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Through the Agreement, the City is to construct certain improvements on behalf of the Developer, however, it also ensures that the City will not incur any direct or indirect costs or liability by virtue of the City constructing improvements that are the responsibility of the Developer.
The construction contract for CIP 5698 was awarded by City Council on October 8, 2019. Due to delays in approval of the CFD by CSDCA, as well as the ongoing pandemic, the commencement of construction of services was delayed until early 2021. The contractor (Leonida) experienced delays due to material shortages along with necessary revisions that further delayed the construction schedule.
The contract with Leonida was terminated on February 29, 2024, and therefore the unfinished work for the project will need to be rebid and a new contractor will finish the work.
ANALYSIS:
McSweeny Parkway street improvements are currently incomplete, and this award of contract is to finish the McSweeny Parkway street improvements only. The Cactus Valley Wash channel improvements will be under a separate contract once the plans have been approved by Riverside County Flood Control and Water Conservation District.
On July 17, 2024, the City Engineer approved the bid package for McSweeny Parkway Street Improvements (CIP 5698B) and bids were solicited from 407 vendors.
DISCUSSION:
On August 19, 2024, the Procurement Administrator received 7 bids, as shown below:
Onyx Paving Company, Inc. $498,000.00
Vance Corporation $499,825.62
All American Asphalt $544,444.00
Superior Paving Co Inc. DBA United Paving Co. $596,597.65 Prestige Paving Company $605,478.90
Mendoza Engineering Co, Inc. $620,006.40
Hardy & Harper, Inc. $625,000.00
Formal bidding procedures were followed in conformance with the Public Contracts Code. After reviewing the bids, it was determined by staff that Onyx Paving Company, Inc.is the verified lowest responsive and responsible bidder.
PREVIOUS COUNCIL ACTION:
On October 8, 2019, the City Council awarded construction projects for CIP 5698. On August 13, 2024, the City Council adopted the annual update to the City's 5-year Capital Improvement program, which included this project as CIP 5689B.
STRATEGIC PLAN INTEGRATION:
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GOAL ONE: QUALITY OF LIFE:
To ensure that Hemet is safe, clean, attractive and comfortable for all who live, work, and visit.
Objective 1: Enhance the visual appearance of the community to make it attractive and reduce blight.
Objective 2: Explore and implement homelessness solutions for the City of Hemet.
Objective 3: Increase Public Safety visibility and response.
FISCAL IMPACT:
There is no General Fund impact. The proceeds provided by CSCDA CFD No. 2018-02 (McSweeny) Improvement Area No. 1 (held in an escrow account) will fund the construction of these improvements. The total project costs are as follows:
Construction Contract $ 498,000
Contingency (10%) $ 49,800
Materials Testing $ 20,000
Total Project Cost $567,800
Appropriations of $450,000 were approved by Council on August 13, 2024, as part of the City's fiveyear Capital Improvement program. Staff is requesting an additional $117,800 from CFD No. 2018-02 to fund the construction of the project.
ALTERNATIVE(S):
1. Do not approve the construction contract.
2. Provide additional direction to the City Manager.
ATTACHMENT(S):
Attachment 1 Resolution CIP 5698B Construction Award
Attachment 2 - Bid Summary
Attachment 3 - Bids Received
Attachment 4 - Draft Agreement
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CITY OF HEMET RESOLUTION NO. 2024-TBD 1
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CITY OF HEMET
HEMET, CALIFORNIA
RESOLUTION NO. 2024-XX
A RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF HEMET, CALIFORNIA, AWARDING ONYX PAVING
COMPANY, INC. THE MCSWEENY PARKWAY STREET
IMPROVEMENTS, CIP 5698B, IN THE AMOUNT OF
$498,000, WAIVING ANY MINOR BID IRREGULARITIES,
AUTHORIZING THE CITY MANAGER TO EXECUTE ALL
CONTRACT DOCUMENTS; APPROVING ADDITIONAL
CONSTRUCTION EXPENDITURES NOT TO EXCEED 10%
OF THE CONTRACT AMOUNT OR APPROXIMATELY
$49,800; APPROVING MATERIALS TESTING IN THE
AMOUNT OF $20,000; AUTHORIZING THE
ADMINISTRATIVE SERVICES DIRECTOR TO
APPROPRIATE AN ADDITIONAL $117,800 FROM THE
FUND BALANCE OF COMMUNITY FACILITY DISTRICT
(CFD) 2018-02 TO FUND THE TOTAL PROJECT COST;
AND AUTHORIZING THE CITY CLERK TO RECORD THE
NOTICE OF COMPLETION UPON ACCEPTANCE OF THE
WORK BY THE CITY ENGINEER
The City Council of the City of Hemet, California (hereafter referred to as the “City Council”) does resolve as follows:
WHEREAS, on March 12, 2019, City Council adopted a resolution which amended a previous resolution and approved a revised form Funding, Construction and Acquistion Agreement with McSweeny Recovery Acquisition, LLC (Developer) for the McSweeny Farms Specific Plan area, which is funded through a Community Facilities District; and
WHEREAS, the Developer deposited funds with the City for the preparation of bid packages and plans; and
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CITY OF HEMET RESOLUTION NO. 2024-TBD 2
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WHEREAS, per the Agreement, the City is to construct certain improvements on behalf of the developer; and
WHEREAS, the construction contract for CIP 5698 was awarded by City Council on October 8, 2019 to Leonida Builders, Inc; and
WHEREAS, the project was delayed due to delays in approval of the CFD, the ongoing pandemic, and material shortages; and
WHEREAS, the contract with Leonida Builders, Inc. was terminated on February 29, 2024, and the unfinished work for the project was rebid; and WHEREAS, McSweeny Parkway street improvements are currently incomplete; and
WHEREAS, the project to complete the paving of McSweeny Parkway was included as CIP 5698B in the annual Capital Improvement Program update adopted by the City Council on August 13, 2024; and
WHEREAS, On July 17, 2024, the City Engineer approved the bid package for the McSweeny Parkway Street Improvements (CIP 5698B) and bids were solicited from 407 vendors; and
WHEREAS, on August 19, 2024, the City received a total of 7 bids for the project which were reviewed by staff resulting in Onyx Paving Company, Inc. being the lowest responsible responsive bidder; and
WHEREAS, staff recommends to waive any minor irregularities within the Onyx Paving Company, Inc. bid submittal; and
WHEREAS, staff recommends to award a City of Hemet Contractor Agreement to Onyx Paving Company, Inc. in the amount of $498,000; and
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CITY OF HEMET RESOLUTION NO. 2024-TBD 3
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WHEREAS, staff recommends the City Council Authorize the City Manager to execute all contract documents and to approve additional project expenditures not to exceed $49,800, which is approximately 10% of the contract amount; and WHEREAS, staff recommends the City Council approve materials testing in the amount of $20,000; and
WHEREAS, staff recommends the City Council Authorize the Administrative Services Director to appropriate an additional $117,800 from CFD No. 2018-02 to fund the total project cost; and
WHEREAS, the timeline for completion of the project is Twenty-Five (25) working days; and
WHEREAS, staff recommends the City Council Authorize the City Clerk to record the Notice of Completion upon acceptance of the work by the City Engineer.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF HEMET FINDS, DETERMINES, ORDERS AND RESOLVES AS FOLLOWS:
SECTION 1. FINDINGS - The recitals set forth above are hereby adopted as findings in support of this Resolution.
SECTION 2. Approve the construction agreement for the McSweeny Parkway Street Improvements, CIP 5698B, to Onyx Paving Company, Inc. in the amount of $498,000 and waive any minor bid irregularities.
SECTION 3. Authorize the City Manager to execute all contract documents.
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CITY OF HEMET RESOLUTION NO. 2024-TBD 4
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SECTION 4. Approve additional construction expenditures not to exceed approximately 10% of the contract amount or $49,800 and approve materials testing in the amount of $20,000.
SECTION 5. Authorize the Administrative Services Director to appropriate an additional $117,800 of CFD No. 2018-01 funds to fund the total project cost.
SECTION 6. Authorize the City Clerk to record the Notice of Completion upon acceptance of the work by the City Engineer.
PASSED, APPROVED AND ADOPTED this 10th day of September, 2024. ____________________________
Joe Males, Mayor
ATTEST:
_____________________________
John Paul Maier, City Clerk
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CITY OF HEMET RESOLUTION NO. 2024-TBD 5
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State of California )
County of Riverside )
City of Hemet )
I, John Paul Maier, City Clerk of the City of Hemet, do hereby certify that the foregoing resolution was adopted by the Hemet City Council on the 10th day of September, 2024, and was passed by the following vote:
AYES: Council Members:
NOES: Council Members:
ABSTAIN: Council Members:
ABSENT: Council Members:
_____________________________
John Paul Maier, City Clerk
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City of Hemet
Bid Results for Project Pavement Clean-Up and Repair at McSweeny Parkway Crossing - CIP 5698B Issued on 07/18/2024
Bid Due on August 19, 2024 3:00 PM (PDT)
Exported on 08/20/2024
Line Totals (Unit Price * Quantity)
Item Num Description UOM QTY Unit Price Line Total Unit Price Line Total Unit Price Line Total Unit Price Line Total Unit Price Line Total Unit Price Line Total Unit Price Line Total 1 Mobilization LS 1 $22,000.00 $22,000.00 $25,102.96 $25,102.96 $25,000.00 $25,000.00 $25,026.00 $25,026.00 $15,000.00 $15,000.00 $5,350.00 $5,350.00 $75,000.00 $75,000.00 2 Clearing, Grubbing and Removals LS 1 $37,500.00 $37,500.00 $7,152.37 $7,152.37 $79,826.50 $79,826.50 $15,153.00 $15,153.00 $5,000.00 $5,000.00 $6,740.00 $6,740.00 $75,000.00 $75,000.00 3 Sawcut Asphalt (F) LF 160 $15.00 $2,400.00 $14.41 $2,305.60 $14.00 $2,240.00 $9.54 $1,526.40 $3.00 $480.00 $11.80 $1,888.00 $20.00 $3,200.00 4 Remove and Dispose Asphalt (F) SF 700 $10.00 $7,000.00 $13.81 $9,667.00 $5.00 $3,500.00 $5.27 $3,689.00 $10.70 $7,490.00 $6.14 $4,298.00 $4.00 $2,800.00 5 Crack Seal (cracks less than 1" width) (F) LS 1 $10,000.00 $10,000.00 $10,207.46 $10,207.46 $9,400.00 $9,400.00 $11,353.00 $11,353.00 $14,850.00 $14,850.00 $25,100.00 $25,100.00 $10,000.00 $10,000.00 6 Crack Repair (cracks equal or greater than 1" width) (F) LF 100 $70.00 $7,000.00 $104.02 $10,402.00 $75.00 $7,500.00 $54.40 $5,440.00 $10.00 $1,000.00 $86.00 $8,600.00 $100.00 $10,000.00 7 Grind and Overlay 1' Wide, 2" thick at Edge (F) SF 4950 $2.00 $9,900.00 $2.62 $12,969.00 $1.75 $8,662.50 $6.40 $31,680.00 $5.36 $26,532.00 $3.33 $16,483.50 $4.00 $19,800.00 8 Confirm Existing Base Thickness (F) SF 6000 $1.50 $9,000.00 $2.15 $12,900.00 $0.25 $1,500.00 $3.64 $21,840.00 $0.25 $1,500.00 $1.83 $10,980.00 $2.00 $12,000.00 9 Install 2.5" Minimum AC Pavement (F) TN 95 $160.00 $15,200.00 $142.39 $13,527.05 $150.00 $14,250.00 $190.87 $18,132.65 $318.50 $30,257.50 $289.42 $27,494.90 $250.00 $23,750.00 10 Adjust Existing Facilities to Grade (F) EA 61 $1,000.00 $61,000.00 $343.69 $20,965.09 $665.00 $40,565.00 $1,118.60 $68,234.60 $1,527.00 $93,147.00 $800.00 $48,800.00 $700.00 $42,700.00 11 Prepare Existing Surfaces for Overlay (F) LS 1 $12,000.00 $12,000.00 $21,039.78 $21,039.78 $55,000.00 $55,000.00 $32,161.00 $32,161.00 $1,000.00 $1,000.00 $12,350.00 $12,350.00 $11,550.00 $11,550.00 12 Install 1.5" Minimum AC Pavement Overlay (F) TN 1920 $125.00 $240,000.00 $150.11 $288,211.20 $125.00 $240,000.00 $139.75 $268,320.00 $163.37 $313,670.40 $209.60 $402,432.00 $135.00 $259,200.00 13 Striping (F) LS 1 $55,000.00 $55,000.00 $55,376.11 $55,376.11 $57,000.00 $57,000.00 $84,042.00 $84,042.00 $85,552.00 $85,552.00 $39,490.00 $39,490.00 $70,000.00 $70,000.00 14 Field Items LS 1 $10,000.00 $10,000.00 $10,000.00 $10,000.00 $10,000.00 $10,000.00 $10,000.00 $10,000.00 $10,000.00 $10,000.00 $10,000.00 $10,000.00 $10,000.00 $10,000.00 Subtotal $498,000.00 $499,825.62 $554,444.00 $596,597.65 $605,478.90 $620,006.40 $625,000.00 Total $498,000.00 $499,825.62 $554,444.00 $596,597.65 $605,478.90 $620,006.40 $625,000.00 Onyx Paving Company, Inc. Vance Corporation All American Asphalt Superior Paving Co Inc. DBA Hardy & Harper, Inc United Paving Co.
Prestige Paving Company Mendoza Engineering Co, Inc
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FHE
R VERSIDECOUNTY, CALFORNIA
B D AND CONTRACTDOCUMENTS
McSweeny Parkway Crossing
CAPTALIMPROVEMENTPROJECTNO. 56988
Ju y 2024
Noah Rau, P.E., PublicWorks Director/City Engineer 7/17/ R.C.E. No. 74686 2024
This is a prevailing wage project under the laws of the State of California.
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CITYOF HEMET
NOTICEINVITINGBIDS
MCSWEENYPARWAY CROSSING,CIP NO. 56983
PUBLICNOTICE IS HEREBYGIVENthat the City of Hemet hereinafter referred to as the Agency, invites sealed bids for the above stated Project and will receive such bids in the offices of the Agency, at the Purchasing Office, 445 East Florida Avenue, Hemet, CA 92543 up to the time of 3:00 p.m., on Monday, August 19, 2024, at which time they will be publicly opened at City Hall at 445 E. Florida Avenue. Bids received after the time and date for the bid opening will not be accepted and shall be returned unopened.
The work to be done is described in these Bid and Contract Documents for the above stated Project. The general Scope of Work is as follows:
DESCRIPTIONOF WORK
Clearing weeds & debris along the edges of the roadway, crack seal, crack repair, asphalt pavement grinding & overlay and restriping.
LOCATIONOF WORK
The work to be constructed is located on the following:
In the City of Hemet along McSweeny Parkway from State Street to North Village Loop.
GENERAL
In conformance with State of California Assembly Bill2036 complete bid sets will be available electronically, at no cost, at the City of Hemet Bid Page. It shall be the responsibility of the prospective bidders to download and print the bid documents for review and bid preparation, as well as to obtain any addendums and responses to pre—bidrequests for clarification that have been provided by the Agency. Bidders shall also check the website for addendums which will be posted no later than 72 hours prior to the bid opening. Each addendum will include a conformation sheet indicating receipt of the addendum. This sheet must be signed and included with the bid for each addendum issued. Bids, which do not include the confirmation sheet(s) for each addendum, if any, may be rejected.
The Agency does not warrant, represent, or guarantee the accuracy, completeness, or adequacy of information provided from any third—party source. The Agency shall not be responsible or liable in any way whatsoever for any loss or damages of whatever kind, nature, or scope, including, but not limited to, time, money or goodwill arising from errors,
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inaccuracies, or omissions in any documents and/0rinformation retrieved from any third—party source.
Prospective bidders are encouraged to review the official version of all documents upon which they plan to rely. For a complete set of bid documents or the applicable RFP, all interested parties are directed to The Agency’s website at the City of Hemet Bid Page.
A Pre-Bid Conference will not be held for this project.
Bids shall be written clearly and legibly in ink in conformance with the Instruction to Bidders.
All bids shall be submitted to the Agency’s front desk in a sealed envelope plainly marked on the outside with "SEALEDBID FOR CIP No. 56983, McSweeny Parkway Crossing - DO NOT OPEN WITH REGULARMAIL”.
If using Federal Express or other such service for bid submittal, the contents of the submittal must be noted on the outside of that envelope as stated above.
Each bid must be accompanied a certified or cashier’s check payable to the City of Hemet, or a satisfactory bid bond executed by the bidder and an acceptable surety, in an amount equal to ten percent (10%) of the total aggregate bid amount. The successful bidder will be required to furnish and pay for performance and payment bonds acceptable to the Agency.
The Contractor to whom the Contract is awarded, and any subcontractor under such Contractor, shall hereby ensure that minority and women business enterprises will be afforded full opportunity to submit bids for subcontracts. Further, there shall be no discrimination in employment practices on the basis of race, religious creed, color, national origin, ancestry, physical handicap, medical condition, marital status, age, or sex in compliance with Government Code 12990.
Attention is directed to the provisions of the Bid and Contract Documents, which require retention from payments to the Contractor to secure performance under the Contract.
Pursuant to California Public Contract Code Section 22300, and at the request and expense of the Contractor to whom the contract is awarded, acceptable securities (securities listed in Government Code Section 16430, bank or savings and loan, certificates of deposit, interest bearing demand deposit accounts or standby letters of credit) equivalent to the retention amount shall be permitted in substitution of money withheld by the Agency to ensure performance under the Contract. Such securities shall be deposited with the Agency or with a California or Federally chartered bank or savings and loan as escrow agent who shall return such securities, along with any interest thereon, to the Contractor upon satisfactory completion and acceptance of the Work by the Agency.
The successful Bidder must comply with all prevailing wage laws applicable to the Project.
Pursuant to Section 1773 of the Labor Code, the general prevailing wage rates in the county, or counties, in which the work is to be done have been determined by the Director of the
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California Department of Industrial Relations. These wages set forth in the General Prevailing Wage Rates for this project are available at the California Department of Industrial Relations’ Internet web site at https://www.dir.ca.gov/oprl/DPreWageDetermination.htm In accordance with the provisions of the California Labor Code, contractors or subcontractors may not perform work on a public works project with a subcontractor who is ineligible to perform work on a public project pursuant to Section 1777.1 or Section 1777.7 of the California Labor Code. Any contract on a public works project entered into between a contractor and a debarred subcontractor is void as a matter of law. A debarred subcontractor may not receive any public money for performing work as a subcontractor on a public works contract. Any public money that is paid or may have been paid to a debarred subcontractor by a contractor on the Project shall be returned to the Agency. The Contractor shall be responsible for the payment of wages to workers of a debarred subcontractor who has been allowed to work on the Project.
The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. All costs incurred by bidders as a result of preparing bids under this Notice Inviting Bids shall be the sole responsibility of each bidder. This Notice Inviting Bids neither creates nor imposes any obligation upon the Agency to enter into a contract.
Liquidated damages are required by law and will apply to the Project in accordance with the Special Provisions.
Bidder shall be a licensed contractor pursuant to the Business and Professions Code and shall be licensed in the appropriate classification(s) of contractor’s license(s), for the work bid upon, and shall maintain the license throughout the duration of the Contract. Bidders must possess a current State of California Class A Contractor’s License or a combination of Specialty Contractor’s Licenses sufficient to cover all of the Work to be performed by the prime contractor. Agency will accept bids only from Bidders that (along with all subcontractors listed in the bid) are currently registered and qualified to perform public work pursuant to Labor Code Section 1725.5. Subject to Labor Code Sections 1771.1(c) and (cl), any Bidfrom an unregistered Bidder or that includes an unregistered subcontractor shall be returned and not considered; provided that if Bidder is a joint venture (Business & Professions Code Section 7029.1) or if federal funds are involved in the Contract (Labor Code Section 1771.1(a)), Agency may accept a non-complying Bid provided that Bidder and all listed subcontractors are registered at the time of contract award.
This is a 25-working day contract.
Information and Questions: All questions and request for information must be submitted in writing via the Q & A section on the City of Hemet Bid Page
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724 & 7//7/z§/
BYORDEROF
Noah Rau, P.E., PublicWorks Director/City Engineer Date
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BIDDING AND CONTRACTDOCUMENTS
INSTRUCTIONTO BIDDERS
STANDARD SPECIFICATIONS
TABLEOF CONTENTS
SPECIALPROVISIONS
Part One - General Provisions
Section 1 — Terms, Definitions, Abbreviations,
and Symbols
Section 2 — Scope of the Work
Section 3 — Control of the Work
Section 4 - Control of Materials
Section 5 — Legal Relations and Responsibilities
Section 6 — Prosecution and Progress of the Work
Section 7 — Measurement and Payment
Section 8 — Intentionally Omitted
Section 9 — Miscellaneous
Part Two —Technical Provisions
Notice to Proceed
Mobilization
Clearing, Grubbing and Removals
12 13
29 40
80 89
123
143
154
155
T-1
T—
1T-2
Traffic Striping, Pavement Markings and Raised Pavement Markers T— 3 Complete Landscape and Hardscape
Aggregate Base
Portland Cement Concrete
Hot Mix Asphalt
Relocation of Utility Pole
Utilities
APPENDIX
Appendix 1 - Bid Documents
Appendix 2 - Award & Contract Documents
Appendix 3 — Certified Payroll Forms
Appendix 4 - Close-out Documents
Appendix 5 — Project Plans
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11T—
12T-11
T-16
T-17
T—
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McSweeny Parkway Crossing
CIP No. 56988
INSTRUCTIONSTO BIDDERS
1. AVAILABILITYOF CONTRACTDOCUMENTS
Contract Documents may be obtained from the Agency at the location(s) and at the time(s) indicated in the Notice inviting Bids. Any charge for the Contract Documents is stated in the Notice Inviting Bids.
The official version of all Contract Documents, which include plans, Instructions to Bidders, General Conditions, Special Provisions, bid documents, sample contract documents, certified payroll documents, close-out documents, any other appendices, attachments or exhibits (if any), and addendum (if any) shall be on the Agency’s website at City of Hemet Bid Page. It shall be the Bidder’s responsibility to thoroughly review the Contract Documents prior to submitting a bid. Referenced standards, codes, regulations and other materials may not be available on the website. It shall be the Bidder’s responsibility to find sources for all such references.
The Agency shall also make the Contract Documents available for review in electronic form at one or more plan rooms at no charge, as required by Public Contract Code section 20103.7.
