17.D
M3 your tracting proj
Zrype
1%
C0 lete Subcon Plan for this ect below:
IS THE SUBCONTRACTOR IF SUBCONTRACTORIS SECTION 3, INDICATE
AMOUNT OF
SUBCONTRACW)
SECTION 3 ELIGIBLE? ELIGIBLE STATUS.
TRADE
YES OR NO
51% OWNER / 30% EMPLOYEE
* Add additional sheets if necessary
Bidder (Company) Name Aneen Construction, Inc.
Authorized Representative Name): Tamer Khali PResident
Signature:
08.26.24
17.D
MPLETED SUBCONTRACTO
www.hud.gov/section3
“TL
{
initial
Herc
Required Bid Form for bids
$200,000 or more
SUBCONTRACTOR CERTIFICATION FOR SECTION 3 COMPLIANCE
MUST BE CO BY ALL RS
(Housing and Community Development Act of 1968)
Project Title: CDBG 6786
Subcontractor: N/a
Contractor/Bidder: Aneen construction, inc.
The undersigned hereby certi?es that he/she has read and understands City of Hemet's Section 3 Af?rmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and further certi?es adoption of, and adherence to, said program, and certi?es understanding of the following for all prime construction contracts over $200,000:
a. I understand and agree that in the event that I am awarded a subcontract, and in the event that any new employment opportunitiesare created as a result of this CDBG—fundedproject, I will contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to
review the list of certi?ed Section 3 persons, within City of Hemet, considered for available employment opportunities;
b. I will forward to the Department of Housing & Workforce Solutions all detailed job descriptions and Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions EXHIBIT B-10
Here
17.D
Complete your proposed workforce plan for this project below:
NUMBER OF
JOB CATEGORY CURRENT
NEW HIRES NUMBER OF NEW HIRES % OF NEW HIRES TO BE
POSITIONS
IF PROPOSED TO BE SECTION 3
AWARDED SECTION 3 RESIDENTS
BID
PROFESSIONALS
TECHNICIANS
OF FICE/ CLERICAL
CONSTRUCTION BY
TRADE
TRADE
TRADE
TRADE
TRADE
TRADE
APPRENTICE
TRAINING
OTHER
TOTAL
Subcontractor (Company) Name:
Authorized Representative (Type Name):
Signature:
17.D
0 [EM
agnoliaaveggiverside.
Y
SQWATNETamer Khalil.President
1/:Lug
LA
EXHIBIT B-7
Required Bid Form
BID ER CERTIFICATION ON
FE ERAL CONT CT QUI MENTS
PROJECT NAME: CDBG 5786
CERTIFICATION:
I hereby certify that I have reviewed and understand the diversi?ed Federal construction contract related requirements imposed on the Contractor(s) of HUD— funded constructionprojects, including but not limited to the following:
1 The subject project is being ?nanced with Community Development Block Grant funds (24 CFR Part 570);
2 This project and all related construction contracts are subject to the US.
Department of Housing and Urban Development’s Federal Labor Standards Provisions (HUD 4010 — revised 06/2009); and
1 This project is subject to all applicable laws and regulations as listed in the General Summary of these Special Federal Provisions; and
2. If my bid is $200,000 or more, this project and all related contracts willsubject to Section 3 requirements (12 U.S.C.l701u).
CONTRACTOR’SNAME- Aneen Construction, inc.
CONTMCTOR’S LICENSE NO ' 1004775
ADDREss; 9938 M ca 92503
AUTHORIZED REPRE
SIGNATURE:
{IE’EY E E EI'
{L‘E'EEEQEPEKEQEGRE
(Type Name)
17.D
EXHIBIT B-8
Required Bid Form
QUESTIONNAIREREGARDING BIDDERS
Bidder has been engaged in the contracting business under the present name of Aneen Construction. inc , smce 2014 (Date).
Present business address is: 9938 magnolia ave riverside, ca 92503 Federal Tax ID: 47-2420446 Amount of Bid $
California Contractor's License No.: 1004775 Expiration Date: 6.30.25 UEI Number: or CAGE Code:
Because this project is Federally—funded,it is necessary to obtain information concerning minority and other group participation for statistical purposes. The US. Department of Housing and Urban Development (HUD) uses this information to determine the degree to which its programs are being utilized by minority business enterprises and targeted group contractors.
A minority enterprise is de?ned by the Federal Government as a business that is ?fty—onepercent (51%) or more “minority-owned”. Please check applicablebox concerning the ownership of your business:
CI American Indian or Native Alaskan
Asian or Paci?c Islander/Native Hawaiian
Black/African American
Hispanic
White
Hasidic Jews
Other
A woman-owned enterprise is de?ned by the Federal Government as a business that is ?ftypercent (50%) or more woman-owned.Please check applicablebox concerning the ownership of your business:
El Woman/Female owned Male owned
A Section 3 Contractor or Subcontractor is a business concern that is more than ?fty-one percent (51%) owned by a low or very low-income person, or a business concern that provides economic opportunities to low and very low-income residents. Please check applicable box concerning the ownership of your business:
El Section 3 Business concern Non-Section 3 Business concern The United States Department of Housing and Urban Development (HUD) is authorized to solicit the information requested in this form by virtue of Title 12, United States Code, Section 1701 et seq., and other regulations. It will not be disclosed or released outside of HUD without your consent, except as required or permitted by law.
17.D
EXHIBIT B-9
Required Bid Form
IJSFOFSUBCONTRACTORS
ADDRES S/PHONE NO
n/a
SUPPUERS
NAME OF SUPPLIER ADDRESS/PHONE NO. CONTRACT AMOUNT
Superior ready mix Hemet, ca 90,000
This form is to be completed and submitted with the bid package.
FED. I.D.# AMOUNT
17.D
PPENDIX1
Rev. €
3 Fehmary 2020
A
17.D
' d MLCDBGACCESSIBLESlDEWALK/ADAPROJECT Rev. g}
CIP No. 5768 BIDDER'SPROPOSAL Pebmarg 2029
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the CDBGAccessible Sidewalk/ADAProject, CIP No. 5768, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/oruse tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency will not be responsible for any errors or omissions on the part of the undersigned in submitting this proposal.
Contractor confirms that his/her/its bid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been 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.
17.D
ign
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Sig
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Approach per City
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CDBGACCESSIBLESlDEWALK/ADAPROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont’d)
BIDSCHEDULE
BASEBID- CDBG ACCESSIBLESIDEWALK/ADA PROJECT,CIP No. 5768
EXTENDE
ITEM ESTIMATED UNIT D DESCRIPTION UNIT ITEM
No QUANTITY PRICE AMOUNT
1 Mobilization not to exceed 5% LS 1
$ 28,000.00 $ 28,000.00
2 Traffic and Pedestrian Control L8 1
6500000 $ 651000-00
Temporary Construction Project 3
Identification8 EA 2
$190000 $ 2'000'00
4 Water ua| Control L8 1
10,000.00 $ 10,000.00
Adjust Ex. Manhole to New F.S
5 per Owner Agency Std. & $ 2,900.00 $ 2,900.00
EA 1
5 Remove & relocate existing $ 55000 $ 5,500.00
mailbox EA 10
Adjust Ex. Water Meter
7 Box/Traff. Box to finish surface EA 6
$ 900'” $ 5’400'00
8 , $ 6,630.00
Relocate Ex. ns and Posts. EA 17
$ 390 00
Remove and Replace Exist ADA
10 Construct 4" thick PCC sidewalk $ 1250 150 000 00
r C Std. SF 12000
$ '
'
11 Construct PCC Driveway SF $ 2500 $ 25,625.00
Std. 1025
12 Remove, Uproot and dispose EA $ 357500 $ 29,400.00
ex. Tree/tree stum 8
13 Remove & relocate existing LF $ 19.50 $ 8,775.00
fe 450
Remove Ex. PCC/AC &
14 Construct New PCC driveway SF 3527.00 $ 14,040.00
roach r C Std 520
15 Remove & Dispose Ex. Masonry $ 1,350.00 $ 5,400.00
Wall/Pilaster EA 4
15 Construct type "A"Curb and $ 56.00 $ 12,600.00
Gutter r Std LF 225
RW. {3 Fe?ruary 202s:
17.D
(numbers
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TOTAL BIDADDITIVEA (numbers)
thumnm nammwaaumarmn
words “l1/
CDBGACCESSIBLESIDEWALK/ADA PROJECT Rev. {E
CIP No. 5768 BIDDER'SPROPOSAL(cont’d) February 282%
BASEBID- CDBGACCESSIBLESIDEWALK/ADA PROJECT, CIP No. 5768
EXTENDED
ITEM ESTIMATED UNIT
DESCRIPTION UNIT ITEM
NO QUANTITY PRICE AMOUNT
TOTALBASEBID l $ 564,120.00
END OF BASE BID ITEMS
ADDITIVEA BID ITEMSAS FOLLOWS:
ITE EXTENDED ESTIMATED
M F ITEMS
UNI UNIT ITEM
No
T QUANTITY PRICE AMOUNT
A1
END OF ADDITIVEA BID ITEMS
BASEBIDTOTAL(in words) Five Hundred Sixty Four Thousand One Hundred Twenty Dollars and Zero Cents Contractor's Initials
ADDITIVEA BIDITEMSTOTAL (in )
Contractor's Initials
In the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. If the bid is illegible and cannot be reconciledit will be considered non-responsive and will not be consideredfor award.
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid schedule(s) only unless otherwise specified in the Notice Inviting Bids or by Addenda if issued to supersede the Notice Inviting 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).
17.D
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
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. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency’sdetermination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregularity(ies),and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bidsand Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
Allbids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by "(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor’s own forces.
By signing and submitting this bid the Contractor confirms that they are familiar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein or in the Contract Documents and that all the aforementioned has been included in the bid prices listed above, including items of work that may not have a specific pay line item and that there shall be no additional costs to the Agency.
WARNING:If an addendum or addenda have been issued by the Agency and not noted above as being received by the bidder, this Bidmay be rejected.
Complete the following:
LC Paving & Sealing, Inc. 1000004325 621610
Legal name of the business, DIRReg. and Contractor License Nos.
Rm. £
3 Eiabmary 263
17.D
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CDBG ACCESSIBLESlDEWALK/ADA PROJECT Rev.
CIP No. 5768 BIDDER'SPROPOSAL(cont'd) February 2629
Corporation
Business Type (Corporation, Partnership, Sole Proprietor) DBA(if any)
Jose Salinas; President, Vice President &Secretary
Name and title of the owner
Name and title of second partner or officer
620 Alp Wav Escondido 92029
Business Address
760—752-1743
Telephone number
760-752-1674
Facsimile number
Marisa Haas [email protected]
Name and Emailaddress of primary contact
Company web address
re of Bidder Date Signature of Bidder Date
Jose Salinas; President, Vice President &Secretary
Print name and title Print name and title
(If the Bidder is a corporation two signatures ofcorporate o?icersare required.)
17.D
MARISAANNHAAS
Noury Puhlk- Callwrnll
SmmegaCounty .» 1.,_ CommlmonII 1AM!”
- My(mum. Expku 0:! ‘7. 2017
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate veri?es only the identity of the individual who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
vali of that document
State of California _ County of San D'ego l
Marisa Haas, Notary Publilc
(insert name and title of the officer)
On before me,
personally appeared Jose Salinas
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same i n his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. l 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 (Seal)
17.D
Signa
[—41
74/
CDBGACCESSIBLESlDEWALK/ADA PROJECT Rev. £3
ClP No. 5768 BIDDER'SPROPOSAL(cont’d) Febmaw282G
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess one of the following State Contractor's License:
State of California 621510 Contractor’s License
Combination of Specialty Class B & 0—12 Contractor’s Licenses
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or(3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/itpossesses the required Contractor's license(s) which:
a Bears the license number(s) 621610 AB. & 0-12
b. Expires on 08/31/2024
re of Bidder Date Signature of Bidder Date
Jose Salinas; President, Vice President & Secretary
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate o?'icersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency’s decision as to the required license will be final.
17.D
MRISAANNHMS
_ ’ Nuury Public- (al?ornh
g; ‘
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v CammlsstanI 1465339
hm. Mymum.Explm on I7, 1017
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
val of that document.
State of California _ County of San D'ego 3
Marisa Haas, Notary Publilc
(insert name and title of the officer)
On before me,
personally appeared Jose Salinas
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same i n his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and
Signature (Seal)
17.D
Paving Sealing.
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
BIDSECURITYFORM FOR BOND
KNOWALLBYTHESEPRESENTS
That the undersigned
LC & 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 oblige, in the penal sum of Ten PercentofBidAmount
Dollars(510%of Bid l lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid,for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bidfor [PROJECTNAMEANDDESCRIPTION] CDBGAccessibleSidewalk/ADAProject;CIPNo.5768
THE CONDITION OF THIS OBLIGATIONIS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 23rd day of Auaust 20%.
(Month)
LC Inc.
(Corporate Seal) By
cipal
InsuranceCompany
By
LawrenceF. McMahon,Attomey-in-Fact
(Corporate Seal) By
17.D
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
vali of that document.
State of California _ County of San Diego
On before me Marisa Haas, Notary pubmc
(insert name and title of the officer)
personally appeared Jose Salinas
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of Californiathat the foregoing paragraph is true and correct.
WITNESS my hand and seal MARISAANN ms
Notary Public- California
SanDiegoCaunty g
Commissionii 2466839
Comm.ExpiresOct17, 2027
Sign (Seal)
17.D
ACKNOWLEDG ENT
A notary public or other of?cer completing this
certificate veri?es only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
val of that document.
State of California _ County of San D'ego l
On August 23, 2024 before me, Minna Huovila,Notary Public (insert name and title of the officer)
persona?y appeared Lawrence F. McMahon
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same i n his/herltheir authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. 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 of?cial seal.
Signature (Seal)
MINNAHUOVILA
COMM.#2473536
NOTARYPUBUCCAUFORNM SANDIEGOCOUNTY
MyCommission Expires
DECEMBER 2027
LOSS
17.D
of?ce
writings
MIDWEST
INSU
Resolved.that the President, or any of?cer. he and hereby is. authorized to appoint and empower any representative of the Company or other person or persons as Attomey—ln-Factto execute on behalf of the Company any bonds, undertakings, policies. contracts of indemnity or other writings obligatory in nature of a bond not to exceed Ten Milliondollars ($10.000,000,00). which the Company might execute through its duly elected of?cers and af?x the seal of the Company thereto. Any said execution of such documents by an Attorney-In-Fact shall be as binding upon the Company as ifthey had been duly executed and acknowledged by the regularly elected of?cers of the Company. Any Attorneyvln<Faot,so appointed, may be removedin the Company's sole discretion and the author‘?yso granted may be revoked as speci?ed in the Power of Attorney.
Resolved.that the signature of the President and the seal of the Company may be af?xed by facsimile on any power 01attorney granted, and the signature of the Secretary. and the seal of the Company may be af?xed by facsimile to any certi?cate of any such power and any such power or certi?cate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed a certi?cate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company.
its
W
, and
i
instrument;
that
if;
V
that
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S .
Shaunty
claim
containing
fraudulent
POWER OF ATTORNEY
Great idwest Insurance Company
KNOWALLMEN BYTHESE PRESENTS, that GREAT MIDWEST INSURANCECOMPANY, a Texas Corporation, with its principal in Houston, TX, does hereby constitute and appoint:
Sarah Myers, Janice Martin, Maria Guise, Ryan Warnock, Lawrence F. McMahon, Maria Hallmark its true and lawfulAttorney(s)-|n-Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other obligatory in nature of a bond
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of GREAT RANCECOMPANY, on the 1Stday of October, 2018 as follows:
nd
INWITNESSTHEREOF, GREAT MIDWESTINSURANCECOMPANY, has caused this instrument to be signed by its President, and Corporate Seal to be af?xed this 11th day of February, 2021.
GREAT MIDWESTINSURANCECOMPANY
OORPOFIATE SEAL BY
MarkW. Haushill
President
ACKNOWLEDGEMENT
On this th day of February 202 before me, personally came Mark W Haushill to me known who being duly sworn, did depose say that he is the President of GREAT MIDWEST NSURANCECOMPANY the corporation described in and which executed the above he executed said instrument on behalf of the corporation by authority of his of?ce under the By-Iaws of said corporation.
CHRISTINABISHOP
Notary Public,State of BY
Comm. Expires 04-14-2025 Christina Bishop
ID 131090488 Notary Public
CERTIFICATE
I, the undersigned Secretary of GREAT MIDWESTINSURANCECOMPANY A Texas Insurance Company DO HEREBYCERTIFY original Power of Attorney of which the foregoing is a true and correct copy Is In fullforce and effect and has not been revoked and the resolutions as set forth are now in force.
igned and Sealed at Houston, TX this 23rd Day of August 20 24
CORPORATE SEAL BY
Leslie K.
Secretary
“WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a insurance act, which is a crime and subjects such person to criminal and civil penalties.
17.D
of Califo
n3 [
WI
Signat e
CDBGACCESSIBLESIDEWALK/ADA PROJECT Rev. E}
ClP No. 5768 BIDDER'SPROPOSAL(cont’d) February 202%?
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
| am the President ofLCPaving &Sealing, Inc.
foregoing bid.
the party making the
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 rnia that the foregoing is true and correct a that this declaration is executed on date], at [city], state].
of Bidder Date Signature of Bidder Date
Jose Salinas; President, Vice President & Secretary
Print name and title Print name and title
{Ifthe Bidder is a corporation, two signatures ofcorporate o?‘icersare required.)
17.D
ACKNOWLEDGMENT
A notary public or other officer completing this
certi?cate verifies only the identity of the individual who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
val of that document.
State of California . County of San Diego
Marisa Haas, Notary Publilc
(insert name and title of the officer)
On before me,
personally appeared Jose salmas
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTYOF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
MARISAANNHMS
Notary Public- Callfornla
SanDiegoCaunty
Commlsslonr 2466839
Comm.ExplresOct17.2027
WITNESS my hand and official seal
W1 Signature (Seal)
17.D
. .____
H- Attached ‘ .....
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 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 Please See Sheet
Contract Price Date of Completion:
Name, Address, and Telephone Number of Owner's Representative Project Name:
Contract Price: Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
Project Name:
Contract Price: Date of Completion:
Name, Address, and Telephone Number of Owner's Representative:
(Attach additional pages as necessary)
Rev” {E 2820
17.D
1‘ug:[email protected]
Tcarrico@ci§yofsanteec gov
CITYOF ENCINITAS
505 S VULCANAVENUE
ENCINITAS, CA
*ANNUALCONTRACT$1,100,000.00
CITY OF MENIFEE
29844 HAUN ROAD
MENIFEE, CA92586
MURRIETAROAD/SUNCITYBLVD
$789,165.20 — MAY2023
CITYOF VISTA
200 CIVICCENTER DRIVE
VISTA, CA92084
*2022 PEDESTRIANMOBILITY
$467,949.45 — OCT 2022
CITYOF HEMET
445 E FLORIDAAVENUE
HEMET, CA92543
*CDBG2021/22ACCESSIBLESIDEWALK
$461,852.50 — APRIL 2023
CITYOF TEMECULA
41000 MAINSTREET
TEMECULA, CA92590
*CITYWIDECONCRETEREPAIRS
$272,369.97 — APRIL 2023
COUNTYOF RIVERSIDE
2950 WASHINGTONSTREET
RIVERSIDE, CA92504
*SYCAMORECANYONBLVD
$872,767.25 — DECEMBER 2023
CITY OF SANTEE
10601 MAGNOLIAAVENUE
SANTEE, CA92071
REFERENCES
JOHNUGROB
760-633-2854
DON SHARP
[email protected]
951.723.3726
JASONRIVERA
[email protected]
760.643.5422
DARYLSCHOLES
[email protected]
951.765.2361
RYAN CASTILLO
ryan.castillo@temeculaca.
gov 951.693.3964
DUSTIN RACE
[email protected]
951-203-6272
TAYLOR CARRICO
619-258-4100
*PROSPECTAVE & MESA RD INTERSECTION
*750,927.00 — FEB 2024
17.D
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s DIR Registration of Business Percentage of Work License No. Number
Tree & 654506 1000001936 V & E Tree Service
Orange CA Sod Removal
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
Rev. E
)
February mag?
