partnership, Sole Proprietor)
BOBBYW WILSON (DBA) BWW&COMPANY INC
DBA(if any)
BOBBYW WILSON PRESIDENT
Name and title of the owner MARYF WILSON, SECRETARY
Name and title of second partner or officer
301 9TH STREET. STE100. REDLANDS.CA 92374
Business Address
909-268-851 6
Telephone number
909-328-4633
Facsimile number
BOBBY W WILSON, [email protected]
Name and Emailaddress of primary contact
wvvw.bwwcompanv.com
Company web address
Signature Bidder Date Signature
BOBBYW WILSON PRESIDENT
Print name and title Print name and title
(If the Bidder is a corporation two signatures ofcorporate officersare required.)
MARYF WILSON, SECRETARY
Date
16.B
6/1/2022
Ignalure
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
ClP No.5735 BlDDER'SPROPOSAL(cont'd)
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess one of the following State Contractor's License:
State of California Class A Contractor’5 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. Bearsthe license number(s): 214007
b_ Expires on:
6/1/2022
Date of Date
BOBBYWWILSON PRESIDENT MARY F WII SON, FTARY
Print name and title Print name and title
(Ifthe Bidderis a corporation two signatures ofcorporate o?icersare 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—evaluatethe 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 ?nal.
Signaturef Biéti
16.B
(S
OUTDOORFITNESSCOURTat MARYHENLEYPARK Rev. 0
CIPNo.5735 BIDDER'SPROPOSAL(cont’d) January 2022
BIDSECURITYFORM FORBOND
KNOWALLBYTHESEPRESENTS:
That the undersigned
BWW & COMPANY 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 (Dollar Amount In Wordsl Ten Percent of the Total BidAmount
Dollars 10.0% 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.
Outdoor Fitness Court at Mary Henley Park, CIP No. 5735 WHEREAS,said Principal is submitting a Bidfor [PROJECTNAMEANDDESCRIPTION] 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, otherwise to remain in full force and effect.
IN WITNESS WHEREOF,the above bounden parties have executed this instrument this 31st day of Mr-av 2022.
(Month)
COMPANY
(Corporate Seal)
P?nd
By Contractors
Su
(Corporate Seal) By
uong,
16.B
g CNRIYHNEHOMG I I —. Noury Puhlh:» calllomca
OrmieCounty i
»
, Commission-71163281 ‘ 1 MyComm.ExpiresJun 19.1015E
nstine Fioang
persons relying on the
of fon-n to another document.
CALIFORNIAALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individualwho 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 }
On 3 1 before me, Christine Hoang , Notary Public,
Date Insert Name of Notary exactly as it appears on the of?cial seal personallyappeared Irene Luong
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 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.
Vl?tness my seal
Signature
Place Notary Seal Above
OPTIONAL
Though the information below is not required by law it may prove document and could prevent fraudulent removal andreattachment the Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer’s Name Signer’s Name:
Individual Individual
Corporate Officer —Tit|e(s) “ Corporate Officer —'|'It|e(s) Partner Limited General Partner Limited General
Attorney in Fact Attorney in Fact
Trustee Trustee
Guardian or Conservator Topofthumbhere Guardian or Conservator Topofthumbhere Other: Other:
Signer is Representing Signer is Representing
RIGHTTHUIVIBPRINT RIGHTTHUMBPR
OFSIGNER INTOF SIGNER
16.B
("-515 oneooo.oo~-)
truthfulness, accuracy validity that document
State
9, Ll‘J'I'LUI::.o
- "-IigvWalk vciamomtn =.m."..4‘...' '3:3"z'.'w's’m
My cm. ;,,
VV‘In§§—VVhereof a here set m hand and
3 day , ZA 'L2/
¢,.m..n...%
I ~y£'.°.~4
3!?
Kia
TOKIOMARINE
H C C
POWER OF ATTORNEY
AMERICAN CONTRACTORS INDEMNITYCOMPANY TEXAS BONDING COMPANY UNITEDSTATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY KNOW ALLMEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding Company. an assumed name of American Contractors Indemnity Company, United States Surety Company, a Maryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the “Companies"), do by these presents make, constitute and appoint:
4 Yung T. Mullick,James W. Moilanen, Irene Luong, Emilie George, Christine Hoang, Danielle Hanson or P. Austin Neff of Mission Viejo, California its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders. amendments, and consents of surety, providing the bond penalty does not exceed *****FifteenMillion***** Dollars . This Power of Attorney shall expire without further action on January 315‘,2024. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of Directors of the Companies:
Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions:
Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or ?nal estimates on engineering and construction contracts, and any and all notices and documents canceling or tenninating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as ifsigned by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized of?cer and seal of the Company heretofore or hereafter af?xed to any power of attorney or any certi?cate relating thereto by facsimile, and any power of attorney or certi?cate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.
INWITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto af?xed, this 23"’day of September, 2021.
AMERICANCONTRACTORS INDEMNITYCOMPANY TEXAS BONDING COMPANY UNITED SURETY COMPANY U.S. SPECIALTY INSURANCECOMPANY
State of California
County of Los Angeles By:
Daniel P. Aguilar, Vice President
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 and not the or of
On this 23rd day of September, 2021, before me, D. Little?eld, a notary public, personally appeared Daniel P. Aguilar, Vice President of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the of California that the foregoing paragraph is true and correct.
WITNESS my hand and seal.
I
Signature (seal) z’'°“'°‘‘''’‘ ‘"74
I, Kio Lo, Assistant American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in fullforce and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in fullforce and effect.
In affixed the seals of said Companies at Los Angeles, California this of
Corporate Seals ‘J
Bond No.
Agency No. 7715 Secletafy
visit tmhcc.com/surety for more information
unto
HCCSMANPOA09/
Iznae 1m
lconoluml
IEVLZLIIOO
16.B
PARTM
provisions
claws:
amended.
Authority
applicab
irements
Wrmns Wmznmr,
organized
ersafter
STATE OF CALIFORNIA
DE ENT OF INSURANCE
SAN FRANCISCO
Certi?cate of
Tms Is To That, pursuant to the Insurance Codeofthe StateofCalifornia, American Contractors IndemnityCompany
of Los Angeles, California ., under the
lawsof California ,subfectto its ArticlesofIncomoratiouor other fundamental documents,is hereby authotwd to transact within thisSmt e, subjectto all ofthisCerti?cate, the following of insurance:
Surety
as such are nowor may hereafterbe definedin the Insurance Laws ofthe State ofCaliforn ia. THIS is expresslyconditionedupon theholder hereof now and hereafterbeing in fullcompliancewithall,and not in ofany, ofthe le lawsand lawfulreqluir madeunder authority ofthe laws ements ofthe State ofCaliforniaas long as such laws or requirements ar e
inefectand applicable,and as such laws and requ now are, or may h be changed or
IN e?ectioeas ofthe_._2..3i§.'-;1_____day
af___.__LԤX______, ls?, I washereuntoset
my handand causedmy o?icialseal to bea?ixedthis..__Z..4.E.
13.....
day 19.94.
16.B
the person (4) whose name (V)is/ ate subscribed to the within instrument and acknowledged to me that hélshel mayexecuted the same in h.i*§/her/ tiyt?r (6)
the person (I), or the entity upon behalf of which the person (5) acted, executed the Acknowledgement
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.
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.
NOTARYPUBLIC—ALIFORNIA
SANBERNARDINO OOUNTV
MyCommExpiresJan 15,2026
(Signature) (seal)
State of California
County of San Bemardino
On June 1, 2022, before me, Gurpal Bawa, Notary Public, personally appeared Mary Ferne Wilson who proved to me on the basis of satisfactory evidence to be authorized capacity (i ), and that by his/her/their signature on the instrument
16.B
[state].
6/1 /2022
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL (cont'd)
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
I am the SECRETARY of BWW&COMPANYINg 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 ?x 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 6/1/2022 [date], at GRAND TERRACE [city], CALIFORNIA
H 6/1/2022
Signature of Iiidder Date Date
BOBBYW WILSON. PRESIDENT MARY F WILSON. SECRETARY
Print name and title Print name and title
(If the Bidderis a corporation, two signatures ofcorporate officersare required.)
16.B
89 304.00
69 000.00 Date
AD/EN , _ , , ,
0/20/2020
additio
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BIDDER'SPROPOSAL(cont'd)
CONTRACl'OR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past ?ve (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.
PM-ectName, DSUSD INDIOHIGH SCHOOL FOOTBALLSCOREBOARD
Contract Price: Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
DSUSD, 47-950 Dune Palms Rd, LaQuinta, CA 92253
patrick cisneros - 760-771-8516
project Name; DSUSD LAQUINTA HS POOLI FOOTBALL SCOREBOARD Contract Price: 1 of Completion:
Name, Address, and Telephone Number of Owner's Representative DSUSD, 47-950 Dune Palms Rd. LaQuinta. CA 92253
patrick cisneros - 760-771 -8516
Project Name OMNITRANS GENERATOR P CLOSURE
Contract Price: 523.024-00 Date of Completion 1
Name, Address, and Telephone Number of Owner's Representative:
OMNITRANS1700 W FIFTH STREET, SAN BERNARDINO CA
THOMAS DAHLIN - 951-358-9322
(Attach nal pages as necessary)
16.B
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL (cont'd)
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s DIR Registration of Business Percentage of Work License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BIDDER’SPROPOSAL (cont'd)
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITH 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'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 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.
CERTIFICATIONOF NON-DISCRIM NATION
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.B
M 1
A Cl/Id/ 6/1/2022
BE§;r\/'
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BIDDER'SPROPOSAL(cont' d)
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 othenivise 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.
