CITY OF LAKE ELSINORE
CIP Project No. Z10089
SECTION C
BID DOCUMENTS
B-6
CITY OF LAKE ELSINORE
CIP Project No. Z10089
BIDDER'S PROPOSAL
PAVEMENT REHABILITATION PROJECT
SB-1 BROADWAY TRACTS
CIP PROJECT NO. Z10089
Company:_ R.J. Noble Company
Honorable Mayor, Members of the Council:
In accordance with the Notice Inviting Bids pertaining to the receiving of bid proposals by the City of _ake Elsinore for the above titled improvement, the undersigned hereby proposes to furnish all Worl o be performed in accordance with the Specifications, Standard Drawings, and the Contrac Documents, for the unit price or lump sum set forth in the following schedule:
Time of Completion: Forty (40) Working Days from Issuance of Notice to Proceed (NTP) by City to Contractor.
1. BID SCHEDULE A-BASE BID PAVEMENT REHABILITATION
ITEM UNIT TOTAL
NO. DESCRIPTION UNIT QUANTITY COST COST
1 LS 1 $132,000.00$132,000.00
MOBILIZATION, DEMOBILIZATION AND CLEANUP
STORM WATER & NONSTORM WATER POLLUTION
2 $5,000.00 $5,000.00
CONTROL LS
CLEARING AND GRUBBING LS $5,000.00 $5,000.00
4 TRAFFIC CONTROL LS $100,000.00 $100,000.00
5 SURVEY STAKING LS 1 $34,500.00 $34,500.00
7 2" AC OVERLAY (572,004 S.F.) TON 6,992 $92.00 $643,264.00 8 2" MIN. GRIND & REMOVAL CY 3532 $32.00 $113,024.00
9 4" AC OVERLAY (216,916 S.F.) TON 5302 $92.00 $487,784.00 10 3"-5" MIN. GRIND & REMOVAL CY 2651 $32.00 $84,832.00 11 CRACK REPAIR SUBSEQUENT TO GRINDING LS 1 $15,000.00 $15,000.00 12 REMOVE AND REPLACE TRAFFIC LOOP EA 4 $900.00 $3,600.00
PROTECT EX MANHOLE AND ADJUST AS NECESSARY
13 80 $350.00 $28,000.00
DURING RESURFACING OPERATIONS EA
PROTECT EX VALVE(S) AND ADJUST AS NECESSARY $29,000.00
14 $200.00
DURING RESURFACING OPERATIONS EA 145
BLUE REFLECTORIZED RAISED PAVEMENT MARKER $22.00
15 $880.00
(RPM) EA 40
THERMOPLASTIC PAVEMENT MARKINGS AS SHOWN
16 PER CALTRANS STD A24A FOR ARROWS, A24C FOR $5.60 $4,760.00 SF 850
12 INCH THERMOPLASTIC WHITE LIMIT LINE PER $1,855.00
17 $3.50
CALTRANS STD A24G LF 530
18 8 INCH THERMOPLASTIC WHITE CHANNELIZING LINE $5.00 $1,950.00 PER CALTRANS STD A20D, DETAIL 38B LF 390
19 6 INCH/6 INCH THERMOPLASTIC DOUBLE YELLOW $3.20 $5,920.00 STRIPING PER CALTRANS STD A20A, DETAIL 22 LF 1850
20 THERMOPLASTIC WHITE BASIC CROSSWALK PER $525.00
CALTRANS STD A24F LF 150 $3.50
THERMOPLASTIC YELLOW LADDER CROSSWALK PER $900.00
21 $15.00
CALTRANS STD A24F LF 60
TOTAL $1,697,794.00
C-7
CITY OF LAKE ELSINORE
CIP Project No. Z10089
TOTAL BID PRICE:
TOTAL BID PRICE BASED ON BID SCHEDULE TOTAL OF UNIT PRICES FOR
PAVEMENT REHABILITATION PROJECT
$ 1,697,794.00
Total Bid Price in Numbers
One Million Six Hundred Ninety Seven Thousand Seven Hundred Ninety Four Dollars $_ Zero Cents
Total Bid Price in Written Form
Shal prevadiscrepancy between the written price and the numerical price, the written price Note:
Estimated quantities are for the purpose of Bid comparison only; payments will be made on the basis of actual neasurement 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 other applicabl 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.
