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2022/2023SB1PavementRehabilitationProject—CIP57...0&ADeadlineOctober9,20233:00PM(PDT) Answer$2,310,000
AnswerNo
Answer$2,310,000
Set1ReleasedviaAddendum10032023-O110/03/20238:27AM(PDT)— 3questions1.1Willanengineer'sestimatebeprovided?
1.2Isthereanymandatoryprebidmeeting?
1.3CouldyousharetheEngineerestimate?
Set2ReleasedviaAddendum10042023-O110/04/202311:45AM(PDT)-3questions2.1Pg25ofthespeci?cationsstatesFailuretocommittotheachievementoftheDBEcontractgoalsordemonstrategoodfaitheffortsbutnogoalsarestatedinthecontractdocumentsPleaseAdviseAnswerThisprojectdoesnotrequireDBEgoalsbemetsoitcanbedisregarded
2.2ConstNote9callsforshoulderbacking.Underwhichitemwillthisbepaidsincethereisnolineitemforshoulderbacking?AnswerThiswillbepaidfromline14foruntreatedbase
2.3ItemA1doesnothaveadescriptionorQtypleaseadviseAnswerDisregard.Therearenoadditivebiditems.
Set3ReleasedviaAddendum‘l0092023—O110/09/202312:46PM(PDT)— 1question3.1Arethereanycorelogsavailableshowingtheexistingstreetsectionineacharea?
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///2%I-/~/:2
AnswerPleaseseethedocumentssection
Set4ReleasedviaAddendum10112023-O110/11/20237:27AM(PDT)-2questions4.1Foritem14(UntreatedBase)canRecycledClassIICMBbeused? AnswerPleaserefertothe"UntreatedBase"sectionintheTechnicalProvisions
4.2isthereaprojectedstartdate?
AnswerThestartdateissetuponprojectaward.EarlyDecember2023iscurrentlythetarget.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755
ITEMNo1
10 11
12 13
14 15
B|DDER'SPROPOSALBIDSCHEDULEBASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755
DESCRIPTION
Mobilization(nottoexceed5%)TrafficandPedestrianControlClearing,GrubbingandRemovalsTemporaryConstructionProjectIdentificationSignsWaterQualityControlAdjustExistingManholetoNewF.S.AdjustExistingValveCan/LidtoNewF.S.ReplaceExistingWaterMeterBox"HeavyDuty”Remove&RelocateExistingMailBoxRelocateExistingSignsandPostsRemoveandReplaceExistingADARampperCityStd.UnclassifiedExcavationHotMixAsphaltUntreatedBaseSmoothPavementJointTransition UNIT
EA
EA
EA
EA
EA
EA
CY
TN
TN
LF
A1—2
ESTIMATEDQUANTITY
18 15
14 9600
7500
8200
350
UNITPRICEEXTENDEDITEMAMOUNT”°°'°°°-"°lOb.oo0.“°“?40,0oo,°°“'9'~°°+ma.ooo.°° $33:000.°°$28,ooo_o0
“W-"°‘h.oqo.°°f'(a.70o.°°M31600.”$53-”°5?‘tcM.2oo.wWoo’.0$790,000;$94-70¢2'~f5,5L’o'o<qH' Do9,990. +"9‘0;0(')°9
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N/A /11-
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSAL BASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755EXTENDEDITEM ESTIMATEDUNITDESCRIPTIONUNIT ITEMNo QUANTITYPRICEAMOUNT16TypeAACDikeperCalTransLF500Std.17ConstructACDrivewayTransitionSF165018Signing&StripingL5 119ReplaceDamagedTrafficLoopsEA1520FieldOrders L5 1 $10,000$10,000 TOTALBASEBID(numbers)**'k**'k******************'k'k***'k****'k*D ED **'k********'k******************‘k***'k* ADDITIVEABIDITEMSASFOLLOWSITE EXTENDEDESTIMATEDM DESCRIPTIONorITEMSU:";’R“I'gEITEMNo QUANWYAMOUNTA1 TOTALBIDADDITIVEA(numbers)*~k***~k***********'k***********~k*-kENDA BASEBIDTOTAL(inwords)
Contractor'sInitials
ADDITIVEABIDITEMSTOTAL(inwords)
‘h/IOUand0°
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALContractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon—responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedule(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedule(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContract
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CHPORATION
gw
%
SINCE1918
CorporateResolution
AtameetingoftheBoardofDirectorsofMATICHCORPORATION,aCaliforniacorporationdulycalledandheldonthe15*“dayofOctober2021,aquorumbeingpresentthefollowingRESOLUTIONwasadopted:Resolved,theCorporateOfficersforMatichCorporationare:PRESIDENT ROBERTM.MATICHVICEPRESIDENT8:.TREASURERRANDALLS.V ALADEZVICEPRESIDENT8:CORPORATESECRETEARYRANDALLS.V ALADEZVICEPRESIDENT-ESTIMATINGJASONG.JONESVICEPRESIDENT—CONSTRUCTIONOPERATIONSJACOBO.READEFURTHERRESOLVED,thattheabovelistedCorporateOf?cersaredulyauthorizedtosigndocument(bids,contracts,etc.)asmaybenecessaryonbehalfofMATICHCORPORATION.I,RandallS.Valadez,SecretaryofMATICHCORPORATIONhavecomparedtheforegoingRESOLUTIONwithoriginalthereof,asitappearsintherecordsoftheBoardofDirectorsofsaidcompany,anddosocertifythatthesameistrueandcorrecttranscripttherefrom,andofthewholesaidoriginalRESOLUTION.IfurthercertifythatsaidRESOLUTIONhasnotbeenamendedorrevokedandisstillinfullforceandeffect.INWITNESSTHEREOF,IhereuntosetmyhandassuchSecretarydayofOctober2021 RandallS.Valadez,Secretary
1596HARRYSHEPPARDBLVD,SANBERNARDINO924080TELEPHONE(909)332-7400'FAX(909)382-0191www.mulichcorp.com
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jjones@matichcorp
2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.
Completethefollowing:MatichCorporation.DIRNo.1000004260.LicenseNo.149783Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CorporationBusinessType(Corporation,Partnership,SoleProprietor)N/ADBA(ifany)RobertM.Matich.PresidentNameandtitleoftheownerJasonG.Jones,VicePresidentNameandtitleofsecondpartnerorof?cer1596HarrySheppardBlvd,SanBernardino,CA92408BusinessAddress909-382-7400Telephonenumber909-382-O113Facsimilenumber JasonG.Jones..comNameandEmailaddressofprimarycontactwvvw.matichcorp.comCompanywebaddress ,
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Signatu
cobO.Reade. Operations
2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSAL 10/16/2023 10/16/2023of Date ofBidder DateJasonG.Jones.VicePresident VicePresidentofPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.) Raw?February2020
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perations
2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALCERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaClass’A’Contractor'sLicenseCombinationofSpecialtyClass‘C’Contractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor'slicense(s)which:aBearsthelicensenumber(s)149733/A&BbExpireson:November302023 10/16/2023 10/16/2023er Date Bidder DateJasonG.Jones.VicePresident VicePresidentof0Printnameandtitle nameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.
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CONTRACTORSCJCESTATELICENSEBOARDACTIVELICENSE
Ln:unIeNumhnr1 Emlv
a....—.....u.....MATICHCORPORATION
cvusulmlnnmAB
a..........u...11/30/2023wvvw.cslb.ca.gov
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theAgencyifalendardaysadnotwithstand
undersignedthedatesettheawardof
withdreopenontract
2022/23SB1PavementRehabilitationProjectCIPN0.5755 B|DDER'SPROPOSALBIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",forN/A lars(5N/A ,thisamountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:A.IfsaidBidshallberejectedbytheAgency;B.IfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformattachedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsperforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallotherrespectsperformtheContractcreatesaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgency.Saidcheckshallalsobecomethepropertyof thehis/her/itsbidwithintheperiodofsixty(60)c fterthereof,unlessotherwiserequiredbylaw,an inganotherbidder.N/A N/ASignatureofBidder DateSignatureofBidderN/A N/APrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) clbyacceptanceof
shallawforth ingtheC to
Date
._A..;_ __,__ .,_
Rev‘.1?Fe{?rua;'VZGECI
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Octo
2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALBIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTSThattheundersignedMatichCorporation(NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarAmountInwords)TenPercentoftheTotalAmountBidDollars(S10%0fBidlawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.22/23SB1PavementRehabilitationProject,CIPNo.5755WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis3rddayof ber 20(Month)Ma tion(CorporateSeal) ByPByLibertyMutualInsuranceCompanySurety(CorporateSeal) cDonoAttorney—1n—act
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CALIFORNIAALL-PURPOSECERTIFICATEOFAKNOWLEDGMENT
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CAnotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCALIFORNIA}CountyofSANBERNARDINO}On10/4/2023personallyappearedJASONG.JONESwhoprovedtomeonthebasisofsatisfactoryevidencetobethepebeforeme,G.M.BernalesNPublicwhoseresubscribedtothewithininstrumentandacknowledgedtomethatexecutedthesameinsignaturewhichthepersoa her/theirauthorizedcapacityontheinstrumenttheperson(s),ortheentityuponbehalfofd,executedtheinstrument.),andthatby IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhandandofficialseal NotaryPublicSignature
COMM.#2356450
(NotaryPublicSeal)INSTRUCTIONSFORCOMPLETINGTI-HSFORMThisformcomplieswithcurrentCaliforniastatutesregardingnotarywordingand,DESCRIPTIONOFTHEATTACHEDDOCUMENTifneeded,shouldbecompletedandattachedtothedocument.AcknowledgmentsfromotherstatesmaybecompletedfordocumentsbeingsenttothatstatesolongasthewordingdoesnotrequiretheCalifornianotarytoviolateCalifornianotarybidsecurityformforbond(Titleordescriptionofattacheddocument)-bidder'sproposal(Titleordescriptionofattacheddocumentcontinued)NumberofPagesDocumentDateCAPACITYCLAIMEDBYTHESIGNER' individual(5)CorporateOfficer .I: (IItIe)Partner(s) '
Attorney-in-FactTrustee(s)OtherI:www.NotaryClasses.com800-873-9865' law.StateandCountyinformationmustbetheStateandCountywherethedocumentsigner(s)personallyappearedbeforethenotarypublicforacknowledgment.Dateofnotarizationmustbethedatethatthesigner(s)personallyappearedwhichmustalsobethesamedatetheacknowledgmentiscompleted.Thenotarypublicmustprinthisorhernameasitappearswithinhisorhercommissionfollowedbyacommaandthenyourtitle(notarypublic).Printthename(s)ofdocumentsigner(s)whopersonallyappearatthetimeofnotarization.Indicatethecorrectsingularorpluralfonnsbycrossingoffincorrectforms(i.e_he/she/t-l=iey,—is/are)orcirclingthecorrectfonns.FailuretocorrectlyindicatethisinformationmayleadtorejectionofdocumentrecordingThenotarysealimpressionmustbeclearandphotographicallyreproducible.Impressionmustnotcovertextorlines.Ifsealimpressionsmudges,re—sealifasufficienta.reapennits,otherwisecompleteadifferentacknowledgmentformSignatureofthenotarypublicmustmatchthesignatureonfilewiththeofficeofthecountyclerk.*2‘Additionalinformationisnotrequiredbutcouldhelptoensurethisacknowledgmentisnotmisusedorattachedtoadifferentdocument'2'Indicatetitleortypeofattacheddocument,numberofpagesanddate.'3'Indicatethecapacityclaimedbythesigner.Iftheclaimedcapacityisacorporateofficer,indicatethetitle(i.e.CEO,CFO,Secretary)Securelyattachthisdocumenttothesigneddocumentwithastaple.
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whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity?es),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperscn(s),ortheentityuponbehalfofwhichtheperson(s)acied.executedtheinstrument. doffi
CALFORNIAALL-PURPOSEACKNOWLEDGMENTCIVILCODE§1189Anotarypublicorotherof?cercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisatached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia)Countyof Orange)onDC‘.09 beforeme,Le-KimH.Luu,NotaryPublicDate HereInsertNameandTitleoftheOfficerpersonallyappearedLeighMCD0T1011ghName(s)ofSignerfs) IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.LE-KIMH.LUUCOMMISSION#23161983 WITNESSmyhandanalseal.NotaryPublic-California5ORANGEcourrrv“ MyCommExpiresDec17.2023SignatureSignatureofNotaryPublic PlaceNotarySealAboveOPTIONALThoughthissectionisoptional,completingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument DocumentDateNumberofPages:Signer(s)OtherThanNamedAbove:Capacity(ies)ClaimedbySignerls)Signer'sName: Signer'sName:CorporateOf?cer— TitIe(s): CorporateOfficer— Tit|e(s):Partner— LimitedGeneralPartner— LimitedGeneralIndividualXAttorneyinFact IndividualAttorneyinFactTrusteeGuardianorConservatorTrusteeGuardianorConservatorOther: Other:SignerlsRepresenting:SignerlsRepresenting ©2014NationalNotaryAssociation-www.NationalNotary.org-1-800-USNOTARY(1-800-876-6827)item#5907
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HeatherSchalleralloftheexecute,persons. byanauthorizedof?cerorofficialoftheCompaniesandthecorporatesealsoftheCompanieshavebeenaf?xedtheretothis23rddayofMarch,2023 LibertyMutualInsuranceCompanyTheOhioCasualtyInsuranceCompanyInsuranceCompany David,AssistantSecretaryStateofPENNSYLV ANIASSCountyofMONTGOMERYOnthisday , beforemepersonallyappearedDavidM.Carey,whoacknowledgedhimselftobetheAssistantSecretaryofLibertyMutualInsuranceCompahio AmericanInsuranceCompany,andthathe,assuch,beingauthorizedsotodo,executetheforegoinginstrumentforthepurposescontainedbysigningonbehalfofthecorporationsbyhimselfasadulyauthorizedof?cerINWITNESSWHEREOF,IhavehereuntosubscribedmynameandaffixedmynotarialsealatPlymouthMeeting,Pennsylvania,onthedayandyearfirstabovewritten. eresaThisof i exputoandbyauthorityofthefollowinlawsrizationsofTheOhioCasualtyInsuranceCompany,LibertyMutuallnsuomd annceanywhichresolutionsarenowinfullandngasfollows:ARTICLEIV—OFFICERS:Section12.PowerofAttorney.bytheChairmanorthePresident,andsubjecttosuchlimitationastheChainnanortheofo , te,,s t e ina a s thretary.Anyporau toanyentativeorattomey-in-factundertheidentorbythceror gsuchorauthority.XIII— Section5.Suretysandrtakings.rofth thatpurposeinwbythnnanorthepresident,andsubjecttosuchlimitationsasthechairmanorthepresidentmayprescribe,h anyto te,seal nddeliveras nyandallunden Iimitatiintheirrsofattorney,vefullpowertor tothesealoftheCompany.Whensoexecutedsuchinstnrmentsshallbeasbindingasifsignedbythepresidentandattestedbythesecretary.Ce nation—ThePrestoftheCompantotheBylawse DavidM.Carey,Assistantarytointsuchfac ssarytoactonbeoftheCompany,seal,acknowe anyandallundertakings,recogcesandobligationsany'sBoardofDiretheCompanyha mechanicallyrepedtureassisoftheofanypowerofattissuedbythein ithsuretybonds,beandgupoywithI,eC.Llewellyn,unned,stantSe, Casualtylnsurampany,rtyMutualceCompany,a Insce_Codoh certifythatthenalrofaeyofwh safull,trueandcopyofPowerofAexecutedbysa fulleandndhasnotbeenrevoked.INTESTIMONYWHEREOF,Ihavehereuntosetmyhandandaf?xedthesealsofsaidCompaniesthis3rddayofOctober,2023 LMS-12373LMICOCICW AICMultiCo02/21
Pennsylvania-NotarySealTeresaPaslella.NotaryPublicMontgomeryCountyMycommissionexpiresMarch28,2025Commission1126044ofNotaries
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MatichCorporation
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2022/23SB1PavementRehabilitationProjectCIPN0.5755 B|DDER'SPROPOSALNON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:IamtheVicePresidentof thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedonOct.12023date],atSanBernardinocity],California 10/1 10/16/2023Date ofBidder DateJasonG.Jones.VicePresident0.ReadVicePresidentof0Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALCONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarexperienceofcompletedprojectswithsimilarsizeandscopeshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectName:PhelanRoadI nlmnrovemContractPrice:$2,056,154-00DateofCompletion:JAN2023Name,Address,andTelephoneNumberofOwner'sRepresentativeCountyofSanBernardinoLarryWhite-(909)387-7924ProjectName;2021PavementRehabilitationContractPrice: DateofCompletion:AUG2022Name,Address,andTelephoneNumberofOwner'sRepresentative:ofPalm8 sV ondaTeed-(760)232-8253ProjectName;Citv/CountyCooperativePavementRehabilitationContractPrice: DateofCompletion:MAY2022Name,Address,andTelephoneNumberofOwner'sRepresentativeofHiandCarlosZamano-(909)864-6861 (Attachadditionalpagesasnecessary)
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALDESIGNATIONOFSUBCONTRACTORSNameofSubcontractorandLocationofPlaceDescriptionandSubcontractor’sDIRRegistrationofBusinessPercentageofWorkLicenseNo. Number (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§410OETSEQ.) 743407
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALBIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,belowSTATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakese|f—insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon-discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALCERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled"PreviousDisqua|ifications.”Ifastatementof"PreviousDisqualifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),Icertifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]1000004260Subcontractors’registrationnumbersareasindicatedinDocument004314.CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:a.ContractorprequalifiedforthisProjectbysubmittingitsStatementofQualifications,dated(SOQ).b.[Pleasecompleteorstrikeoutthefollowingasinapplicable]Subsequently,onoraboutand ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.cAllinformationdescribedaboveisreferredtoasthe"QualificationInformation.”d.ContractorhascarefullyreviewedalloftheforegoingQualificationInformation.e.[Pleasecheckand/orcompleteoneofthefollowing]AllPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.ExceptasotherwiseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactually
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALbeingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAdditionalPrequalificationInformationasdescribedaboveifthisitemischecked.]CERTIFICATIONOF[InsertotherOwner-specificcertifications,ifapplicable.Otherwise,de|ete.] BIDDER:10/16/2023 10/16/2023Date ofBidder DateJasonG.Jones,VicePresident0,ReadVicePresidentof0Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) .“.e\J.GZ020
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ContractorInformationRegistrationHistoryLegalEntityName EffectiveDateExpirationDateMATICHCORPORATIONLegalEntityType 6/5/20186/30/2019CorporationStatus 5/8/20175/30/2018ActiveRegistrationNumber 6/7/20166/30/20171000004260Registrationeffectivedate 7/8/20156/30/20167/1/2022Registrationexpirationdate 12/22/20146/30/20156/30/2025MailingAddress 7/1/20196/30/2022P0BOX10HIGHLAND92346CAUnitedStatesofAmericaPhysicalAddress 7/1/20226/30/20251596EHARRYSHEPPARDBLVDSANBERNARDINO92408EmailAddressTradeNameIDBAMATICHCORPORATIONLicenseNumber(s)CSLB:149783 LegalEntityInformation
CorporationNumber:FederalEmploymentIdenti?cationNumber:PresidentName:RobertMatichVicePresidentName:TreasurerName:SecretaryName:CEOName:AgentofServiceName:RobertMatichAgentofServiceMailingAddress:1596HarrySheppardBlvd.SanBernardino92408CAUnitedStatesofAmerica WorkersCompensationDoyouleaseemployeesNothroughProfessionalEmployerOrganization(PEO)?:
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Pleaseprovideyourcurrentworkerscompensationinsuranceinformationbelow:PEOPEOPEOPEOInformationNamePhoneEmailInsuredbyCarrier' PolicyHolderName:MATICHCORPORATIONInsuranceCarrier:FEDERALINSURANCECOMPANYPo|icyNumber:54303168Inceptiondate:7/1/2021ExpirationDate:6/30/2022
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALTheundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(sTheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALBIDSCHEDULEBASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755EXTENDEDl-ll-5:)“DESCRIPTIONUNIT ITEMAMOUNT1Mobilization(nottoexceed5%)L5 1 100500:2104)5O02TrafficandPedestrianControlL51 7‘(J‘{00I7%z903Clearing,GrubbingandRemovalsL51 33,90033,059TemporaryConstructionProject4Identi?cationSigns EA4 9”§0010'’a°° 5WaterQualityControlL51 /Qgaoo/Q5006lA:justExistingManholetoNewEA18(JLiso'16la0 7AdjustExistingValveCan/Lidto EA15I001’§00NewF.S.ReplaceExistingWaterMeterBox 00368"HeavyDuty" EA3 I,3 570 9Remove&RelocateExistingMailEA7 L[9089’090Box10RelocateExistingSignsandPostsEA4 3-’0 390RemoveandReplaceExistingADA 71, 011RampperCityStd. EA14 ’ 0l0”!‘0 12UnclassifiedExcavationCY960065é33a60013HotMixAsphaltTN7500l0g510,Mo14UntreatedBase TN8200Z0 1TC’06915SmoothPavementJointTransitionLF350l03»£00
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSAL BASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755EXTENDEDITEM ESTIMATEDUNITDESCRIPTIONUNIT ITEMNO QUANTITYPRICEAMOUNTType"A”ACDikeperCalTrans16Sm LF500;__g—{Q}50017ConstructACDrivewayTransitionSF1650 3-8,05~¢18Signing&StripingLS1 I0,C00I0.69° 19ReplaceDamagedTraf?cLoopsEA15L’"[0A6ab20FieldOrders LS1 $10,000$10,000 TOTALBASEBIDnum33LENDOFBASEBIDITEMSADDITIVEABIDITEMSASFOLLOWS:ITE EXTENDEDESTIMATEDM DESCRIPTIONOFITEMSU_P"ITEMNo Q”A”T'TYAMOUNTA1 TOTALBIDADDITIVEAum0.00ENDOFADDITIVEABIDITEMS
BASEBIDTOTAL(inwords)On ‘r-oe+Afoe’\ 0Ilav;Contractor'sInitials ADDITIVEABIDITEMSTOTAL(inwords)2prJ1,»/lap;
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/(9Intheeventofavarnbetwiceandextendedtotal,t nitpriillbeusedandthecorrectedexionwill astheamountbid.Ifthesillegindcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedule(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedule(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeiningthelowncymayelecttoincludeanyornoneoftheitive/diveornatebiditemortootherwiseaddorremovecertainwormtheofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofproverheadandothercostsandexpenses,whichwillbeincurredbytheContractorforthePrt.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.Thncyre al 0allunder ty lepuopene co rrshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedintheproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomponofbids.Nowarrantyismade,eitherexpressedorimplied,thatthe_actualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandistingitionsmayaffecttheirworkandthattheyhavereadandagreetoallthet condiandrementscontainedorreferencedhereinorintheContract
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.