CERTIFICA11ONOF 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 / 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] 1000336453 Subcontractors’ registration numbers are as indicated in Document 00 4314.
BIDDER:
Date Signature of Date
MARYF WILSON. SECRETARY
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.) 5/
Signature of ?idcielrI WILSON, PRESIDENT
16.B
APPENDIX 1
16.B
City of Hemet Canyon Springs Enterprises v
f Backto BidSearch
Outdoor Fitness Court at Mary Henley Park - CIP 5735
Q&A ProspectiveBidders BidResults Awards
None
Copyright© 2022 Planet?ids Inc.
REMAININ
1 day
BidInformation LineItems Documems Addenda/
Ernalls
May10.2022 05102022-01 Qand ASet ‘I
Qand ASe1 1 has been releasedforthis project.
Addenda
May 26, 2022 0525202201 0 andASet 2
Qand ASet 2 has been released for this project.
May 31,2022 05312022-01 Tiles
Correction on the answer to Q2.Tiles are to be provided bycity EmailHistory
Dark Mode Privacy Policy Terms 8.Conditions
16.B
PLANETBIDS
an wamma. mum
Addenda
May V0‘2022 asmz-m.m 0 and A SE11
0 am:AS211 has been raeaseavarmspvoject
-’\?(nmv7'.~dge
May16.2022 nszezuznu 0 andA Se! 2
uand Ase! 2 has been veleased for mu;men:
A:I«:um¢vJga
Email History
None
cogyugm0 m1 Planel?lds me
Cityof Hemet
fBackto Bi Search
Outdoor FitnessCourt at Mary Henley Park — CIP 5735
Documents Addenda/Emails QM Prospective Bidders BidResults Awards LG I
REMAINI da
DarkMode Privacy Policy Terms &Condition
16.B
PLANETBIDSCity of Hemet
< Back to BidSearch
Outdoor Fitness Court at Mary Henley Park — CIP 5735
Bidlnfonnation LineItems Documents Addenda/Emails Q&A Prospective Bidders BidResults Awards Q&ADeadline May 2:, 2022 3.'UUPM (PDT
)
Expand All Collapse All
Set1 Released via Addendum 051 02022-01 05/‘I0/2022 4:23 PM (PDT)— 1 question v
1.1 Isthis project subject to a PLA(Project Labor Agreement), a PSA (Pro... v Question Isthis project subject to a PLA(Project LaborAgreement), a PSA (ProjectStabilizationAgreement), a CBA(CollectiveBargaining Agreement), a CWA (CommunityWorkforce Agreement), or anything of that nature?
Answer No
Set 2 Released via Addendum 05262022—0105/26/2022 5:01 PM (PDT)— 1 question v
2.1 Isthe tile furnished by the city? v
Question is the tile furnished by the city?
Answer The tile should be provided by the contractor.
Copyright © 2022 PlanetBidsInc.
REMAININ 1d ay
DarkMode Privacy Policy Terms 8.Conditions
16.B
FLANETB S City of Hemet Canyon Springs Enterprises v
(‘Backto BidSearch
Outdoor Fitness Court at Mary Henley Park - CIP 5735
BidInformation Lineitems Documents Addenda/Emails Q&A Prospemive Bidders BidResults Awards None
Copyright © 2022 PlanetBids Inc.
21 days
May 10, 2022 o51n2o22—m Qand ASet1
Addenda
Email History
Dark Mode Privacy Policy Terms &Conditions
16.B
_ cnyavHemet Canyon Snnnus?nlernnses. 7.\
V
( Back la SidSearch
andlulalmi?w Linelam Duwmau msuuam. nu Pvuwucnvealdoux nuRem Awvdl OM DeadlineMay25 2022 3.00 PM (PDT)
sou ReleasedmaAddendum 0510202201 05/10/2022 4.23PM(PDT)-1 quzsucn
1.1 15ml: prqecx whject ma FLA(Project LabavAgreement): rm (Pm.
Question Ismspcojecxsunjeu to a PM (Project LsbovAarezmenl), a P$A(PIo]ec1 SlabmzallonAqveernenl),3 ca»: (canecuve sugammgAgreemenl). a CWA(Community Warkiou-.2Agveemenl)‘ or anything a! ma:nature?
Answar No
copyr-umo 2021Plmmsvds me Dark was Imay Policy Hm: I Oondniom PLA
Outdoor Fitness Court at Mary Henley Park — CIP 5735
21 days
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIPNo.573S l!|DDER’S PROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the OUTDOOR FITNESSCOURT AT MARY HENLEYPARK, CIP No. 5735, 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 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 1&2
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 OUTDOORFITNESSCOURT AT MARYHENLEYPARK, CIP No. 5735 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.
16.B
mm?mnmmana ITEMS
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER'S PROPOSAL(cont’d)
BIDSCHEDULE
BASEBID — OUTDOORFITNESSCOURT AT MARYHENLEYPARK,CIP No. 5735
EXTENDE
D
ITEM ESTIMATED UNIT DESCRIPTION UNIT ITEM No QUANTITY PRICE AMOUNT 1 Mobilization (Not to Exceed 5% of
L5 1 10,000 10.000 Bid)
2 Water Quality Control LS 1 7.000 7.000
3 Field Orders (stipulated item) LS 1 $5,000 $5,000
4 Clearing, Grubbing & Removals LS 1 12_500 12.500
5 Remove & Relocate Ex. Sprinkler Ls 1 woo woo System
Site Grading] Excavation — 6 Balanced Earthwork CY 25 775 19375 7 4" PCCSidewalk SF 2,300 13 41,400
8 Sidewalk Drain outlet EA 1 12.000 12.000
9 1% Drainage Swale LF 180 85 15,300
10 Furnish & Install Grass Seeding L5 1
15,000 15'0o0
and Fertilized Soil
11 4" Fitness Court Slab (4,000 PSI) SF 1,440 35 49»°°° 12 6" Fitness Court Base (CMB) SF 1,440 5 7.200
13 Install Fitness Equipment (City L5 1
42000 42000 Furnished)
TOTALBASEBID(numbers) 242775
END OF BASE BID
16.B
itials’L_
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL(cont"d)
. - T d S - -
' BASEBIDT01.AL(In words) Two-Hundred Forty Two housan even Hundred Seventy Five Dollars Even Contractor's In
In the event of a variation between the unit price and extended total, the unit price willbe 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).
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 irregularity(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 Bidsand 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.
16.B
Rev. 0
January zan
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIPNo.5735 B|DDER’S PROPOSAL(cont’d)
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 Bidmay be rejected.
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL(cont'd)
Complete the following:
Canyon Springs Enterprises 1000002091 806747-A
Legal name of the business, DIRReg. and Contractor License Nos.
Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
Lawrence G. Wombles, President/CEO
Name and title of the owner
Thomas Uppena, President
Name and title of second partner or officer
PO BOX 2810 Hemet CA 92546
Business Address
951.925.2288
Telephone number
N/A
Facsimile number
Thomas Uppena - [email protected]
Name and Email address of primary contact
c-s-e-inc.com
Company web address
5/1/22 6/1/22
Signature of Bidd Date Signature of Bidder Date
Thomas Uppena, President Eduardo Peralta.Secretaryfrreasurer Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare required.)
16.B
CANYONSPRINGS ENTERPRISES
A WhollyOwned Subsidiary of Associated
Construction and Engineering. Inc.
CERTIFICATION OF RESOLUTION AND AUTHORITY
I, Eduardo V. Peralta, do hereby certify that I am the duly-electedand acting Secretary of Canyon Springs Enterprises, a California Corporation, and that as such of?cer, I am duly authorized to make this certi?cation on behalf of that corporation.
I further certify that by consent in lieu of a meeting dated January 15‘,2022, as authorized by California law, the Board of Directors of said corporationadopted the following resolution in accordance with the By-Laws of said corporation.
RESOLVED, that any Canyon Springs Enterprises, Business Development Manager or Manager of Sales heretofore or hereafter employed in that capacity by Canyon Springs Enterprises or any other person as may from time to time be designated by the President of Canyon Springs Enterprises is authorized to make bids, prepare quotations and submit and receive proposals for contracts; to negotiate and sign contracts and other agreements, bid bonds, performance bonds, and other related documents; and to execute other documents required in connection therewith,on behalf of Canyon Springs Enterprises.
I further certify that the foregoing resolution is in ?ill force and affect that I (Eduardo V. Peralta), Thomas P. Uppena, and Travis D. Ginter, are duly designated and have the authority to sign business proposals and General Contract Agreements to Sub contractors, and bonding requirementsfor bid proposals and contracts on behalf of Canyon Springs Enterprises.
This certificate shall remain in ?ill force and effect unless and until written notice of revocation has been received by the person relying on this certi?cate.
IN WITNESS WHEREOF, I have hereunto set my hand and the seal of Canyon Springs Enterprisesthis 15‘day of January 2022.
