BIDDER'S PROPOSAL
BID NO. Z10002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
BIDDER'S PROPOSAL
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW INSTALLATION'S PROGRAM & ON-
CALL EMERGENCY CONSTRUCTION SERVICES
CIP PROJECT NO. Z10002
Company: NPG, Inc.
Honorable Mayor, Members of the Council:
In accordance with the Notice Inviting Bids pertaining to the receiving of electronic proposals by the City of Lake Elsinore for the above titled improvement, the undersigned hereby proposes to furnish all Work to be performed in accordance with the Specifications, Standard Drawings, and the Contract Documents, for the unit price or lump sum set forth in the following schedule:
BID SCHEDULE
REMOVE AND REPLACE ASPHALT CONCRETE UP TO 4" MAX:
(CLASS II AGGREGATE BASE NOT INCLUDED)
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
1 R&R 1 - 1,000 Sq. Ft.
7.75 Per Sq. Ft.
2 R&R 1,001 - 5,000 Sq. Ft. Per Sq. Ft.
5.25 3 R&R 5,001 - 10,000 Sq. Ft. Per Sq. Ft.
4.90 4 R&R 10,001 + Sq. Ft.
4.75 Per Sq. Ft.
REMOVE AND REPLACE ASPHALT CONCRETE ≥ 4" UP TO 8" MAX:
(CLASS I| AGGREGATE BASE NOT INCLUDED)
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
R&R 1 - 1,000 Sq. Ft. Per Sq. Ft.
10.50 R&R 1,001 - 5,000 Sq. Ft. 9.50 Per Sq. Ft.
17 R&R 5,001 - 10,000 Sq. Ft.
7.70 Per Sq. Ft.
R&R 10,001 + Sq. Ft. 7.25 Per Sq. Ft.
INSTALL 6" CLASS II AGGREGARE BASE (COST INCLUDES ROADWAY EXCAVATION):
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
9 R&R 1 - 1,000 Sq. Ft.
Per Sq. Ft.
6.00 10 R&R 1,001 - 5,000 Sq. Ft.
Per Sq. Ft.
4.80 11 R&R 5,001 - 10,000 Sq. Ft.
4.50 Per Sq. Ft.
12 R&R 10,001 + Sq. Ft.
4.20 Per Sq. Ft.
C-8
BIDDER'S PROPOSAL
BID NO. Z10002.
"SEAL COAT (ONE COAT):
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
13 1 - 1,000 Sq. Ft. Per Sq. Ft.
0.35 14 1,001 - 5,000 Sq. Ft.
0.30 Per Sq. Ft.
15 5,001 - 10,000 Sq. Ft. Per Sq. Ft.
0.30 16 10,001 - 20,000 Sq. FL.
0.20 Per Sq. Ft.
*SEAL COAT (TWO COATS):
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
17 1 - 1,000 Sq. Ft. Per Sq. Ft.
0.38 18 1,001 - 5,000 Sq. Ft. Per Sq. Ft.
0.35 19 5,001 - 10,000 Sq. Ft. Per Sq. Ft.
0.32 10,001 - 20,000 Sq. Ft. Per Sq. Ft.
0.22 * Furnish and place one or two coats of seal coat material. Using GoldStar product https://goldstarasphalt.com/seal-coat-goldcoat-hp-310/ or equivalent products will apply.
C-9
CITY OF LAKE ELSINORE
CIP Project No. Z10002
SECTION C CONTINUED
EXTRA WORK
21 - 102
A - X
AA - FF
BIDDER'S PROPOSAL
BID NO. Z10002
EXTRA WORK - TWO INCH TAPER EDGE GRIND 5 TO 6 FEET WIDE ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
21 1 - 1,000 Ln. Ft. Per Ln. FL.
9.50 22 11,001 - 5,000 Ln. Ft. Per Ln. FL
3.75 23 5,001-10,000 Ln. Ft. Per Ln. FE
3.50 24 10,000-20,000 Ln. Fl.
3.25 Per Ln. Ft.
EXTRA WORK - TWO INCH ASPHALTIC CONCRETE GRIND AND PAVE ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
25 1 - 1,000 Sq. Ft.
Per Sq. Ft
7.50 26 1,001 - 5,000 Sq. Ft. Per Sq. Ft
4.15 27 5,001 - 10,000 Sq. Ft.
4.05 Per Sq. Ft
10,000-20,000 Sa. FE 3.70 Per Sq. Ft.
EXTRA WORK - TWO INCH ASPHALTIC CONCRETE OVERLAY
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
29 1-1,000 Sq. Ft. Per Sq. Ft.
6.35 30 1,001 - 5,000 Sq. FL Per Sq. Ft
3.10 31 5,001 - 10,000 Sq. Ft. Per Sq. Ft
3.10 32 10,000 - 20,000 Sq. Ft. Per Sq. Ft.
2.90 EXTRA WORK - INSTALL TYPE 6" ASPHALT BERM:
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
33 11 - 1,000 Ln. Ft. Per Ln. Ft.
13.00 34 1,001 - 5,000 Ln. Ft. Per Ln. Ft
12.00 35 5,001 - 10,000 Ln. Ft. Per Ln. Ft
11.00 36 10,001 - 20,000 Ln. Ft. Per Ln. Ft
10.50 C-10
BIDDER'S PROPOSAL
BID NO. _Z10002
EXTRA WORK - INSTALL TYPE 8" ASPHALT BERM:
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
37 1 - 1,000 Ln. Ft. 15.00 Per Ln. Ft.
38 1,001 - 5,000 Ln. Ft. 14.00 Per Ln. Ft
39 5,001 - 10,000 Ln. Ft. Per Ln. FE.
13.50 40 10,001 - 20,000 Ln. Fi. Per Ln. FL
13.25 EXTRA WORK - INSTALL ASPHALT SKIN PATCH
(VARIOUS LOCATIONS AS NEEDED, AVERAGE 1" TO 2" THICKNESS):
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
41 1 - 1,000 Sq. FL. Per Sq. Ft.
4.00 42 1,001 - 5,000 Sq. FL Per Sq. Ft.
