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 3:00 p.m. on Wednesday, December 4, 2024.
Improvements at Gutierrez Park
NAME OF BIDDER: Zeco, Inc.
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 November 13, 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B. This Bid constitutes a firm offer to the City which cannot be withdrawn for 90 days after the date set for opening of Bids, or until a Contract is executed by the City and a third party, whichever is earlier.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.
3. Completed Designation of Subcontractors form.
4. Fully executed Noncollusion Declaration form.
GUTIERREZ PARK IMPROVEMENTS -13- 00 41 43 - BID FORMS
5. Completed Iran Contracting Act Certification form.
6. Completed Public Works Contractor DIR Registration Certification form.
7. Completed Contractor's Certificate Regarding Workers' Compensation form.
8. 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 1031463
Expiration date 09/30/2025
License classificationA,B.D21,C13,C27
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
(If there are more than two members of the joint venture, attach a page for the additional member(s) with the above information.)
GUTIERREZ PARK IMPROVEMENTS -14- 00 41 43 - BID FORMS
The undersigned acknowledges receipt, understanding, and full consideration of the following addenda to the Contract Documents:
Addenda No. 0
[SIGNATURE ON FOLLOWING PAGE]
GUTIERREZ PARK IMPROVEMENTS -15- 00 41 43 - BID FORMS
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:
Zeco, Inc. 22845 Savi Ranch Pkwy, Unit C
(Company Name) Yorba Linda, CA 92887.
By
(Signature)
Amin Nazarinia
(Type or print name)
President
(Title)
Yorba Linda, CA
(Where signed) (City, State)
(corporate seal)
Dated: 12/02 _ 2024
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:
Amin Nazarinia-359 S Avenida Margarita, Anaheim, CA 92807 Amin Nazarinia-359 S Avenida Margarita, Anaheim, CA 92807 Statement of the authority of signatory to ind Bidder:
Amin Nazarinia
Amin Nazarinia
GUTIERREZ PARK IMPROVEMENTS -16- 00 41 43 - BID FORMS
BID SCHEDULE 1
UNIT OF EST.
NO. ITEM DESCRIPTION MEASURE QTY. UNIT PRICE ITEM COST
Mobilization LS 1
65,190.03 65,190.03
Not used
Remove fence, posts, footings
to make room for wider LF 92 17.54
sidewalk. 1,613.94
Remove existing driveway LS
1 2017.97 2017.97
approach.
5. Cut/remove Bollards &
horizontal connectors as LS 538.13 538.13
1 shown on plan to make room
for wider sidewalk.
Construct 6' wide PCC
Sidewalk per City STD. No.
202 "A", use concrete class SF 1,650
560-C-3250, 95% Subgrade 16.14 26637.19
Compaction.
7. Construct PCC driveway
approach to the parking lot Per
EA 2 4708.59 9417.19
plan and specification. Use
concrete class 560-C-3250
8. Remove existing, and construct
4" of Asphalt Pavement. 95% SF 7,500 10.81 81042.01
subgrade compaction
9. Furnish and install new 6' high LF
92 80.72 7426.13
chain link fence
10. Apply 4" wide thermoplastic
reflective white Striping, anc
lue borders for Handicap patl LS 1 3313.67 3313.67
per 2023 Caltrans Standard
A90A and ISA marking per
specification and Project Plans.
11. Apply 4" wide thermoplastic
LS 1 5964-60596468
GUTIERREZ PARK IMPROVEMENTS - 17- 00 41 43 - BID FORMS
12. Furnish and install disabled
parking sign per CALTRANS EA 1 1325.47 1325.47
R99C(CA).
13. Furnish and install Curbs or
Parking Bumpers. EA 9 294.54 2650.88
14. Funish and install 4x8 Project 4708.59 4708.59
EA 1
15. Furnish and install round
EA 8 807.19 6457.50
the existing holders/ rings. see
attached pictures.