Eduardo V. Peralta, Secretary
Phone: (951)925-2288
3883WentworthDrive
Hemet,CA 92545
Website:www.c-s-ePage 132 of 252
16.B
huinulion «runs». an
mum... txolmlm a...
mmusummm
Contractor Information
Legal Entity Name CANYONSPRINGSENTERPRISES Legal Entity Type Corporation Status Active Registration Number 1000002091 6/30/2022
Mailing Address PO BOX2810 HEMEI’92546 CAUnited States of America Physical Address 3883 WENTWORTH DRIVEHEMET92545 CAUnited States of America Email Address Trade NemelDBA Ucense Number(s) CSLB:8067lo7 CSLB:B067k7 CSLB:8067lo7
Legal EntityInformation
Corporation Number: Federal Employment ldentltlcetlon Number: President Name: THOMAS P. UPPENA Vice President Name: Treasurer Name: EDUARDOV. PERAIIA Secretary Name: EDUARDOV.PERALTA
CEO Name: THOMASP. UPPENA
THOMASP. UPPENA
Agent of Service MailingAddress:
Workers Compensation
Do you lease employees through No Professional Employer Organization (PEO)?:
Please provide your current workers
compensation insurance information
below: PEO PEO PEO
PEO lnfonnationName Phone Email
Insured by Carrier
Policy Holder Name: CANYONSPRINGSENTERPRISES
Insurance Carrier: Starr Indemnity 8. LiabilityCompany
Policy Number: 1000001891
Inception date: 11/1/2021
Fxplratlon Date:
PO BOX 2510 HEMET92546 CA United States of America
Registration History
Effective Date
6/6/2018
5/9/2017
5/2/2016
6/ 25/2015
10/20/ 20119
7/ 1/ 2019
7/1/2020
7/1/2021
ExpirationDate
6/30/2019
6/30/2018
6/30/2017
6/30/2016
6/30/2015
6/30/2020
6/30/2021
6/30/2022
7/1/2021
C2359861
16.B
OUTDOORFITNESSCOURTat MARY HENLEYPARK
CIPNo.5735 B|DDER'S PROPOSAL(cont’d)
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 CContractor'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): 30674-"A
b. Expires on: 4/30/2024
6/1,22 6/1/22
Signature of Date Signature of Bidder Date
Thomas Uppena, President Eduardo Peralta, Secretary/Treasurer 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.
16.B
m NO
............I o>z<oz muazommzamm_uw_mmm
.l.I...... otuobo? s2s2.nm_c.om.mo<
16.B
).
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735
NOTE:THEFOLLOWINGFORM SHALLBEUSEDINTHECASEOF CHECKACCO
BlDDER'SPROPOSAL(cont’ d)
BIDSECURITYFORM FOR CHECK
NYINGBID
Accompanying this proposal is a Certified Check or Cashier's Check payab to the order of the City of Hemet, hereinafter referred to as "Agency",for
amount being 10 percent (10%) of the total amount of the bi dollars this
5 check shall be returned to
the undersigned only if either of the following occurs:
A.
Otherwise, said check shall beco
Said check shall also beco
his/her/itsbid within the
thereof, unless otherwise
Ifsaid Bidshall be rejected by the Agency;
If said Bid shall be accepted by the
deliver a Contract in the form attac
said Bid) and shall furnish bonds
Contract and for the payment of al
connection therewith, and shall
acceptance of said Bid.
and the Undersigned shall execute and
(properly completed in accordance with
ired for his/her/itsfaithful performance of said
performing labor or furnishing materials i
n all other respects perform the Contract created b
y
property of the Agency
e property of the Agency if the Undersigned shall withdraw of sixty (60) calendar days after the date set for the opening quired by law, and notwithstanding the award of the Contract to another bidder.
Signature of Bidder Signature of Bidder Date
Print name a Print name and title
(Ifthe is a corporation, two signatures ofcorporate officersare required.)
16.B
($1
rin ‘s
‘mama Ppefkt. 'd
u n oze e om.
Bond No. CSBA—20849
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL (cont’d)
BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS
That the undersigned
Canyon Springs Enterprises
(Name of Contractor)
as Principal and *theundersigned 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 (Dollar Amount In Wordsl Ten Percent of the Amount Bid
Dollars 0% 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. ‘Arch Insurance Company
WHEREAS,said Principal is submitting a BidfoF*[PROJECT NAME AND DESCRIPTION] “Outdoor Fitness Court at Mary Henley Park, CIP No. 5735 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 11th day of May 2022.
(Month)
Canyon Sp gs Ente
(Corporate Seal) By
Principal
By Arch Insurance Company
urety
(Corporate Seal) By
Attorney-in-Fact
16.B
ACKNOWLEDGMENT
A notary public or other of?cer completing this
certificate verifies 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 )
On 05/11/2022 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer)
personally appeared Shaunna Rozelle Ostrom
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same 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.
. . MELISSA /‘v.’\l.\lV/XCCARO WITNESS my hand and official seal COMM ;'m413_(,4 Notary Publiccalifornia
ORANGECOUNTY
Comm. Expires May 12, 2022
FRS3
Signatu (Seal)
16.B
hc attached
TFSTI MO
oI'/umrnuy hu duly cIcc|e Exccul
HER!-20F. havemcumuubscub
esndcmorH1:
1:and af?xcd
umpnn
ol' the
N am M‘! cg 90 Q 0000 00
Arth Insurance Co puny
‘$7’-_,I
March 17 znzz
SurelyAuthenllc@arLhinsu
Bond N0. CSBA-20849
AIC0000367112
Attested and Certi?ed
Regan A. Shulman, Secretary Stephen C. Ruschak, Executive Vice President ismli
Commonwealthol Pennsylvania - Notary Seal .1 ' MICHELETRIPODI. Notary Public PhiladelphiaCounty
MyCommissionExpiresJuly 31.2025
CommissionNumberI16B622
‘ ABM/»
Regan A. Shulman, Secretary
issouii
To verify the authenticity ofthis Power ofAttorney, please contact Arch Insurance Compan y at rance.com Please referto the above named Attorney-‘in-Fact and the details ofthe bond to which the power is attached.
A|CPOAO40120 Printed in U.S.A.
This Power ofAttorney limits the acts ofthose named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
Not valid for Note, Loan, Letter ofCredit, Currency Rate, Interest Rate or Residential Value Guarantees.
POWER OF ATTORNEY
Know All Persons By These Presents:
That the Arch Insurance Company, a corporation organized and existing under the laws of the State of Missouri, having its principal administrativeoffice in Jersey City, New Jersey (hereinafter referred to as the "Company") does hereby appoint:
Ben Stong, Michael D. Stong and R. Nappi of Riverside, CA (EACH) Benjamin Wolfe, Chelsea Arnold of Sacramento, CA (EACH) Arturo Ayala, Daniel Huckabay, Dwight Reilly, Frank Morones and Shaunna Rozelle Ostrom olOrange, CA (EACH) itstrue and lawful Attomey(s)in-Fact, to make, execute, seal, and deliver from the date of issuance of this power for and on its behalf as surety, and as its act and deed:
Any and all bonds, undertakings, recognizances and other surety obligations, in the penal sum not exceeding Dollars This authority does not permit the same obligation to be split into two or more bonds In order to bring each such bond within the dollar limit of authority as set forth herein
The execution of such bonds, undertakings, recognizances and other surety obligations in pursuance ofthese presents shall be as binding upon the saidCompany as fully and amply to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected of?cers at its principal administrativeof?ce in Jersey City, New Jersey
This Power of Attorney is executed by authority of resolutions adopted by unanimous consent ofthe Board of Directorsofthe Company on December 11, 2020, true and accurate copies of which are hereina?er set forth and are hereby certi?ed to by the undersigned Secretary as being in full force and effect:
"VOTED, That the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business Division, or their appointees designated in writing and ?led with the Secretary, or the Secretary shall have the power and authority to appoint agents and attomeys—in-fact,and to authorize them subject to the limitations set forth in their respective powers of attorney, to execute on behalf of the Company, and attach the seal of the Company thereto, bonds, undertakings, recognizances and other surety obligations obligatory in the nature thereof, and any such of?cers of the Company may appoint agents for acceptance of process "
This Power of Attorney issigned, sealed and certi?ed by facsimile under and by authority of the following resolutionadopted by the unanimous consent ofthe Board of Directors ofthe Company on December 11,2020:
VOTED, That the signature of the Chairman ofthe Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business Division, or their appointees designated in writing and ?led with the Secretary, and the signature ofthe Secretary, the seal ofthe Company, and certi?cations by the Secretary, may be af?xed by facsimile on any power of attorney or bond executed pursuant to the resolution adopted by the Board of Directors on December 11, 2020, and any such power so executed, sealed and certi?ed with respect to any bond or undertaking to which it is attached, shall continue to be valid and binding upon the Company In Testimony Whereof, the Company has caused this instniment to be signed and its corporate seal to be af?xed by their authorized of?cers, this 17"‘day of March, 2_o2; I, Michele Tripodi, a Notary Public, do hereby certify that Regan A Shulman and Stephen C Ruschak personally known to me to be the same persons whose names are respectively as Secretary and Executive Vice President of the Arch Insurance Company, a Corporation organized and existing under the laws of the State of Missouri, subscribed to the foregoing instrument, appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed, sealed with the corporate seal and delivered the said instrument as the free and voluntary act of said corporationand as their own free and voluntary acts for the uses and purposes therein set forth.
Michele Tripodi, Notary Public
My commission expires 07/31/2025
CERTIFICATION
I, Regan A. Shulman , Secretary ofthe Arch Insurance Company, do hereby certify that the attached Power ofAttorney dated on behalf ofthe person(s) as listed above is a true and correct copy and that the same has been in full force and effect since the date thereof and is in full force and effect on the date of this certi?cate; and I do ?irther certify that the said Stephen C Ruschak, who executed the Power of Attorney as Executive Vice President, was on the date of execution oft Power t d ive Vice Pr Arch Insurance C y.