Please Note: Prospective Bidders who choose to review the Contract Documents at a plan room must contact the Agency to obtain the required Contract Documents if they decide to submit a bid. The Agency, does not warrant, represent, or guarantee the accuracy, completeness, or adequacy of information provided from any third party source, including any plan room. The Agency shall not be responsible or liable in any way whatsoever for any loss or damages of whatever kind, nature, or scope, including, but not limited to, time, money or goodwill arising from errors, inaccuracies, or omissions in any documents and/or information retrieved from any third party source.
The Agency does not assume any liability or responsibility based on any defective or incomplete copying, excerpting, scanning, faxing, downloading or printing of the Bid Documents.
2. EXAMINATION OF CONTRACTDOCUMENTSANDWORK SITE
Bidders shall be solely responsible for examining the Project work site and the Contract Documents, including any addenda issued during the bidding period, and for informing themselves with respect to local labor availability, means of transportation, necessity for security, laws and codes, local permit requirements, wage scales, local tax structure, contractors’ licensing requirements, availability of required insurance, and other factors that could possibly affect the Work. Bidders are responsible for consulting the standards referenced in the Contract Documents. Bidders shall be solely responsible for their failure to inspect the Project work site and to examine the Contract Documents and inform themselves, shall proceed at their sole risk, and no relief for error or omission will be given except as required under State law. Each Bidder shall identify any and all ambiguity(ies),
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McSweeny Parkway Crossing
CIP No. 56983
inconsistency(ies),c|arification(s) and/or necessary additional information regarding the Contract Documents and Project work prior to preparing its bid.
Each prospective Bidder is responsible for fully acquainting itself with conditions of the Site (which may include more than one location) and those relating to construction of the Work, fully understanding the facilities, difficulties and restrictions which may affect the cost or effort required to complete the Work.
By submitting a bid the Bidder certifies that:
a)
b)
d)
The Bidder has carefully examined the Project Site, has taken steps to obtain all information concerning site conditions and is familiar with all conditions (including information that the Agency made available to all Bidders during the bid process, costs and physical conditions) affecting the performance of the Work, and
The Bidder has carefully examined the Project work and Contract Documents and its Bid, and affirmatively represents that the Project work, Contract Documents and its Bid contain no significant error, inconsistency or omission and the Bidder has requested additional information and clarification from the Agency in writing with respect to any such error(s), inconsistency(ies), ambiguity(ies), conflict(s) or omission and has received such information and clarification from the Agency, and
The Bid and Contract Documents are sufficient to have enabled the Bidder to determine the cost and duration of the Work and to enter into the Contract and the Bid and Contract Documents are sufficient to construct the Work in accordance with all applicable laws, statutes, buildings codes and regulations and otherwise to fulfill the Bidder's obligations under the Contract, and
The Bidder has requested each Subcontractor to carefully examine the Project Site, information concerning Site conditions, and Bid and Contract Documents with respect to the portion of the Work to be performed by such Subcontractor and that each Subcontractor has certified to the Bidder that such Subcontractor requires no additional information or clarification to perform the portion of the Work to be performed by such Subcontractor except as may have been requested in writing by the Bidder and to which the Agency has responded.
That any deficiencies, ambiguities, conflicts, omissions or errors remaining in the Contract Documents at bid time have been considered in Bidder’s costs of performing the work and are including within the total Bid amount, and that Bidder will build and deliver the project as defined in the Contract Documents as whole and complete project within the contract time and cost.
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McSweeny Parkway Crossing
CIP No. 56983
3. ESTIMATEDQUANTITIESOF WORK OR MATERIAL
The quantities of work or material stated in the unit price items of the Bidding Sheet(s) are supplied only to give an indication of the general scope of work. The Agency does not expressly or by implication agree that the actual amount of work or material will correspond therewith.
The Agency reserves the right to increase or decrease the quantity amount of any unit price item of the work by an amount up to and including 25 percent of any bid item(s), or to omit portions of such work as may be deemed necessary or expedient by the Engineer without a change in the unit price. See General Provisions and Specifications for exceptions to the 25% limit, if applicable.
The Agency reserves the right to eliminate any item of work in its entirety in accordance with the General Provisions.
4. INTERPRETATIONOF CONTRACTDOCUMENTS8: REQUESTSFOR CLARIFICATION The Bidder shall interpret the Contract Documents as a whole and inseparable. The Contract Documents are complementary and cooperative. Anything specified in the written documents and not shown on the plans, or shown on the plans and not specified in the Contract Documents shall be as though shown on or specified in both. Discrepancies, conflicts, ambiguities, omissions and errors from any part of the Contract Documents shall immediately be brought to the attention of the Agency by submission of a written Request for Clarification.
Any Request for Clarification must be sent electronically via the City’s Planetbids site no later than the date specified on said Planetbids site. The Bidder shall be responsible for the prompt delivery of the request. The Agency may or may not respond to Bidder’s requests for clarification.
5. ADDENDA
The Agency reserves the right to revise the Contract Documents prior to the bid opening date.
Revisions, if any, shall be made by written addenda. Any response by the Agency to a request for clarification to the Contract Documents will be made by written addendum and will be posted on the Agency’s website. If a Bidder has provided the Agency with their email address at a pre—bidmeeting and requested electronic notification, the Agency will endeavor to send addenda electronically to the email addresses provided but makes no representation or warranty that Bidder will receive electronic notification; it is the Bidders sole responsibility to obtain any and all addenda. Any and all addenda shall be issued no later than 72 hours prior to the date and time fixed for the opening of bids. Failure of any Bidder to receive any addenda shall not relieve such Bidder from any obligations imposed by such addenda. All addenda so issued shall become part of the Contract Documents. Failure by the Bidder to include addenda in its bid may render the bid non-responsive and result in its rejection.
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Pursuant to Public Contract Code section 4104.5, if the Agency issues an Addendum which includes material changes to the Work less than 72 hours prior to the deadline for submission of bids, the Agency will extend the deadline for submission of bids. The Agency may determine, in its sole discretion, whether an Addendum warrants postponement of the bid submission date.
It shall be the responsibility of all prospective Bidders to ensure that they have received any and all addenda. Each addendum will include a confirmation sheet indicating receipt of the addendum. This sheet must be signed and included with the bid for each addendum issued.
Bids which do not include the confirmation sheet(s) for each addendum, if any, may be rejected as non—responsive at the sole discretion of the Agency.
6. ADDITIVE,DEDUCTIVEAND ALTERNATIVEBIDS
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedu|e(s).
The time required for completion of the additive/deductiveor alternate bid items/ has been factored into the Contract Time and no additional time will be allowedschedules for performing any of the alternate bid items unless the Contract Documents address this issue specifically and allow for more or less time based on the additive/deductiveand/or alternative bids. Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/deductiveor alternate bid items/schedules, or to otherwise add or remove certain work from the scope of Work.
Accordingly, each Bidder must ensure that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Bidder for the Project.
7. WORK BYBIDDER’SOWN FORCES
It is the intention and requirement of the Agency to award a contract only to a Bidder who wil l perform with such Bidder’s own forces (those who are in direct employment of the Bidder’s organization) at least 50 percent (50%) of the work, exclusive of items designated on the Bi d Schedule by the Agency as specialty items, if any. The percentage of work which will not be performed by a Bidder’s own forces will be determined by adding the dollar value of all contracts shown on the List of Subcontractors in the Bid Forms (excluding the dollar amount of the specialtybid items), and dividing this total by the Bidder’s Total Bid Amount (excluding the dollar amount of Specialty bid items).
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The requirement for the Contractor to perform at least 50% of the contract work with its owns forces will be waived only for contracts where only a ”B” License is required for the prime contractor.
8. LISTINGOF SUBCONTRACTORS
The Bidder shall comply with the Subletting and Subcontracting Fair Practices Act, California Public Contract Code Section 4100 et seq. ("Subcontracting Act"). Any references in these Bid and Contract Documents to the requirements of the Subcontracting Act are for the Bidder’s reference, and shall not limit the Contractor’s obligations under law.
The Bidder shall set forth in the List of Subcontractors, of the Bid Forms:
a) The name, address, phone number, license number, Department of Industrial Relations registration number, the place of business of each subcontractor who will perform work, provide labor, or render service to the Bidder on or about the construction of the Work for this Project, or a subcontractor licensed by the State of California who, under subcontract to the Bidder, specially fabricates and installs a portion of the work or improvement according to these Bid and Contract Documents, in an amount in excess of one-half (V2)of one percent (1%) of the Bidder’stotal bid or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half (1/2)of one percent (1%) of the Bidder’s total bid or ten thousand dollars ($10,000), whichever is greater. b) The portion of the work that each listed subcontractor described in item (a) above shall perform.
The Bidder shall list only one subcontractor for each portion of the Work as is defined by the Bidder in the List of Subcontractors section of the Bid Schedule. Partial submittal or failure to include all required information regarding subcontractors may preclude the full analysis and review of the Bidand may be cause to disqualify the Bidas non-responsive.
At the preconstruction meeting, Contractor shall submit a copy of all listed subcontractor(s)’ bids and subcontracts.
9. DEBARMENTOF CONTRACTORSAND SUBCONTRACTORS
In accordance with the provisions of the California Labor Code, Contractors and subcontractors may not perform work on a public works project with a subcontractor who is ineligible to perform to work on a public project pursuant to Section 1777.1 or Section 1777.7 of the California Labor Code. Any contract on a public works project entered into between a contractor and a debarred subcontractor is void as a matter of law. A debarred subcontractor may not receive any public money for performing work as a subcontractor on a public works contract. Any public money that is paid to a debarred subcontractor by the Contractor shall be
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returned to the Agency. The successful Bidder, as Contractor, shall be responsible for the payment of wages to workers of a debarred subcontractor who has been allowed to work on the Project.
10. PREVAILINGWAGES
The Bidder shall refer to Section 5-3 LABORof the Special Provisions and Appendix 3 for all prevailing wage requirements.
The Agency has obtained from the Director of the Department of Industrial Relations the general prevailing rate of per diem wages in the locality in which this work is to be performed for each craft or type of worker needed to execute the Contract. These rates are on file and available at the Purchasing Office, 445 East Florida Avenue, Hemet, CA 92543 or may be obtained online at http://www.dir.ca.gov/dlsr . Bidders are advised that a copy of these rates must be posted by the successful Bidder at the job site(s).
No contractor or subcontractor may be listed on a bid proposal for a public works project (submitted on or after March 1, 2015) unless registered with the Department of Industrial Relations pursuant to Labor Code section 1725.5 [with limited exceptions from this requirement for bid purposes only under Labor Code section 1771.1(a)].
No contractor or subcontractor may be awarded a contract for public work on a public works project (awarded on or after April 1, 2015) unless registered with the Department of Industrial Relations pursuant to Labor Code section 1725.5.
This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations
11. COMPLETIONOF BIDFORMS
Bids shall only be prepared using originals or copies of the Bid Forms included in the Contract Documents, Appendix 1 and all addenda. The use of Bid Forms other than clear and correct photocopies of those provided by the Agency may be rejected by the Agency in its sole discretion as non-responsive.
Bidders shall fill in all blank spaces (including inserting ”N/A”where applicable) and initial al l
interlineations, alterations, or erasures to the Bid Forms. Bidders shall not delete, modify, nor supplement the printed matter on the Bid Forms nor make substitutions thereon. USE O F
BLACKOR BLUE INK, INDELIBLEPENCIL OR A TYPEWRITERTO COMPLETEALLBID FORMS I S
REQUIRED. Deviations in the Bid Form may be rejected by the Agency as non-responsive.
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The signature of all persons signing the bid proposal shall be in longhand by an individualclearly authorized to bind the Bidder Company. The Bidder shall provide evidence that the individua|(s) signing the Bid Forms are authorized to bind the legal entity of the Bidder. The notarization does not constitute such proof unless the legal entity of the Bidder is an individual.
12. SUBCONTRACTORBIDS
Bidders shall include a copy of all bids by subcontractors listed in the bid documents as part of the bid package. The Agency may reject any bid as non—responsive that does not include copies of all listed subcontractor bids.
13. NOTARY PUBLIC
All signatures on the bid form, bid bond, Non-collusion Affidavit, the Contract and both required surety bond forms shall be notarized on each document.
14. BID GUARANTEE
Bids shall be accompanied by a certified check or a cashier's check made payable to the order of the Agency, or a bid bond payable to the Agency and executed by the Bidder as principal and surety as obligor, in an amount equal to at least ten percent (10%) of the amount bid. The bond and Surety qualifications shall be in conformance with the General Provisions. Personal sureties and unregistered surety companies are unacceptable. Said check, or bond shall be given as a guarantee that the Bidder will enter a contract if awarded the work, and shall provide the required payment and performance bonds and insurance certificates and in case of within five (5) working days after being requested to do so by the Agency. Refusal or failure to enter into said contract and provide the required documents may be result in forfeiture of the Bidder’s bid guarantee or bond to the Agency and the Agency may award the contract to another Bidder, or may call for new bids. A bid received and not accompanied by such certified check, cashier’s check, or approved bond will be considered non—responsive and rejected.
15. PENALTYFOR COLLUSION
If at any time it is found that the person, firm, or corporation to whom the Contract has been awarded, has, in presenting any bid or bids, colluded with any other party or parties, then the Contract so awarded shall be null and void, and the Agency may advertise for new bids and contract for such work. The Contractor and the Contractor’s sureties shall be liable to the Agency for all loss or damage, which the Agency may suffer thereby.
16. SUBMISSIONOF SEALEDBIDS
No oral or telegraphic modifications will be considered
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Bids may be mailed, sent by overnight delivery, delivered by messenger, or personally delivere d to the Procurement Administrator located at the Purchasing Office, 445 East Florida Avenue, Hemet, California 92543 in such manner to ensure receipt of the Bid on or before the day and hour set for the opening of bids in the Notice Inviting Bids. The bid shall be enclosed in a sealed envelope bearing the title of the project, the name of the Bidder, the date/hourof the opening, and the appropriate State Contractors license designation, which the Bidder holds. If by commercial carrier the sealed bid must be in a sealed box or envelope and the following shall be clearly legible marked on the outside of the sealed box or envelope, ”SEALEDBIDFOR CIP NO. 56983, McSweeny Parkway Crossing - DO NOT OPEN WITH REGULARMAIL”.
It is the sole responsibility of the Bidder to see that their bid is received at the proper time. Any bids received after the scheduled closing time for receipt of bids shall not be opened and willbe rejected. Late bids will be made available for the Bidder to retrieve up to 7 days after the bid opening. Ifthe Bidder does not retrieve the late bid after 7 days, it will be disposed of by the Agency.
17. AGENCYPHONESWILLNOT BEAVAILABLETO BIDDERSON BID DAY.
Agency does not represent or warranty that any telephone service will be made available to prospective Bidders. It is the sole responsibility of the Bidder to make arrangements for any communications on Bid day.
18. PUBLICOPENINGOF BIDS
Bidsshall be opened and read publicly and the aggregate bid of each Bidder shall be declared at the time and place indicated in the Notice Inviting Bids of these Contract Documents. Bidders or their authorized agents are invited to be present. The apparent low Bid amount and Bidder will be announced on the basis of how the bids shall be compared as stated in the Notice to Bidders or superseding Addenda. The Agency will subsequently evaluate Bid responsiveness, Bidder qualifications and responsibility, and any other matters Agency deems necessary to determine the lowest responsive and responsible bidder in accord with the Contract Documents.
19. BID RESULTS
To obtain bid results, either attend the bid opening or check the website at the City of Hemet Bid Page. Bid results will {E be provided over the telephone.
20. QUALIFICATIONS OF BIDS
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After the bids are publicly opened, the Agency shall review all bids for responsiveness to these Instructions to Bidders, Bid Forms, and applicable law, compare the bids to the Engineer’s Estimate for value and to verify a balanced bid.
After the lowest monetary and responsive Bidder has been determined, the Agency will review the Bidder in order to determine whether it is the lowest responsible Bidder. The term ”responsible” is defined by California law, but generally means that the Bidder is able to demonstrate: (1) the capacity to perform the Work required by these Contract Documents with respect to financial strength, resources available, and experience; and (2) its integrity and trustworthiness to complete performance of the Work in accordance with the Contract Documents.
The Agency will make its determination of responsibility based upon information submitted by the Bidder contained in the Bid Forms and interviews with previous agencies, clients, design professionals, or subcontractors with whom the Bidder has worked.
The Agency in its absolute discretion reserves the right to reject any or all bids, and to waive any informalities or minor irregularities in any Bid. The Agency may require Bidders to submit additional or clarifying information. A bid shall not be binding upon the Agency until after the Contract is signed by both the Contractor and the Agency and delivered to the Bidder by the Agency’s authorized representative.
21. DISQUALIFICATIONOF BIDDERS
There are several reasons that the Agency may disqualify a Bidder. Some of the more common reasons Bidders are disqualified include, but are not limited to:
a) Bidder submits or has a financial interest in more than one bid. However, a person, firm, corporation or other entity that has submitted a proposal to a Bidder, or that has quoted prices of materials to a Bidder, is not thereby disqualified from submitting a proposal or quoting prices to other Bidders submitting a bid to the Agency. No person, firm, corporation, or other entity may submit a proposal to a Bidder, or quote prices of materials to a Bidder, when also submitting a prime bid for the Work. b) Submittal of unbalanced bids in which the prices for some items are out of proportion to the prices for other items of work.
c) Lack of responsibility as shown by past work judged from the standpoint of workmanship and progress.
d) Uncompleted projects of similar scope and size or poor safety record, which, in the judgment of the Agency, might hinder or prevent the prompt completion of additional work if awarded.
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e) For being in arrears on existing contracts, history of claims, in litigation with the Agency, or having defaulted on a previous contract.
f) Lack of competency as revealed by the financial statements or statements of experience, plant, and equipment.
g) Lack of financial strength based on, but not limited to, financial statements, available resources, bonding capacity, or available insurance.
h) Evidence of collusion among Bidders.
i) Modification of a Bid Form.
j) Submittal of an incomplete bid and/orfailure to include all required information either of which precludes full analysis and review of said Bid and/or which precludes meaningful comparison of the Bidwith other bids received by the Agency.
22. WITHDRAWALOF BID
Any proposal may be withdrawn prior to the hour and date for Bid Opening set forth in the Notice Inviting Bids, provided that a request in writing, executed by the Bidder or his duly authorized representative, for the withdrawal of such proposal, is filed with the Agency. The withdrawal of a proposal shall not prejudice the right of a Bidder to file a new proposal. Any request to withdraw a bid after bid opening must be made in accordance with PublicContract Code section 5100 et seq. and must be submitted in writing within five (5) working days, excluding Saturdays, Sundays and State holidays, specifying in detail how the mistake was made. Whether a bid is allowed to be withdrawn under PCCsection 5100 et eq. shall be at the Agency’s sole discretion.
23. REJECTIONOF BIDS
The Agency, in its absolute discretion, reserves the right to reject any or all bids, and to waive any informalities or minor irregularities in the Bids. Bids may be rejected if they show any alterations of form, additions not called for, conditional bids, incomplete bids, erasures or irregularities of any kind or if the confirmation of addenda and required supplemental information set forth in the bid forms are not submitted with the bid.
24. BID PROTEST PROCEDURE
Any bid protest relating to the form or content of the Bid, or in connection with the Contract Documents or responses to requests for clarification, or directly or indirectly concerning the Project must be submitted in writing to the Agency's Procurement Administrator at the 10
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Purchasing Office, 445 East Florida Avenue, Hemet, CA 92543 at least ten (10) business days before the initial date set for the bid opening. Any Bidder who submits a bid without making a protest shall be deemed to have waived any objection to the form or content of the Bid, in connection with the Contract Documents, responses to requests for clarification, and directly or indirectly concerning the Project not previously stated in writing.
Submitted bids will be made available for review upon written request of any Bidder.
Bidders may file a ”bid protest” of any Bid(s) with the Agency’s Procurement Administrator at the Purchasing Office, 445 East Florida Avenue, Hemet, CA92543. The bid protest must satisfy all of the following requirements:
A. Be filed in writing not later than 5:00 pm. on the fifth business day after the bid opening date;
B. Clearly identify the specific alleged irregularity or other basis for the bid protest; C. Specify, in detail, the factual and legal grounds for the bid protest; and D. Include all relevant supporting documentation with the bid protest at time of filing.
If the bid protest does not meet all of these requirements, the Agency may reject it without further review.
If the bid protest is timely and complies with all of the above requirements, the Agency's Procurement Manager, or other designated Agency staff member, shall review the bid protest, any response from the challenged Bidder, and all other relevant information. The Agency may at its discretion prepare a response to the bid protest. Agency staff may make recommendations to the awarding authority to consider, accept, or reject any bid protest(s) in connection with the award of the contract for the Project.
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McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the McSweeny Parkway Crossing, CIP No. 56983 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physica l conditions and challenges presented by the Project site, isfamiliar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/or use tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency for any errors or McSweeny Parkway Crossing Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s) 1- PLANETBIDS
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the McSweeny Parkway Crossing, CIP No. 56983 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
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BIDDER'SPROPOSAL(cont’d)
BIDSCHEDULE
BASEBID — McSweeny Parkway Crossing, CIP No. 56983
CIP No. 56983
ITEM DESCRIPTION
No
1 Mobilization
2 Clearing, Grubbing and Removals
3 Sawcut Asphalt (F)
4 Remove and Dispose Asphalt (F)
5 Crack Seal (cracks less than 1”
width) (F)
6 Crack Repair (cracks equal or
greater than 1” width) (F)
7 Grind and Overlay 1' Wide, 2”
thick at Edge (F)
8 Confirm Existing Base Thickness
(Fl
9 Install 2.5" Minimum AC
Pavement (F)
10 Adjust Existing Facilities to Grade
(Fl
11 Prepare Existing Surfaces for
Overlay (F)
12 Install 1.5” Minimum AC
Pavement Overlay (F)
13 Striping (F)
Field Items
TEN E
D UNIT
ESTIMATED UNIT
EXIT
Eli
lz
QUANTITY PRICE
LS 1
LS 1
LF 160
SF 700
LS 1
LF 100
SF 4,950
SF 6,000
TN 95
EA 61
LS 1
TN 1,920
L5 1
$10,000
\0
10,060
\.50
‘LIWD
234000
31900
“”000
2000
0000
(Inaoo
‘LHO,oou>
$000
)0
L0
1000
quO’O
’LOD
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McSweeny Parkway Crossing
CIP No. 5698B BIDDER'SPROPOSAL (cont’d)
BASEBID — McSweeny Parkway Crossing, CIP No. 56983
EXTENDED
I‘ll-:2” DESCRIPTION UNIT ESLIARIIV'I'I'
I'IE?