16. Upgrade (remove and replace)
Bleachers' Foundation 336.33 8071.88
(lumber). EA 24
17. Furnish and install approx. 6'
high chain link fence as trash
LF 6 2017.97 12107.81
enclosure, open on the west
side. See plans for location.
18. Laser leveling including
material (clay) for infield, 134531313453.13
LS 1
pitching mound and bases (No
Turf area)
BASE BID (BID ITEMS # 1-18) TOTAL $ 251,936.08
TOTAL BID PRICE BASED ON BID SCHEDULE
$ 251,936.08 - Two hundred fify one Mousand
I otal Base Bid in Numbers
GUTIERREZ PARK IMPROVEMENTS -18- 00 41 43 - BID FORMS
BID SCHEDULE 2
Remove and dispose 6' high
Chain Link Fence, Dugout
fences, Bullpen fences, Gates, 10493.47
(not posts) 803 LF 13.07
Remove and dispose 12' high
Chain Link fence on North side, 27.98 699.56
25 LF
Remove and dispose 15' high
Chain Link fence on West side 41.97 1049.34
(not posts) 25 LF
4. Remove asphalt, Bleacher's
area and around concession
building (area between two 2.79 27982.50
10,000 SF
fences, to south limit of the
property). Gravel area not
included.
5. Remove and dispose drinking 349.78
fountain 1 EA 349.78
Remove and dispose dugout
benches 2 EA 699.56 1399.13
Remove and dispose score
board 1 EA 6995.63 6995.63
8. Remove and dispose electrical
box and conduits from exterior 1 LS 699.56 699.56
wall of concession building
Remove roof of concession 11193.00 11,193.00
building 1 LS
10. Construct 4" PCC pavement
Bleacher's area and around
concession building (area 17.49
between two fences, down to 10,000 SF 174,890.63
south limit of the property).
Gravel area not included. Use
concrete class 560-C-3250,
95% subgrade compaction
11. Concession stand Stub-up
inside the building for utility 18161.72 18161.72
feed & Electrical wiring inside LS 1
the building.
GUTIERREZ PARK IMPROVEMENTS -19- 00 41 43 - BID FORMS
12. Furnish and install new torch
down three-layer roof on LS 1 40359.38 40359.38
concession building
13. Replace two ball field lights on
Southwest Light pole EA 2 6053911210781
14. Furnish and install Bases and 1178.75
EA 3 3536.25
Pegs
15. Furnish and install 6 Tall 5893.75
EA 1 5893.75
Portable Pitching Mound
16. Furnish and install 8" Tall 8251.28
EA 1 8251.2
Portable Pitching Mound
17. Furnish and install Home Plate EA 1 235750235750
18. Furnish and install Backstop
Netting and Pole Cap LS 1 35362-80 35362.50
19. Furnish and install Foul Poles
(exact location not shown on EA 2 11787.58 23575
plans)
20. Furnish and install Wall
LS 1 1768125 17681.25
Padding, 5' high x 20' long
21. Furnish and install new
Scoreboard LS 1 47150 47150
22. Furnish paint, and paint
existing fence posts that are
rusty, with silver color exterior 12812.58 12812.50
enamel paint that also stops LS 1
rust. Exclude the posts that will
be sleeved over with new
posts.
23. Furnish and Install new 8' high
hain link fence per
specifications for all fences tha 76.88
were 6' high, including Dugouts 65343.75
and Bullpens. Increase height LF 850
of posts by placing larger
diameter posts over the
24. Furnish and install new 15'
high Chain Link Fence on West LF 320.31 16015.63
50 side, and on North side of
ballfield per specification.
GUTIERREZ PARK IMPROVEMENTS -20- 00 41 43 - BID FORMS
Extend posts where less than
15' high.
25. Furnish and install new 7' high
x 4' wide chain link door per 7046.88 14093.45
specifications (one each for EA 2
North and West dugout)
26. Furnish and install 8' high x 12'
wide Chain Link Gate per EA 1 15375 15375
specifications
27. Furnish and install galvanized
corrugated metal rooting shade 23062.546125
for Dugouts, including beams EA 2
and necessary posts (see
attached pictures)
28. Furnish and install Bat Rack
and inground Team Bench EA 2 1921.88 3843.75
inside Dugout.