17.D
CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
BIDDERCERTIFICATIONS
TO BEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBID
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 Bidderwithin 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 willcomply 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 COMPLIANCEWITHPUBLICWORKSCHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non-discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
Raw. G
Famuary gags
17.D
rikeaut
CDBGACCESSIBLESlDEWALK/ADA PROJECT Rm. :3
CIP No. 5768 BIDDER'SPROPOSAL (cont'd) mmm2m
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation of law or safety regulation, except as indicated on the separate sheet attached hereto entitled ”Previous Disqualifications.” If a statement of ”Previous Disqualifications” is attached, please explain the circumstances.
CERTIFICATIONOF ADEQUACYOF CONTRACTAMOUNT
By my signature hereunder, as the Contractor, pursuant to LaborCode 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 willbe relying on this certification if it awards the Contract to the undersigned.
CERTIFICATIONREGARDINGDIRCONTRACTOR/ SUBCONTRACTORREGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all listed Subcontractors are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.
Contractor’s registration number is [please complete] 1000004325 Subcontractors’ registration numbers are as indicated in Document 00 4314.
CERTIFICATIONREGARDINGPREQUALIFICATIONINFORMATION[OPTIONAL] By my signature hereunder, as the Contractor, I certify as follows:
a. Contra prequalified for this Project by submitting its Statement of Qualifications, dated (500)-
b. [Please complete the following as inapplicable] Subsequently, on or about and Contactor submitted
further information supple ing for foregoing Statement of Qualifications. c. Allinformation described above is to as the ”QualificationInformation." d Contractor has carefully reviewed all of ing QualificationInformation. e [Please check and/or complete one ofthe
All Prequalification Information remains true and in all material respects as of the date hereof, as if such information were actually submitted to Owner as of the date hereof.
Except as otherwise expressly set forth in separate Prequalification Information, submitted with the Bid, all Prequalification Information ins true and correct in all material respects as of the date hereof, as if such i ion were
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(17; WMLUL
Sign (H, Date
CDBGACCESSIBLESIDEWALK/ADA PROJECT Rev. Q
CIP No. 5768 BIDDER'SPROPOSAL(cont’d) Beeruaw2020
actually be to Owner as of the date hereof. [Contractor must provide Additional Prequalification as described above ifthis item is checked.]
CERTIFICATIONOF
[Insert other Owner-specific certifications, if applicable. Otherwise, BIDDER:
re of Bidder Signature of Bidder Date
Jose Salinas; President.Vice President & Secretary
Print name and title Print name and title
(If the Bidder is a corporation, two signatures ofcorporate o?icersare required.)
17.D
Jose Salinas
dence to be the person(s) whose name(s) is/are
MANSAANNHMS
Notary Fun“: - Cal?ornia
Sm DmoCounty
cammlsslanl 24“!” ‘
Mycomm.Explm 0:! n.1027
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certi?cate is
attached, and not the truthfulness, accuracy, or
valid of that document.
State of California . County of San Diego
On before me Marisa HaaS, Notary Publilc
(insert name and title of the officer)
personally appeared
who proved to me on the basis of satisfactory evi
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal
m1VNN Signature (Seal)
17.D
-|EDw
BA20231586185 2
00 STATE OF CALIFORNIA For Of?ce Use Only “7 Office ofthe Secretary ofState g STATEMENT OF INFORMATION F L g
CORPORATION _ H California Secretary of State F'le N05 BA20231586185 o 1500 11th Street Date Filed: 10/12/2023 3
Sacramento, California 95814 N
(916) 653-3516 s
oNw
Entity Details 5:)
Corporation Name L.C. PAVING & SEALING, INC. g
Entity No. 3286410 to
Formed In CALIFORNIA 3
‘;U
Street Address of Principal Of?ce of Corporation 8
Principal Address 620 ALPINEWAY CD
ESCONDIDO.CA 92029 2'
(‘D
MailingAddress of Corporation 0"
MailingAddress 620 ALPINE WAY g
ESCONDIDO, CA 92029
0 Attention Marisa Haas B;
Street Address of California Office of Corporation I:
Street Address of California Office 620 ALPINE WAY g
ESCONDIDO, CA 92029 E
-
1::
Of?cers an Of?cer Name Officer Address Position(s) 8
JOSE A. SALINAS 620 ALPINE WAY Chief Executive Officer.Secretary. Chief FinancialOfficer 8 ESCONDIDO, CA 92029 g
Q
AdditionalOf?cers 0
I'h
Officer Name Officer Address
U)
None Entered g
d0
Directors
Director Name Director Address
JOSE A. SALINAS 620 ALPINEWAY
ESCONDIDO, CA 92029
The number of vacancies on Board of Directors is: 0
Agent for Service of Process
Agent Name JOSE A. SALINAS
Agent Address 620 ALPINE WAY
ESCONDIDO, CA 92029
Type of Business
Type of Business LC PAVING AND SEALINGINC
Email Noti?cations
Opt-in Email Notifications Yes. I opt-into receive entity notifications via email Labor Judgment
No Officer or Director of this Corporation has an outstanding final judgment issued by the Division of Labor Standards Enforcement or a court of law. for which no appeal therefrom is pending. for the violation of any wage order or provision of the Labor Code.
Stated Position
17.D
Electronic Signature
8 By signing. I affirm that the information herein is true and correct and that I am authorized by Californialawto sign.
Marisa Haas 10/12/2023
Signature Date
9:243 ;0 519491093 ETUJOJTTED Kq peAIeoeu 8
E
L
17.D
EXHIBIT B-4
Required Bid Form
CERTIFICATION OF BIDDER
REGARDING NONSEGREGATED FACILITIES
Project Name: CDBG Accessible Sidewalk &ADA Project CIP 5768 Name ofBidder: LC Paving & Sealing, Inc.
The above named Bidder hereby certi?es that:
I do not maintain or provide for my employees any segregated facilities at any of my establishments, and that I do not permit my employees to perform their services at any location, under my control, where segregated facilities are maintained. As used in this certi?cation, the term “segregated facilities” means any waiting rooms, work areas, rest rooms, wash rooms, restaurants and other eating areas, time clocks, locker rooms or other dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, color, religion, national origin, or because of habits, local customs, or otherwise.
I further agree to obtain identical certifications from all proposed subcontractors prior to the award of subcontracts exceeding $10,000.
Signature:
Name (Print): Jose Salinas
Title: President
17.D
HM
E
CITY OF E ET
AFFIRMATIVE ACTION PROGRAM
ECONOMIC OPPORTUNITIESFOR SECTION 3 RESIDENTS
AND
SECTION 3 BUSINESSCONCERNS
The work to be performedunder this contract is subject to the requirements of section3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701u (section 3). The purpose of section 3 is to ensure that employment and other economic opportunitiesgenerated by HUD assistance or HUD-assistedprojects coveredby section 3, shall, to the greatest extent feasible, be directed to low- and very low-income persons, particularly persons who are recipients of HUD Assistance for housing.
IT B-S
17.D
funded Community Developmentmoneys awardedto business ated and/or d in substantialpart by persons resi g within the Section over Enlist the upport ommunity agencies, ools unions
recruitment hiring training of low inch pers esiding
AFFIRMATIVE ACTION POLICY STATEMENT
The City of Hemet, as the Community Development Block Grant Administrator, shall take Af?rmative Action to insure to the greatest extent feasible that:
1 Contracts for work (involving both constructionand non-constructionprojects )
from be Ice in
owne din 3 0 ed
project area.
2. Lower income residents of said project area are to be provided,to the greatest extent feasible, employment and training opportunitiesemanating from such contracts.
It will be establishedpolicy to:
l. s of c sch and in the
, and me ons r Within
Section 3 project areas.
2. Insure that project area business are afforded a maximum feasible opportunityto bid on contracts.
3. Insure that contractors understandand comply with their obligations underthe Act (24 CFR Part 75).
4. Provide a system to periodicallymonitor and evaluatethe effectivenesswith which the plan is being carriedout.
To insure that we continue to meet our obligations and commitments we have developed a Section 3 AffirmativeAction Program. All contractors and sub-contractors are expected to demonstrate a spirit of support and cooperation in the implementationof this program.
The Executive Director of the Community Development Agency will be responsible for the implementation,administration, and monitoring of our policy and program.
Date: February 8, 1988 Supervisor Walt P. Abraham Chairman, Board of Supervisors
17.D
Contracting
af?rmative
extent feasible oppo s for training and employment he give lower income residents of the project area ntracts for work in connection with project be awardedto
DEFINITION OF TERMS
1 Business concerns located within the Section 3 covered project area: Means those individuals or ?rms located within the relevant Section 3 covered project area as determined, pursuant to 24 CFR 135.5.
2. Business concerns owned in substantialpart by personsresiding in the Section3 covered project area: Means those business concerns which are ?fty-one (51) percent or more owned by persons residing within the relevant Section3 coveredproject as determined pursuant to 24 CFR135.5. ,
3 party:Means any entity which contracts with a contractor for the performance of work in connectionwith a Section3 coveredproject.
4 Contractor:Means any entity whichperforms work in connectionwith a Sectioncovered project.
5 Lower income residentof the area: A person residing in the Community Development Block Grant project area of the City of Hemet whose annual family income does not exceed eighty (80) percent of the median income. (Calculations are to be based on the median income level as reportedby HUD).
6. Project area: In most cases the project area will be bounded by the City limits (or participants'City limits as applicable).However, priority shallbe given to personsliving within the City's Impact Areas.
III
SPECIFIC AFFIRMATIVE ACTION STEPS
In order to complywith Section 3 regulations actionmust be taken.This affirmativeactio n will be at least as extensive and speci?c as the following:
Each contractor and sub-contractorshall incorporate in all contracts for work in connection with a Section 3 covered project the following Section 3 Clause:
Every applicant, recipient, contracting party, contractor, and subcontractor shall incorporate, or cause to be incorporated, in all contracts for work in connection with Section 3 covered project, the following clause (referredto as a Section 3 Clause):
The work to be performed under this contract is on a project assisted under a program providing direct Federal ?nancial assistance from the Department of Housing and Urban Development, and is subject to the requirements of Section 3 of the Housing and Urban Development act of 1968, as amended, 12 US. C. 1701u. Section 3 requires that to the greatest rtunitie n to
and co the
business concerns which are located in, or owned in substantialpart by persons residing in the area of the project. Page 112 of 552
17.D
etary of Ho sing and Urban evelopment set
and orders 0 the Department sued hereunder
prior to the executionof contract The parti ntract certify and agree that are under no contractual ther disability whi event them from complying representativeof commitmentsunderthis
I notice in a cons uous place available to
Federal ?nancial assistance, take appropriate tion pursuant to the sub-tier contract upon ?nding that the subcontractoris in violation the regulations issued by the Secretary of Housing, and Urban Development,24 CFR 5 The contractor will not enter into any subregulations forth 24 CFR 570, and all applieabl s and rders of the amnem ued thereun prior the executionof the contract, he a ondition of Federal ?nancial stance ded
such assi ce, its ssor
Failure these requir subj the applicant ient,
contrac bcontr etors, and igns to those 5 peci
The parties to this contract will comply with the provisions of said Section 3 and the regulations issued pursuant thereto by the Secr u D
forth in 24 CFR 570, and all applicablerules f is
this es to this co they
or 0 ch would pr with
these requirements.
The contractor will sendto each labor organization,or representativeor workers,with which he has collective bargaining agreement or other contract, or understanding, if any, a notice advising the said labor organizationor workers; his
Section 3 Clause and shall post copies of the pic
employees and applicantsfor employment or training.
The contractor will include this Section 3 Clause in every sub-tier contract for work in connectionwith the project and will, at the directionof the applicant for, or recipient of, the ac
of
70. tier contract with any subcontractor where it has notice or knowledge that the latter has been found in violation of regulations under 24 CFR 570 and will not let any subcontract unless the subcontractor has ?rst provided it with a preliminary statement of ability to comply with the requirements of these regulations.
Compliance with the provisionsof Section 3, the set in
e rule 0 Dep :iss der to
shall 0 the assi provi to the project
binding upon the applicant or recipient for stan succe s, and assigns. to ful?ll ements shall ect or recip its
tors and su a its successors, ass anctions s ?ed
by the grant or loan agreement or contract through which Federal assistance is provided, andto such sanctions as are speci?ed by 24 CFR 135.
A11contractors and their subcontractors shall include as part of their bid proposal a copy of their Section 3 Af?rmative Action Plan. The Plan should inc1ude the following:
1. A preliminary statement of workforce needs (skilled, semi-skilled, unskilled labor and trainees by category).
2. Goals (in percentage) relative to utilization of lower income persons in project area.
3 Goals relative to the project dollar amount of subcontractors to be awarded to project area business.
17.D
‘
identifymg pro} _
IV
DISSEMINATION OF SECTION 3 PROGRAM POLICY
In order that all contractors of the City of Hemet have a ?lll understanding of the City's positionregarding this Section 3 Af?rmative Action Plan the following procedureswillbe initialed:
1. All advertisementsand invitationsto bid willincludethe City's Section 3 Af?rmative Action Plan requirements.
2. All Community Development Block Grant contracts will include the City's Section 3 Af?rmative Action Plan.
3. The Section 3 Grievance Procedure and signs shall be placed at construction sites the proiect as a Section 3 covered ect.
V
PROGRAM EVALUATION
Pursuant to Section 3 requirements (24 CFR 135.72,) the City of Hemet, as Block Grant Administrator, shall assist and actively cooperate with the Department of Housing and Urban Development in insuring the compliance of our contractors and subcontractors.
All contractors shall:
1. Maintain a list of all lower income area residents who have appliedwhether on their own or on referral from any source.
2. Set forth evidence, acceptable to the Executive Director or the Community Development Agency that its actions were not an attempt to circumvent program requirements, if vacant apprentice or trainee positions in its organization are ?lled immediately prior to undertaking work pursuant to a Section 3 covered project.
VI
COMPLAINT PROCEDURE
Who may ?le a complaint?
The following individuals and business concerns may, personally or through an authorize d
representative, ?le with the Assistant Secretary a complaint alleging noncompliancewith section 3:
1. Any Section 3 resident on behalf of himself or herself, or as a representativeof persons similarly situated, seeking employment, training or other economic opportunitie s generated ?om the expenditure of Section 3 covered assistance with a recipient or contractor, or by a representativewho is not a section 3 resident but who represents one or more Section 3 residents;
17.D
2. Any Section 3 business concern on behalf of itself, or as a representativeof other section 3 business concerns similarly situated, seeking contract opportunitiesgeneratedfrom the expenditure of Section 3 covered assistance from a recipient or contractor, or by an individualrepresentativeof Section 3 business concerns.
Where to ?le a complaint?
A complaintmust be ?led with the:
Assistant Secretary for Fair Housing and Equal Opportunity Department of Housing and Urban Development
Washington, DC, 20410.
Questionsregarding Section 3 compliance, proceduresfor ?ling a complaint, or the City of Hemet’s Af?rmative Action Program, should be addressedto:
Department of Housing & Workforce Solutions
CDBG Program Administrator - Section 3 Program
3403 10thStreet, Suite 300
Riverside, CA 92501
(951) 955-5933
17.D
L Employment Opportunities
www.hud,gov/section3
consi d fo
nitial
https://h dappshud.gov/Opportunityl’ortal/
Forward to the Department of Housing & Workforce Solutions all detailed job descriptions for new employment opportunitiesand Section 3 reports, in a form a pla , and at a time as directed by the Department of Housing &.Workforce Solutions. Initial Here Present a list, of the numberof total labor hours, Section 3 worker labor hours, and Targeted Section 3 worker labor hours expected to be generatedfrom the initialcontract and a list of proj dn er
nitial
d. Noti Section 3 Guard of tractor
employees plannin ndo er
nitial
Post aila positions job www,rivco'obs.org
Si e Heal
workfo
EXHIBIT B-6
Project Title:
$200,000 or more
BIDDER CERTIFICATION FOR SECTION 3 COMPLIANCE
(Housing and Community Development Act of 1968)
CDBG Accessible Sidewalk &ADA Project CIP 5768 Amount ofBid: $ 564_120_00 The undersigned hereby certi?es that he/she has read and understands City of Hemet's Section 3 Af?rmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and further certi?es adoption of, and adherence to, said program, and certi?es understanding of the following for all construction contracts over $200,000.
I understand and agree that in the event that I am awarded this contract, and in the event that any new employment opportunitiesare created as a result of this CDBG-fundedproject, I will:
a.
Fur:
Contact the US. Department of Housing and UrbanDevelopment (HUD) Section 3 website at to review the list of certi?ed Section 3 persons, within City of Hemet, to be available employment opportunities;and HUD Section 3 Opportunity Portal. Here
at:
of available positions,to includejob descriptionsand wage rates.
Here
interests regarding employment of Section 3
workers prior to hiring Initial Here
Submit a list of core (including administrative, clerical, positions pertinentto the constructiontrades) at the time of contact award.
IIere
and advertise Section 3 workers openings at:
Initial Here
Section 3 Plan. Initial
Complete your proposed plan for this project below
17.D
O 0 O
O
C)
0mm 0
Tuvmw
O
anm
O
JOB CATEGORY
PROFESSIONALS
TECHNICIANS
OFFICE/CLERICAL
CONSTRUCTION BY
TRADE
TRADE
TRADE
APPRENTICE
TRAINING
OTHER
CURRENT
POSITIONS
NUMBER OF
NEW HIRES
IF
AWARDED
BID
NUNIBEROF NEW I-IIRES
PROPOSED TO BE
SECTION 3 RESIDENTS
% OF NEW HIRES TO BE
SECTION 3
17.D
II. Subcontracting Opportunities
wwwhud. gov/section k
40 www,hudr gov/section] Sectio
httosrllhudannslhud,gov/Opoonunitvl’ortal/
opportuniti ;y’iiUD v
o ortunities
Dep e
Section 3 worker labor hours expected to be generate initial co projWof ava lable positions,to includejob d and wage
In tial Here
Notify Section 3 C di tor of contractor interests regarding employment of Section 3 workers prior to hiring. Initial Here
Submit a list of co employees (including administrative, clerical 'ng, and other positions pertinentto the constructiontrades) at the time of contact award. Initial Here Post avail 6 positions and advertise job Section 3 workers openings at: www.rivcojobsroru= Initial Here
EXHIBIT B-6
BIDDER CERTIFICATION FOR SECTION 3 COMPLIANCE
a. I understand and agree that for any and all subcontracting opportunitiesthat may result from this CDBG—fundedproject, I will contact the US. Department of Housing and Urban Development (HUD) Section 3 website at 3 to review the list of certi?ed Section 3 Businesses, within City of Hemet, to be considered for available subcontracting opportunitiesprior to selecting any subcontractorfor my bid submittal.