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CITY OF LAKE ELSINORE
CIP Project No. Z10089
The undersigned agrees to enter into and execute a contract, with necessary bonds, at the uni rices 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.
R.J. NOBLE COMPANY
Contractor
08/12/2025
Date: By: X
Contractor's State License No: 382908 STEVEN L MENDOZA MICE PRESIDENT Class: A& C12
1000004235
Department of Industrial Relations Registration No:
07/01/2025 06/30/2028
Registration Date: Expiration Date:
Address: 15505E. LINCOLN AVE.,
ORANGE, CA 92865
714-637-1550
Phone: -
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CITY OF
LAKE OLSINORE
DREAM EXTREME
ADDENDUM NUMBER 1
PROJECT TITLE: Pavement Rehabilitation Project SB-1 Broadway Tract CIP Z10089 DATE: August 4, 2025
The following is an ADDENDUM to the contract documents for the above referenced project.
Contract Documents, Specifications and Plans
CIP Project Number adjustment. There was an adjustment to the Project Number listed in the Header within certain sections. Please use the bid documents from this revised attachment which reflects the correct project number.
Sincerely,
Cur Maram
Carlos Norvani
CIP Engineer
City of Lake Elsinore
CITY OF LAKE ELSINORE
CIP Project No. Z10089
ACKNOWLEDGMENT OF ADDENDA RECEIVED
PAVEMENT REHABILITATION PROJECT
SB-1 BROADWAY TRACTS
CIP PROJECT NO. Z10089
The Bidder shall acknowledge the receipt of addenda by placing an "X" by each addendum received.
Addendum No. 1.
Addendum No. 2
Addendum No. 3
Addendum No. 4
If an addendum or addenda have been issued by the City and not noted above as being received by the Bidder, the Bid Proposal may be rejected. x 08/12/2025
Strange
Bidder's Signature Date
STEVEN L. MENDOZA, VICE PRESIDENT
Print Name Title
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CITY OF LAKE ELSINORE
CIP Project No. Z10089
NON-COLLUSIONAFFIDAVIT
PAVEMENT REHABILITATION PROJECT
SB-1 BROADWAY TRACTS
CIP PROJECT NO. Z10089
STATE OF CALIFORNIA
COUNTY OF ORANGE
(NAME)_ STEVEN L. MENDOZA
affiant being first duly sworn, deposes and says:
That he onshe is VICE PRESIDENT _of
(sole owner, partner or other proper title)
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 profit, 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: 15505 E. LINCOLN AVE., ORANGE, CA 92865
714-637-1550
Telephone No.:
Print Name: STEVEN L. MENDOZA,
X
Signature: sanjung
VICE PRESIDENT 08/12/2025
Title: Date:
SIGNING INSTRUCTIONS TO THE CONTRACTOR
Non-Collusion Affidavit must be accompanied by notary certificates for signature. Note the description of the document on the notary certificate. Attach notary certificate 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.
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CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
:08980898883083830883889308038808880308080808884848988808838388888848880838808036889N848980808888808388808888808:803088808880898888808888808180988080938380083 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
ORANGE
County of
08/12/2025 J. DEIONGH, NOTARY PUBLIC
On before me,
Date Here Insert Name and Title of the Officer
STEVEN L. MENDOZA
personally appeared
Name(5) of Signer (3)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(5) is/ałe subscribed to the within instrument and acknowledged to me that he/shełthěy executed the same in his/hex/theix authorized capacityles), and that by his her/theik signature(5) on the instrument the persons), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the
J. DEIONGH laws of the State of California that the foregoing Notary Public - California paragraph is true and correct.
Orange County
Commission # 2468114 WITNESS my hand and official seal.
