00 41 43 - BID FORMS
BID ACKNOWLEDGMENT
Sealed Bids will be received at the office of Public Works located at 201 N 'E' Street, 2nd Floor, San Bernardino, California of the City of San Bernardino, until 3:00p.m. on
FUTSAL FIELD CONSTRUCTION
NAME OF BIDDER:_KYA Services, LLC
To the CITY OF SAN BERNARDINO, with its principal place of business at Vanir Tower, 290 North D Street, San Bernardino, California 92401.
A. In response to the Notice Inviting Bids dated May 22, 2024, and in accordance with the accompanying Instructions to Bidders, the undersigned hereby proposes to the City to furnish all labor, technical and professional services, supervision, materials and equipment, other than materials and equipment specified as furnished by the City, and to perform all operations necessary and required to construct the Project in accordance with the provisions of the Contract Documents and any addenda thereto, and at the prices stated opposite the respective items set forth in the Bid Schedule.
B. This Bid constitutes a firm offer to the City which cannot be withdrawn for 90 days after the date set for opening of Bids, or until a Contract is executed by the City and a third party, whichever is earlier.
C. The undersigned certifies that it has examined and is fully familiar with all of the provisions of the Contract Documents and any addenda thereto; that it has carefully checked all of the words and figures shown in its Bid Schedule; that it has carefully reviewed the accuracy of all statements in this Bid and attachments hereto; and that it understands and agrees that the City will not be responsible for any errors or omissions on the part of the undersigned in preparing this Bid.
D. If awarded a Contract, the undersigned agrees to execute and deliver to the City within ten (10) days after date of receipt of Notice of Award, a signed Contract and the necessary Performance Bond, Payment Bond, and Certificates of Insurance and Endorsements.
E. The following Bid Forms, which have been completed and executed by the undersigned Bidder, are incorporated by this reference and made a part of this Bid:
1. Bid Schedule
2. Bid Guarantee in the amount of not less than 10% of the Total Bid Price.
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3. Completed Designation of Subcontractors form.
4. Fully executed Non collusion Declaration form.
5. Completed Iran Contracting Act Certification form.
6. Completed Public Works Contractor DIR Registration Certification form.
7. Non-Lobbying Certification for Federal-Aid Contracts
8. Completed Contractor's Certificate Regarding Workers' Compensation form.
9. Completed Bidder Information and Experience Form.
F. The undersigned is hereby representing that it is and will be properly licensed both at the time that it submits a Bid as well as at the time the Contract is awarded, if the Contract is awarded to the undersigned.
1. Individual Contractor. Undersigned certifies that it is now licensed in accordance with the provisions of the Contractor's License Law of the State of California.
License number_ 984827
Expiration date_6/30/2025
License classification A.B.C10,15,C20,C33,C61/D12
1. Joint Venture. Undersigned certifies that the individual members of the joint venture are now licensed in accordance with the provisions of the Contractor's License Law of the State of California.
Member No. 1
Name
License number_
Expiration date
License classification
Member No. 2
Name
License number
Expiration date
License classification
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(If there are more than two members of the joint venture, attach a page for the additional member(s) with the above information.)
The undersigned acknowledges receipt, understanding, and full consideration of the following addenda to the Contract Documents:
Addenda No. _ # / , 2,
[SIGNATURE ON FOLLOWING PAGE]
FUTSAL FIELD CONSTRUCTION -17- 00 41 43 - BID FORMS
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I hereby certify under penalty of perjury under the laws of the State of California that all of the information submitted in connection with this Bid and all of the representations made herein are true and correct.
BIDDER: Bidder's Business Address:
KYA Services, LLC 1800 E. McFadden Ave
(Company Name) Santa Ana, CA 92705
By
(Signature)
Brooks Berry
(Type or print name)
CFO
(Title)
Janta Ana C ....
Where signed) (City, State
(corporate seal)
Dated: June 12 _ 20 a4
State of Incorporation: California
(If the Prime Contractor is a corporation, two signatures of corporate officers are required.) Names and addresses of all partners or joint venturers:
NIA
Statement of the authority of signatory to bind Bidder:
NIA
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REVISED BID SCHEDULE
UNIT
UNIT OF EST. PRI
NO. ITEM DESCRIPTION MEASURE QTY. E ITEM COST
1. Mobilization 1 LS 20000 # 20000
Prepare, Furnish & Install Drainage, Base
Material, New Synthetic Turf System
matrixTURF" or Approved Equal, up to the
imits of the Chain-link Fence (item 7), anc 1 LS $300,000 $300,000 Concrete Curbing Along the Edge Of 136' L
BY 68' W Futsal Field Per Specifications
and Project Plans.
3. Install 9' by 15' New ADA Compliant 5- Row
"BuiltRITE" Bleachers or Approved Equal, 2 EA 610,000 $20,000 Per Specifications and Project Plans.