'33:: ITEM
AMOUNT
TOTAL BASEBID umbers
END OF BASE BID ITEMS 9:*********************************** ADDITIVEA BID ITEMS AS FOLLOWS:
ITE EXTENDED ESTIMATED
M DESCRIPTIONOF ITEMS U?" :3; ITEM
NO QUANT'TY AMOUNT
A1
TOTAL BIDADDITIVEA (numbers)
******************************** END OF ADDITIVEA BID ITEMS **9:***************************** BASEBIDTOTAL (in words)
Contractor's Initials
ADDITIVEA BID ITEMSTOTAL (in words)
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price willbe used and the corrected extension willbe considered as the amount bid. lfthe bid isillegible and cannot be reconciled it will be considered non—responsive and will not be considered for award. ?'k?el'v I,
000
@ Sour HU'NAWJ““4
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL (cont’d)
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedule(s).
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. Ifonly one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency’s determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publiclyopened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
Allbids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by ”(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor’s own forces.
By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above, including items of Work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING:If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bid may be rejected.
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CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
Complete the following
ONYX PAVING COMPANY, INC. DIR#: 1000004798 CSLB — 630360 CLASS A. 012 Legal name of the business, DIRReg. and Contractor License Nos.
CORPORATION
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
COREY R. KIRSCHNER - CEO. PRES.VP. SEC. TREA
Name and title of the owner
COREY R. KIRSCHNER — CEO PRES VP SEC TREA.
Name and title of second partner or officer
2890 E. LACRESTA ANAHEIM.CA 92806
Business Address
714-632-6699
Telephone number
N/A
Facsimile number
COREY R. KIRSCHNER - [email protected]
Name and Email address of primary contact
https://www.onyxpavingco.com/
Company web address
6/2024 8/16/2024
ure of Bidder Date Sign of Bidder Date
COREY R. KIRSCHNER- COREY R. KIRSCHNER- CEO, PRES,VP, SEC, TREA. CEO PRES VP SEC TREA.
Print name and title Print name and title
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CoreLR. Kirschner
Leslie Rocha NotarvPublic
Signeryf
OrangeCounty
' CommissionI 14349“?
wcomm,EXW'HMir “1, 2025
executed
strument (
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individualwho signed the document to which this certificate is attached, and not the truthfulness, accuracy. or validityof that document.
State of California
County of Orange
On August 15, 2:124 before me, , Date Here lnsert Name and Title of the Officer personally appeared
of
who proved to me on the basis of satisfactory evidence to be the person(x) whose name(x) is/aXe subscribed to the within instrument and acknowledged to me that he/sKe/they the same in his/fver/tbeirauthorized capacity(ies), and that by his/hJer/theirsignature(x) on the in he person or (sx), the entity upon behalf of which the person(x) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal
Signature
Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Document Date
Number of Pages: Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer’s Name Signer’s Name:
Corporate Officer — Title(s): Corporate Officer — Title(s) Partner — Limited General Partner — Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:
Signer Is Representing: Signer ls Representing
©2014 NationalNotary Association - www.NationalNotary.org - 1-800-US NOTARY(1-800-876—6827) Item#5907
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL (cont’d)
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.)
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL (cont’d)
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1 Contractor is required to possess a State of California Class A Contractor’s License.
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/itpossesses the required Contractor's license(s) which:
a. Bears the license number(s): 630360: A. C12
b. Expires on 10/31/2025
8/1 8/1 024
Si re of Bidder Date ure of Bidder Date
COREY R. KIRSCHNER - COREY R. KIRSCHNER- CEO. PRESVP. SEC. TREA. CEO. PRE .VP. SEC. TREA.
Print name and title Print name and title
(If the Bidder is a corporation two signatures ofcorporate o?icersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency’s decision as to the required license will be final.
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McSweeny Parkway Crossing N/A
CIP No. 56983 BIDDER'SPROPOSAL (cont’d)
BID SECURITYFORM FOR CHECK
NOTE:THE FOLLOWINGFORM SHALLBE USED INTHECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’s Check payable to the order of the City of Hemet, hereinafter referred to as "Agency",for
dollars ($ this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:
A. Ifsaid Bid shall be rejected by the Agency;
B. Ifsaid Bidshall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance with said Bid) and shall furnish bonds required for his/her/itsfaithful performance of said Contract and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Contract created by acceptance of said Bid.
Otherwise, said check shall become the property of the Agency.
Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contract to another bidder.
Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
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McSweeny Parkway Crossing
cw No. 56983 BIDDER'SPROPOSAL(cont’d)
BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESE PRESENTS:
That the undersigned
Onyx Paving Company, Inc
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of Ten Percent of the Total Amount Bid Dollars(5 ___-- 10% ..... ) lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bidfor McSweeny Parkway Crossing, CIP No. 56983 THE CONDITIONOF THIS OBLIGATIONIS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 16th day Of Alimlef 2024
(Month)
Onyx Paving Company, Inc.
(Corporate Seal) By
By SiriusPoint America Insurance Comoanv
Surety
(Corporate Seal) By
1979 Zyanya Hernandez, Attorney-in-Fact
rincipal Q. Kusdnw —
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individualwho signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validityof that document.
State of California
County of Orange
On August 16. 2024 before me, Leslie Rocha. NotanzPublic Date Here Insert Name and Title of the Officer
personally appeared
of
who proved to me on the basis of satisfactory evidence to be the person(x) whose name(8) is/are subscribed to the within instrument and acknowledged to me that he/sHe/they executed the same i his/her/tbeir authorized capacity(ies), and that by his/hier/theirsignature(x) on the instrument the person n or the entity upon behalf of which the person(x) acted, executed the instrument. (sz), I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph IS true and correct.
LESLIEROCHA WITNESS my hand and official seal
NotaryPublic- California
OrangeCounty
Commissionfl2484949 Signature Comm.ExpiresMar19, 202!
"NM
Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Document Date:
Number of Pages: Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer’s Name Signer’s Name:
Corporate Officer — Title(s) Corporate Officer — Title(s) Partner — Limited General Partner — Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:
Signer Is Representing: Signer Is Representing
©2014 National Notary Association - www.NationalNotary.org - 1-800-US NOTARY(1—800—876-6827)Item #5907
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
A Notary Public or other of?cer completing this certi?cate veri?es only the identity of the individual who signed the document to which this certi?cate is attached, and not the truthfulness, accuracy, or validity of that document State of California
County of Orange
On AUG15 2021‘ before me, A'be” Melendez _ N Public.
personally appeared Zyanya Hernandez
who proved to me on the basis of satisfactory evidence to be the persona!) whose namer) is/ aP?e subscribed to the within instrument and acknowledged to me that he/she/they executed the same in lxis/her/their authorized capacity(ixs), and that by his/her/their signature(59 on the instrument the pers0n(x), or the entity upon behalf of which the person(x) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of State of California that the foregoing paragraph is true and correct.
WITNESS my hand and of?cial seal
SIGNA
PLACE NOTARY SEAL ABOVE
Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document.
Description of attached document
Title or type of document:
Document Date: Number of Pages:
Signer(s) Other than Named Above:
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POWER OF ATTORNEY
SIRIUSPOINT AMERICA INSURANCE COMPANY
NEW YORK
PERTAM01 0823
IN WITNESS WHEREOF, Siriusl’oinlAmerica Insurance Company has causcd ils curponle seal 10 be hercunlo af?xed, and (hese presenls l0 be signed by ils Secretary lhis 171hday ofAugusl in lhe year 2023 Slate ol'Ncw Jersey )
Counly ol'Monmoulh |
instrument, is now in force.
Stale ol'N:\v Jersey
Counly of Monmoulh
) 55.
SiriusPninlAmerica Company
B)‘ Melissa Sccrclnry
expues Lug-o. 11,102"
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KNOW ALI. MEN BYTHESE PRESE\TS: Thai SiriusPoin America Insurance Company, a New York carporalion,having its principalof?ce n Ihc C ly ochw York, pursuanl Io Ihe following Resolul on, which was adopledby the Board ofDircclors of he Company, Io wit:
and al'lix the seal oflhe Cumpany In surely conlrdcls as co—surcly. Does ereby norninae, conslilule and appoinl: A hen Melendez, Christina Rogers. Erik Joha sson, Jennifer Anaya. oaquin Perez. Me issa Lopez. Yu Cheng Chiang. Frederic M. Archerd.Jr , Martha Barreras.Mary Martha Langley. Jonathan Balin, Vanessa Ramirez, Zyanya Hernandez $50,000,000 single bond limi
All ads of said allomeys-in pursuanl lo the aulhoril Resolulionmay from limelo lime and a lime remove any such a The execuliunof such bonds or gs in pursuancec
said Company. as fully and amply, In all in! rposes, as iflhey of?ce New York, New York, in lheir own proper persons on ils all b0 5
?xed nd lo y
rs of l [he Ich
e are hereby m i?ed and con?rmed. The execu ive of?cers isled above in the revoke the power g van lo im or her.
presenls, \vilhin one year of the issueoFlhese pre be binding upon en duly execuledand acknowled he regularly elect of theCompany IN TESTIMéNYWHEREOF, I have hereunlo sel my hand and af?xed my o?ici 1seal. l. Melissa J. Ralph, Secretary, of S I-iusPoinlAmerica Insurance Company, a New York corporalion.do hcrcby cenil’y lhal the above and [ongoing is a fu , lruc to reel copy ofPowcr of Allomcy. issli I in force and clTec and has nol been revoked.
IN WITNESS “'HEREO ,I hav: hereunlo set my handand af?xedlhc scal ol'sa d Com ny [his 16th day orAugust, 2024
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'jJ'APPLIED ‘ 0
Info sure! auw com
SURETY
UNDERWRITERS
10805 Old MillRoad
Omaha, NE68154
September 6, 2023
Bond Obligees
Project Owners
General Contractors
RE: Digital Seal Authority and Enforceability Notice
To whom it may concern:
The use of an electronic image of the corporate seal of Siriuspoint America Insurance Company (the "Digital Seal"), and the attachment of the Digital Seal to any surety bond issued by Siriuspoint America Insurance Company is authorized by the company. Siriuspoint America Insurance Company acknowledge and agree that the Digital Seal may be af?xed to any authorized Surety bond approved by Applied Surety Unden/vriters, and relied upon to the same extent as if a raised corporate seal was attached to the bond.
Delivery ofa digital copy ofthis Digital Seal Authority and Enforceability Notice, executed electronically,to an Obligee or Obligee's representative, shall constitute effective execution and delivery ofthis notice and shall have the same legal effect as a delivery of a tangible original of the notice with my original "wet" signature.
If you require further verification you may email our Home Office Underwriting Center at InWitness Whereof, this has been executed bythe President, Applied Surety UndenNritersfor Siriuspoint America Insurance Company.
Thank you for your continued business
Sincerely,
Joshua C. Betz
President, Applied Surety Undenivriters
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
ONYX PAVING
I am the CEO VP SEC TREA. of COMPANY INC. the party making the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. Allstatements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 8/15/2024 date], at ANAHEIM city], CA [state]
8/16/2 8/16/2024
re of Bidder Date re of Bidder Date
COREY R. KIRSCHNER — COREY R. KIRSCHNER — CEO. P VP SEC TREA. CEO P VP SEC. TREA.
Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate officersare required.)
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_____
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVILCODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individualwho signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validityof that document.
State of California
County of Oranqe
On August 1|§ 2(124 before me, Leslie Rocha. Notarv Public Date Here Insert Name and Title of the Of?cer
personally appeared
of
who proved to me on the basis of satisfactory evidence to be the person(x) whose name(x) is/aNe subscribed to the within instrument and acknowledged to me that he/ske/they the same in his/i‘ner/tbeirauthorized capacity(ies), and that by his/l'ner/theirsignature(x) on the in he person(s), or the entity upon behalf of which the person(x) acted, executed the instrument. l certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature
Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Document Date:
Number of Pages: Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name:
Corporate Officer — Title(s): Corporate Officer — Title(s):
Partner — Limited General Partner — Limited General
individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:
Signer ls Representing Signer ls Representing:
@2014 National Notary Association - www.Nationa|Notary.org ' 1—800-USNOTARY(1-800-876-6827) Item #5907
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22-23 ANNUALASPHALT CONCRETEOVERLAYPROJECT
$5.995.000
2223 881 PAVEM
$2.528,000
TYOF
McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL(cont’d)
CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer will make the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency's discretion, said bid will be disqualified.
Project Name:
Contract Price: Date of Completion MAR2024
Name, Address, and Telephone Number of Owner's Representative:
CHUCK STAGNER 714—925-4628
CITY OF EASTVALE - 12363 LlMONlTEAVE #910, EASTVALE, CA 91752 Project Name: 23-24 SLURRY SEAL AT VARIOUS LOCATIONS
Contract Price $1.269.000 Date of Completion: APR”- 2024 Name, Address, and Telephone Number of Owner's Representative:
ZIAD MAZBOUDI626—532-2018
CITY OF MONTEREY PARK —320WEST NEWMARKAVE MONTEREYPARK, CA 91754 Project Name: ENT REHABILITATIONPROJECT
Contract Price: Date of Completion MAY2024
Name, Address, and Telephone Number of Owner's Representative:
JlLLEEN FERRIS 951—765-2360
Cl HEMET- 445 E FLORIDA AVENUE HEMET.CA 92543
(Attach additional pages as necessary)
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont'd)
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s DIRRegistration of Business Percentage of Work License No. Number
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
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McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL (cont’d)
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITH BID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below.
STATEMENTOF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.
CERTIFICATIONOF WORKER'SCOMPENSATIONINSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labor Code Section 3700, which requires every employer to be insured against liability for worker's compensation or to undertake self—insurancein accordance with the provisions ofthat Code, and I will comply with such provisions before commencing the performance of the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF PREVAILINGWAGE RATESAND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.
CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKSCHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, Icertify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding nondiscrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
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1000004798
McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL (cont’d)
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, Iswear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation of law or safety regulation, except as indicated on the separate sheet attached hereto entitled "Previous Disqualifications." If a statement of ”Previous Disqualifications” is attached, please explain the circumstances.
CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(a), I certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.
CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is[please complete] . Subcontractors’registration numbers are as indicated in Document 00 4314.
CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL] By my signature hereunder, as the Contractor, I certify as follows:
a. Contractor prequalified for this Project by submitting its Statement of Qualifications, dated N/A (soo).
b. [Please complete or strikeout the following as inapplicable] Subsequently, on or about N/A WA and WA Contactor submitted further
information supplementing for foregoing Statement of Qualifications. c. Allinformation described above is referred to as the "Qualification Information." (I. Contractor has carefully reviewed all of the foregoing Qualification Information. e. [Please check and/orcomplete one ofthe following]
N/A AllPrequalification Information remains true and correct in all material respects as of the date hereof, as if such information were actually being submitted to Owner as of the date hereof.
N/A Except as otherwise expressly set forth in separate Additional Prequalification Information, submitted with the Bid, all Prequalification Information remains true and correct in all material respects as of the date hereof, as ifsuch information were actually
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McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL(cont’d)
being submitted to Owner as of the date hereof. [Contractor must provide Additional Prequalification Informationas described above ifthis item is checked. ]
CERTIFICATIONOF N/A
[Insert other Owner-specific certifications, if applicable. Otherwise, delete.] BIDDER:
8/16/2024 8/16/2024
of Bidder Date ure of Bidder Date
COREY R. KIRSCHNER - COREY R. KIRSCHNER - CEO. PRES.VP. SEC, TREA. CEO. PR \IP SFC TREA.
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
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REFERENCES
PROJECTNAME: CITYWIDEASPHALTREPAIRSPROJECTFY21/22
PROJECTDESCRIPTION:CITYWIDESTREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES: FEB2022 - NOV 2022
CONSULTINGCOMPANY: CITYOF DANAPOINT—33282 GOLDENLANTERN,DANAPOINT, CA92629 CONTACTPERSON: SCO'IT FISHER760-814—7226
ORIGINALCONTRACTAMOUNT: $1,595,000.00
FINALCONTRACTAMOUNT: $1,314,878.59
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROM BIDSCHEDU LE
QUANTITIES
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME: 22-23 ANNUALASPHALTCONCRETEOVERLAYPROJECT
PROJECTDESCRIPTION:CITYWIDESTREETIMPROVEMENT
APPROXIMATECONSTRUCTIONDATES: SEP 2023- MAR2024
AGENCY:CITYOF EASTVALE— 12363 LIMONITEAVE#910, EASTVALE,CA91752 CONTACTPERSON: CHUCKSTAGNER714—925-4628
ORIGINALCONTRACTAMOUNT: $5,858,000
FINALCONTRACTAMOUNT: $5,998,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECI' LIMITS.
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME: 2021-2022 PAVEMENTREHABILITATIONPROJECT
PROJECTDESCRIPTION:VARIOUS PAVEMENTREHABILITATION& CONCRETEIMPROVEMENTS APPROXIMATE CONSTRUCTIONDATES: NOV 2022 - MARCH2023
AGENCY:CITYOF ARCADIA-240 W. HUNTINGTONDR,ARCADIA,CA91007 CONTACTPERSON:JAN BALANAY626—254-2726
ORIGINALCONTRACTAMOUNT: $1,727,000.00
FINALCONTRACTAMOUNT: $1,899,698.72
IFFINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECT LIMITS.
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
ONYX PAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM, CA92806 —TEL(714) 632—6699— FAX(714) 632—1883
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PROJECTNAME: 21—22PAVEMENTREHABILITATIONPROJECT
PROJECTDESCRIPTION: CITYWIDESTREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES: NOV 2022- MAY2023
AGENCY:CITYOF TEMPLECITY- 9701 E LASTUNAS DR,TEMPLECITY,CA91780 CONTACTPERSON:ALICAYIR714—883-8677
ORIGINALCONTRACTAMOUNT: $3,727,000
FINALCONTRACTAMOUNT: $4,031,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME:23-24 SLURRYSEALAT VARIOUSLOCATIONS
PROJECTDESCRIPTION:CITYWIDEASPHALTREPAIRS& SLURRY
APPROXIMATECONSTRUCTIONDATES:JAN 2024 — APRIL2024
AGENCY:CITYOF MONTEREYPARK-320 WEST NEWMARKAVE MONTEREYPARK,CA91754 CONTACTPERSON:ZIADMAZBOUDI626-532-2018
ORIGINALCONTRACTAMOUNT: $1,400,000
FINALCONTRACTAMOUNT: $1,269,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:ACTUALBIDQUATITIESLESSTHANORIGINALBI D
QUANTITY.
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME:22-23 531 PAVEMENTREHABILITATIONPROJECT
PROJECTDESCRIPTION:VARIOUS STREETFULLDEPTHRECONSTRUCTION APPROXIMATECONSTRUCTIONDATES:JAN 2024 - MAY2024
AGENCY:CITYOF HEMET— 445 E FLORIDAAVENUEHEMET, CA92543
CONTACTPERSON:JILLEENFERRIS951-765—2360
ORIGINALCONTRACTAMOUNT: $2,020,000
FINALCONTRACTAMOUNT: $2,528,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORKFORADDITIONALSCOP E
OUTSIDEOF PROJECTLIMITS.
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
ONYX PAVING COMPANY, INC.
EASTLACRESTAAVE, ANAHEIM, CA92806 —TEL(714) 632—6699— FAX(714) 632-1883
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PROJECTNAME: PARKS,CIVICCENTER& SHERRIFSTATION PARKINGLOTREHABILITATION PROJECTDESCRIPTION:ASPHALTREMOVAL& REPLACEMENT
APPROXIMATECONSTRUCTIONDATES: FEB2024 - MAY2024
AGENCY:CITYOF LAWNDALE— 14717 BURINAVE LAWNDALE,CA90260 CONTACTPERSON:NICKPETREVSKI310-973—3265
ORIGINALCONTRACTAMOUNT: : $486,486
FINALCONTRACTAMOUNT: $601,000
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME: RESIDENTIALSTREETPAVEMENTREHABILITATIONPROJECT, AREA8 PROJECTDESCRIPTION:STREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES:JULY2022 — OCT2022
AGENCY:CITYOF DOWNEY—11111BROOKSHIREAVE, DOWNEY, CA90241 CONTACTPERSON: BRIANALENAN562-904—7110
ORIGINALCONTRACTAMOUNT: $3,227,000.00
FINALCONTRACTAMOUNT: $3,553,442.43
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROM BIDSCHEDUL E
QUANTITIES
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
ONYXPAVING COMPANY, INC.
2890 EAST LACRESTAAVE, ANAHEIM, CA 92806 —TEL(714) 632-6699 — FAX(714) 632-1883
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LARGEPROJECTREFERENCES
PROJECTNAME: CULVERDRIVEIMPROVEMENTSFROM WALNUTAVENUETO I—5FREEWAY PROJECTDESCRIPTION:STREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES: SEPT2022 — JAN 2023
CONSULTINGCOMPANY: CITYOF IRVINE- 6427 OAKCANYON,IRVINE,CA92618 CONTACTPERSON: FARHADBOLOURCHI949-724—6689
ORIGINALCONTRACTAMOUNT: $1,677,000.00
FINALCONTRACTAMOUNT: $1,704,308.59
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROM BIDSCHEDUL E
QUANTITIES
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECT NAME: PHASING6A - RESIDENTIALSTREETREHABILITATION PROJECTDESCRIPTION:STREETIMPROVEMENTS
APPROXIMATE CONSTRUCTIONDATES:
CONSULTINGCOMPANY: CITYOF LAMIRADA- 15515 PHOEBEAVE, LAMIRADA,CA90638 CONTACT PERSON: ERICVILLAGRACIA562-902—2373
ORIGINALCONTRACTAMOUNT: $4,242,000.00
FINALCONTRACTAMOUNT: $4,524,646.67
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:SCOPESOf WORK CHANGEDBYAGENCY DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECT NAME: ROCHESTERAVENUEPAVEMENTREHABILITATION
PROJECT DESCRIPTION:STREETIMPROVEMENTS
APPROXIMATECONSTRUCTIONDATES: MARCH2022—AUG2022
AGENCY:CITYOF RANCHOCUCAMONGA- 10500 CIVICCENTERDRIVE,RANCHCUCAMONGA, CA91730 CONTACT PERSON:ROMEO DAVID909-774-4070
ORIGINALCONTRACTAMOUNT: $1,727,000.00
FINALCONTRACTAMOUNT: $1,714,733.75
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROM BIDSCHEDUL E
QUANTITIES
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU?NO
ONYXPAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA 92806 —TEL(714) 632—6699— FAX(714) 632-1883
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” W, W
, ,NTR.
._.-.V,. GENERAL CO ACTORS:
WW LOCA..-... AMOUHH
Fullmer Construction
1725 S. Grove Ave.
Ontario, CA91761
Ph: 909-947—9467
Fax: 909-947—2970
Contact: Casey Jones
KCSWest, Inc.