IN NY W I s ed my nam the corporate seal Arch Insurance Company on thisl?day of M3)’ , This Power of Attorney limits the acts of those named therein to the bonds and undertakings speci?cally named therein and they have no to bind the Company
CXJIHDIAYE
591
I971
STATE OF PENNSYLVANIA SS
COUNTY OF PHILADELPHIA SS
except in the manner and to the extent herein stated
PLEASE SEND ALL CLAIM INQUIRIESRELATING TO THIS BOND TO THE FOLLOWING ADDRESS:
Arch Insurance — Surety Division
3 Parkway, Suite 1500 CIJINJEJIE
Philadelphia, PA 19102 SEAL
16.B
to whichthis certi?cate is attached, and not the truthfulness, accuracy,or validityof that document.
Californ Ia
Thaw Ugzm
who proved to me on the basis of satisfactory evidence to be the personwwhose namef??/are subsérlb to the withinInstrument and acknowledged to me tha?/she/they executed the same ln?/her/their personp?orthe entity authorized capacit)/(7)4), and that by ?D/her/theirsIgnature(§)’onthe Instrument the upon behalfof which the personmacted. executed the Instrument.
I
Anotarypubllc or atherof?cercampletlngthls car??cate veri?es onlythe ldentityofthe Individualwhosigned the document Notary
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
State of
County of
On before me,
Date Here /nsert Name Title of the
personally appeared
_ Name(s) of Signer(s)
ed
clcertify under PENALTYOF PERJURY under the
laws of the State of California that the foregoing RIver:=ce.; Countsmla g paragraph is true and correct. Ezrmrssron : 2233163 r ExJIresApr24. 2023 WITNESS my hand and officialseal
Signature
Signature of Public Place Notary Seal and/or Stamp Above OPT! ONAL
Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
V Title or.Type of Document:
DocumentDate: - — NumberofPages:
Signer(s) Other Than Named Above: ‘
’ '_ - _ _ Capacity(ies) Claimed by Signeris)
Signer’s Name: Signer’s Name:
El Corporate Of?cer— Title(s): El Corporate Officer — Title(s):
El Partner— El Limited [3 General El Partner— El Limited El General [3 individual D Attorney in Fact 1:! individual El Attorney in Fact 1] Trustee El Guardianor Conservator El Trustee El Guardianor Conservator El Other: C! Other:
Signer is Representing: Signer is Representing:
©2019 National Notary Association
16.B
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIPNo.5735 BIDDER’SPROPOSAL(cont'd)
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
_ Canyon Springs Enterprises
I am the Presidentl Secretary-Treasurer 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 6/1/22 date], at Hemet [citYI. CA [state]
6"/22 6/1/22
Date Signature of Bidder Date
Eduardo Peralta.Secretary/Treasurer
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.) Signature of Bidder
Thomas Uppena, President
16.B
I }
w/7418 t [Rhas+1'v;:A't>cte/
so/
Qjl?ofaszaigkég.
N V e /gamrne Ila’ 7.
me on the basis of satisfactory evidence to be the persor@whosename@ls/@ strument and acknowledged to me that sgiscribed he/shef?gipexecmed the same In his/he e Instrument the person@)or the entity acit and that by his/her/@s!g_nature@on which e person@acted,executed the Instrum
te:
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
Anotary publicorother of?cercompletingthis certificateveri?es only the identity ofthe individualwhosigned the document to whichthis certificate is attached, and not the truthfulness, accuracy,or validityofthat document.
State of Ca ia
County of
On before me,
Date
personally appeared
who proved to
to the within in
authorized cap
upon behalf of
CHR:ST|NE FFIERSON
Notary Public - California Riverside County E Commission 3‘ 2283168 My Co'r"r ExairesApr 24. 2023 \\
P/ace Notary Seal and/or Stamp Above
_ Name(s) of Sign erfs)
ent.
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.
Signature
Signature of Notary Public
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:
Document Da
Signeris) Other Than Named Above:
Capacity(ies) Claimed by Signeris)
Signer’s Name:
I: Corporate Officer— Tltle(s):
l:l Partner— El Limited El General
El individual El Attorney in Fact
l'_'l Trustee El Guardianor Conservator
El Other:
Signer is Representing:
©2019 National Notary Association
Number ofPages:
Signer’s Name:
El Corporate Of?cer — Title(s):
1] Partner— El Limited El General
El Individual El Attorney in Fact
:1 Trustee El Guardian or Conservator
El Other:
Signer is Representing:
‘D
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL(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 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. . N R '3A Project Name ew esewow
Contract Price: $2-345-945-00 Date of Completion: Feb'“a'V20-2022 Name, Address, and Telephone Number of Owner's Representative:
Cucamonga Valley Water District-Tuan Truong 909.987.2591 10440 Ashford St. Rancho Cucamonga CA 91730 project Name; Sunset Reservoir & Reservoir 4B
Contract Price: $1-295205-35 Date of Completion: 8/23/20 Name, Address, and Telephone Number of Owner's Representative:
City of Beverly Hills-Christine Chung 310.285.2452 455 N. Rexford Dr. Bevedy HillsCA 90210 Project Name. Forebay Water Booster Facility
11/30/20
Contract Price: 531267181145 Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
Yuima Municipal Water District - Amy Reeh 760.742.3704 34928 Valley Center Rd. Pauma Valley CA 92061 (Attach additional pages as necessary)
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL(cont'd)
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s DIR Registration of Business Percentage of Work License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
16.B
Key 0
January 2022
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL(cont’d)
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 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 certi?cate 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 PUBLICWORKSCHAPTEROF 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.B
2‘;/?,,
Signath?’
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER'S PROPOSAL(cont'd)
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” i s attached, please explain 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 willbe 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] 1000002091 Subcontractors’ registration numbers are as indicated in Document 00 4314.
BIDDER:
5/1/22 6/1/22
Date of Bidder Date
Eduardo Peralta.Secretary/Treasurer
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.) Signature of Bidde-r
Thomas Uppena. President
16.B
rules
21 237
137
237990
332420
SHE
sas Explntlnn Ill
11/16/2020 Business Certi?cation: Metropolitan Water District i:JNetConnect
Certi?ed Small Business Enterprise
Vendor Account Number: 162263
Chrissy Peterson
Canyon Springs Enterprises
3883 Wentworth Dr. B P.O. Box 2810
Hemet, CA 92545
Thank you for submitting your Vendor Application seeking Small Business Enterprise recognition with the Coalition of Southern California Public Agencies. Per our evaluation of the information you provided in your application and the North American Industry Classi?cation System codes you identi?ed, your status as a Small Business Enterprise (SBE) has been approved. This certi?cation is recognized by the following organizations:
Metropolitan Water District of Southern California
Port of Long Beach
San Diego County Water Authority
Los Angeies Uni?ed School District
Los Angeies Community College District
Metropolitan is pleased to issue this SBE Certi?cate subject to the terms and conditions identi?ed below:
code(s) for which SBE status is recognized:
1310 - Water Supply and Irrigation Systems
110 - water and Sewer Line and Related Structures Construction 120 - Oil and Gas Pipeline and Related Structures Construction - Other Heavy and Civil Engineering Construction
- Metal Tank (Heavy Gauge) Manufacturing
Certi?cate Effective Date: 11/12/20
Certi?cate Date: 11 1 23
You have passed your company's recent random audit.
Work Performed by your ?rm that falls within the above-mentioned NAICS code(5) will be counted as SBE participation for work performed on contracts procured by the above agencies.
The agencies reserve the right to withdraw this certi?cation if at any time it is determined that certi?cation was knowingly obtained by false, misleading or incorrect information and reserve the right to audit all statements. If any ?rm attempts to falsify or misrepresent information to obtain certi?cation, the ?rm may be disquali?ed from participation in any contracts for a period of up to ?ve years.
SBE Certi?cation is valid for a period of three (3) years. To maintain SBE status, ?rms must update their existing SBE Vendor Application on or before the expiration date mentioned above. All information is subject to verification.
If there are any changes in your status that may impact your certi?cation, you are required to update your account information online. A copy of your lnfonnation can be viewed by logging into your Vendor Pro?le, and visiting the Small Business Certi?cation tab.
Sincerely,
John J. Arena
Metropolitan Water District of Southern California
Business Outreach Program Manager
700 N. Alameda Street, Los Angeles, California 90012 Mailing Address: Box 54153, Los Angeles, CA 90054-0153 Telephone (213) 217-7444
www.pIanetbids.comIBCLetter/SBCMWDApproval.cfm?CompanyID=16151&VendorlD=162263 1/1
16.B
./T jI.!A£ISS_QN
'::#.".".°:::.'§'3 . .
|5=‘m>=<°°=)
jmg, [email protected]
C0‘/ERAGES CERTIFICATENUMBER: REVISIONNUMBER’.
nu.«s:En'>Er:5T4rEB M)
I
PERSONALI ADV INJURY
V 7 7 7 7 7‘
GEN'LAGGR GA
‘
X .
ems»:-
oouamzn smmz umr
.lEnn:mu
osscnrnou omvmousx
'PoIIu1IoII LI lllly - $2,000
CERTIFICATEHOLDER CAILCELLAHON
ASSOCON-01
459"” CERTIF CATE OF L ABIL TY INSURANCE °‘;‘,‘,';';";;§; THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE"“HOLDER. THIS CER'I1FICATE DOES NOT AFFIRMATIVELYOR NEGATIVELYAMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certi?cate holder is an ADDITIONALINSURED, the policy(ies) must have ADDITIONALINSURED provisions or be endorsed.