CompletethefollowingAllAmericanAsphalt1000001051267073Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CorporationBusinessType(Corporation,Partnership,SoleProprietor)N/ADBA(ifany)OwnedBy:DanielDSisemore&BettyL.Sisemore100%TrustNameandtitleoftheownerMarkLuer,PresidentNameandtitleofsecondpartnerorof?cerPOBox2229,Corona,CA92878BusinessAddress951-736-7600Telephonenumber951-736-7646Facsimilenumber publicworks@aIlamericanasphalt.comNameandEmailaddressofprimarycontactwvvw.allamericanashalt.comCompanywebaddress
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2022/23SB1PavementRehabilitationProjectClPNo.5755 BlDDER'SPROPOSAL reofer DateSignatureofBidder DateMichaelFarkas,SecretaryMarkLuerPresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.) I0[I2‘; /
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALCERTIFICATEREGARDINGCONTRACT0R'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaClass‘A’Contractor'sLicenseCombinationofSpecialtyClass‘C’Contractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor'slicense(s)which:a.Bearsthelicensenumber(s)267073b.Expireson:01/31/2024 Signatureof DateSignatureofBidder DateMichaelFarkas,SecretaryMarkLuer,PresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal. ll
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALBIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPNGBIDAccompanyingthisproposalisaCertifiedCheckorCashier'sCheckpayatheorderoftheCityofHemet,hereinafterreferredtoas"Agency",fordollars thisamountbeing10percent(10%)ofthetotalamountoftheb scheckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:A.IfsaidBidshallberejectedbytheB.IfsaidBidshallbeacceptedby andtheUndersignedshallexecuteanddeliveraContractintheformattachedproperlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequireds/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsrforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallthepropertyoftheAgency.SaidcheckshallalsothepropertyoftheAgencyiftheUndersignedshallwithdrawhis/her/itsbidwithinperiodofsixty(60)calendardaysafterthedatesetfortheopeningthereof,unlessothrequiredbylaw,andnotwithstandingtheawardoftheContracttoanotherbidder Signatureof DateSignatureofBidder Date
Printandtitle Printnameandtitle( Bidderisacorporation,twosignaturesofcorporateo?icersarerequired.)
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BidBondNo.08597423BidDate:10/16/20232U22/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALBIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedAllAmericanAsphalt(NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DolIarAmgunt[nwords)TenPercentofTotalAmountBid———-Dollars10%OfBid--"IlawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]2022/23SB1PavementRehabilitationProject-CIPNo.5755THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis6thdayofOctober 2023,(Month) AllAmerican(CorporateSeal) ByPrincipalti 55°”-*‘«'~(ByFidelifvandDepositCnmnanvnfMadSurety(CorporateSeal) ByHaas—Bates,A —Fact
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CALIFORNAALL-PURPOSEACKNOWLEDGEMENTCVILCODE1189
Anotarypublicorotherof?cercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached.andnotthetruthfulness.accuracv.orvaliditvofthatdocument.
StateofCaliforniaCountyof RiideonOctober11, beforeme’QnmhAmandaInnoievpninlinDate HereInsertnameandTitleoftheOf?cer personallyappeared MichaelFarkasName(s)ofSigner(s)
SARAHAMANDALANGLEYNotaryPublicCaliforniaRiversideCountyCCommissionIf2337877°"""'E"""°‘"°“2°’2°24IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforgoingparagraphistrueandcorrect.handandseal.
PlaceNotarySealAbove PublicOPTIONALThoughtheinformationbelowisnotrequiredbylaw.itmayprovevaluabletopersonrelyingonthedocumentandcouldpreventfraudulentremovalandreattachmentofthisformtoanotherdocument.DescriptionofAttachedDocumentTitleorTypeofDocumentBidBondDocumentDate:October6,2023 NumberofPages:3Signer(e)OtherThanNamedAbove:Capacity(ies)ClaimedbySigner(s)Signer'sName:MichaelFarkassigner-SNameN/AElIndividual DIndxCorporateOf?cer— Title(s)Corn.rv DComo:3PartnerElaLimitedElGeneral E,partnerD[IIAttorneyinFact DAttorneyinDTrustee Topofthumbhere DTrustee Topofthumbhere Dother? oOther:
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Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia )CountyofOrange )On10/06/2023beforeme’AlmaKarenHernandez,NotaryPublicDate HereInsertNameandTitleoftheOfficerpersonallyappearedRebeccaHaas-BatesName-(s).ofSignerl’s)l whoprovedtomeonthebasisofsatisfactoryevidencetobethepersonts)whosename(‘s}is/aresubscribedtothewithinandacknomethathe/she/theythesameinhis/her/‘theirauthorizedca andthatby signaturelslonthein hepersonfs},ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhandandofficialseal.
NNA1IVNN
SignatureSignatureofNotaryPublic
PlaceNotarySealAboveOPTIONALThoughthissectionisoptional,completingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument:BidBondDocumentDate:10/05/2023NumberofPages:One(1)Signer(s)OtherThanNamedAbove:A11/\meYiCanAsphaltCapacity(ies)ClaimedbySigner(s)Signer’sName:RebeccaHaas-BatesSigner’sNameCorporateOfficer— Tit|e(s): CorporateOfficer— Tit|e(s) T
Partner— LimitedGeneralPartner— :1LimitedCGeneralI:individualZAttorneyinFact IndividualAttorneyinFactTrusteeGuardianorConservatorTrusteeGuardianorConservator_Other: Other:SignerlsRepresenting:SignerIsRepresenting:FidelityandDepositCompanyofMaryland ©2014NationalNotaryAssociation-www.Nationa|Notary.org-1—800~USNOTARY(1-800-876-6827)item#5907
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EXTRACTFROMBY-LAWSOFTHECOMPANIES
TOREPORTACLAIMWITHREGARDTOASURETYBOND,PLEASESUBMITACOMPLETEDESCRIPTIONOFTHECLAIMINCLUDINGTHEPRINCIPALONTHEBOND,THEBONDNUMBER,ANDYOURCONTACTINFORMATIONTO:ZurichSuretyClaims1299ZurichWaySchaumburg,IL60196-1056800-626-4577 Authenticityofthisbondcanbeconfirmedatbondvalidator.zurichna.comor410-559-8790 "ArticleV ,Section8, .TheChiefExecutiveOf?cer,thePresident,oranyExecutiveVicePresidentorVicePresidentmay,bywritteninstrumentundertheattestedcorporateseal,appointattomeys-in-factwithauthoritytoexecutebonds,policies,recognizances,stipulations,undertakings,orotherlikeinstrumentsonbehalfoftheCompany,andmayauthorizeanyofficeroranysuchattorney-in-facttoaffixthecorporatesealthereto;andmaywithorwithoutcausemodifyofrevokeanysuchappointmentorauthorityatanytime." CERTIFICATEI,theundersigned,VicePresidentoftheZURICHAMERICANINSURANCECOMPANY ,theCOLONIALAMERICANCASUALTYANDSURETYCOMPANY ,andtheFIDELITYANDDEPOSITCOMPANYOFMARYLAND,doherebycertifythattheforegoingPowerofAttorneyisstillinfullforceandeffectonthedateofthiscerti?cate;andIdofurthercertifythatArticleV ,Section8,oftheBy-LawsoftheCompaniesisstillinforce.ThisPowerofAttorneyandCertificatemaybesignedbyfacsimileunderandbyauthorityofthefollowingresolutionoftheBoardofDirectorsoftheZURICHAMERICANINSURANCECOMPANYatameetingdulycalledandheldonthe15thdayofDecember1998.RESOLVED:"ThatthesignatureofthePresidentoraVicePresidentandtheattestingsignatureofaSecretaryoranAssistantSecretaryandtheSealoftheCompanymaybeaffixedbyfacsimileonanyPowerofAttorney...AnysuchPoweroranycertificatethereofbearingsuchfacsimilesignatureandsealshallbevalidandbindingontheCompany."ThisPowerofAttorneyandCertificatemaybesignedbyfacsimileunderandbyauthorityofthefollowingresolutionoftheBoardofDirectorsoftheCOLONIALAMERICANCASUALTYANDSURETYCOMPANYatameetingdulycalledandheldonthe5thdayofMay,1994,andthefollowingresolutionoftheBoardofDirectorsoftheFIDELITYANDDEPOSITCOMPANYOFMARYLANDatameetingdulycalledandheldonthe10thdayofMay,1990.RESOLVED:"ThatthefacsimileormechanicallyreproducedsealofthecompanyandfacsimileormechanicallyreproducedsignatureofanyVice-President,Secretary,orAssistantSecretaryoftheCompany,whethermadeheretoforeorhereafter,whereverappearinguponacertifiedcopyofanypowerofattorneyissuedbytheCompany,shallbevalidandbindingupontheCompanywiththesameforceandeffectasthoughmanuallyaffixed.INTESTIMONYWHEREOF,IhavehereuntosubscribedmynameandaffixedthecorporatesealsofthesaidCompanies,this6thdayofOctober
SEALSEAL
7’)/lg/Qis?otizBy:MaryJeanPethick
SEA
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALNON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON—COLLUSlONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares|amtheSecretaryofAllAmericanAsphalt_thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder. liforniathatthedate],atCoronacity],Californiastate] Signatureof DateSignatureofBidder DateMichaelFarkas.SecretarvMarkLuerPresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) IdeclareunderpenaltyofperjuryunderthelawsoftheStateofforegoingistrueandcorrectandthatthis
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Rivers
beforeSarahAmandaLanglevNotarvPublic
1., SARAHAMANDALANGLEVEr NmryPublI:-callfnmtahis/-her/theirrizedcapacity(ie.andthat:12 R‘V9rS|deEmmy ! signature(s)instrumentthepeon(s).urthe4"~z"" ‘
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A|lAmericanAsghaIt Aner:A5nan
CALIFORNAALL-PURPOSEACKNOWLEDGEMENTCVILCODE§1189
Anotarypublicorotherofficercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached.andnotthetruthfulness.accuracv_orvaliditvofthatdocument.
StateofCaliforniaCountyof ideonOctober11,2023Date
personallyappeared
PlaceNotarySealAbove
me, ,HereInsertnameandTitleoftheOf?cer
MarkLuerandMichaelFarkasName(s)ofSigner(s)
whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethatheilehe/theyexecutedthesameinautho s) byhislher/theironthe rs entityuponbehalfpersond nt.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforgoingparagraphistrueandcorrect.WITNESSandof?cialseal OPTIONALThoughtheinformationbelowisnotrequiredbylaw,itmayprovevaluabletopersonrelyingonthedocumentandcouldpreventfraudulentremovalandreattachmentofthisformtoanotherdocument.DescriptionofAttachedDocumentorofDocumentDocumentDate:10/11/2023 NumberofPages:1Signer(s)OtherThanNamedAbove:N/ACapacity(ies)ClaimedbySigner(s)Signer‘sName:MarkLuernIndividualXCorporateOf?cer— Tit|e(s):PresElPartnerElDLimitedaGeneralElAttorneyinFactElTrusteeElOther:
SignerisRepresenting
Topofthumbhere
Signer'sName:MichaelFarkasnIndividual"l XCorporateOf?cer——Title(s):SecretamElPartnerElElLimitedElGeneralElAttorneyinFact TopofthumbhereElTrusteeElOther:
SignerisRepresenting:
RIGHTTHUMBPRINT RIGHTTHUMBPRINTOFSIGNER
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nagernentProgra
Date
,aperez@cityo?1igh|and.
Date
,bdavis@newportbeachca_gov
dd/‘tin
2022/23SB1PavementRehabilitationProjectClPNo.5755 BlDDER'SPROPOSALCONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarexperienceofcompletedprojectswithsimilarsizeandscopeshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.projectName;LocalResidentialStreetImprovementProjectContractPrice:$7.751.320-00ofCompletion:12/2022Name,Address,andTelephoneNumberofOwner'sRepresentative:CityofBurbank-275EOlive,Burbank,CA91502ArtinMegerdichian,818-238-3942,[email protected]:P3VementM3 "7ContractPrice:$2v082»099-00ofCompletion:12/2022Name,Address,andTelephoneNumberofOwner'sRepresentative:CityofHighland-27215BaseLineStreet,Highland,CA92340AmandaPerez,909-864-6861orgprojectName:E.CoastHighway&MargueriteAvenuePavementRehabContractNo.7807-2ContractPrice:$3.363.056-00ofCompletion:10/2022Name,Address,andTelephoneNumberofOwner'sRepresentativeCityofNewportBeach-100CivicCenterDrive,NewportBeach,CA92660BenDavis,949-644-3311 (Attacha nalpagesasnecessary)
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2022TWRKREFEREN
bcardenas?manhattanheacfugov
[email protected]
rhughes@wi|ldan.r:o
[email protected]
agerez?cignfhighlandarg
PAS0
CityofManhattanBeach1400HighlandAve.ManhattanBeach,CA90266Contact:BiancaCardenas(310)802-5357 RMVRealty,Inc.28811OrtegaHwySanJuanCapistrano,CA92693Contact:KellyHaymes CityofWestlakeVillage31200OakCrestDr.WestlakeVillage,CA91361Contact:RoxanneHughes(805)890-8885m CityofBurbank275EOliveBurbank,CA91502Contact:ArtinMegerdichian(818)238-3942 CityofHighland27215BaseLineSt.Highland,CA9234Contact:AmandaPerez(909)864-6861 CES
SlurrySealofCentralAreaofSandsSectionContractAmount:$730,251.42StartDate:12/2021EndDate:7/2022 PlanningArea3.1StreetImprovementContractAmount:$3,996,996.00StartDate:4/2021EndDate:4/2022 DalesDr.andParkridgeAveStreetlmprovAmount:$1,025,336.00StartDate:5/2022EndDate:6/2022 LocalResidentialSt.lmprov.ProjectContractAmount:$7,761,320.00StartDate:1/2022EndDate:12/2022 PavementManagementProgramContractAmount:$2,082,099.00StartDate:10/2021EndDate:12/2022
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2022P WRKREFERENE
bhaskell?tollbrnthe
NiclnesgositaQcigoffullertomcam
[email protected]
hdavis?newportbeachcmgov
hamid?villagarkmrg
AST0
TallBros,Inc.725W.Town&CountryRoad,Ste200Orange,CA92868Contact:BrandonHaskell(714)347-1360rs.com CityofFullerton303W.CommonwealthAveFullerton,CA.92632Contact:NickEsposito(714)738-6851 CityofNorco2870ClarkAveNorco,CA92860Contact:ChadBlais(951)270-5678.ca.us CityofNewportBeach100CivicCenterDriveNewportBeach,CA.92660Contact:BenDavis(949)644-3311 CityofVillaPark17855SantiagoBlvd.VillaPark,CA92667Contact:HamidTorkamanha(714)998-1500 CS
TheMetroHeightsContractAmount:$2,675,250.00StartDate:11/2021EndDate:04/2022 MiscellaneousRehabFY21-22ContractAmount:$704,080.00StartDate:06/2022EndDate:12/2022 CorporateYardPavementRehabContractAmount:$612,755.33StartDate:10/2021EndDate:12/2022 E.CoastHighway&MargueriteAvenuePavementRehabilitationContractNo.7807-2ContractAmount:$3,363,056.00StartDate:01/2022EndDate:10/2022 FY2021-2022SlurrySealProjectContractAmount:$128,497.60StartDate:02/2022EndDate:12/2022
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2022P TWREFERNE
jlogezl?nurwalkczgnv
cortiz?buenagarkmom
‘a|faro@santa—c|arita.com
Bi||.hanson@|ewismc.com
Priscil|[email protected]
AS
CityofNorwalk12700NonualkBlvd.Norwalk,CA90650Contact:DamianRosales(562)929-5527 CityofBuenaPark6650BeachBlvd.BuenaPark,CA90621Contact:CesarOrtiz(714)562-3689 CityofSantaClarita23920ValenciaBlvd.#120Valencia,CA91355Contact:JuanaAlfaro(661)255-4942 LewisOperatingCorp.1156N.MountainAve.Upland,CA91786Contact:BillHanson(909)985-0971 CityofLaMirada15515PhoebeAvenueLaMirada,CA90638Contact:PriscillaYi(562)902-2374 OKRECS
LocalSt.RehabilitationProjectContractAmount:$1,041,470.00StartDate:01/2021EndDate:12/2022 EighthStreetRehabProjectContractAmount:$510,000.00StartDate:1/2021EndDate:12/2022 DalesDr.andParkridgeAveStreetImprov.Amount:$1,025,336.00StartDate:5/2022EndDate:6/2022 MeridianPhase3StreetImprovementsContractAmount:$4,947,887.50StartDate:11/2021EndDate:12/2022 NeighborhoodSlurrySealArea3ContractAmount:$799,151.00StartDate:6/2022EndDate:12/2022
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[email protected]
[email protected]
Todd.shank@norc
[email protected]
s?sher@,DanaPoinmrg
bhaemiCoronas. ov
2021PASTWORKREFERENCES
ColonyCommerceC/OCaprockPartners1300DoveStreetSuite200NewportBeach,CA92660Contact:EricNutter(949)428-1400Ext.209 LennarHomes25Enterprise#300AlisoViejo,CA92656Contact:DianeHannon(949)349-8000 CityofNorco2870ClarkAve.Norco,AC92860Contact:ToddShank(951)270-5603o.ca.us LosAngelesDepartmentofWaterandPower111NorthHopeStreet,L-43LosAngeles,Ca90012Contact:JoelleMorisseau(213)367-0123 CityofDanaPoint33282GoldenLanternDanaPoint,CA92629Contact:ScottFisher(949)248-3577 CityofCorona400SouthVicentiaCorona,CA92852Contact:BarryGhaemi(951)736-2400 ArchibaldSt.ImprovementsContractAmount:$1,949,000.00Start:12/2019Completed:12/2021 Merrill&HavenStreetImprovementContractAmount:$1,481,832.15Start:6/2020Completed:12/2021 WayneMakinParkSlurrySealProjectContractAmount:$52,725.89Start:10/2021Completed:12/2021 PineTreePowerPlantAccessRoadRepairImprovementsContractAmount:$810,400.00Start:5/2021Completed:7/2021 SlurrySealProject19/20ContractAmount:$1,897,897.00Start:04/2020Completed:05/2021 StreetPavementMaintenance&RehabilitationProjectNo.2020.01ContractAmount:$3,471,178.00Start:6/2021Completed:1/2022
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'[email protected]
[email protected]
gl_<au@norwa]kca.gov
IIIIIZILI fg
221PASTWORKREFERECES
CityofAnaheim200S.AnaheimBoulevardAnaheim,CA92805Contact:JoseCortez(714)765-5039 CountyofOrange601NorthRossStreetSantaAna,CA92701Contact:StephenClayton(714)995-0206 CityofNorwalk12700NorwalkBlvd.Norwalk,CA90650GlenW.C.Kau(562)929-5723 CityofGardenGrove11222AcaciaPkwyGardenGrove,CA92840NavinMaru(714)741-5180 StateCollegeBoulevardImprovementfromBallRoadtoSR91FreewayContractAmount:$484,848.00Start:8/2021Complete:4/2022 RossmoorCollectorsGrind&OverlayContractAmount:$2,148,320.90Start:4/2021Complete:12/2021 LocalStreetsRehabilitationZone27EastofGard
—
No.7925.3ContractAmount:$1,051,330.00Stalt6/2021Completed:12/2021 ArterialSTS.RehabilitationContractAmount:$3,185,281.00Start:6/2022Complete:12/2021
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[email protected]
cke3§@'urugavaIIey.org
[email protected]
[email protected]
'[email protected]
2020PASTWORKREFERENCES
CityofOntario303EastBStreetOntario,CA91764Contact:ArianaKern(909)395-2129 CityofLomaLinda25541BartonRoadLomaLinda,CA92354Contact:T.JarbThaipejr(909)799-4400ithaipeir@|oma|inda-ca.gov CityofJurupaValley8920LimoniteAvenueJurupaValley,CA92509Contact:ChaseKeys(951)332-6464 CountyofOrange601N.RossStreet,4”‘FloorSantaAna,CA92701Contact:AlbertRodriguez CityofCompton205S.WillowbrookAvenueCompton,CA90220Contact:BrittanyDuhn(Z&KConsultants) CityofHuntingtonBeach2000MainStreetHuntingtonBeach,CA92648Contact:JoeFuentes(714)536-5259 2020FallPavementRehabilitationProjectContractAmount:$2,499,333.00StartDate:07/2020EndDate:12/2020 PavementRehabilitation— BartonRoadContractAmount:$768,677.00StartDate:04/2020EndDate:12/2020 GraniteHillDrivePavementRehabilitationContractAmount:$999,777.00StartDate:04/2020EndDate:10/2020 JOCPavementMaintenanceContractAmount:$2,584,747.69StartDate:07/2020EndDate:08/2020 AnnualResidentialStreetRehabilitation—
Phase1ContractAmount:$5,295,068.00StartDate:05/2020EndDate:11/2020 ArterialRehabilitationofGrahamSt,SlaterAve,NewlandStandAtlantaAveContractAmount:$5,181,955.00StartDate:05/2020EndDate:11/2020
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[email protected]
ttranwestminstenca.ov
[email protected]
rbias@cityofa|harnbra.o[g
[email protected]
ttran@cityofcamaril|o.org
2020PASTWORKREFERENCES
CityofNewportBeach100CivicCenterDriveNewportBeach,CA92660Contact:PatriciaKharazmi(949)644-3344 CityofWestminster8200WestminsterBoulevardWestminster,CA92683Contact:TheresaTran(714)548-3460 CrescentaValleyWaterDistrict2700FoothillBoulevardLaCrescenta-Montrose,CA91214Contact:BrookYared(818)236-4117 CityofAlhambra111S.13‘StreetAlhambra,CA91801Contact:RobertBias(626)580-5000 CountyofVentura800S.VictoriaAvenue,#1600Ventura,CA93009Contact:MattMaechler(805)477-1911 CityofCamarillo601CarmenDriveCamarillo,CA93010Contact:ThangTran(805)388-5345 CameoHighlandsStreetReconstructionContractAmount:$2,425,694.00StartDate:07/2020EndTime:11/2020 CitywideOverlayStreetImprovementsContractAmount:$1,131,621StartDate:02/2020EndDate:06/2020 FinalPavingofPennsylvaniaAveContractAmount:$82,620.00StartDate:02/2020EndDate:04/2020 2020HUDStreetImprovementsProjectContractAmount:$300,433.00StartDate:06/2020EndDate:10/2020 YerbaBuenaRd.(South)PavementResurfacingContractAmount:$2,298,467.40StartDate:03/2020EndDate:06/2020 EarlJosephDrivePavingContractAmount:$681,901.50StartDate:06/2020EndDate:07/2020
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[email protected].