29. Furnish and install inside the
bullpen Decomposed Granite EA 2 1281-252562.50
(DG)
30. Furnish and install inside the
batting cage new roll off turt EA 1 3843.75 3843.75
and DG.
31. Furnish and install new
drinking water fountain Zurn 5125 8125
EA 1
Elkay LK4410GRY or approved
equal
BASE BID (BID ITEMS # 1-31) TOTAL 8635,929562
TOTAL BID PRICE BASED ON BID SCHEDULE
$ 635,329.62 Six hundred thirty five Thousad
Hey rey cig me Dile
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.
GUTIERREZ PARK IMPROVEMENTS -21- 00 41 43 - BID FORMS
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 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 Zeco, Inc.
Signature
Name and Title Amin Nazarinia- President
Dated 12/02/2024
GUTIERREZ PARK IMPROVEMENTS -22- 00 41 43 - BID FORMS
Bond #N/A
Premium: Nil
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, ZECO Inc.
Principal, and The Ohio Casualty 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 ir 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 December 4, 20 24, for Improvements at Gutierrez 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 26th day of November _ 2024, the name and corporate seal of each corporation.
(Corporate Seal) ZECO Inc.
Contractor/ Principal
Title_ Ones,
The Ohio Casualty Insurance Company
(Corporate Seal) Surety
By
Attorney-in-Fact
(Attach Attorney-in-Fact Certificate) Title Spencer Flake / Attorney-in-Fact GUTIERREZ PARK IMPROVEMENTS -23- 00 41 43 - BID FORMS
• . •
Notary Acknowledgment
eries oil tie identy of tine corded the see it
STATE OF CALIFORNIA
COUNTY OF ORANGE
On 04 - DEC _ before before me, Name And Thie OT Oicer (eg"-Jane Doe, Notary Public) RANDALL STEVEN HAWK _ Notary Public, personally Date
appeared AMEN NAZARENA , 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.
RANDALL STEVEN HAWK
Notary puse CoCatfornia WITNESS my hand and official seal.
Commission # 2370176
My Comm. Expires Aug 8, 2025
Place Notary Seal Above Signature of Notary Public
OPTIONAL
hough the information below is not required by law, it may prove valuable to persons relying on the documer nd 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
• Attorney-In-Fact
• Trustee(s)
• Guardian/Conservator Date of Document
• Other:
Signer is representing:
Vame Of Person(s) Or Entity(ies)
Signers) Other Than Named Above
NOTE: This acknowledgment is to be completed for Contractor/Principal.
GUTIERREZ PARK IMPROVEMENTS -24- 00 41 43 - BID FORMS
•
Notary Acknowledgment
STATE OF CALIFORNIA
COUNTY OF
On → before ME, —ame And Title Of Officer (eg. "Jane Doe, Notary Publie" Notary Public, personally Date
appeared , who proved to me on the basis of satisfactory Name(s) of Signer(s)
evidence to be the person(s) whose names) is/are subscribed to the withip 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.