3.50 43 5,001 - 10,000 Sq. FL Per Sq. Ft.
3.25 44 10001 - 20,000 Sq. Ft. Per Sq. Ft.
3.00 EXTRA WORK - INSTALL GRUB/ROUGH GRADE GRASS/DIRT AREA (INCLUDING REMOVAL & DISPOSAL OF GRASS & DEBRIS):
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
45 1 - 1,000 Sq. Ft. Per Sq. Ft.
2.25 46 1,001 - 5,000 Sq. Ft.
Per Sq. Ft.
2.00 47 5,001 - 10,000 Sq. Ft. Per Sa. Ft.
1.90 10,001 - 20,000 Sq. Ft. Per Sq. Ft.
1.90 EXTRA WORK - INSTALL REDWOOD HEADERS:
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
49 2"x4" Stake 3 ft. center with 2x2 stakes Ln. Ft. Per Ln. Ft.
20.00 50 2"x6" Stake 3 ft. center with 2x2 stakes Ln. Ft. Per Ln. Ft.
25.00 EXTRA WORK - ADJUST WATER/GAS VALVE TO GRADE:
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
51 Adjust Water and Gas Valve to grade Each 175.00 Each C-11
BIDDER'S PROPOSAL
BID NO. Z10002
EXTRA WORK - ADJUST SEWER MANHOLE TO GRADE:
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
52 Adjust Sewer Manhole to Grade Each 1,800.00 Each
EXTRA WORK - CRACK SEALING (HOT RUBBER):
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
1-1,000 Ln. Ft. Per Ln. Ft.
1.50 54 1,001 - 5,000 Ln. Ft. Per Ln. Ft.
1.50 55 5,001 - 10,000 Ln. Ft. Per Ln. Ft.
1.35 56 10,001 - 20,000 Ln. Ft.
Per Ln. Ft.
1.35 EXTRA WORK - TYPE II ROAD SLURRY:
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
57 1 - 1,000 Sq. Ft. Per Sq. Ft.
5.00 58 1,001 - 5,000 Sq. Ft. Per Sq. Ft.
4.10 59 5,001 - 10,000 Sq. Ft. Per Sq. Ft.
1.50 60 10,001 - 20,000
1.25 Per Sq. Ft.
EXTRA WORK - STRIPING:
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
61 Single Fog Line Ln. Ft. Per Ln. ft.
1.00 62 Skip Line Ln. Ft. Per Ln. ft.
1.00 63 Double Line Ln. Ft. Per Ln. ft.
1.00 64 Curb Painting (All Colors) Ln. Ft. Per Ln. fL
1.50 65 18 Ft. Stop with Restraining Bars Each Each
160.00
66 Directional Arrows Each Each
25.00 67 Lane Delineators Epoxy Each
30.00 Each
C-12
BIDDER'S PROPOSAL
BID NO. Z10002
EXTRA WORK - SIGNS:
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
68 Stops Signs Each Each
350.00
69 Yield Signs Each
350.00 Each
EXTRA WORK - INSTALLATION OF SCHEDULE 40 PVC 3" DRAINPIPE, PER LN. FT.
ITEM NO. CODE IDESCRIPTION OF ITEMS UNIT COST (FIGURES) in Dirt Ln. Ft. Per Ln. Ft.
3.50 In Asphalt Ln. Ft. Per Ln. Ft.
3.50 72 In Concrete Ln. Ft.
3.50 Per Ln. Ft.
EXTRA WORK - INSTALLATION OF 1" CONCRETE WITH 4" REBAR SPACED AT 18"x18", EXISTING CONCRETE TO BE PINNED WITH REBAR TO NEW CONCRETE AT 18" INTERVALS, AND SAW CUT CONTROL JOINTS MINIMUM 100 SQ. FT. SECTIONS PER SQ.
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
73 1 - 1,000 Sq. Ft.
3.25 Per Sq. Ft.
74 1,001-5,000 Sq. Ft.
3.25 Per Sq. Ft.
5,001 - 10,000 Sq. Ft. Per Sq. Ft.
2.95 10,001 - 20,000 Sq. FL. Per Sq. Ft.
2.95 EXTRA WORK - INSTALLATION OF 4" CONCRETE WITH 4" REBAR SPACED AT 18"x18", EXISTING CONCRETE TO BE PINNED WITH REBAR TO NEW CONCRETE AT 18" INTERVALS, AND SAW CUT CONTROL JOINTS MINIMUM 100 SQ. FT. SECTIONS PER SQ.
FT.
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
77 1 - 1,000 Sq. Ft.
9.50 Per Sq. Ft.
78 1,001 - 5,000 Sq. Ft.
9.00 Per Sq. Ft
79 5,001 - 10,000 Sq. Ft.
8.75 Per Sq. Ft.
80 10,001 - 20,000 Sq. Ft.
8.50 Per Sq. Ft.
C-13
BIDDER'S PROPOSAL
BID NO. Z10002
EXTRA WORK - INSTALLATION OF 6" CONCRETE WITH 4" REBAR SPACED AT 18"x18", EXISTING CONCRETE TO BE PINNED WITH REBAR TO NEW CONCRETE AT 18" INTERVALS, AND SAW CUT CONTROL JOINTS MINIMUM 100 SQ. FT. SECTIONS PER SQ. темно. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
1 - 1,000 Sq. Ft. Per Sq. Ft.
11.50 82 1,001-5,000 Sq. Ft.
11.00 Per Sq. FL
83 5,001 - 10,000
Sq. Ft. 10.75 Per Sq. FL
84 10,001-20,000
Sq. Ft. Per Sq. FL
10.50 EXTRA WORK - REMOVALS & REPLACEMENT OF CONCRETE
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
85 Installation of 6" Concrete Curb
Ln. Ft. Per Ln. FE
65.00 86 installation of Concrete Curb & Gutter
Ln. Ft. Per Ln. Ft.
(6"x18") 110.00
87 Installation of 3'x6® Concrete Flowline in
• Ln. Ft. Per Ln. Ft.