4. Install New 15' Aluminum Team Bench w/
Back "BEACON ATHLETICS" or Approved 2 EA $10,000 $20,000 Equal, Per Specifications and Project Plans.
5. Install New 7.5' Scorer's Table" BEACON
ATHLETICS" or Approved Equal, with Bench 1 EA $1,500 $1,500 Per Specifications and Project Plans.
6. Apply 4" Wide Thermoplastic Reflective
White Striping/Symbols for Parking Spaces,
and Blue Borders for Handicap path per 1 LS 1$10,000 $10,000 2023 Caltrans Standard A90A and Per
Specification and Project Plans.
7. Install 10' High Chain Link Fence Around
the Perimeter of The Futsal Court with Two LF $250 $102,000 Doors and Two Double Swing Gates Per 408
Specifications and Project Plans.
Install 4' High Bollards Made of 6"
Concrete-Filled Steel Pipe on Both sides of
Bleachers on the North Side, 3' in The EA 52500 510,000 4 Ground, painted yellow, Per Specifications
9. Install New Trash Cans Inground Mount
"ULTRA SITE" or Equal, Per Specifications 2 EA 52500 $5,000 and Project Plans.
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10. On West side of K Street: Remove a
Section of the Guard Rail and Existing Curb
on the parking Lot, and Construct PCC
Curb Access Ramp With 2'x4' Truncated 1 EA $28,000 $28,000 Dome Surface, and Landing Per APWA/
SPPWC 111, and Per Plans; Construct 6"
Guide Curb Per plans.
11. On East Side of K Street: Construct PCC
Curb Access Ramp With 2'x4' Truncated 1 EA 18,000 $ 18,000 Dome Surface, and Landing Per APWA/
SPPWC 111, and Per Plans.
12. Install Linear Drains "NDS 5 Inch Pro
Series with HDPE Grate" or equal, Per Plan 187 LF 5,20 522,440 and Specifications.
13. Install 4" Dia. PVC or ABS Underground
Drainage Pipe, and two Cleanouts/Catch Basins 105 LF $220 $23,100 NDS or Equal Per Plan and Specifications.
14. Construction 4' × 8' Project Sign 1 EA $7,500 $7,500
15. Install Handicap Parking Signs, one for Van
Parking CALTRANS R99C(CA) & R7-8b, and 2 EA $1,500 33,000 one for Car R99C(CA)
16. Install Curbs or Parking Bumpers 7 EA $2500 $ 17,500
17. Install 11"x17" Sign: NO PARKIG/Parking Lot 1 $1500 EA $1,500
Closed from ...(Date) to ...(Date).
BASE BID (BID ITEMS # 1-17) TOTAL $609,540
TOTAL BASE BID PRICE BASED ON BID SCHEDULE
Six hundred nime thomsand five hundred forty dolles
Total Base Bid (in Words)
ADDITIVE ALTERNATE #1
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A1. Parking Around the Feisa Pet Used for Car 23,932 SF $1 $23,932
Striping).
ADDITIVE ALTERNATE #1 TOTAL $ 23,932
BASE BID + ADDITIVE ALTERNATE TOTAL $633,472
TOTAL BASE BID + ADDITIVE ALTERNATE PRICE BASED ON BID SCHEDULE six hundred thirty-three Thousand four handed seventy-two Total Base Bid+ Additive Alternate (in Words)
The costs for any Work shown or required in the Contract Documents, but not specifically identified as a line item are to be included in the related line items and no additional compensation shall be due to Contractor for the performance of the Work.
All blank spaces appearing above must be filled in. Failure to fill in any blank spaces may render the bid non-responsive. In case of discrepancy between the Unit Price and Item Cost set forth for a unit basis item, the Unit Price shall prevail and be utilized as the basis for determining the lowest responsive, responsible Bidder. However, if the amount set forth as a Unit Price is ambiguous, unintelligible or uncertain for any cause, or is omitted, or is the same amount as the entry in the Item Cost column, then the amount set forth in the Item Cost column for the item shall prevail and shall be divided by the estimated quantity for the item and the price thus obtained shall be the Unit Price.
For purposes of evaluating Bids, the City will correct any apparent errors in the extension of unit prices and any apparent errors in the addition of lump sum and extended prices.
The estimated quantities for Unit Price items are for purposes of comparing Bids only and the City makes no representation that the actual quantities of work performed will not vary from the estimates. Final payment shall be determined by the Engineer from measured quantities of work performed based upon the Unit Price.
The undersigned agrees that this Bid Schedule constitutes a firm offer to the City which cannot be withdrawn for the number of calendar days indicated in the Notice Inviting Bids from and after the Bid opening, or until a Contract for the Work is fully executed by the City and a third party, whichever is earlier.