Initial Here
b. I understand and agree that any and all sub-contracts and sub-tier agreements resulting ?‘om this CDBG—?mdedproject are also subject to Section 3 compliance,and therefore, as the General/Prime Contractor, I am responsible to ensure compliance from all subcontractors. Initial Here
i. Contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed 3 persons, within City of Hemet, to be consideredfor available employment Section 3 Opportunity Portal at: Initial Here
j. Forward to the Department of Housing & Workforce Solutions all detailedjob descriptionsfor new employment and Section 3 reports, in a form, at a place, and at a time as directed by the of Housing & Workforce Solutions
Initial Here
k. Present a list, of the number of total labor hours, Section 3 worker labor hours, and Targeted d from the ntract and a list of
i escriptions rates.
17.D
Complete your Subcontracting proj
Represe ' e
WW
Plan for this ect below:
IS THE SUBCONTRACTOR IF SUBCONTRACTORIS SECTION3, INDICATE AMO OF SECTION 3 ELIGIBLE? ELIGIBLE STATUS SUBCON‘I'RACT($) YES 0R N0 - TRADE
51% OWNER / 30% EMPLOYEE
Tree &
Sod Removal $ 24’800'00
* Add additionalsheets if necessary
Bidder (Company) Name LC Paving & Sealing, Inc.
Authorized (Type Name): Jose Salinas
Signature
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Hem
BY ALL SUBCONTRACTORS
?/‘l Hams572/6HIM"@m?.me$(
[4 (57/665641/05,J/r/z.
-P?\\
furth
www.hud.gov/section3
4L
Page I on EXHIBIT .10
Required BidFormfor bids.
$200,000ormore
SUBCONTRACTORCERTIFICATIONFOR SECTION3 COMPLIANCE
MUST BE COMPLETED
(Housing and Community DevelopmentAct of 1968)
Project.Title: 5le
Subcontractor: ‘3’
The undersigned hereby certi?es that he/shehas read and understands City of et's Section 3 Af?rmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and er certi?es adoption of, and adherence to, said program, and certi?es understanding of the following for all prime construction contracts over $200,000:
a. I understand and agree that in the .event‘thatI am awardeda subcontract,and in the event thatanynew employment opportunitiesare created”as a resultof this CDBG—?mdedproject, I will contacttheUS. Departmentof Housingand Urban Development (HUD) section .23websiteat to
review the list of certi?ed Section 3 persons,within City of Hemet, to be consideredfor availableemployment opportlmities;
b. I will forward to theDepartment of Honsing & WorkforceSolutionsall detailedjob descriptionsand Section 3 reports, in a form,at a place, andat a time as directed by theDepartment OfReusing & WorkforceSolutions. ' InitialHer e
B—10 Page 120 of 552
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Cumn’r
POSITIONS
NUMBER OF
NEW m
AWARDED
BID
PROPOSED
O O
O
Name; f/ 57mg Sew/251177;.
(1/7
Complete your prOposed workforceplan for this project below:
JOB CATEGORY
PROFESSIONALS O O
“comm O O
OFFICEICEERICAL O O
CONS’ImON BY 0 C)
TRADE/re'aor 61' /Z 0
TRADE
TRADE
TRADE
TRADE
APPRENTICE
TRAINING
OTHER
QQCQ
TOTAL
\x.‘ “x
Subcontractor(Company)
Authorized Name):
Date:
KIMBER 01'"NEW BIKES % OF NEW mfg 3E TOBE
sxcrxom mmmws “CHOW
,
O
O
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a
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17.D
EXHIBIT
CERT
evelopme
AM CC. 7 55Si?ftrd/j’fl” Mz?Amoum#2
Heme:
Housing Develop»:
I. Employment Denomini?es
empl
apartment evelopm
www.hud.gov/Etion3
to be considered for available employment oppommil eciion Oppomm Pomlr Z Initial Here
at: h :/ u .hud 0v ortuni P rtal/
Forward epanrn miptions
fornew employment opportunitiesand Section 3 repons,in a ?rm, at a place,and at a n'rneas directedby the Departmentof Housing & Workforce Solutions. Initial Here Present a list, of the number of total labor hours, Section 3 worker ahor hours, and Targeted proj ed number of availablepositions,lo tions wage
Initinl Here
d. NagSection 3 Coordina ; of contract inter-st regardi workers prior lo hiring. Initial H
e. Submir a list of_ core employees (including adminisirative,cleri planning, and other positi des) at the time of contact ard. F Initial
Here ’
P08}! vnilablepositionsand advertisejob Section 3 workers ings wwwhvoojobsrorg , Initial Here
Sign the Section 3 Plan. mm:Here gi' Completeyour proposedworkforcep an for this project belo RequiredBidForm.for bid
s
$200,000 or more
BIDDER IFICATION FOR SECTION3 COMPLIANCE
(Housing andComn‘nmityD nt Act of 1968)
ProjectTitle: of Bid:
The undersigned hereby certi?es that lie/she has read and understandsCity of '5Section 3 Af?rmativeAction Program aswellas Section3 of the and Community an! Act of1968, and further certi?esadoption of, and adherence to, said program, and.certi?es understanding of the following fer all construction contractsOVer$200,000.
I understandandagree that in the Want thatI am aWar‘dedthis contract, and in the event that any new oyment oppoMtiesare created as a resultof thisCDBGé?mded project,I will:
a Contacthe11.5.D ofHous‘ing and Urban D on! (HUD) Section3 websiteat ‘toreview the list of certi?edSection3 persons,withinCity o?l-Ieme't, ics; and HUD S 3 ity
b. to the D ent of ?aming & Workforce Solutionsall detailedjob des .9.
Section 3 worker labor hours expectedto be generatedfromthe initialcontractand a list of includejob descrip and rates.
or 5 [[3 employment of Section3
ere
cal,
ons pertinent to the constructiontra aw
f. open at:
me E
.22.! 1.1 .vll levitlil §I1fiilnn Page 122 of 552 ‘11- 1|
17.D
CURRENT
NUMBEROF
NEW‘HIRFS
AWARDED
BID
PROPOSE
Hanna 1/)
UCLERICAL O
0 JOB CATEGORY
PROFESSIONALS
ANS
OFFIC:
CONSTRUCI‘IQNBY
TRADE
TRADE
TRADE
TRADE
TRADE
TIC}:
TRAINING
OTHER
POSITIONS
NUMBEROFNEW HIRES
D To BE
SECTION 3 RESIDENTS
9/.or NEW mansTOB
SECTION3 E
”grgerc»V
"
17.D
9531;!” E6
COMP
II. Subcontracting Opportlmities
unders agree nn’ac
Housi
0pm www.hud.gnV/section3
Section willrin Hemet,
oppomini cling submitml
entrants b-tier
comp gE
oprnent action
wwwrhudrgov/sectionS arti?
be consideredfor availableemployment opponuniti ; andHUD Swim at: htt s://huda srhud. nv/O ortuni Portal] 3 Initial Here Workforc
onrnent
Dep cmof Housing & Workfo gigInitial Here
ontrac
prujec number of availablepositions,to he ription wage
Initial Here
1. Noti Section 3 C
' aim of contractor interes regardin mplo
prior to hiring. Initial Here
Submit a list of core mplnyees (includingadministrative,clerical,p ' g, and other positions
pertinent to the construction trades) at the time of Contact award. Initial Here Post available positions and advmise job Section 3 workers 0 gs at: wwwg’vcojobsmg , Initial Here
Targeted
BIDDER CERTIFICATION FOR SECTION3 LIANCE
a. I tend and thatfor anyand all subeo ting Opportunitiesthat may result fromthisCDBG-?mdedproject,Iwill contacttheUS. .Departrnentof ngandUrban Devel ent (HUD) Section3 websiteat to review the list of certi?ed 3 Businesses, City of to be consideredfor available subcontracting tiespriorto sele any subcontractorformy bid Initial Here
1:. Iunderstandand agree that any and all sub-c and so agreements resulting from this CDBG-fundedproject are alsoSubjectto Section3 ’ ?ance, and therefore,
‘as the General/PrimeContractor, I am responsible to ensure compliance fromall subcontractors.
Initial Here
i. Contact the US. Departmentof Housing and UrbanDevel (HUD) S 3 website,at to reviewthelist of c ed Section3 persons, within City of Hornet,to 3 OpportunityPortal
j. Forward to theDepartment of Housing& e Solutionsall detailedjob descriptionsfor new emp opportunitiesandSection3 reports, in a{01111, at a place,andat .atimeasdirected by the tee Solutions.
1:. Present 'a list, Of the numberof total laborhours, Section3 worker labor hours, and Section 3.worker labor hours expectedto be generated fromthe initial 0 t and a list of ludej ob dose 5 and rates.
ts g e yment of Section3 workers
17.D
W
m???
EXHJBIT B-7
Required Bid Form
CITY OF HENIET
CDBG PROGRAM
BID ER CE IFICATION ON
FE E L CONTRACT QUIREMENTS
PROJECT NANJE: CDBG Accessible Sidewalk &ADA Project CIP 5768 I hereby certify that I have reviewed and understand the diversi?ed Federal construction contract related requirements imposed on the Contractor(s) of HUDfunded constructionprojects, including but not limited to the following:
1 The subject project is being ?nanced with Community Development Block Grant funds (24 CFR Part 570);
2 This project and all related construction contracts are subject to the US.
Department of Housing and Urban Development’s Federal Labor Standards Provisions (HUD 4010 — revised 06/2009); and
1 This project is subject to all applicablelaws and regulations as listed in the General Summary of these SpecialFederal Provisions; and 2 If my bid is $200,000 or more, this project and allrelatedcontracts will subject to Section 3 requirements (12 U.S.C.1701u).
CONTRACTOR’SNAME: LC Paving &Sealing, Inc.
CONTRACTOR’SLICENSE NO 621610
ADDRESS 620 Alpine Way Escondido CA 92029
AUTHORIZED ATIVE: W———(Type Name)
SIGNATURE:
17.D
AVW U . .@ .‘Scawg‘hm \w‘; \M L_
is Federally—funded,
pation for statistical
[i]
United States Department of Housing and Urban Dev:
asked in this form by virtue of Till: 12, UnitedStates Cute, and or raleuzd outside of HUD withoul your constnt, e
Department
3533—?
n information oncerm'ng minor
f Housing and
informn?
It will not
Em—IIBITB-8
Required Bid Form
QUESTIONNAIREREGARDING BIDDERS
Bidder has been engaged in the contracting business under the present name of since (Date).
Present business address is 620 Alpine Way Escondido CA 92029 Federal Tax ID: 272327769 Amount of Bid $ $ 564,120.00
California Contractor's License No.: 521610 Expiration Date: 03/31/2024 UEI Number: or CAGE Code:
Because this project it is necessary to obtai c ity and other group partici purposes. The U.S. 0 Urban
Development (HUD) uses this information to determine the degree to which its programs are being utilized by minority business enterprises and targeted group contractors.
A minority enterprise is de?ned by the Federal Government as a business that is ?fty-one percent (51%) or more “minority-owned”.Please check applicablebox concerning the ownership of your business:
II American Indian or Native Alaskan
Hasidic Jews
:I Asian or Paci?c Islander/NativeHawaiian
I] Black/AfricanAmerican
3 Hispanic
El White
2]
II Other
A woman-ownedenterprise is de?ned by the Federal Government as a business that is ?ftypercent (50%) or more woman-owned.Please check applicablebox concerning the ownership of your business:
El Woman/Femaleowned IX] Male owned
A Section 3 Contractor or Subcontractor is a business concern that is more than ?fty-one percent (51%) owned by a low or very low-income person, or a business concern that provideseconomicopportunities to low and very low—incomeresidents. Please check applicablebox concerning the ownership of your business:
El Section 3 Business concern Non-Section 3 Business concern The lopment (HUD) is authorized to solicit the on
requ Section 1701 et seq., and other regulations. be
xcept as required or permitted by law.
17.D
EXHIBIT B-9
Required Bid Form
LIST OF SUBCONTRACTORS
SUBCONTRACTOR FED. I.D.# AMOUNT ADDRESS/PHONENO.
V&ETree Service $ 24,800.00 PO. Box 3280 Orange CA 92865
S UP P L ERS
NAME OF SUPPLIER ADDRESS/PHONE NO. CONTRACT AMOUNT
Superior Readv Mix 1564 w Mission Rd Escondido CA 92029 75000-00 This form is to be completed and submitted with the bid package.
17.D
SAVIConstr proud submi Proj
collaboration lhisty ofpro] ino
SAVIConstructionInc, heade Profession Engineer
encompassingplanningdesign. onstruction anageme
(EIT)with18 years perienceinconstructiomanageme
yearsofexperience blicworksinleading?e crews.We
serviceto complete projectontimeandwit nbudget.
Contamsavi247@gmail,oom
eagerto resume profe
onstruclionlc.sp lizes
5768
lhous
yearsofexperiencein civil nee
also comprisesan Enginee Trai
desi and a high d in withover
n?de hatSAVIC tion liverthe b
SAVI Construction Inc,
6725 Birmingham Dr
Chino, CA 91710
Contact: Ramesh Bachuvala
Cell: (805) 889-3547
August24, 2024
Ms.CandaceSunds
Purchasing
445E.FloridaAve
Hemet,California92543
Subject: CDBGFundedAccessibleSidewalk/ADAProjectCapitalImprovementProjectNO.5768 DearMs.Candace,
uctionInc.is to tour Bidfor ect No. . We are
withthe city; pe ect is directly urwhee e. SAVIC
complianceconstruction,sidewalks,andcurbs&gutters.
is d by a al (PE)with18
, and c m nt. Ourteam
ofex n nt and gn Iyskille
inpu Id are co ntt onstruc
your hi
FirmInformationSummary
LegalNameof Firm:
Company Address:
ContactPerson:
SAVIConstructionInc.
6725BirminghamDr
Chino,CA91748
RameshBachuvala
FirmPrincipal&President
Cell:(805)889-3547
Email:
Please feelfreeto contactus ifyou have anyquestionsorneedfurtherinformation Sincerely,
{QWMKLV
SAVIConstructionInc.
RameshBachuvala
6725BirminghamDr
Chino,CA91710
our ssiona
ecia linAD
A
engi rin
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reman g 2
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t
17.D
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CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the CDBG Accessible Sidewalk/ADAProject, CIP No. 5768, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructed in turn-key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/or use tax upon any materials so furnished, including any unit prices and additive/deductiveitems. The undersigned has also carefully checked all of the figures given and understands that the Agency for any errors or omissions on the part of the undersigned in submitting this proposal.
Contractor confirms that his/her/itsbid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their proposal, Contractor acknowledges receipt of Addenda No.(s \-I &A
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.
17.D
8/20/24, 4:00 PM Q&Afor Accessible Sidewalk and ADAProject - CDBG Funded - CIP 5768 AccessibleSidewalk and ADAProject - CDBGFunded - Cl...
0&ADeadlineAugust 79, 2024 3:00 PM (PDT)
Set 1 Released via Addendum1 08/07/2024 11:34 AM(PDT)— 1 question
1.1 Please providethe Engineer's estimate
Answer $150,000 budgeted
https://vendors.planetbids.com/portall39477/bo/bo-detai|/120232# Page 130 of 552 1/
17.D
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
BIDSCHEDULE
BASEBID- CDBG ACCESSIBLESIDEWALK/ADA PROJECT, CIP No. 5768
EXTENDED
ITEM ESTIMATED UNIT
No
DESCRIPTION UNIT QUANTITY PRICE AngI
TN-r
1 , Mobilization (not to exceed 5%) LS 1 i600 O S6.0 0 0 2 Traffic and Pedestrian Control LS 1 I;13000 5t49000
Temporary Construction Project 3
identification Sign EA 2 SUS0 0 $ 3, 0 0 O
4 Water Quality Control L8 1 S41500 3’Li5-00
Adjust Ex. Manhole to New F.S
5 per Owner Agency Std. &
Specs. EA 1 32.500 5}!51501)
5 Remove & relocate existing
mailbox EA 10 $ 500 El5.005
Adjust Ex. Water Meter 7 Box/Traff. Box to finish surface EA 6 ¢ 500 34;3.000 8 Relocate Ex. Signs and Posts EA 17 4»[000 5i(T)000
9 Remove and Replace Exist ADA
Ramp per City Std. EA 29 $ 4. 0 OO3‘203, 000
10 Construct 4" thick PCC sidewalk
per City Std. SF 12000 33lg 42‘
62000
11 Construct PCC Driveway SF _ Approach per City Std. 1025 $ 7’4, t '2 4 ’é’?§ 12 Remove, Uproot and dispose EA
ex. Tree/tree stump. 8 3P2-000 ‘f(6 ’ OO 0
13 Remove & relocate existing LF . 2 3 of
fence/gate 450 $ g?" 4 [L'L
Remove Ex. PCC/AC &
14 Construct New PCC driveway SF
approach per City Std. 520 j)(+4: $23/q 20
15 Remove & Dispose Ex. Masonry
Wall/Pilaster EA 4 $1l0 0 $Ll’H00
15 Construct type "A"Curb and A D
Gutter per City Std. LF 225 5t4’O “a”3’50
17.D
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7;“
CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
BASEBID — CDBG ACCESSIBLESIDEWALK/ADA PROJECT,CIP No. 5768
EXTENDED
I252" DESCRIPTION UNIT £53213;ngIIJRIICIE ITEM
AMOUNT
TOTAL BASEBID(numbers $1434;
**********~k************************* END OF BASE BID ITEMS ADDITIVEA BID ITEMS AS FOLLOWS:
ITE UNI ESTIMATED UN"
EXTENDED
M DESCRIPTIONOF ITEMS T PRICE
ITEM
N° QUANTITY AMOUNT
A1
TOTAL BIDADDITIVEA (numbers)
*****7:************************** END OF ADDITIVEA BID ITEMS ******************************** BASE BIDTOTAL (in words) e Y Na +le om In
‘I
'
IAVConIrCaQ Vu OALDAvIIazvs
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. If the bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid 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).
17.D
.100 00mm
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
Regardless of whether the additive/deductiveor alternates bid items will be considered in determining the low bid, the Agency may elect to include any or none of the additive/ or alternate bid items/schedules, or to otherwise add or remove certain workdeductive from the scope of Work. Accordingly, Contractor warrants that each bid item contains a proportionate share of profit, overhead and other costs and expenses, which will be incurred by the Contractor for the Project.
If equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the Agency. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency’s determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by ”(S)” are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor’s own forces.
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.
Complete the following:
SAVTL Conswmlcw 10C. 0 u I 9 I5?
Legal name of the business, DIRReg. and Contractor License Nos.
17.D
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CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
Business (Corporation, Partnership, Sole Proprietor)
DBA(if any)
Rama \AE 0k 1'3, in
Name and title of the owner
Name and title of second partner or officer
r m
Business Address
805«880I—35Lr+
Telephone number
Facsimile number
Qawwe\n (Pym/Luna». .emm‘h (Lon‘l'ad’saui q’Q?li 'C?m
Name and Emailaddress of primary contact
Company web address
6 2 20 9 2 I'20
Sign of Bidder Date Signature of Bidder Date
(A SI anuula?a 0 m
Print name and title Print name and title
(If the Bidder is a corporation two signatures of corporate o?icersare required.)
17.D
[Lb
‘(EamXL h/ 9L+
Qwu‘n“Ada“ , (RV—S «a
CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1. Contractor is required to possess one of the following State Contractor's License State of California I 6 Contractor’s License
Combination of Specialty Class Contractor’s Licenses
2. A failure to (1) possess the required license, (2) truthfully set forth the following information, and/or (3) execute this Certificate may render the proposal nonresponsive and permit the City to reject the proposal. (Business and Professions Code Section 7028.15)
3. Contractor declares, under penalty of perjury, that he/she/it possesses the required Contractor's license(s) which:
a. Bears the license number(s) III 6 “T?
b. Expires on: 30 0;
QImilao 8
Signature of Bidder Date Signature of Bidder Date
“In IAoAI’ mu, In Volt} c 61
/
Print name and title Print name and title
(If the Bidder is a corporation two signatures ofcorporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency's decision as to the required license will be final.