Asphalt (saw cut & demo existing) 30.00
88 Drail Box wit2 rats Grate in Asphalt, Each Each
7,500.00
or Concrete
89 lean, Cracks, weed killer, & plac Ln. Ft.
rack fill up to 1 wide 15.00 Per Ln. Ft.
90 Installation of Handicap Ramp Extension Each
1,500.00 Each
EXTRA WORK - MATERIALS:
ITEM NO. CODE DESCRIPTION OF ITEMS UNIT COST (FIGURES)
91 Asphalt 3/8" to 3/8" Fine Ton
Per Ton
150.00
92 Asphalt 1/2" to 1/2" Fine Ton
Per Ton
150.00
93 Asphalt 3/4" to 3/4" Fine
Ton Per Ton
150.00
(All asphalt shall be PG64-10 or PG70-10. Final decision will be made by City Representative) 94 Concrete Delivery Yard
325.00 Per Yard
(Concrete shall be 3250 PSI City mix per yard and prices shall include night, weekend, and holiday work) Class II A.B. Ton Per Ton
35.00 96 Recycled A.B.
Ton Per Ton
30.00 C-14
BIDDER'S PROPOSAL
BID NO. Z10002
EXTRA WORK - MINIMUM MOVES
ITEM NO. CODE DEScRIPTION OF ITEMS UNIT COST (FIGURES)
Asphalt IL.S. Per Move
4,500.00
198 Concrete
L.S. Per Move
4,500.00
99 Crack Seal
L.S. 2,500.00 Per Move
100 Slurry Seal L.S.
2,000.00 Per Move
101 Type Il Road Slurry
L.S. Per Move
5,000.00
102 Striping
L.S. 1,500.00 Per Move
These minimums will be considered when Bid items and the unit pricing is below the costs due to smaller areas.
C-15
BIDDER'S PROPOSAL
BID NO. Z10002
EXTRA WORK - EQUIPMENT RENTALS (24-HOUR SERVICES)
ITEM NO. CODE DESCRIPTION OF ITEMS COST (FIGURES)
Backhoe with Breaker & All Attachments HR Per Hour
375.00
Super Ten Dump Truck with Drop Axel HR 150.00 Per Hour
3-5 Tons Roller HR Per Hour
50.00 5-8 Tons Roller HR Per Hour
50.00 E 8-10 Tons Roller HR Per Hour
50.00 F 10-12 Tons Roller HR
50.00 Per Hour
G 4 Wheel Drive Skip Loader HR Per Hour
50.00 H Skid Steer with Grinder, Broom Bucket HR
225.00 Per Hour
& Hammer
Water Truck HR Per Hour
75.00 8'-16' Paver Rubber Track HR Per Hour
250.00
K 10'x20' Rubber Tires THR Per Hour
250.00
4 Milling Machine HR Per Hour
250.00
5 Milling Machine HR Per Hour
300.00
Hydro Vac - Ditch Witch 500 Gallon with HR Per Hour
wash system 250.00
Lowbed Services HR Per Hour
150.00
Kick Broom HR Per Hour
50.00 125 Melter HR Per Hour
R 45.00
250 Melter HR Per Hour
45.00 5 250 Gallon Mastic Machine HR Per Hour
55.00 Arrow Board HR Per Hour
30.00 Traffic Control Full Day HR Per Hour
300.00
Traffic Control Half Day HR Per Hour
300.00
Crew Truck THR Per Hour
40.00 Striping Truck HR Per Hour
Items A thru X will be paid based on 4-Hour minimum 50.00 C-16
BIDDER'S PROPOSAL
BID NO. Z10002
EXTRA WORK - EQUIPMENT RENTALS (24-HOUR SERVICES) - Cont.
ITEM NO. CODE DESCRIPTION OF ITEMS REGULAR RATE OVERTIME RATE DOUBLE TIME RATE AA Foreman with Truck
155.00 Per hour 232.50 Per hour 310.00 Perhour
BB General Laborer
110.00 Per hour 165.00 Per hour 220.00 Per hour
cc General Operator
120.00 Per hour 180.00 Per hour 240.00 Per hour
DD General Cement Mason
120.00 Per hour 180.00 Per hour 240.00 Per hour
EE General Slurry Laborer
110.00 Perhour 165.00 Per hour 220.00 Perhour
FF General Striper
110.00 Per hour 165.00 Per hour 220.00 Per hour
Contractors Response Time: _2 Hours
C-17
BIDDER'S PROPOSAL
BID NO. Z10002
CITY OF LAKE ELSINORE
TOTAL BID PRICE: CIP Project No. Z10002
TOTAL BID PRICE BASED ON BID SCHEDULE TOTAL OF UNIT PRICES FOR
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW INSTALLATION'S
PROGRAM & ON-CALL EMERGENCY CONSTRUCTION SERVICES
Base Bid (Excludes extra work): $79.52
$_ Grand Total (Includes extra work): $37,542.87
Total Bid Price in Numbers
Base Bid (Excludes extra work): Seventy nine dollars & 52/100 § Grand Total (Includes extra work): Thity seven thousand, five hundred forty two dollars & 87/100 Total Bid Price in Written Form
In case of discrepancy between the written price and the numerical price, the written price shall prevail.
Estimated quantities are for the purpose of Bid comparison only; payments will be made on the basis of actual measurement of Work completed, except for lump sum (LS) and final pay (F) quantities 'S) denotes a specialty item. The Bid Price shall include, but not be limited to, sales tax and all othe applicable taxes and fees.
All work described on the plans and in the specifications and other incidentals necessary to complete the project shall be paid under items above. No additional payments will be allowed. *BID MAY BE REJECTED IF TOTAL IS NOT SHOWN FOR BOTH FIGURES AND WORDS.
C-18
BIDDER'S PROPOSAL
BID NO. Z10002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
*BID MAY BE REJECTED IF TOTAL IS NOT SHOWN FOR BOTH FIGURES AND WORDS.
The undersigned agrees to enter into and execute a contract, with necessary bonds, at the unit prices set forth herein and in case of default in executing such contract, with necessary bonds, the check or bond accompanying this bid and the money payable thereon shall be forfeited thereby to and remain the property of the City of Lake Elsinore.