[email protected]_
2020PASTWORKREFERENCESCityofNorco2870ClarkAvenueNorco,CA92860Contact:SamNelson(951)270-5607FY2019-2020SlurrySealProjectContractAmount:$147,708.97StartDate:06/2020°a'”s EndDate:12/2020CityofOrange AnnualSlurrySealFY19-20Various300E.ChapmanAvenue LocationsOrange,CA92886 ContractAmount:$377,737.78Contact:MartinVarona(714)744-5563StartDate:06/2020EndDate:
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALDESIGNATIONOFSUBCONTRACTORSNameofSubcontractorandLocationofPlaceDescriptionandofBusinessPercentageofWork"""057“/93?3uH-o;.::eL;'¢\(0lr\Ct C¢(o'{o'n>a?‘0'('9S"oni’‘}7'(#-Kr:/00?s€r\¢»‘r\eer;n;0.1:11"‘P‘1fn/-((J(456lr(Md9o\ru-er$ura/‘Cy0V4«secJ—(.6 Tr\+€r§I-4-/-(9%/lpr.9§7‘Iv'P)‘/x37‘~or\»tm(at o.s~/
(Biddertoattachadditionalsheetsifnecessary)
Subcontractor’sLicenseNo.'10?‘-N7
743707
"5‘HII087l‘l0
(PUBLICCONTRACTCODE§4100ETSEQ.)
DIRRegistrationNumberlOdooo§T‘(D.7
moo37760
'004ao/S33
100096404/4,:
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALDESIGNATIONOFSUBCONTRACTORSNameofSubcontractorandLocationofPlaceDescriptionandSubcontractor’sDIRRegistrationofBusinessPercentageofWorkLicenseNo. Number (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§410OETSEQ.)
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11.4 \
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALBIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,below.STATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakeself—insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODE onpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon-discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
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[OPTICAL]
fa/[?ingg napplilublel
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALCERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled"PreviousDisqualifications.”Ifastatementof"PreviousDisqualifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),Icertifythat,ifawardedtheContractbasedontheundersigned'sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]1000001051Subcontractors’registrationnumbersareasindicatedinDocument004314.CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATIONBymysignaturehereunder,astheContractor,Icertifyasfollowsa.ContractorprequalifiedforthisProjectbysubmittingits entofQualifications,dated(SOQ).b.[Pleasecompleteorstrikeoutthe Subsequently,onoraboutContactorsubmittedfurtherinformationsupplementingfor mentofQualifications.c.Allinformationdescribedaboverredtoasthe"Qualificationlnformation."d.ContractorhascarefullyrevialloftheforegoingQualificationInformation.e.[Pleasecheckand/oroneofthefollowing]AllPrequalnformationremainstrueandcorrectinallmaterialrespectsasofthedatehe ifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedateasotherwiseexpresslysetforthinseparateAdditionalPrequali?cation,submittedwiththeBid,allPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactually
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6/7/23,3:02PM https://cadir.my.salesforce-sites.com/Contractorsearch/PrintRegDetails ContractorInformationRegistrationHistoryEffectiveDateExpirationDateLegalEntityNameALLAMERICANASPHALTLegalEntityType 5/11/20186/30/2019CorporationStatus 5/8/20176/30/2018ActiveRegistrationNumber 5/2/20166/30/20171000001051Registrationeffectivedate 6/9/20156/30/20167/1/2023Registrationexpirationdate 8/25/20146/30/20156/30/2026MailingAddress 7/1/20196/30/2020POBOX2229CORONA92878CAUnitedStatesPhysicalAdd|'e55 7/1/20236/30/2026400ESIXTHSTCORONA92879CAUnitedState...EmailAddress 7/1/20206/30/2023TradeNameIDBALicenseNumber(s)CSLB:267073CSLB:267073 LegalEntityInformation
CorporationNumber:FederalEmploymentIdenti?cationNumber:PresidentName:MarkLuerVicePresidentName:EdwardJ.CarlsonTreasurerName:SecretaryName:MichaelFarkasCEOName:AgentofServiceName:MichaelFarkasAgentofServiceMailingAddress:400E6thSt,Corona,CACorona92879CAUnitedStatesofAmerica WorkersCompensationDoyouleaseemployeesNothroughProfessionalhttps://cadir.my.salesforce-sites.com/Contractorsearch/PrintRegDetai|s1/2
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ature
2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALbeingsubmittedtoOwnerasof mustprovideAdditionalPrequalificationInformationUthisitemischecked.]CERTIFICATIONOF[Insertothercerti?cations,ifapplicable.Otherwise,deIete.] BIDDER:
SignatureofBidder DateSignofBidder DateMichaelFarkas,SecretaryMarkLuer,PresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)
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willnotberesgonsible
Contractoracknowledgesreceiptof Addenda(5) zo23—ol ,/0047.023491]IoHzo2’5—-9! 2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALTheundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,No.TheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755
ITEMNO
10 11
1213
1415
B|DDER'SPROPOSALBIDSCHEDULEBASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755
DESCRIPTION
Mobilization(nottoexceed5%)TrafficandPedestrianControlClearing,GrubbingandRemovalsTemporaryConstructionProjectIdentificationSignsWaterQualityControlAdjustExistingManholetoNewF.S.AdjustExistingValveCan/LidtoNewF.S.ReplaceExistingWaterMeterBox"HeavyDuty"Remove&RelocateExistingMailBoxRelocateExistingSignsandPostsRemoveandReplaceExistingADARampperCityStd.Unclassi?edExcavation HotMixAsphaltUntreatedBaseSmoothPavementJointTransition UNIT
LSLSLS
EA
EAEAEA
EA
EA
EACY
TN
TN
LF
ESTIMATEDQUANTITY
18 15
1496007500
8200350
UNITPRICEEXTENDEDITEMAMOUNT04.000’/0455?’/33/7/9/7’/33.000’ 000000’
300’93,V00’
/,(7o0“/5,000"/5&0’41500‘
é?
'
M07,Vm’
/07¢?’ W?,000”
W
’
7/5?890"
94,/000’yaw’
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSAL BASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755EXTENDEDITEM ESTIMATEDUNITDESCRIPTIONUNIT ITEMNo QUANTITYPRICEAMOUNT15TypeAACDikeperCalTransLF500Std.17ConstructACDrivewayTransitionSF1650 18Signing&StripingLS1
19ReplaceDamagedTrafficLoopsEA15
20FieldOrders LS1 $10,000$10,000
TOTALBASEBID(numbers)ENDOFBASEBIDITEMSADDITIVEABIDITEMSASFOLLOWS:ITE EXTENDEDESTIMATEDM DESCRIPTIONOFITEMSU?"ITEMNo Q”A”T'"AMOUNTA1 TOTALBIDADDITIVEA(numbers)ENDOFADDITIVEABIDITEMS******************************** BASEBIDTOTAL(inwords)
Contractor'sInitials
ADDITIVEABIDITEMSTOTAL(inwords)
335!/4750'95'
4/125:9’
/ 0’
/4000’
595’7,975‘
2!//99.Q/5"“
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALContractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedule(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedule(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregularity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContract
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2022/23SB1PavementRehabilitationProjectCIPNO.5755 BIDDER'SPROPOSALDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspeci?cpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.
Completethefollowing:VanceCorporation;1000008103;414567Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CorporationBusinessType(Corporation,Partnership,SoleProprietor)N/ADBA(ifany)DerekRitarita,PresidentNameandtitleoftheownerRobertErraut,VicePresidentNameandtitleofsecondpartnerorofficer459EganAvenue,BeaumontCa92223BusinessAddress909-355-4333Telephonenumber909-355-4339Facsimilenumber [email protected]/ACompanywebaddress
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSAL 10/16/23 10/16/23SignatureofBidder DateSignatureofBidder DateDerekRitarita,PresidentRobertErautt,VicePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALCERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaClass‘A’Contractor'sLicenseCombinationofSpecialtyClass‘C’Contractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor's|icense(s)which:a.Bearsthelicensenumber(s):414567b.Expireson:6/30/2024 10/16/23 10/16/23SignatureofBidder DateSignatureofBidder DateDerekRitarita,PresidentRobertErautt,VicePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALBIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier’sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",forlars( ),thisamountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:A.IfsaidBidshallberejectedbytheAgency;B.IfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformattachedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsperforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallotherrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgencySaidcheckshallalsobecomethepropertyoftheAgencyiftheUndersignedshallwithdrawhis/her/itsbidwithintheperiodofsixty(60)calendardaysafterthedatesetfortheopeningthereof,unlessotherwiserequiredbylaw,andnotwithstandingtheawardoftheContracttoa bidder 10/16/23 10/16/23reofBidder DateSignatureofBidder DateDerekRitaiita.PresidentRobertErautt,VicePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 Rev.0B|DDER'SPROPOSALFebruary2020BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTSThattheundersignedVanceCorporation(NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarAmountInWords)nottoexceedtenpercent(10%)ofthetotalbidamountDollars(S )lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]""22/23‘SBI‘PavementsRehabilitation"Project‘:CIP’Nz5:a5755‘THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis12thdayofOctober 2023(Month)Varpora(CorporateSeal) ByPrincipalByOldRepublicSuretyCompanySurety(CorporateSeal) By RenaeN.Baras,Attorneyact
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TmsIsToCmmrr,That,pursuanttotheInsuranceCodeoftheStateofCalifornia,OldRepublicSuretyCompany of Brookfield,Wisconsin ,organizedunderthelawsofWisconsin,sub1ecttottsA1-ticlesoflncorporationorother dots,is_here_byauthorizedtotransactwithinthisState,subjecttoallprovisionsofthisCerti?cate,thefollowingclassesofinsurance:
SURETY ,LIABILITYandMISCELLANEOUS
assuchclassesarenowormayhereafterbede?nedintheInsuranceLawsoftheStateofCalifornia.TmsCER'IIFICA'I'Eisexpresslyconditionedupontheholderhereofnowandhereafterbeinginfullcompliancewithall,andnotinviolationofany,oftheapplicablelawsandlawfulrequirementsmadeunderauthorityofthelawsoftheStateofCaliforniaaslongassuchlawsorrequirementsareineffectandapplicable,andassuchlawsandrequirementsnoware,ormayhereafterbedoramended.INWrrmasse?ectioeasof1990,Ihavehereuntosetmyhandandcausedmyo?icialsealtobea?ixedthis14thday 1910,.
ByQ withtheSecretaryofStatemustbea dasrequiredbytheCaliforniaCodeafterissuanceofthisCer??cateof Failuretodosowillbea ofIns.CodeSec.701andwillbegroundsforrevokingthisCerti?cateofAuthoritypursuanttothe madeinthe?u?uand?whm?nForm633-: I34661Page 153 of 308
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OLDRPBL URET*
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OM****EUICSYCNY**?r**** POWEROFATTORNEYKNOWALLMENBYTHESEPRESENTS:ThatOLDREPUBLICSURETYCOMPANY ,aWisconsinstockinsurancecorporation,doesmake,constituteandappoint: JuliaB.Bales,KennethA.Coate,RenaeN.Balderas,AndreaParisofRiverside,CAitstrueandlawfulAttorney(s)-in-Fact,withfullpowerandauthorityforandonbehalfofthecompanyassurety,toexecuteanddeliverandaf?xthesealofthecompanythereto(ifasealisrequired),bonds,undertakings,recognizancesorotherwrittenobligationsinthenaturethereof,(otherthanbailbonds,bankdepositorybonds,mortgagedeficiencybonds,mortgageguarantybonds,guaranteesofinstallmentpaperandnoteguarantybonds,self-insuranceworkerscompensationbondsguaranteeingpaymentofbenefits,orblacklungbonds),asfollows:ALLWRITTENINSTRUMENTS andtobindOLDREPUBLICSURETYCOMPANYthereby,andalloftheactsofsaidAttorneys-in-Fact,pursuanttothesepresents,arerati?edandcon?rmed.ThisappointmentismadeunderandbyauthorityoftheboardofdirectorsataspecialmeetingheldonFebruary18,1982.ThisPowerofAttorneyissignedandsealedbyfacsimileunderandbytheauthorityofthefollowingresolutionsadoptedbytheboardofdirectorsoftheOLDREPUBLICSURETYCOMPANYonFebruary18,1982.RESOLVEDthat,thepresident,anyvice—presidentorassistantvicepresident,inconjunctionwiththesecretaryoranyassistantsecretary,mayappointattorneys-in-factoragentswithauthorityasde?nedorlimitedintheinstrumentevidencingtheappointmentineachcase,forandonbehalfofthecompanytoexecuteanddeliverandaf?xthesealofthecompanytobonds,undertakings,recognizances,andsuretyshipobligationsofallkinds;andsaidof?cersmayremoveanysuchattorney—in-factoragentandrevokeanyPowerofAttorneypreviouslygrantedtosuchperson.RESOLVEDFURTHER,thatanybond,undertaking,recognizance,orsuretyshipobligationshallbevalidandbindingupontheCompany__.(i),_whensigned.by.thepresident,.any.vice.presidentor.assistant..vicepresident,.andattestedand.seaIed(ifasealberequired)by.any.secretary.or.assistant. secretary;or(ii)whensignedbythepresident,anyvicepresidentorassistantvicepresident,secretaryorassistantsecretary,andcountersignedandsealed(ifasealberequired)byadulyauthorizedattomey-in-factoragent;or(iii)whendulyexecutedandsealed(ifasealberequired)byoneormoreattorneys-in-factoragentspursuanttoandwithinthelimitsoftheauthorityevidencedbythePowerofAttorneyissuedbythecompanytosuchpersonorpersons.RE__S_Q,LyE.|D_,E_U_RTHER_tha.t.tI1e_§igr1atu_re_9f_any.a.uth9.riz.ed9f?_cerandthesealofthecompany.may,.be,,a,f?xedbyfacsimile.tQ,.a_nyPower.o_f_Attorney.or7‘ "
certi?cationthereofaiithorizingtheexecution‘ar?déliveryofanybond,undertaking,recognizance,orahersuietyehipiibiigiationsofthe‘Wn"p'any;andsuéh‘-signatureandsealwhensousedshallhavethesameforcerandeffectasthoughmanuallyaf?xed.~ INWITNESS\/\II-IEREOF,OLDREPUBLICSURETYCOMPANYhascausedthesepresentstobesignedbyitsproperof?cer,anditscorporatesealtobeaf?xedthis26”‘dayof 2023 OLDREPUBLICSURETYCOMPANYc°""°"‘TzSEAL %‘4. PresidentSTATEOFWISCONSIN,COUNTYOFW AUKESHA-SS AIadavof Ja”“a’V,&personallycamebeforeme,KarenJHaffner tomeknowntobetheindividualsandof?cersoftheOLDREPUBLICSURETYCOMPANYwhoexecutedtheaboveinstrument,andtheyeachacknowledgedtheexecutionofthesame,andbeingbymedulysworn,didseverallydeposeandsay:thattheyarethesaidof?cersofthecorporationaforesaid,andthatthesealaf?xedtotheaboveinstrumentisthesealofthecorporation,andthatsaidcorporatesealandtheirsignaturesassuchof?cersweredulyaf?xedandsubscribedtothesaidinstrumentbytheauthorityoftheboardofdirectorsofsaidcorporation.
Onthis25th
NotaryPublicSeptember28,2026MyCommissionExpires:CERTIFICATEI,theundersigned,assistantsecretaryoftheOLDREPUBLICSURETY‘COMPANY ,aI/‘i?sconsincorporation,CERTIFYthattheforegoingandattachedPowerofAttorneyremainsinfullforceandhasnotbeenrevoked;andfuithermore.thattheResolutionsoftheboardofdirectorssetforthinthePowerofAttorney,arenowinforce. coupon;744030SEAL:SignedandsealedattheCityofBiooktieid,WIthis12thdayof October,E =I=ORSC22262(3.05) A55,
InlandSuretyBons&InsServ
(Expirationofnotary'scommissiondoesnotinvalidatethisinstrument)
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OCT1222'). MariahGiselleBarela.NotaryPublic
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CALIFORNIAACKNOWLEDGMENTCIVILCODE§1189
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCaliforniaCountyofRiversideOn beforeme,Datepersonallyappeared RenaeN.Name(s)ofSigner(s)HereInsertNameandTitleoftheOf?cerIderns whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s}whosename(-slls/are-subscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesamein-his/her/theirauthorizedcapacity(-lea-),andthatbyI'+i5/herit-l=IeII=signature(s-)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.
MARIAHGISELLEBARELACOMM.#2417169NOTARYPUBLIC-CALIFORNIARIVERSIDECOUNTYMyComm.ExpiresSept20,2026 PlaceNotarySealand/orStampAbove
IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhandandofficialseal.