17.D
10.0% of BidAmount
CDBGACCESSIBLESIDEWALK/ADA PROJECT Rev, 0
CIP No. 5768 BIDDER'SPROPOSAL(cont’d) February 2020
BIDSECURITYFORM FOR BOND
KNOW ALLBYTHESEPRESENTS
That the undersigned
SAVI Construction Inc
(Name of Contractor)
as Principal and the undersigned as Surety are held and firmly bound unto Owner, CITYOF HEMET, a political subdivision of the State of California, as oblige, in the penal sum of Ten Percent of the Total Bid Amount
Dollars(S ) lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid,for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bidfor [PROJECTNAMEANDDESCRIPTION] Accessible Sidewalk and ADA Project - CDBG Funded - CIP 5768 THE CONDITION OF THIS OBLIGATION lS 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 20th day of August 20 24.
(Month)
SAVI Construction
BY I%”Id’I’L/
Principal
.. By Old
«I. Su
(Corporate Seal) By
Luong. ey-in-F
17.D
Irene Luong
Nam?s) cf signerrs)
1 Mary
"no mu:
u?uvm
- alum:
mu F, DunneCaunly :
‘ Cantu-Imam I mam '
" ycnmm,EIDIIHJMHA. m7
ation t req
id pre ient
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hIs/her/their authorizedcapacity(ies). and that by his/herltheir signature(s) on the instrument the person(s)r or the entity upon behaif of which the person(s) acted, executed the instrument
ENALTYO ERJURY
fornia that foregoing
_A&Mdh_4_——
_————
ma etc ersons Hn arrays formptoanor rydog:
CALIFORNIAALL-PURPOSEACKNOWLEDGMENT
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 }
County of Orange
On Thao Nguyen Luu , Notary Public,
personally appeared
I certify under P F P under the laws of
the State of Cali the paragraph is true
and correct.
Witness my hand and official seal.
Signature
OPTIONAL
Though the inform below is no uired by law, it prove valuabl re on the document and cou vent fraudu removal and re hment of the he ument.
Description of Attached Document
Title or Type of Document: _
Document Date: Number of Pages
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer’s Name Signer’s Name:
Individual Individual
AUG20 2024 before me,
Insert Name of Notary exactly as it appears on the of?cial seal Signature of Notary Public
Corporate Officer —Title(s) Corporate Officer —Tit e(s) Partner Limited General Partner Limited General
Attorney in Fact Attorney in Fact
Trustee Trustee
Guardian or Conservator Topofthumbhere Guardian or Conservator Topofthumbher e Other: Other:
Signer is Representing: Signer is Representing:
Date
Place Notary Seal Above
RIGHTTHUMBPRINT RIGHTTHUMBPR
INT OFSIGNER OFS|GNER
17.D
OLD REPUBLI URETY 0MPA Y
i i***
1 CS C N
President
No‘ary Publi c
0Rsc 22262 (3-06)
POWER OF ATTORNEY
KNOW ALLMEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does make, constitute and appoint:
James W. Moilanen, Yung T Mullick,Irene Luong, Emilie George, P Austin Neff,Christine Woolford, Danielle Hanson of Mission Viejo, CA its true and lawful Attorney(s)-in-Fact, with full power and authority for and on behalf of the company as surety, to execute and deliver and af?x the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, or black lung bonds), as follows:
ALLWRI'I'I'EN INSTRUMENTS
and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents, are rati?ed and con?rmed.
This appointment is made under and by authority of the board of directors at a special meeting held on February 18. 1982.
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982.
RESOLVED that, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attorneys-in-fact or agents with authority as de?ned or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to execute and deliver and af?x the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said of?cers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person.
RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president, any vice president or assistant vice president, and attested and sealed (if a seal be required) by any secretary or assistant secretary; or
(ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if a seal be required) by a duly authorized attorney-in-fact or agent; or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons.
RESOLVED FURTHER that the signature of any authorized of?cer and the seal of the company may be af?xed by facsimile to any Power of Attorney or certi?cation thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such signature and seal when so used shall have the same force and effect as though manually af?xed.
IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper of?cer.and its corporate seal to be af?xed this 24th day of February
I 2023
OLD REPUBLICSURETYCOMPANY
4: STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS
On this 24th day of February .?, personally came before me, Alan f‘- and Karen J Haffner , to me known to be the individuals and of?cers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that they are the said of?cers of the corporation aforesaid, and that the seal af?xed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such of?cers were duly af?xed and subscribed to the said instrument by the authority of the board of directors of said corporation.
My Commission Expires: September 28, 2026
CERTIFICATE (Expirationof notary's commissiondoesnot invalidate this instrument) I, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that 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.
74 9092 ,3 SEAL Signed and sealed at the City of Brook?eld, WIthis 20th AUQUSt 2024 0 ”3‘
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17.D
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STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE
SAN FRANCISCO
Certi?cate of Authority
Tim: Is 1‘0 Cm, That, pursuant to the Insurance Codeofthe State ofCalifornia, Old Republic Surety Company
of Brookfield, Wisconsin ,organizedtmderthe
lawsof Wisconsin ,subfectto itsAruclesofIncorporationor other documents, is hereby authorizedto tramct withinthis 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 ofCaliforn ia.
THIS is expresslyconditionedupon the holderhereofnow and being in fullcompliancewith all,and not in violationofany, ofthe applicablelawsand lawful madeunder authority ofthe lawsofthe State ofCaliforniaas longas suchlawsor requirenwnts are in e?ectand applicable,and as such laws and requirements now are, or may be or amended.
IN WITNESS as 0f
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17.D
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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 Cal ia
County of
Here Insert Name and Title of the Of?cer
Name(f) of Signer¢)
who proved to me on the basis of satisfactory evidence to be th subscribed to the within instrument and acknowledged to me that his/he?‘t-he'rrauthorized capacity?ee), and that by his signatur or the entity upon behalf of which the person(f)acted, executed the i I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
WITNESSmy 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
Title or Type of Document: Document Date:
Number of Pages: Signer(s) Other Than Named Above:
C
S 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:
Signer Is Representing Signer Is Representing:
©2014 NationalNotary Association~ www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907 uuVAI A
17.D
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CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont'd)
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
‘ T . A J“
I am the \ I’ of PN\ Mk'rw’hotheparty 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 the laws of the St that the foregoing is true and correct and that this tion is executed on [date], at Clm‘no city], state]
II/ Q 1 89. 10
of Bidder Date Signature of Bidder Date
0!. v 0 \'
Print name and title Print name and title
(If the Bidder is a corporation, two signatures of corporate officersare required.)
17.D
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CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 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 determination of whether the projects listed here are of the same type, this project.
Failure of bidder to supply sufficient documentation of similar electric, will make the final
size and complexity as
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: Con/x r\-p .ADHL
Contract Price: 0 Date of Completion: No v 20 23
Name, Address, and Telephone Number of Owner's Representative juchio (La , 7. 6
Project Name:
Contract Price 5’l2—0K Date of Completion June. 2.0l 3
Name, Address, and Telephone Number of Owner's Representative 4: a CA q ”30
Riv. om— aozi - :1ch
Project Name: 2,
Contract Price: Date of Completion: Od—62.0.3.7.
Name, Address, and Telephone Number of Owner's Representative:
9<je$$iac dice 611 r A MamDv. 00‘ Chino
Pk. Gloa—Am- 1661
(Attach additional pages as necessary)
17.D
M
Construction , ,
Ramesh BachuvaIa EIT Class A 11116157) — President/Proiect Manager SAVI Construction Inc,
6725 Birmingham Dr
Chino. CA 91710
Contact: Ramesh Bachuvala
Cell: (805) 889-3547 COM a“ Team 2? EX '2): oe,
SAVI lnc.
Class A — General Engineering
CA License# 1116157
SAVIConstructionInc.boastsa highlyexperiencedteam led by a ProfessionalEngineer(PE)with 18 yearsin civ il engineering,coveringplanning,design,andconstructionmanagement.OurteamalsoincludesanEngineerInTrainin g (EIT)with18yearsofexperienceinconstructionmanagementanddesignanda seasonedforemanwithover20year s of expertiseinpublicworksandfieldcrewleadership.Ourextensiveknowledgespans civilengineeringand variou s constructionmethods,includinggrading,retainingwalls,pipelines(water,sewer,stormdrain),sidewalks,ADAramps , curbs, andgutters.We alsospecializeinlarge-scaleconcreteandasphaltwork,particularlyforwarehouseand mai parking l lots.
RameshBachuvalaisan aspiringEngineer-in-Trainingwithmorethan 16yearsofexperienceinplanning,design,and constructionof PublicWorksProjectssuch as Streetimprovements,Grading,stormdrains,sewers, and othersit e preparationwork.He is a Results-drivenPublicWorksConstructionProjectManagerwithextensiveexperiencei overseeingcomplexinfrastructureprojects,includingroads, and municipalfacilities.Expertisein projectplanninn g, budgeting,and scheduling,witha strongfocuson ensuringcompliancewithsafetyregulationsand qualitystandards Proven . abilitytoleadcross-functionalteams,managestakeholderexpectations,andnavigateregulatoryrequirement Skilled s. inoptimizingresourceallocationandmitigatingrisksto deliverprojectson timeandwithinbudget,contributi ng to the successfuldevelopmentof communityinfrastructure.Rameshhas extensiveexperiencein the preparationo f
traf?ccontrolplansfor pipelineconstructionand street improvementswithinthe publicright-of-way.Areas of hi s expertiseinclude- UtilitySearchandCoordinationwithUtilityCompanies;Hydraulicand HydrologyAnalysis;WQM SWPPPReports;Traf?cControlDesign;and ROWand EasementAnalysisandCoordination. P/ MURTHYKADIYALA.P PLS (On call Endineer)
With19yearsofexperienceina varietyofprojectsinMunicipalWaterandWastewaterSystemPlanning,Designan ConstructionManagement,Murthyhas helped?nd solutionsto manydesignchallengesin his career. Murthydhas providedengineeringand constructionsupportservicesformanyStreetimprovementprojects,WaterandWastewate r pipelineinstallations,andrehabilitationprojectsand helpedclose themoutsuccessfully.Hisaddedknowledgeofth serviceconnectionsto privatedevelopmentsincludingland titleand encumbranceshas enabledhimto identifyeal l requiredfacilitiesandpotentialissues earlyinthedesignprocess.HisLandSurveyingexperiencehelpsadda differe perspective nt to projects.
Juan - Foreman
Juanwithover20 yearsofexpertiseinpublicworkswitha proventrackrecordinmanagingand executinglargescale infrastructureprojects,includingroads, bridges,and municipalbuildings.Skilledin supervisingconstructionteams, coordinatingwithengineersand governmentof?cials,and ensuringprojectsmeet safety, quality,and budgetar y requirements.Adeptat optimizingwork?ows,managingmaterialsandequipment,andmaintainingstrictadherencet o timelinesandregulations.Committedtodeliveringhigh-qualityresultsandenhancingcommunityinfrastructurethroug effectiveleadershipand projectmanagement. h
17.D
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont'd)
DESIGNATIONOF SUBCONTRACTORS
Name of Subcontractor
and Location of Place Description and Subcontractor’s
of Business Percentage of Work License No.
NA NA NI:
(Bidder to attach additional sheets if necessary)
(PUBLICCONTRACTCODE§4100 ETSEQ.)
DIRRegistration
Number
NA
17.D
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont’d)
BIDDERCERTIFICATIONS
TO BE EXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBID
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-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 COMPLIANCEWITHPUBLICWORKS CHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non-discrimination in employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
17.D
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation of law or safety regulation, except as indicated on the separate sheet attached hereto entitled ”Previous 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] “I 6" 5‘3? 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 QualificationInformation. e. [Please check and/or complete one ofthe following]
All Prequalification 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 if such information were
17.D
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CDBGACCESSIBLESlDEWALK/ADA PROJECT
ClP No. 5768 BIDDER'SPROPOSAL(cont’d)
actually being submitted to Owner as of the date hereof. [Contractor must provide A nal Prequalification Informationas described above ifthis item is checked.]
CERTIFICATIONOF
[Insert other Owner-specific certifications, if applicable. Otherwise, delete.] BIDDER
<32 QI 20
Signature of Bidder Date Signature of Bidder Date
I a!
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate of?cersare required.)
17.D
CITYO F HEMET
R VERS DECOUNTY, CALFORN A
B D AND CONTRACTDOCUMENTS
CDBGFUNDEDACCESSBLES DEWALK/ADAPROJEC
T CAP TAL IMPROVEMENTPROJECTNO. 5768
JULY 2024
Jilleen Ferris, PE, Deputy Public Works Director/ Date
Assistant City Engineer
This is a prevailing wage project under the laws of the State of California.
17.D
CITYOF HEMET
NOTICEINVITINGBIDS
CDBG FUNDED ACCESSIBLESlDEWALK/ADAPROJECT, CIP NO. 5768 PUBLICNOTICE IS HEREBYGIVEN that 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 26, 2024 , at which time they will be publicly opened at City Hallat 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:
DESCRIPTION OF WORK
The scope of work generally consists of but is not limited to the construction of ADA accessible sidewalks, ADA Curb Ramps and PCCdriveway approaches in areas where those facilities do not currently exist and/or replacement of said facilities where the existing condition is not compliant with current ADA standards. It shall be the Contractor’s responsibility to investigate each area and determine the extent of the work, specific to each location, necessary to ensure all new concrete is in full conformance with current ADA standards and all other relevant standards, codes, and ordinances. The work also includes any grading, compacting, removal, disposal, relocation of any existing items necessary to complete the work including, but not limited to, street signs, traffic signs, trees, concrete, asphalt and any other incidentals.
LOCATIONOF WORK
The work to be constructed is located on the following Street Segments:
Portion of ElkStreet from Rosalia Avenue to Valencia Street Portion of Hamilton Avenue from Devonshire Avenue to Rosalia Avenue Portion of Western Avenue from Latham Avenue to Rosalia Avenue Portion of Palm Avenue from Florida Avenue to Rosalia Avenue 0 Portion of Tahquitz Street from Latham Avenue to La Jolla Avenue 0 Portion of Las Lunas Street from Florida Avenue to Latham Avenue Portion of Gilbert Street from Latham Avenue to Devonshire Avenue Portion of Devonshire Avenue from Hamilton Avenue to Gilbert Street to Gilbert Street
17.D
GENERAL
In conformance with State of California Assembly Bill2036 complete bid sets will be available electronically, at no cost, at the City of Hemet Bid Page. It shall be the responsibility of the prospective bidders to download and print the bid documents for review and bid preparation, as well as to obtain any addendums and responses to pre-bid requests for clarification that have been provided by the Agency. Bidders shall also check the website for addendums which will be posted no later than 72 hours prior to the bid opening. Each addendum will include a conformation sheet indicating receipt of the addendum. This sheet must be signed and included with the bid for each addendum issued. Bids, which do not include the confirmation sheet(s) for each addendum, if any, may be rejected.
The Agency does not warrant, represent, or guarantee the accuracy, completeness, or adequacy of information provided from any third party source. The Agency shall not be responsible or liable in any way whatsoever for any loss or damages of whatever kind, nature, or scope, including, but not limited to, time, money or goodwill arising from errors, inaccuracies, or omissions in any documents and/orinformation 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 ClP No. 5768, CDBG FUNDEDACCESSIBLESlDEWALK/ PROJECT". ADA
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 i n
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
17.D
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 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 1777.17 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
17.D
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 (d), 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 i f
federal funds are involved in the Contract (Labor Code Section 1771.1(a)), Agency may accept a non—complyingBid provided that Bidder and all listed subcontractors are registered at the time of contract award.
This is a 65 working day contract
Information and Questions: All questions and request for information must be submitted i n writing via the Q & Asection on the City of Hemet Bid Page.
17.D
.Mmdggw?
FEDERALFUNDING
This project is being financed with Community Development Block Grant funds from the US.
Department of Housing and Urban Development (24 CFR Part 570) and subject to certain requirements including: compliance with Section 3 (24 CFR Part 75) Economic Opportunities requirements; payment of Federal Davis-Bacon prevailing wages; Federal Labor Standards Provisions (HUD 4010); Executive Order #11246; and others. Information pertaining to the Federal requirements is on file with the City of Hemet, Public Works — Engineering Division, under the CDBG(FY23—24)Grant Agreement.
PREVAILING WAGES
Pursuant to Section 1773 of the Labor Code, the general prevailing wage rates, including the per diem wages applicable to the work, and for holiday and overtime work, including employer payments for health and welfare, pension, vacation, and similar purposes, in the County of Riverside in which the work is to be done, have been determined by the Director of the Department of Industrial Relations, State of California. These wages are set forth in the General Prevailing Wage Rates for this project, available from the California Department of Industrial Relations’ Internet web site at www.dir.ca.gov. Future effective prevailing wage rates which have been predetermined, and are on file with the California Department of Industrial Relations, are referenced but not printed in the general prevailing wage rates. The Federal minimum wage rate requirements, as predetermined by the Secretary of Labor, are set forth i n
the books issued for bidding purposes, referred to herein as Project Bid Documents (Special Federal Provisions), and in copies of this book which may be examined at the office described above where the project plans, special provisions, and proposal forms may be seen. Addenda to modify the minimum wage rates, if necessary, will be issued to holders of the Project Bi d Documents.
BYORDEROF
7/24/2024
Jilleen Ferris, PE, Deputy Public Works Director/ Date
Assistant City Engineer
17.D
AP ENDIX1
17.D
- PLA
CDBGACCESSIBLESlDEWALK/ADAPROJECT
CIP No. 5768 BIDDER'SPROPOSAL
The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the CDBG Accessible Sidewalk/ADAProject, CIP No. 5768, and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the Contract Documents, including but not limited to the Notice Inviting Bids, Instructions to Bidders, every Addendum, plans, specifications, General Conditions, Special Provisions, General Provisions, Greenbook 2018 as amended and supplemented, technical references, all other referenced documents, all codes, permit conditions and regulations, for the total amount(s) and any unit prices and additive/deductiveitems shown on this proposal.
The undersigned has examined the location of the proposed work and all local and physical conditions and challenges presented by the Project site, is familiar with the plans, specifications, Contract Documents (particularly as delineated above) and the requirements of the Public Works Contract, and also understands that the Project shall be completely constructed in turn—key condition acceptable to the Owner within the Project time requirements for the price of the proposal, including all fees and sales and/oruse tax upon any materials so furnished, including any unit prices and additive/deductive items. The undersigned has also carefully checked all of the figures given and understands that the Agency will not be responsible for any errors or omissions on the part of the undersigned in submitting this proposal.
Contractor confirms that his/her/its bid is submitted with respect to the changes to the Contract and/orContract Documents included in all addenda issued by the Owner.
In addition to reaffirming that the changes and information contained in the addenda have been integrated into their posal, 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.
