BIDDER'S PROPOSAL - CONTRACTOR'S STATEMENT
MARINE AVENUE AT CEDAR AVENUE TRAFFIC SIGNAL AND INTERSECTION
IMPROVEMENT PROJECT
Fill out all of the following information. Attach additional sheets if necessary. (1) Bidder's Name: CROSSTOWN ELECTRICAL & DATA, INC.
(2) If the Bidder's name is a fictitious name, who or what is the full name of the registered owner? If the Bidder's name is not a fictitious name, write "N/A" in the response to this estion. If vou are doing business under a fictitious name, provide a copy of the file N/A
(3) Business Address: 5454 DIAZ ST., IRWINDALE, CA 91706 (4) Telephone: (626) 813-6693 Email: [email protected] (5) Type of Firm - Individual, Partnership, LLC or Corporation:CORPORATION (6) Corporation organized under the laws of the State of: CALIFORNIA (7) California State Contractor's License Number and Class: 756309, CLASS A & C10 Original Date Issued: 11/18/1998 Expiration Date: 11/30/2022 (8) DIR Contractor Registration Number: 1000000155
(9) List the name and title of the person(s) who inspected the Project site for your firm:
MIKE CUELLAR, ESTIMATOR
(10) Number of years' experience the company has as a contractor in construction work: 23 YEARS (11) List the names, titles, addresses and telephone numbers of all individuals, firm members, partners, joint ventures, and company or corporate officers having a principal interest in this Bid:
DAVID P. HEERMANCE, PRESIDENT (626) 813-6693 5454 DIAZ ST., IRWINDALE, CA 91706 WENDY PARKER, VICE PRESIDENT (626) 813-6693 5454 DIAZ ST., IRWINDALE, CA 91706 ANDREA HEERMANCE, SECRETARY (626) 813-6693 5454 DIAZ ST., IRWINDALE, CA 91706 (12) s, and fictitious business names for any principa
having interest in this Bid:
NONE
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(13) List the dates of any voluntary or involuntary bankruptcy judgments against any principal having an interest in this Bid:
NONE
(14) For all arbitrations, lawsuits, settlements and the like (in or out of court) that the company or any principal having an interest in this Bid has been involved with in the past five years:
a. List the names, addresses and telephone numbers of contact persons for the parties:
1.DIDONATO LAW CENTER, 28494 WESTINGHOUSE PL., VALENCIA, CA 91366 (661)255-7500
2. THE RUTTEN LAW FIRM, 4221 COLDWATER CYN., STUDIO CITY, CA 91604 (818) 308-6915
3. CARPENTER, ZUCKERMAN, & ROWLEY, 8827 OLYMPIC BLVD., BEVERLY HILLS, CA 90211 (310) 272-123
4. DEPARTMENT OF TRANSPORTATION, 100 S. MAIN ST., LOS ANGELES, CA 90012(213) 687-6000 b. Briefly summarize the parties' claims and defenses:
1. CLAUDIA SANZ v CITY OF LANCASTER
2. DISCRIMINATION CLAIM
3. LAWSON CASE - MOTORCYCLE ACCIDENT ON A CONNECTOR ROAD, CLAIM IN REGARDS TO CROSSTOWN
BEING ASSOCIATED WITH A CALTRANS STREET LIGHTING PROJECT ON THAT SECTOR OF THE HIGHWAY
4. BREACH OF CONTRACT CASE IN REGARDS TO THE LAWSON CASE LISTED ABOVE State the tribunal (e.g., Superior Court, American Arbitration Association, etc.), the matter number, and the outcome:
1. CASE MC027986, LANCASTER COURTHOUSE - DISMISSED
2. CASE BC18STCV06632, CITY OF LOS ANGELES - DISCOVERY
3. CASE BC650480, SANTA MONICA COURTHOUSSE - REQUEST FOR DISMISSAL
4. CASE 19SMCV00687, SANTA MONICA COURTHOUSE - REQUEST FOR DISMISSAL (15) Has the company or any principal having an interest in this Bid ever had a contract terminated by the owner or agency? If yes, explain.