901 Corporate Ctr, Dr, 3rdflr
Monterey Park, CA9174
Ph: 323-269-0020
Fx: 323-263-4576
Contact: Matthew Vawter
GMC Engineering, Inc.
1401 Warner Ave
Tustin, CA92780
Ph: 760-744—133
Fx: 714-247-1041
Contact: Gennady
Lusardi Construction
1570 LindaVista Dr.
San Marcos, CA92064
Ph: 760-744-3133
Fax: 760-744-9064
Contact Scott Staley
REFERENCES
JOBS PFRFORMED:
Centerpointe
Sycamore Bus. Park
Hillwood Hofer Ranch
Interchange A-E
San Michelle Logistics
Terra Francesco
TlON:
Moreno Valley
Riverside
Ontario
San Bernardino
Moreno Valley
Ontario
BP Re?nery Maintenance Shop Carson
Edison
FEDEX— Otay Mesa
Team Nissan
Edge at Campus
Carmax
Seabridge
Romoland
San Diego
Oxnard
ElSegundo
Oxnard
Oxnard
ONYX PAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM, CA92806 —TEL(714) 632-6699 — FAX(714) 632-1883 NT:
$3,187,914.00
$999,708.00
$603,600.00
$1,288,615.00
$670,674.00
$524,216.00
$896,357.00
$1,623,480.00
$1,335,530.00
$669,075.00
$541,385.00
$606,443.00
$329,460.00
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Haagen Company, LLC Empire Polo Club Indio $1,036,745.00 12302 Exposition Blvd
Los Angeles, CA90064
Ph: 310—820—1200
Fx: 310-820-1225
Contact: Chris Fahey
ARCO National Construction Co. Scannell FEDEX Burbank $1,125,958.00 900 N. RockHillRd
St. Louis, MO 63119
Ph: 314-963-0715
FX:314-963-7114
Contact: Chris Wilson
Grant General Contractors Whittier Area Community Whittier $625,920.00 5051 Avenida Encinas Church
Carlsbad, CA92008 Crevier BMW Santa Ana $30,600.00
Ph: 760-438—7500
Fx: 760-438-3056
Contact: Pete Burrows
ONYX PAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA92806 — TEL(714) 632—6699— FAX(714) 632—1883
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._
V - NTRACTORS:
ASPHALT BBERHOT MIX RE RENCES:
GENERAL CO PERFORMED: I OCATION: AMOUNT:
GMC ENGINEERING,INC. Katella Ave. St. Improv Los Alamitos $120,000.00 1401 Warner Ave, Ste B. Various Projects
Tustin, CA92780
Ph: 714-247-1040
FX:714-247—1041
Contact: Gennady Chizik
R.D OLSONCONSTRUCITON,INC. Lido House Hotel Newport Beach $193,105.00 2955 Main Street, 3rdFloor
Irvine, CA92614
Ph: 949-474-2001
FX:949-474-1534
Contact: Jeremy Dunn
IF YOUHAVEANYQUESTIONS, PLEASEFEELFREETO CONTACTCOREYKIRSCHNERAT 714-632-6699 OR VIAEMAILAT [email protected]
ONYX PAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA92806 —TEL(714) 632-6699 — FAX(714) 632-1883
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CREDITREFERENCES:
GENERALCONTRACTORREFERENCES:
ONYXPAVING COMPANY, INC
2890 E. LACRESTAAVE
ANAHEIM,CA92806
PHONE: (714) 632—6699
FAX: (714) 632-1883
PRESIDENT:COREYR. KIRSCHNER
BANK: BANKOF THEWEST
INSURANCEAGENT: WOOD GUTMANN 8: BOGART
SURETYAGENT:
MATICHCORP.
ALLAMERICAN
KELTERITECORP.
VULCANMATERIALSCO.
FULLMERCONSTRUCTION
BYROM-DAVEY, INC.
PACIFICCONST. GROUP
ERICKSON-HALLCONST. CO.
CREDITREFERENCES
DATE ESTABLISHED 1/4/90
TYPEOF WORK — ASPHALTPAVING
CORP. TAXID.# 33—0394344
CONTRACTORSLIC.# 630360v
A
14029 SPRINGWATERLN.EASTVALE,CA 92880
4501 E. LAPALMAAVENUE,ANAHEIM,CA92807
PHONE: (714) 777—9620BRYANPLOESSEL
15901 REDHILLAVE., STE. 100, TUSTIN, CA92780
PHONE: (714) 824—8384 MICHAELTRAN
TURNERSURETYAND INSURANCEBROKERAGE,INC.
5 HUTTONCENTRE,STE. 730, SANTAANA, CA 92707
PHONE: (714)915-4032 JEREMYPENDERGAST
PO. BOX10, HIGHLAND,CA92346
P.O. BOX2229, CORONA, CA 92878
12231 PANGBORNAVE.DOWNEY, CA
16013 E. FOOTHILLBLVD,IRWINDALE,CA91702
1725 S. GROVE AVE., ONTARIO,CA91761
13220 EVENINGCREEKDR.SOUTH#103, SAN DIEGO
17895 SKYPARKCIR.,IRVINE,CA 92614
500 CORPORATEDR., ESCONDIDO,CA92069
ONYXPAVING COMPANY, INC.
(909) 382-7400 Steve Matich
(951) 736-7600 Cari
(562) 401—0011Gladys
(858) 530-9414 Debbie
(909) 947-9467 Casey Jones
(858) 513-7199 Steve Davey
(949) 748-1500 Mark Bundy
(760) 796—7700Justin Sinnott
EASTLACRESTAAVE, ANAHEIM,CA 92806 —TEL(714) 632-6699 — FAX(714) 632—1883
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RESUME
Corey Kirschnerhas over 20 years of experience both as an estimator and CEO.Corey is an experienced estimator and lead a majority of those years being the Chief Estimator before becoming CEOand President of Onyx Paving Company, Inc. Over the short period of time here at Onyx Paving, Corey has completed over 3,000 paving projects, allowing the company to gross over $50 million dollars in the previous year.
Jay Kirschner, Senior Project Manager, holds a Bachelor’s Degree from Chapman University and has 7 years of experience upholding the maintenance supervisor and lead estimator position for Onyx Paving. He leads our team, with the project managers under his direct supervision, in managing our productions and coordinating our field mobilizations for all projects.
Tyler Henry, Field Superintendent, serves as the core of all field related matters. He has over 20 years of paving experience performing jobs that stretches from San Diego County to Ventura County. Tyler has been with Onyx in completing all of our Public Works projects. Overseeing the on—sitelaborers, cement masons, and operating engineers is one of his many responsibilities.
BACKLOGALLOCATION:
Corey Kirschner, Jay Kirschner, and Tyler Henry oversee 100% of all current project in attached backlog.
ONYX PAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA92806 —TEL(714) 632-6699 — FAX(714) 632—1883
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Corey
Kirschner
Corey Kirschner
Tyler Henry
CEO/President
Senior Project Field Superintendent
Key Individual Responsibilities:
— Manage overall operations and resources of company
— Decision maker of corporation
Jackson Hulse
— Lead project management team with organization
— Overseeing overall project scheduling, budgeting, and dispatching on all projects — Main point of communications between company and agencies - Lead and manage on—sitelabors and operators
— Coordinate daily operations and project production
— Ensuring project quality expectations are met
ONYXPAVlNG COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM, CA92806 —TEL(714) 632-6699 — FAX(714) 632—
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PUBLI WORK 0 TRA TOR REGI TRATIO
Depa of
Indus Iations
81‘ATE' OF CALFFORNIA
Registration Services: Page 1 of 2
APPLICATION FOR
C S C N
Registration Information
Type: Public Works
Period: 07/01/202306/30/2024
Contractor Information
Contractor Name: ONYXPAVING COMPANY,INC.
Trade Name:
License Type Number: 1000004798
Contractor Physical Address
Physical Business Country: United States of America
Physical Business Address: 2890 E. LACRESTAAVENUE
Contractor Mailing Address
Mailing Country: United States of America
Mailing Address: 2890 E. LACRESTAAVENUE
Contact Info
Daytime Phone:
Mobile Phone:
C
Physical Business City/
Province:
Physical Business State:
Physical Business Postal
Code:
Mailing City /Province:
Mailing State:
Mailing Postal Code:
Daytime Phone Ext.:
Business Email:
Applicant’sEmail:
ANAHEIM
CA
92806
ANAHEIM
CA
92806
[email protected]
[email protected]
10:06:22 AM
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Workers’ Compensation
Professional Employer Organization (PEO)
Do you lease employees through Professional Employer Organization? No Workers’ Compensation Overview
Carrier: ZURICHAMERICANINSURANCE Inception Date: 10/01/2022
COMPANY
Policyholder Name: Onyx Paving Company Inc Expiration Date: October 12, 2023 Policy Number: WC106300504
Certification
Yes I certify that Ido not have any delinquent liability to an employee or the state for any assessment of back wages or related damages, interest, fines, or penalties pursuant to any final judgment, order, or determination by a court or any federal, state, or local administrative agency, including a confirmed arbitration award Yes I certify that the contractor is not currently debarred under Section 1777.1 or under any other federal or state law providing for the debarment of contractors from public works.
Yes I certify that one of the following is true: (1) I am licensed by the Contractors State License Board (CSLB)in accordance with Chapter 9 (commencing with Section 7000) of the Business and Professions Code; or (2) my business or trade is not subject to licensing by the CSLB.
I understand refunds are not authorized
I, DavidWiltfong, the undersigned, am , ONYXPAVING COMPANY, INC.with the authority to act for and on behalf of the above named contractor. I certify under penalty of perjury that all of the above information provided is true and correct. Ifurther acknowledge that any untruthful information provided in this application could result in the certification being canceled.
I certify this on: 10:00 AM
Legal Entity Information
Legal Entity Type: Corporation
Name: ONYXPAVING COMPANY, INC.
Registration Services:: Page 2 of 2
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ONYXPAVING COMPANYINC
LICENSE# 630360 DIR# 1000004798
UNANIMOUSWRITTENCONSENTOF
THEBOARDOF DIRECTORSOF
ONYXPAVING COMPANY, INC,
(a California corporation)
June 17‘“,2022
The undersigned director, constituting the entire board of directors (the "Board") of Onyx Paving Company, Inc., a California corporation (the "Corporation"), hereby takes the following actions, adopts the following resolutions, and transacts the following business, by written consent without a meeting, as of the date above written, pursuant to Section 307(b) of the General Corporation Law of the State of California and the Corporations Bylaws:
Approval of Loan Transactions
WHEREAS,Corey Kirschner is currently the Corporation's Chief Executive Officer, ChiefFinancial Officer (the "Officer") and Secretary with authority to enter into contracts on behalf of the Corporation.
WHEREAS,the Corporation opportunities from time to time to bid on various governmental and non—governmental projects;
WHEREAS,after careful consideration, the Board has determined that the terms and conditions ofthe proposed project in the form ofthe bid attached hereto as ExhibitA (the "Project”) are just and equitable and fair as to the Corporation and that it is in the best interests of the Corporation and its stockholder to submit the bid and complete the Project subject to the terms agreed upon by the parties NOW, THEREFORE,BEIT RESOLVED,the Board on behalf of the Corporation hereby approves and ratifies the Project in all respects, and hereby authorize and direct the Corporation to negotiate, execute, deliver and perform the terms of all documents, required in connection with title Project, together with such changes thereto as may be approved by the Officer executing the same on behalf of the Corporation (pursuant to the authorization provided herein), such approval ofthe Officer to be conclusively evidenced by its execution and delivery of same.
RESOLVEDFURTHER,that the Officer may execute and deliver any and all agreements and any and all other documents and instruments, and take such further actions as may be necessary or appropriate, for the financing of the Corporation.
I
RES D FU ER,that the Offic s hereby a directed, and empowe to execute (and deliver nd al eements and any d all other 5 and instruments, and e such further actions as may be necessary or appropriate, for the consummation of the Project. 2890 East La Cresta Ave, Anaheim, CA92806 - PH: (714) 632-6699
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RESOLVEDFURTHER,that the Officer, in the name of the Corporation, is hereby authorized, directed, and empowered to negotiate, execute and deliver lo the applicable counterparty, any and all documents with respect to the Project and other instruments as may be reasonably requested, and the Officer on behalf ofthe Corporation is authorized from time to time to execute extensions or other installments as may be necessary.
RESOLVEDFURTHER,that the authority given hereunder shall be deemed retroactive and any and all acts authorized hereunder performed prior to the passage of this resolution are hereby ratified and affirmed.
The Secretary of the Corporation is directed to file the original executed copy of this Consent with the minutes of proceedings of the Corporation.
[Signature page follows]
2 2890 East La Cresta Ave, Anaheim, CA92806 - PH: (714) 632-6699
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ONYX PAVING COMPANYINC
LICENSE# 630360 DIR# 1000004798
IN WITNESSWHEREOF,the undersigned has executed this Unanimous Written Consent ofthe Board of Directors as of the date first above written
Corey Kirschner
3 2890 East LaCresta Ave, Anaheim, CA92806 - PH: (714) 632-6699
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The Company is committed to providing equal employme opportunit es oneesand icants withoutregard to race (including traits historically associat with race so texture and ective hairstyles). religion or religious creed {including religious dress or grooming practices). color.sex (including pregnancy. childbirth.breastfeeding. or related medical condition), genetic information.gender. gender identity and gender expression. sexual orientation.transgender status. transitioning status. nationalorigin. ancestry. citizenship status. uniform service member status. military and veteran status. marital status. age. protected medical condition.physical or mental disability. holding or presenting a driver‘s license issued under Cal.
Vehicle Code Section 12601.9. or any other protected status in accordance with all applicable federal. state, Company policy also prohibits unlawful discriminationbased n the perception that anyone has any of above characteristics. or is associated with a person who h or is perceived as having any of the ab characteristics. Discrimination can also include tailing to asonably accommodate religious dress grooming practices. or individualswith mental or physical disa ities where the accommodationdoes not p This Policy extends to all aspects of the Company's employment practices, including. but not limited to. recruiting. hiring. firing. promoting. transferring. compensation. benelits.trainintheavesof absence. and other terms and conditionsof employment. as well as providing wages at the same rate tor one sex as those of the ppos sex. and the 5 me te riy ace/ethnicity as another race/ethnicity. who perform substantially imilai ork (cons ng of imil sk fort and responsibility), under similarworking conditions.
The Comps: also committed t mil-1n5-. the lam [irtJl?Clltlg qiial-lied individualsi». Midisabilities ThrLompnny . Ovid“: a teasonnt :coin not an m any inolsn pinswal or ntblthl uisutiitity at n I‘Mdhrl?d inrliviuunl disahtllt‘,‘to the (- ieqii ~24! ion tried tlw t'equeslm'j JLCDnm‘Dd?IiOt’Idoes not create as direct tine-.12in itia health or solely ntnitieie Ill the ark ‘l?‘C iai ilciye ieqiiiies on acmniiiiotlatinnto perform the essential ncl hair as Hum n Resources Once the Cmnponv is await? ot the Merl Inlétl'acilvt: [710 as; to identity possible UCCFnIll’tOdallOflS rfo
Employees with questions or concerns about discriminationin the workplace should bring these issues to the attention oi Human Resources. or any member of management. Employees can raise concerns. report problems. or make complaints without fear of retaliet‘on. Anyone tound to be engaging in any type at unlawful discriminationwillbe subject to disciplinary action. up to and including separation at employment.
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but you must provide your correct TIN, See the instructionsfor Part il.later.
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. For the iatest informationabout deveiopments related to Form Wusanoits instructions, such as legislation enacted after they were published. go to wwwjrsgo rmWQ.
Purpose of Form
An Individualor entity (Form W—9requester) who is required to ?io an information return with the IRSmust obtain your correott ayer identification number (TIN)which may be your social security number {SSNL individualtax or identification number (iTlN), adoption taxpayer identification number (ATIN), or empioyer identification number [EN]. to report on an information return the amount paid to you. or other amount reportable on an information return Examples of information returns include, but are not limited to, the following. - Form 1099«INT (interest earned or paid) Cat Not 10231X Form W-9 (Ravl 10—2019)
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ERTIFICATE CANCELLA
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CERTIFICATE OF LIABILITYINSURANCE 3,12,2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY 0R NEGATIVELY AMEND, EXTEN 0R ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING NSURER(S). AUTHORIZED REPRESENTATIVEOR PRODUCER, AND THE CERTIFICATE HOLDER.
If the certificate Is ADDITIONAL the policy(ies) must have ADDITIONAL NSURE provisions or be en If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer to the certificate holder in lieu of such PRODUCER Burnham WGB Insurance Solutions 770
CA Insurance License 0F69771
15901 Red HillAvenue b.com
Tustin CA 92780 AFFORDING
INSURERA 42
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E. La Cresta ue Anaheim CA 92806—1816
COVERAGES CERTIFICATE NUMBER REVISION NUMBER:
THIS THAT INSURAN BELOW THE INSUR POLICY
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C HOLDER TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN . ACCORDANCE WITH THE POLICY PROVISIONS.
Onyx PaVIng Company. Inc.
2890 E. La Cresta Ave.
Anaheim CA 92806
AUTHORIZED REPRESENTATIVE
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Tran
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22.L
APPENDX1 I
22.L
will not be resgonsible
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the McSweeny Parkway Crossing, CIP No. 56983 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the PublicWorks Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/oruse tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency for any errors or McSweeny Parkway Crossing Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s) 1
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the McSweeny Parkway Crossing, CIP No. 56988 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
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BIDSCHEDULE
BASEBID — McSweeny Parkway Crossing, CIP No. 56983
ITEM ESTIMATED UNIT EXTENDEDITE
M
No DESCRIPTION UNIT QUANTITY PRICE AMOUNT
1 M°b"'zat'°" L5 1
$ 25,102.96 $ 25,102.96
2 Clearing, Grubblng and Removals LS 1 3 7,152!” $ 7,152.37 3 Sawcut Asphalt (F) LF 160 $ 14.41 $ 2,305.60
4 Remove and Dispose Asphalt (F) SF 700
$ 13.81 $ 9,667.00
5 Crack Seal (cracks less than 1" width) (F) L5 1
$ 10,207.46 $ 10,207.46
6 Crack Repair (cracks equal or greater than LF 100
1,, width) (F) $ 104.02 $ 10,402.00
7 Grind and Overlay 1' Wide, 2" thick at SF 4,950
Edge (F) $ 2.62 $ 12,969.00
Confirm Existing Base Thickness (F) SF 6,000
$ 2.15 $ 12,900.00
9 Install 2.5" Minimum AC Pavement (F) TN 95
$ 142.39 $ 13,527.05
10 Adjust Existing Facilities to Grade (F) EA 61
$ 343.69 $ 20,965.09
11 Prepare Existing Surfaces for Overlay (F) L5 1
$ 21,039.78 $ 21,039.78
12 Install 1.5” Minimum AC Pavement TN 1,920
Overlay (F) $ 150.11 $ 288,211.20
13 Striping (F) LS 1
$ 55,376.11 $ 55,376.11
Field Items $10,000
22.L
wwwm nmmmnmx
) Four Hundred Ninety Nine Thousand Eight Hundred Twentv ?ve dollars and sixyl two applicable
BASEBID — McSweeny Parkway Crossing, CIP No. 56983
ITEM ESTIMATED UNIT EXTENDEDITEM
No DESCRIPTION UNIT QUANTITY PRICE AMOUNT
TOTALBASEBID(numbers) $ 499,825.62
END OF BASE BID ITEMS
ADDITIVEA BID ITEMS AS FOLLOWS:
ITEM UNIT ESTIMATED UNIT EXTENDEDITEM
No DESCRIPTIONOF ITEMS QUANTITY PRICE AMOUNT
A1
TOTALBIDADDITIVEA (numbers)
END OF ADDITIVEA BIDITEMS
BASEBIDTOTAL (in words
cents
Contractor's Initials
ADDITIVEA BIDITEMSTOTAL(in words) not
Contractor's
In the event of a variation between the unit price and extended total, the unit price willbe used and the corrected extension will be considered as the amount bid. Ifthe bid is illegible and cannot be reconciledit will be considered non-responsive and willnot be considered for award.
22.L
Ram u
mummy 2020
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
If an additive and/or alternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid willbe determined by the total of all bid schedules including the deductive bid schedule(s).
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. Ifonly one responsive bid is received from a responsible bidderthe award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency’s determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by ”(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor’s own forces.
By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above, including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bid may be rejected.
22.L
TAR
AVEN,,
WW,
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CHRISTIANPEACOCK S
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
Complete the following:
VANCE CORPORATION, 1000008103, 414567 A, C31
Legal name ofthe business, DIR Reg. and Contractor License Nos
CORPORATION
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
DEREK RI ITA. PRESIDENT
Name and title of the owner
CHRISTIAN PEACOCK. SECRETARY/TREASURER
Name and title of second partner or officer
459 EGAN UE PO. BOX 575 BEAUMONT. CA 92223
Business Address
(909)355—4333
Telephone number
(9091355-4329
Facsimile number
RICHARD KESNER. ESTIMATOR
Name and Email address of primary contact
N/A
Company web address
08/19/2024
Signature of Bidder Date Signature of Bidder
DEREK RITARITA. PRESIDENT
Print name and title Print name and title
Date
ECRETARY/TREASURER
(MA
22.L
RW. D
Fchwnw 2020
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
(If the Bidder is a corporation two signatures ofcorporate officersare required.)
22.L
R|TAR, , CHRISTIAN PEACOCK S
McSweeny Parkway Crossing
CIP No. 5698B BIDDER'SPROPOSAL(cont’d)
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1 Contractor is required to possess a State of California Class A Contractor’s License
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or(3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's license(s) which:
a Bears the license number(s): 414567 A C31
b Expires on: 11-30-2025
19/2024 08/19/2024
Signature of Bdder Date Signature of Bidder Date
DEREK ITA. PRESIDENT ECRETARY/
TREASURER Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate of?cersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re—evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency’s decision as to the required license will be final.
22.L
Sign
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
BIDSECURITYFORM FOR CHECK
NOTE:THE FOLLOWINGFORM SHALLBEUSEDINTHECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’sCheck payableto the order of the City of Hemet, hereinafterreferred to as "Agency",for
dollars ($ ), this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:
A. Ifsaid Bid shall be rejected by the Agency;
B. Ifsaid Bidshall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance with said Bid) and shallfurnish bonds required for his/her/itsfaithful performance of said Contract and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Contract created by acceptance of said Bid.
Otherwise, said check shall become the property of the Agency.
Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contractto idder
08/19/2024
ature of Bidder Date Signature of Bidder Date
DEREK RITARITA, PRESIDENT CHRISTIANPEACOCK, SECRETARY/
TREASURER
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate o?icersare required.) 08/19/2024
22.L
($ “# """" .
——’_—1_
Cozzratio : i:g:
McSweeny Parkway Crossing Rev. 0
CIP No. 56988 BIDDER'SPROPOSAL(cont’d) February 2020
BIDSECURITYFORM FOR BOND
KNOWALLBYTHESE PRESENTS
That the undersigned
Vance Corporation
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITY OF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of not to exceed ten percent (10%) of the total bid amount —————————— Dollars \ lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid, for the payment of which, well and truly to be made, We bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bidfor McSweeny Parkway Crossing, CIP No. 56983 THE CONDITIONOF THIS OBLIGATIONlS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principalshall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 15th day of August 2024.
(Month)
Vance n
(Corporate Seal) By
Principal
By Old Republ Surety Company
Surety
(Corporateseal) By
JU Attorney—ln—Fact
22.L
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proved to me on the basis of satisfactory evidence to be the person? whose name?) is/axs cribed to the within instrument and acknowledged to me that he/shefmev‘executedthe same in edm’én’ authorized capacity?gs‘f, and that by his/herftheirsignaturegfon the instrument the person(a)7 e entity upon behalf of which the personLK)’ acted, executed the instrument. the
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individualwho signed the document to whichthis certificateis attached, and not the truthfulness, accuracy, or validityofthat document.
State of California )
Cou of Riverside )
On before me, Rachel E. P N Public
Date Here Insert Name and Title of the Officer
personally appeared Derek Rita
Name(s) of Signer(s)
who
subs
his/h
or th
I certify under PENALTY OF PERJURY under the laws
of the State of California that foregoing paragraph
is true and correct.
WITNESS my official seal.
at
Public
Signature
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name:
Corporate Officer — Title(s): Corporate Officer — Title(s):
Partner — Limited General Partner — Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:
Signer ls Representing: Signer ls Representing:
©2016 National NotaryAssociation- www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item #5907
22.L
organized
organlm?o
anuM
Wm, the—Ul£h_.__day
December ’
this 1 4 1:11
of December
accomplish: mated by e Cn?fomh Col-pa
Authority. do so will be violationof
em‘?cate covenants lyp?m?nn
STATE OF CALIFORNIA
DEPARTMENTOF INSURANCE
SAN FRANCISCO
Certi?cate of Authority
THISIs 10 01mm, That, pursuant to the Insurance Codeofthe State ofCalifornia, Old Republic Surety Company
of Brookfield, Wisconsin , um?nthe
lawsof Wisconsin ,subjectto its ArticlesofIncorporation or other fundamental nal documents, is hereby authorizedto transact within this State, subject to all provisions ofthis Certi?cate,the followingclassesofinsurance:
SURETY, LIABILITY and MISCELLANEOUS
assuchclassesare now or may hereafterbe de?nedin the Insurance Laws ofthe State ofCaliforni a.
Tms CERTIFICATEis expresslyconditionedupon the holderhereofnow and hereafterbeing in fullcompliancewithall, and not in violationofany, ofthe ble laws and lawfulrequirements madeunder authority ofthe lawsofthe State ofCaliforniaas long as suchlaws or requirements are in e?ectand applicable,and as such laws and requirements now are, or may hereafterbe changed or amended.
IN WITNESS e?ectioeas of
of. 191i, I have hereunto set
my hand and causedmy o?icialseal to be a?ixed _.
day 19—90...
By
Quali?mtionwith the Secretary of State must be (1 as th Code after issuance of this Certi?cate of Failure to a Ins. Code Sec. 70 1 and will be groundsfor revoking this C of Authority pursuant to the made in the therefor and the conditionscontained herein.
33-3
S 8406
1
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ODRPBL UR
*
‘ Assxamm.uu."6
and
416W
Se (ember 28 2026
WWW, w
s
** **
L EU ICS ETY C NY
POWER OF ATTORNEY
KNOWALLMENBYTHESE PRESENTS: That OLD REPUBLICSURETY COMPANY.a Wisconsin stock insurance corporation, does make, constitute and appoint:
Julia B. Bales, Kenneth A. Coate, Renae N. Balderas, Andrea Paris of Riverside, CA its true and lawfulAttorney(s)—in-Fact,with full power and authority for and on behalf of the company as surety, to execute and deliver and af?x the seal of the company thereto (if a seal is required). bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bail bonds, bank depository bonds, mortgage de?ciency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, orblacklung bonds), as follows:
ALLWRITTENINSTRUMENTS
and to bind OLD REPUBLICSURETY COMPANYthereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents, are rati?ed and con?rmed.
This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982.
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLICSURETYCOMPANYon February 18,1982.
RESOLVEDthat, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attorneys-in-factor agents with authority as de?ned or limitedin the instrument evidencing the appointment in each case, for and on behalf of the company to execute and deliver and af?x the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said of?cers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person.
RESOLVEDFURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president. any vice president or assistant vice president, and attested and sealed (if a seal be required) by any secretary or assistant secretary; or
(ii) when signed by the president, any vice president or assistant vice presiden required) by a duly authorized attorney-in-fact or agent; or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons.
RESOLVED FURTHERthat the signature of any authorized of?cer and the seal of the company may be af?xed by facsimile to any Power of Attorney or certi?cation thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such signature and seal when so used shall have the same force and effect as though manually af?xed.
IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper of?cer, and its corporate seal to be 26th day of Januarv 2023
t, secretary or assistant secretary, and countersigned and sealed (if a seal be af?xed this
OLD REPUBLICSURETYCOMPANY
0 198‘ tll. t4-
* President
STATE OF WISCONSIN, COUNTYOF WAUKESHA— 35
On this 26th day of January , _2223_, personally came before me, Alan Karen J Haffner , to me known to be the individuals and of?cers of the OLD REPUBLICSURETY COMPANY who executed the above instmment, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that they are the said of?cers of the corporation aforesaid, and that the seal af?xed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such of?cers were duly af?xed and subscribed to the said instrument by the authority of the board of directors of said corporation.
Notary Public
MyCommission Expires:
CERTIFICATE (Expirationof notary's commissiondoes not invalidate this instrument) I, the undersigned, assistant secretary of the OLD REPUBLICSURETY COMPANY, a \Msconsin corporation, CERTIFYthat the foregoing and attached Power of Attorney remains in full force and has not been revoked: and furthermore, that the Resolutions of the board of directors set forth in the Power of Attorney, are now in force.
We 15th August 2024
74 4030 SEAL Signed and sealed at the City of Brook?eld, WIthis day of __ 196‘
* ORSC 2262 (3-06)
Inland Surety Bons & Ins Serv
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AUG15 2024
Date
CALIFORNIA ACKNOWLEDGMENT CIVILCODE § 1189
Anotary publicorother officercompletingthiscertificateverifiesonlythe identityofthe individualwho signedthe document to whichthis certificateis attached, and not the truthfulness, accuracy, or validityof that document.
State of California }
before me,
personally appeared
Stephanie D. Fisher, Notary Public
Here Insert Name and Title of the Of?cer
Julia B. Bales
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the persones) whose nameIs} is/are— subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/tI-‘Ieir authorized capacityIiesI, and that by his/heritheirsignature(s-) on the instrument the personIs), or the entity upon behalf of which the person(s) acted, executed the instrument.
STEPHANIED.FISHER
COMM. #2365783
NOTARYPUBLIC- CALIFORNIA
RIVERSIDE COUNTY
MyComm.ExpiresJuly15,2025
Place Notary Seal and/or Stamp Above
I certify under PENALTYOF PERJURYunder the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and seal.
Sig natu re Public
OPTIONAL
Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer’s Name:
El Corporate Officer - Title(s):
El Partner— I:I Limited I] General
El Individual El Attorney in Fact
I:I Trustee I:I Guardianor Conservator
El Other:
Signer is Representing:
@2019 National Notary Association
Number of Pages:
Signer’s Name:
El Corporate Officer — Title(s):
El Partner— El Limited El General
[I Individual El Attorney in Fact
El Trustee III Guardian or Conservator
El Other:
Signer is Representing:
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PRESI ENT .
McSweeny Parkway Crossing
CIPNo. 56983 BIDDER'SPROPOSAL(cont’d)
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
VANCE
I am the D of CORPORATION the party making the
foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 08/19/2024 date], at city], CA [state].
08/19/2024 08/19/2024
Signature of Bidder Date Signature of Bidder Date
DEREK RIT PRESIDENT CHRISTIANPEACOCK, SECRETARY/
TREASURER Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate of?cersare required.)
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iged to he/sbs/éhey executed
is/hgrAbeir s/hemheir ms)’on the instrument 1
r the entity te
foregoing
igna ture
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individualwho signed the document to which this certificate is attached, and not the truthfulness.accuracy, or validity of that document.
State of California )
Cou of Riverside )
On before me, Rachel E. Pavne. Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Christian Peacock
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the personls)whose name?!)is/are subscribed to the within instrument and acknowle< me that the same in h authorized capacityliesf,and that by hi signatu he person/ (8'), 0 upon behalf of which the person(é) ac d, executed the instrument.
I certify under PENALTYOF PERJURY under the laws
of the State of Cal paragraph
is true and correct.
WITNESS my hand official seal.
RACHELELIZABETHPAYNE
Notary Public - California
RiversideCounty . N
Commissiona 2462355 3'9natu re
. Comm.Expires Sen9, 2017 PUbIIC
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document \ Title or Type of Document: V Document Date Number of Pages:
Signer(s) Other Than Named Above
Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name:
Corporate Officer — Tit|e(s) Corporate Officer — Tit|e(s):
Partner — Limited General Partner — Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:
Signer Is Representing: Signer Is Representing:
@2016 National Notary Association - www.Nationa|Notary.org - 1-800-US NOTARY(1-800—876-6827) Item #5907
22.L
Willa/30m. .
who proved to me on the basis at satisfactory evidence to be the personésf whose nametsfislansubscribed to the within instrument and acknowledged to me that he/she/‘they-executed the same in hismerfm?r authorized capacityaeéj,and that by his/her/‘theh'signature?f on the instrument the personce):
or the entity upon behalf of which the personjs) acted, executed the instrument.
MCNEL(LIZAIEI'N mu:
Neury Public- Clllfvmll
Rivenidocounty CemmlsslcnII house
My cam.Exams 5» v,m?
RWX'(‘muowr hih?nmh
(5 l‘i?iim/i m!ZIP/I2
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individualwho signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
Co of Riverside )
On before me, Rachel E. Payne. Notary PUblIC
Date Here Insert Name and Title of the Officer
personally appeared Derek Ritarita
Name(s) of Signer(s)
I certify under PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
WITNESS my h official seal
Signature
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer’s Name: Signer’s Name:
Corporate Officer — Title(s): Corporate Officer — Title(s) Partner — Limited General Partner — Limited General
Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other:
Signer ls Representing: Signer ls Representing
@2016 NationalNotary Association - www.NationalNotary.org ' 1-800-US NOTARY(1-800-876-6827) Item #5907
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer willmake the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non—responsive bid and, at the Agency’s discretion, said bid will be disqualified.
Project Name *SEE ATTACHED
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
Project Name:
Contract Price: Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
Project Name
Contract Price: Date of Completion
Name, Address, and Telephone Number of Owner's Representative:
(Attach additional pages as necessary)
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Type ofW alt and e pulveriz
pavement, inding rubberize
East Main Street Evan Hewes Hwy Rehabilitation Project CRSAL—5169(057) Owner: City of El Centro
Address: 1275 Main Street El Centro, CA
Contact: Felix De Leon Jr. (760)337-5182
Type of Work: Grinding of existing asphalt concrete pavement, installationof asphalt-rubber and aggregate membrane, gap graded base, monument preservation,utility cover adjustments Contract Duration: 45 Calendar Days
Contract Price: $1,918,840.00
Completion:April 2024
Koala Road Repaving Project CIP 2023-04
Owner: City of Adelanto
Address: 11600 Air Expressway, Adelanto, CA 92301
Contact: Richard Burgess Phone: (760) 246—2300ext. 11146 ork: Asph bas ing, aggregate base, subgrade, asphalt concrete base asphalt gr and d asphalt concrete pavement overlay
Contract Duration: 60 Calendar Days
Contract Price: $888,888.88
Completion:March 2024
2022-23 CDBG— Old Mira Loma Pavement Rehabilitation — Ph. 2 Owner: City of Jurupa Valley
Address: 8930 Limonite Avenue, Jurupa Valley, CA 92509
Contact: Youssef Baskaron Phone: (951) 332-6464 ext. 144 Type of Work: Rehabilitationof ACpavement, grind and overlay or removal and replacement of existing AC pavement on the streets
Contract Duration: 70 Working Days
Contract Price: $2,432,850.00
Completion:
Van Buren Boulevard Pavement Rehabilitation — Ph.3
Owner: City of Jurupa Valley
Address: 8930 Limonite Avenue, Jurupa Valley, CA 92509
Contact: Youssef Baskaron Phone: (951) 332-6464 ext. 144 Type of Work: grinding existing AC pavement, removal of pavement, cold-in-place recycling, asphalt overlay, replacing existing guardrail, and installing signing, striping, markings and raise d
pavement markers.
Contract Duration: 40 Working Days
Contract Price: $2,242,360.00
Completion:
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FY 2022-23 Residential Street Rehabilitation Project
Owner: City of West Covina
Address: 1444 W Garvey Ave S. 215, West Covina, CA 91790 ontact: Okan Dimicri Phone: (714) 319-6137
Type of Work: AC cold mill, AC overlay, pavement, crack seal, slurry ontract Duration: 40 working days
Contract Price: $2,95 8,945.00
Completion:
2022-2023 Resurfacing Project, Residential Resurfacing Phase II; P-10403 Owner: City of Irwindale
Address: 5050 N. Irwindale Avenue, Irwindale, CA 91706
ontact: Fabian Aoun, P.E. Phone: (951) 743-5208
Type of Work: Cold mill, AC overlay, utilities adjusting, striping, markers and loop detectors.
Contract Duration: 40 working days
ontract Price: $ 394,774.10
ompletion:
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor and
, Description and Subcontractofs DIRRegistration
Location of Place .
_ Percentage of Work License No. Number
of Busmess
Online Striping Service 9173
Clay Canyon Drive, Corona Striping and RPM's 8.5% 862350 1000012226 CA 92883
(Bidder to attach additionalsheets if necessary) (PUBLICCONTRACTCODE§4100 ETSEQ. )
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“av. I!
FebrMDnl20‘2"
McSweeny Parkway Crossing
CIP No. 5698B BIDDER'SPROPOSAL(cont’d)
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITH BID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below
STATEMENTOF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.
CERTIFICATIONOF WORKER'SCOMPENSATION INSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labor Code Section 3700, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF PREVAILINGWAGE RATESAND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.
CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKS CHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
Bymy signature hereunder, as the Contractor, Icertify that there willbe no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non— discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
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1000008103
McSweeny Parkway Crossing
OF No. 56983 BIDDER'SPROPOSAL(cont’d)
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, Iswear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation of law or safety regulation, except as indicated on the separate sheet attached hereto entitled ”Previous Disqualifications." If a statement of ”Previous Disqualifications" is attached, please explain the circumstances.
CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(a), certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.
CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is[please complete] . Subcontractors’ registration numbers are as indicated in Document 00 4314.
CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION [OPTIONAL] By my signature hereunder, as the Contractor, I certify as follows:
a. Contractor prequalified for this Project by submitting its Statement of Qualifications, dated N/A (soQ)_
b. [Please complete or strikeout the following as inapplicable] Subsequently, on or about and Contactor submitted further
information supplementing for foregoing Statement of Qualifications. c. Allinformation described above is referred to as the ”Qualification lnformation." cl. Contractor has carefully reviewed all of the foregoing Qualificationlnformation. e. [Please check and/orcomplete one ofthe following]
AllPrequalification Information remains true and correct in all material respects as ofthe date hereof, as if such information were actually being submitted to Owner as of the date hereof.
Except as otherwise expressly set forth in separate Additional Prequalification lnformation, submitted with the Bid, all Prequalification lnformation remains true and correct in all material respects as ofthe date hereof, as ifsuch information were actually
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McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL (cont’d)
being submitted to Owner as of the date hereof. [Contractor must provide Additional Prequalification Informationas described above ifthis item is checked.]
CERTIFICATIONOF N/A
[Insert other Owner-specific certifications, if applicable. Otherwise, delete.] BID
08/19/2024
Signature of Bidder Date Signature of Bidder Date
DEREK RITARITA. RESIDENT CHRISTIAN PEACOCK, SECRETARY/
TREASURER Print name and title Print name and title
(If the Bidderis a corporation, two signatures ofcorporate officersare required.) 08/19/2024
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APPENDX 1
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will not be resgonsible
integrated
No.(s)
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the McSweeny Parkway Crossing, CIP No. 56988 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, isfamiliar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements ofthe PublicWorks Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/oruse tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency for any errors or McSweeny Parkway Crossing Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been into their proposal, Contractor acknowledges receipt of Addenda The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the McSweeny Parkway Crossing, CIP No. 56988 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
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McSweeny Parkway Crossing
BIDDER'SPROPOSAL(cont’d)
BIDSCHEDULE
BASE BID — McSweeny Parkway Crossing, CIP No. 56983
CIP No. 56983
ITEM DESCRIPTION
No
1 Mobilization
2 Clearing, Grubbing and Removals
3 Sawcut Asphalt (F)
4 Remove and Dispose Asphalt (F)
5 Crack Seal (cracks less than 1"
width) (F)
6 Crack Repair (cracks equal or
greater than 1" width) (F)
7 Grind and Overlay 1’ Wide, 2"
thick at Edge (F)
8 Confirm Existing Base Thickness
(F)
9 Install 2.5” Minimum AC
Pavement (F)
10 Adjust Existing Facilitiesto Grade
(F)
11 Prepare Existing Surfaces for
Overlay (F)
12 Install 1.5" Minimum AC
Pavement Overlay (F)
13 Striping (F)
Field Items
UNIT
L5
L5
LF
SF
LS
LF
SF
SF
TN
EA
LS
TN
LS
ESTIMATED
QUANTITY
1 160
700
100
4,950
6,000
95 61
1,920
UNIT
PRICE
Zéooo
79/826
lL/, 00
(0(96‘00
$10,000
EXTEND
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AMOUNT
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7 900
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$600
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260
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McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL(cont’d)
BASEBID — McSweeny Parkway Crossing, CIP NO. 56988
EXTENDED
ITEM ESTIMATED UNIT
DESCRIPTION UNIT ITEM
NO QUANTITY PRICE AMOUNT
TOTAL BASEBID numbe 4W 0°
*******9:**************************** END OF BASE BID ITEMS ADDITIVEA BID ITEMSAS FOLLOWS:
ITE EXTENDED ESTIMATED
M DESCRIPTIONOF ITEMS U?" :3; ITEM
No QUANTITY AMOUNT
A1
?O.00
TOTAL BIDADDITIVEA(numbers) )5?0 '00
END OF ADDITIVEA BID ITEMS **?**************************** Five HUNDRED FlFm, FOMR. THOMSHND)FOUR
BASEBIDTOTAL(in words) H'l/lN D FoaT‘f'PouO DOLLADS AN 7cm (.8513 Contractor's Initials
ADDITIVEA BIDITEMSTOTAL(in words)
Contractor's Initials
In the event Ofa variation between the unit price and extended total, the unit price will be used and the corrected extension willbe considered as the amount bid. Ifthe bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.
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McSweeny Parkway Crossing
ClP No. 56983 BIDDER'SPROPOSAL (cont’d)
If an additive and/or alternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedule(s).
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similarrandom blind method selected by the Agency. Ifonly one responsive bid is received from a responsible bidder the award shall not be made unlessthe price can be determined to be reasonable based on an analysis by the Agency. The Agency’s determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregularitylies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publiclyopened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
Allbids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by ”(S)" are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor's own forces.
By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above, including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING:Ifan addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bidmay be rejected.
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Bid
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont'd)
Complete the following:
AllAmerican Asphalt
Legal name of the business, DIRReg. and Contractor License Nos.
Corporation
Business Type (Corporation, Partnership, Sole Proprietor) A**
DBA(if any)
Mark Luer, President
Name and title of the owner
Edward J Carlson, Vice President
Name and title of second partner or officer
400 East Sixth St Corona, CA 92879
Business Address
951 - 7600
Telephone number
951-736-7646
Facsimile number
mramirez@allamericanasphaltcom
Name and Emailaddress of primary contact
www.allamericanasphaltcom
Company web address
Signature Bid Date
Edward J Carlson, Vice President
Print name and title
Signature of er Michael Farkas, Secretary
Print name and title
Date
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McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL (cont’d)
(Ifthe Bidderis a corporation two signatures ofcorporate officersare required.)
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess a State of California Class A Contractor‘s License.
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's license(s) which:
a. Bears the license number(s): 267073
b. Expires on:
1/31/2026
?
Signature of der Signature of Bidder Date
Edward J Carlson, Vice President Michael Farkas, Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency’s decision as to the required license will be final.
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
BIDSECURITYFORM FOR CHECK
NOTE: THEFOLLOWINGFORM SHALLBEUSED INTHECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’s Check payable to the order of the City of Hemet, hereinafter referred to as "Agency",for
dollars (5 this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:
A. Ifsaid Bidshall be rejected by the Agency;
B Ifsaid Bidshall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance with said Bid) and shall furnish bonds required for his/her/itsfaithful performance of said Contract and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Contract created by acceptance of said Bid.
Otherwise, said check shall become the property of the Agency Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contract to another bidder.
Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.) **bid bond included**
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»——/‘/\.//
t or JLMS’OAI VP
Company of Maryla
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
Bond No. 08597423
BIDSECURITYFORM FOR BOND Bid Date: 08/19/
2024
KNOW ALLBYTHESE PRESENTS
That the undersigned
AllAmerican Asphalt
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of Ten Percent of Total Amount Bid------ Dollars ( 10% of Bid"" lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bidfor McSweeny Parkway Crossing, CIP No. 56983 THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 23rd day of July , 20;}.
(Month)
AllAmerican
(Corporate Seal) BV
Principal
Fidelity and Deposit nd
BY
Surety Rebecca Haas—Bates,Attorney-in-Fact
{Corporate Sea!) By
MN
Q“40
“A
“v
r
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Kathryn Marconi Notary Public .
Edward lson
who proved to me on the basis of satisfactory evidence to be the personts) whose name(s) is/ars subscribed to the within instrument and acknowledged to me that helshekbey executed the same in his/healtheir authorized capacity?ee). and that by his/W signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted.executed the instrument.