If the Contract Documents specify Alternate Bid items, the City can choose to include any, all, or none of the Alternate Bid items in the Work. If the City selects any of the Alternate Bid items, the FUTSAL FIELD CONSTRUCTION -21- 00 41 43 - BID FORMS
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corresponding Alternate Bid prices shall be added to or deducted from Base Bid Price for the Work. The City can award/select Alternate Bid items at any time(s).
Name of Bidder
Signature
Name and Title_ Brooks Berry, CFO
Dated 10. 12.24
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BID GUARANTEE
BID BOND
[Note: Not required when other form of Bidder's Security, e.g. cash, certified check or cashier's check, accompanies Bid.]
The makers of this bond are, KYA Services LLC
Principal, and Harco National Insurance Company
and are held and firmly bound unto the CITY OF SAN BERNARDINO, with its principal place of business at Vanir Tower, 290 North D Street, San Bernardino, California 92401, hereinafter called the City, in the penal sum of TEN PERCENT (10%) OF THE TOTAL BID PRICE of the Principal submitted to the City for the work described below, for the payment of which sum in lawful money of the United States, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that whereas the Principal has submitted the accompanying bid dated_June 20 _ 20 24, for FUTSAL FIELD CONSTRUCTION AT LYTLE CREEK PARK.
If the Principal does not withdraw its Bid within the time specified in the Contract Documents; and if the Principal is awarded the Contract and provides all documents to the City as required by the Contract Documents; then this obligation shall be null and void. Otherwise, this bond will remain in full force and effect.
Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract Documents shall affect its obligation under this bond, and Surety does hereby waive notice of any such changes.
In the event a lawsuit is brought upon this bond by the City and judgment is recovered, the Surety shall pay all litigation expenses incurred by the City in such suit, including reasonable attorneys' fees, court costs, expert witness fees and expenses.
IN WITNESS WHEREOF, the above-bound parties have executed this instrument under their several seals this 11th -day of n _, 20_24 _ the name and corporate seal of each corporation.
Services
(Corporate Seal) KYA Services LLC
2013 %; Contractor/ Principal
•SEAL 4 14
By_
he orcatio * ompany
Title Brooks Ber
Harco National Insurance Company
(Corporate Seal) Surety
By
Attorney-in-Fact
(Attach Attorney-in-Fact Certificate) Title Christine Woolford, Attorney-in-Fact UTSAL FIELD CONSTRUCTIO -23- 00 41 43 - BID FORMS
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Notary Acknowledgment
STATE OF CALIFORNIA
COUNTY OF
On - 20 , before me, _ _ Notary Public, personally
appeared _, 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 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature of Notary Public
OPTIONAL
Though the in old prevent is not require ay and relay hourt of it to trans nerving the documente
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT • Individual
] Corporate Officer
Title(s) Title or Type of Document
• Partners) Limited
General Number of Pages
• Attorney-In-Fact
• Trustee(s)
• Guardian/Conservator Date of Document
• Other:
Signer is representing:
Name Of Person(s) Or Entity(ies)
Signers) Other Than Named Above
NOTE: This acknowledgment is to be completed for Contractor/Principal.
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Notary Acknowledgment
STATE OF CALIFORNIA
COUNTY OF
On - 20. _ before me, _ _ Notary Public, personally
appeared _ who proved to me on the basis of satisfactory I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature of Notary Public
OPTIONAL
hough the information below is not required by law, it may prove valuable to persons relying on the documen and could prevent fraudulent removal and reattachment of this form to another documen
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT © Individual
• Corporate Officer
Title(s) Title or Type of Document
• Partners) Limited
General Number of Pages
a Attorney-In-Fact
• Trustee(s)
© Guardian/Conservator Date of Document
• Other:
Name or perores or Entyles)
Signers) Other Than Named Above
NOTE: This acknowledgment is to be completed for the Attorney-in-Fact. The Power-of-Attorney to local representatives of the bonding company must also be attached.
END OF BID BOND
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
County of Orange
'JUN 1 1 2024
On before me, Thao Nguyen Luu , Notary Public,
Date Insert Name of Notary exactly as it appears on the official seal personally appeared Christine Woolford
Name(s) of Signer(s)
and that by his/her/their signature(s) on the instrument th
THAO NGUYEN LUU
Notary Public - California ted, execute the instrumentalf of which the person(s Orange County
Commission # 2453804
My Comm. Expires Jut 18, 2027 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
Witness my hand and official seal.
