00 41 43 - BID FORMS
BID ACKNOWLEDGMENT
Bids will be received at the office of the City Engineer, Public Works until 3:00 p.m. on Tuesday, December 16th, 2025.
19th STREET STORM DRAIN IMPROVEMENTS
NAME OF BIDDER
Estate Design and Construction
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 10th, 2025 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B. This Bid constitutes a firm offer to the City which cannot be withdrawn for 90 days after the date set for opening of Bids, or until a Contract is executed by the City and a third party, whichever is earlier.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.
1gth STREET STORM DRAIN IMPROVEMENTS -14- 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_1075658
Expiration date_09/30/2027
License classification Class A, B and C-36
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.)
1 gth STREET STORM DRAIN IMPROVEMENTS -15- 00 41 43 - BID FORMS The undersigned acknowledges receipt, understanding, and full consideration of the following addenda to the Contract Documents:
Addenda No. _ 1
[SIGNATURE ON FOLLOWING PAGE]
1gth STREET STORM DRAIN IMPROVEMENTS -16- 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:
Estate Design and Construction 5601 W Slauson Ave, STE# 186 (Company Name) Culver City, CA 90230
By
(Signature)
Benjamin S. Tvizer
(Type or print name)
CEO
(Title)
Culver City, California
(Where signed) (City, State)
(corporate seal)
(If the Prime Contractor is a corporation, two signatures of corporate officers are required.) Names and addresses of all partners or joint venturers:
Statement of the authority of signatory to bind Bidder:
1gth STREET STORM DRAIN IMPROVEMENTS -17- 00 41 43 - BID FORMS
BID SCHEDULE
UNIT OF EST.
NO. ITEM DESCRIPTION MEASURE QTY. UNIT PRICE ITEM COST
Mobilization LS 1 $ 19,878.00 $ 19,878.00
Traffic Control LS 1 $ 23,853.60 $ 23,853.60
3. Clearing, Grubbing and BMPs LS 1 $ 17,890.20 $ 17,890.20
4. Sawcut Existing Pavement LF 445 $ 6.36 $ 2,831.82
5. Cold Plane Existing Pavement SF 1,300 $2.27 $2,954.55 Remove and Dispose Existing AC SF $3.86 $ 38,636.36
6. Pavement 10,000
Remove and Dispose Existing PCC LF 230 $ 59.09 $ 13,590.91 Curb and Gutter
Remove and Dispose Existing PCC
8. Spandrel, Cross Gutter, Curb SF 1750 $8.40 $ 14,700.00 Ramp, Sidewalk
Remove and Dispose Existing Tree EA 2 $1,560.00 $3,120.00 Class 1 (6" to 18")
10. Remove and Dispose Existing Tree EA 8 $3,000,00 $ 24,000.00 Class 2 (18" to 36")
11. Remove and Dispose Existing Tree EA $5,640.00 $39,480.00 Class 3 (Over 36")
Remove and Dispose Existing
12. Guardrail; Furnish and Install LS 1 $18,000.00 $ 18,000.00 New Guardrail per Caltrans
Standard Plan A77L1
13. Construct 0.25' Type "A" HMA TON 180 $ 132.00 $ 23,760.00
14. Placement of 0.25' Class 2 CY 85 $72.00 $6,120.00
Aggregate Base
15. Construct 0.10'HMA Overlay TON 9 $ 150.00 $1,350.00 Construct PCC Cross Gutter Per
16. City of San Bernardino Standard SF 659 $24.00 $ 15,816.00 Dwg. 201. Width Per Plan
Construct PCC Spandrel Per City of EA $ 3,600.00 $ 14,400.00
17. 4
San Bernardino Standard Dwg. 201
194 STREET STORM DRAIN IMPROVEMENTS -18- 00 41 43 - BID FORMS Construct PCC Sidewalk Per City of $14.40 $1,296.00
18. San Bernardino Standard Dwg. 202 SF 90
Construct Type B PCC Curb and
19. Gutter per City of San Bernardino LF 200 $72.00 $ 14,400.00 Standard Dwg. 200
Construct Modified PCC Curb and
Gutter per City of San Bernardino LF 40
20. Standard Dwg. 200 (Curb Heighi $78.00 $3,120.00