See attached Acknowledgment
Place Notary Seal Above /Signature of Notary Public
OPTIONAL
Though the int out prevent a out eg remo by an He la pront of til to ran er indum the document
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
o Other:
Signer is representing:
Vame Of Person(s) Or Entity(ies
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
GUTIERREZ PARK IMPROVEMENTS -25- 00 41 43 - BID FORMS
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
On before me, Lexie Sherwood , Notary Public,
11/26/24
Insert Name of Notary exactly as it appears on the official seal 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 his/her/their authorized capacity(ies). and that by his/her/their signature(s) on the instrument the
LEXIE SHERWOOD
COMM. #2 363681 person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
ORANGiE COUNTY
MY COMM. EXPIRES JULY 27, 2025| 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 sexu Shuwood
Place Notary Seal Above Signature of Notary Public Lexie sherwood — OPTIONAL •
Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another 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 Signers)
Signer's Name: Signer's Name:
• Individual • Individual
• Corporate Officer — Title(s): • Corporate Officer — Titles):
• Partner • Limited • General • 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:
This Power of Attorney limits the acts of those named herein, and they have no authority t ind the Company except in the manner and to the extent herein statec Liberty Liberty Mutual Insurance Company
Mutuál. The Ohio Casualty Insurance Company Certificate No: 8212043 - 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, Karen Letz, Lexie Sherwood, Spencer Flake all of the city of 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 26th day of June 2024
Liberty Mutual Insurance Company
INSURANCE INSURANCE The Ohio Casualty Insurance Company MUTUAL CORPORATE CASUALTY CORPORATE INSURANCE I CORPORATE West American Insurance Company 1912 1919 1991
OIHO ANTAND Sari any
INDIANA
INVO LS3M By:
David M. Carey, Assistant Secretary
State of PENNSYLVANIA
ss
County of MONTGOMERY
before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance (POA) verification inquiries, On this 26th day of June 2024
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 Plymouth Meeting, Pennsylvania, on the day and year first above written.
PASTELE Commonwealth of Pennsylvania - Notary Seal
currency rate, interest rate or residual value guarantees. Teresa Pastella, Notary Public Montgomery County stella
My commission expires March 28, 2025 By: мик
Not valid for mortgage, note, loan, letter of credit, 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 Mutual 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 attomeys-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 attomey, 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 attorney-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 attoreys-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. Lewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certily 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 26th day of November_2024 INAL CORPORATEL CORPORATE « CORPORATE
1912 1919 1991 8
SARACHUBE OHIO By:
ANTON INDIANA ANVIN Renee C. Liewellyn, Assistant Secretary LSEM
LMS-12873 MIC OCIC WAIC Multi Co 02/21
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
Вето ft OnLm
conerete Los Angels 1002485 1000989011
Engineery
• ABC
Signs 538680
Resources Ine Ontarice 100c001608
Panng
GUTIERREZ PARK IMPROVEMENTS -26- 00 41 43 - BID FORMS
Portion of CSLB DIR
Work to be Name of Location of Contractor Registration
done by Subcontractor Business License No. Number
Subcontractor
Electrical Hydrtech winchester 9748381000001266
CA
GUTIERREZ PARK IMPROVEMENTS -27- 00 41 43 - BID FORMS
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 Zeco, Inc.
Signature
Name and Title Amin Nazarmla- Present
Dated 12/02/2024
GUTIERREZ PARK IMPROVEMENTS -28- 00 41 43 - BID FORMS
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: Zeco, Inc.
2.0 Type, if Entity: S-Corp
3.0 Bidder Address:
22845 Savi Ranch Pkwy, Unit C
Yorba Linda, CA 92887
844-932-6462
Facsimile Number Telephone Number
[email protected]
Email Address
4.0 How many years has Bidders organizalion been in business as a Contractor? How many years has Bidder's organization been in business under its present name? 8 years
5.1 Under what other or former names has Bidder's organizatior operated? Leco, Inc.
6.0 If Bidder's organization is a corporation, answer the following:
6.1 Date of Incorporation: 07/11/2017
6.2 State of Incorporation: California
6.3 President's Name: Amin Nazarinia
6.4 Vice-President's Name(s): Alex Rodriguez
6.5 Secretary's Name: Amin Nazarinia
6.6 Treasurer's Name: Amin Nazarinia
GUTIERREZ PARK IMPROVEMENTS -29- 00 41 43 - BID FORMS
7.0 If an individual or a partnership, answer the following:
7.1 Date of Organization: NA
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:
9.0 List other states in which Bidder's organization is legally qualified to do business.
NIA
10.0 What type of work does the Bidder normally perform with its own forces? Grading, Mechanical, Concrete work, Fencing and landscaping
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 a contract? If so, attach a separate sheet of explanation:
No
GUTIERREZ PARK IMPROVEMENTS -30- 00 41 43 - BID FORMS
13.0 List Trade References:
Pascal & Ludwig [email protected] Filanc Construction- [email protected]
Ferguson
Master Halco Fence
14.0 List Bank References (Bank and Branch Address):
Wells Fargo, Anaheim Hills, E Santa Ana Canyon
15.0 Name of Bonding Company and Name and Address of Agent:
Spencer Flake
Culbertson Bonding
o:714-921-0530
c:714-553-6383
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GUTIERREZ PARK IMPROVEMENTS -31- 00 41 43 - BID FORMS
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)
Handig Park Naive marican Cleo res 5 32-4240 Heilan an ative 12/13/2024 $164,000 Orange County aloy Somer and Eyewas 02/11/2025
Sanitation District $209,000
Solutie
City of Westminster Construct new 07/01/2025
Siger Soccer Field soccer field $2,119,000
Baseball Infield Renovation for City of Westins are and one it 02/28/2025 Buckingham and Westminster $567,750
Parks
GUTIERREZ PARK IMPROVEMENTS -32- 00 41 43 - BID FORMS
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)
City of Rialto Park irt Cervantes- City of City of Rialto Park ialto 909-644-7260 improvement 12/2024 $184,000
improvement
and Want ump sation 01/10/2020 $15,100,000
Construction onstructic
Concrete Sidewalk City of Irvine- Thomas Repair and maintenanc 11/04/2018 $364,000 maintenance Perez 949-724-6247 1 City Sidewalk
Island Ave mini park Improve Landscaping, new 12/01/2023 improvement Michad Singey 760-377-0145 main waterine and rubber $364,000 GUTIERREZ PARK IMPROVEMENTS -33- 00 41 43 - BID FORMS
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 personin Nazarmia, resident, in 58 allocated to this project:
Daniel Alcaraz, Lead Foreman 100%
Alex Rodriguez, VP, 10%
.. Summarize each person's specialized education
\min Nazarinia, BSCE & M.Ecor
Alex Rodriguez, BSCE
Daniel Alcaraz, Diploma
3. List each persoAmye Nazariuction earsence relevant to the project Alex Rodriguez, 10 years
Daniel Alcaraz, 20 years in Union
4. Summarize such experience:
All Zeco team members bring extensive experience in public projects. Amin, a certified PMP, QSP/QSD, adds exceptional value to the projects with his leadership, while Alex, as VP, provides behind-the-scenes support to the team.
Additionally, Daniel contributes over 20 years of union expertise, further strengthening the project's foundation
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.
GUTIERREZ PARK IMPROVEMENTS -34- 00 41 43 - BID FORMS
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:
MA
Name of Bidder Zeco, Inc.
Signature Anin Natia Presidio
Name and Title
Dated 12/03/2024
GUTIERREZ PARK IMPROVEMENTS -35- 00 41 43 - BID FORMS
NON-COLLUSION DECLARATION
The undersigned declares:
I am the President of Zeco, Inc. _, the party making the foregoing Bid.
The Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The Bid is genuine and not collusive or sham. The Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham bid. The Bidder has not 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 12/03/2024(date], at Yorba Linda [city), CA _ [state].
Name of Bidder Zeco, Inc.
Signature
Name and Title Amin Nazarinia- President
Dated 12/03/2024
GUTIERREZ PARK IMPROVEMENTS -36- 00 41 43 - BID FORMS
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:
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. • 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.
Signature:
Printed Name: Amin Nazarinia
Title: President
Firm Name: Zeco, Inc.
12/03/2024
Date:_
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.
GUTIERREZ PARK IMPROVEMENTS -37- 00 41 43 - BID FORMS
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.htm| 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 work.
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: Zeco, Inc.
DIR Registration Number:_ 1000053551
DIR Registration Expiration:_ 06/30/2025
Small Project Exemption: Yes or •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.
2. Bidder shall include the requirements of Labor Code sections 1725.5 and 1771.1 in its contract with subcontractors and ensure that all subcontractors are registered at the time of bid opening and maintain registration status for the duration of the
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.