SignatureofNotaryPublicOPTIONALCompletingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument:DocumentDate:Signer(s)OtherThanNamedAbove:Capacity(Ies)ClaimedbySigner(s)Signer'sName:ElCorporateOfficer— Tit|e(s):ElPartner—ElLimitedC!GeneralIIIIndividualDAttorneyinFactElTrusteeElGuardianorConservatorElOther:SignerisRepresenting ©2019NationalNotaryAssociation
NumberofPages:
Signer'sName:I]CorporateOfficer— Tit|e(s):ElPartner— ElLimitedIIIGeneralElIndividualIIIAttorneyinFactElTrusteeIIIGuardianorConservatorElOther:SignerisRepresenting:
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/')c+ui De/r’//LI/lu?wohxwhoprovedtomeonthebasisofsatisfactoryevidencetobethepe nféj ame(?)<:'%/areubscribedtothewithininstrumentandacknowleddtomethhe?he/they thZisker/theirauthorizedcapacity(i,e{),andthatbyISer/theirSi urepersonf?),ortheentityuponbehalfofwhichtheperson/Q6)acted.exacéid
ACKNOWLEDGMENT
Anotarypublicorotheofficercompletingthiscertificateverifiesonlytheidentityoftheindividuawhosignedthedocumenttowhichthiscertificateisattachedandnotthetruthfulness,accuracyorvalidofthatdocument.StateofCalifornia_ _Countyof Riverside)on beforeme’5.Anglin,NotaryPublic(insertnameandtitleoftheofficer)personallyappeared rsowhosenexecutedesamein)ontheinstrumentthetheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
WITNESSmyhandandofficialseal 5-AW-lN_NotaryPublic-CaliforniaSanBernardlnoCountyCommission#2329177Comm.ExpiresJun24.2024Signature (Seal)
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALNON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:IamthePresidentofVanceC0rP0"3tI°“thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedon10/15/2023atBeaumontcity].California 10/16/23 10/16/23SignatureofBidder DateSignatureofBidder DateDerekRitamapresident RobertErautt,VicePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)
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Date
2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALCONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarexperienceofcompletedprojectswithsimilarsizeandscopeshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectNameSeeAttachedContractPrice: DateofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:
ProjectName.SeeAttachedContractPrice: ofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:
ProjectNameSeeAttachedContractPrice: DateofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:
(Attachadditionalpagesasnecessary)
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PROJECTHISTORYFY2021-22CDBGPavementImprovementsProject;ContractNo.:ola20002&ola22001Owner:CityofHighlandAddress:27215BaseLine,Highland,CA92346Contact:BenBooth,P.E.Phone:(909)864-6861x239TypeofWork:Pavementgrinding,cracksealing,utilitiesadjusting,striping,legends,pavementmarkings,andasphaltpavementoverlay.ContractDuration:30workingdaysContractPrice:$542,779.00Completion:May,2023PercentofWorkbyownforces:80%PA VEMENTREHABILITATIONAT:MT.V|EWAVENUE,ROSEWOODDRIVE,SUNAVENUEANDSPADEDRIVE;CIPNo.22-108Owner:CityofLomaLindaAddress:25541LomaLinda,CA92354Contact:JarbThaipejrPhone:(909)799-2811TypeofWork:Coldmill,ARHM,traf?ccontrol,trafficsignalloops,utilitiesadjustingandstriping.ContractDuration:30workingdaysContractPrice:$527,780.78Completion:May,2023PercentofWorkbyownforces:80% CollierPavementRehabilitation;ContractNo.Z10059Owner:CityofLakeElsinoreAddress:130S.MainStreet,LakeElsinore,CA92530Contact:CarlosNorvaniP.E. Phone:(951)674-3124x248TypeofWork:Streetreconstruction,grinding,overlayandslurrysealContractDuration:40workingdaysContractPrice:$1,606,875.50Completion:May,2023PercentofWorkbyownforces:70%2021-2022CitywidePavementRehabilitation;ContractNo.11155Owner:CityofJurupaValleyAddress:8930LimoniteAvenue,JurupaValley,CA92509Contact:KahonoOei,P.E.Phone:(951)332-6464x145TypeofWork:ACpavement,grinding,overlayandreplacementofADAaccessramps.Page1of3
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ContractDuration:55workingdaysContractPrice:$2,078,482.50Completion:February,2023PercentofWorkbyownforces:75%CountyofSanBernardinoParkingLotOverlayOwner:CityofSanBemardino/CityCommercialManagementAddress:9646HavenAvenue,RanchoCucamonga,CA91730Contact:FarhanaZabin,ProjectManagerPhone:(310)210-7561TypeofWork:Asphaltoverlay,concreteimprovements,sealcoat,stripingandstenciling.ContractDuration:ContractPrice:$330,820.00CompletionNov,2022PercentofWorkbyownforces:90%Highway111RubberizedPavementOverlayRehabilitationOwner:CityofIndianWellsAddress:44-950ElDoradoDrive,IndianWells,CA92210Contact:DinaPurvisPhone:(760)346-2489TypeofWork:Grinding,pavingandslurryrepairsContractDuration:60workingdaysContractPrice:$1,005,113.55Completion:October,2022PercentofWorkbyownforces:60%SloverAvenueDrainage&TrafficSignal;W.O.No.:H14967&H14970Owner:CountyofSanBemardinoDepartmentofPublicWorksAddress:825East3“Street,SanBemardino,CA92501Contact:AndySilao,P.E.Phone:(951)387-7920TypeofWork:Coldplaneasphaltconcretesurfacing,concreteimprovements,traf?cstriping;installationoftraf?csignalandlighting.ContractDuration:50workingdaysContractPrice:$697,796.00Completion:Apr,2022PercentofWorkbyownforces:60%ACOverlayforVariousStreets;ContractNo.C00728Owner:CityofBanningAddress:99E.RamseyStreet,Banning,CA92220 Page2of
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Contact:Kevin,Sin,P.E.Phone:(951)922-3140TypeofWork:Cleaning,?llingandsealingofasphaltconcretepavementcracks;pavementgrinding,concreteimprovements,utilitiesadjusting,striping,pavementmarkings.ContractDuration:60workingdaysContractPrice:$567,798.50Completion:Jan,2022PercentofWorkbyownforces:75%SunburstAvenueBikePath/Lane(ClassI&II);ContractNo.:21-397Owner:SanBemardinoCountyDepartmentofPublicWorksAddress:825East3“Street,SanBemardino,CA92501Contact:CarlosSeanez,P.E. Phone:(909)387-7945TypeofWork:Constructionofbikelane(classII);asphaltconcretesurfacing,acdike,concreteimprovements,traf?cstriping,pavementmarkings,markersandroadsidesigns.ContractDuration:40workingdaysContractPrice:$896,821.26StartDate:Jan,2021PercentofWorkbyownforces:80% VarnerRoadResurfacing;ContractNo.:D0-0066,D0-0085&D0-0086Owner:CountyofRiversideTransportationDepartmentAddress:352514”‘Street,2”“Floor,Riverside,CA92501TypeofWork:Pavementgrinding,asphaltconcretepavement,PHVIA&RHMAContractDuration:40workingdaysContact:JoelJimenez,P.E.Phone:(951)955-1537ContractPrice:$2,286,411.70Completion:June,2021PercentofWorkbyownforces:75% Page3of3
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALDESIGNATIONOFSUBCONTRACTORSNameofSubcontractorandLocationofPlaceDescriptionandSubcontractor'sDIRRegistrationofBusinessPercentageofWorkLicenseNo. Number (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§4100ETSEQ.) 8441MEmmy?fgvwwéL-5<///000001533[90
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALBIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,below.STATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakeself-insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON—D|SCRIM|NAT|ONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon-discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALCERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled"PreviousDisqua|ifications.”Ifastatementof"PreviousDisqua|ifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),certifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete].Subcontractors’registrationnumbersareasindicatedinDocument004314.CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:a.ContractorprequalifiedforthisProjectbysubmittingitsStatementofQualifications,dated(SOQ).b.[Pleasecompleteorstrikeautthefollowingasinapplicable]Subsequently,onoraboutand ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.c.Allinformationdescribedaboveisreferredtoasthe"Qualificationlnformation.”d.ContractorhascarefullyreviewedalloftheforegoingQualificationInformation.e.[Pleasecheckand/orcompleteoneofthefollowing]AllPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.ExceptasotheniviseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactually
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALbeingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAdditionalPrequalificationInformationasdescribedaboveifthisitemischecked.]CERTIFICATIONOF[InsertotherOwner-specificcertifications,ifapplicable.Otherwise,de|ete.] 10/19/23 10/19/23ofBidder DateSignatureofBidder DateDerekRitaritalPresidentRobertErautt,VicePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)
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APPENDX1
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALTheundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(sTheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal. iwizmié
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2022/23SB1PavementRehabilitationProjectCIPNo.5755
ITEMNO1
1011
1213
14 15
B|DDER'SPROPOSALBIDSCHEDULEBASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755
DESCRIPTION
Mobilization(nottoexceed5%)TrafficandPedestrianControlClearing,GrubbingandRemovalsTemporaryConstructionProjectIdentificationSignsWaterQualityControlAdjustExistingManholetoNewF.S.AdjustExistingValveCan/LidtoNewF.S.ReplaceExistingWaterMeterBox"HeavyDuty”Remove&RelocateExistingMailBoxRelocateExistingSignsandPostsRemoveandReplaceExistingADARampperCityStd.UnclassifiedExcavation HotMixAsphaltUntreatedBaseSmoothPavementJointTransition UNIT
LSLSLS
EA
EA
EA
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ESTIMATEDQUANTITY
18 15
14 96007500
8200
350
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2022/23SB1PavementRehabilitationProjectCIPN0.5755 B|DDER'SPROPOSAL BASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755 ITEM ESTIMATEDUNITNo DESCRIPTIONUNITQUANTITYPRICE16TypeAACDikeperCalTransLF500Std.17ConstructACDrivewayTransitionSF1650 18Signing&StripingL51
19ReplaceDamagedTrafficLoopsEA15
20FieldOrders L51 $10,000
TOTALBASEBID(numbers)ENDOFBASEBIDITEMSADDITIVEABIDITEMSASFOLLOWS:[TE UNIESTIMATEDM DESCRIPTIONOFITEMS UNITNo TQUANTITYPRICE A1 TOTALBIDADDITIVEA(numbers)ENDOFADDITIVEABIDITEMS
Contractor'sInitials
ADDITIVEABIDITEMSTOTAL(inwords)
EXTENDEDITEMAMOUNT
$10,000
EXTENDEDITEMAMOUNT
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALContractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedule(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedule(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregularitylies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby”(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContract §*%1<,=:*:r.§3§ebr‘a.m:'\;ZOIIE
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2022/23SB1PavementRehabilitationProjectCIPNO.5755 B|DDER'SPROPOSALDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.
Legalnameofthebusiness,DIRReg.andContractorLicenseNos.
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Nameandtitleofsecondpartnerorofficer
Telephonenumber
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSAL DateSignatureofBidder Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.) Ravi}F=z2*brum“~,2023
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALCERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaClass'A’Contractor'sLicenseCombinationofSpecialtyClass‘C’Contractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor's|icense(s)which:a.Bearsthelicensenumber(s):b.Expireson:
SignofBidder Date ofBidder Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal. _.|__;:4.“
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 ..BIDDER'SPROPOSAL;,::Bond#O8560235BIDSECURITYFORMFORBOND Premium:NilKNOWALLBYTHESEPRESENTSThattheundersignedHillcrestContracting,Inc.(NameofContractor) WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]2022/2023SB1PavementRehabilitation—StreetImprovementsTHECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis28thdayof September,2023(Month)HillcrestContracting,Inc.(CorporateSeal) ByPcipaByFidelityandDepositCompanyofMarylandSurety(Corporate_SeaI) By Fact asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumoflDo|larDollars($ )lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.
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whoprovedtomeonthebasisofsatisfactoryevidencehetheperson(s)whosename(s)is/aresubscribedtotwithininstrumentandacknowledgedtomethathe/she/thexecutedthesameinhis/her/theirauthorized<:apacity(ie ENALTYOFERJURYforniathatthforegoing
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NgaryLexieSherwood
CALIFORNIAALL-PURPOSEACKNOWLEDGMENTAnotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.STATEOFCALIFORNIA}CountyofOrangeOn 9-28-2023beforeme,LexieShen/vood ,NotaryPublic,Date InsertNameofNotaryexactlyasitappearsontheofficialseal personallyappearedFlake
tohe9)’5),LEXIESHERWOODandthatbyhis/her/theirsignature(s)ontheinstrumentthe _
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363681on person(s),ortheentityuponbehalfofwhichtheperson(s)NOTA‘:I£rl;AL|:l‘BLi:.2.cAuroaNiA%acted,executedtheinstrument.ORANGECOUNTY-‘ vwcoMMEXPIRESN‘-V27-2°25IcertifyunderP P underthelawsoftheStateofCalle paragraphistrueandcorrect.WitnessmyhandanofficialsealSignaturePlaceNotarySealAbove Signatureof Public OPTIONALThoughtheinformationbelowisnotrequiredbylaw,itmayprovevaluabletopersonsrelyingonthedocumentandcouldpreventfraudulentremovalandreattachmentoftheformtoanotherdocument.DescriptionofAttachedDocumentTitleorTypeofDocument:DocumentDate: NumberofPages:Signer(s)OtherThanNamedAbove:Capacity(ies)ClaimedbySigner(s)Signer’sName: Signer’sName:Individual IndividualCorporateOfficer——Tit|e(s): CorporateOfficer—Tit|e(s):PartnerLimitedGeneral PartnerLimitedGeneralAttorneyinFact AttorneyinFactTrustee TrusteeGuardianorConservatorTopofthumbhereGuardianorConservatorTopOfmumbhereOther: Other:
SignerisRepresenting: SignerisRepresenting:
RIGHTTHUMBPRINTRIGHTTHUMBPRINTOFSIGNER
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ZURICHAMERICANINSURANCECOMPANYCOLONIALAMERICANCASUALTYANDSURETYCOMPANYFIDELITYANDDEPOSITCOMPANYOFMARYLANDPOWEROF‘ATTORNEYKNOWALLMENBYTHESEPRESENTS:ThattheZURICHAMERICANINSURANCECOMPANY ,acorporationoi‘theStateofNewYork.theCOLONIALAMERICANCASUALTYANDSURETYCOMPANY ,acorporationoftheStateofIllinois.andtheFIDELITYANDDEPOSITCOMPANYOFMARYLAND:1corporationol‘theStateofIllinois(hereincollectivelycalledthe"Companies"),byRobertD.Murray,VicePresident.inpursuanceofauthoritygrantedbyArticleV .Section8,oftheBy-LawsofsaidCompanies,whicharesetforthonthereversesidehereofandareherebycertifiedtobeinfoilforceandeffectonthedatehereof,doherebynominate.constitute,andappointCharlesL.FLAKE,SpencerFLAKE.DavidL.CULBERTSON.LexieSHERWOODofAnaheim,California.EACH,itstrueandlawfulagentandAttorney-in-Iiact,tomake,execute.sealanddeliver,for,andonitsbehaifassurety,andasitsactanddeed:anyandallbondsandundertakings.andtheexecutionofsuchbondsorundertakingsinpursuanceofthesepresents,shallbeasbindinguponsaidCompanies.asfullyandamply,toallintentsandpurposes.asiftheyhadbeendulyexecutedandacknowledgedbytheregularlyelectedofficersoftheZURICHAMERICANINSURANCECOMPANYatitsofficeinNewYork.NewYork,.theregularlyelectedofficersoftheCOLONIALAMERICANCASUALTYANDSURETYCOMPANYatitsofliceinOwingsMills.Maryland,andtheregularlyelectedofficersoftheFIDELITYANDDEPOSITCOMPANYOI’MARYLANDatitsofliccinOwingsMills,Maryland,intheirownproperpersons.ThesaidVicePresidentdoesherebycertifythattheextractsetforthonthereversesidehereofisrttruecopyofArticleV .Section8.oftheBy-LawsofsaidCompanies,andisnowinforce.INWITNESSWIIEREOF.thesaidVice-Presidenthashereuntosubscribedhis/hernamesandaffixedtheCorporateSealsofthesaidZURICHAMERICANINSURANCECOMPANY .COLONIALAMERICANCASUALTYANDSURETYCOMPANY ,andFIDELITYANDDEPOSITCOMPANYOFMARYLAND.thisIithdayoflune,AD.202I.
ATTEST:ZURICI-IAMERICANINSURANCECOMPANYCOLONIALAMERICANCASUAI.'I'YANDSURETYCOMPANYl4‘II)ELITYANDDEPOSITCOMPANYOFMARYLAND By:RobertD.MurrayVicePresidenl
By:DawnBrownSecretaryStateofMarylandCountyofBaltimoreOnthisllthdayofJune,ADI2021,beforethesubscriber.atNotmyPublicol'theStateofMaryiand,dulycommissionedandquali?ed,RobertI).Murray.VicePresidentandDawnI-3.Brown,SecretaryoftheCompanies.tomepersormltyknowntohetheindividualsandofticersdescribedinandwhoexecutedtheprecedinginstrument.andacknowledgedtheexecutionofsame‘,andbeingbymedulysworn,deposethandsaith,thathe/sheisthesaidoilieeroftheCompanyaforesaid,andthatthesealsaffixedtotheprecedinginstrumentaretheCorporateSealsofsaidCompanies.andthatthesaidCorporateSealsandthesignatureassuchof?cerweredulyallixedandsubscribedtothesaidinstrumentbytheaotltorityanddirectionofthcsaidCorporations.INTESTIMONYWIIEREOF.IhavehereuntosetmyhandandatfxccimyOfficialSealthedayandyearfirstabovewritten.
ConstanceA.Dunn,NottuyPublicMyCommissionI-Expires:July9,2023 Authenticityofthisbondcanbecon?rmedatbondvaIidator.zurichna.conior4l0-559-8790
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personallyappearedJustinParsonswhoprovedtomeonthebasisofsatisfactoryevidencetobethepersonsubscribedtothewithininstrumentandacknowledgedtomethathe/sh/theyexecutedis/areesame ‘
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l1i_s/her/theirauthorizedcapacityaeft),andthatbyhis/her/theirsign?urey)ontheinstrumenttheperson,ortheentiuonbehafofwhichthepersonacted,executedtheinstrument.P
ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia_ _Countyof Riverside) onOctober3,2023beforeme,A.Gutierrez,NotaryPublic(insertnameandtitleoftheofficer) IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect. A.GUTIERREZWITNESSmyhandandIseal WaryPulalltCaliforniaRiversideCountyCommissionIf2425219MyComm.ExpiresNov3,2026 Signature (Seal)
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALNON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID of partymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedon ],atcity], [state].
SignofBidder DateSignatureofBidder Date
Printnameandtitle Printnameandtitle(I_ftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) Re-V .u‘§'~;~2%3rua:‘y:3‘.
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Theundersigneddeclares:
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notarypublicorotherofficercompletingthisrtificateveri?esonlytheidentityoftheindividualsignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orlidofthatdocumentStateofCaliforniaCountyofRiversideSubscribedandswornto(oraffirmed)beforemeonthis28thdayofSeptemberZOE,byJustinParsonsandJamesWonq A.GUTIERREZNotaryPublicCaliforniaRiversideCountyCommission#2425219Comm.ExpiresNov1 provedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whoappearedbeforeme.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALCONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarexperienceofcompletedprojectswithsimilarsizeandscopeshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectName:ContractPrice: ofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative ProjectName:ContractPrice: ofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:
ProjectName:ContractPrice: ofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALBIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,belowSTATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakeself-insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon-discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALCERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled"PreviousDisqua|ifications."Ifastatementof"PreviousDisqualifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),certifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete].Subcontractors’registrationnumbersareasindicatedinDocument004314.CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:a.ContractorprequalifiedforthisProjectbysubmittingitsStatementofQualifications,dated(SOQ).b.[PleaseIeteorstrikeoutthefollowingasinapplicable]Subsequently,onoraboutand ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.c.Allinformationdescribedaboveisreferredtoasthe"QualificationInformation."d.ContractorhascarefullyreviewedalloftheforegoingQualificationInformation.e.[Pleasecheckand/orcompleteoneofthefollowing]AllPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.ExceptasotherwiseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactually §v§ev.i}Fa‘:%3r:,s2m;2020
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALbeingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAdditionalPrequalificationInformationasdescribedaboveifthisitemischecked.]CERTIFICATIONOF[InsertotherOwner-specificcertifications,ifapplicable.Otherwise,delete.] BIDDER:
ofBidder reofBidder Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) Rev.O‘:1¢’aé§rua:‘y20:21
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALTheundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn—keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(sTheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis—BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal. 1,2,3,4,and5
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ITEMNo1
10 11
12 13
14 15
BlDDER'SPROPOSALBIDSCHEDULE
Reu.0February2020
BASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755
DESCRIPTION
Mobilization(nottoexceed5%)TrafficandPedestrianControlClearing,GrubbingandRemovalsTemporaryConstructionProjectIdentificationSignsWaterQualityControlAdjustExistingManholetoNewF.S.AdjustExistingValveCan/LidtoNewF.S.ReplaceExistingWaterMeterBox"HeavyDuty”Remove&RelocateExistingMailBoxRelocateExistingSignsandPostsRemoveandReplaceExistingADARampperCityStd.UnclassifiedExcavation HotMixAsphaltUntreatedBase
SmoothPavementJointTransition
UNIT
LSLSLS
EA
EA
EA
EA
EA
EA
EA
CY
TN
TN
ESTIMATEDQUANTITY
18 15
14 9600
7500
8200
350
UNITPRICEEXTENDEDITEMAMOUNTa0\’50.b(?.w‘gO‘ooo'go Odo8%€p’0C£_‘$3101?Z0,oa0.°°7°'°Do' 0°‘‘Z‘g0610%.%€1.00g/goo'obI go00.igzgaoa4%.00g<..’0.‘°"\rqgofgo4‘«;§."‘moo%m'aoZ007°6,%°°-°°‘$3’C:»\0043%’000-66O9 dH5. (705?00“'4!‘O00‘S.no§)Z‘§0‘Oo
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’2'o22/23SB1PavementRehabilitationProjectCIPNO.5755 IRE-v.0B|DDER'SPROPOSALFebrtiary2020 BASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755EXTENDEDITIEVIDESCRIPTIONUNIT ITEMAMOUNT16TypeAACDikeperCalTransLF500Std.17ConstructACDrivewayTransitionSF1650 18Signing&StripingLS 1
19ReplaceDamagedTrafficLoopsEA15
20FieldOrders L5 1 $10,000$10,000
TOTALBASEBID(numbers)****5\‘*******************************-k-k*********-k-k*********-k**********‘k** ADDITIVEABIDITEMSASFOLLOWS:‘TE umESTIMATEDEDM DESCRIPTIONorITEMST ITEMNo AMOUNT A1 TOTALBIDADDITIVEA(numbers)A ***1:****9:***********-k*********** ADDITIVEABIDITEMSTOTAL(inwords)
BASEBIDTOTAL(inwords)‘7°v?»\5~v-1btLcI>?\r-r~}\>du«-Aesnub1620cams. |4\A
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‘2'022/23531PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALContractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedu|e(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedu|e(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby”(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContract R-ev.OFebruary‘2020
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.2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.