I certify under PENALTYOF PERJURY under the laws of the State of Californiathat the forgoing paragraph istrue and correct. ing an the
document
7,
, , , Carlson
AllAmerican Asphalt
President
CAL FORM A ALL-PURPOSE ACKNOWLEDGEMENT C V L CODE 1189
A notary public or other of?cer completing this certi?cate veri?es only the identity of the individualwho signed the document to which this certi?cate attached. and not the truthfulness. accuracv. or validitv of that document.
State of California
County of Riverside
On 08/05/2024 before me' Date Here Insert name and Title of the Of?cer personally appeared J. Car
Name(s) of Signer(s)
KATHRYNMARCONl
NotaryPublic~ California
RiversideCounty
Commission7‘"2490731
Comm.ExpiresMay21, 2028
WITNESS my hand and of?cial
Place Notary Seal Above OPTIONAL
Though the informationbelow is not required by law, it may prove valuable to person rely document and could prevent fraudulent removal and reattachment of this form to another Description of Attached Document
Title or Type of Document Bid Bond
Document Date 07/23/2024 Number of Pages: One (1)
Signer(s) Other Than Named Above: Rebecca HaaS'Bates (Attorney in F300 Capacity(iee) Claimed by Signer(s)
Signer's Name: Edward J. Signer's Name:
a Individual .3 Individual
XCorporate Of?cer — Title(s): Vice :1 Corporate Of?cer — Title(s) a Partner I] I: Limited D General a Partner D a Limited a General a Attorney in Fact :1 Attorney in Fact
D Trustee
Top of thumb here D Trustee
Top of thumb here
:1 Other: in Other:
Signer is Representing Signer is Representing:
RIGHT THUMBPRKNT RIGHT THUMBPR' OFNTSlGNER
0F SlGNER
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instrument wledged to executed
pacityfl‘es). his/ham strument t
ALMAKARENHERNANDEI
. Maury Public‘ CamorMa
orangecounty é
Commission;‘ 139mm ‘
MyCcmm.ExpiresJan I6, 1016
Sig Hepr?en’ting:
Fidelity DepositCompany of Maryland
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officercompleting this certificateverifies only the identity of the individualwho signed the document to whichthis certificate is attached, and not the truthfulness,accuracy, or validityofthat document.
State of California
County of Orange
On 07/23/2024 before me, Alma Karen Hernandez, Notary Public Date Here Insert Name and Title of the Of?cer
personally appeared Rebecca Haas-Bates
NameMofSigner(s);
who proved to me on the basis of satisfactory evidence to be the person(s)- whose namefs} is/are subscribed to the within and ackno me that he/she/they the same i his/her/theirauthorized ca and that by signaturels).on the in he personts),n or the entity upon behalf of which the person(3). acted, executed the instrument.
I certify under PENALTYOF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature
Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Bid Bond Document Date: 07/23/2024 Number of Pages: Onegl) Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s)
Signer’s Name: Rehecca Haas-Bates Signer’s Name:
:1 Corporate Officer — Title(s):
_ Corporate Officer — Title(s):
Partner — Limited General Partner —- Limited General
Individual JAttorney in Fact Individual E Attorney in Fact Trustee Guardian or Conservator :1 Trustee Guardian or Conservator Other: Other:
ner ls Signer is Representing:
and
@2014 NationalNotary Association - www.NationalNotary.org- 1-800-US NOTARY(1-800-876-6827) item #5907
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may, writteninstrumemunderthe anesledcorpor seal, appo attorneys-him with3th ly m axecuzc ies, recognizances. stipu ans, undenakjngs, or other like insn'umenls behalfof Company, and may and“) e any of?cer altomeydn-fncl to '21:» "am’vswvm?s‘ ’lmmu?“
regonsfclaims@zurichna‘com
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, . The Chief Executive Of?cer, the President, or any Executive Vice President or Vice President by ate int ori bonds, polic
lati on the riz or any such
af?x the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time. " CERTIFICATE m
9 SEAL SEAL SEAL
Thomas O. McClellan
Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUNIBER, AND YOUR CONTACT INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
800-626-4577
Authenticity of this bond can be con?rmed at bondvalidator.zurichna.com or 410-559-8790 I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in ?ill force and effect on the date of this certi?cate; andI do further certify that Article V, Section 8, of the By-Laws of the Companies is still in force.
This Power of Attorney and Certi?cate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AIVIERICANINSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be af?xed by facsimile on any Power of Attomey...Any such Power or any certi?cate thereof hearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certi?cate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITYAND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certi?ed copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually af?xed.
IN TESTIMONY WI-IEREOF, I have hereunto subscribedmy name and af?xed the corporate seals of the said Companies, this 23rd day of July , 2024 .
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McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL(cont’d)
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
I am the Vice Pres of AllAmerican AS Ithe party making the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. Allstatements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 51$ 12‘! [date], at Corona city], California [state]
Signature of er D Signature of Bidder Date
Edward J Carlson, Vice President Michael Farkas, Secretary Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
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Kathryn Marconi Notary Public .
Innn
mHm macaw
Notarymu: -Calvfom1a
Rivemde Ccunly
Signature
mmmmuuwpum
Carlson
residem
AllAmerican Asphalt AllAmerican Asghalt
—
CAL FORM A ALL-PURPOSE ACKNOWLEDGEMENT CIV L CODE § 1189 A notary public or other of?cer completing this certi?cate veri?es only the identity of the individualwho signed the document to which this certi?cate is attached. and not the truthfulness. accuracv. or validitv of that document.
State of California
County of Riverside
08/05/2024
Date On before me. Here name and Title of the Of?cer
Edward J_ Carlson and Michael Farkas
Name(s) of Signer(s)
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) ie/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in Nether/their authorized capacity(ies), and that by Mather/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTYOF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct.
WITNESS
Place Notary Seal Above OPTIONAL
Though the information below is not required by law. it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document Non'COHUSionAf?daVit
08/05/2024 One (1) Document Date: Number of Pages:
Signer(s) Other Than Named Above: N/A
Capacity(ies) Claimed by Signer(s)
Signer's Name Edward J- Signers Name: Michael Farkas
Cl Individual El Individual
X Corporate Of?cer _ Title(s) Vice P X Corporate Of?cer — Title(s): Secretam D Partner D 5‘ Limited 5' General r: Partner I] a Limited El General :
:::r;:yIn FaCt
Top of thumb here :
::::r;:y In FaCt
Top of thumbhere
:1 Other: D Other:
Signer is Representing Signer is Representing:
RIGHT THUMBPRINT RIGHT THUMBPR'NT
0F SIGNER 0F SIGNER
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1,595,650.00
Anth nvBendezu 626-30 283
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
CONTRACTOR’SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer willmake the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency’s discretion, said bid will be disqualified.
Project Name: P nf hah 2f Va IIQ l n
Contract Price Date of Completion: 1 093
Name, Address, and Telephone Number of Owner's Representative CITYOF LOMALINDA25541 BARTONROAD, LOMALINDA,CA
JARB THAIPEJR 909-799-2811
Project Name: FY22-23SLURRY SEAL & REHABPROJECT
Contract Price: Date of Completion: 5/2023
Name, Address, and Telephone Number of Owner's Representative:
CITY OF ALISOVIEJO 12 JOURNEYSTE #100 ALISOVIEJO, CA 92656 SHAUN PELLETIER949-425-2531
Project Name:
Contract Price: 6 855 599 ()0 Date of Completion: 12/2023 Name, Address, and Telephone Number of Owner's Representative CITY OF MONTEREYPARK 320 W. NEWMARKAVE MONTEREYPARK, CA 91754 0 7-1
(Attach additionalpages as necessary)
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2023
PAST WORK REFERENCES
'thaige‘rQlomalinda-ca .gov
khaymes?ranchomvmom
sgelletierQavcitygrg
'foreranchomv.com
abendezy?monteremarkxagov
I
City of Loma Linda
25541 Barton Road
Loma Linda, CA92354
Manhattan Beach, CA90266
Contact: Jarb Thaipejr (909) 799-2811
EuclidLandVenture, LLC
4450 Macarthur Blvd.,Ste 100
Newport Beach, CA 92693
Contact: Scott Kendall(949) 783—5341
City of AlisoViejo
12 Journey Ste #100
AlisoViejo, Va 92656
Contact: Shaun Pelletier (949) 425-2531
RMV Realty, Inc.
28811 Ortega HWY
San Juan Capistrano, CA92693
Contract: Jeff Ford (949) 413-8899
City of Monterey Park
320 W. Newmark Avenue
Monterey Park, CA91754
Contact: Anthony Bendezu (626) 307-1283
Pavement Rehab. at Various Location
s Contract Amount: $1,476,363.00
Start Date: 9/1/2023
End Date: 12/2023
MerrillAve. Street Widening
Contract Amount: $915,915.00
Start Date: 4/2022
EndDate: 2/2023
FY22-23Slurry Seal & Rehab Project
Contract Amount: $1,595,650.00
Start Date: 5/2022
End Date: 5/2023
PA 3.2A Street Improvement
Contract Amount: $1,244,244.00
Start Date: 4/2022
End Date: 8/2023
2023 Street Rehabilitation Project
Contract Amount: $6,865,699.00
Start Date: 8/2023
End Date: 12/2023
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2023
PAST WORK REFERENCES
PeteAQcityaffu llert
LLuiQontarioca.gnv
mlamging?riversidecagov
bdavisQnewgonbeachca.gov
|rina.gurovicthostamesaca‘gov
City of Fullerton
303 W. Commonwealth Ave
Fullerton, CA 92632
Contact: Pete Acosta, Jr. (714) 738-6871
on.com
City of Ontario
303 East BStreet
Ontario, CA91764
Contact: Leonard Lui (909) 295-2401
City of Riverside
2900 Main St.
Riverside, CA 92522
Contact: Maria Lamping (951) 826-5146
City of Ontario
825 East Third Street
San Bernardino, CA92415
Contact: Samuel E. Nicorici (909) 387-7960
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92626
Contact: Irina Gurovich (714)754-5324
Brookhurst Rd., SR91 St. Rehab
Contract Amount: $325,825.00
Start Date: 5/2023
End Date: 12/2023
2023 Fall Pavement Rehabilitation Project
Contract Amount: $4,569,222.00
Start Date: 08/2023
EndDate: 11/2023
Permanent Trench Resurfacing
Contract Amount: $455,150.00
Start Date: 1/2023
End Date: 6/2023
Chino & Montclair Area Variours Roads
Overlay Project
Contract Amount: $5,639,575.88
Start Date: 9/2022
End Date: 7/2023
Slurry Seal Project
Contract Amount: $2,828,001.50
Start Date: 1/2022
End Date: 7/2023
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2022
PAST WORK REFEREN ES
bcardenas?manhattanheach.gov
khaymesQranchomv.com
rhughesQwilldan.ca
amegerdichian?burbankcagov
agerez?ciyofhighlandvorg
bhaskelthollbrothe
City of Manhattan Beach
1400 Highland Ave.
Manhattan Beach, CA90266
Contact: Bianca Cardenas (310) 802-5357
RMVRealty, Inc.
28811 Ortega Hwy
San Juan Capistrano, CA92693
Contact: KellyHaymes
City of Westla ke Village
31200 Oak Crest Dr.
Westlake Village, CA91361
Contact: Roxanne Hughes (805) 890-8885 m
City of Burbank
275 EOlive
Burbank, CA91502
Contact: Artin Megerdichian (818) 238-3942
City of Highland
27215 Base LineSt.
Highland, CA9234
Contact: Amanda Perez (909) 864-6861
Toll Bros, Inc.
725 W. Town & Country Road, Ste 200
Orange, CA92868
Contact: Brandon Haskell (714) 347-1360
rs.com
C
Slurry Seal of Central Area of Sands Section
Contract Amount: $673,275.00
Start Date: 12/2021
End Date: 7/2022
Planning Area 3.1 Street Improvement
Contract Amount: $3,996,996.00
Start Date: 4//2021
End Date: 4/2022
Dales Dr. and Parkridge Ave Street Improv.
Amount: $1,025,336.00
Start Date: 5/2022
End Date: 6/2022
LocalResidentialSt. Improv. Project
Contract Amount: $7,761,320.00
Start Date: 1/2022
End Date: 12/2022
Pavement Management Program
Contract Amount: $2,082,099.00
Start Date: 10/2021
End Date: 12/2022
The Metro Heights
Contract Amount: $2,675,250.00
Start Date: 11/2021
End Date: 4/2022
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2021
PAST WORK REFERENCES
Diamamantemcpm
dgsnemlgwmpgais
l9§ll§;,m?[i§§§a?@l-AD
stisneLQQa?a?oijmrg
Colony Commerce
Clo Caprock Partners
1300 Dove Street Suite 200
Newport Beach, CA 92660
Contact: Eric Nutter (949) 428-1400 Ext. 209
[email protected]_.com
Lennar Homes
25 Enterprise #300
AlisoViejo, CA92656
Contact: Diane Hannon (949)349-8000
City of Norco
2870 Clark Ave.
Norco, CA 92860
Contact: Todd Shank (951) 270-5603
132
Los Angeles Department of Water and Power
111 North Hope Street, L-43
Los Angeles, Ca 9001 2
Contact: Joelle Morisseau (213) 367-0123
iMLcom
City of Dana Point
33282 Golden Lantern
Dana Point, CA 92629
Contact: Scott Fisher (949) 248-3577
Archibald St. Improvements
Contract Amount: $1,949,000.00
Start: 12/201 9
Completed: 12/2021
Merrill&Haven Street Improvement
Contract Amount: $1,481 ,832.1 5
Start: 6/2020
Completed: 12l2021
Wayne Makin Park Slurry Seal Project
Contract Amount: $52,725.89
Start: 10/2021
Completed: 12/2021
Pine Tree Power Plant Access Road Repair
Improvements
Contract Amount: $81 0,400.00
Start: 5/2021
Completed: 7/2021
Slurry Seal Project 19/20
Contract Amount: $1,897,897.00
Sta rt: 04/2020
Completed: 05/2021
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2021
PAST WORK REFERENCES
hagmj,@(:qmuac.a..
CQI’te
memzla?gn@p§pwlopgml..wm
gkau®ngmalkqa£
City of Corona
400 South Vicentia
Corona, CA92852
Contact: Barry Ghaemi (951) 736-2400
bg gov.
City of Anaheim
200 5. Anaheim Boulevard
Anaheim, CA 92805
Contact: Jose Cortez (71 4) 765-5039
1 [email protected] hetnmet
County of Orange
601 North Ross Street
Santa Ana, CA92701
Contact: Stephen Clayton (714) 995-0206
SE
City of NonNalk
12700 Norwalk Blvd.
Nomalk, CA 90650
Glen W. C. Kau (562) 929-5723
ov
City of Garden Grove
11222 Acacia Pkwy
Garden Grove, CA 92840
Navin Maru (714) 741 -51 80
nma.r_u.@ggcity.,o_r.g
Street Pavement Maintenance
8: Rehab. Project No. 2020.01
Contract Amount: $3,471,178.00
Start: 6/2021
Completed: 1/2022
State College Boulevard Improvement
from Ball Road to SR 91 Freeway
Contract Amount: $484,848.00
Start: 8/2021
Complete: 4/2022
Rossmoor Collectors Grind &Overlay
Contract Amount: $ 2,148,320.90
Start: 4/2021
Complete: 12/2021
Local Streets Rehabilitation
Zone 27 East of Gard - No. 7925.3
Contract Amount: $1,051,330.00
Start: 6/2021
Completed: 12/2021
Arterial STS. Rehabilitation
Contract Amount: $3,1 85,281.00
Start: 6/2022
Complete: 12/2021
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[email protected]
'thaiQe'r@lomalinda-ca,gov
ckest'urugavallexorg
[email protected]§gov.com
bduhn@gandkconsultantscom
'[email protected]
2020
PAST ORK REFERENCES
City of Ontario
303 East B Street
Ontario, CA 91764
Contact: Ariana Kern (909) 395-2129
City of Loma Linda
25541 Barton Road
Loma Linda.CA 92354
Contact: T. Jarb Thaipejr (909) 799-4400
City of Jurupa Valley
8920 LimoniteAvenue
Jurupa Valley, CA 92509
Contact: Chase Keys (951) 332-6464
County of Orange
601 N. Ross Street, 4"1Floor
Santa Ana, CA 92701
Contact: Albert Rodriguez (714) 667-8800
City of Compton
205 S. WillowbrookAvenue
Compton, CA 90220
Contact: Brittany Duhn (310) 605-5505
City of Huntington Beach
2000 Main Street
Huntington Beach, CA 92648
Contact: Joe Fuentes (714) 536-5259
2020 Fall Pavement Rehabilitation Project
Contract Amount: $2,499,333.00
Start Date: 07/2020
End Date: 12/2020
Pavement Rehabilitation — Barton Road
Contract Amount: $768,677.00
Start Date: 04/2020
End Date: 12/2020
Granite HillDrive Pavement Rehabilitation
Contract Amount: $999,777.00
Start Date: 04/2020
End Date: 10/2020
JOC Pavement Maintenance
Contract Amount: $2,584,747.69
Start Date: 07l2020
End Date: 08/2020
Annual Residential Street Rehabilitation — Phase 1
Contract Amount: $5,295,068.00
Start Date: 05/2020
End Date: 11/2020
Arterial Rehabilitation of Graham St, Slater
Ave, NewlandSt and Atlanta Ave
Contract Amount: $5,181,955.00
Start Date: 05/2020
End Date: 11/2020
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gkharazmi@newgortbeachcavgov
[email protected]
byared@cvwd‘com
rbias@cityofalhambraorg
[email protected]
[email protected]
2020
PAST WORK REFERENCES
City of Newport Beach
100 Civic Center Drive
Newport Beach, CA 92660
Contact: Patricia Kharazmi (949) 644-3344
City ofWestminster
8200 Westminster Boulevard
Westminster, CA 92683
Contact: Theresa Tran (714) 548-3460
Crescenta Valley Water District
2700 FoothillBoulevard
La Crescenta-Montrose, CA 91214
Contact: Brook Yared (818) 236-4117
City of Alhambra
111 S. 1“ Street
Alhambra, CA 91801
Contact: Robert Bias (626) 580-5000
County of Ventura
800 S. VictoriaAvenue. #1600
Ventura, CA 93009
Contact: Matt Maechler (805) 477—1911
City of Camarillo
601 Carmen Drive
Camarillo, CA 93010
Contact: Thang Tran (805) 388-5345
Cameo Highlands Street Reconstructio
Contract Amount: $2,425,694.00 n
Start Date: 07/2020
End Time: 11/2020
Citywide Overlay Street Improvements
Contract Amount: $1,131,621
Start Date: 02/2020
End Date: 06/2020
Final Paving of Pennsylvania Ave
Contract Amount: $82,620.00
Start Date: 02/2020
End Date: 04/2020
2020 HUDStreet Improvements Project
Contract Amount: $300,433.00
Start Date: 06/2020
End Date: 10/2020
Yerba Buena Rd. (South) Pavement
Resurfacing
Contract Amount: $2,298,467.40
Start Date: 03/2020
End Date: 06/2020
Earl Joseph Drive Paving
Contract Amount: $681,901.50
Start Date: 06/2020
End Date: 07/2020
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2019
PAST WORK REFERENCES
nick.lasherQEardeehomes.com
k can fontanapr
kalerdrhortonxorn
mmorseQirvinecomgany.com
dgutieerdowneyca.arg
Pardee Homes
1250 Corona Pointe Court, Ste. 600
Corona, CA. 92879
Contact: NickLasher (951) 428-4442
City of Fontana
8353 Sierra Avenue
Fontana, CA. 92335
Contact: Kimberly Young (909) 350-7632
DR Horton
2280 Wardlow CircleSte. 100
Corona, CA. 92880
Contact: KeithAlex(951) 830-5872
Irvine Community Development Company
550 Newport Center Dr. Ste. 550 32
Newport Beach, CA. 92660
Contact: Mike Morse (949) 720-2560
City of Downey
11111 Brookshire Avenue
Downey, CA. 90241
Contact: Desi Gutierrez, (562) 904-7110
Railroad Canyon Widening
Contract Amount: $5,062,746.00
Start Date: 11/2018
End Time: 08/2019
Citrus Avenue Improvements
Contract Amount: $502,730.00
Start Date: 08/2018
End Date: 10/2019
Singlton Road
Contract Amount: $1,684,000.00
Start Date: 07/2018
End Date: 12/2019
Portola Springs PA-6 Enclave SB Phase1,2
Contract Amount: $2,055,055.00
Start Date: 09/2018
End Date: 12/2019
FY18/19Slurry Seal Project
Contract Amount: $313,425.87
Start Date: 06/2019
End Date: 12/2019
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McSweeny Parkway Crossing
CIP No. 5698B BIDDER'SPROPOSAL(cont’d)
DESIGNATION0F SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s DIRRegistration of Business Percentage of WorL License No. Number
CASE/MUD . sumz?we $1an
0 o\M’nxl(«£3 0P: 0 ' é K
0NLiNE sm\\o‘ma~
s MG\ 5 o 2.5
VANCE 7 67
8/923 iOOOOi’L'Z—
C6K0~A \ CA ' °
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
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McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL (cont’d)
BIDDERCERTIFICATIONS
TO BE EXECUTEDBYALLBIDDERSAND SUBMITTEDWITH BID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below
STATEMENT OF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.
CERTIFICATIONOF WORKER’SCOMPENSATIONINSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labor Code Section 3700, which requires every employer to be insured against liability for worker's compensation or to undertake self—insurancein accordance with the provisions ofthat Code, and I will comply with such provisions before commencing the performance of the work of this Contract.
Please note that the submittal of this certificate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF PREVAILINGWAGE RATESAND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.
CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKSCHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, Icertify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding nondiscrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL (cont’d)
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, Iswear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation o f
law or safety regulation, except as indicated on the separate sheet attached hereto entitled "Previous Disqualifications." If a statement of ”Previous Disqualifications” is attached, please explain the circumstances.
CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
Bymy signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(a), certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local,state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.
CERTIFICATIONREGARDINGDIRCONTRACTOR / SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is[please complete] 1000001051 Subcontractors’ registration numbers are as indicated in Document 00 4314.
CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION [OPTIONAL] By my signature hereunder, as the Contractor, I certify as follows:
a. Contractor prequalified for this Project by submitting its Statement of Qualifications, dated (SOQ).
b. [Please complete or strikeout the following as inapplicable] Subsequently, on or about and Contactor submitted further
information supplementing for foregoing Statement of Qualifications. c. Allinformation described above is referred to as the ”Qualification Information." d. Contractor has carefully reviewed all of the foregoing Qualification Information. e. [Please check and/or complete one ofthe following]
AllPrequalification Information remains true and correct in all material respects as of the date hereof, as if such information were actually being submitted to Owner as of the date hereof.