Name of Bidder Zeco, Inc.
Signature
Name and Title Amin Nazarinia- President
Dated 12/03/2024
CONTRACTOR'S CERTIFICATE REGARDING WORKERS' COMPENSATION.
I am aware of the provisions of section 3700 of the Labor Code which require every employer to be insured against liability for workers' compensation or to undertake self-insurance in 'If the Project is exempt from the contractor registration requirements pursuant to the small project exemption under Labor Code Sections 1725.5 and 1771.t, please mark "Yes" in response to "Small Project Exemption.
GUTIERREZ PARK IMPROVEMENTS -38- 00 41 43 - BID FORMS
accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this Contract.
Name of Bidder Zeco, Inc.
Signature
Name and Title Amin Nazarinia- President
Dated_ 12/03/2024
GUTIERREZ PARK IMPROVEMENTS -39- 00 41 43 - BID FORMS
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. 1 The Fleet is exempt from the Regulation under section 2449.1(f)(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) 7 The Fleet does not fall under the Regulation or are otherwise exempted and a detailed reasoning is attached hereto.
Name of Bidder: Zeco, Inc.
Signature:
Name: Amin Nazarinia- President
Title: President
Date: 12/03/2024
GUTIERREZ PARK IMPROVEMENTS -40- OD 41 43 - BID FORMS
Additional Federal Requirements
Bidders must submit all necessary forms listed under the "Federal Forms and Other Requirements" section attached to the sample contract document as part of their bid submission.
Bids that do not include all necessary forms may be deemed non-responsive.
GUTIERREZ PARK IMPROVEMENTS -41- 00 41 43 - BID FORMS
Agreement Title/Number: Improvements at Gutierrez Park
CITY OF SAN BERNARDINO DBE QUESTIONNAIRE AND GOALS FORM
1. Agreement Information: _Improvements at Gutierrez Park Agreement No:_PR 25-009
Term: 60 Calendar Days
Brief Description of Contract:
The Scope of Work consists of replacing Ballfield fences, Asphalt paving and striping of the parking lot, widening existing sidewalk, adding sidewalk, adding _driveway approach, concrete paving of the bleachers area, adding team benches, new roofing on the concession building, new location for electrical stub-up for the Contact isformation of persons responsible for Sohractor monthly DBE reporting: concession building.
Name: Amin Nazarinia
Contractor's DBE Goal:
Description Dollar Value Per Year/Lump Sum, Etc.
Total Dollar Value of Work/Agreement: 899,033.20
Total Dollar and Percentage of Work Planned with DBEs* (Contracting and Subcontracting) $ 198,400 %
Estimated Percentage Breakdown
MBEs (minorities, male and female) $ 198,400 % 19%
WBEs (non-minority female) $ %
SDVBEs (service-disabled veteran) $ %
LGBTQ (Lesbian, gay, bisexual, transgender) %
*NOTE: The estimated total dollars will be adjusted using the above percentages for any change in Agreement value.
By Signing below, Contractor/Vendor/Consultant represents and warrants that:
a) Contractor/Vendor/Consultant shall maintain all necessary documents and records to demonstrate efforts to achieve the above DBE goals
b) Contractor/Vendor/Consultant is responsible for identifying, soliciting, and qualifying appropriate certified DBE subcontractors to the extent necessary to meet Contractor's/Vendor's/Consultant's DBE goal
c) The above information is true and correct to the best of its knowledge Signature:
Amin Nazarinia- President
Name and Title:
Contractor Entity Name: Zeco, Inc.
Contact Info. (email/phone number): [email protected] 844-932-6462 Date: 12/03/2024
Agreement Title/Number: Improvements at Gutierrez Park
SUBCONTRACTOR Information
Duplicate this form for EACH DBE Subcontractor.