17.D
20 CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont’d)
BID SCHEDULE
BASE BID — CDBG ACCESSIBLESIDEWALK/ADA PROJECT, CIP No. 5768
EXTENDE
ITEM ESTIMATED UNIT D DESCRIPTION UNIT ITEM
No QUANTITY PRICE AMOUNT
1 Mobilization (not to exceed 5%) L8 1
2 Traffic and Pedestrian Control L8 1
3 Temporary Construction Project
Identification Sign EA 2
4 Water Qualitv Control L8 1
Adjust Ex. Manhole to New F.S
5 per Owner Agency Std. &
Specs. EA 1
5 Remove & relocate existing
mailbox EA 10
7 Adjust Ex. Water Meter
Box/Traff. Box to finish surface EA 6
8 Relocate Ex. Signs and Posts. EA 17
9 Remove and Replace Exist ADA
Ramp per CitvStd. EA 29
10 Construct 4" thick PCC sidewalk
Der CitvStd. SF 12000
11 Construct PCC Driveway 3|:
Approach per CitvStd. 1025
12 Remove, Uproot and dispose EA
ex. Tree/tree stump. 8
13 Remove & relocate existing LF
fence/date 450
Remove Ex. PCC/AC &
14 Construct New PCC driveway SF
approach per Citv Std. 520
15 Remove & Dispose Ex. Masonry
Wall/Pilaster EA 4
15 Construct type "A"Curb and
Gutter per Citv Std. LF 225
3000
$5,500
l3
$22,
550
H<1,°
l50
$22
$$2p
$1400
290 Z?o
800 000
$500
$MS00 ) $500
$1559
$22
1000 000
HI
$|
UHHO
3%
00 ‘62 $I
17.D
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CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont'd)
BASEBID- CDBGACCESSIBLESIDEWALK/ADA PROJECT, CIP No. 5768
EXTENDED
”:2” DESCRIPTION UNIT $3215???:33; ITEM
AMOUNT
TOTAL BASEBID numbers
************************************ END OF BASE BID ITEMS ADDITIVEA BID ITEMS AS FOLLOWS:
ITE EXTENDED
ESTIMATED
M DESCRIPTIONOF ITEMS U15" :33; ITEM
No QUANTITY AMOUNT
A1
TOTAL BIDADDITIVEA u
***1:**************************** END OF ADDITIVEA BID ITEMS 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 will be considered as the amount bid. If the bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award.
If an additive and/oralternate bid schedule is called for in the Contract Documents, the lowest bid will be determined on the basis of the base bid 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). $797,
000
Seven r
17.D
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont'd)
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. If only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Agency. The Agency’s determination as to the reasonableness of any such bid shall be final.
The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. Bidder acknowledges that all costs incurred as a result of preparing the proposal shall be the sole responsibility of Bidder. The Notice Inviting Bids and Instructions to Bidders does not create or impose any obligation upon the Agency to enter into a contract.
All bids received shall be recorded on an abstract (tabulation) of bids, and then made available for public inspection within two business days of bid opening.
The quantities listed in the bid proposal are provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied, that the actual quantities of work to be done will correspond therewith. Item numbers followed by “(S)" are designated as specialty items which will not be included towards the calculation of minimum of 50 percent of work to be performed by Contractor’s own forces.
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.
Complete the following:
ONYX PAVING COMPANY, INC. \\ 1000004798 \\ 630360; A,C12 Legal name of the business, DIRReg. and Contractor License Nos.
17.D
CDBGACCESSIBLESlDEWALK/ADA PROJECT
ClP No. 5768 BIDDER'SPROPOSAL(cont’d)
CORPORATlON
Business Type (Corporation, Partnership, Sole Proprietor) N/A
DBA(if any)
COREY R. KIRSCHNER- CEO
Name and title of the owner
JAY KIRSCHNER - VP, SEC, TREAS
Name and title of second partner or officer
2890 E. LACRESTA AVE. ANAHEIM, CA 92806
Business Address
714-632-6699
Telephone number
N/A
Facsimilenumber
[email protected]
Name and Email address of primary contact
https://www.onvxoavinqco.com/
Company web address
8/23/2024 8/23/2024
Signature of Bidder Date Signatu Date
COREY R. KIRSCHNER- CEO JAY KlRSCHNER- VP, SEC, TREAS.
Print name and title Print name and title
(Ifthe Bidder is a corporation two signatures ofcorporate of?cersare required.)
17.D
CDBGACCESSIBLESIDEWALK/ADA PROJECT
cwNo. 5768 BIDDER'SPROPOSAL(cont’d)
CERTIFICATEREGARDINGCONTRACTOR'SLICENSE
1 Contractor is required to possess one of the following State Contractor's License:
State of California Contractor’sLicense
Combination of Specialty Class Contractor’sLicenses
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
b. Expires on 10/31 /2025
8/23/2024 8/23/2024
Signature of Bidder Date Signature dder Date
COREY R. KIRSCHNER — CEO JAY KIRSCHNER- VP, SEC, TREAS
Print name and title Print name and title
(If the Bidder is a corporation two signatures ofcorporate officersare required.) This required license determination has been made by the Agency. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the Agency at least seven (7) days prior to the bid opening. The Agency may conduct a review of the contemplated work to re-evaluate the required license determination. The Agency may in its sole discretion maintain or change the required license determination; Agency’s decision as to the required license will be final.
17.D
).
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont’d)
N/A
BIDSECURITYFORM FORCHECK
NOTE: THE FOLLOWINGFORM SHALLBEUSEDINTHECASEOF CHECKACCOMPANYINGBID Accompanying this proposal is a Certified Check or Cashier’sCheck payable to the order of the City of Hemet, hereinafter referred to as "Agency", for ollars (S this
amountbeing 10 percent (10%) of the total amount of the bid. This check shall be returned to the undersigned only if either of the following occurs:
A. Ifsaid Bid shall be rejected by the Agency;
B. If said Bid shall be accepted by the Agency and the Undersigned shall execute and deliver a Contract in the form attached hereto (properly completed in accordance with said Bid) and shall furnish bonds required for his/her/itsfaithful performance of said Contract and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Contract created by acceptance of said Bid.
Otherwise, said check shall become the property of the Agency.
Said check shall also become the property of the Agency if the Undersigned shall withdraw his/her/itsbid within the period of sixty (60) calendar days after the date set for the opening thereof, unless otherwise required by law, and notwithstanding the award of the Contract to another bidder.
Signature of Bidder Date Signature of Bidder Date
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
17.D
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CDBG ACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 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, CITY OF HEMET, a political subdivision of the State of California, as oblige, in the penal sum of
TEN PERCENT OF THE TOTAL AMOUNT BID
Dollars (S lawful money of the United States of America being at least ten percent (10%) of the aggregate amount of said Principal’s base Bid,for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents.
WHEREAS,said Principal is submitting a Bid for CDBG Funded Accessible Sidewalk/ADAProject Capital Improvement Project No. 5768
THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction Performance Bond, Construction Labor and Material Payment Bond, insurance certificates, and all other endorsements, forms, and documents required under the Instructions to Bidders, then this obligation shall be void, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, the above bounden parties have executed this instrument this 22nd day of Auoust 2024,
(Month)
Onyx Paving Company, Inc.
(Corporate Seal) By
By SiriusPoint America Insurance Company
Surety
(Corporate Seal) By
ristina rs,
I979
Principal
17.D
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executed
strumenl l
a”» Z LESUEROCHA g? “ NauryPuhlk- (autumn [ Orangecounty ‘
2‘; Commission I 148494?
MyComm.ExplresMarI9 202!
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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 validity of that document.
State of California
County of Oranoe
On August 22 2024 before me, | eslie Rocha. Notarv Public 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(x) is/axe subscribed to the within instrument and acknowledged to me that he/ske/they the same in his/her/tbeir authorized capacity(ies), and that by his/hEr/theirsignature(8) on the in he person(x), or the entity upon behalf of which the person(x) 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: 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 NationalNotary Association - www.Nationa|Notary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907
17.D
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CALIFORN A ALL-PURPOSE ACKNOWLEDGMENT
lVNN
ExpiresJLF‘25 2025
3 Partner — E Limited
* Individual
General
Attorney in Fact
Guardian or Conservator
CIVILCODE § 1189
Here Insert Name and Title of the Officer
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 hand and official
Place Notary Seal Above
OPTIONAL
Title or Type of Document:
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)
D Partner — Limited General
C lndividual Attorney in Fact
3 Trustee Guardian or Conservator
Signer Is Representing Signer ls Representing:
A notary public or other officer completing this certificate veri?es only the dentity of the individualwho signed the document to whichthis certificate is attached, and not the truthfulness, accuracy, or validityof that document.
State of California
County of Orange
On
AUG2 2 2824 before me, Melissa A. Lopez, Notary Public
Date
personally appeared Christina Rogers
who proved to me on the basis of satisfactory evidence to be the person&) whose name(s} is/ane subscribed to the within instrument and acknowledged to me that Imishe/xmexecuted the same in his/he uthorized capacity?es), and that by his/her/xbteiKsignature?) on the instrument the person(x), or the entity upon behalf of which the personés) acted, executed the instrument.
Signature
Signature of D' 't‘”
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
Document Date:
Corporate Officer — Title(s)
Other:
©2014 NationalNotary Association - www.NationalNotary.org- 1-800-USNOTARY(1-800-876—6827) Item #5907 MVComm.
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PERTAMOI 0823
POWER OF ATTORNEY
SlRlUSPOlNT AMERICA INSURANCE COMPANY
NEW YORK
SiriusPoinlAmerica Company
B) Melissa Secrelary
Slate ochw Jersey I
) 55. County of Monmouth t On this l7"‘day of August 2023, before me, a Notary Public of the State of New Jersey in and for the County of Monmouth duly commissioned and quali?ed, came Melissa J. Ralph, Secretary, ofSirius rerica Insurance Company, to me personally known to be the l and of?cer described in, and who executed the preceding instrument, and aekno the execution of the same. and, being by me duly swom, and saith, that she is the of?cer of any aforesaid, and that the seal af?xed to the preceding instrumarl as the corporate seal ofsaid and rpome se and her signature were duly af?xed and subscribed to the said instrumentby the authority and direction of th rpnn to in the eceding instrument, is now in force.
IN TESTIMONY \\’HEREOF,I have hereunlo set my hand and af?xed my of?cial seal. expires
We). 1 u
I 107
—?
Stale OI'New Jersey
County ofMonmouth
KNOW ALL MEN BYTHESE PRESENTS: That Siriusl’oinl America Insurance Company, a New York corporation,having its principalof?ce in the City ofNew York, pursuant to the following Resolution,which was adoptedby the Board ofDirectors ul'the Company, to wit:
RESOI VED, that the President, SeniorVice President,Chie FinancialOf?cer, Secretary or AssistantSecretary lS hereby authorizedto execute Power s ol'Attomey appointing as atlomeys—inJaclselected employees of certainsurely companies who shall have the power for and on behalf of the Company to execute and alTixthe seal ol'the Company to surety contracts as co-surely. Does hereby nominate, constitute and appoint: Albert Melendez. Christina Rogers, Er k Johansson. Jennifer Anaya. Joaquin Perez. Melissa Lopez. Yu Chcng Chiang. Frederic M. Archcrd..lrr. Mnrthn Barreras. Mary Martha Langley. Jonathan Balin.Vanessa Ramirez.Zyanya {cmandcz its true and lawful atlomey-m-facl, to make, execute, seal andde iver for and on itsbehalf, and as its act anddeed; any and all bonds, contracts.agreements of indemnity, and other undertakings in suretyship (NOT INCLUDINGbonds without a ?xed penalty or ?nancialguarantee bonds) and to bind! thereby as fully and lo the same extent as ifsame were signed by the duly authorized of?cers of lhe Company, provided, however, that the penal one such instrument executed hereunder shall not exceed the sum of: 550,000,000 single bondlimil All acts of said atlomeys—in-l'actpursuant to the authorities hereingiven are hereby ra i?ed and cun?nned The executive of?cers listed above in the Resolutionmay from lime to limeand at any lime remove any sueh appointeeand revoke the power given to himor her.
The execution of such bonds or underlakings in pursuanceoflhese presents, within one year of the date of issue oFlhese presents, shall be binding upon said Company, as fullyand amply, to all inlarts and purposes,as iflhey had been duly executed and acknowledged by the regularly elected of?cers ofthe Company at its of?ce in New York, NewYork, in their own proper persons.
IN WITNESS WHEREOF, SiriusI’oinlAmericaInsuranceCompany has causedits corporate seal to be hereunto af?xed, and these presents to be signed by its Secretary this l'llh day ol'August in the year 2023.
PUBLIC
STATEOF NEWJERSEY
MYCOMMISSION EXPIRESMARCH31 202
850208541 8
1.Melissa J. Ralph, Secrclary, ofSiriusPoinl AmericaInsurance Company, a New York corporation.do hereby cenil‘y lhal the above and l'orcgong is a full, lnlc corrccl copy ofPowcrofAllomey. is slill in forceand effect and has nol been Icvukcd.
IN WITNESS “'IIEREOF, I have hereunlo scl my handandaf?xed lhc seal of saidCompanythis 22nd day of August. 2024,
17.D
@APPLIED
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 Underwriter s. 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 Of?ce Underwriting Center at InWitness Whereof, this has been executed bythe President, Applied Surety Undenrvritersfor Siriuspoint America Insurance Company.
Thank you for your continued business.
Sincerely,
Joshua C. Betz
President, Applied Surety Underwriters
17.D
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CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont'd)
NON-COLLUSIONAFFIDAVIT
PUBLICCONTRACTCODESECTION7106
NON-COLLUSIONDECLARATIONTO BEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID The undersigned declares:
ONYXPAVING
I am the CEO 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. 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 8/23/2024 date], at ANAHEIM Icity], CA state]
8/23/2024 8/23/2024
Signature of Bidder Date der Date
COREY R. KIRSCHNER - CEO JAY IRSCHNER - VP SEC, TREAS
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate of?cersare required.)
17.D
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executed
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PENALTY
California
2 «mi; LzsuzROCHA
?t» !
NotaryPubliccamomia
mangeCounty ‘
CommisslnnI 2484949 -
V MyComm.ExplresMarW.201!
KWWWKu’iXXWXa‘QKV'OWWQVLRWLU‘muWVKICK/90"WMYK’QGWVX
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 validityofthat document.
State of California
County of Orange
On AIIQII§123 2024 before me, I DQIIQ Rnnha ananl pllhlir‘.
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/aXe subscribed to the within instrument and acknowledged to me that he/sKe/they the same in his/her/tbeir authorized capacity(ies), and that by his/hier/theirsignature(x) on the in he person(a), or the entity upon behalf of which the person(x) acted, executed the instrument.
I certify under OF PERJURY under the laws
of the State of 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 NationalNotary Association - www.Nationa|Notary.org - 1-800—USNOTARY(1—800-876-6827) item #5907
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strument t
hand
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—__—_ ____—_.
m vquxmmm wwwyzuvcgvcmuw'c'x?tLWV'chavzva-zmmmvx?
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 ___Aggy§_t_2_3._LQ24__ before me, I eslie Rocha Nn’rnn/ Pnhlin 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(X) Islam subscribed to the within instrument and acknowledged to me that he/sHe/they the same in his/her/tbeir authorized capacity(ies), and that by his/hier/theirsignature(3) on the in he person(sx), or the entity upon behalf of which the person(x) 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.
LESLIEROCHA
NotaryPublic- California WITNESS my and official seal.
OrangeCounty
Commissionif2484949
Comm.ExpiresMar 19, 2028 . Sig
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 NationalNotary Association - www.NationalNotary.org - 1-800-US NOTARY(1-800—876-6827) Item #5907
17.D
$1 314 878.59
,0“--. , ‘
$5,998,000
CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont’d)
CONTRACTOR’SREFERENCELIST
Attach to this bid a list ofthree (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: CITYWIDF ASPHAI T REPAIRS PR IFCT FY 71/99 Contract Price: Date of Completion NOV 2022
Name, Address, and Telephone Number of Owner's Representative:
SCOTT FISHER 760-814—7226
CITY OF DANAPOINT - 33282 GOLDEN LANTERN, DANAPOINT, CA 92629 Project Name: 22-23 ANNUAL ASPHALT CONCRETE OVERLAY PROJECT Contract Price: Date of Completion: MAR2024
Name, Address, and Telephone Number of Owner's Representative CHUCK STAGNER 714-925—4628
CITY OF EASTVALE - 12363 LIMONITE AVE #910. EASTVALE. CA 91752 Project Name: 23—24SLURRY SEAL AT VARIOUS LOCATIONS
Contract Price: $1 269 000 Date of Completion APRIL 2024 Name, Address, and Telephone Number of Owner's Representative ZIAD MAZBOUDI 626-532-2018
CITY OF MONTEREY PARK -320 WEST NEWMARKAVE MONTEREY PARK CA 91754 (Attach additional pages as necessary)
17.D
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or CA
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 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.)
Sus 3.07%
ea Removal '.Oq%
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17.D
CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 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 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 PUBLICWORKSCHAPTEROF LABORCODE By my signature hereunder, as the Contractor, I certify that I am aware of Labor Code Sections 1777.1 and 1777.7 Code, and Contractor and Subcontractors are eligible to bid and work on public works projects.
CERTIFICATIONOF NON-DISCRIMINATION
By my signature hereunder, as the Contractor, I certify that there will be no discrimination in employment with regard to race, color, religion, gender, sexual orientation, age or national origin; that all federal, state, and local directives and executive orders regarding non—discriminationin employment will be complied with; and that the principal of equal opportunity in employment will be demonstrated positively and aggressively.
17.D
000004
CDBGACCESSIBLESIDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL(cont'd)
CERTIFICATIONOF NON-DISQUALIFICATION
By my signature hereunder, as the Contractor, I swear, under penalty of perjury, that the below indicated Bidder, any officer of Bidder, or any employee of Bidder who has a proprietary interest in such Bidder, has never been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation of law or safety regulation, except as indicated on the separate sheet attached hereto entitled “Previous 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] 1 798 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 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 if such information were
17.D
Wm:
RSC,,
CDBGACCESSIBLESlDEWALK/ADA PROJECT
CIP No. 5768 BIDDER'SPROPOSAL (cont'd)
actually 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:
8/23/2024 8/23/2024
Signature of Bidder Date Signat er Date
COREY R. KIRSCHNER - CEO JAY KI HNER - VP. SEC. TREAS.
Print name and title Print name and title
(Ifthe Bidder is a corporation, two signatures ofcorporate officersare required.)
17.D
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23 Corev R. Kirschner
LESLIEROCHA
NotaryPub“:- Caqumla
OrangeCounty 2
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edged to
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he personmwhose name(a’) is/ae
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CAL FORNIA 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 Orange )
On Auoust 9094 before me, | eslie Rocha Notary Pllhlic
Date Here Insert Name and Title of the Officer
personally appeared
of
who proved to me on the basis of satisfactory to be t
subscribed to the within instrument and acknowl me that his/her/their authorized capacity(ies), and that by his r signatu or the entity upon behalf of which the person(x) 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: 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 NationalNotary Association - www.Nationa|Notary.org - 1—800-USNOTARY(1-800-876—6827) Item #5907
17.D
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Jav Kirschner , Name?Signer(7§
ins‘lrument executed
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifiesonly the identity of the individualwho signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validityof that document.
State of California
County of
On ML before me, | leie Rnnhar Nntnru pllhlif‘.
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/aXe subscribed to the within and acknowledged to me that he/sKe/they the same in his/her/tbeir authorized ca and that by his/hnr/their signature(x) on the in he person(sr), or 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.
Notar‘y?ps?ls?mornia 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 NationalNotary Association - www.NationalNotary.org - 1—800—USNOTARY(1-800-876-6827) Item #5907
17.D
PAVI MP NC‘
EXHIBIT B-4
Required Bid Form
CERTIFICATION OF BIDDER
REGARDING NONSEGREGATED FACILITIES
Project Name: WALK/ADA PROJECT, CIP NO. 5768
I further agree to obtain identical certi?cations from all proposed subcontractors prior to the award of subcontracts exceeding $10,000.