Except as otherwise expressly set forth in separate Additional Prequalification Information, submitted with the Bid, all Prequalification Information remains true and correct in all material respects as of the date hereof, as ifsuch information were actually
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.
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
being submitted to Owner as of the date hereof. [Contractor must provide Additional Prequalification Informationas described above ifthis item is checked. ]
CERTIFICATIONOF
[Insert other Owner-specific certifications, if applicable. Otherwise, delete.] BIDDER
Signature idde Date Signature of Bidder
Edward J Carlson, Vice President Michael Fa rkas. Secretarv Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
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RECRUITMENT. HIRING. PLACEMENT.TRANSFERANDWONS WILLBEON THE OASISDFQUALIFICATIONSOFTHEIwWIDUAI.FORTHEPOSITIONBEINGFILLED WITHOUTREGARDTORACE.COLOR.RELIGION. SEX.SEXUALORIENTATION. MARITAL STATUS.NATIONALORIGIN,ANCESTRY. DISABLITV(MENTALANDPHYSICAL.
INCLUDINGHIVANOAIDS),MEDICALCONDITION(CANCERANDGENETIC
CHARACTERISTICS).ANDIORAGE(AOANDOVER). ALLOTHERPERSONNELACTIONS.
SUCHASCWPENSATIDN, BENEFITS.LAYOFFS. RETURNFROMLAYOFF.
TERIINATION’S,TRAININGANDSOOALANDmm PROGRAMSARE
MINISTERS! WITHOUTREGARDTO RACE.OOLOR.RELIGION,53. SEXUAL ORIENTATION. MARITALSTATUS, NATIONALORIGIN.mum, DISABILITY(MENTAL ANDPHYSICAL. MLUDINGHIVANDAIDS).MEDICALCONDITION(CANCERANO GENETICCHARACTERISTICS).ANDIORAGE(AI)ANDOVER).
EQUALOPPORTUNITYIS ACONTINUINGEFFORTANDREQUIRESTHEFULLSUPPORT
OFALLOF US TO ENSURETHEDEVELOPMENT OF OUR MINORITYANDFEMALE EMPLOYEES.EACH POSSIBILITYTOHIREOR PROMOTESHOWSDEVINE]! ASAN
OPPORTUNITYTOWARDOUR GOALOF AFULLERUTILIZATIONOFOUR MINORITYAND FEMALEMPLOYEES.EACHMANAGERWIIJ. COMINNIOATETO EMPLOYEESTHAT
OURWENT TO ANAFFIRMATIVEACTIONPROGRAMIS REALIS SUPPORTEDBY OURCOIPANY.ANDHASAHIGHPRIORITY.WEENOOURAGEALLOF OUREMPLOYEES
TO PAR'ITCIPATEINTHISEFFORTBYENCOURAGINGMINORITIESANDFEMALESTO APPLYFOREMPLOYMENTANDTO SEEKFROTDTIOIIS.
FORASSISTANCEINTHEEQUALOPPORTUNITYPROGRAM. MANAGERSAND
EMPLOYEESSHOULDCONTACTMARKLUER.EEOCOORDINATORAT(951) 136—7600.HE N THESPECIFICRESPONSIBILITIES“) MONITORANDASSESS THEPROGRESS FOR OUREOUALEMPLOYMENTOPPORTUNITYWAFFIRMATIVE ACTIONPROGRAMS.
ALLAMERICANASPHAL
ALLAMERICANAGGREGATE T
I‘051411;: S Tum RSI-739.46“ Pu tiux 212‘! CUKUNA.CA Mum-222‘) ALLAMERICAN Cummc-m: llL’l MI (10707.! AC}! -——ASPHALT-—-- ANEQUALOPPORTUNITY EMPLOYER TOALLAMERICANASPHALTPERSONNEL:
ITISTHESTATEDPOLICYOFALLAMERICANASPHALTTHATALLEMPLOYEESAND APPUCANTSHALLRECEIVEEQUALCONSIDERATIONANDTREATMENT.ALL
MARKLUER
PRESIDENT
2011
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the McSweeny Parkway Crossing, CIP No. 56983 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, isfamiliar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the PublicWorks Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/or use tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency for any errors or McSweeny Parkway Crossing Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis-Bacon Act if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the McSweeny Parkway Crossing, CIP No. 56983 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal. ids
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Pavement Clean—Upand Repair at MCSweeny Parkway Cr...
0&ADeadline August 72,2024 3:00 PM (PDT
Set 1 Released via Addendum 1 07/18/2024 3:59 PM (PDT)— 1 question
1.1 What is the engineer's estimate for this project?
Answer Our budget is $450,000
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McSweeny Parkway Crossing
BIDDER'SPROPOSAL (cont’d)
BIDSCHEDULE
BASEBID — McSweeny Parkway Crossing, CIP No. 56983
CIP No. 56983
ITEM DESCRIPTION
No
1 Mobilization
2 Clearing, Grubbing and Removals
3 Sawcut Asphalt (F)
4 Remove and Dispose Asphalt (F)
5 Crack Seal (cracks less than 1"
width) (F)
6 Crack Repair (cracks equal or
greater than 1" width) (F)
7 Grind and Overlay 1’ Wide, 2”
thick at Edge (F)
8 Confirm Existing Base Thickness
(F)
9 Install 2.5" Minimum AC
Pavement (F)
10 Adjust Existing Facilitiesto Grade
(F)
11 Prepare Existing Surfaces for
Overlay (F)
12 Install 1.5” Minimum AC
Pavement Overlay (F)
13 Striping (F)
Field Items
UNIT
LS
LS
LF
SF
LS
LF
SF
SF
TN
EA
LS
TN
ESTIMATED
QUANTITY
1 160
700
100
4,950
6,000
95 61
1,920
UNIT
EXTENDED
PRICE
ITEM
AMOUNT
$25,026.00 $25,026.00
$15,153.00 $15,153.00
$9.54 $1,526.40
$5.27 $3,689.00
$11,353.00 $11,353.00
$54.40 $5,440. 00
$6.40 $31,680.00
$3.64 $21,840.00
$100.85? $18,132.65
$1,118.60 $68,234.60
$32,161.00 $32,161 .00
$139.75 $268,320.00
$84,042 .00 $84,042.00
$10,000
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McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL(cont’d)
BASEBID — McSweeny Parkway Crossing, CIP No. 5698B
EXTENDED
ITEM ESTIMATED UNIT
DESCRIPTION UNIT ITEM
No QUANTITY PRICE AMOUNT
TOTALBASEBID(numbers)
***************H******************* END OF BASE BIDITEMS ADDITIVEA BIDITEMS AS FOLLOWS:
ITE EXTENDED ESTIMATED
M DESCRIPTIONOF ITEMS
UNI UN” ITEM
No
T QUANT'TY PR'CE AMOUNT
A1
TOTAL BIDADDITIVEA (numbers)
***Hm*?********************* END OF ADDITIVEA BIDITEMS ****m*****************m***** BASEBIDTOTAL(in words)
Contractor's Initials
ADDITIVEA BIDITEMSTOTAL (in words)
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension willbe considered as the amount bid. Ifthe bid isillegible and cannot be reconciled it will be considered non-responsive and willnot be considered for award. 5%,5011 "’5
MA
F‘N’Lmmdmd‘ NWLMstx wovsand
- s
(‘A , ?ax/Q, Qw’rs
N/A N/A N/A
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedule(s).
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. Ifonly one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency’s determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
Allbids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by ”(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor’s own forces.
By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above, including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bid may be rejected.
I. x...) :1 \I1
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publicworks@united—paving.
WWW.United-pavingcom
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
Complete the following
Superior Paving Company, inc. dioa United Paying Co.
Legal name of the business, DlRReg. and Contractor License Nos Corporation
Business Type (Corporation, Partnership, Sole Proprietor) Superior Paving Company, inc. dba United Paving Co.
DBA(if any)
Sabas Truiillo,President
Name and title of the owner MarkWiley, RMO
Name and title of second partner or officer
1880 N. Delilah St. Corona. CA 92879
Business Address
(951) 739-9200
Telephone number
(95‘!) 73-9-9400
Facsimile number
Robert Wilson - corn
Name and Emailaddress of primary contact
Company web address
Signature of Bidder Date Signature Bidder
Sabas Trujillo, President
Print name and title Print name and title
Date
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iieurual y 2025‘
McSweeny Parkway Crossing
ClP No. 56983 BIDDER'SPROPOSAL(cont’ cl)
{Ifthe Bidder is a corporation two signatures ofcorporate officersare required.)
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL (cont’d)
CERTIFICATEREGARDINGCONTRACTOR'S LICENSE
1. Contractor is required to possess a State of California Class A Contractor’s License.
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/itpossesses the required Contractor's license(s) which:
Bears the license number(s) 365823
b. Expires on 10/31/2025
Signature of Bidder Date re of Bidder Date
Sabas T President Mark Wiley. RMO
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
BIDSECURITYFORM FOR BOND
KNOWALLBYTHESEPRESENTS:
That the undersigned
Superior Paving Company, Inc. dba United Paving Company (Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of Ten Percent of the Amount Bid Dollars (5 ) lawful
money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bidfor McSweeny Parkway Crossing, CIP No. 5698B THE CONDITIONOF THIS OBLIGATIONIS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shallwithin the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 12th day of August .202_4.
(Month)
Superior Pa Com ny, Inc. dba United Paving
P?nc
(Corporate Seal) By X2
Prmeipal Print Na
By The Ohio Casualty Insurance Company
Su
(Corporate Seal) By
Name Vincent, Attorney-in-Fact
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August14th‘2024 v, , H, . .
NamebfofSigner?
who proved to me on the basis of satisfactory evidence to be the persanwjwhose nameurrlslafesubscribed to the within instrument and acknowledged to me that he/she/mEyexecuted the same in hIs/he??éir authorized capacity(w§), and that by his/her/the’lr signaturem’onthe instrument the personkr. or the entity Rive'syce to :y
Commlssion: 140291:
MyComm.ixpvresMay i0, mu
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
Anotary publicor other officercompletingthis certificate veri?es onlythe identity ofthe individualwho signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validityofthat document.
State of California } County of Riverside
On
Date
personally appeared Mark Wilev
NNA1 IVNN
Place Notary Seal and/or Stamp Above
before me, Sierra Marlena CisnerosNotarv Public
Here Insert Name and Title of the Of?cer
I certify under PENALTYOF PERJURY under the
laws of the State of California that the foregoing
paragraph is true a rrect.
WITNESS my hand offic
Signature
Signature of Notary Public
OPTIONAL
Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name
El Corporate Officer — Title(s):
El Partner— El Limited III General
El Individual El Attorney in Fact
El Trustee El Guardianor Conservator
El Other:
Signer is Representing:
@2019 National Notary Association
Number of Pages:
Signer's Name:
El Corporate Of?cer — Title(s):
El Partner— El Limited Ei General
El Individual El Attorney in Fact
I:I Trustee El Guardianor Conservator
El Other:
Signer is Representing:
upon behalf of which the person (4 acted, executed the instrument.
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ALL- PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
AWE?“ 1014 , ry ,
us men and llllu olme nlllnerl
Kelly Vincent
ctory evidence to be the personfsa whose
,_-_ SUSANEMORALES |T|
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slgnerls) personallynppmed heron: llre norary public for acknowledgmcmr MM— Dull: ornolarivalion rnusl bu Illc dale |ha| the signerls) personallyappeared NumberolPages \ DocumentDate?“1-ZH
Cale llw com-cl singular or plurnl [arms by cmssing
hc/lheyr is/are l orcimhng lhc correcl forms, leilurc
rrruuion may load lo mjeclion ofducumcnl recording.
The nomry seal impression must be nlrmrand photogmphicallyreproducible. impression musr nnl cuvcr mu or lines, lfscal impression smudges, m-sml ir 3 ——*‘———~- - sumcicnl arca pernuls, ollu-rwisecomplete a dilrercnl neknowlnlgnrenl lnnn.
Signalnrc orrlle nomry public musl rnrnclrrllo signnrureon ?le wi|l'l lhc ol?ce or my elerlr.
Addilion
acknowledgmem is nrnmisused r allached ro a dirrorsnl documcnl.
Indicalc lirle or rypeofauached oeunlom. number orpngcsand dale, ’— Indicate rlroenpaeilyelairned b rlre signer If [he clalmcd capacily A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California }
County of Orange }
On before me, Susan E. Morales Nota Public
personally appeared
who proved to me on the basis of satisfa
ere name
name(s) isfafe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hisfher/the'rr authorized capacityfies?, and that by his/herftheif signatureesa on the instrument the person(s-), or the entity upon behalf of which the person(s-) acted, executed the instrument.
I certify under PENALTYOF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and officialseal.
Notary Public Signature (Notary Public Seal)
ADDITIONALOPTIONAL INFORMATION
DESCRIPTIONOFTHEATTACHEDDOCUMENT
(Titleor ofattached
(Titleordescriptionofattacheddocumentcontinued)
CAPACITY CLAIMEDBY THE SIGNER
Individual(5)
Corporate Of?cer
( I lIle)
Partner(s)
« Attorney-in-Fact
Trustee(s)
Other
ZOIS Version Tswana:NotaDj-‘Classescom 800—-
INSTRUCTIONSFOR COMPLETINGTHIS FORM
ument
which must also be the same date the acknowledgment is completed.
The notary public must print his or her name as it appears within his or her commissionfollowedby a comma and then your title (notary public).
Print the name(s) of document signer(s) who personally appear at the time of notarization.
Indi off incorrect forms (i.e.
he/s to correctly indicate this
info
the cou 4‘ a1 information is not required but could help to ensure this 0 '2' d
.3. y is a
corporate of?cer, indicate the title (i.e. CEO, CFO, Secretary).
Securely attach this document to the signed document with a staple. t
(2
“
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a'tycl stale CA __— nehali suretyand itsact andsteady seatmowledge and (1 Vet, forand DavidMCarey
Onthis 13th dayat July . 2024 betnramepaisnnaityapmred [Secretary Company, The DttloCasualty Company, and West AmericaninsuranceCompany, integotngi thereincontainedbysigningonbanaiioitheoorporan'onsayhimseiiasa dutyauthn “m"m‘ TessaPasteta, me?mum
onauthari by the Chairmanor the Presidentand subjectto such timitalianas the Chainnanctrthe attotneys- act in bennticttheCorpualimtto make,exucule, seal.acknowledgeanddeliveras surely allundertakings.bonds,racognizan d othatsuretyobligationSuchattanteys-in-tautsubiecltothe nmitalionset faithin theirrespectivenwets nt attorney.shall powerto bind the Corpatatimtby ignalureand execution any such tnstmmantsand to attach theme the seal at the Cot'polalionswttan so axewted.such nts shaltbe as bindingas itsigned Presidenlandattested bythe Secretary si?sm
AnyM?oerat the Companyaulhmizedfat that purposeinwritingbythe chairmanormawe asubj anlimitationsas the nairmanor the ntmayprescri shaltappo‘ntsuchaliamays-in-tact.as maybe neoessaty toactin behattoi the Company execu acknowledgeand it iver as surety allunde?akin bends,rewgnizanoesandothersuretyobligationsarch attomeyS-iniactsubjectlo theInn ttmh aspec?vepowsts oi ttomey. shallit porter to bind Companybytheirsignatureand executionat anysuchinsnunientsandto attach the Centncateoineszg ny,acting company, appoint
[act as maybenew y k) make and native nizance
thorizatian attheCom tractors. consentst
inparty, whe ertt?edcop attorney Company
Renee sLlswally.Ass ban!Secretary
This PowerofAttorney limitsthe acts ofthose named herein, and they have no authorityto bindthe Company except inthe mannerand to the extent hereinstated.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company Certi?cateN0: 8212122-977490 West American Insurance Company
POWER OF ATTORNEY
KNOWNALLPERSONSBYTHESEPRESENTS:That The OhioCasualtyInsuranceCompany is a corporationdulyorganizedunderthe laws ofthe State of NewHampshire,that UbertyMutualinsuranceCompanyis a corporationdulyorganizedunderthe lawsofthe State ofMassachusetts,andWestAmericanInsuranceCompanyis a corporationdulyorganized underthelawsofthe State ofIndiana(hereincollectivelycalledthe “Companies"). pursuanto and byauthorityhereinset forth,doesherebyname.constituteandappoint, Cathy Kennedy; Cheryl Thomas; David S. Jacobson; Kelly Vincent; PatrickThomas; Shane Wolf; Wrenetta Walker SURETY
allofthe of each individuallyiftherebe morethanone named,itstrue andlawfulattorney-in—fact tomake, execute, as as any and allundertakings,bonds,recognizancesand othersuretyobligations,inpursuance of these presentsand shallbe as bindinguponthe Companiesas ifthey have been dulysigned by the presidentand attestedbythe secretaryof the Companiesintheirown proper persons.
INWTTNESSWHEREOF,this PowerofAttorneyhas been subscribedbyan authorizedof?ceror of?cialofthe Companiesandthe corporateseals ofthe Companieshavebeenaf?xed theretothis 18th dayof July , 2024
LibertyMutualInsuranceCompany
TheOhioCasualtyInsuranceCompany
insuranceCompany
1912 1919 1991
By:
AssistantSecretary
StateofPENNSYLVANIASS CountyofMONTGOMERY
DavidM.Carey,whoacknowledgedhimselfto be theAssistan ofLibertyMutualInsurance and that he, as such, beingauthorizedso to do, executethe nstrumentforthe purposes rizedof?cer
INWITNESSWHEREOF,Ihavehereuntosubscribedmynameandaf?xedmynotarialseat at PlymouthMeeting,Pennsylvania,onthe dayandyear?rst abovewritten. of Pennsylvania Tera-a Pastelia.NotaryPublic Mycommission Montgomery Squires
County March28, 2025 By: I”4%
Member,
'55” NotaryPublrc
This Power of Attorneyis made and executedpursuantto and by authorityof the followingBy—IawsandAuthorizationsofThe OhioCasualty InsuranceCompany,LibertyMutual InsuranceCompany,andWestAmericanInsuranceCompanywhichresolutionsare nowinfullforceandeffectreadingasfollows:
ARTICLEIV- OFFICERS:Section12.PowerofAttorney.
Anyof?ceror otherof?cialofthe Corporati zed forthatpurposein writing Presidentmayprescribe,shallappointsuch in-fact,as maybe necessary to anyand ces an s. have full their5 of
instrume bythe to .Anypoweror authoritygrantedto any representativeor attorney-in—fact underthe provisionsofthisarticlemaybe revokedat anytimebytheBoard,theChairman,thePre or bytheof?cerorof?cersgrantingsuchpoweror authority.
ARTICLEXlll— Executionof Contracts: Section5. SuretyBondsandUndertakings. sident, an ectto su o preside be,
to make, te, seal, at any and gs,
tationsse intheirr a ave full the
reto the seal ofthe Company.Whenso executedsuch instmmentsshallbe as bindingas it signedbythe presidentandattestedbythe secretary.
nation— The Presidentofthe Compa pursuantotheBylawsofthe authorizesDavidM.Carey,AssistantSecretary to suchattomeys-inssary to act on behalfofthe Compan , execute,seal, acknowledge r as suretyany and allundertakings,bonds,recog s andothersurety obligations
Au — Byunanimousconsent pany‘sBoardofD theCompany hatfacsimileormechanicallyreproducedsignatureofanyassistantsecretaryofthe Co reverappearingupona o y ofany powerof issuedbythe inconnectionwithsuretybonds,shallbe validand bindingupontheCompanywith the sameforceandeffectas thoughmanuallyaf?xed.
I, ReneeC. Llewellyn,the undersigned,AssistantSecretary,The OhioCasualtyInsuranceCompany,LibertyMutualInsuranceCompany,andWest AmericanInsuranceCompanydo herebycertifythatthe originalpowerofattorneyofwhichtheforegoingIsa full,true andcorrectcopyofthe PowerofAttorneyexecutedbysaidCompanies,isinfullforceandeffectand has notbeenrevoked.
INTESTIMONYWHEREOF,Ihavehereuntoset myhandand af?xedtheseats ofsaidCompaniesthis 1912 1919 1991
LMICOCIC WAIC MultiCo 02/21
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BIHd
107,4
Signat
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL (cont’d)
NON-COLLUSION AFFIDAVIT
PUBLICCONTRACTCODESECTION 7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares: _ , Superior Pavmg Company, Inc. dba United Paving Co.
I am the RMO of the party making the
foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on date], at city], [state]
Signature of er Date ure of Bidder Date
Sabas Trujillo, President Mark Wilev. RMO
Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate o?‘icersare required.)
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szzmmm-;~< We
Maury 1c *
ElverslceCunt!
[mmlsxlan u‘2‘039'3
MyCamm.ExpirPSMayH7, 2026
on
rson( o ed
CALIFORNIA JURAT GOVERNMENT CODE § 8202
A notary public or other of?cer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Riverside
VNN
Place Notary Seal and/or Stamp Above
Subscribed and sworn to (or affirmed) before me on
this 12th day orig—”St—q 20L, by
Date Month Year
(1) Mark ev
(and (2) Sabas iiIIo
Name(s) of Signer(s)
proved to me basis of satisfactory evidence to
be the pe ap before me
Signature
Signature of Notary Public
OPTIONAL
Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
@2019 National Notary Association
Number of Pages
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$388, Date
Apartments
6.452.
Moody
Date
$1,347,700.00 :,7,2023
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL (cont’d)
CONTRACTOR'SREFERENCELIST
Attach to this bid a list of three (3) projects in the past five (5) years on which the bidder and his subcontractor(s) have successfully constructed and completed projects with the same type (elements), size and complexity of work. The Agency Engineer willmake the final determination of whether the projects listed here are of the same type, size and complexity as this project.
Failure of bidder to supply sufficient documentation of similar electric, telephone, cable and sanitary sewer underground facilities experience shall be considered grounds for a non-responsive bid and, at the Agency’s discretion, said bid willbe disqualified. project Name: Cesar Chavez Elem. School
Contract Price; 364.00 of Completion June 2022 - Jan 2023 Name, Address, and Telephone Number of Owner's Representative:
Montebello Uni?ed School District — 500 N. Hendricks St. Montebello CA 90640 (323) 887-7900
Project Name: Northridae
Contract Price: $1 00 of Completion: Feb 2024
Name, Address, and Telephone Number of Owner's Representative:
Lincoln - Moody Apartments - 9090 Street: CypressCA 90630 l714) 826-3881
project Name; AC replacement Adams & Lincoln Etementary Schools Contract Price: Date of Completion Dec
Name, Address, and Telephone Number of Owner's Representative:
Newport Mesa School District - 2985 Bear St, Costa Mesa, CA @2626 (M4); 424-8828
(Attach additional pages as necessary)
\.. [Fin-air. ll”!l|..‘l\;l\ .
in”.