The above unit prices include all work appurtenant to the various items as outlined in the Specifications and all work or expense required for the satisfactory completion of said items. In case of discrepancies between unit prices and totals, the unit prices shall govern.
The undersigned declares that it has carefully examined the Plans, Specifications, and Contract Documents, and has investigated the site of the work and is familiar with the conditions thereon.
NPG, Inc.
Contractor
Date: 5/31/24
By:
Jeffrey Nelson, President
Contractor's State License No.: 664779
Class:_A, B, C-12
Department of Industrial Relations Registration No: 1000002457 Registration Date: 11/4/2014 6/30/2025
Expiration Date:
Address: PO Box 1515, Perris, CA 92572
1354 Jet Way, Perris, CA 92571
Phone: 951-940-0200
FAX: 951-940-9192
Email: [email protected]
C-19
BIDDER'S PROPOSAL
BID NO. Z10002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
NON-COLLUSION AFFIDAVIT
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW
INSTALLATION'S PROGRAM & ON-CALL EMERGENCY CONSTRUCTION
SERVICES
CIP PROJECT NO. Z10002
STATE OF CALIFORNIA
} ss
COUNTY OF Riverside
(NAME)_ Jeffrey Nelson
affiant being first duly sworn, deposes and says:
That he or she is President
of
(sole owner, partner or other proper title)
NPG, Inc.
the party making the foregoing Bid,
that the Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Bid is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham Bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham Bid, or that anyone shall refrain from bidding; that 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, protit, or cost element of the bid price, or of that of any other Bidder, or to secure any advantage against the public body awarding the Contract of anyone interested in the proposed Contract; that all statements contained in the Bid are true; and, further, that 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, or paid, and will not pay, any fee to any corporation, partnership, company associations, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham Bid. (Public Contract Code Section 7106) Address: 1354 Jet Way, Perris, CA 92571
951-940-0200
Telephone No.:
Print Name: Jeffrey Nelson
Signature
Title: President 5/31/24
Date:
SEE ATTACHED
SIGNING INSTRUCTIONS TO THE CONTRACTOR NOTARY DOCUMEN
ho descripto of the nute companied by de cot le rela reste C-20
BIDDER'S PROPOSAL
BID NO._Z10002
immediately following this page. If the Bidder fails to properly sign or omits the required signature, the bid will be considered non-responsive and will be rejected.
C-21
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
A notary public or other officer completing this
certificate verifies only the identity of the
STATE OF California individual who signed the document to which this )SS
COUNTY OF certificate is attached, and not the truthfulness, Riverside
accuracy, or validity of that document.
On 5/31/24 before me, _Carol Marie Stone
, Notary Public, personally appeared
Jeffrey Nelson
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 capacityfies), 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.
CAROL MARIE STONE
Notary Public - California
Cultre I NA Riverside County
Commission # 2488083
Signature My Comm. Expires May 22, 2028
Carol Marie Stone * Notary Public
This area for official notarial seal.
OPTIONAL SECTION
CAPACITY CLAIMED BY SIGNER
Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the documents.
J INDIVIDUAL
CORPORATE OFFICERS) TITLE(S)
| PARTNER(S) LIMITED • GENERAL
ATTORNEY-IN-FACT
TRUSTEE(S)
GUARDIAN/CONSERVATOR
OTHER Manager
SIGNER IS REPRESENTING:
Name of Person or Entity Name of Person or Entity
OPTIONAL SECTION
Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form.
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW TITLE OR TYPE OF DOCUMENT: City of Lake Elsinore, Citywide Annual Asphalt Maintenance (Non Collusion)
NUMBER OF PAGES N/A DATE OF DOCUMENT N/A
SIGNER(S) OTHER THAN NAMED ABOVE N/A
BIDDER'S PROPOSAL
BID NO. Z10002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
BOND NO. N/A
Premium: Nil
BIDDER'S BOND
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW
INSTALLATION'S PROGRAM & ON-CALL EMERGENCY CONSTRUCTION
SERVICES
CIP PROJECT NO. Z10002
KNOW ALL MEN OR WOMEN BY THESE PRESENTS:
That we NPG, Inc.
- as PRINCIPAL,
hereinafter referred to as "Contractor", and The Ohio Casualty Insurance Company a duly authorized corporate as "Surety," are held and firmly bound unto the City of Lake Elsinore in the penal sum of TEN PERCENT (10%) OF THE TOTAL AMOUNT OF THE BID of the Contractor above named, submitted by said Contractor to the City of Lake Elsinore for the work for said project entitled above, for the payment of which sum in lawful money of the United States, well and truly to be made, to the City of Lake Elsinore to which said bid was submitted, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. In no case shall the liability of the surety hereunder exceed the amount of ten percent of amount bid.
THE CONDITION OF THIS OBLIGATION IS SUCH:
That whereas the Contractor has submitted the above-mentioned Bid to the City of Lake Elsinore as aforesaid for the work for said project entitled above.
NOW, THEREFORE, if the aforesaid Contractor is awarded the Contract and, within the time and manner required under the Contract documents, after the prescribed forms are presented to him or her for signature, enters into a written Agreement in the prescribed form and in accordance with the Contract documents, and files two bonds with the City of Lake Elsinore, one to guarantee faithful performance and the other to guarantee payment for labor and materials, in accordance with said Contract documents, and as required by law, and files the required insurance certificate(s) il accordance with said Contract documents, then this obligation shall be null and void; otherwise, i shall be and remain in full force and effect until execution of the Agreement or forfeiture pursuant to the Provisions of Sections 20172 and 20174 of the Public Contract Code.