If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certi?cate does not confer rights to the certi?cate holder in lieu of such endorsementisi. pgopucgg SQEIQCTLISB Perrault, CISR
5'31’? ;;§-,{"°- I1.’I8.".F.. 5.... (909) 593-7776 7907 593-5477 La Verne, CA 91750
INSURERISI AFFORDING COVERAGE NAIC I
INSURERA :Crum & Forster sneciaitv Insurance Comoanv 44520 INSURED INSURER B zstarr lndemnitv & Liabilitv Comnanv 38318 Canyon Springs Enterprises '"=1'*F1‘ '3 PO Box 2810 IMSIIRFR n Hemet, CA 92546 INSURER E 2
INSURER F :
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSUREDNAMEDABOVEFOR THE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITHRESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREINIS SUBJECT TO ALLTHETERMS.
EXCLUSIONSANDCONDITIONSOF SUCH POLICIES.LIMITSSHOWN MAYHAVE BEEN REDUCEDBYPAIDCLAIMS. '."§§ TYPEor INsuRANcE POLICY NuIIIeER ..§3I'.',%‘/v$§§,. ,.'I3','.',‘EJ.,yE’.‘,'§,. uums A X comIERcIAL GENERAL I.IAeII.rrv EACH OCCURRENCE 1.000. cmmsmoe x occun EPK-137461 11/1/2021 000 11/1/2022 250- 000 MED EXP (Anv one oersoni S 1°'ooo
, 1,ooo.ooII
LIMITAPPLIES PER: GFMFRAI AGGPFGATF s 21000-
000 POLICY LOC I:-Rnnl ICTS . mupmp ma s 21000-
000
S B AUTOMOBILEI.IAeII.n'v 1v°°°-0°“
X ANYAUTO 1000198714211 11/1/2021 11/1/2022 BODILY INJURY (Per nersoni S OWNED SCHEDULED _ AUTOS ONLY AUTOS BODILY INJURY (Par acadanti S X KI'?E?s oNI.v X §3I'c1§"£‘:’r'E9 S Q A uueREu.A LIAB X OCCUR g 10-000:0“
x Excess Lug c|_A|Ms.MApE EFX-119074 11/1/2021 11/1/2022 AGGRFGATF 3 10,000,000 DED RETENTIONs s B WORKERS coIII>ENsA1'IoN x $51.,,,.,= 9;"- $35.§'§§.§’.§§§,p‘I'L°r'~‘£'£',Execunve "" 1000001091 111112021 1111/2022 Fl . 1.000.000 EXCLUDED? N IA
F I DISFASF - FA FMPI OVFF S 1
I'llSK;.RIPTIf|::I ll£)nFde({PFRATIl1N§ hnimu E_L DISEASE — POLICY LIMIT S 1 A Pollution Liability‘ EPK-137461 11/1/2021 11/1/2022 Per OCC 1,000,000 OF LOCATIONSI VEHICLES IAOORD101, Additional Rem rite Schedule. In y be attached It more pace I required) ab .000AGG Limit applies “Professional Liability Included at $1,000,000 each cIaimI$2,000,000 AGG under same policy # as the General Liability and the Pollution Liability with crum8- Forster Speclaity In .co.
Excess Liability policy is Following Fon-n thus the Additional Insured and Waiver of Subrogation provisions of the underlying primary CGL 8-CPL policy applies.
NOTE: Excess Uability Policy provides $10M OCCIAGG Limit excess over CGL, CPL, PL.WCIEL coverages and $5M Limit cap excess over AUTO LIAB COVBTBQO.
SEE ATTACHED ACORD 101
SHOULD ANYor THE ABOVE DESCRIBEDPOLICIES BE cANcEI.I.Eo BEFORE THE EXPIRA11ON DATE THEREOF. NoTIcE WILL BE DELNERED IN EV'd°"°° °f '"9"'°"°° AccoRnANcE WITHTHE POIJCY PROVISIONS.
AUTHORIZEDREPRESENTATIVE
ACORD 25 (2016/03) © 1938-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
16.B
ACORD
§EE see
Srln
z1n
ACORD 25
AGENCY CUS1-oMER|D;ASSOCON-01 IJAC KSON
LOC #: 1
ADD TIONAL RE ARKS SCHEDULE Page 1 of 1
+:rE¢::Ylnsurance Services, Inc. §§,":E§éNsum9‘ E"t°rP'is°s ,,o,_,c,, NUMBER Hemet, CA 92546
SEE PAGE 1
cmmsn muc coo: PAGE 1 P 1 EFFECTNE DATE: SEE pAGE 1
ADDITIONALREMARKS
THIS ADDITIONALREMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE; Certi?cate of Liability Insurance Description of OperationsILocatlonsNehlcles:
Proof of Insurance.
ACORD 101 (2008I01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered m rks of ACORD
16.B
CITYOF HEMET
IRIE TY IFRNI
I ND NRACTD UM
D R INE RTATM HN
ITA IMPR MENT R N
Rex/.
20’
RVE SD COUN ,CAL O A
B D A CD T OC ENTS
OUT 00 F T SS COU ARY E LEYPA K
CAP L OVE P OJECT 0. 5735
AV 2022
5/3/2022
Steve R. Loriso, PE,Acting City Engineer Date
R.C.E. No. 64701
Thisis a prevailing wage project under the laws of the State of California.
16.B
Rav. 0
Jamrarv 2022
CITYOF HEMET
NOTICEINVITINGBIDS
OUTDOOR FITNESSCOURTAT MARYHENLEYPARK,CIP NO. 5735
PUBLICNOTICEIS HEREBYGIVENthat the City of Hemet hereinafter referred to as the Agency, invites sealed bids for the above stated Project and will receive such bids in the offices of the Agency, at the Purchasing Office, 445 East Florida Avenue, Hemet, CA 92543 up to the time of 3:00 p.m., on Wednesday, June 1st , at which time they will be publicly opened at City Hallat 445 E. Florida Avenue. Bidsreceived after the time and date for the bid opening will not be accepted and shall be returned unopened.
The work to be done is described in these Bid and Contract Documents for the above stated Project. The general Scope of Work is as follows:
DESCRIPTIONOF WORK
The work will primarily consists of mobilization and demobilization, clearing, grubbing and removals, general earthwork and grading, relocating the existing sprinkler system, construct concrete sidewalk, fitness court pad and slab, placement of grass seeding, installation of City furnished fitness equipment, and other miscellaneous work, labor, materials, equipment and transportation for the project as described in these documents.
LOCATIONOF WORK
Mary Henley Park, S. KirbyStreet — between Johnson Avenue and Cypress Street
GENERAL
In conformance with State of California Assembly Bill2036 complete bid sets will be available electronically, at no cost, at the City of Hemet Bid Page. It shall be the responsibility of the prospective bidders to download and print the bid documents for review and bid preparation, as well as to obtain any addendums and responses to pre-bid requests for clarification that have been provided by the Agency. Bidders shall also check the website for addendums which will be posted no later than 72 hours prior to the bid opening. Each addendum will include a conformation sheet indicating receipt of the addendum. This sheet must be signed and included with the bid for each addendum issued. Bids, which do not include the confirmation sheet(s) for each addendum, if any, may be rejected.
The Agency does not warrant, represent, or guarantee the accuracy, completeness, or adequacy of information provided from any third party source. The Agency shall not be responsible or liable in any way whatsoever for any loss or damages of whatever kind, nature, or scope, including, but not limited to, time, money or goodwill arising from errors,
16.B
z
wuaa ac-1)
2:2 Ca:-f57Bv
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the OUTDOOR FITNESSCOURT AT MARY HENLEYPARK, CIP No. 5735, 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, speci?cations, 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 will not be responsible 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.
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 lessthan these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the OUTDOOR FITNESSCOURT AT MARYHENLEYPARK,CIP No. 5735 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.
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) sz.-22.2, ar 053 IL.e2,L—-’I
Tnz :4-DDZHD./..-5 a,-_s7aD nemrc. .494,‘
,q,.tp A 4’? ¢9-'7- BID 3°
Arzlcplo
IL 14
16.B
MyCommExpues
ACKNOWLEDG ENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
va of that document.
State of California
County of Orange l
on before me, Sonny D. Chopra, Notary Public,
(insert name and title of the officer)
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 withininstrument and acknowledged to me that he/she/they executed the same i his/her/their authorized capacity(ies), and that by his/her/theirsignature(s) on the instrumentthe 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 SONNYD.CHOPRA hand and official seal. .. COMM #2335441 2 NotaryPublic- California 3 2 OrangeCounty —* Oct.27 2024 Signature (Seal)
"5bnQ P""Lo'z_‘(_
—5‘0v~. GI |'V\Q|"
'%BlG‘ Pa¢lLc.3—L
16.B
5,309-
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735
ITEM
No
10 11
12 13
BlDDER’SPROPOSAL(cont'd)
BIDSCHEDULE
BASEBID- OUTDOOR FITNESSCOURTAT MARYHENLEYPARK, CIP No. 5735
EXTENDE
DESCRIPTION UNIT D ?zm?s ;’:l'éTE ITEM
AMOUNT
Mobilization (Not to Exceed 5% of . LS 1 Bid)
Water Quality Control LS 1
Field Orders (stipulated item) LS 1 $5,000 $5,000
Clearing, Grubbing & Removals LS 1
Remove & Relocate Ex. Sprinkler LS 1
System
Site Grading] Excavation - CY 25 Balanced Earthwork
4" PCCSidewalk SF 2,300
Sidewalk Drain Outlet EA 1
1% Drainage Swale LF 180
Furnish & Install Grass Seeding L5 1
and Fertilized Soil
4" Fitness Court Slab (4,000 PSI) SF 1,440
6" Fitness Court Base (CMB) SF 1,440
Install Fitness Equipment (City
. L5 1 Furnished)
TOTALBASEBID(numbers)
END OF BASE BID ITEMS
6 ‘L’:
4,000 - 4', am? '
"j,§'0D |1‘,§—Oo
4,900 ‘[3000
4&0 lg)’ D‘-9°
l4'5,
16.B
OUTDOOR FITNESSCOURT at MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL(cont'd)
BASEBIDTOTAL (in words)
Contractor's Initials
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 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).