Signature
Place Notary Seal Above Signature of Notary Public
- OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the documen and could prevent fraudulent removal and reattáchment of the form to another documeni 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:
• Individual • Individual
• Corporate Officer — Title(s):.. ] Corporate Officer — Title(s):
• Partner •Limited • General 7 Partner • Limited • General • Attorney in Fact RIGHT THUMBPRINT • Attorney in Fact RIGHT THUMBPRINT • Trustee OF SIGNER • Trustee OF SIGNER
• Guardian or Conservator Top of thumb here ] Guardian or Conservator Top of thumb here • Other: • Other:
Signer is Representing: Signer is Representing:
POWER OF ATTORNEY Bond # N/A
HARCO NATIONAL INSURANCE COMPANY
INTERNATIONAL FIDELITY INSURANCE COMPANY
Member companies of IAT Insurance Group, Headquartered: 4200 Six Forks Rd, Suite 1400, Raleigh, NG 27609 KNOW ALL MEN BY THESE PRESENTS: That HARCO NATIONAL INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Illinois, and INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Nev Jersey, and having their principal offices located respectively in the cities of Rolling Meadows, Illinois and Newark, New Jersey, do hereby constitute anc appoint
JOE MCGRADY, P. AUSTIN NEFF, EMILIE GEORGE, CHRISTINE WOOLFORD, IRENE LUONG, ALEXANDER R. HOLSHEIMER, THAO LUU, JAMES W. MOILANEN, YUNG T. MULLICK, DANIELLE HANSON Mission Viejo, CA
their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instruments) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By-Laws of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December, 2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December, 2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint, and to revoke the appointments of, Attorneys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation may appoint and revoke the appointments of joint-control custodians, agents for acceptance of process, and Attorneys-in-fact with authority to execute waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed."
IN WITNESS WHEREOF, HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December, 2023
AL INSUR
STATE OF NEW JERSEY STATE OF ILLINOIS CORPORAT
CORPORAT County of Essex County of Cook
SEAL
1984
KAY JERSE • LINOIS
Michael F. Zurcher
Executive Vice President, Harco National Insurance Company and International Fidelity Insurance Company
On this 31st day of December, 2023 , Detore me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn, said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies CATHY CRUT IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark, New Jersey the day and year first above written.
NOTAR,
PUBLIC carty Get
STATE OF NEW JEF
Cathy Cruz a Notary Public of New Jerse
My Commission Expires April 16, 202!
CERTIFICATION
1, the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify hat I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By-Laws of said Companies as se whole or ale said originals, and that the said Power of informey has of beef revoked and is no in there and reforect transcripts thereot, and of th IN TESTIMONY WHEREOF, I have hereunto set my hand on this day. June 11, 2024 Que tate
A00964
Irene Martins, Assistant Secretary
Nº 6046
STATE OF CALIFORNLA
DEPARTMENT OF INSURANCE
SAN FRANCISCO
Amended
Certificate of Authority
TErs Is TO CERTIr%, That, pursuant to the Insurance Code of the State of California, Harco National Insurance Company
of Rolling Meadows, Illinois , organized under the
laws of Illinois , subject to its Articles of Incorporation or other fundamental organizational documents, is hereby authorized to transact within this State, subject to all provisions of this Certificate, the following clusses of insurance: Fire, Marina, Surety, Plate Glass, Liability, Workers' Compensation, Common Carrier Liability, Boiler and Machinery, Burglary, Credit, Sprinkler, Team and Vehicle, Automobile, Aircraft, and Miscellaneous
as such classes are now or may hereafter be defined in the Insurance Laws of the State of California.
THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in frill compliance with all, and not in violation of any, of the applicable laws and lawful requirements made under authority of the laus of the State of California as long as such laws or requirements are in effect and applicable, and as such laws and requirements now are, or may hereafter be changed or amended.
IN WITNESS WHEREOF, effective as of the. 315t ...day
of.- December _ 19 94, 1 have hereunto set
my hand and caused my official seal to be affixed this.. 3rd.... day of January ,19. 95.
Hora s! Si
By Deputi
FOnN CB-3
ACKNOWLEDGMENT
A notary public or other officer completing this
State of California
County of Orange
On June 12, 2024 _ before me, Sierra Read, Notary Public (insert name and title of the officer)
personally appeared Brooks Berry
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. SIERRA READ
Notary Public - California
Orange County
Commission # 2344229
My Comm, Expires Jan 29, 2025
Simakead
Signature (Seal)
DESIGNATION OF SUBCONTRACTORS
The subcontractor listed below will perform work or labor or render service to the contractor in or about the construction of the work or improvement, or are subcontractors licensed by the State of California who will, under subcontract to the contractor, specially fabricate and install a portion of the work or improvement according to detailed drawings contained in the Contract Documents, in an amount in excess of one-half of one percent (1/2 of 1%) of the contractor's total bid.
Notwithstanding the foregoing, if the work involves the construction of streets and highways, then the Bidder shall list each subcontractor who will perform work or labor or render service to the Bidder in or about the work in an amount in excess of one-half of one percent (0.5%) of the Bidder's Total Bid Price or $10,000, whichever is greater. No additional time shall be granted to provide the below requested information.
In compliance with the Subletting and Subcontracting Fair Practices Act Chapter 4 (commencing at Section 4100), Part 1, Division 2 of the California Public Contract Code, the Bidder shall set forth below:
(a) The portion of the work to be done by the subcontractor; (b) The name and the location of the place of business; (c) The California contractor license number; and
(d) The DIR public works contractor registration number.