Completethefollowing:MartinMariettaSanDiegoAggregatesLLCdbaATPGeneralEngineeringContractorsDIR#1000012615CSL#502506Legalnameofthebusiness,DIRReg.andContractorLicenseNos.LimitedLiabilityCompanyBusinessType(Corporation,Partnership,SoleProprietor)ATPGeneralEngineeringContractorsDBA(ifany)DavidA.Donnelly,VicePresidentNameandtitleoftheownerEdwinP.GehrVicePresidentNameandtitleofsecondpartnerorofficer4211PonderosaAveSTEC,SanDiego,CA92123BusinessAddress858-944-674Telephonenumber858-292-1079 BarbaraJacobbarbara.jacob@martinmarietta.comNameandEmailaddressofprimarycontactN/ACompanywebaddress |Re\1.0February2020
number
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'2022/23SB1PavementRehabilitationProjectCIPNO.5755 BlDDER'SPROPOSAL /0Signatureof ateDavidA.Donnelly,VicePresidentSignatureofBidderEdwinP.GehrVicePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.) Rev.0
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'2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALCERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicenseStateofCaliforniaClass‘A’Contractor'sLicenseCombinationofSpecialtyClass’C’Contractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor'slicense(s)which:aBearsthelicensenumber(s):502506b.Expireson3/31/2024 SignatureofBidder DateSignatureofBidder DateDavidA.Donnelly,VicePresidentEdwinP.GehrVicePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.
Reu.0February2020
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'2022/23SB1PavementRehabilitationProjectClPNO.5755 RE‘=.’.@BlDDER'sPROPOSALF.’:‘L‘.‘i‘Ll:l"’~y'29:20BIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier’sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",fordollars(S ),thisamountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:AIfsaidBidshallberejectedbytheAgency;B IfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformattachedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsperforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallotherrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgency.SaidcheckshallalsobecomethepropertyoftheAgencyiftheUndersignedshallwithdrawhis/her/itsbidwithintheperiodofsixty(60)calendardaysafterthedatesetfortheopeningthereof,unlessotherwiserequiredbylaw,andnotwithstandingtheawardoftheContracttoanotherbidder.
SignatureofBidder DateSignatureofBidder Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALBIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedMartinMariettaSanDiegoAggregatesLLCdbaATPGeneralEngineeringContractors(NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(Dollar Dollars($ )lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipa|’sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis5thdayofOctober 2023(Month) (CorporateSeal) By (/6PrincipalDavidA. ,VicePresident
ByArchInsuranceCompany
(CorporateSeal) ByDebraA.Deming,Attorney—in—Fa
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ACKNOWLEDGMENT
Anotarypublicorotherof?cercompletingthiscerti?cateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvaliditvofthatdocument.StateofCalifornia_Countyof 33“Die ) On beforeme,BarbaraJacob.NrvPublic(insertnameandtitleoftheofficer)personallyappearedDavidA‘Donnenywhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted.executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
WITNESSmyhandandof?cialseal
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otaryPublicothercompletingthi onlytheidentityofthevidualwhosignedthedocumenthisis andnotthetdocument.
FRANCESCAKAZMIERCZAKNotaryPublic-StateofNewYorkNC.01KA6354599Quali?edinKingsCounty SMyCommissionExpiresFeb13,2025 CALIFORNIAALL—PURPOSEACKNOWLEDGMENT
AN or of?cercerti?cateveri?esindi t,towhichcerti?cateattached,truth?ilness,or oftha Stateof rkCountyofNewYork
éukday0 intheyearQ?g:-5beforemeNotaryPublic,personallyappearedwhoprovidetomeonthebasisofsatisfactoryOnthis evidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumentstheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.
IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofNewYorkthattheforegoingparagraphistrueandcorrect.WITNESSmyhandandofficialseal.
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ofMarch,20E.AttestedandCerti?ed ArchInsuranceCompany51.%J1'/-~ STATEOFPENNSYLV ANIAssCOUNTYorPHILADELPHIAss Bi?lli
PLEASESENDALLCLAIMINQUIRIESRELATINGTOTHISBONDTOTHEFOLLOWINGADDRESS:ArchInsurance— SuretyDivision3Parkway,Suite1500Philadelphia,PA19102 ToverifytheauthenticityofthisPowero_fAttorney,pleasecontactArchInsuranceCompanyatPleaserefertotheabovenamedAttorney-In-Factandthedetailsofthebondtowhichthepowerisattached.
A|CPOA04012O PrintedinU.S.A
ThisPowerofAttorneylimitstheactsofthosenamedherein,andtheyhavenoauthoritytobindtheCompanyexceptinthemannerandtotheextenthereinstated.NotvalidforNote,Loan,LetterofCredit,CurrencyRate,InterestRateorResidentialValueGuarantees.POWEROFATTORNEYKnowAllPersonsByThesePresents:ThattheArchInsuranceCompany,acorporationorganizedandexistingunderthelawsoftheStateofMissouri,havingitsprincipaladministrativeof?ceinJerseyCity,NewJersey(hereinafterreferredtoasthe"Company")doesherebyappoint:AklimaNoorhassan,AnneL.Potter,BeverlyA.Woolford,DebraA.Deming,FrancesRodriguez,FrancescaKazmierczak,JenniferL.Jakaitis,KemalBrkanovic,PeterHealy,SandraDiaz,SusanA.WelshandValerieSpatesofNewYork,NY(EACH)itstrueandlawfulAttorney(s)in-Fact,tomake,execute,seal,anddeliverfromthedateofissuanceofthispowerforandonitsbehalfassurety,andasitsactanddeed:Anyandallbonds,undertakings,recognizancesandothersuretyobligations,inthepenalsumnotexceedingDollars.ThisauthoritydoesnotpermitthesameobligationtobesplitintotwoormorebondsInordertobringeachsuchbondwithinthedollarlimitofauthorityassetforthherein.Theexecutionofsuchbonds,undertakings,recognizancesandothersuretyobligationsinpursuanceofthesepresentsshallbeasbindinguponthesaidCompanyasfullyandamplytoallintentsandpurposes,asifthesamehadbeendulyexecutedandacknowledgedbyitsregularlyelectedof?cersatitsprincipaladministrativeof?ceinJerseyCity,NewJersey.ThisPowerofAttorneyisexecutedbyauthorityofresolutionsadoptedbyunanimousconsentoftheBoardofDirectorsoftheCompanyonAugust31,2022,trueandaccuratecopiesofwhicharehereinaftersetforthandareherebycerti?edtobytheundersignedSecretaryasbeinginfullforceandeffect:“VOTED,ThattheChairmanoftheBoard,thePresident,ortheExecutiveVicePresident,oranySeniorVicePresident,oftheSuretyBusinessDivision,ortheirappointeesdesignatedinwritingand?ledwiththeSecretary,ortheSecretaryshallhavethepowerandauthoritytoappointagentsandattorneys-in-fact,andtoauthorizethemsubjecttothelimitationssetforthintheirrespectivepowersofattorney,toexecuteonbehalfoftheCompany,andattachthesealoftheCompanythereto,bonds,undertakings,recognizancesandothersuretyobligationsobligatoryinthenaturethereof,andanysuchof?cersoftheCompanymayappointagentsforacceptanceofprocess.”ThisPowerofAttorneyissigned,sealedandcerti?edbyfacsimileunderandbyauthorityofthefollowingresolutionadoptedbytheunanimousconsentoftheBoardofDirectorsoftheCompanyonAugust31,2022:VOTED,ThatthesignatureoftheChairmanoftheBoard,thePresident,ortheExecutiveVicePresident,oranySeniorVicePresident,oftheSuretyBusinessDivision,ortheirappointeesdesignatedinwritingand?ledwiththeSecretary,andthesignatureoftheSecretary,thesealoftheCompany,andcerti?cationsbytheSecretary,maybeaf?xedbyfacsimileonanypowerofattorneyorbondexecutedpursuanttotheresolutionadoptedbytheBoardofDirectorsonAugust31,2022,andanysuchpowersoexecuted,sealedandcerti?edwithrespecttoanybondorundertakingtowhichitisattached,shallcontinuetobevalidandbindingupontheCompany.InTestimonyWhereof,theCompanyhascausedthisinstrumenttobeanditscorporatesealtobeaf?xedbytheirauthorizedof?cers,this1"‘day CISIEPOKATESEALI91ReganShulman,Secretary StephenC.Ruschak,ExecutiveVicePresident I,MicheleTripodi,aNotaryPublic,doherebycertifythatReganA.ShulmanandStephenC.RuschakpersonallyknowntometobethesamepersonswhosenamesarerespectivelyasSecretaryandExecutiveVicePresidentoftheArchInsuranceCompany,aCorporationorganizedandexistingunderthelawsoftheStateofMissouri,subscribedtotheforegoinginstrument,appearedbeforemethisdayinpersonandseverallyacknowledgedthattheybeingthereuntodulyauthorizedsigned,sealedwiththecorporatesealanddeliveredthesaidinstrumentasthe?eeandvoluntaryactofsaidcorporationandastheirownfreeandvoluntaryfortheusesandpurposesthereinsetforth.
Mycommissionexpires07/31/2025CERTIFICATIONI,ReganA.Shulman,SecretaryoftheArchInsuranceCompany,doherebycertifythattheattachedPowerofAttorneydated onbehalfoftheperson(s)aslistedaboveisatrueandcorrectcopyandthatthesamehasbeenin?illforceandeffectsincethedatethereofandisinfullforceandeffectonthedateofthiscerti?cate;andIdo?irtbercertifythatthesaidStephenC.Ruschak,whoexecutedthePowerofAttorneyasExecutiveVicePresident,wasonthedateofexecutionoftheattachedPowerofAttorneythedulyelectedExecutiveVicePresidentoftheArchInsuranceCompany.INTESTIMONYWHEREOF,Ihavehereuntosubscribedmynameandaf?xedthecorporatesealoftheArchInsuranceCompanyonthis_5Ldayof 2023:91,Rega?A.Shulman,SecretaryThisPowerofAttorneylimitstheactsofthosenamedthereintothebondsandundertakingsspeci?callynamedthereinandtheyhaveno tobindtheCompanyexceptinthemannerandtotheextenthereinstated.
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ARCHINSURANCECOMPANYSTATEMENTOFFINANCIALCONDITIONDECEMBER31,2022 AssetsCash&CashEquivalentsinBanks $164,221,743Bondsowned 5.593,459,35OStocks 661,945,887Premiumsincourseofcollection 759,892,858Accruedinterestandotherassets 1,233,903,208TotalAssets $8,413,423,046LiabilitiesReserveforlossesandadjustmentexpenses $3,263,943,304Reserveforunearnedpremiums 1,564,373,124Cededreinsurancepremiumspayable 408,386,710Amountswithheldorretainedbycompanyforaccountofothers 212,472,379Reservefortaxes,expensesandotherliabilities 983,651,831TotalLiabilities $6,432,827,348Surplusasregardspolicyholders 1,980,595,698TotalSurplusandLiabilities $8,413.423.046 By:ExecutiveFinancialOfficerandTreasurerStateofNewJersey)) SSCountyofHudson)ThomasJamesAhern,ExecutiveVicePresident,ChiefFinancialOfficerandTreasurerandReganShulman,ExecutiveVicePresident,GeneralCounselandSecretarybeingdulysworn,ofARCHINSURANCECOMPANY ,Missouri;andthattheforegoingisatrueandcorrectstatementof?nancialconditionofsaidcompany,asofDecember31,2022.Subscribedandsworntobeforeme,thisdayofNotaryPubl CONKLINNotaryPublic,JerseyCommMyCommissionExpires11/07/2027 Attest:ExecutiVice_Psident,GeneralCounselandSecretaryVe
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALNON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID - , MartinMariettaSanDiegoTheundersigneddeclares.AggregatesLLCVicePresident‘“’a.ATP.Ge”e’a'.Iamthe ofEngineeringContractorsthepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectand_thatthisdeclarationisexecutedon date],atSanDiegocity],CaliforniaState]_ Ca/4SignatureofBidder SignatureofBidderDavidA.Donnelly,VicePresidentEdwlnP-Gel"VlcePresldentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.) Re‘-3.0February2020
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALCONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarexperienceofcompletedprojectswithsimilarsizeandscopeshallbeconsideredgroundsforanon—responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.PleaseseetheattachedlistofcompletesjobsProjectName:ContractPrice: DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative:
ProjectName:ContractPrice: DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative:
ProjectName:ContractPrice: ateofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:
(Attachadditionalpagesasnecessary)
Rev.OFebruary2020
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‘2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALDESIGNATIONOFSUBCONTRACTORSNameofSubcontractorandLocationofPlaceDescriptionandSubcontractor’sDIRRegistrationofBusinessPercentageofWorkLicenseNo. Number (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§4100ETSEQ.) Reu.0February2020
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'2022/23SB1PavementRehabilitationProjectCIPN0.5755 B|DDER'SPROPOSALBIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,below.STATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakese|f—insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon-discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
R-ea,:.0February.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALCERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled”PreviousDisqua|ifications.”Ifastatementof"PreviousDisqualifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),Icertifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]1000012615.Subcontractors’registrationnumbersareasindicatedinDocument004314.CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:N/Aa.ContractorprequalifiedforthisProjectbysubmittingitsStatementofQualifications,dated(soa)b.[Pleasecompleteorstrikeoutthefollowingasinapplicable]Subsequently,onoraboutand ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.c.Allinformationdescribedaboveisreferredtoasthe"QualificationInformation.”d.ContractorhascarefullyreviewedalloftheforegoingQualificationInformation.e.[Pleasecheckand/orcompleteoneofthefollowing]AllPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.ExceptasotherwiseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactually R=ev.OFebruary202G
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€249/3//gzgg/ ///xv;/:5
2022/23SB1PavementRehabilitationProjectCIPNO.5755 Rev.0B|DDER'SPROPOSALFebruary2020beingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAdditionalPrequalificationInformationasdescribedaboveifthisitemischecked.]CERTIFICATIONorN/A[InsertotherOwner—specificcertifications,ifapplicable.Otherwise,delete.] BIDDER:
SignatureofBidder SignatureofBidderDavidA.Donnelly,VicePresidentEdwinP.GehrVicePresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)
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APPENDI
Rev.Sieizmaw20:9
X1
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10/16/$3,10:34_(\M PlanetBidsVendorPortal
2022/2023SB1PavementRehabilitationProject—CIP57..
10032023-O1Oct03,2023 QandASet1Oct04,202310042023-O1QandASet2/10092023-01QandASet3Oct09,202310092023-02Oct09,2023 Corelocationsandresults/10112023-01Oct11,2023 QandASet4 https://pbsystem.planetbids.com/portaI/39477/bo/bo-detaill110020#bidAddendaAndEmai|s Addenda
EmailHistory
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willnotberesgonsible
integrated)
2022/23SB1PavementRehabilitationProjectCIPN0.5755 BIDDER'SPROPOSALTheundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheowner.inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(sTheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis—BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.
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V51-r>dw7
2022/23SB1PavementRehabilitationProjectCIPNo.5755
ITEMNo
10 111213
14 15
B|DDER'SPROPOSALBIDSCHEDULE
RewoFebruary2020
BASEBID-2022/23SB1PavementRehabilitationProject,CIPNo.5755 DESCRIPTIONMobilization(nottoexceed5%)TrafficandPedestrianControlClearing,GrubbingandRemovalsTemporaryConstructionProjectIdentificationSignsWaterQualityControlAdjustExistingManholetoNewF.S.AdjustExistingValveCanlLidtoNewF.S.ReplaceExistingwaterMeterBox"HeavyDuty"Remove&RelocateExistingMailBoxRelocateExistingSignsandPostsRemoveandReplaceExistingADARampperCityStd.Unclassi?edExcavationHotMixAsphaltUntreatedBase SmoothPavementJointTransition
UNIT
LSLSLS
EA
EAEAEAEAEAEA
TN
TN
ESTIMATEDQUANTITY1
1815
1496007500
8200
350
UNITPRICEEXTENDEDITEMAMOUNT6'0IW0ri7’3‘1o,oo&>...c0'7—s',S‘°3-":7‘?igob_0;) 11,200.0011,200.00
1,120.004,480.006,200.006,200.00
2,100.0037,800.00
976.0014,640.001,120.003,360.00
1,120.007,840.00224.00896-00
9,500_00133,000.00
32-00787,200.00119.00892,500.00
53,75440,750.0028.509,975.00
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2,u5v,7s3D(numbers)nnanwnonnnvcnnnannnnneEASE"EMs
ADDITIVEAITEMSFOLLOWS:
'72 a#
7%) ~%END ADDITIVEITEMS
JwovhvaK-21 ob
22.5011,250.0030.2549,912.5011,500.0011,500.00
55()_()()8,250.00
2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALRew}February2020 BASEBID-2022/23SB1PavementRehabilitationProject,CIPNo.5755 ITEMDESCRIPTIONNoType"A"ACDikeperCalTrans16Std.17ConstructACDrivewayTransition 18Signing&Striping
19ReplaceDamagedTrafficLoops
20FieldOrders
ENDOFBIDASITEM DESCRIPTIONOFITEMSNoA1
OF
BASEBIDTOTAL(Inwords)
Contractor'sInitialsE
3.3:;"‘Tr‘e"»'i‘”AMOUNTu=soosr1550
LS1
EA15LS1 $10,000$10,000
TOTALBASEamBID
umESTIMATEDumE’"E"°E°ITEMTQUANTITYPRICEAMOUNT
A ‘ T
ABID
ilws‘via-Wcmvmw»5.1mm:$'h\—|*W\v£tsayJ"7*0M2ou
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riatietwee
Ifequallowbidsarereceivedfromresponsiblemadebydrawinglots,orothersimilarrandomb responsivebidisreceivedfromaresponsiblebiddcanbedeterminedtobereasonablebased0 deradisementforaperiodofened.idderacknowledgesthatesoleesponsibilityofBidder. designatedof50perce
torcon?rmthattheyarefam theworktheirworkndthattheyhave agreeto ntainedoreferencedherein Contract
2022/23SB1PavementRehabilitationProjectCIPNO.5755 Rev.£lB|DDER'SPROPOSALFebruary2020 Contractor'sInitialsIntheeventofava ntheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedulels)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedule(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject. andresponsivebidderstheselectionshallbelindmethodselectedbytheAgency.IfonlyoneertheawardshallnotbemadeunlessthepricenananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregularitylies),andtotakeallbidsunv sixty(60)calendardaysafterthedatethebidsarepubliclyopB allcostsincurredasaresultofpreparingtheproposalshallbeth r TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheLactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)”are asspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumntofworktobeperformedbyContractor'sownforces.
BysigningandsubmittingthisbidtheContracs iliarwithsiteandallexistingconditionsthatmayaffecta readandalltheterms,conditionsandrequirementsco r orinthe
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.
Legalnameofthebusiness,DIRReg.andContractorLicenseNos.
BusinessType(Corporation,Partnership,SoleProprietor)
Facsimilenumber
Companywebaddress
Completethefollowing:NOBLECOMPANY1000004235782908CLASSA&C12
CORPORATIONN/A
jacobbreed1ove@
DBA(ifany)CARVER,PRESIDENTNameandtitleoftheownerGONZALEZ,VICEPRESIDENNameandtitleofsecondpartnerorofficerA VE.,ORANGE,CA92865BusinessAddress Telephonenumber
NameandEmailaddressofprimarycontactwww.rjnob1ecompany.com
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der
STEVEL.
2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSAL Signatureof Date Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignotitresofcorporateofficersarerequired.) 10/16/2023X 10/16/2023MENDOZA,VICEPRESIDENTBREEDLOVE,SECRETARY
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Signatureofx er Date Slgnaturfsidder
STEVQE.MENDOZA,VICEPRESIDENT
2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALCERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaClass‘A’Contractor'sLicenseCombinationofSpecialtyClass'C’Contractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor'slicense(s)which:Bearsthelicensenumber(s):b.Expireson:
Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal. 782908CLASSA&C1208/31/2024
10-16-23X 10-16-23
BREEDLOVE,SECRETARY
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b law,
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carration,
2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALBIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",fordollars(S ),thisamountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:
A.
Othenivise,saidcheckshallbecomethepropeSaidcheckshallalsobecomethehis/her/itsbidwithintheperiodofthereof,unlessotherwiserequired IfsaidBidshallberejectedbytheAgency;shallexecuteanddeliverinaccordancewithsaidBid)rformanceofsaidContractandrnishingmaterialsinconnectionContractcreatedbyacceptanceof IfsaidBidshallbeacceptedbytheAgencyandtheUncleaContractintheformattachedhereto(properlycomandshallfurnishbondsrequiredforhis/her/itsforthepaymentofallpersonsperforminglabortherewith,andshallinallotherrespectssaidBid. theAgencyoftheAgencyiftheUndersignedshallwithdrawcalendardaysafterthedatesetfortheopeningandnotwithstandingtheawardoftheContracttoanotherbidder.
SignatureofBidder Date
Printnameandtitle(IftheBidderisa
SignatureofBidder Date
Printnameandtitletwosignaturesofcorporateo?icersarerequired.)