Signature:
Name (Print): COREY R. KIRSCHNER
Title: CEO
8/23/2024
Name of Bidder:
The above named Bidder hereby certi?es that:
I do not maintain or provide for my employees any segregated facilities at any of my establishments, and that I do not permit my employees to perform their services at any location, under my control, where segregated facilities are maintained. As used in this certi?cation, the term “segregated facilities” means any waiting rooms, work areas, rest rooms, wash rooms, restaurants and other eating areas, time clocks, locker rooms or other dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, color, religion, national origin, or because of habits, local customs, or
17.D
I. Employment Opnortunities
d.
R
g.
wwwihud. yov/secliun3
rtaL Ck initial Herc
ling :l/huda ugs.hud.gov/O)Qomlnityl’ortal/
& W0
for new ploymenl opporlu iries and Section 3 reports‘ in a form at a place, n time directed the Departmenl 0 Housing & Workforce Solutions. Qt{Ini ere Present st. of the number f total labor huurs, Section 3 worker labor hour Target pro'ected number ofavailable positions,to
Initial Here
Notify Section 3 Coordinator of conlmc
workers priorto hiring. C 2 Initial
__ 1
Post available positionsand advertisejob Section 3 workers openings at: wwwrivuo'obsorg Ini 'al Here
Sign the Section3 Plan Initial Here Cb
for this project below.
EXHIBIT 3-6
$200,000 or more
BIDDER CERTIFICATIONFOR SECTION 3 COMPLIANCE
(Housing and Community Development Act of 1968)
CDBG FUNDED ACCESSIBLE SIDEWALK/
Project T1tle ADA PROJECT ClP NO. 5768 AlTlOlll‘ltof Bid The undersigned hereby certi?es that he/she has read and understands City of Hemet's Section 3 Af?rmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and further certi?es adoption of, and adherence to, said program, and certi?es understanding of the following for all construction contracts over $200,000.
I understandand agree that in the event that I am awardedthis contract, and in the event that any new employment opportunitiesare created as a result of this CDBG—fundedproject, I will:
a. Contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 persons, within City of Hemet, to be considered for available employment opportunities;and HUD Section 3 Opportunity Po
at:
b. Forward to the Department of Housing rkforce Solutions all detailedjob descriptions em n
and at as
by f
tial H
c. a 1i 0 s, and ed
Section 3 worker labor hours expectedto be generatedfrom the initial contract and a list of includejob descriptions and wage rates.
tor interests regarding employment of Section 3
IIere
e. Submit a list of core employees (including administrative, clerical, pla other positions pertinentto the constructiontrades) at the time of contact award. nitial Here
h. Complete your proposedworkforce plan
$732000
17.D
JOB CATEGORY
PROFESSIONALS
TECHNICIANS
OFFICE/CLERICAL
CONSTRUCTION BY
TRADE
TRADE
TRADE
TRADE
APPRENT ICE
TRAINING
TRADE
OTHER
CURRENT
POSITIONS
NUMBER OF
NE‘V HIRES
IF
AWARDED
BID
NUMBER OF NEW HIRES
PROPOSED TO BE
SECTION 3 RESIDENTS
”/0OF NEW IIIRES TO B
E SECTION 3
6 10
TRADE
Cement Mason 20
Laborer 50
TRADE
Operator Eng 30
8 0
121
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TB
D
TBD
TBD
TBD
TBD
TBD
TBD
TBD
17.D
ll. Subcontracting Ongortunities
mvwil‘ludmw/sectiunl
CDBG-?mded project
eneral/Prime Contract 1k
u \\ w.hud?uv/sccliun}
consideredfor available employment opportunities'
hu sz/llmdn 5.1mm ,Onununiu mlui/ g2
Department
proje lednumber (L Initial
list nfcore employees islmtivc, a], plannin
to the constructiontrad comacxa
$1 3V8
L
EXHIBIT 8-6
BIDDER CERTIFICATION FOR SECTION 3 COh/[PLIANCE
a. I understand and agree that for any and all subcontracting opportunitiesthat may result from this CDBG—fundedproject, I will contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 Businesses, within City of Hemet, to be considered for available subcontracting opportunities prior to selecting any subcontractor for my bid submittal.
Initial Herc
b. I understand and agree that any and all sub-contracts and sub-tier agreements resulting from this are also subject to Section 3 compliance, and therefore, as the G or, I am responsible to ensure compliance from all subcontractors.
Initial Here
i. Contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 persons, within City of Hemet, to be and HUD Section 3 Opportunity Portal
at: Initial Here
j. Forward to the Department of Housing & Workforce Solutions all detailed job descriptions for new employment opportunities and Section 3 reports, in a form, at a place, and at a time as directed by the of Housing & Workforce Solutions.
Initial Here
k. Present a list, of the number of total labor hours, Section 3 worker labor hours, and Targeted Section 3 worker labor hours expected to be generated from the initial contract and a list of of available positions, to includejob descriptions and wage rates.
Here
1. Notify Section ator of contractor interests regarding employment of Section 3 workers prior to hiring. Initial Here m. Submit a (including admin cleric g, and other positions pertinent es) at the time of ward. Initial Here
11. P0 ilable positions and advertise job Section 3 workers openings at:
Initial Here
17.D
Complete your Subcomracting project
Q‘/ /A
Tr [A /A
Plan for this below:
15 THE SUBCONTRACTOR IF SUBCONTRACTOR IS SECTION 3, INDICATE AMOU‘JT OF I SLIBCONTRACT($) SECTION 3 ELIGIBLE? ELIGIBLE STATUS
TRADE YES OR NO
51% OWNER / 30% EMPLOYEE
* Add additional sheets if necessary
Bidder (Company) Name; ONYX PAVING COMPANY. lNC
Authorized Representative (Type Name) COREY R. KIRSCHNER - CEO Signature 2
8/23/2024
SM $22boa
Ram 75,000
17.D
“\I
CDBG FUNDED AC SIDEWAL
ADA PROJECT, CIP
RESTA ,
REPRisENTATIVE:
EXHIBIT B-7
Required Bid Form
{E EI EYEVE E:ELEEEEE EBEEEEEE TEE:‘E
BIDDER CERTIFICATION ON
FEDERAL CONTRACT REQUIREMENTS
PROJECT NAME: CESSIBLE K/
NO. 5768
CERTIFICATION:
I hereby certify that I have reviewed and understand the diversi?ed Federal construction contract related requirements imposed on the Contractor(s) of HUDfunded constructionprojects, including but not limited to the following:
1 The subject project is being ?nanced with Community Development Block Grant funds (24 CFR Part 570);
2 This project and all related construction contracts are subject to the US.
Department of Housing and Urban Development’s Federal Labor Standards Provisions (HUD 4010 — revised 06/2009); and
1 This project is subject to all applicable laws and regulations as listed in the General Summary of these Special Federal Provisions; and 2 If my bid is $200,000 or more, this project and all related contracts will subject to Section 3 requirements (12 U.S.C.1701u).
CONTRACTOR’S NAME; ONYX PAVING COMPANY. INC
CONTRACTOR’S LICENSE NO 630360
ADDRESS 2890 E. LA C AVE. ANAHEIM CA 92806
AUTHORIZED COREY R. KIRSCHNER - CEO (Type Name)
SIGNATURE
8/2 3/2024
17.D
ANAHEIM. CA 92806
@—
MX5
EXHIBIT B-8
Required Bid Form
QUESTIONNAIREREGARDING BIDDERS
Bidder has been engaged in the contracting business under the present name of ONYX PAVING COMPANY, INC since 2/15/1990 (Date).
Present business address is: 2890 E. LACRESTA AVE.
Federal Tax ID: 33-0394344 Amount of Bid $
California Contractor's License No.: 630360 Expiration Date: 10/31/2025 UEI Number: LHJSZYSZ11ZZ or CAGE Code: 58
Because this project is Federally-funded, it is necessary to obtain information concerning minority and other group participation for statistical purposes. The U.S. Department of Housing and Urban Development (HUD) uses this information to determine the degree to which its programs are being utilized by minority business enterprises and targeted group contractors.
A minority enterprise is de?ned by the Federal Government as a business that is ?fty-one percent (51%) or more “minority-owned”. Please check applicable box concerning the ownership of your business:
Hasidic Jews
Cl American Indian or Native Alaskan
El Asian or Paci?c Islander/Native Hawaiian
El Black/African American
El Hispanic
d White
CI
El Other
A woman-owned enterprise is de?ned by the Federal Government as a business that is ?ftypercent (50%) or more woman-owned. Please check applicablebox concerning the ownership of your business:
El Woman/Female owned ? Male owned
A Section 3 Contractor or Subcontractor is a business concern that is more than ?fty-one percent (51%) owned by a low or very low-income person, or a business concern that provides economic opportunities to low and very low-income residents. Please check applicable box concerning the ownership of your business:
El Section 3 Business concern B/Non-Section 3 Business concern The United States Department of Housing and Urban Development (HUD) is authorized to solicit the information requested in this form by virtue of Title 12, United States Code, Section 170] et seq., and other regulations. It will not be disclosed or released outside of HUD without your consent, except as required or permitted by law.
17.D
SUBCONTRACTOR
($2313at. $24 ”)9.CA/
y Tree me 9e, we CA/ 7-
KoberjrsmRani); M'X CarmaCA $ 00
w
Required Bid Form
LIST OF SUBCONTRACTORS
AMOUNT ADDRESS/PHONENO.
S UP P L ERS
NAME OF SUPPLIER ADDRESS/PHONENO. CONTRACT AMOUNT
This form is to be completed and submitted with the bid package.
FED. I.D.#
3E Set 615—35%5956
Gran
94 o?o
b
LOO
000
7W~|oZ$—
%‘WS 7MPage 184 of 552
17.D
I. Employment Opportunities
wwwthudgov/sectionJ
hn eonsi‘zd u a s.hudl ov/O ortuni Portal]
fornew employment opportunitiesand Section 3 reports, in a form,at a e, and at a time as directed by the Department of Housing & Workforce Solutions. Initial Here Present a list.of the number of total labor hours, Section 3 worker labor hours, and Targeted projec number of available positions, to in
Initial Here
d. Not Section 3 Coordin of contracto
workers prior to hiring % Initial He
2. Submit a list of core emp oyees (includi dministrativ plannin and other the time of ard.A Initial
Post a ilable positionsand advertisejob Secti 3 workels wmv.rivco'obstorg %Initial Here Complete
Si d1 Section
your proposed
3 Plan. Initial
workfoHail plan for thi roject belo
EXHIBIT 3-6
$200,000 or more BIDDERCERTIFICATION FOR SECTION3 COMPLIANCE (Housing and Community Development Act of 1968)
Project Title: Accessible Sidewalk and ADA Proiect Amount of Bid:
The undersigned hereby certi?es that he/she has read and understands City of Hemet's Section 3 Af?rmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and further certi?es adoption of, and adherence to, said program, and certi?es understanding of the following for all construction contracts over $200,000.
I understand and agree that in the event that I am awarded this contract, and in the event that any new employment opportunities are created as a result of this CDBG—?mdedproject, I will:
a. Contact the U.S. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 persons, within City of Hemet, to be for available employment opportunities; and HUD Section 3 Opportunity Portal. Initial Here
at'
b. Forward to the Department of Housing & Workforce Solutionsall detailedjob descriptions
0. Section 3 worker labor hours expected to be generated from the initial contract and a list of elude job descriptions and wage rates.
r interestsregarding employment of Section 3
re ng a e, clerical,
positions pertinent to the construction trades) at contact aw Here f. on openings at:
g.
h. s p w.
17.D
II. Subcontracting Ongortunities
www.h d.gov/section3
certi?ed Section 3 e
subcontractingoppo 4
www.hud.gov/section3
consideredfor available employment opportunities; and HUD Section 3 O htt s://huda s.hud,20v/0 rlunitvPonal/ Initial Here
rward to the Department of Housing & Workforce Solutions all detailed Dep nt of Housing & 2%Initial Here
proje d number of availablepositions,to inc
Initial Here
L Notify Section 3 Co dinatorof contractor intere
prior to hiring. Initial Here
Submit a list of core employees(including administrative, clerical, p ing, and other positions pertinent to the constructiontrades) at the time of Contact award. Initial Here Post ailable positions and advertise job Section 3 workers 0 nings at: vmwrivco'obsnrg Inilial Hem
EXHIBIT 3-6
BIDDER CERTIFICATION FOR SECTION 3 COMPLIANCE
a. I understand and agree that for any and all subcontracting opportunitiesthat may result fromthis CDBG-?mded project, I will contact the US. Departmentof Housing and Urban Development (HUD) Section 3 website at to review the list of Businesses, within City of Hemet, to be considered for availabl rtunities prior to selecting any subcontractorfor my bid submittal.
Initial Here
b. I understand and agree that any and all sub-contracts and sub-tier agreements resulting from this CDBG-?Jnded project are also subject to Section 3 compliance, and therefore, as the General/Prime Contractor, I am responsible to ensure compliance from all subcontractors.
Initial Here
i. Contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to review the list of certi?ed Section 3 persons, within City of Hemet, to be pportunity Portal
at:
j. F0 job descriptionsfor
new employment opportunities and Section 3 reports, in a form, at a place, and at a time as directed by the Workforce Solutions.
k. Present a list, of the number of total labor hours, Section 3 worker labor hours, and Targeted Section 3 worker labor hours expected to be generated ?'om the initial contract and a list of ludejob descriptionsand wage rates.
sts regarding employment of Section 3 workers
17.D
Complete {our bcontracting goject
sxmconmcmx
Su Plan for this below:
AMOUNT 01: IS THE SUBCONTRACIOR IF 15 SECTION 3, INDICATE SUBCONTRACHS) SECTION 3 ELIGIBLE? ELIGIBLE s1 AmsTRADE YES OR NO 51% OWNER / 30% EMPLOYEE
Surveying $22,600.00 NIA
* Add additionalsheetsif necessary
Bidder (Company) Name:
Authorized Representative (Type Name):
Signature:
17.D
MUST BE COMPLETED BY ALLSUBCONTRACTORS
www‘hudgov/section3
ed Section 3 persons, be
employment opponuni ?
4L
_ Required Bid Form for bids
$200,000 or more SUBCONTRACTORCERTIFICATION FOR SECTION 3 COMPLIANCE (Housing and Community Development Act of 1968)
Project Title: Accessible Sidewalk &ADA Project
Subcontractor: Case Land Surveying, Inc.
Contractor/Bidder:
The undersigned hereby certi?es that he/she has read and understands City of Hemet's Section 3 Affirmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and further certifies adoption of, and adherence to, said program, and certifies understanding of the following for all prime construction contracts over $200,000:
a. I understand and agree that in the event that I am awarded a subcontract,and in the event that any new employment opportunities are created as a result of this CDBG—?mdedproject, I will contact the US. Department of Housing and Urban Development (HUD) Section 3 website at to
review the list of certi? within City of Hemet, to
considered for available ties;
InitialHerc
b. I will forward to the Department of Housing & Workforce Solutions all detailedjob descriptions and Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions.
InitialHere
EXHIBIT B-l0
17.D
Name- Surveying.
Re ype
Signatur A
08/23/
Completeyour proposed workforce plan for this project below:
NUMBEROF
JOB CATEGORY CURRENT NEW "IRES NUMBEROF NEW ”IRES
% OF NEW HIRES To BE
POSITIONS 1F PROPOSEDTo BE
AWARDED SECI'ION3 SECTION3 RESIDENTS
BID
PROFESSIONALS
TECHNICIANS
OFFICE/CLERICAL
CONSTRUCTIONBY
TRADE
TRADE um;
FIeldSurveyor ?g?mmu N/A N/A
TRADE
TRADE
TRADE
TRADE
TRADE
APPREN'I'ICE
1 TRAINING
1 OTHER
TOTAL
2 Subcontractor(Company) Case Land Inc.
Authorized Name): Larry V. Case, President
17.D
He
MAArcrss/é/c5/c/wa//r in?rm/”Mi;
if”.
www.11ud‘ov/section3
review the erti?ed Section 3
considered able employment
be
Required BidForm for bids
$200,000 or more
SUBCONTRACTORCERTIFICATIONFOR SECTION 3 COMPLIANCE
MUST BE COMPLETED BY ALL SUBCONTRACTORS
(Housing and Community DevelopmentAct of 1968)
Project Title:
Contractor/Bidder:
The undersigned hereby certi?es that he/she has read and understands City of met's Section 3 Af?rmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and further certi?es adoption of, and adherence to, said program, and certi?es understanding of the following for all prime construction contracts over $200,000:
a. I understandand agree that in the event that I am awarded a subcontract,and in the event that any new employment opportunitiesare created as a resultof this CDBG-funded project, I will contact the US. Department of Housingand Urban Development (HUD) Section 3 website at to
list of 0 persons, within City of Hemet, to
for avail opportunities;
InitialHere
b. I will forward to the Department of Housing & WorkforceSolutions all detailedjob descriptions and Section 3 reports, in a form, at a place, and at a time as directed by the Department of Housing & Workforce Solutions.
Initial Here
EXHIBIT B-10
Subcontractor: /
17.D
O
O
O
O
Name: I/ "Wee {er/Are, 17%;,
Rep senmive U‘C'él’.’ £457‘0” 4&4«Z' M
.
Complete your proposed workforce plan for this project below:
NUMBEROF
NEWEIRES N'UMBEROFN’EWHIRES JOB CATEGORY CURRENT %0FNEWHIRESTOBE PROPOSED TO BE SECTION3
IF POSITIONS
AWARDED SECTION 3 RESIDENTS
BID
PROFESSIONALS
TECHNICIANS d
OFFICE/CLERICAL
CONSTRUCTION BY
TRADE ‘0
TRADE
TRADE
TRADE
TRADE
APPRENTICE
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The undersigned hereby certi?es that he/she has read and understands City of Hemet's Section 3 Af?rmative Action Program as well as Section 3 of the Housing and Community Development Act of 1968, and further certi?es adoption of, and adherence to, said program, and certi?es understanding of the following for all construction contracts over $200,000.
I understand and agree that in the event that I am awarded this contract, and in the event that any new employment opportunitiesare created as a result of this CDBG-fundedproject, I will:
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17.D
ONYX PAVING COMPANY INC.
2890 E. La Cresta Ave.
Anaheim, CA 92806
Tel: (714) 632-6699
Fax: (714) 632-1883
Ad Proofs
Project Name: CDBG FUNDED ACCESSIBLE
SIDEWALK/ADAPROJECT CAPITAL IMPROVEMENT
ContractIBid #: PROJECT NO. 5768
Awarding Agency: CITYOF HEMET
17.D
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Focus Journal Ad
Publication: DBE GoodFaith (DBEGoodFaith.com)
Published On: 08/22/2024 @ 04:45:50 PM Paci?c
Expired On: 08/26/2024 @ 11:59:59 PM Paci?c
Message Noti To: @onyxpavi
Published At: dfail m/item.php ype=ads&ad_adid=61500
PLANS AND SPECS MAY BE OBTAINED VIAEMAILTO
[email protected].
PROJECT CAPITA...
CDBG Get in Touch
IMPROVEMENT
ESAX
; (714) 632-1883
Prams: Emir-rife 2890 E. La Cresta Ave.
TRUCKING Anaheim. CA 92806
HAULING
TRAFFIC CONTROL
STRIPING
SIGNING
TREE REMOVAL
Page II Ad Proofs - CDBG FUNDED ACCESSIBLE SI
is seeking qualified Section 35
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HEMET.RIVERSIDE COUNTY County, CA
(3‘if):1:9 at 3:00
051‘: ,) COREY R.KIRS
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{Dr-{3358:}? 6:3: “mm 1K": : COREY R. KIRSCHNE
CITY OF HEMET R
: (714) 632-6699
17.D
Certi?cation 5 Assistance
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The U.S. Department of TransportationBay Area Rapid Transit MBE, WBE (EOPP) Program supported Southwest Region SBTRC helps DBEs with Procurement. Capital Access, and
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Page Ill Ad Proofs - CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITA...