If a Bidder fails to specify a subcontractor or if a Bidder specifies more than one subcontractor for the same portion of work, then the Bidder shall be deemed to have agreed that it is fully qualified to perform that portion of work and that it shall perform that portion itself.
Portion of CSLB DIR
Work to be Name of Location of Contractor Registration
done by Subcontractor Business License No. Number
Subcontractor
Install Hellas Constratin Awtin, Tx
852751 1000008779
Turf
Concrete Exelasive
Peris, CA 1091673 PW0-LR-1000899809
Landhs-pe
Fence
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Portion of CSLB DIR
Work to be Name of Location of Contractor Registration
done by Subcontractor Business License No. Number
Subcontractor
Asphalt Prestige
La Miradach 11|0800 1001110905
Parh,
Company
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Portion of CSLB DIR
Work to be Name of Location of Contractor Registration
done by Subcontractor Business License No. Number
Subcontractor
(Attach additional sheets if necessary)
Name of Bidder
Signature
Name and Title_ Brooks Berry, CFO
Dated 10.12.24
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BIDDER INFORMATION AND EXPERIENCE FORM
A. INFORMATION ABOUT BIDDER
(Indicate not applicable ("N/A") where appropriate.)
NOTE: Where Bidder is a joint venture, pages shall be duplicated and information provided for all parties to the joint venture.
1.0 Name of Bidder: - KYA Services, LLC
2.0 Type, if Entity: LLC-P
3.0 Bidder Address: 1800 E. McFadden Ave
Santa Ana, CA 92705
714-586-5526 714-659-6477
Facsimile Number Telephone Number
[email protected]
mail Addres:
How many years has Bidder's organization been in business as a Contractor?
5.0 Mam many years has Bidder's organization been in business under its present
5.1 Under what other or former names has Bidder's organization operated? N/A
6.0 If Bidder's organization is a corporation, answer the following:
6.1 Date of Incorporation: 03/05/2013
6.2 State of Incorporation: California
6.3 President's Name: Tony Leyds
6.4 Vice-President's Name(s): N/A
6.5 Secretary's Name: N/A
6.6 Treasurer's Name: Brooks Berry
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7.0 If an individual or a partnership, answer the following:
7.1 Date of Organization: N/A
7.2 Name and address of all partners (state whether general or limited partnership):
N/A
8.0 If other than a corporation or partnership, describe organization and name principals:
N/A
9.0 List other states in which Bidder's organization is legally qualified to do business.
Arizona, Texas and Nevada
10.0 What type of work does the Bidder normally perform with its own forces? General Construction
11.0 Has Bidder ever failed to complete any work awarded to it? If so, note when, where, and why:
No
12.0 Within the last five years, has any officer or partner of Bidder's organization ever been an officer or partner of another organization when it failed to complete contract? If so, attach a separate sheet of explanation No
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13.0 List Trade References:
Mapei 954-426-8649 [email protected]
Bentley Mills 800-423-4709 [email protected]
Diamond W Floor Covering 909-859-8399 [email protected] Shaw Industries 800-4466-9332 [email protected]
14.0 List Bank References (Bank and Branch Address):
US Bank 626-497-1465 [email protected] Georga Plazola 3536 Concours St., St.300 Ontario, CA 91764
15.0 Name of Bonding Company and Name and Address of Agent:
Bond Exchange
24800 Chrisanta Drive, Suite 160, Mission Viejo, CA 92691 Irene Luong 949.409.9705
[REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK]
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B. LIST OF CURRENT PROJECTS (BACKLOG)
[**Duplicate Page if needed for listing additional current projects. **] Project Client Reference Description of Completion Date Cost of Bidder's (agency Bidder's Work Work
name/contact
info)
Bunch Es Compton USD Syntheti Turt
Nathaniel Halt Movanily Current 11,488,400
compton Supply and Apply
Bunche ES Nothiel Holt new taf plyars cument $ 600,000
Stuffer MS Annie Any Synthetie Tut
Білл Current $575,000
FUTSAL FIELD CONSTRUCTION -32- 00 41 43 - BID FORMS
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C. LIST OF COMPLETED PROJECTS - LAST THREE YEARS
[**Duplicate Page if needed for listing additional completed projects.**] Please include only those projects which are similar enough to demonstrate Bidder's ability to perform the required Work.
Project Client Reference Description of Completion Date Cost of Bidder's (agency Bidder's Work Work
name/contact
info)
Compton College Cumpton (ollege • New Syllebr March 2024 turf samb Fied $ 1, 400, 000
Sports field
Fullerton College Fullest Cellas e New Sacell! April 2023 $ 1,800, 000 Randy Hamis
LA City (allege LACC
Field Mplacement Khalil Herington Field rarent July 2022 $ 600,000 FUTSAL FIELD CONSTRUCTION -33- 00 41 43 - BID FORMS
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D. EXPERIENCE AND TECHNICAL QUALIFICATIONS QUESTIONNAIRE Personnel:
The Bidder shall identify the key personnel to be assigned to this project in a management, construction supervision or engineering capacity.