per Plans)
Construct PCC Curb Ramp per EA 1 $7,200.00 $7,200.00
21. Detail B on Plan Sheet G-2
Construct PCC Curb Ramp per
APWA Standard Dwg. 111-5, Case EA $8,040.00
22. 2 $ 16,080.00
A, Type 3. Retaining Curb per
Detail B
23. Adjust to Grade Existing Water EA 7 $ 960.00 $ 6,720.00 Valve Can
24. Adjust to Grade Existing Sewer EA 1 $3,000.00 $3,000.00 Manhole
25. Relocate Existing Street Sign EA 1 $1,680.00 $1,680.00 Construct PCC Curb Ramp per
26. APWA Standard Dwg. 111-5, Case EA 1 $8,400.00 $ 8,400.00 D, Type 1
Furnish and Install Type 4 Object
27. Marker per CA MUTCD 2014 EA 3 $384.00 $1,152.00
Edition
Construct Parkway Culvert per City
of San Bernardino Standard Dwg. $ 8,400.00
28. 400. Modify to Match Radius of EA 1 $8,400.00
Curb
29. LF 510 $31.20 $ 15,912.00
30. EA 1 $4,618.56 $4,618.56
Construct Local Depression per
ity of San Bernardino Standal EA 1 $ 5,400.00 $5,400.00 wa. 407. Type
19th STREET STORM DRAIN IMPROVEMENTS -19- 00 41 43 - BID FORMS Apply Hydroseeding to Slope per LS $4,800.00 $ 4,800.00
32. Special Provisions 1
BASE BID (BID ITEMS # 1-32) TOTAL $ 382,560.00
ADDITIVE
A1. Utility Standby Time (Per the City) MONTH 1 $15,000.00 $ 15,000.00 ADDITIVE TOTAL 15,000.00
BASE BID + ADDITIVE TOTAL $ 397,560.00
The basis for award of contract shall be the Contractor's Base Bid only
TOTAL BID PRICE BASED ON BID SCHEDULE
382,560.00
$
Total Base Bid in Numbers
Three Hundred Eighty-Two Thousand Five Hundred Sixty
$.
Total Base Bid 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.
19t STREET STORM DRAIN IMPROVEMENTS -20- 00 41 43 - BID FORMS 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 Estate Design and Construction
Signature_S
Name and Title_ Benjamin S. Tvizer, CEO
Dated_12/7/2025
19th STREET STORM DRAIN IMPROVEMENTS -21- 00 41 43 - BID FORMS
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, Estate Design and Construction Inc _ as
Principal, and Merchants Bonding Company (Mutual) _ as Surety 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 mone! if 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 15, 20 _ for 19th STREET STORM DRAIN IMPROVEMENTS PROJECT NO. 13650.
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 severa seals this 15th day of December _ 20_25, the name and corporate seal of each corporation.
(Corporate Seal) Estate Design and Construction Inc
Contractor/ Principal
By. Benjamin Tvizer
SORRORA Title CEO
Merchants Bonding Company (Mutual)
(Corporate Seal) Surety
Attorney-in-Fact Shahesta Philips
(Attach Attorney-in-Fact Certificate) Title Attorney-in-Fact 19th STREET STORM DRAIN IMPROVEMENTS -22- 00 41 43 - BID FORMS
MERCHANTS
BONDING COMPANY™
POWER OF ATTORNEY
row All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, IN th being corporations of the State of lowa, dib/a Merchants National Indemnity Company (in California only) (herein collectively called t "Companies") do hereby make, constitute and appoint, individually, Abel Acosta; Ester A R Sadusky; Kim Steil; Shahesta Philips his Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board irectors of Merchants Bonding Company (Mutual) on April 23,2011 and amended August 14, 2015 and April 27, 2024 and adopted by the Board Directors of Merchants National Bonding, Inc., on October 16, 2015 and amended on April 27, 2024. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 29th day of July , 2024
MERCHANTS BONDING COMPANY (MUTUAL)
MERCHANTS NATIONAL BONDING, INC.