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Words) amount---------------------------------------
(L)
2022/23SB1PavementRehabilitationProjectCIPN0.5755 B|DDER'SPROPOSALBIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:
(NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(MAmountIn tenpercentofthebidDollars10%lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,othenlvisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis3rddayofOctober,20Q.(Month) (CorporateSeal) ByP?ndBv Salandi,Attomey-in—fact(CorporateSeal) By H»UH
:.:E.§.§i‘i:>3'.";
ThattheundersignedR.NOBLECOMPANY
R.I.NOBLECOMPANYX
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afetothewithininstrumentandacknowledgedtomethathe/ehelthayexecutedthesameinhis?-verltheirauthorizedcapa<:ity(iA>_s).andthatbyhislhulthai:signatureb)ontheinstrumentthepersona).ortheentity CALIFORNIAACKNOWLEDGMENTc|v||_copg§1139
Anotarypublicorotherofficercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness.accuracy.orvalidityofthatdocument.StateofCalifornia}Countyof ‘
On beforeme,Date HereinsertNameandTitleoftheOfficerpersonallyappeared Name(s)ofSigner(s) IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingJ.DEIONGHH’‘ _NotaryPublic-CalnornlaE paragraphistrueandcorrect.OrangeCounty” Commi?im”*42307441WITNESSmyhandandofficialsealComm.ExpiresOct25.2023 SignaturePlaceNotarySealand/orStampAbove SignatureofNotaryPublicOPTIONALCompletingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument:DocumentDate: NumberofPages:Signer(s)OtherThanNamedAbove:Capacity(ies)ClaimedbySigner(s)Signer'sName: Signer'sName:DCorporateOfficer— Title(s):ElCorporateOfficer— Title(s):ElPartner— E1LimitedC1GeneralElPartner—ElLimitedInGeneralBIndividualDAttorneyinFactUIndividualE]AttorneyinFactC]TrusteeE1GuardianorConservatorDTrusteeDGuardianorConservatorDOther: DOther:SignerisRepresentingSignerisRepresenting:
©2018NationalNotaryAssociation
ORANGF10/04/2023 J.DEIONGH,NOTARYPUBLICJACOB
whoprovedtomeonthebasisofsatisfactoryevidencetobethepersonwhosenameis/subscribed uponbehalfofwhichthepersonacted,executedtheinstrument.
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ALL-PURPOSEERTFlATEOFAKNOWLEDGMENT
?ééagzng Downey,Notary(Human andnunwhomusfl
provedname(s)_@are(?gshe/they1%her/theiwhich
PublicSigamre
Number
CIC C
Anotarypublicorotherof?cercompletingthiscerti?cateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.
StateofCalifornia}CountyofSanBernardino}On beforeme,Tina PublicnamepersonallyappearedJamesScottSalandiwhotomeonthebasisofsatisfactoryevidencetobetheperson(sQwhosesubscribedtothewithininstrumentandacknowledgedtomethatexecutedthesamein@her/theirauthorizedcapacity?esl,andthatbyrsignaturets;ontheinstrumentthepersonts),ortheentityuponbehalfoftheperson(‘s)\acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.. ‘W ADOWN"YmyhandandOfficialSeal. Moran;Public.Cacljfor-maScanBerwarcinozggggtpyc)omrrzssionT.-M1/Corfm.ExpiresNov21,2025
NNAIVNN
(NotaryPublicSeal)
ADD|'n0NA|_QpT|oNA|_NFORMATIQNINSTRUCTIONSFORCOMPLETINGTHISFORMThisformcomplieswithcurrentCaliforniastatutesregardingnotarywordingand,DESCRIPTIONOFTHEATTACHEDDOCUMENTifneeded,shouldbecompletedandattachedtothedocmuent.AcknolwerlgentsfromotherstatesmaybecompletedfordocumentsbeingsenttothatstatesolongasthewordingdoesnotrequiretheCalifornianotarytoviolateCalifornianotarylaw.(Titleordescriptionofattacheddocument)0StateandCountyinfonnationmustbetheStateandCountywherethedocumentsigner(s)personallyappearedbeforethenotarypublicforacknowledgment.0Dateofnotarizationmustbethedatethatthesigner(s)personallyappearedwhich(Tine°rdesc?p?on°fattacheddocumentmn?nuedlmustalsobethesamedatetheacknowledgmentiscompleted.IThenotarypublicmustprinthisorhernameasitappearswithinhisorherOiPages__ Documentn"‘*° commissionfollowedbyacommaandthenyourtitle(notarypublic).-Printthename(s)ofdocumentsigner(s)whopersonallyappearatthetimeofnotarization.CAPACITYCLAIMEDBYTHES|GNER0Indicatethecorrectsingularorpluralformsbycrossingoffinconectfonns(i.e... he/she/they,—is/are)orcirclingthecorrectforms.FailuretocorrectlyindicatethisDlndwidual(S) infomiationmayleadtorejectionofdocumentrecording.:iCorporateOfficer 0Thenotarysealimpressionmustbeclearandphotographicallyreproducible.ImpressionmustnotcovertextorlinesIfsealimpressionsmudges,re—sealifa(lme) suf?cientareapennits,otherwisecompleteadifferentacknowledgmentform.Partner(S) vSignatureofthenotarypublicmustmatchthesignatureontilewiththeofficeof_ thecountyclerk.I Attorney—In-Fact'2'AdditionalinformationisnotrequiredbutcouldhelptoensurethisDTrustee(5) acknowledgmentisnotmisusedorattachedtoadifferentdocument.other '2'Indicatetitleortypeofattacheddocument,numberofpagesanddate.i: 4°Indicatethecapacityclaimedbythesigner.Iftheclaimedcapacityisacorporateofficer,indicatethetitle(i.e.CEO,CFO,Secretary) “-' 9Securelyattachthisdocumenttothesigneddocumentwithastaple.,. A:-:__.._ni......,.,.F-:'~_r1n—r~.on.\4'l\4'.‘k"'II\'ULdl)'\.riClbb’Jh.U‘Jlll‘_:U|_l-0!Q’U'JU\_)
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WesteTGWrnSuComnyPOWEROFATTORNEYAPPOINTINGINDIVIDUALATTORNEY—IN-FACTKnowAllMenByThesePresents,ThatWESTERNSURETYCOMPANY ,aSouthDakotacorporation,isadulyorganizedandexistingcorporationhavingitsprincipalof?ceintheCityofSiouxFalls,andStateofSouthDakota,andthatitdoesbyvirtueofthesignatureandsealhereina?ixedherebymake,constituteandappointJamesScottSalandi,LeonardZiminsky,DavidJacobson,Individually ofIrvine,CA,itstrueandlawfulAttomey(s)-in-Factwithfullpowerandauthorityherebyconferredtosign,sealandexecuteforandonitsbehalfbonds,undertakingsandotherobligatoryinstrumentsofsimilarnature -InUnlimitedAmounts-
andtobindittherebyasfullyandtothesa.meextentasifsuchinstrumentsweresignedbyadulyauthorizedofficerofthecorporationandalltheactsofsaidAttorney,pursuanttotheauthorityherebygiven,areherebyrati?edandcon?rmed.ThisPowerofAttorneyismadeandexecutedpursuanttoandbyauthorityoftheBy-Lawprintedonthereversehereof,dulyadopted,asindicated,bytheshareholdersofthecorporation.
InWitnessWhereof,WESTERNSURETYCOMPANYhascausedthesepresentstobesignedbyitsVicePresidentanditscorporatesealtobeheretoaf?xedonthis24thdayofJune,2021. WESTERNSURETYCOMPANY T.Bru?at,VicePresidentStateofSouthDakotaSSCountyofMinnehahaOnthis24thdayofJune,2021,beforemepersonallycamePaulT.Bru?at,tomeknown,who,beingbymedulysworn,diddeposeandsay:thatheresidesintheCityofSiouxFalls,StateofSouthDakota;thatheistheVicePresidentofWESTERNSURETYCOMPANYdescribedinandwhichexecutedtheaboveinstrument;thatheknowsthesealofsaidcorporation;thattheseala?ixedtothesaidinstnnnentissuchcorporateseal;thatitwassoa?ixedpursuanttoauthoritygivenbytheBoardofDirectorsofsaidcorporationandthathesignedhisnametheretopursuanttolikeauthority,andacknowledgessametobetheactanddeedofsaidcorporation.MycommissionexpiresMarch2.2026 9-a-.-as-In-ciurai-N-I-htol-hssssiusO M.Bent,NotaryPublic
WESTERNSURETYCOMPANY
L. AssistantSecretary
CERTIFICATEI,L.Nelson,AssistantSecretaryofWESTERNSURETYCOMPANYdoherebycertifythatthePowerofAttorneyhereinabovesetforthisstillinforce,and?rrthercertifythattheBy-Lawofthecorporationprintedonthereversehereofisstillinforce.IntestimonywhereofIhavehereuntosubscribedmynameanda?ixedthesealofthesaidcorpomtionthis Aa2oz} Goto >OwnerIObligeeServices>ValidateBondCoverage,ifyouwanttoverifybondauthenticity.www.cnasurety.com
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ORANGE[city],CALIFORNIA[5g3ge]_
2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALNON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID Iamthe of thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecuteddate],at Signatureof DateSignature Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.) Theundersigneddeclares:IACOBBREEDLOVESECRETARYR.].NOBLECOMPANY X 10/16/2023X 10/16/2023MENDOZA,VICEPRESIDENTIACOBBREEDLOVE,SECRETARY 10/16/
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aie
tothewithininstrumentandacknowledgedtomethathe/shekheyexecutedthesameInhislhemheirauthorizedcapacity?es).andthatbyhis/haduaaitsignature(s)ontheinstrumenttheperson(s),ortheentity CALIFORNIAACKNOWLEDGMENTc|v|Lcope§1139
Anotarypublicorotherof?cercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached.andnotthetruthfulness.accuracy,orvalidityofthatdocument.StateofCalifornia }Countyof On beforeme.uare HereInsertNameandTitleoftheOfficerpersonallyappeared Nome(s)ofSigner(s) IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhandandofficialseal SigPlaceNotarySealand/orStampAbove SignatureofNotaryPublicOPTIONALCompletingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument:DocumentDate: NumberofPages:Signer(s)OtherThanNamedAbove:Capacity(ies)ClaimedbySigner(s)Signer'sName:13CorporateOfficer— Title(s):ElPartner— ElLimitedElGeneralDIndividualDAttorneyinFactDTrustee1:1GuardianorConservatorElOther:SignerisRepresenting:
©2018NationalNotaryAssociation
Signer'sName:I]CorporateOfficer— Title(s):DPartner-ElLimited[3GeneralBIndividualDAttorneyinFactE1TrusteeCIGuardianorConservatorDOther:SignerisRepresenting:
ORANGF10/16/2023 J.DEIONGH,NOTARYPUBLICSTEVENLMENDOZA
whoprovedtomeonthebasisofsatisfactoryevidencetobethepersonwhosenameis/subscribed uponbehalfofwhichthepersonacted,executedtheinstrument.
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tothewithininstrumentandacknow|edgedtomethathelshekheyexecutedthesameinhislhemheivauthorizedcapacity?es).andthatbyhislhatltzaairsignature(5)ontheinstrumentthepersons),ortheentity atur
CALIFORNIAACKNOWLEDGMENTc|v||_coo;§1139
Anotarypublicorotherof?cercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached.andnotthetruthfulness.accuracy,orvalidityofthatdocument.StateofCalifornia }Countyof On beforeme.Date HereInsertNameandTitleoftheOfficerpersonallyappeared Name(s)ofSigner(s) IcertifyunderPENALTYOFPERJURYundertheJ.Dcioiicii . . ._ WaryPublic_CamormalawsoftheistateofCaliforniathattheforegoing-<4 OrangeCounty paragraphistrueandcorrect.Z commmon.32307441MyCommExpiresOct28-1033 WITNESSmyhandandofficialseal.
SignPlaceNotarySealand/orStampAbove SignatureofNotaryPublicOPTIONALCompletingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument:DocumentDate: NumberofPages:Signer(s)OtherThanNamedAbove:Capacity(ies)ClaimedbySigner(s)Signer'sName: Signer'sName:ElCorporateOfficer— Title(s): DCorporateOfficer— Title(s):ElPartner- DLimitedDGeneralElPartner—E1LimitedElGeneralElIndividualDAttorneyinFactElIndividualDAttorneyinFactE]TrusteeinGuardianorConservatorE1TrusteeDGuardianorConservatorDOther: DOther:SignerisRepresentingSignerisRepresenting:
©2018NationalNotaryAssociation
GRANF-‘.F10/16/2023 J.DEIONGH,NOTARYPUBLICJACOBBREEDLOVE whoprovedtomeonthebasisofsatisfactoryevidencetobethepersonwhosenameis/subscribed uponbehalfofwhichthepersonacted,executedtheinstrument.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALCONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarexperienceofcompletedprojectswithsimilarsizeandscopeshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectName:ContractPrice DateofCompletion ProjectName:ContractPrice: ateofComp
ProjectName:
(Attachadditionalpagesasnecessary)
PA VEMENTREHABITATIONOFYNEZROAD1,0,50.50$168 IULY2021
CHRISWHITE951-694-6444MEREDITHCANYONSTREETSCIP19101$3,136,382.50 32400PASEOADELANTOSANTUANCAPISTRANO.CA92675Pmeshkin@sanjuancapistrano.org949-443-6350PA VEMENTREHABOFYNEZROADPW18-01 07/2021 STREETTEMECULA,CA92590
Name,Address,andTelephoneNumberofOwner'sRepresentative:CITYOFTEMECULA,41000MAINSTREET,TEMECULA,CA92590 01/Name,Address,andTelephoneNumberofOwner'sRepresentative:CITYOFSANCAPISTRANOPAULMESHKIN ContractPrice: DateofCompletion$1,016.58.25Name,Address,andTelephoneNumberofOwner'sRepresentative:[email protected]
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 Rev.0BlDDER'SPROPOSALFebruary2020 DESIGNATIONOFSUBCONTRACTORSNameofSubcontractorandLocationofPlaceDescriptionandSubcontracto?sDIRRegistrationofBusinessPercentageofWorkLicenseNo. Number (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§4100ETSEQ.) NOBESTINC7600ACACIAA VE.,GARDENGROVE,CA92841 CONCRETE 1000011529359622A INTERSTATESTRIPING9734p0p]_ARA VESTRIPING838618FONTANA.CA92335 1000007945 GLOBALROADSEALING10832DORTHYLNGARDENGROVE,CA92683 7575841000007714 CASELANDSURVEYINGSURVEYLS5411514N.ECKOFFSTREETORANGE,CA92868 1000001533 LOOPS
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALDESIGNATIONOFSUBCONTRACTORS NameofSubcontractorandLocationofPlaceDescriptionandSubcontractorsDIRRegistrationofBusinessPercentageof_WorkLicenseNo. Number (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§41ooETSEQ.) Rev.0February2020
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2022/23SB1PavementRehabilitationProjectCIPN0.5755 BlDDER'SPROPOSALBIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMI'|'|'EDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,below.STATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakeself-insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDOCUMENTS.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon-discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
Rev.DFebruary2020
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1000004235
2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALCERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisquali?ed,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled”PreviousDisqua|ifications."Ifastatementof"PreviousDisqualifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),Icertifythat,ifawardedtheContractbasedontheundersigned'sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTORISUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete].Subcontractors’registrationnumbersareasindicatedinDocument004314. (500)b.[Pleasecompleteorstrikeautthefollowingasinapplicable}Subsequently,onoraboutand ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.c.Allinformationdescribedaboveisreferredtoasthe"Qualificationlnformation."d.ContractorhascarefullyreviewedalloftheforegoingQualificationInformation.e.[Pleasecheckand/orcompleteoneofthefollowing]AllPrequalificationinformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.ExceptasotherwiseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactually CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:a.ContractorprequalifiedforthisProjectbysubmittingitsStatementofQualifications,dated N/A
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Bidd
IACOBREEDVE,
2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALbeingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAdditionalPrequalificationInformationasdescribedaboveifthisitemischecked.]CERTIFICATIONOF[InsertotherOwner-specificcertifications,ifapplicable.Otherwise,deIete.] BIDDER:
Signatureof Date Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) R.].NOBLECOMPANY
X 10/16/2023X 10/15/2023STEVENL.MENDOZA,VICEPRESIDENTSECRERTARY
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avetothewithin|nstrumentandacknowledgedtomethathe/shelltaeyexecutedthesameinhislherfmeérauthorizedcapacityties).andthatbyhis/hadabeivsignatureés)ontheinstrumenttheperscnts).ortheentity CALIFORNIAACKNOWLEDGMENTc|v||_cope§1139
Anotarypublicorotherofficercompletingthiscerti?cateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness.accuraql,orvalidityofthatdocument.StateofCaliforniaCountyof On beforeme,Date HereInsertNameandTitleoftheOf?cerpersonallyappeared Name(s)ofSigner(s) IcertifyunderPENALTYOFPERJURYundertheLl NOtaryJP-U’g!Ej’:3NErlw‘ lawsoftheStateofCaliforniathattheforegoingE ' Bl .OrangeCountyormaE paragraphistrueandcorrect.Commission4‘2307441 ._MyComm.ExpiregOct23_2023 WITNESSmyhandandofficialseal.
SignatuPlaceNotarySealand/orStampAbove ofNotaryPublicOPTIONALCompletingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument:DocumentDate: NumberofPages:Signer(s)OtherThanNamedAbove:Ca’pacity(ies)ClaimedbySigner(s)Signer'sName: Signer'sName:E1CorporateOfficer— Title(s): [3CorporateOfficer— Title(s):E1Partner- ElLimitedC1GeneralElPartner— ElLimitedDGeneralElIndividualE!AttorneyinFact[3IndividualElAttorneyinFactDTrusteeDGuardianorConservatorDTrusteeDGuardianorConservatorCiOther: DOther:SignerisRepresentingSignerisRepresenting:
URANGF10/16/2023 J.DEIONGH,NOTARYPUBLICJACOBBREEDLOVE
whoprovedtomeonthebasisofsatisfactoryevidencetobethepersonwhosenameis/subscribed uponbehalfofwhichthepersonacted.executedtheinstrument.
©2018NationalNotaryAssociation
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aretothewithininstrumentandacknowledgedtomethathe/shekheyexecutedthesameinhislher?heirauthorizedcapacityaes).andthatbyhis/has/uzaicsignature(.s)ontheinstrumentthepersontsl.ortheentity ignature
CALIFORNIAACKNOWLEDGMENTCIVILCODE§1189Anotarypublicorotherof?cercompletingthiscerti?cateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia }CountyofOn beforeme,Datepersonallyappeared J.DEIONGHNotaryPublic-CaliforniaOrangeCountyCommissionif2307441MyCommExpiresOct28,2023 VNN
PlaceNotarySealand/orStampAbove
HereInsertNameandTitleoftheOfficerName(s)ofSigner(s)
IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhandandofficialseal.
SignatureofNotaryPublicOPTIONALCompletingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocumentTitleorTypeofDocument:DocumentDate:Signer(s)OtherThanNamedAbove:Capacity(ies)ClaimedbySigner(s)Signer'sName:DCorporateOfficer— Title(s)ElPartner— 1]LimitedDGeneralBIndividualClAttorneyinFactC]TrusteeClGuardianorConservatorDOther:SignerisRepresenting ©2018NationalNotaryAssociation
NumberofPages:
Signer'sName:C]CorporateOfficer— Title(s):[3Partner—E1Limited[IIGeneralE]IndividualDAttorneyinFactElTrusteeElGuardianorConservatorClOther:SignerisRepresenting:
10/16/2023 J.DEIONGH,NOTARYPUBLICSTEVENL
whoprovedtomeonthebasisofsatisfactoryevidencetobethepersonwhosenameis/subscribed uponbehalfofwhichthepersonacted,executedtheinstrument.
<_,2
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._
6l14I22.1:32PM
ractorInformationLegalEntityNameRJ.NOBLECOMPANYLegalEntityTypeCorporationStatusActiveRegistrationNumber1000004235Registratione?ectivedate7/1/2022Registrationexpirationdate6/30/2025MailingAddressR0.BOX620ORANGE92856CAUnitedStatesPhysicalAddress15505E.LINCOLNA VEORANGE92865CAUnit...EmailAddressTradeNameIDBARJ.NOBLECOMPANYLicenseNurnber(s)CSl.B:782908 LegalEntityInformation
CorporationNumber:FederalEmploymentIdenti?cationNumber:PresidentName:AustinM.CarverVicePresidentName:KasondraC.GonzalezTreasurerName:JamesN.DucoteSecretaryName:StevenL.MendozaCEOName:AustinM.CarverAgentofServiceName:AUSTINM.CARVERAgentofServiceMailingAddress:15505E.LincolnAvenueOrange92865CAUnitedStatesofAmerica WorkersCompensation
https:/lcadinsecure.force.comICon’traclorSearchIPI§ntRegDetails E?ectiveDate6!7/20185I3/20176!16/20166/16/201512/22120147/1/20197/1/2022 httpszl/cadir.secure.force.comlcontractorsearch/PrintRegDatails RegistrationHistoryExpiration?Date6/30/20196/30/20186/30/20176/30/20165/30/20156/30/202g6/30/202i5 3/2Page 233 of 308
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6114122.1:32PM https:Ilmdicsecure.force.oomIContractorSearchlPrin’lRegDelailsDoyouleaseemployeesNothroughProfessionalEmployerOrganization(PEO)?:Pleaseprovideyourcurrentworkerscompensationinsuranceinformationbelow:PEOPEOPEOPEOInformationNamePhoneEmailInsuredbyCarrierPolicyHolderName:R.J.NOBLECOMPANYInsuranceCarrier:TravelersPropertyCasualtyCompanyofAmericaPolicyNumber:UB—7N939386-21-25Inceptionclate:7/1/2021ExpirationDate:7l1/2022 https:llcadinsecure;force.oomIconl:actorSearch/P?nl?egDetailsPage 234 of 308
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CONTSTATELIcRE§:%T:°§osARnACTIVELICENSE
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TAKENPIIIISUANTUNANIMOUDIIIECID
‘?u:unde?ned.ncu?min;nuom:dinuonoflhuabave-nmedCoiponlionAnia;pununtnotheauthorityofseuiou307(5)oflh:CnlifnrninGznenlCurpon?wnluckyndoptthe?allvwiuleeilulsandrcsolnlionue?wrivouoflunury1,ms.?lSHBRBYRBSOLVEDIhu?w£ol!nwhgn|mAdpe:sonsunelaetedIndappohIed(oIh:oBauindiuInd|I:nin.S\Ich|ppninmeat|hI||b¢e?h:|ivein:mldhtelyandnha1leau?mnu?I?mhuuGonofIh:Dhemn¢fIheOnman?mhnccu-dn:ewhhdnBy1Iw-of HIS!-1JKlHBRBOLVEDIh¢dlaonn1cu|ndlnrobligmionsbi:dinguponlh:Cawpcn?tnwilhavllneinucaIofFiveMi!.|hn(S5.060,0D0)muuteaprpmvedmdenaulad I13'
ACTIONTOTHESWRIITENCONSENTOFTHERS017RJ.NOBLECOMPANYACnlitornhCorporation PresidentAustinM.CarverSecurity JacobBreedloveChief?nncialO?eerJamesN.DwoteVioehuidaxtSuwenMendouVicahesidantScott!‘-‘ruse:ViceP¢esidu1tKaSondnGonnlez byAustinM.Cave’.