1. List each person's job title, name and percent of time to be allocated to this project:
Ismael De la (niz, Supertendent, 100%
2. Summarize each person's specialized education:
N/A
3. List each person's years of construction experience relevant to the project:
20 + years of synthutin turf
4. Summarize such experience:
Smael has been in the process for the
beghning to the end incading maiteran after rget completina.
Bidder agrees that personnel named in this Bid will remain on this Project until completion of all relevant Work, unless substituted by personnel of equivalent experience and qualifications approved in advance by the City.
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E. ADDITIONAL BIDDER'S STATEMENTS:
If the Bidder feels that there is additional information which has not been included in the questionnaire above, and which would contribute to the qualification review, it may add that information in a statement here or on an attached sheet, appropriately marked:
N/A
Name of Bidder KYA Services, LLC
Signature
Name and Title Brooks Berry, CFO
Dated le. 12. 24
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NON-COLLUSION DECLARATION
The undersigned declares:
I am the CFO of KYA Service, LLC _ the party making the foregoing Bid.
The Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The Bid is genuine and not collusive or sham The Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham bid. The Bidder has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham bid, or to refrain from bidding. The Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the Bid Price of the Bidder or any other Bidder, or to fix any overhead, profit, or cost element of the Bid Price, or of that of any other Bidder. All statements contained in the Bid are true. The Bidder has not, directly or indirectly, submitted his or her Bid Price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a Bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the Bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on b|12|24_ [date], at Santa Ana - [cityl, - CA _ [state].
Name of Bidder KYA Setvices, LLC
Signature
Name and Title Brooks Bery, Fo U
Dated June 12, 2024
FUTSAL FIELD CONSTRUCTION -36- 00 41 43 - BID FORMS
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ACKNOWLEDGMENT
A notary public or other officer completing this
State of California
County of Orange
On June 12, 2024 _before me, Sierra Read, Notary Public (insert name and title of the officer)
personally appeared Brooks Berry
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. SIERRA READ
Notary Public - California
Orange County
Commission # 2344229
denakead My Comm. Expires Jan 29, 2025
Signature (Seal)
IRAN CONTRACTING ACT CERTIFICATION.
(Public Contract Code section 2200 et seq.)
As required by California Public Contract Code Section 2204, the Contractor certifies subject to penalty for perjury that the option checked below relating to the Contractor's status in regard to the Iran Contracting Act of 2010 (Public Contract Code Section 2200 et seq.) is true and correct:
X The Contractor is not:
(1) identified on the current list of person and entities engaged in investment activities in Iran prepared by the California Department of General Services in accordance with subdivision (b) of Public Contract Code Section 2203; or (2) a financial instruction that extends, for 45 days or more, credit in the amount of $20,000,000 or more to any other person or entity identified on the current list of persons and entities engaging in investment activities in Iran prepared by the California Department of General Services in accordance with subdivision (b) of Public Contract Code Section 2203, if that person or entity uses or will use the credit to provide goods or services in the energy sector in Iran.
L The City has exempted the Contractor from the requirements of the Iran Contracting Act of 2010 after making a public finding that, absent the exemption, the City will be unable to obtain the goods and/or services to be provided pursuant to the Contract. • The amount of the Contract payable to the Contractor for the Project does not exceed $1,000,000.
BoTt
Signature:
Printed Name: Brooks Berry
Title: CFO
Firm Name: KYA Services, LLC
Date:_ 6.12-24
Note: In accordance with Public Contract Code Section 2205, false certification of this form shall be reported to the California Attorney General and may result in civil penalties equal to the greater of $250,000 or twice the Contract amount, termination of the Contract and/or ineligibility to bid on contracts for three years.
FUTSAL FIELD CONSTRUCTION -37- 00 41 43 - BID FORMS
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PUBLIC WORKS CONTRACTOR REGISTRATION CERTIFICATION
Pursuant to Labor Code sections 1725.5 and 1771.1, all contractors and subcontractors that wish to bid on, be listed in a bid proposal, or enter into a contract to perform public work must be registered with the Department of Industrial Relations. See http://www.dir.ca.gov/Public- Works/PublicWorks.html for additional information.
No bid will be accepted nor any contract entered into without proof of the contractor's and subcontractors' current registration with the Department of Industrial Relations to perform public Bidder hereby certifies that it is aware of the registration requirements set forth in Labor Code sections 1725.5 and 1771.1 and is currently registered as a contractor with the Department of Industrial Relations.'