My Comm. Expires Oct 28, 2027
Signature
Place Notary Seal and/or Stamp Above
OPTIONAL
Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: NON COLLUSION AFFIDAVIT
08/12/2025
Document Date: _Number of Pages: _1
N/A
Signers) Other Than Named Above:
Signer same aimed EX SS MEDOZA
Signer's Name:
i Corporate Officer - Title(s): VICE PRESIDENT • Corporate Officer - Title(s):
• Partner - • Limited • General • Partner - O Limited • General • Individual • Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:
Signer is Representing: R.J. NOBLE COMPANY Signer is Representing:
8888388808308080808808088080880808 80848888888888480808888388808888888888084808080308090889080802080808820808 ©2019 National Notary Association
CITY OF LAKE ELSINORE
CIP Project No. Z10089
LIST OF SUBCONTRACTORS
PAVEMENT REHABILITATION PROJECT
SB-1 BROADWAY TRACTS
CIP PROJECT NO. Z10089
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 the Government Code of the State of California) and should familiarize itself with Sections 2-3 of the Name Under Which Subcontractor is Licensed: Case Land Surveying, Inc.
License Number: _ Survey License #5411 (CARB Exempt)
Address of Office, Mill or Shop: 614 N. Eckhoff Street, Orange, CA 92868 Specific Description of Sub-Contract: and Bid Items of Work: Item #5 Survey Staking Name Under Which Subcontractor is Licensed: BC Traffic Specialist License Number: _ 877686
Address of Office, Mill or Shop: 13261 Garden Grove Blvd, Garden Grove, CA 92843 Specific Description of Sub-Contract: and Bid Items of Work Items #15-21 Striping, Signs, and Related
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-14
A ARESOURCES BOARD
I AIR RESOURCES BOARD
Certificate of Reported Compliance With:
Advanced Clean Fleets Regulation
Truck and Bus Regulation
BC Traffic Specialist/ BC Rentals
Issued to:
This certificate confirms that the fleet owner has attested under penalty of perjury that the statements and information they provided to the California Air Resources Board (CARB) are true, accurate, and complete regarding all relevant vehides in the fleet required to show compliance. CARB hereby finds that the fleet listed hide 98C02099 2016 (Advanced Clean Fleets Regulation) Title 13 CCR 2025 (Truck and Bus Regulation)
If CARB subsequently finds that the statements and information that have been provided are not true, accurate, and complete, this certificate shall be effectively revoked and the fleet subject to noncompliance penalties.
This certificate is valid until December 31, TRUCAS Fleet Identification Printed on 2025-01-13 245775
Jack Katowaki
lack Kilowski 1 Vehicles
Division Chief, Mobile Source Control o verify the authenticity of this certilicate, visi Division California Air Resources Board ww.arb.ca.gov/mspron//onrdiesel/tblookup.ph
CITY OF LAKE ELSINORE
CIP Project No. Z10089
REFERENCES
PAVEMENT REHABILITATION PROJECT
SB-1 BROADWAY TRACTS
CIP PROJECT NO. Z10089
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 ar urrently working on) in the past two (2) years, provide the following required informatior
CITY OF HUNTINGTON BEACH
Name (Firm/Agency)
2000 MAIN STREET
Address HUNTINGTON BEACH, CA 92648
Project Title BANNING AVENUE STREET IMPIS CC-1711
Project Location BANNING AVENUE
STREET IMPROVEMENTS
Type of Work
714-536-5259
Project Manager Contact JOE FUENTES _ Phone,
APRIL 2024