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Superior Markings
McSweeny Parkway Crossing
CIP No. 56983
Name of Subcontractor
and Location of Place
of Business
Road Works Inc.
303 Short St.
Pomona, CA 91768
Manhoie Adjusting Inc
Magnum Oii Spreading Inc
13812 A Better Way,
Garden Grove CA 92843
Pavement
5312 Cypress Street,
Cypress, CA90630
(Bidder to attach additional sheets if necessary)
BIDDER'SPROPOSAL(cont’d)
DESIGNATIONOF SUBCONTRACTORS
Description and Subcontractor’s
Percentage of Work License No.
Crack?ii
LIC# - 561431
2.5%
Manhoie Adjustments
LIC# - 398443
12%
Tack Oii
LIC#A303609
2.5%
Signage 8. Striping
LIC# - 776306
15%
(PUBLICCONTRACTCODE§4100 ETSEQ.)
DIRRegistration
Number
DIR# 13000002011
DIR# - 11000004104
DIR- PW-LR—
1000452045
DIR# - 1000001476
9500 Bever 3,!Rd.
Pico CA 90660-2135
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Rev. 0
Féb?law 292i}
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBID
The undersigned Bidder certifies to Owner as set forth in sections 1 through 10, below
STATEMENT OF CONVICTIONS
By my signature hereunder, I hereby swear, under penalty of perjury, that no more than one final, unappealable finding of contempt of court by a Federal Court has been issued against Bidder within the past two years because of failure to comply with an order of a Federal Court or to comply with an order of the National Labor Relations Board.
CERTIFICATIONOF WORKER'SCOMPENSATIONINSURANCE
By my signature hereunder, as the Contractor, I certify that I am aware of the Labor Code Section 3700, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract.
Please note that the submittal of this certi?cate does not relieve Contractor from complying with all of the insurance requirements of the Public Works Agreement and Contract Documents.
CERTIFICATIONOF PREVAILINGWAGE RATESAND RECORDS
By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Section 1773, which requires the payment of prevailing wage on public projects. Contractor and any subcontractors under the Contractor shall comply with Labor Code Section 1776 regarding wage records, and with Labor Code Section 1777.5 regarding the employment and training of apprentices. Contractor is responsible to ensure compliance by any and all subcontractors performing work under this Contract.
CERTIFICATIONOF COMPLIANCEWITH PUBLICWORKSCHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, Icertify that there willbe no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non— discrimination in employment will be complied with; and that the principal of equal opportunity in employment willbe demonstrated positively and aggressively.
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Luap— i: ’L A‘—\7.
[Please complete
>4 and Contactor submitted further
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL (cont’d)
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, Iswear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or othenNise prevented from bidding on, or completing a Federal, State, or local government project because of a violation of law or safety regulation, except as indicated on the separate sheet attached hereto entitled ”Previous Disqualifications.” If a statement of ”Previous Disqualifications" is attached, please explain the circumstances.
CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to Labor Code Section 2810(3), certify that, if awarded the Contract based on the undersigned’s Bid, the Contract will include funds sufficient to allow the Contractor to comply with all applicable local, state, and federal laws or regulations governing the labor or services to be provided. I understand that Owner will be relying on this certification if it awards the Contract to the undersigned.
CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION [OPTIONAL] By my signature hereunder, as the Contractor, I certify as follows:
a. Contractor prequalified for this Project by submitting its Statement of Qualifications, dated (SOQ)
b. or strikeout the following as inapplicable] Subsequently, on or about information supplementing for foregoing Statement of Qualifications. c. Allinformation described above is referred to as the "Qualification Information.” d. Contractor has carefully reviewed all of the foregoing QualificationInformation. e. [Please check and/or complete one ofthe following]
AllPrequalification Information remains true and correct in all material respects as of the date hereof, as if such information were actually being submitted to Owner as of the date hereof.
Except as otherwise expressly set forth in separate Additional Prequalification Information, submitted with the Bid, all Prequalification Information remains true and correct in all material respects as of the date hereof, as ifsuch information were actually
CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor’s registration number is[please complete] Subcontractors’ registration ”Duty; - IODOOOZSUa
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3/12/04W
Sign swat/j
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
being submitted to Owner as of the date hereof. [Contractor must provide Additional Prequalification Informationas described above ifthis item is checked.]
CERTIFICATIONOF
[Insert other Owner-specific certifications, if applicable. Otherwise, delete.] BIDDER:
Signature of Bidder Date ature of Date
Sabas Truiillo.President Mark Wiiev. RMO
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
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STARTOF UNITED
PAVINGCO.
DOCUMENTS
— CAlicense
- DIR icense
- State of Caiifornia information (Proof of
Corporation and Of?cers/Director‘s)
- Contractor’s License Bon
-
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CONTRACTORS TATELICENSEBOA ACTIVELICENSE
mun“ Ix Mum: RD
me865828 My CORP
mm. SUPERIORPAVINGCOMPANYINC DBAUNITEDPAVINGCO E
Chmmn C12 A
emu... 10/31/2025 www.csibcanov
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Departmentof
IndustrialRelations
STATE OF CALIFORNIA
APPLICATION FOR
Registration Informa ion
type: PublicWorks
Period: 07(01/2024 06/30/2027
Contractor Information
Contractor Name: SUPERIORPAVING COMPANY, ENC.
Trade Name: UNITEDPAVING C0.
License Type Number: 1000002563
Contractor P ysical Address
Physical Business Country: United States of America
Contractor MailingAddress
Contact nfo
Registration Services:: Page 1 of 2 5I28l20241:59:41 PM Physical Business City/ CORONA
Province:
Physical Business Address: 1880 N. D‘EHLAHSTREET Physicai Business State: CA Physicai Business Postaar 92879
Code:
Mailing Country: United!States of America Mailing City /Province:CORONA Maiiing Address: 1880 N. DELELAH. SIREET Mailing State: CA Maiiing Pastai Code: 92879
Daytime Phone: Daytime Phone Ext:
Mobiie Phone: Business Emaii: iaura®unitedhpavingcom
piicani’s Email: samanthaé?unuitedi—pavingxom
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PEGblame:
Smei addrzss:
CW.5‘3“.le
PEOEmailAdntess:
FEDPhone Numhels:
Workers’ Compensation
Professional Employer Organization (PEG)
Do you tease employees through Professional Empioyer Organization? Yes Workers’ Compensation Overview
Certification
Legal Entity nforma ion
Legal Entity Type: Corporation
Registration Services: Page 2 at Z
335|
862 E. Hospitality Lane Suite 150
San Bernammo, CA92408
1e re.de?gado@'bbsi.com
@909):890—0010
I certify this on: 1:56 PM
Name: SUPERIORPAVING COMPANY,INC.
XIII .1.“ EJ.‘ >1! 1le
Carrier: Ace American Insurance Co.
PolicvhoiderName: SUPERIORPAV NG COMPANY,
INC. DBA:UNITED“PAVENGC0.
Number: C51336124
Inception Date: 06/01/
2023
Expirat on Date: Mme 1, 2024
Yes I certify that l do not have any delinquent iiability to an employee or the state for any assessment of back wages or related damage-s, interest, fines or penalties pursuant to any tinaijuclgmen-t, order, or determination by a court or any federai, state, or local administrative agency, including a con?rmed arbitration award Yes i certitythat the contractor is not currently debarred under Section 1777.1 or under any other federal or state an providing for the debarment oi contractors from public works. \fes l certify that. one. of the following Istme: 61)!i am iicensed bytire Contractors State License Board (CSLB)In accordance with Chapter 9 {commencing with Section 7000) of the Business and Protessions Code; or 62)my business or trade Is not subject to licensing by the CSLB. i understand refunds are not authorized
l, Samantha Rome, the undersigned am, SUPERIORPAVING COMPANYINC with the authority to act for and on beha?f of the a e named contractor l certify under penalty of perjury that aii of the above information provided}Is true and correct. Norther acknowledge that any untruthfu information provided in this application could result anthe certif cation being canceled
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m STATE OF CALIFORNIA
Of?ce ofthe Secretary of State
STATEMENT OF INFORMATION
CORPORATION
CaliforniaSecretary of State
1500 11th Street
Sacramento. Callfomia 95814
(916) 653-3516
EntityDetails
Corporation Name
Entity No.
Formed In
Street Address of Principalof?ce of Corporation
PrincipalAddress
MailingAddress of Corporation
MailingAddress
Attention
Street Address of CaliforniaOfficeof Corporation
Street Address of CaliforniaOffice
Of?cer Name
SABAS TRUJlLLO 1880 NORTH DELILAHST
CORONA.CA 92879
Of?cer Name Of?cer Address
Directors
Sabas Trujillo
Mark\Mley
The numberof vacancies on Boardof Directorsis: 0
Agent for Service of Process
Agent Name
Agent Address
Type of Business
Type of Business
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SUPERIOR PAVINGCOMPANY, INC.
2707200
CALIFORNIA
1880 NORTH DELILAHST
CORONA.CA 92879
1830 NORTHDELILAHST
CORONA, CA 92879
1880 NORTH DELILAHST
CORONA.CA 92879
Position
None Entered
1880 NORTH DELILAHST
CORONA, CA 92879
1880 NORTH DELILAHST
CORONA.CA 92879
PATRICKG MURPHY
6261 KATELLAAVE STE 250
CYPRESS.CA 90630
BA20231160345
For Ol?ce Use Only
FlL D
FlleNo.2BA20231160345
Date Filed:7/24/2023
ChiefExecutive Officer.Secretary, Chief FinancialOfficer Stated Pas ifion
PAVING.GRADINGANDRELATEDCO.
Yes, | opt-into receive entity noti?cationsvia email.
9:12:19 30 henexoes BTU-TOJTIQD Xq panacea own zzoz/cz/L wee—state
Of?cers
Of?cer Address’ Positl0n(s)
AdditionalOfficers
Dlrectur Name Dlrector AddreSs
Labor.1udgment
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No Officer or Directorof this Corporation has an outstanding finaljudgment issued by the Divisionof Labor Standards Enforcement or a court of law.for whichno appeal therefrom is pending. for the violationof any wage order or provision of the Labor Code.
ElectronicSignature
By signing, l affirm that the informationherein is true and correct and that i am authorizedby Californialawto sign.
SABASIRUJILLO 07/24/2023
Signature Date
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Californ a S re ary of Stat
blz?leOnline.sos.ca.gov
os.ca‘gov
biz?leOnline.sos.ca‘gov
biZ?le‘? biz?le California
iect e
Business Programs Division
1500 11th Street, Sacramento, CA 95814
SUPERIOR PAVING COMPANY,INC
1880 NORTH DELILAHST
CORONA, CA 92879
Business Amendment Filing Approved
July 24, 2023
Entity Name: SUPERIOR PAVING COMPANY, INC.
Entity Type: Stock Corporation — CA - General
Entity No.: 2707200
Document Type: Statement of Information
Document No.: BA20231160345
File Date: 07/24/2028
The above referenced document has been approved and ?led withthe California Secretary of State. To access free copies of ?led documents, 90 to and enter the entity name or entity number in the Search module.
What's Next?
The most up to date records may be obtained by searching for the Entity Name or Entity Number in the Search module at bizfileOnline.s
For further assistance, contact us at (916) 657-5448 or visit Thank you for using , the CaliforniaSecretary of State's business portal for online ?lings, searches, business records, and additiona l
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TOKIOMARINE
HCC
Juliy 19, 2922
Contact our renewal team at suretyrenewa?s©dmhcc£0m if the original continuation certi?cate or original bond is required by the obligee.
Payment Summary
Payment Type BillOn Statement
Amount Received $365.00
Reference ID N'IA
AuthorizationDate 7I19i2022’
Charged By ADRIANLOO
Agent Information
PATRIOT RISKANDHNSURANCESERVECESLLC
2415 CAMPUS DRIVESUHTE260
IRVINE, CA, 92612
(949) 4864900
Your agent infowmationabove has been provided im your convenience.
Thank you.
HCCSOZZM_KENEW%
Thank you for renewing your band. Print a copy of the continuatian certi?cate for your recmds Bond Summary
Purincipa Name SUPEREORPAVBNGCOMPANYINC (DBA UNWEDPAVENGCO } BomdaNumber BNDAC1002'60943
Indemnitop Name Shawn Monique Gerard
License Number 00355323
Bond Description CA CLB (CONTRACTORLICENSE)
Bond Amount Magma)
Premium $351530
to 10/24/7202?
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Jul! ,
“human,” «“4“ 175% $5“ .11, Company
a. .
“a'q?‘furon?\§\\°
TOKIOMARJNE
HCC
Tuesday, July 19. 2022
CONTINUATBON CERTIFICATE
1100269943 CA / CLB {CONTRACTOR’ILIECENSE) 10124/2022 1:0/24/2 027 Signed and dated this TQM day of 2022
American Contrac‘iors lindemnity
INCORPORATED
SEPT. 25. 1590
ADRIAN-LOO .Niamey in Fact
Agent:
PATREO‘E'RISK ANDINSURANCESERVICES LLC
2415 CAMPUS DRIVE SUH'E 200
IRVINE , CA 92612
American Connectors indemn'zty Company
8201S Fague.ea 85., Suite 700 L05 Angeies. CA 900$?
main (310')!649 09% facsimil‘e (3 O)645 9274.
1.!» 1.1 31*?! r .J‘il? :[r“ll.{
Prim: pal:
SUPERIOR PAWNG COMPANYENC(DBA UNITEDPAVING CO)
1880 NOR H DEULAH STREE
CORONA CA 92879
Ob igee:
CALEFORNIACONTRACTORS STATE UCENSE BOARD
PO. BOX 26000
CA 95826»
THIS BOND CONTINUES [N FORCE TO THE ABOVE EXPHRATHONDATE CONDETIONEDAND PROVIDED THAT THE LOSSES 0R RECOVEREES TNHTAND ALL ENDORSEMENTS SHALL NEVER EXCEED THE
PENALTY SET FORTH N THE BOND AND WHETHER THE LOSSES OR RECOVERHES ARE WETHIINTHE
FIRST ANDIOR SUBSEQUENT OR WITHBNANY EXTENSHONOR RENEWAL PEREOD, PRESENT, PAST OR UNCHANGED.
$15,000.00
HCCSOZZM CONTIWAIIONOS/ZBW
BONDMUMBER BOND DESCRIP‘HO'N BOND AMOUNT ‘EF‘LFECTJVEDATE [EXPIRATION pAtrE
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A ...;:.:2:.; 7:4 2552...: 12:22:: 29.45
>: $305.3» mama
F555. 9. Mona
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ENDOF UNITED
PAVINGCO
DOCUMENTS
— CA license
- DIR icense
- State of California Information (Proof of
Corporation and Officers/Directors)
- Contractor's License Bond
-
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APPENDI
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will not be resgonsible
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the McSweeny Parkway Crossing, CIP No. 56983 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the PublicWorks Contract, and also understands that the Project shall be completely constructed in turn—key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/oruse tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency for any errors or McSweeny Parkway Crossing Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s 1
The undersigned has examined the current State of California schedule of prevailing wage rates for the types of work to be done on this project (and the Davis—BaconAct if the Agency uses federal funds for the Project) and agrees to pay not less than these rates.
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the McSweeny Parkway Crossing, CIP No. 56983 and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2024 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
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ITEM
No
10 11
12 13
BIDSCHEDULE
BASEB D — McSweeny Parkway Crossing, C P No. 56988
DESCRIPTION
Mobilization
Clearing, Grubbing and Removals
Sawcut Asphalt (F)
Remove and Dispose Asphalt (F)
Crack Seal (cracks less than 1”
width) (F)
Crack Repair (cracks equal or
greater than 1" width) (F)
Grind and Over ay 1' Wide, 2"
thick at Edge (F)
Con?rm Existing Base Thickness
(F)
nstall 2.5” Minimum AC
Pavement (F)
Adjust Existing Facilities to Grade
IF)
Prepare Existing Surfaces for
Overlay (F)
lnsta l 1.5” Minimum AC
Pavement Overlay (F)
Striping (F)
Field Items
UNIT
LS
LS
LF
SF
LS
LF
SF
SF
TN
EA
LS
TN
LS
ESTIMATED
QUANTTV
1 160
700
100
4,950
6,000
95 61
1,920
UNIT
PRICE
$10,000
EXTENDE
D ITEM
AMOUNT
95mm 315(000
$5,400 155,000
433.00 @4180
@1030 <Q'7.qu
gmlgso H H.860
3'0 «3 {[000
$5.39 £25532
41,0.25 4M5
£318.50 3130.2?”
44.52} {gt?dt?
ganooo ammo
a 163.5?
$860567, Q>BS¢€€Z
{336 b’+
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
BASEBID — McSweeny Parkway Crossing, CIP No. 56983
EXTENDED
ITEM ESTIMATED UNIT
DESCRIPTION UNIT ITEM
No QUANTITY PRICE AMOUNT
TOTAL BASE BID umbers)
*******‘k**************************** END oF BAs E BID ITEMs *****************************~k******
ADDITIVEA BID ITEMS AS FOLLOWS:
ITE UNI ESTIMATED UNIT
EXTENDED
M DESCRIPTIONOF ITEMS T PRICE
ITEM
N° QUANTITY AMOUNT
A1
TOTAL BIDADDITIVEA (numbers)
*1:****************************** END OF ADDITIVEA BID ITEMS ******************************** BASE BIDTOTAL (in words)
Contractor's Initials
ADDITIVEA BID ITEMSTOTAL (in words)
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. lfthe bid is illegible and cannot be reconciled it will be considered non—responsive and will not be considered for award. hwcl
\A M uh’t “Mrs
'i'cm cld‘wf
605'
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McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL(cont’d)
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis Ofthe base bid schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting Bids on this specific issue.
For a Contract where a deductive bid schedule is called for, the lowest bid will be determined by the total of all bid schedules including the deductive bid schedule(s).
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ deductive or alternate bid items/schedules, or to otherwise add or remove certain work from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. Ifonly one responsive bid is received from a responsible bidder the award shall not be made unlessthe price can be determined to be reasonable based on an analysis by the Agency. The Agency’s determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by ”(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor’s own forces.
By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above, including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING: If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bid may be rejected. (ll
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mpany,
prestigepavingcompany,
PrastigePavingCompanycom
g 8/9/2024 4 8/9/2024
éid Signaxuré
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
Complete the following:
Prestige Paving Co Inc.
Legal name of the business, DIRReg. and Contractor License Nos.
Corporation C
Business Type (Corporation, Partnership, Sole Proprietor N/A
DBA(if any)
Sabas Trujillo - President
Name and title of the owner
N/A
Name and title of second partner or officer
14656 Industry Circle La Mirada CA 90638
Business Address
7148887555
Telephone number
71 44557246
Facsimile number
Anthony Trujillo Anthony@ com
Name and Email address of primary contact
Company web address
Signature of der Date
Sabas Truiillo- President
Print name and title
of Bidder
Sabas Truiillo- Secretary
Print name and title
Date
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?ev, 0
Fabruzry 2020
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.)
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at e
8/9/2024 g/
atJ
McSweeny Parkway Crossing
CIP No. 56988 BIDDER'SPROPOSAL (cont’d)
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess a State of California Class A Contractor’s License.
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's license(s) which:
a. Bears the license number(s): 1110800
b. Expires on: 10/31/2025
8/9/2024
Sign of Bidder Date Sign re of Bidder Date
Sabas Trujillo - President Sabas Truiillo- Secretarv
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re—evaluatethe required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency’s decision as to the required license will be final.
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McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont’d)
BIDSECURITYFORM FOR CHECK
NOTE:THE FOLLOWINGFORM SHALLBE USED INTHECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’s Check payable to the order of the City of Hemet, hereinafter referred to as "Agency", for N/A dollars (5 N/A , this
amount being 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:
A. Ifsaid Bid shall be rejected by the Agency;
B. Ifsaid Bidshall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance with said Bid) and shall furnish bonds required for his/her/itsfaithful performance of said Contract and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Contract created by acceptance of said Bid.
Otherwise, said check shall become the property of the Agency.
Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contract to another bidder
8/9/2024 8/9/2024
Signature Bidder Date Signatu of Bidder Date
Sabas Truiillo- President Sabas Truiillo- Secretary
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures of corporate o?‘icersare required.)
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‘ipal
(s —»—- ,
bu‘lni
McSweeny Parkway Crossing
CIP No. 56983 BIDDER'SPROPOSAL(cont'd)
BIDSECURITYFORM FORBOND
KNOWALLBYTHESEPRESENTS:
That the undersigned
Prestige Paving Company
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as obligee, in the penal sum of Ten Percent of the Amount Bid Dollars 10% |awfu|
money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bidfor McSweeny Parkway Crossing, CIP No. 56983 THE CONDITIONOF THIS OBLIGATIONIS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESSWHEREOF, the above bounden parties have executed this instrument this 13th day of t 20;}.
(Month)
(Corporate Seal) By
Print Name
By The Ohio Casualty Insurance Company
Surety
(Corporate Seal)
yVince Attorney—in-Fact
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Amy/3+ I MM mm
J
m w / Mmm
Helre ?t};at Trusjill
igner(s)
sis of satisfactory evidence to be the persongvrwhosenameMis/ayésubscr acknowledged to me that he/sbe?hef/ executed the same in his/tya‘f/tbe/ir that by his/h??the/ir slgnaturew’an the instrument the personmfor the anti I «m ESLVmm» mums-am
} NotaryPub“: A autumn I
i LMAnkles County §
' CommissionI 14736"
W MyComm.[lilies NOV11.1017
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
Anotary publicorother officercompleting this certificateverifiesonlythe identityofthe individualwho signed the document to whichthis certificate is attached, and not the truthfulness, accuracy, or validityofthat document.
State of California
County of 110
On a before me, II 65%”,JrUlWW 6
Date Insert Name and Title of the Of?cer
personally appeared 0
Name(s) of
who proved to me on the ba ibed
to the within instrument and
authorized capacity(ies£ and ty
upon behalf of which the personlz) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Sig natu re Place Notary Seal and/or Stamp Above of Notary Public
OPTIONAL
Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Attached Document
Title or Type
Document Date: mber of Pages:
Signer(s) Other Than Named
Capacity(ies) Claimed by Signer(s)
Signer's Name: 5 Name:
Corporate Officer — Title(s) Officer — Title(s):
I: Partner — Limited El Partner Limited El General
III Individual ey in Fact Individual Attorney in Fact
Trustee Guardianor Conservator Trustee uardian or Conservator Other: Other:
Signer i nting Signer is Representing
@2019 National Notary Association