In the event suit is brought upon this bond by the City and judgment is recovered, the Surety shall pay all costs incurred by the City in such suit, including a reasonable attorney fee to be fixed by the (SIGNATURE PAGE FOLLOWS)
C-22
BIDDER'S PROPOSAL
BID NO. 210002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
BIDDER'S BOND SIGNATURE PAGE
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW INSTALLATION'S
PROGRAM & ON-CALL EMERGENCY CONSTRUCTION SERVICES
CIP PROJECT NO. Z10002
this 27 das of ERa F, we hayohe uzto set our hands and seals on _ 20*8 2024 BIDDER: CORPORATE SURETY:
Contractor Name: NPG, Inc. Company Name: The Ohio Casualty Insurance Company Address: 1354 Jet Way Address: P.O. Box 34526
Perris, CA 92572 Seattle, WA 98124
Telephone No.: (951) 940-0200 Telephone No.: (206) 473-6210 Print Name: Jeffree Nelsun Print Name: Spencer Flake
Title: President Title: Attorney-In-Fact
Signature: Signature: S SaL
SEE ATTA 5231,24 Date: Date: May 29, 2024
NOTARY DOCUMENT
SIGNING INSTRUCTIONS TO THE CONTRACTOR
Bidder's Bond must be accompanied by notary certificates for EACH signature. Note the description of the document on the notary certificate. Attach BOTH notary certificates immediately following this page.
Corporate Seal may be affixed hereto.
The attorney-in-fact for corporate surety must be registered, as such, in at least one county in the State of California. Attach one original Power of Attorney immediately following the notary certificates.
If the Bidder fails to properly sign or omits the required signatures, the bid will be considered non-responsive and will be rejected.
C-23
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
A notary public or other officer completing this
certificate verifies only the identity of the
individual who signed the document to which this
STATE OF California )SS
certificate is attached, and not the truthfulness,
COUNTY OF Riverside accuracy, or validity of that document.
On _5/31/24 before me, _Carol Marie Stone _ Notary Public, personally appeared Jeffrey Nelson
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 capacityfies), 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.
CAROL MARIE STONE
Notary Public - California
Riverside County
Commission # 2488083
Signature My Comm. Expires May 22, 2028
Carol Marie Stone * Notary Public
This area for official notarial seal.
OPTIONAL SECTION
CAPACITY CLAIMED BY SIGNER
Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the documents.
INDIVIDUAL
CORPORATE OFFICERS) TITLE(S)
PARTNER(S) LIMITED GENERAL
ATTORNEY-IN-FACT
TRUSTEE(S)
GUARDIAN/CONSERVATOR
OTHER Manager
SIGNER IS REPRESENTING:
Name of Person or Entity Name of Person or Entity
OPTIONAL SECTION
Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form.
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW TITLE OR TYPE OF DOCUMENT: City of Lake Elsinore, Citywide Annual Asphalt Maintenance (Bid Bond)
NUMBER OF PAGES N/A DATE OF DOCUMENT N/A
SIGNER(S) OTHER THAN NAMED ABOVE N/A
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 I notary public or other officer completing this certificate verifies only the identity of the individual who signed th locument to which this certificate is attached, and not the truthfulness, accuracy, or validity of that documen State of California )
County of Orange
On May 29, 2024 before me, Heather Willis, Notary Public Date Here Insert Name and Title of the Officer
personally appeared Spencer Flake
Name(s) of Signers)
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 nis/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.
HEATHER WILLIS
COMM. #2334057 WITNESS my hand and official seal.
NOTARY PUBLIC - CALIFORNIA S
ORANGE COUNTY
Heather Willis
MY COMM. EXPIRES SEPTEMBER 25. 2024 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: Signers) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
] Corporate Officer - Title(s): • Corporate Officer - Title(s):
] Partner - • Limited • General • Partner - • Limited • General ] Individual • Attorney in Fact • Individual • Attorney in Fact Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other:
• Other:
Signer Is Representing: Signer Is Representing:
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
Liberty
Liberty Mutual Insurance Company
Mutuál. The Ohio Casualty insurance Company Certificate No: 8205649-971919 West American Insurance Company
SURETY
POWER OF ATTORNEY
NOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, tha Liberty Mutual insuranCes corporation day raid under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organizes under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Charles L Flake, David L. Culbertson, Heather Willis, Lexie Sherwood, Spencer Flake all of the city of Anaheim state of CA each individually if there be more than one named, its true and lawful attorney-in-fact to make execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this
Liberty Mutual Insurance Company
The Ohio Casually Insurance Company
MUTUARE CASUALTY • СОГОРАТО West American Insurance Company 1912 1919 1991
OHIO ANTINOD Wait Cany
INDIANA
By:
David M. Carey, Assistant Secretary
State of PENNSYLVANIA
ss
County of MONTGOMERY ) verification inquiries,
On this [email protected]
before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance loan, letter of credit. Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
POA
SA PASTEL,
Commonwealth of Pennsylvania - Notary Seal
currency rate, interest rate or residual value guarantees Teresa Pastella, Notary Public Montgomery County Pastella
My commission expires March 28, 2025 By:
Commission number 1126044
Member. Pennsylvania Association of Notaries Teresa Pastella, Notary Public This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutua Not valid for mortgage, note, Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: For bond and/or Power of Attornev please call 610-832-8240 or email ARTICLE IV - OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary.
Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations.
Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed.
1, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 29th day of May 2024 TUAL CORPORATE CORPORATE MERICAN •CORPORATES INSURANCE
1912 1919 1991 Pen wales
OHIO By:
LSaM INDIANA Renee C. Llewellyn, Assistant Secretary
JHL
LMS-12873 MIC OCIC WAIC Multi Co 02/21
BIDDER'S PROPOSAL
BID NO. Z10002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
LIST OF SUBCONTRACTORS
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW INSTALLATION'S
PROGRAM & ON-CALL EMERGENCY CONSTRUCTION SERVICES
CIP PROJECT NO. Z10002
The bidder is required to fill in the following blanks in accordance with the provisions of the subletting and Subcontracting Fair Practices Act (Chapter 2 of Division 5, Title 1 of th overnment Code of the State of California) and should familiarize itself with Sections 2-3 of the Name Under Which Subcontractor is Licensed: _All American Asphalt DIR: 1000001051
License Number: 267073
Address of Office, Mill or Shop: _400 E. Sixth Street, Corona, CA 92879 Specific Description of Sub-Contract: and Bid Items of Work: Type 2 Road Slurry Name Under Which Subcontractor is Licensed:
License Number:
Address of Office, Mill or Shop:
Specific Description of Sub-Contract: and Bid Items of Work Name Under Which Subcontractor is Licensed:
License Number:
Address of Office, Mill or Shop:
Specific Description of Sub-Contract: and Bid Items of Work:
Name Under Which Subcontractor is Licensed:
License Number:
Address of Office, Mill or Shop:
Specific Description of Sub-Contract: and Bid Items of Work:
Subcontractors listed in accordance with the provisions of Section 2-3 must be properly licensed under the laws of the State of California for the type of work that they are to perform. Do not list alternate subcontractors for the same work.