Name of Bidder:_ KYA Services, LLC
DIR Registration Number: 1000003379
DIR Registration Expiration:_ 6/30/2025
Small Project Exemption: Yes or _X No
Unless Bidder is exempt pursuant to the small project exemption, Bidder further acknowledges:
1. Bidder shall maintain a current DIR registration for the duration of the project.
3. Failure to submit this form or comply with any of the above requirements may result in a finding that the bid is non-responsive.
KYA Services, LLC
Signature
Name and Title Brooks Berry
Dated 6.12. 24
" If the Project is exempt from the contractor registration requirements pursuant to the small project exemption under Labor Code Sections 1725.5 and 1771.1, please mark "Yes" in response to "Small Project Exemption." FUTSAL FIELD CONSTRUCTION -38- 00 41 43 - BID FORMS
AT LYTLE CREEK PARK
NON-LOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS
The CONTRACTOR certifies, by signing and submitting this contract, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
The CONTRACTOR also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly.
Business Name: KYA Services, LLC
Date: le. 12•24 By: Brooks Berry, CFO
Name and Title of Authorized Representative
But 7
Signature of Authorized Representative
FUTSAL FIELD CONSTRUCTION -39- 00 41 43 - BID FORMS
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DIsCLOSURE OF LOBBYIng ACTIvITIES
COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352
1. Type of Federal Action: 2. Status of Federal 3. Report Type:
Action:
a. contract L a. bid/offer/application a. initial
b. grant b. initial award b. material change
c. cooperative agreement c. post-award
d. loan For Material Change Only:
e. loan guarantee year_ - _ quarter_
f. loan insurance date of last report
4. Name and Address of Reporting Entity 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime:
• Prime LI Subawardee
Tier. _ if known
Congressional District, if known: Congressional District, if known: _
6. Federal Department/Agency: 7. Federal Program Name/Description:
N
CFDA Number, if applicable
8. Federal Action Number, if kpown: 9. Award Amount, if known:
$
10.a. Name and Address of Lobby Registrant 10.b.Individuals Performing Services (If individual, last name, first name, MI) (including address if different from No. 10) (last name, first name, MI)
11. Signature:
Print Name:_
Title: CFO
Telephone No.P4-609-6477e Date: 7/30/24
Authorized for Local Reproduction
Federal Use Only: Standard Form - LLL (Rev. 7-97)
FUTSAL FIELD CONSTRUCTION -40- 00 41 43 - BID FORMS
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INSTRUCTIONS FOR COMPLETING SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime federal recipient at the initiation or receipt of covered federal action or a material change to previous filing pursuant to title 31 U.S.C. Section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered federal action.
Attach a continuation sheet for additional information if the space on the form is inadequate.
Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.
1. Identify the type of covered federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered federal action.
2. Identify the status of the covered federal action.
3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered federal action.
Enter the full name, address, city, state, and zip code of the reporting entity. Include that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to: subcontracts, subgrants, and contract awards under grants.
5. If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address, city, state, and zip code of the prime federal recipient. Include Congressional District, if known.
6. Enter the name of the federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard.
7. Enter the federal program name or description for the covered federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments.
8. Enter the most appropriate federal identifying number available for the federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the federal agency). Include prefixes, e.g., "RFP-DE-90-001."
9. For a covered federal action where there has been an award or loan commitment by the Federal agency, enter the federal amount of the award/loan commitments for the prime entity identified in item 4 or 5.
10. (a) Enter the full name, address, city, state, and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in Item 4 to influence the covered federal action.
FUTSAL FIELD CONSTRUCTION -41- 00 41 43 - BID FORMS
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(b) Enter the full names of the individual(s) performing services and include full address if different from 10(a). Enter Last Name, First Name and Middle Initial (MI).
11. The certifying official shall sign and date the form, print his/her name, title, and telephone number.
According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No. 0348-0046. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503.
FUTSAL FIELD CONSTRUCTION -42- 00 41 43 - BID FORMS
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CONTRACTOR'S CERTIFICATE REGARDING WORKERS' COMPENSATION.
I am aware of the provisions of section 3700 of the Labor Code which require every employer to he corsance inse provisions or that coce, and win comply with such provisions before commencing the performance of the work of this Contract.
Name of Bidder KYA Services. LuG
Signature
Name and Title Brooks Berry, CFO
Dated le. 12. 24
FUTSAL FIELD CONSTRUCTION -43- 00 41 43 - BID FORMS
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FLEET COMPLIANCE CERTIFICATION
Bidder hereby acknowledges that they have reviewed the California Air Resources Board's policies, rules and regulations and are familiar with the requirements of Title 13, California Code of Regulations, Division 3, Chapter 9, effective on January 1, 2024 (the "Regulation"). Bidder hereby certifies, subject to penalty for perjury, that the option checked below relating to the Bidder's fleet, and/or that of their subcontractors) ("Fleet") is true and correct:
• The Fleet is subject to the requirements of the Regulation, and the appropriate Certificate(s) of Reported Compliance have been attached hereto. • The Fleet is exempt from the Regulation under section 2449.1(D)(2), and a signed description of the subject vehicles, and reasoning for exemption has been attached hereto. • Bidder and/or their subcontractor is unable to procure R99 or R100 renewable diesel fuel as defined in the Regulation pursuant to section 2449.1(f)(3). Bidder shall keep detailed records describing the normal refueling methods, their attempts to procure renewable diesel fuel and proof that shows they were not able to procure renewable diesel (i.e. third party correspondence or vendor bids).