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 irregularity(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.
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.
H_,,_.p,2.a) ,.n.az1*y ‘I7,-z> D.>I\4-:28’+4-’°/’
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.
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL(cont'd)
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 Bidmay be rejected. .J
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL(cont'd)
Complete the following:
Legal name of the business, DIRReg. and Contractor License Nos.
Business Type (Corporation, Partnership, Sole Proprietor) Name and title of second partner or of?cer
Business Address
Facsimilenumber
Name and Emailaddress of primary contact
Company web address
re of Signature of Bidder Date
name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare required.) 59 (,6. Pp; P/1|er?/Z
rd 6
©«1L.I"1e'//Z‘(9 vv/Jéil
'7;4~ 9:4-$"5'$’
DBA(if any)
Name and title of the owner
[M59 P4'(j‘°\2'91"’9S:9=~’T6,/,},.;;; (/49 @222?
Telephone number
~}’* '4pa w M
E57’r’M-7/Nc-,€J‘r\,J,__C ~La.\
La2«2_
16.B
ACKNOWLEDGMENT
A notary public or other of?cer 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
va of that document.
State of California
County of Orange )
before me, Sonny D. Chopra, Notary Public,
(insert name and title of the of?cer)
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 i his/her/their authorized capacity(ies), and that by his/her/theirsignature(s) on the instrumentthe 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 seal. SONNYD.CHOPRA
COMM #2336441
NotaryPublic- California
OrangeCounty
Comm. Oct.27 2024
LOHN
Signature (Seal)
Tuna
81-‘ Pachgbe
l°'l "' 5
1.027-
A Gtilmer
‘
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER'S PROPOSAL(con1."d)
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess one of the following State Contractor's License State of California ClassA Contractor's License
Combination of Specialty Class C Contracto?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
Date
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare 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.
3)
ature of Bidder
&tL?5£ (9--qfa?
at Signature of
16.B
validity
Expires ‘
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
of that document.
State of California
County of Orange )
on before me‘ Sonny D. Chopra, Notary Public,
(insert name and title of the officer)
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 i n
his/her/their authorized capacity(ies), and that by his/her/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 is true and correct.
WITNESS my hand and official seal s0NNYD.CHOPRA
COMM. #2336441
NotaryPublic- California
Orange County
Comm. Oct.27 2024
LOHN NRO1
Signature (Seal)
‘SEMI I
Gilmet‘
2.4 0ML_.,3e
6
16.B
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL(cont’d)
'4 BN3
BIDSECURITYFORM FOR CHECK
NOTE:THEFOLLOWINGFORMSHALLBE 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 ollars ($ ), 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.
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.) 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.
" 31/) 139.4!) E.J4—L«.>S.;'/D
was an
16.B
OUTDOOR FITNESSCOURT at MARY HENLEYPARK
CIP N0.5735 BlDDER’SPROPOSAL (cont’d)
Bond No. BB2019351
BID SECURITYFORM FOR BOND
KNOW ALLBYTHESE PRESENTS:
That the undersigned
Jon N. Gilmer DBA Jon Gilmer Construction
(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) Te” Pelcem
Donars Ten Percent ) 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 [PROJECTNAMEAND DESCRIPTION] Outdoor Fitness Court at Mary Heniey Park
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 315‘ day of May 202.
(Month)
Jon N Gilmer DBA Jon Gilmer Construction
(Corporate Seal) By
ncipal
ByAmerican C Company
Surety
(Corporate Seal) By
Paul S. Di Attorney
16.B
Ada
CTO
$400 000 00
nd of?cial seal.
33 ’
Iatniluawt-'y E
(auunu-uvsvw * 1 u,~<wu.u;.mmn,:meE
wmmwsn
sen. cs. cm
Asnl
TOKIOMARINE
H C C
POWER OF ATTORNEY
KNOW ALL MEN BYTHESE PRESENTS:
That American Contractors Indemnity Company ofthe State of California, a California corporation, does hereby appoint PAUL S. DITO
its true and lawful Attorney—in—Fact,with full authority to execute on its behalf bond number BB2019351 issued in the course of its business and to bind the Company thereby Four hundred thousand and 00/100
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the Board of Directors of AMERICAN CONTRACTORS INDEMNITYCOMPANY at a meeting duly called and held on the 15‘day of September, 2011.
"Be It Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)—in—Factto represent and act for and on behalf of the Company subject to the following provisions:
Attorney—/n-Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as ifsigned by the President and sealed and effected by the Corporate Secretary
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certi?cate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached ” The Attorney-in-Fact named above may be an agent or a broker of the Company The granting ofthis Power of Attorney is specific to this bond and does not indicate whether the Attorney-in-Fact is or is not an appointed agent ofthe Company IN WITNESS WHEREOF, American Contractors Indemnity Company has caused its seal to be affixed hereto and executed by By
A Notary Public or other officer completing this certificate verifies 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 On this 18th day of April, 2022, before me, Sonia O Carrejo, a notary public, personally appeared Adam S. Pessin, President of American Contractors Indemnity Company, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person 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 ar if
I, Kio Lo, Assistant Secretary of American Contractors Indemnity Company, do hereby certify that the Power of Attorney and the resolution adopted by the Board of Directors of said Company as set forth above, are true and correct transcripts thereof and that neither the said Power of Attorney nor the resolution have been revoked and they are now in full force and effect Signature (seal)
IN WITNESS WHEREOF, I have hereunto set my hand this 31st_ day of Bond No BB2019351
Agency No 14037 Secretary
visit tmhcc com/surety for more information
in an amount not to exceed
( )
its President on this 18th day of April 2022
State of California AMERICAN CONT s INDEMNITYCOMPANY
County of Los Angeles
S. Pessin, President
Mav 2022
Kio Lo,
16.B
I
xmama nmmmmc¢mmmxmagvmn«mmxa‘
, an emcee:
cu-up cum
ccmmmoon1 2357131
by r.mIm.Exu1rn4 I-v 19.1025
xxx.-t Lmmxxmxxvcmumxwuxuxxxxxzta.~.:<.x:<,~.2.~«,~<;<,~<:<:< Kx:<,\X;<mQ<;cA.~g<;txxx;s«:1 I<x.'<.§<.v.xx1<,x'»w:t:< CALIFORN A 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
County of Orange
Angela Kim, Notary Public
Here Insert Name and Title of the Officer
Paul S. Dito
Name(s) of Signer(s)
before me,
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 oapacity(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 PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand 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.
Description of Attached Document
Title or Type Document Date:
Number of Pages:
___‘_w_ Signer(s) Other Than Named Above:
Capacity?es) Claimed by Signer(s)
Signer‘s Name: Paul-9 W0 Signer‘s Name:
I JCorporate Officer — Title(s) %Corporate Officer — Title(s):
llfjlPartner ~— I lLimited l
lGenera| Partner —— l'f'lLimited I §Genera|
ifi Individual Xi Attorney in Fact l Individual i?l Attorney in Fact l lTrustee l l Guardian or Conservator ii] Trustee i l Guardian or Conservator Other: lil Other:
Signer Is Representing: Signer ls Representing
¥<N.-3~’<a‘C(«‘.b.’(»‘< X>‘£‘k‘< ©2014 NationalNotary Association - www.NationalNotary.org- 1-800—USNOTARY(1—800—876—6827) Item #5907 Z0:))
Date
personally appeared
of Bond# ‘E>2o\‘i?
16.B
State 0 Calif rnia
foregoing is true on S"
5 [ [
' ature
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BIDDER'SPROPOSAL(cont’d)
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
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 ?x 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 that the and co that this declaration is executed date], at
citYI. state].
of Bidder Date Signature of Bidder Date
Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.) A1-9
(g (L/I4 €’L (_0../J67-
rrect and
16.B
NotaryPubnc- Cahiornia
OvangeCounty —‘
'-' «xv M!Comm.ExnirasOct.27.
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 Orange
before me, Sonny D. Chopra, Notary Public,
(insert name and title of the officer)
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 i his/her/their authorized capacity(ies), and that by his/her/theirsignature(s) on the instrumentthe 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 of?cial seal COMMY lgzcgggff; §
0 2024
Signature (Seal)
TURQ‘
16.B
HA:
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL(cont' cl)
CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and hi s 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
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)
1" H15 1:5
awe CDVEIL3 5’ YEW! e»c;>a’rMa~«é«=’ =c~* w»4»>-w?wéd
5,,.;¢Z /qaa‘ Pgfzgsodd-L;2,a'Fé2£/J4"? 9% ézaxl
ba?urfi .4722 ,4./mu/rzlé Col. §,.~,Lmz PA»JéZ«T3.
/\I€"" 6/~J‘TnT‘1’_ /)6 cg./M671 2:
6'’ 617:? M/0&4. jl?nrv r H519 Q C,arJ7'P«0'cya),_{ (443,;
16.B
Fvrwasg 5.2.4.?