C-24
BIDDER'S PROPOSAL
BID NO. _Z10002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
REFERENCES
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW INSTALLATION'S
PROGRAM & ON-CALL EMERGENCY CONSTRUCTION SERVICES
CIP PROJECT NO. Z10002
Failure to demonstrate adequate experience may result in rejection of the bid. -or all public agency projects with a similar scope of work which you have worked on (or are surrently working on) in the past two (2) years, provide the following required information Name (Firm/Agency) _ Rancho California Water District
Address_PO Box 9017, Temecula, CA 92589
Project Title 2023 On Call Work
Project Location Various Locations
Type of Work Concrete, asphalt, seal & stripe
Project Manager Contact Jeff Dixon _ Phone_909-322-8549 Dated Completed 12/2023 Contract Amount $1,350,063
2. Name (Firm/Agency) _ City of La Puente
Address 15900 East Main Street, La Puente, CA 91744
Project Title Community Parking Lot
Project Location La Puente, CA
Type of Work_Concrete, asphalt, seal & stripe
Project Manager Contact John DiMario _Phone626-855-1503 Dated Completed 06/2023 Contract Amount $260,936.00
Name (Firm/Agency) City of Lake Elsinore
Address 130 South Main Street, Lake Elsinore, CA 92530
Project Title On Call Work FY 2022
Project Location Lake Elsinore, CA
Type of Work Concrete, asphalt, seal & stripe
Project Manager Contact Daniel Saavedra Phone 951-674-5170 Dated Completed 6/2022 Contract Amount_$1,431,379
C-25
BIDDER'S PROPOSAL
BID NO. Z10002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
List any other projects (private, older than three (3) years, etc.) that may represent qualifying or similar experience:
4. Name (Firm/Agency). City of Menifee
Address 39844 Haun Road, Menifee, CA 92586
Project Title Road and Parking Lot Resurfacing
Project Location Menifee, CA
Type of Work Asphalt & striping
Project Manager Contact Chris Gherki Phone 951-723-3721 Dated Completed 9/2023 $144,241
Contract Amount
5. Name (Firm/Agency) City of Perris
Address 1015 S. G Street, Perris, CA 92570
Project Title Various Locations Citywide
Project Location Perris, CA
Type of Work • Asphalt & striping
Project Manager Contact_Lizette Hernandez _Phone 951-442-2071 Dated Completed 05/2023 Contract Amount $118,698
Name (Firm/Agency) City of Temecula
Address 41000 Main Street, Temecula, CA 92590
Project Title 2022 On Call Asphalt Work
Project Location Temecula, CA
Type of Work Concrete, asphalt, seal & stripe
Project Manager Contact Stacey Biddle _Phone 951-491-5531 Dated Completed 12/2022 Contract Amount $905,184
C-26
BIDDER'S PROPOSAL
BID NO. Z10002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
CONTRACIOR INFORMATION
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW
INSTALLATION'S PROGRAM & ON-CALL EMERGENCY CONSTRUCTION
SERVICES
CIP PROJECT NO. Z10002
Contractor's License No.: 664779 Class: A, B, C-12
a. Date first obtained: 2-17-93 Expiration_ 2-28-25
b. Has Bidder's License ever been suspended or revoked? No If yes, describe when and why:
c. Any current claims against License or Bond?
If yes, describe claims: N/A
Principals in Company_(List all - attach additional sheets if necessary):
NAME IITLE LICENSE NO.
(If Applicable)
Jeffrey Nelson President 664779
Sharon Nelson Secretary 664779
C-27
BIDDER'S PROPOSAL
BID NO. Z10002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
VIOLATIONS OF FEDERAL STATE OR LOCAL LAWS
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW
INSTALLATION'S PROGRAM & ON-CALL EMERGENCY CONSTRUCTION
SERVICES
CIP PROJECT NO. Z10002
Has your firm or its officers been assessed any penalties by an agency for noncompliance or violations of Federal, State or Local labor laws and/or business or licensing regulation:
vithin the past five (5) years relating to your construction projects? ES ANG (circle one)
Federal / State / Local (circle one) N/A
If "YES," identify and describe, (including agency and status): N/A Have the penalties been paid? YES / NO (circle one)
Does your firm or its officers have any ongoing investigations by any public agency regarding violations of the State Labor Code, California Business and Professions Code or State Licensing Laws?
YES NO ) (circle one)
Code/Laws: N/A
Section/Article: N/A
If "yes," identify and describe, (including agency and status): N/A Has Bidder been "default terminated" by an owner (other than for convenience), or has Surety completed a contract for Bidder within the last five (5) years? YES (NO) (circle one)
If "yes," please explain: N/A
Has Bidder been cited more than twice for failure to pay prevailing wages in the last five (5) years?
YES NO )(circle one)
If "yes," please explain: N/A
C-28
BIDDER'S PROPOSAL
BID NO. Z10002
Notes: Providing false information may result in criminal prosecution or administrative sanctions.
The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. 5/31/24
Signature Date
Jeffrey Nelson President
Print Name Title
NPG, Inc.
Contractor Name
C-29
BIDDER'S PROPOSAL
BID NO. Z10002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
DISQUALIFICATION OR DEBARMENT
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW INSTALLATION'S
PROGRAM & ON-CALL EMERGENCY CONSTRUCTION SERVICES
CIP PROJECT NO. Z10002
YES I(NO) (circle one)
If yes, provide the following information (if more than once, use separate sheets):
Date: N/A Entity: N/A
Location: N/A
Reason: N/A
Provide Status and any Supplemental Statement: N/A
Has your firm been reinstated by this entity?