NO
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(16) Has the company or any principal having an interest in this Bid ever failed to complete a project? If yes, explain.
NO
(17) Has the company or any principal having an interest in this Bid ever been terminated for cause, even if it was converted to a "termination of convenience"? If yes, explain.
NO
(18) For projects that the company or any principal having an interest in this Bid has been involved with in the last five years, did you have any claims or actions:
By you against the owner? Circle one: Yes (NO
b. By the owner against you? Circle one: Yes No
C.
Eras oneside agencya individual for labor compliance? Circle one:
d. By Subcontractors? Circle one: Yes (No)
e.
Are any of these claims a actions unresolved or oulstanding? Circle one:
If your answer is "yes" to any part or parts of this question, explain.
N/A
(19) Has the company or any of its principals ever been debarred by any agencies? Is yes, please explain.
NO
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(20) For all public agency projects in excess of $15,000.00 that you are currently working on or have worked on in the past two years, provide the following information:
Project 1 Name/Number CONSTRUCTION OF THE IMPERIAL HIGHWAY/SR-90 CORRIDOR RTSSP Project Description FURNISH AND INSTALL CONDUIT, FIBER, AND COMMUNICATION EQUIPMENT Approximate Construction Dates From: 4/2020 To: 6/2021
Agency Name: CITY OF LA HABRA
Contact Person: MICHAEL PLOTNIK Telephone: (562) 383-4151 Address: 110 E. LA HABRA BLVD., LA HABRA, CA 90631
Original Contract Amount: $ 1,528,364.00 Final Contract Amount: $ 1,528,364.00 If final amount is different from original amount, please explain (change orders, extra work, etc.).
N/A
Did you or any Subcontractor, file any claims against the Agency? Circle one: Yes No
Did the Agency file any claims against you? Circle one: Yes No If you answered yes to either of the above two questions, please explain and indicate outcome of claims.
N/A
Project 2 Name/Number BONITA AVE. SYNCHRONIZATION PROJECT, #2020-02 Approximate Construction Date From: 6/2020 To: 7/2021
Agency Name: _CITY OF SAN DIMAS
Contact Person: STEVE BARRAGAN Telephone: (909) 394-6247 Address: 245 EAST. BONITA AVE., SAN DIMAS, CA 91773
Original Contract Amount: $ 942,938.00 Final Contract Amount: $942,938.00 If final amount is different from original amount, please explain (change orders, extra work, etc.).
N/A
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Did you or any Subcontractor, file any claims against the Agency? Circle one: Yes
Did the Agency file any claims against you? Circle one: Yes No If you answered yes to either of the above two questions, please explain and indicate outcome of claims.
N/A
Project 3 Name/Number CITYWIDE TRAFFIC SIGNAL PROJECT
Project Description FURNISH AND INSTALL VIDEO DETECTION AND COMMUNICATION EQUIPMENT Approximate Construction Dates From: 2/2020 To: _9/2021 Agency Name: CITY OF BEVERLY HILLS
Contact Person: MANU DHALIWAL Telephone: (310) 285-2452 Address: 345 FOOTHILL ROAD., BEVERLY HILLS, CA 90210
Original Contract Amount: $_1,312,797.00 Final Contract Amount: $ 1,409,504.00 If final amount is different from original amount, please explain (change orders, extra work, etc.).
CHANGE ORDERS
Did you or any Subcontractor, file any claims against the Agency? Circle one: Yes
Did the Agency file any claims against you? Circle one: Yes (No If you answered yes to either of the above two questions, please explain and indicate outcome of claims.
N/A
Project 4 Name/Number INTELLIGENT TRANSPORTATION SYSTEM - PHASE VI & VII
FURNISH AND INSTALL FIBER SPLICE CLOSURES AND FDU'S, FURNISH/INSTALL ETHERNET Project Description SWITCHES, BOSCH CCTV CAMERAS AND VIDEO MANAGEMENT SYSTEM, PERFORM SYSTEM Approximate Construction Dates From: 7/2020 _To 6/2022
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Agency Name: CITY OF SANTA CLARITA
Contact Person: CESAR ROMO Telephone: (661) 286-4002
Address: 23920 VALENCIA BLVD., SANTA CLARITA, CA 91355
Original Contract Amount: $ 1,877,425.00 Final Contract Amount: $ $2,638,639.00 If final amount is different from original amount, please explain (change orders, extra work, etc.).