Dated Completed Contract Amount $3,87,004.00
CITY OF GARDEN GROVE
2. Name (Firm/Agency)
11222 ACACIA PARKWAY
Address GARDEN GROVE, CA 92842
2023/24 CDBG RESIDENTIAL REHABILITATION CP 1362023
Project Title
VARIOUS RESIDENTIAL LOCATIONS IN THE CITY OF GARDEN GROVE Project Location
RESIDENTIAL REHABILITATION
Type of Work
RAUL LEYVA 714-741-5385
Project Manager Contact _Phone_
JUNE 2024 Contract Amount $1,213,545.00
Dated Completed
CITY OF FOUNTAIN VALLEY
Name (Firm/Agency)
10200 SLATER AVENUE
Address FOUNTAIN VALLEY, CA 92708
REHABILITATION AND RESURFACING OF HEIL AVE
Project Title
Project Location_HEIL AVE, FROM EUCLID ST TO HARBOR BLVD & WARD STREET
REHABILITATION AND RESURFACING
Type of Work
Project Manager Contact FATANA TEMORY _Phone 714-593-4433 JUNE 2024 Contract Amount $1,738,521.88
Dated Completed
C-15
CITY OF LAKE ELSINORE
CIP Project No. Z10089
List any other projects (private, older than three (3) years, etc.) that may represent qualifying or similar experience:
CITY OF PLACENTIA
4. Name (Firm/Agency)
Address 401 EAST CHAPMAN AVE., PLACENTIA, CA 92870
Project Title 2020-21 ROADWAY REHABILITATION
VARIOUS LOCATIONS IN THE CITY OF PALCENTIA
Project Location
ROADWAY REHABILITATION
Type of Work
MASOUD SEPAHI _Phone 214-993-8245
Project Manager Contact
Dated Completed FEBRUARY 2022 Contract Amount S3.112,796.95
CITY OF IRVINE
5. Name (Firm/Agency)
1 CIVIC CENTER PLAZA., IRVINE, CA 92623
Address
20-21 ANNUAL STREET REHABILITATION & SLURRY SEAL
Project Title
Project Location VARIOUS LOCATIONS IN THE CITY OF IRVINE
STREET REHABILITATION & SLURRY SEAL
Type of Work
BRIAN D. BROWN 949-724-6474
Project Manager Contact _Phone
JANUARY 2022 $6,021,022.00
Dated Completed Contract Amount
CITY OF TUSTIN
Name (Firm/Agency)
300 CENTENNIAL WAY, TUSTIN, CA 92780
Address
NEWPORT AVE PAVEMENT REHABILITATION
Project Title
Project Location NEWPORT AVE
Type of Work PAVEMENT REHABILITATION
Project Manager Contact ERIC JOHNSON 714-573-3320
_Phone
Dated Completed_OCTOBER 2022 $1,349,811.85
Contract Amount
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CITY OF LAKE ELSINORE
CIP Project No. Z10089
CONTRACTOR INFORMATION
PAVEMENT REHABILITATION PROJECT
SB-1 BROADWAY TRACTS
CIP PROJECT NO. Z10089
782908 Class: 1 & c12
Contractor's License No.:
a. Date first obtained: AUGUST 2000 _ Expiration 08/3/2026 b. Has Bidder's License ever been suspended or revoked? No If yes, describe when and why: _N/A
c. Any current claims against License or Bond? _No
If yes, describe claims: N/A
Principals in Company (List all - attach additional sheets if necessary):
NAME IITLE LICENSE NO.
(If Applicable)
AUSTIN M. CARVER PRESIDENT 782908 CLASS A & C12
KASONDRA C. GONZALEZ VICE PRESIDENT 782908 CLASS A & C12 STEVEN L. MENDOZA VICE PRESIDENT
782908 CLASS A & C12
JACOB BREEDLOVE VICE PRESIDENT 782908 CLASS A & C12
JENNIFER M. VEGA SECRETARY 782908 CLASS A & C12
JAMES N. DUCOTE C.F.O. 782908 CLASS A & C12
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ACTION TAKEN PURSUANT TO THE
UNANIMOUS WRITTEN CONSENT OF
THE DIRECTORS OF
R.J. NOBLE COMPANY
A California Corporation
The undersigned, constituting all of the directors of the above-named Corporation, and acting pursuant to the authority of Section 307(b) of the California General Corporation Law, hereby adopt the following recitals and resolutions effective as of May 28, 2025.