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NDIAPPEX1BID
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willnotberesgonsible
2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALTheundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(sTheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755
ITEMNo1
10 11
1213
14 15
BlDDER'SPROPOSALBIDSCHEDULEBASEBID-2022/23SB1PavementRehabilitationProject,CIPNo.5755
DESCRIPTION
Mobilization(nottoexceed5%)TrafficandPedestrianControlClearing,GrubbingandRemovalsTemporaryConstructionProjectIdentificationSignsWaterQualityControlAdjustExistingManholetoNewF.S.AdjustExistingValveCan/LidtoNewF.S.ReplaceExistingWaterMeterBox"HeavyDuty”Remove&RelocateExistingMailBoxRelocateExistingSignsandPostsRemoveandReplaceExistingADARampperCityStd.UnclassifiedExcavation HotMixAsphaltUntreatedBase
SmoothPavementJointTransition
UNIT
LSLS
525A
LS
EA
EA
EA
EA
EA
EA
CY
TN
TN
LF
ESTIMATEDQUANTITY
18 15
14 9600
7500
8200350
UNITPRICEEXTENDEDITEMAMOUNT5,000.on75:000.0043’,ooo-adq.5)000-ou45;”°° 548,000.or) I,é00.ooQ)-4499,0912,500!»(2,500.oo
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSAL BASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755EXTENDEDITIELVIDESCRIPTIONUNIT ITEMAMOUNT16TypeAACDikeperCalTransLF500Std.17ConstructACDrivewayTransitionSF165018Signing&StripingL5 119ReplaceDamagedTrafficLoopsEA1520FieldOrders LS1 $10,000$10,000 TOTALBASEBID(numbers)it************************************9:-k**************************-k*~k**** ADDITIVEABIDITEMSASFOLLOWS:ITE EXTENDEDESTIMATEDM DESCRIPTIONOFITEMSU?"ITEMNo QUANTWYAMOUNTA1 TOTALBIDADDITIVEA(numbers)ENDOFADDITIVEABIDITEMS BASEBIDTOTAL(inwords)
Contractor'sInitials
ADDITIVEABIDITEMSTOTAL(inwords)
,1a33’-1
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2022/23SBlPavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALContractor'sInitialsIntheeventofavarnbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedu|e(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedu|e(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby”(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContract
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2022/23SBlPavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.
CompletethefollowingLCPaving&Sealing,Inc.621610A,B,&C-121000004325Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CnrnnrafinnBusinessType(Corporation,Partnership,SoleProprietor) DBA(ifany)JoseSalinasPresident,PrncirlnnfRnrtrnfnnlNameandtitleoftheowner Nameandtitleofsecondpartnerorofficer620AlpineWayEscondidoCA92029BusinessAddress760-752-1743Telephonenumber760-752-1674Facsimilenumber MarisaHaasMarisa@|cpavinc|.comNameandEmailaddressofprimarycontact\:\)\M\U.\(’/x)A\)-Companywebaddrss
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSAL Bidder DateSignatureofBidder DateJoseSalinasidemPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.) Rev?February2020
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALCERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaClass‘A’Contractor'sLicenseCombinationofSpecialtyClass'C’Contractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor's|icense(s)which:aBearsthelicensenumber(s)521510AB.&C-12b.Expireson:08/31/2024 DateSignatureofBidder DateJoseSalinasPresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALBIDSECURITYFORMFORCHECKNOTE:FOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyiCityofHemet,h amountbeing10percenttheundersignedonlyifeither
A.
Otherwise,saidcheckshallbecomethepropertyoftheSaidcheckshallalsobecomethepropertyoftheAgencyifhis/her/itsbidwithintheperiodofsixty(60)calendardaysaftethereof,unlessotherwiserequiredbylaw,andnotwithstandingt isproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderofthenafterreferredtoas"Agency",fordollars(S)ofthetotalamountofthebid.Thischeckshallbereturnedtothis thefollowingoccurs:IfsaidBidshallberejectedheAgency;ncyandtheUndersignedshallexecuteanddeliver(properlycompletedinaccordancewithsaidBid)er/itsfaithfulperformanceofsaidContractandlabororfurnishingmaterialsinconnectiontheContractcreatedbyacceptanceof IfsaidBidshallbeacceptedbytheaContractintheformattachedhandshallfurnishbondsrequiredforhiforthepaymentofallpersonsperformitherewith,andshallinallotherrespectspesaidBid cveUndersignedshallwithdrawdatesetfortheopeningawardoftheContracttoanotherbidder SignatureofBidder
Printnameandtitle
DateSignatureofBidder Date
Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALBIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedLCPaving&Sealing,Inc.(NameofContractor)asPrincipalandtheundersignedasSuretyareheldand?rmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarTenPercentofAmountBidDollars($10%ofBidllawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,?rmlybythesepresents.WHEREAS,saidprincipa|issubmittingaBidfor2022/23SB1PavementRehabilitationProject;CIPNo.5755THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthisdayofOctober 20%(Month)LC&(CorporateSeal) BycipalDevelopersSuretyandIndemnityCompanySu(CorporateSeal) ByceF.McMahon,Attorney—in-Fact A1—9
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ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orva|id_it_yofthatdocument._StateofCalifornia_Countyof 55”D'e90) beforemeMarisaHaas,NotaryPublic(insertnameandtitleoftheofficer)personallyappearedJoseA"Salmaswhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrumentIcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
MARISAANNHAASNotaryPublic-CaliforniaSanDiegoCountyCommission4‘2306519Comm.ExpiresSep24,2026 WITNESSmyhandandofficialseal
Ntl/(1IVNNSignature (Seal)/pm
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ACKNOWLEDGMENT
Anotarypublicorotherof?cercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvaliditvofthatdocument.StateofCalifornia_Countyof 53"D'e9°lonOctober12,2023beforeme,MinnaHuovila,NotaryPublic(insertnameandtitleoftheof?cer) whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/sheltheyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
WITNESSmyhandandof?cialseal
Signature (Seal)
MWNAHUOVKACOMM.#2313883NOTARYPUBLIC-CALIFORNIASANDIEGOCOUNTYMyCommissionExpiresDECEMBER2023L353
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POWEROFATTORNEYFORCOREPOINTEINSURANCECOMPANYDEVELOPERSSURETYANDINDEMNITYCOMPANY59Maidenlane,43rdFloor,NewYork,NYI0038(ZIZ)220-7l20KNOWALLBYTHESEPRESENTSthat,exceptasexpresslylimitedherein,COREPOINTEINSURANCECOMPANYandDEVELOPERSSURETYANDINDEMNITYCOMPANY ,doherebymake,constituteandappoint:LawrenceF.McMahon,JohnR.Qualin.SarahMyers,TaraBacon,MariaHallmarkandMinnaHuovilaofSanDiego_CAasitstrueandlawfulAttomey-in-Fact,tomake,execute,deliverandacknowledge,forandonbehalfofsaidcompanies,assureties,bonds,undertakingsandcontractsofsuretyshipgivingandgrantinguntosaidAttomey—in—Factfullpowerandauthoritytodoandtoperfonneveryactnecessary,requisiteorpropertobedoneinconnectiontherewithaseachofsaidcompanycoulddo,butreservingtoeachofsaidcompanyfullpowerofsubstitutionandrevocation,andalloftheactsofsaidAttomey—in—Fact,pursuanttothesepresents,areherebyrati?edandcon?nned.ThisPowerofAttorneyiseffectiveJune1.2023 andshallexpireonDecember3I,2025ThisPoweisgrantedandissignedunderandbyauthorityofthefolloIutidbytheBoardoI'DirectorsofCOREPOlN'IEINSURANCECOMPANLOPERSSURETYANDINDEMNITYCOMPANY(co “C onFebruaryI0,2023.RESOLVED,that .andSurety,eachanemployeeofArnTrustNorthAmerica,Inc.,ana?iliateoftheCompany(the“Authon'zedSignors"),areherebyauthorizedtoexecuteaPowerofAttorney.qualifyingattorney(s)—in-factnamedinthePowerofAttorneytoexecute,onbehalfoftheCompany.bonds,undertakingsandcontractsofsuretyship,orothersuretyshipobligations;andthattheSecretaryoranyAssistantSecretaryoftheCompanybe,andeachofthemherebyis,authorizedtoattesttheexecutionofanysuchPowerofAttorney.RESOLVED,thatthesignatureofanyoneoftheAuthorizedSignorsandtheSecretaryor antSecretaryoftheCompany,andthesealoftheCompanymustbeaffxedtoanysu ofAttorney,andanysuchsignatureorsealmaybe facsimile,andsuchPowerofAltomeyshallbevalidandbindingupontheCornpanaffixedandinthefuturewithrespecttoanybond,undertakingorcontractofstrretyshiptowhichitisattachedINWITNESSWHEREOF,COREPOINTEINSURANCECOMPANYandDEVELOPERSSURETYANDINDEMNITYCOMPANYhavecausedthesepresentstobesignedbytheAuthorizedSignorandattestedbytheirSecretaryorAssistantSecretarythis March2023.5000By:PrintedTitle:PresirlentSrrretvUnderwriting ACKNOWLEDGEMENTAnotarypublicorotherofficercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruth?xlness,accuracy,orvalidityofthatdocument.
STATEOFCalifomiaCOUNTYOFOrangeOnthis27dayof March2023.beforeme, personallyappearedSamZaza ,whoprovedtomeonthebasisofsatisfactoryevidencetobethepersonwhosenameissubscribedtowithintheinstrumentandacknowledgedtomethattheyexecutedthesameintheirauthorizedcapacity,andthatbythesignatureontheinstrumenttheentitiesttponbehalfwhichthepersonacted.executedthisinstrumentIcertify,underpenaltyofperjury,underthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhandandofficialseal.
Signature
CORPORATECERTIFICATIONTheunded AssistantSecretaryof INSURANCECOMPANYandERSSURETYANDINDEMNITYCOMPANY ,doeshee sionsoftheresolutionseBoardsofDirectorsofsaidco setforthinthisPowerofAttorneyareinforceasofthefThisCerti?cationisexecutedintheCityofCleveland,Ohio,thisMarchI9,2023.by:By: BanyW.Moses,AssistantSecretaryPOANo.N/ADocuSignEnve|opelD:3352BFD6-5E9D-4796-837E-C1E455E6530FEd.0323Signedandsealedthis12thdayof October,2023
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALNON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:IamthePresidentofLCPaVinq&Sea|inq.Inc.thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattherue date],atlcity], state] reder DateSignatureofBidder DateSalinasPresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) andcorrectandthatthisdeclarationisexecutedon
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2022/23SB1PavementRehabilitationProjectClPNo.5755 B|DDER'SPROPOSALCONTRACTOR’SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarexperienceofcompletedprojectswithsimilarsizeandscopeshallbeconsideredgroundsforanon—responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.projectNamePleaseSeeAttachedSheetContractPrice: DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative:
ProjectName:ContractPrice: ofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative ProjectNameContractPrice: ateofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:
(Attachadditionalpagesasnecessary)
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CITYOFENCINITAS505SVULCANA VENUEENCINITAS,CA*ANNUALCONTRACT$1,100,000.00CITYOFMENIFEE29844HAUNROADMENIFEE,CA92586ADAMSA VENUESTREETIMPROV$789,165.20— MAY2021CITYOFSANCLEMENTE910CALLENEGOCIO,STE100SANCLEMENTE,CA92673*ALLEYPA VEMENTREHABILITATIONPROJECT$1,523,458.09— MAY2022CITYOFVISTA200CIVICCENTERDRIVEVISTA,CA92084*2022PEDESTRIANMOBILITY$467,949.45— OCT2022CITYOFHEMET445EFLORIDAA VENUEHEMET,CA92543*CDBG2021/22ACCESSIBLESIDEW ALK$461,852.50— APRIL2023CITYOFSANCLEMENTE910CALLENEGOCIO,STE100SANCLEMENTE,CA92673*CALLEDELCERRO$792,396.00— OCTOBER2023 REFERENCESIOHNUGROB760-633-2854
[email protected]
GARYVOBORSKY949.279.9730
[email protected]
[email protected]
MASAKOHENNEQUIN949.361.6133
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2022/23SB1PavementRehabilitationProjectCIPN0.5755 B|DDER'SPROPOSALDESIGNATIONOFSUBCONTRACTORSNameofSubcontractorandLocationofPlaceDescriptionandSubcontractor’sDIRRegistrationofBusinessPercentageofWorkLicenseNo. Number (Biddertoattachadditionalsheetsifnecessary)(PUBLICCONTRACTCODE§41ooETSEQ.) 5/';,’:s—9,9’/;/41L [p37/70/0””‘b"¢”9‘/
/vim.»/.0/5 /Z/we,/,,,a,,,+39'3:143PDJvshwa?~=/paw1»0/994~?.wlzm.-rm»pmlmKr/V57?g»./amt/us.-7’-Zcoyp/Lu;235'; ]0oD0o.;3¢3?ys/cm‘)Iwwj,r.zp4I/.4//v5.4.aceawBonyTo’-A.DI>,uL,,,,,>>757534/00004277!9/San!‘--*4-.é4v)-'60!/-1-—away
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALBIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,belowSTATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakese|f—insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon-discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
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2022/23SB1PavementRehabilitationProjectCIPN0.5755 BIDDER'SPROPOSALCERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled"PreviousDisqualifications.”Ifastatementof”PreviousDisqualifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),Icertifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]1000004325.Subcontractors’registrationnumbersareasindicatedinDocument004314.CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:a.ContractorprequalifiedforthisProjectbysubmittingitsStatementofQualifications,dated(soa)b.[Pleasecompleteorstrikeoutthefollowingasinapplicable]Subsequently,onoraboutand ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.c.Allinformationdescribedaboveisreferredtoasthe"Qualificationlnformation.”d.ContractorhascarefullyreviewedalloftheforegoingQualificationInformation.e.[Pleasecheckand/orcompleteoneofthefollowing]AllPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.ExceptasotherwiseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactually
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BlDDER'SPROPOSALbeingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAdditionalPrequalificationInformationasdescribedaboveifthisitemischecked.]CERTIFICATIONOF[InsertotherOwner-specificcertifications,ifapplicable.Othenivise,delete.] BIDDER:
reofBidder DateSignatureofBidder DateSalinasPresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)
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CaiforniaSecretaryofStateElectronicCertifiedCopy
I,ALEXPADILLA,SecretaryofStateoftheStateofCalifornia,herebycertifythattheattachedtranscriptof2pagesisafull,trueandcorrectcopyoftheoriginalrecordinthecustodyoftheCaliforniaSecretaryofState’soffice.
INWITNESSWHEREOF,IexecutethiscertificateandaffixtheGreatSealoftheStateofCaliforniaonthisdayofOctober29,2020 Q.
ALEXPADILLASecretaryofState
VerificationNumber:KWWZAWKEntity(File)Number:(:323541()ToverifytheissuanceofthisCertificate,usetheVerificationNumberabovewiththeSecretaryofStateElectronicVerificationSearchavailableatbizfile.sos.ca.gov
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CaiforniaSecretaryofStateElectronicFiling
Corporation—StatementofInformationEntityName:
Entity(File)Number:FileDate:EntityType:Jurisdiction:DocumentID:DetailedFilingInformation1EntityName:
2.BusinessAddresses:aStreetAddressofPrincipalOf?ceinCalifornia:
b.MailingAddress
c.StreetAddressofPrincipalExecutiveOffice:
bSecretary
L.C.PA VING&SEALING,INC
C328641O10/27/2020CorporationCALIFORNIAGK49303
L.C.PA VING&SEALING,INC
620ALPINEW AYESCONDIDO,California92029UnitedStatesofAmerica620ALPINEW AYESCONDIDO,California92029UnitedStatesofAmerica 620ALPINEW AYESCONDIDO,California92029UnitedStatesofAmericaJOSEA.SALINAS620ALPINEW AYESCONDIDO,California92029UnitedStatesofAmericaJOSEA.SALINAS620ALPINEW AYESCONDIDO,California92029UnitedDocumentID;GK49303CertificateVerificationNumber:
Sec:ret:.-1ryofStateC2-11if()
3.Officers:a.ChiefExecutiveOfficer:
Usebizfilesos.ca.oovforonlinefi/inqs.searches.businessandUseb/zf//esos.cagovtoverifythecert/?edcopy
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CafornaSecretaryofStateElectronicFiling
Officers(cont'd):c.ChiefFinancialOfficer:
4. 5.
6. Director:
NumberofVacanciesontheBoardofDirectors:AgentforServiceofProcess:
TypeofBusiness
Bysigningthisdocument,IcertifythattheinformationistrueandcorrectandthatIamauthorizedbyCalifornialawtosign.
ElectronicSignature:MarisaHaas
JOSEA.SALINAS620ALPINEW AYESCONDIDO,California92029UnitedStatesofAmericaJOSEA.SALINAS620ALPINEW AYESCONDIDO,California92029UnitedStatesofAmerica0JOSEA.SALINAS620ALPINEW AYESCONDIDO,California92029UnitedStatesofAmericaCONSTRUCTION DocumentID:GK49303CertificateVerificationNumber:Kvwx/2AwKUsebizfi/e.sosca.govtoverifythecertifiedcopy.
Usebizfiie.sos.ca.govforonlinefilings,searches,businessrecords,andresources
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2022/23SB1PavementRehabilitationProjectCIPN0.5755 BlDDER'SPROPOSALTheundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgency foranyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(s)TheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis—BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentforthe2022/23SB1PavementRehabilitationProject,CIPNo.5755andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.
Re‘-1.0February2826
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2022/23SB1PavementRehabilitationProjectCIPNo.5755
ITEMNo
10 11
12 13
14 15
BIDDER'SPROPOSALBIDSCHEDULEBASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755
DESCRIPTION
Mobilization(nottoexceed5%)TrafficandPedestrianControlClearing,GrubbingandRemovalsTemporaryConstructionProjectIdentificationSignsWaterQualityControlAdjustExistingManholetoNewF.S.AdjustExistingValveCan/LidtoNewF.S.ReplaceExistingWaterMeterBox"HeavyDuty"Remove&RelocateExistingMailBoxRelocateExistingSignsandPostsRemoveandReplaceExistingADARampperCityStd.UnclassifiedExcavationHotMixAsphaltUntreatedBaseSmoothPavementJointTransition UNIT
LSLSLS
EA
LS
EA
EA
EA
EA
EA
EA
CY
TN
TN
ESTIMATEDQUANTITY
18 15
149600
7500
8200
350
UNITPRICE564,132.00
$2,560.0(
$1,994.00
$185.00
$955.20
$575.00
$230.00
$107.75
$51.30
$31.35
EXTENDEDITEMAMOUNT$64,132.00
$86,800.00
$10,240.00
$2,775.00
$2,865.60
$159,880.00
$l,034,400.0
$l,029,000.C
$420,660.00
$10,972.50
$22,400.00
$86,800.00
$l7,758.0
$l1,420.0
$137.20
$22,400.00
$17,758.00
$35,892.00
$4025.00
$920.00
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSAL BASEBID—2022/23SB1PavementRehabilitationProject,CIPNo.5755EXTENDEDITIECLVIDESCRIPTIONUNIT ITEMAMOUNT16‘E:/cplzeAACDikeperCa|TransLF500$l7_00$8,5OO_oO 17ConstructACDrivewayTransitionSF1650$13.00$21’450'00
1sSigning&StripingLS1 ‘12'°75'°°$12'°75'°°
19ReplaceDamagedTrafficLoopsEA15 $497.00$7’455'O0
20FieldOrders L5 1 $10,000$10,000
TOTALBASEBID(numbers):2’962'20°'10**'k~k********'k****************‘k'k**********************'k*****'k*'k********** ADDITIVEABIDITEMSASFOLLOWS: ED‘TE umESTIMATEDumrEXTENDM DESCRIPTIONOFITEMST PRICEITEMNo QUANWYAMOUNTA1 TOTALBIDADDITIVEA(numbers)**-k********-k~k-k********'k*********ENDOF ABIDITEMS**-k*********-k****-II-k******-k**~k*** TwoMillionNineHundredandSixty—TwoThousandTwoBASEBIDTOTAL(inwords)HundredDollarsandTenCents Contractor'sInitials
ADDITIVEABIDITEMSTOTAL(inwords)
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 RemB|DDER'SPROPOSALFebruary2020 Contractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedu|e(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedule(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregularity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContract
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2022/23SB1PavementRehabilitationProjectCIPN0.5755 B|DDER'SPROPOSALDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.