Subcontractor Entity Name: SNLM Landscape Inc./DBA: SNLM Engineering Phone: (213)298-8589
Address: 1401 W. 123rd Street
City: _ Los Angeles State: CA Zip: 90047
Description of Goods/Materials/Equipment or Services to be provided:
Demo and Construct Ramp and PCC pavement
Name & Title of Owners(s):
NameEMMANUEL MASETTE MUNGOMA Title:_President M/F
Name: Title: M/F
Name:_ _Title: M/F
Name: Title: M/F
Non-Minority Female
African American
Asian/Pacific American
Hispanic/Latino American
Native American
Multi-Ethinic
LGBTQ
Other:
Service-Disabled Veteran
Agreement Title/Number: Improvements at Gutierrez Park
Certifications:
Minority Male or Female or Non-Minority Female or LGBTQ:
CPUC Utility Supplier Diversity Program
Verification Number: 51050 Expiration Date: N/A
Service-Disabled Veteran:
California DBS Office of Small Business & Disabled Veteran Business Enterprise Services (OSDS) Government Supplier Diversity Program
Verification Number: Expiration Date:
Subcontractor identification Assistance:
SDVBEs (service-disabled veteran) $ %
LGBT (Lesbian, gay, bisexual, transgender) $ %
*NOTE: The estimated total dollars will be adjusted using the above percentages for any change in Agreement value.
By Signing below, Contractor/Vendor/Consultant represents and warrants that:
a) Contractor/Vendor/Consultant shall maintain all necessary documents and records to demonstrate efforts to achieve the above DBE goals
Contractor/Vendor/Consultant is responsible for identifying, soliciting, and qualifying appropriate certified DBE subcontractors to the extent necessary to meet Contractor's/Vendor's/Consultant's DBE goal
c) The above information is true and correct to the best of its knowledge Signature:
Name and Title: Amin Nazarinia- President
Contractor Entity Name: _Zeco, Inc.
Contact Info. (email/phone number): [email protected] 844-932-6462 Date: 12/03/2024
Agreement Title/Number: _Improvements at Gutierrez Park SUBCONTRACTOR Information
Duplicate this form for EACH DBE Subcontractor.
Subcontractor Entity Name: SNLM Landscape Inc./DBA: SNLM Engineering Phone: (213)298-8589
Address: 1401 W. 123rd Street
City: Los Angeles, State: CA Zip: 90047
Description of Goods/Materials/Equipment or Services to be provided:
Demo and ADA ramp
Name & Title of Owners(s):
Name:EMMANUEL MASETTE MUNGOMA Title: _President _M/F
Name: Title: M/F
Name: Title: M/F
Name: Title: M/F
Non-Minority Female
¿ African American
Asian/Pacific American
Hispanic/Latino American
Native American
Multi-Ethinic
LGBTQ
Other:
Service-Disabled Veteran
Agreement Title/Number: Improvements at Gutierrez Park
Certifications:
Minority Male or Female or Non-Minority Female or LGBTO:
CPUC Utility Supplier Diversity Program
Verification Number: 51050 _Expiration Date: N/A
Service-Disabled Veteran:
California DBS Office of Small Business & Disabled Veteran Business Enterprise Services (OSDS) Government Supplier Diversity Program
Verification Number: Expiration Date:
Subcontractor Identification Assistance:
SDVBEs (service-disabled veteran) $ %
LGBT (Lesbian, gay, bisexual, transgender) $
*NOTE: The estimated total dollars will be adjusted using the above percentages for any change in Agreement value.
By Signing below, Contractor/Vendor/Consultant represents and warrants that:
a) Contractor/Vendor/Consultant shall maintain all necessary documents and records to demonstrate efforts to achieve the above DBE goals
b) Contractor/Vendor/Consultant is responsible for identifying, soliciting, and qualifying appropriate certified DBE subcontractors to the extent necessary to meet Contractor's/Vendor's/Consultant's DBE goal
c) The above information is true and correct to the best of its knowledge Signature:
Name and Title: Amin Nazarinia- President
Contractor Entity Name: Zeco, Inc.
Contact Info. (email/phone number): [email protected] 844-932-6462 Date: 12/03/2024
Agreement Title/Number:
SUBCONTRACTOR Information
Duplicate this form for EACH DBE Subcontractor.