CHANGE ORDERS, EXTRA WORK
Did you or any Subcontractor, file any claims against the Agency? Circle one: Yes
Did the Agency file any claims against you? Circle one: Yes No If you answered yes to either of the above two questions, please explain and indicate outcome of claims.
N/A
Project 5 Name/Number MAIN STREET RTSSP, CITIES OF IRVINE, SANTA ANA, ORANGE Project Description FURNISH AND INSTALL CONDUIT, CABINETS, FIBER, SWITCHES, CCTV CAMERAS Approximate Construction Dates From: 8/2020 To: 4/2021
Agency Name: ORANGE COUNTY TRANSPORTATION AGENCY
Contact Person: AMY TRAN Telephone: (714) 560-5379
Address: 600 S. MAIN ST., ORANGE, CA 92863
Original Contract Amount: $ 755,525.00 Final Contract Amount: $_755,525.00 If final amount is different from original amount, please explain (change orders, extra work, etc.).
N/A
Did you or any Subcontractor, file any claims against the Agency? Circle one: Yes
Did the Agency file any claims against you? Circle one: Yes No 12100-000112654178v1.doc B-11
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If you answered yes to either of the above two questions, please explain and indicate outcome of claims.
N/A
Project 6 Name/Number CVAG REGIONAL TRAFFIC SIGNAL SYNCHRONIZATION PROJECT - PHASE 1 Project Description FURNISH/INSTALL CONDUIT, WIRELESS SYSTEMS, FIBER CABLE, COMMUNICATION
EQUIPMENT
Approximate Construction Dates From: 8/2021 To: IN PROGRESS Agency Name: COACHELLA VALLEY ASSOCIATION OF GOVERNMENTS Contact Person: ERIC COWLE Telephone: (760) 346-1127
Address:_73-710 FRED WARING DR., SUITE 200, PALM DESERT, CA 92260 Original Contract Amount: $_19,259,407.04 Final Contract Amount: $_IN PROGRESS If final amount is different from original amount, please explain (change orders, extra work, etc.).
N/A
Did you or any Subcontractor, file any claims against the Agency? Circle one: Yes
Did the Agency file any claims against you? Circle one: Yes No If you answered yes to either of the above two questions, please explain and indicate outcome of claims.
N/A
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Upon request of the City, the Bidder shall furnish evidence showing a notarized financial statement, financial data, construction experience, or other additional information.
Failure to provide truthful answers to the questions above or in the following References Form may result in the Bid being deemed non-responsive.
Urban Runoff Certification. The Bidder certifies to the City that he/she has trained his/her employees and Subcontractors, if any, for Urban Runoff management and has included sufficient sums in the Bid Price to cover such costs of training as stipulated in the most current Regional Water Quality Control Board requirements, including the Municipal Separate Storm Sewer System National Pollutant Discharge Elimination System (NPDES) Permit. The Contractor is responsible for all clean up and payment of all fines levied as a result of any illegal discharge (as defined in NDES permit) occurring as a result of the Contractor's Work and/or operations.
I, the undersigned, certify and declare that I have read all the foregoing answers to the Bidder's Proposal - Contractor's Statement and know their contents. The matters stated in the Bidder's Proposal - Contractor's Statement answers are true of my own knowledge and belief, except as to those matters stated on information and belief, and as to those matters I believe them to be true. I declare under penalty of perjury under the laws of the State of California that the foregoing is correct.
Company
aborte
Signature:
Name: DAVID P. HEERMANCE
Title: PRESIDENT
Date: OCTOBER 6, 2022
Signature: Benjamin Heermance
Name: BENJAMIN HEERMANCE
Title: CFO
Date: OCTOBER 6, 2022
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