IT IS HEREBY RESOLVED that the following named persons are elected and appointed to the offices indicated herein. Such appointment shall be effective immediately and shall continuc until further action of the Directors of the Corporation in accordance with the Bylaws of this corporation:
President Austin M. Carver
Secretary Jennifer M. Vega
Chief Financial Officer James N. Ducote
Vice President Steven Mendoza
Vice President Jacob Breedlove
Vice President KaSondra Gonzalez
IT IS FURTHER RESOLVED that in order to promote efficiency in the execution and delivery of written contracts in furtherance of the Corporation's business, the Board of Directors has determined that it would be in the best interests of the Corporation to authorize any of its duly elected or appointed officers to enter into and execute binding written obligations and contracts on behalf of the Corporation without the prior express consent of the Board of Directors so long as (a) such obligation or contract does not exceed Five Million Dollars ($5,000,000) in value, and (b) such obligation or contract is in furtherance of the Corporation's primary business; IT IS FURTHER RESOLVED that all contracts and/or obligations binding upon the Corporation with a value in excess of Five Million ($5,000,000) must be approved and executed by Austin M. Carver or James N. Ducote.
Aust Camer
Michael J. Carver
Brenda I Carrer
Brenda L. Carver
CALIFORN
CITY OF LAKE ELSINORE
CIP Project No. Z10089
VIOLATIONS OF FEDERAL, STATE OR LOCAL LAWS
PAVEMENT REHABILITATION PROJECT
SB-1 BROADWAY TRACTS
CIP PROJECT NO. Z10089
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 regulations within the past five (5) years relating to your construction projects? YES / NO (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) N/A
2. State Licensing Laws?
YES / NO (circle one)
N/A
Code/Laws:
Section/Article: N/A
N/A
If "yes," identify and describe, (including agency and status):
Has Bidder been "default terminated" by an owner (other than for convenience), or has a Surety completed a contract for Bidder within the last five (5) years? YES / NO (circle one)
N/A
If "yes," please explain:
Has Bidder been cited more than twice for failure to pay prevailing wages in the last five (5) years?
YES / NO (circle one)N/A
If "yes." please explain:
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CITY OF LAKE ELSINORE
CIP Project No. Z10089
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. 08/12/2025
*signature
Date
STEVEN L. MENDOZA, VICE PRESIDENT
Print Name Title
R.J. NOBLE COMPANY
Contractor Name
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CITY OF LAKE ELSINORE
CIP Project No. Z10089
DISQUALIFICATION OR DEBARMENT
PAVEMENT REHABILITATION PROJECT
SB-1 BROADWAY TRACTS
CIP PROJECT NO. Z10089
as your firm, any officer of your firm, or any employee who has a proprietary interest in your fin ver been disqualified, removed, or otherwise prevented from bidding on, performing work on, completing a federal, state or local project because of a violation of law or a safety regulation? YES I NO (circle one)
If yes, provide the following information (if more than once, use separate sheets):
Date: Entity:
Location:
Reason:
Provide Status and any Supplemental Statement:
Has your firm been reinstated by this entity?
YES / NO (circle one)
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. 08/12/2025
Signature Date
STEVEN L. MENDOZA VICE PRESIDENT
Print Name Title
RJ. NOBLE COMPANY
Contractor Name
If the Bidder fails to properly sign or omits the required signature, the bid will be considered non-responsive and will be rejected.
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CITY OF LAKE ELSINORE
CIP Project No. Z10089
UTILITY AGREEMENT
PAVEMENT REHABILITATION PROJECT
SB-1 BROADWAY TRACTS
CIP PROJECT NO. Z10089
HONORABLE MAYOR AND CITY COUNCIL
CITY OF LAKE ELSINORE, CALIFORNIA
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 Лин
Signature
STEVEN L. MENDOZA
By:
Name
VICE PRESIDENT
Title
R.J. NOBLE COMPANY
Contractor Name
•
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CITY OF LAKE ELSINORE
CIP Project No. Z10089
PUBLIC CONTRACT CODE
PAVEMENT REHABILITATION PROJECT
SB-1 BROADWAY TRACTS
CIP PROJECT NO. Z10089
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 offense:
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 XXX
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 federa 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. x St 08/12/2025
Signature Date
STEVEN L. MENDOZA VICE PRESIDENT
Print Name Title
R.J. NOBLE COMPANY
Contractor Name
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