The Fleet is exempt from the requirements of the Regulation pursuant to section 2449(i)(4) because this Project has been deemed an Emergency, as defined under section 2449(c)(18). Bidder shall only operate the exempted vehicles in the emergency situation and records of the exempted vehicles must be maintained, pursuant to section 2449(i)(4).
The Fleet does not fall under the Regulation or are otherwise exempted and a detailed reasoning is attached hereto.
Name of Bidder: KYA Services, LLC
Signature:
Name: Brooks Berry
Title: CFO
Date: Le. 12. 24
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KYA
June 11, 2024
City of San Bernardino
290 North D Street
San Bernardino, CA 92401
To whom it may concern,
I am writing to inform you that KYA Services, LLC is not subject to the Fleet Compliance Regulation specified in Title 13, California Code of Regulations, Division 3, Chapter 9. This is due to the fact that KYA Services, LLC does not operate any heavy machinery.
In light of our commitment to compliance and safety, we have subcontracted Graham Crackers for the demolition portion of the project. Graham Crackers holds the necessary certification required for this aspect, and we have ensured that their documentation aligns with the relevant regulations.
Additionally, we have included Alcorn Fence Company in our subcontracting arrangements. They are fully compliant and possess the required certifications.
Should you have any further inquiries or require additional information, please don't hesitate to reach out. We appreciate your understanding and cooperation in this matter.
Regards,
Dan Urbina
Construction Safety
Manager (714) 975-5450
MAIN OFFICE AND KYA NORTH
GALLERY SHOWROOM
• 1800 East McFadden Avenu • 3235 Sunrise Boulevard, Suite 3 @ [email protected] anta Ana CA 9270 Rancho Cordova. CA 95742 • www.thekYAgroup.com © 714-581-9967 @ 714-581-9967 © 916-407-2855 & 916-282-1304 @KYAConnect
CITY OF SAN BERNARDINO
DEPARTMENT OF PUBLIC WORKS 201 North "E" Street
San Bernardino, CA 924
909.384.7251
CORDED TERRO
CONTRACT DOCUMENTS AND SPECIFICATIONS
FOR
FUTSAL FIELD CONSTRUCTION
AT LYTLE CREEK PARK
CONTRACT NO. PR22-021 RFQ F-24-4007
ADDENDUM NO. 1
To all prospective bidders under specifications for contract documents and specifications for request for bids for Futsal Field Construction at Lytle Creek Park. The bids due date has been changed as follows:
Was: Thursday June 20, 2024
New due date: Tuesday July 23, 2024, up to but no later than 3:00 p.m.
BY: аззат Jabshek DATE: 06-13-2024
Azzam Jabsheh, PE.
Deputy Director of Public Works/City Engineer
CITY OF SAN BERNARDINO
DEPARTMENT OF PUBLIC WORKS 201 North "E" Street
San Bernardino, CA 92401
909.384.7251
SOUNDED N AND
CONTRACT DOCUMENTS AND SPECIFICATIONS
FOR
FUTSAL FIELD CONSTRUCTION
AT LYTLE CREEK PARK
CONTRACT NO. PR22-021 RFQ F-24-4007
ADDENDUM NO. 2
To all prospective bidders under specifications for contract documents and specifications for request for bids for Futsal Field Construction at Lytle Creek Park.
1. Bid Schedule has been replaced (Items 2, 8, 9, 10, and A1 were updated), and related specifications.
Attached is a new Bid Schedule, use this to submit your bids.
2. Plans have been updated to reflect clarification of each item, and to help the Bid Schedule clarification.
3. Added Synthetic Turf Field cross section, Drainage Plan, and revised Fence-Post Foundation Detail to help in the clarification of different Bid Items.
4. Revised section 32 31 00 chain link fence Part 2 Materials and Part 3 Execution 3.1 Installation and 3.3 Payment.
5. New Date for questions to be submitted: By 3:00 p.m. on July 18, 2024 Was: June 11, 2024
6. New Date for Bids to be received by the City: No later than 3:00 p.m. on July 30, 2024 Was: July 23, 2024 (Addendum #1)
azzam Jabakeh DATE: _07-11-2024
BY:
Azzam Jabsheh, PE.
Deputy Director of Public Works/City Engineer