Subcontractor Entity Name:
Phone: (__
Address:
City: _ State: Zip:
Description of Goods/Materials/Equipment or Services to be provided:
Name & Title of Owners(s):
Name: Title: M/F
Name: Title: M/F
Name: Title: M/F
Name: Title: M/F
Non-Minority Female
African American
Asian/Pacific American
Hispanic/Latino American
Native American
Multi-Ethinic
LGBTQ
Other:
Service-Disabled Veteran
Agreement Title/Number:
Certifications:
Minority Male or Female or Non-Minority Female or LGBTQ:
CPUC Utility Supplier Diversity Program
Verification Number: Expiration Date:
Service-Disabled Veteran:
California DBS Office of Small Business & Disabled Veteran Business Enterprise Services (OSDS) Government Supplier Diversity Program
Verification Number: Expiration Date:
Subcontractor Identification Assistance:
SDVBEs (service-disabled veteran) $ %
LGBT (Lesbian, gay, bisexual, transgender) $ %
*NOTE: The estimated total dollars will be adjusted using the above percentages for any change in Agreement value.
By Signing below, Contractor/Vendor/Consultant represents and warrants that:
a) Contractor/Vendor/Consultant shall maintain all necessary documents and records to demonstrate efforts to achieve the above DBE goals
b) Contractor/Vendor/Consultant is responsible for identifying, soliciting, and qualifying appropriate certified DBE subcontractors to the extent necessary to meet Contractor's/Vendor's/Consultant's DBE goal
c) The above information is true and correct to the best of its knowledge Signature:
Name and Title: Amin Nazarinia- President
Contractor Entity Name: _Zeco, Inc.
[email protected] 844-932-6462
Contact Info. (email/phone number):
Date: 12/03/2024
Agreement Title/Number:
SUBCONTRACTOR Information
Duplicate this form for EACH DBE Subcontractor.
Subcontractor Entity Name:
Phone: (
Address:
City: State: Zip:_
Description of Goods/Materials/Equipment or Services to be provided:
Name & Title of Owners(s):
Name: Title: M/F
Name: _ Title: M/F
Name: Title: M/F
Name: Title: M/F
Non-Minority Female
African American
Asian/Pacific American
Hispanic/Latino American
Native American
Multi-Ethinic
LGBTQ
Other:
Service-Disabled Veteran
Agreement Title/Number:
Certifications:
Minority Male or Female or Non-Minority Female or LGBTQ:
CPUC Utility Supplier Diversity Program
Verification Number: Expiration Date:
Service-Disabled Veteran:
California DBS Office of Small Business & Disabled Veteran Business Enterprise Services (OSDS) Government Supplier Diversity Program
Verification Number: Expiration Date:
Subcontractor Identification Assistance:
SDVBEs (service-disabled veteran) $ %
LGBT (Lesbian, gay, bisexual, transgender) $ %
*NOTE: The estimated total dollars will be adjusted using the above percentages for any change in Agreement value.
By Signing below, Contractor/Vendor/Consultant represents and warrants that:
a) Contractor/Vendor/Consultant shall maintain all necessary documents and records to demonstrate efforts to achieve the above DBE goals
b) Contractor/Vendor/Consultant is responsible for identifying, soliciting, and qualifying appropriate certified DBE subcontractors to the extent necessary to meet Contractor's/Vendor's/Consultant SpBE goal
c) The above information is true and correct to the best of its knowledge Signature:
Name and Title: Amin Nazarinia- President
Contractor Entity Name: Zeco, Inc.
Contact Info. (email/phone number): [email protected] 844-932-6462 Date: 12/03/2024
Agreement Title/Number:
Subcontractor Identification Assistance:
If you would like City assistance to help you identify potential DBEs as subcontractors, please provide the information requested below:
Services or materials to be provided:
NIA
Project Location, if applicable:
N
Project Duration, if applicable:
N,A
Any other requirements (number of employees, specific types/quantity of equipment, nonstandard insurance, union requirements, etc.):