Completethefollowing:WheelerPaving|nc.,1000002223,639771ALegalnameofthebusiness,DIRReg.andContractorLicenseNos.S‘CorporationBusinessType(Corporation,Partnership,SoleProprietor)NADBA(ifany)RichardWheeler,PresidentNameandtitleoftheownerNANameandtitleofsecondpartnerorofficer2734AvalonStreet.Riverside.92509BusinessAddress951.685.7283Telephonenumber951.685.5023Facsimilenumber DouglasRash,ProjectManager-Doug@whee|erpaving.comNameandEmailaddressofprimarycontactNACompanywebaddress Rev.0February2020
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSAL 10/16/2023 10/16/2023SignatureofBidder Date reofBidder DateRichardWheelerPresident D°“9'a5Rash»PmjectManagerPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?cersarerequired.) Rex/.0February2020
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2022/23SB1PavementRehabilitationProjectCIPN0.5755 BIDDER'SPROPOSALCERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaClass‘A’Contractor'sLicenseCombinationofSpecialtyClass‘C’Contractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor'slicense(s)which:a.Bearsthelicensenumber(s):639771b.Expireson:4'30'2025 SignatureofBidder DateSignatureofBidder DateRichardWheelervPresidentDouolasRash.ProjectManagerPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore—eva|uatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.
Rev.02020
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALBIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderoftheCityHemet,hereinafterreferredtoas"Agency",fordollars thisamountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:A.IfsaidBidshallberejectedbytheAgency;IfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformattachedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsperforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallotherrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgencySaidcheckshallalsobecomethepropertyoftheAgencyiftheUndersignedshallwithdrawhis/her/itsbidwithintheperiodofsixty(60)calendardaysafterthedatesetfortheopeningthereof,unlessotherwiserequiredbylaw,andnotwithstaawardoftheContracttoanotherbidder.
SignatureofBidder Date5natureofer Date
Printnameandtitle Printandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.) Re\;.OFebruary2020
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 Rev.0B|DDER'SPROPOSALFebruary2020 BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedWheelerPaving,Inc (NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarAmountInWords)nottoexceedtenpercent(10%)ofthetotalbidamount———————————————— -- Dollars(S lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipa|’sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]22/23SBIPavér?éntRéhéibilitatidn—CIPN6.‘5755 ’
THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis12thdayofOctober ,2023_(Month) (CorporateSeal) ByWheeierNC-PrincipalByDevelopersSuretyandIndemnityCompanySurety(CorporateSeal) By JuliaB.Bales,AttorneyInFact
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No.4606-0STATEOFCALIFORNIAN S CSANFRANCISCOAmendedCecateofAuthorityTHISISTOCERTIFYthat,pursuanttotheInsuranceCodeoftheStateofCali?irnia,DevelopersSuretyandIndemnityCompanyofCalifbrnia,organizedunderthelawsofCalifornia,subjecttoitsArticlesofIncorporationorother?mdarnentalorganizationaldocuments,isherebyauthorizedtotransactwithinthisState,provisionsofthisCertificate.the?zllowingclassesofinsurance:subjecttoall Fire,Marine,Surety,Disability,PlateGlass,Liam,‘-,v5ii¢ii-ixérs-Compensation,CommonCarrierLiability,BoilerandMachinery,Burglary,Credit,Sp?nkler,TeamandVehicle,Automobile,Aircraft,Legal,andMiscellaneousassuchclassesarenowormayhereafterbede?nedintheInsuranceLawsoftheStateofCalijizrnia.THISCERTIFICATEisexpresslyconditionedupontheholderhereofnowandhereafterbeinginfullcompliancewithall,andnotinviolationofam»,oftheapplicablelawsandlaw/illrequirementsmadeunderauthorityofthelawsoftheStateofCaliforniaaslongassuchlawsorrequirementsareinmfectandapplicable,andassuchlawsandrequirementsnoware,ormayhereafterbechangedoramendedINWITNESSWHEREOF,ejfectiveasofthe1"’dayofNovember,2017,Ihavesetmyhandandcausedmyo?icialsealtobeq?ixedthis1''dayofNovember.2017.
DaveJonesInsuranceCommbsimr
By ValerieSarfatyforJoelLaucherChiefDetmevNOTICE:
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andThisPowe andissignedunderandbyauthorityofthefolloIutiotheBoardofDirectorsofCOREPOlNTEINSURANCECOMPANSURETYANDINDEMNITYCOMPANY(co “CoebruaryI0,2023.RESOLVED,that and?y,eachanem ”),aCompany,bonds,undertakingsandcontractsofbe,andeachofthemherebyis,authorizedtoattestinthePowerofAttorneytoexecute,ontheSecretaryoranyAssistantSecretaryofthe theSec and eCompanyey, orseal Att evalidandnd ttoany ichINWITNESSWHEREOF,COREPOINTEINSURANCECOMPANYandDEVELOPERSSURETYANDINDEMNITYCOMPANYhavecausedthesepresentstobesignedby_theAutliorizedSignorandattestedbytheirSecretaryorAssistantSecretarythis,. March2023ucIByPrinted ,Title:SuretvUnderwriting S 2- ACKNOWLEDGEMENT:Anotarypublicorotherofficercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruth?ilness,accuracy,orvalidityofthatdocument.
STATEOFCaliforniaCOUNTYOFOrangeOnthis27dayof March,2023,beforeme, personallyappearedSamZaza ,whoprovedtomeonthebasisofsatisfactoryevidencetobethepersonwhosenameissubscribedtowithintheinstrumentandacknowledgedtomethattheyexecutedthesameintheirauthorizedcapacity,andthatbythesignatureontheinstrumenttheentitiesuponbehalfwhichthepersonacted,executedthisinstrument.Icertify,underpenaltyofperjury,underthelawsoftheStateofCal thattheforegoingparagraphistrueandcorrect.WITNESSmyhandandofficialseal.
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CORPORATECERTIFICATIONThe Secretaryof INSURANCECOMPANYandERSSURETYANCOMPANY ,do eresolutionseBoardsofDirectorsofsaidco setforthinthisP0areinforceasoThisCerti?cationisexecutedintheCityofCleveland,Ohio,thisMarchI9,2023.by:
POANo.N/ABy: Ban'yW.Moses,AssistantSecretaryDocuSignEnve|opeID:3352BFD6-5E9D—4796-837E-C1E455E6530FEd0323
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Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia }CountyofRiversidebeforeme_MariahGiselleBarela,NotarvPublicHereInsertNameandTitleoftheOf?cerJuliaB.Balespersonallyappeared Name(s)ofSigner(s) whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(-5)whosename(-5}is/are-subscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(-ies-),andthatby-his/herltheir-signaturels-)ontheinstrumenttheperson(s).ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument. liilARlAHGISELLECOMM.#241NOTARYPUBLIC-CALIFORNIARIVERSIDECOUNTYIvlyComm.ExpiresSept.20,2026 FISE1
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Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCaliforniaCountyofOn Officerpersonallyappeared Name(s)ofSigner(s) whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.
IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhandandseal SignaturePlaceNotarySealand/orStampAboveOPTIONALCompletingthisinformationcandeteralterationofthedocumentorfraudulentreattachmentofthisformtoanunintendeddocument.DescriptionofAttachedDocuTitleorTypeofDocument:DocumentDate: NumberofPages:Signer(s)OtherThanNamedAbove:Capacity(ies)ClaimedbySigner(s)Signer’sName: Signer’sName:CorporateOfficer— Title(s) CorporateOfficer— Title(s):ElPartner—ElLimitedElGeneralPartner—IIILimitedGeneralIndividualAttorneyinFactIndividualDAttorneyinFactTrusteeGuardianorConservatorTrusteeElGuardianorConservatorIIIOther: Other:SignerisRepresenting:SignerisRepresenting ©2019NationalNotaryAssociation
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ityofRilato, Aven, , 76Rdy?/ictori909.820.8041
2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALCONTRACTOR’SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarexperienceofcompletedprojectswithsimilarsizeandscopeshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectName:2021/22PavementRehabProjectCIP5727ContractPrice:$1,293,433-31DateofCompletion:9/2/2022Name,Address,andTelephoneNumberofOwner'sRepresentative:CityofHemet,445E.FloridaAvenue,Hemet,CA951.765.3877-ChaseKevs951.765.3877ProjectName:AvianonpriParksContractPrice:$130983-53ofCompletion:7/25/2023Name,Address,andTelephoneNumberofOwner'sRepresentative:ValleyWideRecreation,901W.EsplanadeAvenue,SanJacinto,CA -JustinSchweitzer951.654.1505ProjectName.RANDALLA VENUESTREETIMPROVEMENTSPROJECTContractPrice:$176’085'26ofCompletion:4/3/2023Name,Address,andTelephoneNumberofOwner'sRepresentativeC 150S.PalmueRialtoCA923U 0, (Attachadditionalpagesasnecessary)
Rev.0February2020
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 BIDDER'SPROPOSALBIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBM|'|'|'EDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,below.STATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakeself-insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon-discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
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WHEEPA V-O1CERTIFICATEOFLIABILITYINSURANCE{'3A 3”L2 DATE(MMIDDIYYYY)8/1/2023THISCERTIFICATEISISSUEDASAMATTEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHEPOLICIESBELOW.THISCERTIFICATEOFINSURANCEDOESNOTCONSTITUTEACONTRACTBETWEENTHEISSUINGINSURER(S),AUTHORIZEDREPRESENTATIVEORPRODUCER,ANDTHECERTIFICATEHOLDER.IMPORTANT:Ifthecerti?cateholderisanADDITIONALINSURED,thepolicy(ies)musthaveADDITIONALINSUREDprovisionsorbeendorsed.IfSUBROGATIONISW AIVED,subjecttothetermsandconditionsofthepolicy,certainpoliciesmayrequireanendorsement.Astatementonthiscerti?catedoesnotconferrightstothecerti?cateholderinlieuofsuchendorsementlsl.pRoDUcER SQINIEACTCarltonls\:rs‘u2::PartnersofCAInsuranceServices,LLCdba:WaterrdgeInsurancemg_N'f°_Ex“:(858)200436-I‘FA\f§_N°‘:(358)20043362niteRideDrive,Ste4500'9 INSURERISIAFFORDINGCOVERAGENAIC#INsuRERA:Trave|erslndemnitvCo.ofCT 25682INSURED msunsna:Trave|ersPronertvCasualtvCoOfAmerica25674Whee|efPaving’|nc_ INSURERC CO.843263rdAve WSURERD,Riverside,CA92509 INSURERE:INSURERF THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHA VEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIODINDICATED.NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHISCERTIFICATEMAYBEISSUEDORMAYPERTAIN,THEINSURANCEAFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHETERMS,EXCLUSIONSANDCONDITIONSOFSUCHPOLICIES.LIMITSSHOWNMAYHA VEBEENREDUCEDBYPAIDCLAIMS.INSR ADDLSUBR POLICYEFFPOLICYEXPITR TYPEOFINSURANCEmenwvn POLICYNUMBERmmunnrvvwilMMInnNVVV\LIMITSAXCOMMERCIALGENERALLIABILITY FA‘-_HnnmIRRFN‘-_F3CI-AIMS-MADEXOCCUR4-T22-CO-GN566635-TCT-238/1/20238/1/2024E 5MFI1FXP(Anvnnra.m=.r:nn\SRPFRRONAIItAnvINllIRVSR|_|Mn'App|_|EsPER; GFNFRAIAGGRFGATF5:POLICYX LOC pnnnrICTSCOMP/OPAnn5:E}BAUTOMOBILELIABILITY S:XANYAUTO 310-ZN374425-23-ZS-G8/1/20238/1/2024nnnnvIN.IIIRV(ParnersnnlshRLVIIIIOESDONLYASTHEEULEDRnnnvlN.llIRY(Perat-.r-.irIs=.nII.4:XI?rEo%omNW6VI'I)IIIII|E.II)( 5$B UMBRELLALIABXOCCUR FAr‘.Hnon:IRRFNCF.1XExcess|_|AB c|_A|Ms.MA[)ECUP-45235554-23-258/1/20238/1/2024AGGRFGATFSRDEDXRETENTION$ 101000 .1XE"T‘I§nm: I=’.'=“'YIN"IA 12I11I2°22FAI".HA(‘.f‘.l|')FNTsFInIsr=A.<r=.FAFMPInvr=FsIf FlnIsr=Asr=.pnll(‘.VlIMITsBProperty QT-660-9N156725-TIL-238I1IZUZ38I1I2024RENTEDILEASEDEQ DESCRIPTIONOFOPERATIONSILOCATIONSIVEHICLES(ACORD101,AdditionalRemarksSchedule,maybeattachedIfmorespaceIsrequired)ProofofInsurance 1,000,000300,0005,0001,000,0002,000,0002,000,0001,000,000 6,000,0006,000,000
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;ContractorInformation RegistrationHistoryLegalEntityName EffectiveDateExpirationDateWHEELERPA VING,INC.LegalEntityType 6/14/20186/30/2019CorporationStatus 6/5/20176/30/20185/11/20166/30/2017Registrationdate 6/17/20156/30/20167/1/2023Registrationexpirationdate 11/3/20146/30/20156/30/2025MailingAddress 7/1/20196/30/20212734AvalonStRIVERSIDE92509CAUnitedStatesofAmericaPhY5iCa'Addfess 7/1/20216/30/20232734AvalonStRIVERSIDE92509CAUnitedStatesofAmericaEmailAddress 7/1/2023TradeName/DBAWHEELERPA VING,INC.LicenseNumber(s)CSLB:639771 FederalEmploymentIdenti?cationNumber:PresidentName:RichardWheelerVicePresidentName:TreasurerName:SecretaryName:CEOName:AgentofServiceName:WHEELERPA VINGINCAgentofServiceMailingAddress:2734A V ALONSTREETRIVERSIDE92509CAUnitedStatesofAmerica orkersCompensationDoyouleaseemployeesNothroughProfessionalEmployerOrganization(PEO)?:Pleaseprovideyourcurrentworkerscompensationinsuranceinformationbelow:PEOPEOPEOPEOInformationNamePhoneEmailInsuredbyCarrierPolicyHolderName:WHEELERPA VINGINCInsuranceCarrier:GUIDEONEMUTUALINSURANCECO.PolicyNumber:010006782Inceptiondate:8/1/2022ExpirationDate:8/11/2023
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALCERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled”PreviousDisqua|ifications.”Ifastatementof”PreviousDisqualifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),certifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]|Ij)0j2Qj)f2(Z1Z2.Subcontractors’registrationnumbersareasindicatedinDocument004314.CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL]Bymysignaturehereunder,astheContractor,Icertifyasfollows:prequalifiedforthisProjectbysubmittingitsStatementofQualifications,dated(50Q)b.[Pleasecompleteorstrikeoutthefollowingasinapplicable]Subsequently,onoraboutand=-""""ContactorsubmittedfurtherinformationsupplementingforforegoingStatementofQualifications.c.Allinformationdescribedaboveisreferredtoasthe"QualificationInformation.”cl.CorhascarefullyreviewedalloftheforegoingQualificationInformatione. checkand/orcompleteoneofthefollowing]AllPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactuallybeingsubmittedtoOwnerasofthedatehereof.ExceptasotherwiseexpresslysetforthinseparateAdditionalPrequalificationInformation,submittedwiththeBid,allPrequalificationInformationremainstrueandcorrectinallmaterialrespectsasofthedatehereof,asifsuchinformationwereactually
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2022/23SB1PavementRehabilitationProjectCIPNo.5755 B|DDER'SPROPOSALbeingsubmittedtoOwnerasofthedatehereof.[ContractormustprovideAdditionalPrequalificationInformationasdescribedaboveifthisitemischecked.]CERTIFICATIONOF[InsertotherOwner-specificcertifications,ifapplicable.Otherwise,de|ete.] BIDDER:
Signatureofer Date Date
Printnameandtitle Printnaandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.) Rev.02020
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Sources: Esri, HERE, Garmin, USGS, Intermap, INCREMENT P, NRCan, Esri Japan, METI, Esri China (Hong Kong), Esri Korea, Esri (Thailand), NGCC, © OpenStreetMap contributors, and the GIS User Community
Hemet, CA
445 E Florida Avenue
Hemet, CA 92543 May 2022
2022/23 SB1 PAVEMENT REHABILITATION
LOCATION MAP
Legend
Project Streets
City Boundary
City Council Districts
1 2
3 4
5 ·
HRG PLOT: 12:26:31 PM 5/9/2022 BY: ckeys FILE: J:\2018\181743\CIP\_CIP Admin\_RMRA\2022-23\ex-20220509-Location_Map_22-23_SB1_Pvmt_Rehab.mxd
MENLO AVE
SANTA FE ST
CAWSTON AVE
SAN JACINTO ST
WHITTIER AVE
MERIDIAN ST
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CITY OF HEMET BID AND CONTRACT DOCUMENTS
CITY OF HEMET CONTRACTOR AGREEMENT
2022-23 SB1 Pavement Rehabilitation – CIP 5755
This City of Hemet Contractor Agreement (“Agreement”) is made and entered into for the above-referenced Project by and between the City of Hemet (“Agency”), and Onyx Paving
Company, Inc. (“Contractor”) on the 15th day of November 2023.
In consideration of the mutual covenants and agreements set forth herein, the Agency and Contractor have mutually agreed as follows:
1. CONSTRUCTION
The Contractor agrees to do all the Work in connection with the 2022-23 SB1 Pavement Rehabilitation – CIP 5755 to be
constructed at Cawston Avenue from Devonshire Avenue to Menlo Avenue; Santa Fe Street from Oakland Ave to Menlo Avenue; Trevor Lane and Teresa Circle; Olive Tree Lane, Los Tilos Rd and Woodland Dr., in the City of Hemet, California, including furnishing any and all labor, services, materials and equipment to construct and complete the Project, 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 this Agreement, approved Change Orders, Notice Inviting Bids, Instructions to Bidders, Bidder’s Proposal and Information Required for Bid Submittal, Bid Schedules, Addenda and/or Bulletins, plans, Special Provisions (Specifications), General Conditions, 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/deductive items, including all work, labor, services, materials and equipment described and reasonably inferable from documents enumerated in Exhibit “A” attached hereto and incorporated herein by reference (such construction and furnishing of labor, service, materials and equipment hereinafter referred to as the “Work”) in a good workmanlike manner according to any and all applicable best practices to the satisfaction of the Agency. The term Contract Documents shall mean this Agreement, all of the items enumerated in Exhibit “A”
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and all change orders or addenda issued by the Agency with respect thereto. The agency must consent in writing to any changes in the scope of Work. Exhibit “A” shall be deemed revised in accordance with any revisions for which the Agency’s consent has been issued. Any revisions to the scope of Work for which the Agency’s written consent has not been provided shall be null and void and done at the risk and sole expense of the Contractor.
2. CONTRACT PRICE
Agency hereby agrees to pay and the Contractor agrees to accept as full compensation for all Work performed in accordance with these Contract Documents the Contract Price as set forth in Exhibit “B”, Contract Price, attached hereto and incorporated herein by reference. Payments to the Contractor shall be made in the manner described in the Special Provisions.
3. TIME FOR PERFORMANCE
Time is of the essence in the Contractor’s performance of the Work for this Agreement. The Contractor agrees to diligently pursue the performance and completion of the Work in every detail to the satisfaction of the Agency, exclusive of maintenance periods, within the specified duration set forth in the Notice to Proceed. All timing requirements shall be strictly adhered to unless otherwise modified by the Agency in accordance with the Bid and Contract Documents. If Contractor
4. DELAYS AND EXTENSIONS OF TIME
Delays and extensions of time will be handled by the Agency and Contractor pursuant to the provisions of Section 6-4 of the Special Provisions. However, the Contractor must comply with the written notice requirement, as well as timely report backup information, in strict compliance with the requirements of the provisions of Section 6-4 of the Special Provisions; the Contractor’s failure to submit these items within the times specified will constitute a waiver of the extension of time and payment for delay and will be ground for refusal by the Agency to consider such request.
5. LABOR CODE REQUIREMENTS
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Pursuant to Labor Code Section 1771.1, the Contractor and all subcontractors shall be registered with the Department of Industrial Relations. Pursuant to Labor Code Section 1771.4, the Contractor is hereby notified that this Project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. The Contractor, and any subcontractor engaged by the Contractor, must pay not less than the specified prevailing rate of per diem wages to all workers employed in the execution of the contract. (Labor Code § 1774.) The Contractor is responsible for compliance with Labor Code section 1776 relative to the retention and inspection of payroll records.
The Contractor must comply with all provisions of Labor Code section 1775. Under Section 1775, the Contractor may forfeit as a penalty to the City up to $50.00 for each worker employed in the execution of the Contract by the Contractor or any subcontractor for each calendar day, or portion thereof, in which the worker is paid less than the prevailing rates. The Contractor may also be liable to pay the difference between the prevailing wage rates and the amount paid to each worker for each calendar day, or portion thereof, for which each worker was paid less than the prevailing wage rate.
The Contractor acknowledges and agrees to abide by the
provisions of California Labor Code §§ 1720, et seq., as well as 1771, 1773, 1773.1, 1773.2, 1773.6, 1773.7, 1774, 1775, 1776, and 1777, pertaining to the obligation to pay prevailing wages with respect to the performance of work (“Prevailing Wage Laws”). The Contractor shall defend, indemnify, and hold the City, its elected officials, officers, employees, and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws.
The Contractor acknowledges that under California Labor Code sections 1810 et seq., eight hours of labor constitutes a legal day’s work. The Contractor will forfeit as a penalty to the City the sum of $25.00 for each worker employed in the execution of this Contract by the Contractor or any subcontractor for each calendar day during which such worker is required or permitted to work more than 8 hours in any one calendar day and 40 hours in any one calendar week in violation of the provisions of Labor Code section 1810. (Labor Code § 1813.)
6. NON-DISCRIMINATION