‘tr-Is'r»n.x..~— 1-: L2
:4-59971.5 F-v~z.sJ'
cadxr 2;),
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL(cont'd)
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s DIRRegistration of Business Percentage of Work License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
1\lA—1;o,.:m_ __
C.>;-JS‘J’2./arson! T6/’P Fa?adb
-J-:91!/:3J ;.u.,..:o.
..,n
2:5:-I1'm,g
Fa prrmun c//-’ 493 7.,
Less 1,4-/-h>
5~4?Ne‘1--‘I: 5"”"ET
}(,5I4v4'—‘i -oi
L:NNc’Z2——7
g./IL,D'5’;L_g
o}»9~¢:a.z a/9 ygaéoq ‘000D“‘
5./PEY—|° 2 £6607 ¢,,.:ar,z:v1.2 S'8
5_/fpl/I15):
Hz?-57 N ,4 '00p0¢?3-},\
5'-5'70
L"‘§-44‘
16.B
Rev. D
Januarv 1022
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BIDDER'SPROPOSAL(cont'd)
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBID
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 LaborRelations 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 certi?cate 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 COMPLIANCEWITHPUBLICWORKSCHAPTEROF 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.B
Dal
the California Lab r Codg 1war? 87 ab
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BIDDER’SPROPOSAL(cont'd)
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), 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/ 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 Contractor's registration number is [please complete]
Subcontractors’ registration numbers are as indicated in Document 00 4314.
BIDDER:
of Bidder Signature of Bidder Date
Print name and title Print name and title
(If the Bidderis a corporation, two signatures ofcorporate o?icersare required.) C9-L/162c9..,..J:2_
16.B
SONNYD.CHOPRA
NotaryPublicA Calskzrnla
OvangeCmmly
.
V MvCom.Exptcsct27
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
validity of that document.
State of C
County of
on before me_ Sonny D.Chopra, Notary Public,
(insert name and title of the officer)
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 i his/her/their authorized capacity(ies), and that by his/her/theirsignature(s) on the instrumentthe 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 officialseal
COMM. #2336441
LOHN
2024
Signature (Seal)
32.115“
In GIIPAQ
F
R \ 6‘ Pqcltms?
A \
16.B
QU EF R RVIE
Job
09,
Qua
24514.08
(GREEN)
BAG(S)
can?nned quote signed expires days.
May 31, | | |
CGALLEGOS@RENTNATHJNALCOM I
Nll Tl?lllll
FONTANA OFFIC
(909) E 574-1400 800-352-5675 rentnationa|.com
OT OSE CS
Company: JON GILMERCONSTRUCTION Name: MARYHENLEYPARK
Requested By: JON GILMER Phone: 702-353-1165 Address: 801 S KIRBYSTREET HEMET, CA 92543
E-mail: EST|MAT|[email protected] Cross Street
Other Phone: Site Contact: Phone:
BillingAddress: Site E-mail:
Customer Ref#1
Thu. Jun 2022 No Construction
672 FT 6 FTTEMPORARYPANELS 6 Months 3.89
672 FT 6 FTWINDSCREEN 6 Months 2.80 1,881.60
224 EA SAND 6 Months 10.00 2,240.00
Fence Notes: 4 SAND BAGS PERSTAND--JOB IS PREVAILINGWAGE Subtotal: $6,735.68 Sales Tax: $.00 Grand Total: $6,735.68 Customer's Signature: Date:
Print Customer Name: PO #
Tue. 2022 131828 CGALLEGOS
BUNSTHIIBTIDN BENTAIS E
Temporary Fence Mobile Storage Temporary Power
COMPANY INFO: CUSTOMER # NEW JOB SITE INFO: SITE # NEW
Expected Install Date Payment Terms Prevailing Wage Job Type UOM Description Rental Term (up to) Unit Price Amount
Date of Quote Quote Number Quote Prepared By Email Address Fax Signed Quote to Fence Subtotal: 6,735.68
Fence Minimumapplies: Ifthe total unit price times quantity forthe above items s5oo, this minimum willbe charged rather than the per unit price.
Note: Damaged, missing, and lease buyout charges are not included in minimum charge.
Bids are based on quantity; if quantity changes, bid changes. Additional fees for hillside installations.hand carry, oore drilling and inaooessibilily. Deliveries and installs are scheduled Mon. - Fri. 7:00 am. - 3:00 p.m. Additional charges apply for weekends and alter hours work. COD orders are to be paid in advance or upon delivery prior to installation. Orders with driven post(s) require 3-5 business days to complete underground markings. Remove and relocate charges are billed at the same rate as installation price.
Ifservices are subject to prevailing wage laws, any penalties or wages not included in this estimate willbe paid by the lessee. Certi?ed payroll is available upon request.
All pricesinclude a one-time Delivery/Installation and a one-time Pick-Up/Removal.
NOTE: Installation CANNOTbe and returned. Thisbid in
16.B
*
3 Uaume?amE-?unnnmdasnmn-nnmmu
nmuna?nnlhududs1676NSha?etSt. - OmngeGA92867 - (714)608-1511. can
To; JOHN GILMER CONSTRUCTION phone; (702) 353-1165
Address: Fax#
D : 5/31722
; John RE: Mary Heniey Park~
Hemet CA.
W-hor-bvsubniitspedacauons-ndestirnatt-I N TAL OU DOOR F T ESS OURT 8. TIL Itenn
NATIONAL FITNESS COURT, inciuding Push Stations,
Row Stations, Piyo Boxes, Lunge Stations & Bend
Stations. A11 Inciusive. Per Manufacturers#§Rgcs
pprox. 1024 sqft S 6,144.00
Fitness e ui
COIIUOCCOI IIIIV
Per Manufacturers Specs.
ment & Tile mattin furnished b cit
e Rate.
x Hundred & F rt Four Do11ars----
19 (O0)
Setthoauud
I
$ 24,500.00
b REGUPOL ActivePro tile matting. A
at $6.00 a square foot.
Prevailin wa
Thirty Thousand Si
Contnctou M
byunli
42 above prices. $peci?catiors and conditions are and
are hereby accepted. You are authorized to do the work as speci?ed. Payment willbe above.
16.B
_
_ Rock Sand _Bgse 7 7 _ 7 1
1564 W. MissionRd Escondido, CA92029, Phone (760) 745-0556 Fax (760) 740-9557, WWW.SUPERIORRM.
Riverside County Dispatch (951) 658-1562, Coachella Valley Dispatch (760) 343-3418 Aggregate COM (760) 690-5701 San Diego County Dispatch: North (760) 745-0556 South County (858) 695-0666 East County (619) 443-7510 Curt Penley cell(951)255-4064
Attn: Date: 06/01/2022
Customer: Jon Gilmer Fax/ email:
Project Name: MaryHenley Park Phone:
Project Location: 801 S KirbySt. Hemet
Superior Ready Mix Concrete, LP
MIXNUMBER MIXDESCRIPTION QUANTITY PRICEIYARD
H6702P 660-E-3250 PSI, 3/8 LINEPUMP 32 $149.50
HGBP 4000 PSI, 3/8 LINEPUMP 18 $158.50
$
AB-219 3
PLEASECALLOUT MIXESBY MIXNUMBERWHEN ORDERING TO RECEIVEQUOTED PRICE Fuel Surcharge .00 per load.
SALES TAX: Quoted prices Do Not include sales tax.
MINIMUMLOAD:A single delivery of less than 9 cubic yards willbe charged minimum rates. One short load is allowed for a completion of a continuous poun
STANDING11ME:Unloading time in excess of 4 minutes per cubic yard willbe charged at $2.00 per minute. Unloading time starts at the time of arrival at job.
SPECIAL PROVISIONS: Prices apply during normal working hours, Monday through Friday. 3/8" pump mix is not recommended forflatwork. Concrete is a structural building material and not an aesthetic building material. Superior Ready MixConcrete willnot be held responsible for pop-outs. cracking. etc., when concrete is batched using materials within ASTMspecifications.
TEMPERATURE: Concrete temperature is subject to ambient conditions and is not controlled unless stated otherwise. / /
MATERIAL TONS/YARDS SOURCE TRUCKTYPE PRICEI'I'ON DELIVERY Fuel surcharge .00 per load.
SALES TAX: Sales tax willbe charged on material only, not freight. Title to material passed to customer at time of loading into truck.
MINIMUMLOAD: A delivery of less than 26 tons willbe charged minimum rates.
STANDINGTIME: Unloading time in excess of 20 minutes per load willbe charged at $2.00 per minute. Unloading time starts at the time arrival at the job.
SPECIAL PROVISIONS: Prices apply during normal working hours, Monday through Friday. Price quoted per ton unless othenrvise noted. Delivery charges are subiectto PUC increase. Materials Subiect to availabilitv.
PAYMENT TERMS: Net 30 days (withan open Superior Ready Mixaccount) INSURANCE:The insurance carrier for Superior Ready MixConcrete, LP willnot name contractor or owner as additional insured nor willit issue a Waiver of Subrogation endorsement in favor of contractor or owner. DELIVERY: Orders are taken with the intent to deliver on time. There is no guarantee as to rate or time of delivery. Additionalcharges may apply for canceled orders or orders put on hold.
MATERIALSELEC'I1ON:The products quoted are not warranted or suggested for any specific application. Buyer is hereby warned that the selection and ordering of any particular product is the responsibility of the buyer and that the buyer assumes any and all risk associated withthe selection of the product.
QUOTED RATES: Prices apply to valid Superior Ready Mixaccount, check, or cash sales only.
Quoted By: Expiration: 09/01/2022
Curt Penley, Superior Ready MixConcrete Escalator:
Accepted
This proposal is subject to signed acceptance by the buyer within 30 days from date hereof after which time it will be of no force or effect except at the option of the seller.