YES / NO (circle one) N/A
Notes: Providing false information may result in criminal prosecution or administrative sanctions.
The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. 5/31/24
Signature Date
Jeffrey Nelson President
Print Name Title
NPG, Inc.
Contractor Name
C-30
BIDDER'S PROPOSAL
BID NO. Z10002_
If the Bidder fails to properly sign or omits the required signature, the bid will be considered non-responsive and will be rejected.
UTILITY AGREEMENT
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW INSTALLATION'S
PROGRAM & ON-CALL EMERGENCY CONSTRUCTION SERVICES
CIP PROJECT NO. Z10002
HONORABLE MAYOR AND CITY COUNCIL
CITY OF LAKE ELSINORE, CALIFORNIA
The undersigned hereby promises and agrees that in the performance of the work specified in this contract for Project No. Z10002, CITYWIDE ANNUAL ASPHALT MAINTENANCE &
REPAIR, NEW INSTALLATION'S PROGRAM ON-CALL EMERGENCY
CONSTRUCTION SERVICES (I) (we) (it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary, primary or transmission facilities. The term "Qualified person" is defined in Title 8, California Administrative code, Section 2700, as follows:
Qualified Person: A person who by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promises and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements.
The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein.
Signature
By:_ Jeffrey Nelson
Name
President
Title
NPG, Inc.
Contractor Name
C-31
BIDDER'S PROPOSAL
BID NO. Z10002
PUBLIC CONTRACT CODE
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW INSTALLATION'S
PROGRAM & ON-CALL EMERGENCY CONSTRUCTION SERVICES
CIP PROJECT NO. Z10002
Public Contract Code Section 10285.1 Statement
In accordance with Public Contract Code Section 10285.1 (Chapter 376, State. 1985), the bidder hereby declares under penalty of perjury under the laws of the State of California that the bidder has _ has not been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion conspiracy, or any other act in violation of any state or Federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University. The term "bidder" is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.1.
Note: The bidder must place a check mark after "has" or "has not" in one of the blank spaces provided. The above Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution.
Public Contract Code Section 10162 Questionnaire
in accordance with Public Contract Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire:
Has the bidder, any officer of the bidder, or any employee of the bidder who has a proprietary interest in the bidder, ever 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 a safety regulation:
Yes_ No X
If the answer is yes, explain the circumstances in the following space.
Public Contract Code 10232 Statement
In accordance with Public Contract Code Section 10232, the Contractor, hereby states under penalty of perjury, that no more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the immediate preceding two-year period because of the Contractor's failure to comply with an order of federal court which orders the Contractor to comply with an order of the National Labor Relations Board.
Note: The above Statement and Questionnaire are part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. 5/31/24
Signature Date
Jeffrey Nelson President
Print Name Title
NPG, Inc.
Contractor Name
C-32
Legal Entity Name Registration Number Status Registration Start Date [Registration Expiration Date Mailing Address NPG INC 1000002457 Active 7/1/2022 6/30/2025 PO Box 1515, Perris, CA 92572 DIR Registration per California Labor Code 1725.5
CONTRACTORS STATE LICENSE BOAR
•Contractor's License Detail for License #
664779
DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations.
• CSIB complaine disclosure is restricted by law (BSP 7124.6) If this entity is subject to public complaint disclosure click on link that will appear below for more information. Click here for a definition of disclosable actions. • Only construction related civil Judgments reparted to CSLB are disclosed (B&P 7071.17). • Arbitrations are not listed unless the contractor falls to comply with the terms. • Due to workload, there may be relevant information that has not yet been entered into the board's license database.
Data current as of 6/1/2024 11:37:57 AM
Business Information
NPG INC
PO BOX 1515
PERRIS, CA 92572
Business Phone Number: (951) 940-0200
Entity Corporation
Issue Date 02/17/1993
Expire Date 02/28/2025
License Status
This license is current and active.
All information below should be reviewed.
Classifications
• C12 - EARTHWORK AND PAVING
• B- GENERAL BUILDING
• A - GENERAL ENGINEERING
Bonding Information
Contractor's Bond
This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY.
Bond Number: 151812
Bond Amount: $25,000
Effective Date: 01/01/2023
Contractor's Bond History
Bond of Qualifying Individual
The qualifying individual JEFFREY SCOTT NELSON certified that he/she owns 10 percent or more of the voting stock/membership interest of this company; therefore, the Bond of Qualifying Individual is not required.
Effective Date: 08/19/1997
BQl's Bond History
Workers' Compensation
This license has workers compensation insurance with the TRAVELERS PROPERTY CASUALTY
COMPANY OF AMERICA
Policy Number:UB5X1210202426G
Effective Date: 01/01/2024
Expire Date: 01/01/2025
Workers' Compensation History
Other
• Personnel listed on this license (current or disassociated) are listed on other licenses.
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Accessibility
Accessibility Certification
Copyright © 2024 State of California
BIDDER'S PROPOSAL
BID NO. Z10002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
BOND NO. N/A
Premium: Nil
BIDDER'S BOND
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW
INSTALLATION'S PROGRAM & ON-CALL EMERGENCY CONSTRUCTION
SERVICES
CIP PROJECT NO. Z10002
KNOW ALL MEN OR WOMEN BY THESE PRESENTS:
That we NPG, Inc. _ as PRINCIPAL,
hereinafter referred to as "Contractor", and The Ohio Casualty Insurance Company a duly authorized corporate as "Surety," are held and firmly bound unto the City of Lake Elsinore in the penal sum of TEN PERCENT (10%) OF THE TOTAL AMOUNT OF THE BID of the Contractor above named, submitted by said Contractor to the City of Lake Elsinore for the work for said project entitled above, for the payment of which sum in lawful money of the United States, well and truly to be made, to the City of Lake Elsinore to which said bid was submitted, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. In no case shall the liability of the surety hereunder exceed the amount of ten percent of amount bid THE CONDITION OF THIS OBLIGATION IS SUCH:
That whereas the Contractor has submitted the above-mentioned Bid to the City of Lake Elsinore as aforesaid for the work for said project entitled above.