Free DBE Resources
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»
17.D
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ECT+CAP1TAL+ NT+&co_name omwavmsm
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Trade Journal Ad
Publication: DBE Journal (DBEJoumal.com)
Published On: 08/22/2024 @ 04:45:50 PM Paci?c
Expired On: 08/26/2024 @ 11:59:59 PM Paci?c
Published At:
com/index.ph 5
e=CDBG+FUNDED+ACCESSIBLE+S|DEWALK%2FADA
+PROJ IMPROVEME = OMPANY+|NC.
OYXP GCO Y C
is seeking qualified Section 33
CDBG FUNDED ACCESSIBLESIDEWALK/ADAPROJECT CAPITAL
IMPROVEMENT
Bid Date
391.391. PEI‘T‘IIIS.
TRUCKING
HAULING
TRAFFIC CONTROL
STRIPING
SIGNING
TREE REMOVAL
PLANS AND SPECS MAY BE OBTAINEDVIAEMAILTO
[email protected].
Page IV Ad Proofs - CDBG FUNDED SIDEWALKIADAPROJECT CAPITA..
Outreach Coordjnator
H COREY R. KIRSCHNER
Estimator
COREY R. KIRSCHNER
Contact Information
(714) 632-1883
Rr91¢9KNam?
Awarding ncy
CITYOF HEMET
HEMET, RIVERSIDE COUNTY CountyI CA
08/26/2024 at 3:00
$191390?an#. .. PROJECT NO. 5768
2890 E. La Cresta Ave.
Anaheim. CA 92805
Telephone
(714) 632-6699
17.D
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Remember to follow DBEGoodFaith on LinkedInand re-post the bid invitationprovided below, This willhelp you get more eyes on the sub/supplier opportunities available on the project.
Published On: 08/22/2024 @ 04:49:03 PM Paci?c
Published At: https:/lwww.linkedin.com/feedlupdate/umzlizshare27232534266541174785/ Page V Ad Proofs - CDBG FUNDEDACCESSIBLE SIDEWALKIADAPROJECT CAPITA...
17.D
ONYXPAVING COMPANY INC.
2890 E. La Cresta Ave.
Anaheim, CA 92806
Tel: (714) 632-6699
Fax: (714) 632—
1883
Outreach nvitat on Proofs
Project Name: CDBG FUNDED ACCESSIBLE
SIDEWALK/ADAPROJECT CAPITALIMPROVEMENT
Contract/Bid #: PROJECT NO. 5768
Awarding Agency: CITY OF HEMET
Log details
- This document contains a single copy of the bid invitation emailed to each company with an email address listed on their certification. The same email was sent to all companies, which is why we have provided the single email proof.
- This document contains a copy of each fax notice sent to solicited companies with a fax listed on their certification.
17.D
DBEGnchaulv cm whh
Email Proof
Subject Line: [Bid Invite] CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEME NT Reply To Email: [email protected]
ONYX PAVING COMPANY INC. is seeking quali?ed Section 35 and invites you to bid on the following contract.
PROJECT NAME: CDBG FUNDED ACCESSIBLE SlDEWALK/ADAPROJECT CAPITAL
IMPROVEMENT
BID#: PROJECT NO. 5768
BID DUE DATE: 08/26/2024 at 3:00 (local time)
AWARDING AGENCY/OWNER: CITY OF HEMET
PROJECT LOCATION: HEMET, RIVERSIDECOUNTY, CA
TRUCKING
HAULING
TRAFFIC CONTROL
STRIPING
SIGNING
TREE REMOVAL
PLANS AND SPECS MAY BE OBTAINED VIAEMAILTO [email protected] If interested, contact:
COREY R. KIRSCHNER
ONYX PAVING COMPANY INC.
Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
This email was scni via the DBEGoodFaith com outreach platform To learn more about why you received this bid invitation email, visi t
17.D
NV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: ABBOUD DIAMONDCONSTRUCTION, INC. 2890 E. La Cresta Ave. Tel: (909) 335-4866
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME:COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35 PROJECT NAME CDBG FUNDED ACCESSIBLE SlDEWALK/ADAPROJECT CAPITAL IMPROVEMENT BID DUE DATE 08/26/2024 at 3:00
BID l PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAY BE OBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visit and enter Solicitation ID3015971-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested.but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:02 am Pacific through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.oom.
Learn more about why you received this invitation at DBEGoodFaith com/why
17.D
NV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: Aztec Services, Inc. 2890 E. La Cresta Ave. Tel: (800) 527-9010
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME:COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITALIMPROVEMENT BID DUE DATE 08/26/2024 at 3:00
BID / PROJECT # PROJECT NO. 5768
AGENCY NAME CITYOF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBE OBTAINED VIAEMAILTO BIDS@ONYXPAV|NG.NET
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015950451500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested.but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaitht com. Learn more about why you received this invitation at DBEGoodFaith.com/why
17.D
a! ONVXPAVI
EGaadFa "LCD
NV TATION TO BID
FROM: ONYX PAVING COMPANY INC. TO: Beuse Inc
2890 E. La Cresta Ave. Tel: (213) 284-1234
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Qualified Section 35
PROJECT NAME CDBG FUNDEDACCESSIBLE SIDEWALK/ADAPROJECT CAPITALIMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY, CA
TRUCKING HAULING TRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBE OBTAINEDVIAEMAILTO BIDS@ONYXPAV|NG.NET
HOW TO REPLY
ONLINE Visi and enter Solicitation ID 3015974-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf NG COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DB i m outreach platform.
Find other DBE, M/WBEDVBESBE, and other subcontracting and supplier opportunities at DBEGoodFaithcom. Learn more about why you received this invitation at DBEGoodFaith com/why
17.D
NV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: Coleman Construction Inc 2890 E. La Cresta Ave. Tel: (323) 295-5484
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35 PROJECT NAME CDBG FUNDEDACCESSIBLE SlDEWALK/ADAPROJECT CAPITALIMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID l PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY, CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNINGTREE REMOVAL PLANS ANDSPECS MAYBE OBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015976—61500
BY FAX Fax back this invitationwith your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYXPAVING COMPANY INC. at 08/23/2024 08:18:02 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com Learn more about why you received this invitation at DBEGoodFa/th com/why
17.D
NV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: Completely Concrete Structures, Inc 2890 E. La Cresta Ave. Tel: (323) 775-7863
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME:COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Qualified Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMENT BID DUE DATE 08/26/2024 at 3:00
BID / PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBE OBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015978—61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No.we are not interested.
[ ] Interested.but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith. com. Learn more about why you received this invitation at DBEGoodFaith.com/wh y
17.D
ds@onyxpavin
ONTACT NAM
NV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: Crystal's Senior Services LLC 2890 E. La Cresta Ave. Tel: (909) 887-1904
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
bi g.net
C E: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLESIDEWALK/ADAPROJECT CAPITALIMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID l PROJECT # PROJECT NO. 5768
AGENCY NAME CITYOF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBE OBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015951431500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ]Yes. we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested. but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith. com Learn more about why you received this invitation at DBEGoodFaith. com/why
17.D
NVITATION TO B D
FROM: ONYX PAVING COMPANY INC. TO: De La Torre Solutions Corp. 2890 E. La Cresta Ave. Tel: (951) 549-3525
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME:COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBE OBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE
BY FAX Fax back this invitation with your response to: (714) 632-1883 ] Yes, we willsend a fax quote by the bid date.
] No, we are not interested.
] Interested. but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
Visi and enter Solicitation ID3015952-61500
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith. com. Learn more about why you received this invitation at DBEGoodFaith.com/why
17.D
lNl I
mug-ammmmmm
VTATONTOBD
FROM: ONYX PAVING COMPANY INC. TO: DECON -1 LLC
2890 E. La Cresta Ave. Tel: (310) 990-4493
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME:COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDEDACCESSIBLE SIDEWALK/ADAPROJECT CAPITALIMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDECOUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS AND SPECS MAYBE OBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015981-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested. but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith com Learn more about why you received this invitationat DBEGoodFaith.com/why
17.D
tmmnnmmm
NV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: First Choice Landscape Corp 2890 E. La Cresta Ave. Tel: (909) 267-9613
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMENT BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITYOF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNINGTREE REMOVAL PLANS AND SPECS MAYBEOBTAINED VIAEMAILTO BIDS@ONYXPAV|NG.NET
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015953-61500
BY FAX Fax back this invitationwith your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith. com Learn more about why you received this invitation at DBEGoodFaith.com/why
17.D
INVTAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: G&J Legacy Properties LLC 2890 E. La Cresta Ave. Tel: (818) 448-1600
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITYOF HEMET
PROJECT LOCATION HEMET, RIVERSIDECOUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBEOBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015954-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 Yes, we willsend a fax quote by the bid date.
No.we are not interested.
Interested. but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:02 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE, SEE, and other subcontracting and supplier opportunities at DBEGoodFaith.com.
Learn more about why you received this invitation at DBEGoodFaith.com/why
17.D
NV TAT ON TO BID
FROM: ONYX PAVING COMPANY INC. TO: Green Spaces Preservation 2890 E. La Cresta Ave. Tel: (800) 465-8720
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Qualified Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMENT BID DUE DATE 08/26/2024 at 3:00
BID / PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS AND SPECS MAYBEOBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visit and enter Solicitation ID3015955-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No.we are not interested.
[ ] Interested.but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:02 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com.
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17.D
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NV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: Ink My House, LLC
2890 E. La Cresta Ave. Tel: (818) 259-6345
Anaheim, CA 92806 Fax: 0 - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME:COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35 PROJECT NAME CDBG FUNDEDACCESSIBLE SlDEWALK/ADAPROJECT CAPITAL IMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITYOF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBE OBTAINEDVIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visit and enter Solicitation ID3015958—61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf NG COMPANY INC. at 08/23/2024 08:18:02 am Pacific through the DB i m outreach platform.
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ab ce this a .
17.D
NV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: Jeremy Morris Construction 2890 E. La Cresta Ave. Tel: (323) 356-5907
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAY BE OBTAINEDVIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID 3015986-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Pacific through the DBEGoodFaith.com outreach platform.
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17.D
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NV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: Jerusalem Construction Inc. dba Miramar General 2890 E. La Cresta Ave. Engineering
Anaheim, CA 92806 Tel: (619) 434-5900
Tel: (714) 632-6699 Fax: () - Fax: (714) 632-1883
[email protected]
CONTACT NAME:COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Qualified Section 35 PROJECT NAME CDBG FUNDED ACCESSIBLE SlDEWALK/ADAPROJECT CAPITAL IMPROVEMENT BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDECOUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS AND SPECS MAYBEOBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015987-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes. we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested. but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYXPAVING COMPANY INC. at 08/23/2024 08:18:04 am Paci?c through the DBEGoodFaith.com outreach platform.
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17.D
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NV TAT ON TO BID
FROM: ONYX PAVING COMPANY INC. TO: L&BBuilders Inc
2890 E. La Cresta Ave. Tel: (323) 208-701
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID / PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY, CA
TRUCKING HAULING TRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAY BEOBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015991-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:04 am Paci?c through the DBEGoodFaith.com outreach platform.
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17.D
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FROM: ONYX PAVING COMPANY INC. TO: LANGARICAINC
2890 E. La Cresta Ave. Tel: (626) 213-9347
Anaheim, CA 92806 Fax: () — Tel: (714) 632-6699
Fax: (714) 632-1883
bi paving.net
C NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDEDACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDECOUNTY.CA
TRUCKING HAULING TRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBEOBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015959-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ]Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf NG COMPANY INC. at 08/23/2024 08:18:02 am Paci?c through the DB i m outreach platform.
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ab by as a E .
17.D
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FROM: ONYX PAVING COMPANY INC. TO: Lipham Construction
2890 E. La Cresta Ave. Tel: (818) 522-5978
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Qualified Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMENT
BID DUE DATE
BID / PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULING TRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBEOBTAINEDVIAEMAILTO BIDS@ONYXPAV|NG.NET
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015960-61500
BY FAX Fax back this invitationwith your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
08/26/2024 at 3:00
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:02 am Paci?c through the DBEGoodFaith.com outreach platform.
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17.D
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FROM: ONYX PAVING COMPANY INC. TO: NICE Landscape and Maintenance Inc. 2890 E. La Cresta Ave. Tel: (714) 836-4025
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Qualified Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMENT BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY, CA
TRUCKING HAULING TRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAY BE OBTAINEDVIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015961-61500
BY FAX Fax back this invitation with your response to: (714) 632—1883 Yes, we willsend a fax quote by the bid date.
No, we are not interested.
Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DBEGoodFaith.com outreach platform.
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17.D
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INVTAT ON TO B D
FROM: ONYX PAVING COMPANYINC. TO: Nikki Nguyen
2890 E. La Cresta Ave. Tel: (424) 946-7498
Anaheim, CA 92806 Fax: () - Tel: (714) 632—6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME:COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDEDACCESSIBLESIDEWALK/ADAPROJECT CAPITAL IMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDECOUNTY.CA
TRUCKINGHAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBE OBTAINEDVIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visit and enter Solicitation ID3015996-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not ed.
[ ] Interested. but Id like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf NG COMPANY INC. at 08/23/2024 08:18:02 am Paci?c through the DB i m outreach platform.
Find other DBE, E, an r s g s i EGoodFaith. com
ab hy ce ta a .
17.D
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NV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: Osmart General Construction Inc 2890 E. La Cresta Ave. Tel: (323) 685-5655
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35 PROJECT NAME CDBG FUNDED ACCESSIBLE SlDEWALK/ADAPROJECT CAPITAL IMPROVEMENT BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULING TRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAY BEOBTAINED VIAEMAILTO BIDS@ONYXPAV|NG.NET
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015997451500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested. but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:02 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com.
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17.D
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FROM: ONYX PAVING COMPANY INC. TO: PBS Construction Services 2890 E. La Cresta Ave. Tel: (909) 202-9204
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITALIMPROVEMENT BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBEOBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015998—61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested.but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Pacific through the DBEGoodFaith.com outreach platform.
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17.D
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FROM: ONYX PAVING COMPANY INC. TO: Proficient Builders, Inc 2890 E. La Cresta Ave. Tel: (949) 302-4462
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME:COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Qualified Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY, CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAYBE OBTAINEDVIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3016004-61500
BY FAX Fax back this invitationwith your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested. but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE SBE, and other subcontracting and supplier opportunities at DBEGoodFaI'th com. Learn more about why you received this invitation at DBEGoodFaith com/why
17.D
NV TAT ON TO BID
FROM: ONYX PAVING COMPANY INC. TO: PROJECT H.E.A.T
2890 E. La Cresta Ave. Tel: (530) 921-6641
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITALIMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDECOUNTY, CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAY BEOBTAINEDVIAEMAILTO BIDS@ONYXPAV|NG.NET
HOW TO REPLY
ONLINE Visit and enter Solicitation ID3015962-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes. we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested.but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:02 am Paci?c through the DBEGoodFaith.com outreach platform.
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17.D
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FROM: ONYX PAVING COMPANY INC. TO: Qwest Engineering, Inc. 2890 E. La Cresta Ave. Tel: (714) 900-1070
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35 PROJECT NAME CDBG FUNDEDACCESSIBLE SlDEWALK/ADAPROJECT CAPITALIMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID l PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY, CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS AND SPECS MAYBEOBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3016005-61500
BY FAX Fax back this invitationwith your response to: (714) 632-1883 ] Yes, we willsend a fax quote by the bid date.
] No, we are not interested.
] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DBEGoodFaith.com outreach platform.
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17.D
INVTAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: Silverline Tree Service LLC 2890 E. La Cresta Ave. Tel: (707) 834-6909
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME:COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Qualified Section 35 PROJECT NAME CDBG FUNDEDACCESSIBLE SlDEWALK/ADAPROJECT CAPITALIMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID l PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY, CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS AND SPECS MAY BE OBTAINED VIAEMAILTO BIDS@ONYXPAV|NG.NET
HOW TO REPLY
ONLINE Visit and enter Solicitation ID3015964-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested.but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DBEGoodFaith.c0m outreach platform.
Find other DBE, M/WBE, DVBE.SBE, and other subcontracting and supplier opportunities at DBEGoodFaith‘com. Learn more about why you received this invitation at DBEGoodFaith.com/why
17.D
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INV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: T&M Projects Inc. dba T&MConstruction 2890 E. La Cresta Ave. Tel: (310) 833-3366
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME:COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Qualified Section 35 PROJECT NAME CDBG FUNDED ACCESSIBLE SlDEWALK/ADAPROJECT CAPITALIMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITYOF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY, CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS AND SPECS MAYBEOBTAINEDVIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015965-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested. but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Pacific through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE.SEE, and other subcontracting and supplier opportunities at DBEGoodFal'th.com.
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17.D
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FROM: ONYX PAVING COMPANY INC. TO: Thunder-Jones Contracting Group, Inc. 2890 E. La Cresta Ave. Tel: (760) 597-0057
Anaheim, CA 92806 Fax: () - Tel: (714) 632—6699
Fax: (714) 632-1883
bi paving.net
C NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Qualified Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY, CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNINGTREE REMOVAL PLANS ANDSPECS MAYBEOBTAINEDVIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3016010-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested. but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf NG COMPANY INC. at 08/23/2024 08:18:02 am Paci?c through the DB i m outreach platform.
EGoo dFaith.com.
(I)
Find other DBE, E, r s ntra ab ce this
:11
17.D
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FROM: ONYX PAVING COMPANY INC. TO: Triangle Enterprises, Inc 2890 E. La Cresta Ave. Tel: (818) 767-3366
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632—1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITALIMPROVEMENT BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITYOF HEMET
PROJECT LOCATION HEMET, RIVERSIDECOUNTY.CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS AND SPECS MAYBE OBTAINED VIAEMAILTO BIDS@ONYXPAV|NG.NET
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3016011-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 ] Yes, we willsend a fax quote by the bid date.
] No, we are not interested.
] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY NC. at 08/23/2024 08:18:02 am Paci?c through the DBEGoodFaith.com outreach platform.
In
Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith. com Learn more about why you received this invitation at DBEGoodFaith.com/why
17.D
NV TAT ON TO BID
FROM: ONYX PAVING COMPANY INC. TO: URBAN CORPS OF SAN DIEGO COUNTY 2890 E. La Cresta Ave. Tel: (619) 629-0985
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMENT BID DUE DATE 08/26/2024 at 3:00
BID / PROJECT # PROJECT NO. 5768
AGENCY NAME CITYOF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY, CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNINGTREE REMOVAL PLANS AND SPECS MAYBE OBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015967-61500
BY FAX Fax back this invitation with your response to: (714) 632-1883 [ ] Yes, we willsend a fax quote by the bid date.
[ ] No, we are not interested.
[ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY NC. at 08/23/2024 08:18:03 am Pacific through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith com. Learn more about why you received this invitationat DBEGoodFaith.com/why
17.D
NV TAT ON TO B D
FROM: ONYX PAVING COMPANY INC. TO: Weiland and Associates. Inc. 2890 E. La Cresta Ave. Tel: (619) 588-6463
Anaheim, CA 92806 Fax: () - Tel: (714) 632-6699
Fax: (714) 632-1883
[email protected]
CONTACT NAME: COREY R. KIRSCHNER
ONYX PAVING COMPANY INC. is Seeking Quali?ed Section 35
PROJECT NAME CDBG FUNDED ACCESSIBLE SIDEWALK/ADAPROJECT CAPITAL IMPROVEMEN T
BID DUE DATE 08/26/2024 at 3:00
BID I PROJECT # PROJECT NO. 5768
AGENCY NAME CITY OF HEMET
PROJECT LOCATION HEMET, RIVERSIDE COUNTY, CA
TRUCKING HAULINGTRAFFIC CONTROL STRIPING SIGNING TREE REMOVAL PLANS ANDSPECS MAY BE OBTAINED VIAEMAILTO [email protected]
HOW TO REPLY
ONLINE Visi and enter Solicitation ID3015968-61500
BY FAX Fax back this invitationwith your response to: (714) 632-1883 Yes, we willsend a fax quote by the bid date.
No, we are not interested.
Interested.but we would like more information. Please contact us at BY EMAIL Contact COREY R. KIRSCHNER at [email protected]
This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 08/23/2024 08:18:03 am Paci?c through the DBEGoodFaith.com outreach platform.
Find other DBE, M/WBE, DVBE.SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com.
Learn more about why you received this invitation at DBEGoodFaith.com/why
17.D
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REFERENCES
PROJECTNAME: CITYWIDEASPHALTREPAIRSPROJECTFY21/22
PROJECTDESCRIPTION:CITYWIDESTREETIMPROVEMENTS
APPROXIMATE CONSTRUCTIONDATES: FEB2022 - NOV 2022
CONSULTINGCOMPANY: CITYOF DANAPOINT- 33282 GOLDENLANTERN,DANAPOINT, CA92629 CONTACTPERSON: SCOTTFISHER760—814—7226
ORIGINALCONTRACTAMOUNT: $1,595,000.00
FINALCONTRACTAMOUNT: $1,314,878.59
IFFINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:FIELDQUANTITIESDIFFEREDFROM BIDSCHEDUL E
QUANTITIES
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME: 22-23 ANNUALASPHALTCONCRETEOVERLAYPROJECT
PROJECTDESCRIPTION:CITYWIDESTREETIMPROVEMENT
APPROXIMATE CONSTRUCTIONDATES: 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 PROJECTLIMITS.
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME: 2021-2022 PAVEMENTREHABILITATIONPROJECT
PROJECTDESCRIPTION:VARIOUSPAVEMENTREHABILITATION& CONCRETEIMPROVEMENTS APPROXIMATE CONSTRUCTIONDATES: NOV 2022 - MARCH 2023
AGENCY:CITYOF ARCADIA-240 W. HUNTINGTONDR,ARCADIA,CA91007 CONTACTPERSON:JAN BALANAY626—254—2726
ORIGINALCONTRACTAMOUNT: $1,727,000.00
FINALCONTRACTAMOUNT: $1,899,698.72
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
ONYXPAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM, CA 92806 —TEL(714) 632-6699 — FAX(714) 632-1883
17.D
PROJECTNAME: 21—22PAVEMENTREHABILITATIONPROJECT
PROJECTDESCRIPTION:CITYWIDESTREETIMPROVEMENTS
APPROXIMATE CONSTRUCTIONDATES: NOV 2022- MAY2023
AGENCY:CITYOF TEMPLECITY- 9701 E LASTUNAS DR,TEMPLECITY,CA91780 CONTACTPERSON: ALICAYIR714-883-8677
ORIGINALCONTRACTAMOUNT: $3,727,000
FINALCONTRACTAMOUNT: $4,031,000
IFFINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORKFORADDITIONALSCOPE OUTSIDEOF PROJECT LIMITS.
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME: 23-24 SLURRYSEALAT VARIOUSLOCATIONS
PROJECTDESCRIPTION:CITYWIDEASPHALTREPAIRS& SLURRY
APPROXIMATE CONSTRUCTIONDATES: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.
DIDTHEAGENCYFILEANYCLAIMSAGAINST YOU? NO
PROJECTNAME: 22—23SB1 PAVEMENT REHABILITATIONPROJECT
PROJECTDESCRIPTION:VARIOUSSTREETFULLDEPTHRECONSTRUCTION APPROXIMATE CONSTRUCTIONDATES:JAN 2024 — MAY2024
AGENCY:CITYOF HEMET- 445 E FLORIDAAVENUEHEMET, CA92543
CONTACTPERSON: JILLEENFERRIS951-765-2360
ORIGINALCONTRACTAMOUNT: $2,020,000
FINALCONTRACTAMOUNT: $2,528,000
IFFINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.
DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
ONYX PAVING COMPANY, INC.
2890 EAST LACRESTAAVE, ANAHEIM, CA 92806 —TEL(714) 632-6699 — FAX(714) 632-1883
17.D
PROJECTNAME: PARKS,CIVICCENTER8: SHERRIFSTATION PARKINGLOTREHABILITATION PROJECTDESCRIPTION:ASPHALTREMOVAL& REPLACEMENT
APPROXIMATE CONSTRUCTIONDATES: FEB2024 — MAY2024
AGENCY:CITYOF LAWNDALE- 14717 BURINAVE LAWNDALE,CA90260 CONTACTPERSON: NICKPETREVSKI310-973-3265
ORIGINALCONTRACTAMOUNT: : $486,486
FINALCONTRACTAMOUNT: $601,000
IFFINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:CHANGEORDERWORK FORADDITIONALSCOPE OUTSIDEOF PROJECTLIMITS.
DIDTHEAGENCY FILEANYCLAIMSAGAINST YOU? NO
PROJECTNAME: RESIDENTIALSTREETPAVEMENT REHABILITATIONPROJECT, AREA8 PROJECTDESCRIPTION:STREETIMPROVEMENTS
APPROXIMATE CONSTRUCTIONDATES: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
ONYX PAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM, CA92806 —TEL(714) 632-6699 — FAX(714) 632-1883
17.D
LARGEPROJECTREFERENCES
PROJECTNAME: CULVERDRIVEIMPROVEMENTSFROM WALNUT AVENUETO I-5 FREEWAY PROJECTDESCRIPTION:STREETIMPROVEMENTS
APPROXIMATE CONSTRUCTIONDATES: 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 CONTACTPERSON: ERICVILLAGRACIA562-902-2373
ORIGINALCONTRACTAMOUNT: $4,242,000.00
FINALCONTRACTAMOUNT: $4,524,646.67
IF FINALAMOUNT IS DIFFERENTFROM ORIGINALAMOUNT, PLEASEEXPLAIN:SCOPESOf WORK CHANGEDBYAGENCY DIDTHEAGENCYFILEANYCLAIMSAGAINSTYOU? NO
PROJECTNAME: ROCHESTERAVENUE PAVEMENT REHABILITATION
PROJECTDESCRIPTION: STREETIMPROVEMENTS
APPROXIMATE CONSTRUCTIONDATES: MARCH2022-AUG 2022
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
DIDTHEAGENCYFILEANY CLAIMSAGAINSTYOU? NO
ONYX PAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM, CA92806 —TEL(714) 632—6699 — FAX(714) 632—1883
17.D
GENERALCONTRACTORS: AMO ,
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, CA 9174
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
LusardiConstruction
1570 Linda Vista Dr.
San Marcos, CA92064
Ph: 760-744—3133
Fax: 760-744—9064
Contact Scott Staley
REFERENCES
JOBS PERFORMED:
Centerpointe
Sycamore Bus. Park
Hillwood Hofer Ranch
Interchange A-E
San Michelle Logistics
Terra Francesco
LOCATION:
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 UNT:
$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
17.D
Haagen Company, LLC
12302 Exposition Blvd
Los Angeles, CA90064
Ph: 310-820—1200
Fx: 310—820-1225
Contact: Chris Fahey
ARCO National Construction Co.
900 N. Rock HillRd
St. Louis, MO 63119
Ph: 314—963-0715
FX:314-963-7114
Contact: Chris Wilson
Grant General Contractors
5051 Avenida Encinas
Carlsbad, CA92008
Ph: 760-438—7500
Fx: 760-438—3056
Contact: Pete Burrows
Scannell FEDEX
Whittier Area Community
Crevier BMW
Empire Polo Club Indio
Church
ONYXPAVING COMPANY, INC.
Burbank
Whittier
Santa Ana
$1,036,745.00
$1,125,958.00
$625,920.00
$30,600.00
2890 EASTLACRESTAAVE, ANAHEIM,CA92806 —TEL(714) 632-6699 — FAX(714) 632-1883
17.D
,
, ,
GENERALCONTRACTORS: JOBS PERFORMED: LOCATION: AMOUNT:
ASPHALT RUBBERHOT MIX R ERENCES:
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]
ONYXPAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA92806 -—TEL(714) 632-6699 — FAX(714) 632—1883
17.D
REFE
GENERALCONTRACTOREFERENCES:
CREDIT RENCES
ONYXPAVING COMPANY, INC
2890 E. LACRESTAAVE
ANAHEIM,CA92806
PHONE: (714) 632—6699 DATEESTABLISHED 1/4/90 CORP. TAXID.# 33-0394344 FAX: (714) 632-1883 TYPEOF WORK — ASPHALTPAVING CONTRACTORSLIC.# 630360-A PRESIDENT:COREYR. KIRSCHNER 14029 SPRINGWATERLN.EASTVALE,CA 92880 BANK: BANKOF THEWEST 4501 E. LAPALMAAVENUE,ANAHEIM,CA92807 PHONE: (714) 777-9620 BRYANPLOESSEL
INSURANCEAGENT:WOOD GUTMANN& BOGART 15901 REDHILLAVE., STE.100, TUSTIN, CA92780 PHONE: (714) 824—8384 MICHAELTRAN
SURETYAGENT: TURNERSURETYAND INSURANCEBROKERAGE,INC.
5 HU'I'I'ONCENTRE,STE.730, SANTAANA, CA92707
PHONE: (714) 915-4032 JEREMYPENDERGAST
CREDITREFERENCES:
MATICHCORP. P.O. BOX 10, HIGHLAND,CA92346
ALLAMERICAN PO. BOX2229, CORONA,CA92878
KELTERITECORP. 12231 PANGBORNAVE.DOWNEY, CA
VULCANMATERIALSCO. 16013 E. FOOTHILLBLVD,IRWINDALE,CA91702 FULLMERCONSTRUCTION 1725 S. GROVE AVE., ONTARIO,CA91761 BYROM-DAVEY,INC. 13220 EVENINGCREEKDR.SOUTH#103, SAN DIEGO PACIFICCONST.GROUP 17895 SKYPARKCIR., IRVINE,CA 92614
ERICKSON—HALL CONST. CO. 500 CORPORATE DR., ESCONDIDO,CA92069 ONYXPAVING COMPANY, INC.
(909) 382—7400Steve Matich
(951) 736-7600 Cari
(562) 401-0011 Gladys
(858) 530-9414 Debbie
(909) 947-9467 Casey Jones
(858) 513-7199 Steve Davey
(949) 748—1500Mark Bundy
(760) 796-7700 Justin Sinnott
2890 EASTLACRESTAAVE, ANAHEIM,CA92806 -—TEL(714) 632-6699 — FAX(714) 632—1883
17.D
RESUME
Corey Kirschner has 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, FieldSuperintendent, serves as the core of allfield 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-site laborers, 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.
ONYXPAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM, CA 92806 —TEL(714) 632-6699 — FAX(714) 632-1883
17.D
1 dent;
Corey Kirschner
Tyler Hang
CEO/President
Senior Project Mana Field Superinten
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
ONYX PAVING COMPANY, INC.
2890 EASTLACRESTAAVE, ANAHEIM,CA92806 —TEL(714) 632-6699 — FAX(714) 632-1883 Corey
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PUBLI ORK O TRA TOR REGI TRATIO
Depa t of
Indus elations
STATE OF CALEFORNIA
Mailing City /Province:ANAHEI
M
Mailing State: CA
Mailing Postal Code: 92806
Daytime Phone:
Mobile Phone:
Registration Services: Page 1 of 2
APPLICATION FOR
C W 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
C
Physical Business City/ ANAHEIM
Province:
Physical Business State: CA
Physical Business Postal 92806
Code:
Daytime Phone Ext:
Business Email: [email protected]
Applicant's Email: [email protected]
6/27/202310:06:22 AM
17.D
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 I do not have any delinquent liability to an employee or the state for any assessment of back ‘1 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 con?rmed 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 istrue: (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, David Wiltfong, 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
17.D
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ONYXPAVING COMPANY INC
LICENSE# 630360 DIR# 1000004798
UNANIMOUS WRITTENCONSENT OF
THE BOARDOF DIRECTORSOF
ONYX PAVING COMPANY, INC,
(3 California corporation)
June 17th,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, Chief Financial 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,BElT 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 OfficerIs hereby authorized, directed, and empoweredto execute (and deliver nd al eements and any andall other documents and instruments, and takesuch further actions as may be necessary or appropriate, for the consummation of the Project. 2890 East La Cresta Ave, Anaheim, CA 92806 - PH: (714) 632-6699
17.D
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.
RESOLVED FURTHER,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]
2890 East La Cresta Ave, Anaheim, CA 92806 - PH: (714) 632-6699
17.D
ONYXPAVING COMPANYINC
LICENSE# 630360 DIR# 1000004798
IN WITNESSWHEREOF,the undersigned has executed this Unanimous Written Consent of the Board of Directors as of the date first above written
Corey Kirschner
2890 East LaCresta Ave, Anaheim, CA92806 — PH: (714) 632-6699
17.D
loyme op nunites all loyees and plicants
social wi race su as texture and elective
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COREYR‘ KIRSCHNER
CEO, PRES,VP, SEC,TREA
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8 City, state, and ?JP code
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En INin ri e m name given on 509‘?“ “WWW“umber
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resident alien, sole proprietor, or disregarded entity, see the instructions for Part E,later. For other entities. it is your employer identification number {ElN},it you do not have 2 numberssee How to geta TIN.later,
Note: ifthe account is in more than one name.see the instructions for line t. Also see What Name and Number To Give the Requ for guidelines on whose number to enter.
Under penalties of perjury. Icertify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me]; and
2. not act to hit bet: 9: (a)t up holding, I h een noti?ed by the Int e ice ( that] to p w olding to rt all into r d or (a)the IRS has not: am no longer subject to backup withhoiding: and
3 I am a US. citizen or other US. person (defined below); and
4. The FATCA code(5) entered on this form (it any) indicating that l am exempt from FATCA reporting is correct. Ceni?oation instructions. You must cross out Elem2 above it you have been notified by the IRSthat you are currently subject to backup withholding because you have failedto report all int tand dividends on yourtax return, For real estate transactions, item 2 does not apply. For mortgage interest paid. acquisition or abandonment of secured property, cancellation of debt, contributionsto an individualretirement arrangement (BRA),and generallygpayments other than int st and dividends.you are not required to sign the certi?cation.but you must provide your correct TIN.See the instructionsfor Part II,later.
General instructions
Section referen are to the lntemai Revenue Code unless otherwise noted.
Future developm . For the: tintormation about developments related to Form W~9and its instructions. such as legislation enacted after they were published. 90 to wwwjrsgovaonnwg.
Purpose of Form
An individual or entity (Form Wag requester) who is required to ?le an information return with the lFlSmust obtain your correct taxpayer identification number (rIN) which may be your sootot security number (SEN), individualtaxpayer identification number (ITEN).adoption taxpayer identi?cation number (ATINLor employer identification number (?lm. to report on an informationreturn 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)
Requeét for Taxpayer Give Form to the
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0 Form 1099~Mtscgvaraous types of income, prizes. awards, or gross; proceeds)
- Form 1099-3 {stock or mutuai fund sales and certain other transactions; by brokers)
« Form 1099-8 {proceeds {mm real estate transactions)
is Form 1099—K{merchant card emf third party network transactions) ‘ Form 1098 (home morigage interest}. 1098—5(student loan interest), 1098-1“(tuition) .Form 10994) (canceied debt}
9 Form 1099A (acquisition or abandonment of secured property) Use Form W-9 oaly if you are a US person (including a resident afien), to provide your correct TiN.
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DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITYINSURANCE 3,12,2024 THIS CERTIFICATE IS ISSUED AS A MA1TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDII IUNAL INSURED provisions or be endorsed If SUBROGATIONIS WAIVED, subject to the terms and conditions Of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsementls).
PRODUCER Sm?”
Burnham WGB Insurance Solutions
CA Insurance License 0F69771
15901Red HillAvenue
TUSt'n CA 92780 INSURER(S) AFFORDING COVERAGE NAIC#
INSURER A: American Zurich Insurance Comp 40142
INSURED . INSURER B: Zurich American Insurance Comp
Onyx PaVIng Company, Inc. 8 u d I I d ‘t C
2890 E. La Cresta Avenue 'NSURERCi CO 5 ae n emn' V 0 Anaheim CA 92806-1816 INSURER D
INSURER E
INSURER F COVERAGES CERTIFICATE NUMBER: 1519793494 REVISION NUMBER:
THIS IS TO CERTIFY THAT LlCl INSURANCE ISS THE ABOVE POLICY NOTWITHSTANDINGANY DITION ANY 0TH WITH TO
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU ALL EXCLUSIONSAND CONDITIONSOF SUCH POLICIES LIMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '9ng TYPEOFINSURANcE mm wun POLICY NUMBER IIZI‘IILI'IEIVEW II'IBIA‘BIYEIW LIMITS X COMMERCIAL GENERAL LIABILITY X X
AUTOMOBILE LIABILITY X
X X
UMBRELLA LIAB
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YIN
N IA
DESCRI OF NS ICLEs I D 101, Additi s S be atta is required) C?n'?hol as tional ed per the en S as r en contract subject to the terms & conditions Ofthe pO Icy:
GL Additional Insured Form #CG 20101219 and CG 20 37 12 19 GL Additional Insured State-Permits Form #CG 20 12 12 19 GL and ont ry For 20 O1 12 19
GL of Su ion #CG 2 19
GL Per Project Form #GLS-332S 01 12
See Attached...
CERTIFICATE HOLDER CANCELLATION
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
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMITAPPLIES PER:
POLICY D LOC
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS HIRED NON-OWNED
AUTOS ONLY AUTOS ONLY
OCCUR
CLAIMS-MADE
DFD RFTFNTION $
OFFICER/MEMBEREXCLUDED?
(Mandatory in NH)
If yes, describe under
License#: 0F69771 ONYXPAV-01
EACH OCCURRENCE
MED EXP (Anv one person)
PERSONAL 8.ADVINJURY
GENERALAGGREGATE
PRODUCTS - COMP/OPAGG
$
5 2,000,000 BODILYINJURY (Per person) BODILYINJURY (Per accident) 55 $
EACH OCCURRENCE $ AGGREGATE $
PER 0| H- STATI ITF ER E L EACH ACCIDENT $1,000,000
E L DISEASE - EA EMPLOYEE
E L DISEASE - POLICY LIMIT
THE PO
INDICATED
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTN ER/EXEC UTIVE
Michael Tran
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ES OF LISTED BELOW HAVE BEEN UED TO INSURED NAMED
REQUIREMENT TERM OR CON OF CONTRACT OR ER DOCUMENT
8082000426 3/14/2024 10/1/2024
BAP106300605 10/1/2023 10/1/2024
WC106300505 10/1/2023 10/1/2024
4-573—1770
16535
15580
PERIOD
WHICHTHIS
THE TERMS,
FOR THE
RESPECT
BJECT TO
$ 2.000.000
$ 100.000
$ Excluded
$ 2.000.000
$ 4.000.000
$4 000 000
$ 1,000,000
$ 1,000,000
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