16.B
CaseLanJSurueying,In c.
.S'urve_ying* Mapping * QGPSServices
California <DIRQ{eg1;rtration No. 1000001533
Larry "V.Case, (P.L..S'. License # £5411 S31? Ce?j?ed
‘faqr.09/30/2022
Bl]) SHEET
TO: All Bidders BID DATE: June 1, 2022
SITE: Outdoor Fitness Court at Mary Henley Park
Hemet ADDENDUMS: 0
The following is the siuyeying 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.
Control
Calculations
Grading
0 Slopes
0 Pad Certi?cation
Fitness Court Layout
Concrete Walk
Total .$ 9,900.00
The above bid is predicated upon Owner/Agency, or Contractor providing signed, approved and complete set of construction plans, 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 predicated upon traffic control, when needed, is to be provided by the Owner/Agency. The maximum value of outstanding, unexecuted change 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 LiabilityPolicy of $9 million which is follow-forrn to underlying liability policies. This gives us coverage up to $11 million. We also maintain Workers Compensation Insurance as prescribed by law with a $1 million limit per armual aggregate.
Thank you for the opportunity to bid this project.
614N €Ecl{Iiq?‘.S'treet Orange, Cit 92868 (714)628-8948 fa.2((714)628—8905 G:".—mai[aJd'res.r:c£si@casel21m£surve_ying. com
16.B
A PE DX1
16.B
nto r proposa
s) 9241;! aé? /fr (,9/4
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the OUTDOOR FITNESSCOURT AT MARY HENLEYPARK, CIP No. 5735, 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 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 i thei I, Contractor acknowledges receipt of Addenda No.(
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 OUTDOOR FITNESSCOURT AT MARY HENLEYPARK, CIP No. 5735 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.
Z ’? /
16.B
ti-nrh-v.¢;n¢rv<w1ca¢cwsc4ru;-A1-n-nu-tat:-ntaea-an-A-a-n OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735
ITEM
No
10 11
12 13
BIDDER'SPROPOSAL (cont’d)
BIDSCHEDULE
BASE BID- OUTDOOR FITNESSCOURT AT MARY HENLEYPARK, CIP No. 5735
DESCRIPTION
Mobilization (Not to Exceed 5% of
Bid)
Water Quality Control
Field Orders (stipulated item)
Clearing, Grubbing & Removals
Remove & Relocate Ex. Sprinkler
System
Site Grading/Excavation — Balanced Earthwork
4" PCCSidewalk
Sidewalk Drain Outlet
1% Drainage Swale
Furnish & Install Grass Seeding
and Fertilized Soil
4" Fitness Court Slab (4,000 PSI)
6" Fitness Court Base (CMB)
Install Fitness Equipment (City
Furnished)
UNIT
CY
SF
EA
LF
SF
SF
EXTENDE
ESTIMATED UNIT D ITEM QUANTITY PRICE AMOUNT
1 $14,085.00 $14.08500
1 $13,000.00 $13.00000
1 $5,000 $5,000
1 $24,000.00
1 $16,000.00 $16.000.00
25 $3,200.00 $80,000.00
2,300 $14.00 $32,200.00
1 $12,000.00 $12,000.00
139 $41.00 $7,380.00
1 $9,000.00 $9,000.00
1'44° $19.00 $27,360.00
1,440 $8.00 $11,520.00
1 $83,000.00 $83,000.00
TOTAL BASEBID (numbers) $‘°’34'545-0°
********‘k*****'k********'k************
$24,000.00
16.B
OUTDOOR FITNESSCOURTat MARY HENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL(cont’d)
BASEBIDTo-I-AL(in words) Three Hundred Thirty—Four Thousand Five hundred forty-?ve dollars and zerp cents 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/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 irregularity(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.
16.B
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL(cont’d)
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 Bidmay be rejected.
16.B
2L .5-3/-2:
OUTDOORFITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BIDDER’SPROPOSAL(cont’d)
Complete the following
Leonida Builders, Inc.
Legal name of the business, DIRReg. and Contractor License Nos.
Corporation
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
Panagiotis Leonida - President, Secretary & Treasurer
Name and title of the owner
N/A
Name and title of second partner or officer
15821 Live Oak Springs Canyon Rd. Santa Clarita CA 91387 Business Address
909-275-3354
Telephone number
951-566-4022
Facsimile number
Panagiotis Leonida 951-532-7717
Name and Email address of primary contact
wvvw.|eonidabui|ders.com
Company web address
Slgnatu of Bidder Date Signature of idder Date
Panagiotis Leonida - President.Secretary &Treasurer Panagiotis Leonida — President, Secretary &Treasurer Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?icersare required.)
16.B
.5‘!/~12
d?er
.53
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 BlDDER'SPROPOSAL (cont’d)
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) 896772
b. Expires on: 05/31/2023
Signature dder Date Signature of Bi Date
Panagiotis Leonida - President, Secretary & Treasurer Panagiotis Leonida — President, Secretary &Treasurer Print name and title Print name and title
(If the Bidder is a corporation two signatures ofcorporate o?icersare 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—eva|uate 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.
ILLU‘
16.B
NOT APPLICABLE BID BOND ATTACHED
OUTDOOR FITNESSCOURTat MARYHENLEYPARK
CIP No.5735 B|DDER’S PROPOSAL(cont’d)
BIDSECURITYFORM FORCHECK
NOTE: THE FOLLOWINGFORM 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 “IA dollars (s N/A I.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 Date Signature of Bidder Date
Panagiotis Leonida — President, Secretary &Treasurer Panagiotis Leonida — President, Secretary &Treasurer Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate officersare required.)
16.B
OUTDOORFITNESSCOURT at MARYHENLEYPARK
CIP No.5735 BlDDER’SPROPOSAL (cont'd)
BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS:
That the undersigned
LEONIDA BUILDERS, 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 (Dollar Amaunt |n Words)
Dollars ( 10% OF BID 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 Bidfor [PROJECTNAME AND DESCRIPTION]
CITY OF HEMET - OUTDOOR FITNESS COURT AT MARY HENLEY PARK THE CONDITION OF THIS OBLIGATIONIS 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 IN WITNESSWHEREOF, the above bounden parties have executed this in 24TH day of MAY 2022
(Month)
LEONI LDERS, INC.
(Corporate Seal) By
Pri ipal
OLD REPUBLIC ANY
Bv
Surety PHILIPE -in-FACT
(Corporate Seal) By
51/2/
n’
16.B
OLDREP BL UR Y OMPA
$24
j
I U [CS ET C NY
POWER OF ATTORNEY
KNOW ALLMEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a V\?sconsin stock insurance corporation, does make, constitute and appoint:
Britton Christiansen, Myrna Smith, Philip E Vega, Kevin Vega of Covina, CA its true and lawful Attorney(s)-in—Fact,with full power and authority for and on behalf of the company as surety, to execute and deliver and af?x the seal of the company thereto (if a seal is required). bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of bene?ts, asbestos abatement contract bonds, waste management bonds, hazardous waste remediation bonds or black lung bonds), as follows:
ALLWRITTEN INSTRUMENTS
and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents. are rati?ed and con?rmed This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982 This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982
RESOLVED that, the president, any vice—president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attorneys-in-fact or agents with authority as de?ned or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to execute and deliver and af?x the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said of?cers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person.
RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president, any vice president or assistant vice president, and attested and sealed (if a seal be required) by any secretary or assistant secretary; or
(ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if a seal be required) by a duly authorized attorney-in-fact or agent; or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons.
RESOLVED FURTHER that the signature of any authorized of?cer and the seal of the company may be af?xed by facsimile to any Power of Attorney or certi?cation thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such signature and seal when so used shall have the same force and effect as though manually af?xed.
IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper of?cer, and its corporate seal to be af?xed this 24th day of March
‘ 2020
OLD REPUBLICSURETY COMPANY
coupon‘,-I
S°°'°“‘ President
STATE or WISCONSIN, COUNTY or WAUKESHA — ss
On this 24”‘ day of March , 2020 , personally came before me, AI-'3" "‘ and Karen J Haffner to me known to be the individuals and of?cers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that they are the said of?cers of the corporation aforesaid, and that the seal af?xed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such of?cers were duly af?xed and subscribed to the said instrument by the authority of the board of directors of said corporation.
Notary Public MyCommission Expires:
CERTIFICATE (Expiration of notary’:
l, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Vl?sconsin corporation, CER Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board Attorney, are now in force.
Himu
so-'°-rz 24TH
74 0061 S SEAL Signed and sealed at the City of Brook?eld, WI this day of I VlC\ .3
ORSC 22262 (3-06)
C & D Bonding & Ins Services Page 185 of 252
16.B
xsvmenwmVEGA Notarymu:~ Calilcrnia La: AngelesCounty Cnmmissiun I 111618! Comm.ExyiresApr 29.2024 CALIFORNIA 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 certificateis attached, and not the truthfulness.accuracy. or validityof that document.
State of California
County of LOS ANGELES
on MAY2/» 2022 before me, KEVIN EDWARD VEGA NOTARY PUBLIC Date Here insert Name and Title of the Officer
personally appeared PH”-‘P E VEGA
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 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 an
Signature
NNA1
of Notary Public
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: Document Date
Number of Pages: Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
Corporate Officer — Title(s): Corporate Officer — Title s):
Partner — Limited General Partner — Limited General
II Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:
Signer ls Representing Signer ls Representing:
©2014 NationalNotary Association - www.Nationa|Notary.org - 1-800-US NOTARY(1—800—876—6827) Item#5907