NOW, THEREFORE, if the aforesaid Contractor is awarded the Contract and, within the time and manner required under the Contract documents, after the prescribed forms are presented to him or her for signature, enters into a written Agreement in the prescribed form and in accordance with the Contract documents, and files two bonds with the City of Lake Elsinore, one to guarantee faithful pertormance and the other to guarantee payment for labor and materials, in accordance with said shall be and remain in full force and effect until execution of the Agreement or forfeiture pursuant to In the event suit is brought upon this bond by the City and judgment is recovered, the Surety shall payal costs incurred by the City in such suit, including a reasonable attorney fee to be fixed by the (SIGNATURE PAGE FOLLOWS)
C-22
BIDDER'S PROPOSAL
BID NO. 210002
CITY OF LAKE ELSINORE
CIP Project No. Z10002
BIDDER'S BOND SIGNATURE PAGE
CITYWIDE ANNUAL ASPHALT MAINTENANCE & REPAIR, NEW INSTALLATION'S
PROGRAM & ON-CALL EMERGENCY CONSTRUCTION SERVICES
CIP PROJECT NO. Z10002
this 27rN as or REF, we hayore unto set our hands and seals on _ 20*8 2024 BIDDER: CORPORATE SURETY:
Contractor Name: NPG, Inc. Company Name: The Ohio Casualty Insurance Company Address: 1354 Jet Way Address: P.O. Box 34526
Perris, CA 92572 Seattle, WA 98124
Telephone No.: (951) 940-0200 Telephone No.: (206) 473-6210 Print Name: Jeffrue Nelsun Print Name: Spencer Flake
Title: President Title: Attorney-In-Fact
Signature: Signature: Se
SEE ATTA 5131,24 Date: Date: May 29, 2024
NOTARY DOCUMENT
SIGNING INSTRUCTIONS TO THE CONTRACTOR
Bidder's Bond must be accompanied by notary certificates for EACH signature. Note the description of the document on the notary certificate. Attach BOTH notary certificates immediately following this page.
Corporate Seal may be affixed hereto.
The attorney-in-fact for corporate surety must be registered, as such, in at least one county in the State of California. Attach one original Power of Attorney immediately following the notary certificates.
If the Bidder fails to properly sign or omits the required signatures, the bid will be considered non-responsive and will be rejected.
C-23
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
A notary public or other officer completing this
certificate verifies only the identity of the
individual who signed the document to which this
STATE OF California )SS
certificate is attached, and not the truthfulness,
COUNTY OF Riverside accuracy, or validity of that document.
On 5/31/24 before me, _Carol Marie Stone _ Notary Public, personally appeared Jeffrey Nelson
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
CAROL MARIE STONE
Notary Public - California
Mulltre Riverside County
Commission # 2488083
Signature My Comm. Expires May 22, 2028
Carol Marie Stone * Notary Public
This area for official notarial seal.
OPTIONAL SECTION
CAPACITY CLAIMED BY SIGNER
Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the documents.
INDIVIDUAL
CORPORATE OFFICERS) TITLE(S)
PARTNER(S) LIMITED • GENERAL
ATTORNEY-IN-FACT
TRUSTEE(S)
GUARDIAN/CONSERVATOR
OTHER Manager
SIGNER IS REPRESENTING:
Name of Person or Entity Name of Person or Entity
OPTIONAL SECTION
Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form.
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW TITLE OR TYPE OF DOCUMENT: City of Lake Elsinore, Citywide Annual Asphalt Maintenance (Bid Bond)
NUMBER OF PAGES N/A DATE OF DOCUMENT N/A
SIGNER(S) OTHER THAN NAMED ABOVE N/ A
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 , notary public or other officer completing this certificate verifies only the identity of the individual who signed th locument to which this certificate is attached, and not the truthfulness, accuracy, or validity of that documen State of California
County of Orange
On May 29, 2024 before me, Heather Willis, Notary Public Date Here Insert Name and Title of the Officer
personally appeared Spencer Flake
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in nis/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.
HEATHER WILLIS
COMM. #2334057 WITNESS my hand and official seal.
NOTARY PUBLIC - CALIFORA
ORANGE COUNTY
Heather. Will's
MY COMM. EXPIRES SEPTEMBER 25. 2024 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 C General ] Individual • Attorney in Fact • Individual • Attorney in Fact ] Trustee • Guardian or Conservator • Trustee • Guardian or Conservator _ Other:
D Other:
Signer Is Representing: Signer Is Representing:
KXCCXƯXYXXXƯTCXXYYCUTYXX(КXXXК(КЧККХЧИЧИКФУЧ!!
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
Liberty Liberty Mutual Insurance Company
Mutual. The Ohio Casualty Insurance Company Certificate No: 8205649-971919 West American Insurance Company
SURETY
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies'"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint. Charles L Flake, David L. Culbertson, Heather Willis, Lexie Sherwood, Spencer Flake all of the city of Anaheim state of CA each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 25th day of May 2021
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
MUTUAL CORPORATO LICAN CORPORATE West American Insurance Company 1912 1919 1991
11300 SACHUBEY OHIO
INDIANA
THI ISEM * By:
David M. Carey, Assistant Secretary
State of PENNSYLVANIA
County of MONTGOMERY SS
letter of credit. On this 25th before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. oan PASTELL
Commonwealth of Pennsylvania - Notary Seal
currency rate, interest rate or residual value guarantees. Teresa Pastella, Notary Public Montgomery County Pastella
My commission expires March 28. 2025 By:
Commission number 1126044
Member. Pennsylvania Association of Notaries Teresa Pastella, Notary Public for mortgage, note, NOTARY
This Power of Attomey is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutua Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV - OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety Not valid any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shal have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary.
Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations.
Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed.
1, Renee C. Liewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 29th _ day of May 2024
MUTUAL ICAN INSURANCE
CORPORATE CORPORATE CORPORATE
1912 1919 1991
KOM HAMPEHH By:
ANTO INOIANA Renee C. Llewellyn, Assistant Secretary
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