CORP ORPO d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY
- O
Larry Taylo
2003 1933 By
President
STATE OF IOWA #
COUNTY OF DALLAS ss.
On this 29th day of July 2024 , before me appeared Larry Taylor, to me personally known, who being by me duly swom did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, ING.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors.
Penni Miller
Commission Number 787952
My Commission Expires
IOWA January 20, 2027
Notary Public
(Expiration of notary's commission does not invalidate this instrument) 1, Elisabeth Sandersfeld, Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked.
In Winess Where, have hereunt ael my hand and afid the ge of the companles on this / S day or cember 2025 IONAL
CORPORATE ÖRPO Atabsum
=0- -0-
1933 Secretary
2003
POA 0018 (6/24)
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
88898880838803888888888883838888888888388988888800388838988838858800868888809888 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
012/5/202024 Kim Steil, Notary Public
before me,
Here Insert Name and Title of the Officer
personally appeared Shahesta Philips
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 capacityles), 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.
KIM STEIL I certify under PENALTY OF PERJURY under the
Notary Public - California
Ventura County laws of the State of California that the foregoing Commission # 2387741 paragraph is true and correct.
My Comm. Expires Dec 21, 2025
WITNESS my hand and official seal.
Birth
Signature
Place Notary Seal and/or Stamp Above Signature of Notary Public
OPTIONAL
Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
• Partner - • Limited O General • Partner - O Limited O General • Individual • Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:
Signer is Representing: Signer is Representing: -
9080008080800898 3499030908 34 800 080808N00001008080803: 383N03080908 08 1083 80804030080@34803008489080808080840308N030300090308080808 ©2019 National Notary Association
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
1808480888038880808000000808834088808 00808080808883800883080 8080300088088388088880888899888 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 valldity of that document.
State of California
os Angeles
2/5/2025 before me, Kim Steil, Notary Public
Here Insert Name and Title of the Officer
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 behaif of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the
LAL THIN KIM STEIL laws of the State of Callfornia that the foregoing Notary Public - California
Ventura County paragraph is true and correct.
Commission # 2387741
My Comm. Expires Dec 21, 2025 WITNESS my hand and official seal.
Signature
Place Notary Seal and/or Stamp Above Signature of Notary Public
OPTIONAL -
Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:.
Signers) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name: Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
• Partner - • Limited • General • Partner - • Limited • General • Individual • Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:
Signer is Representing: _ Signer is Representing: _
XEN0080 8 0 0 80080908 308:008:000 00R 8 8081808000808000 8 880880008084808 10000000803800030000800080308003031 B020890800908 ©2019 National Notary Association
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
Concrete Macias Royal 13532 FENTON AVE 1085588 2000010627 SYLMAR, CA 91342
Earthwork and CALIFORNIA 5024 VALLEY BLVD 925690 2000010793 Paving STRIPING AND LOS ANGELES CA
PAVING INC 90023
1gth STREET STORM DRAIN IMPROVEMENTS -25- 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
1 gth STREET STORM DRAIN 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
(Attach additional sheets if necessary)
Name of Bidder Estate Design and Construction
Signature_
Name and Title_ Benjamin S. Tvizer, CEO
Dated 12/7/2025
1gth STREET STORM DRAIN IMPROVEMENTS -27- 00 41 43 - BID FORMS
BIDDER INFORMATION AND EXPERIENCE FORM
A. INFORMATION ABOUT BIDDER
(Indicate not applicable ("N/A") where appropriate.)
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: Estate Design and Construction
2.0 Type, if Entity: Corporation
3.0 Bidder Address: 5601 W Slauson Ave, STE# 186
Culver City, CA 90230
N/A 310-810-7319
Facsimile Number Telephone Number
[email protected]/[email protected]
Email Address
How many years has Bidder's organization been in business as a Contractor? 4 years
5.0 How many years has Bidder's organization been in business under its present name? 4 years
5.1 Operated aNther or former names has Bidder's organization
6.0 If Bidder's organization is a corporation, answer the following:
6.1 Date of Incorporation: 04/07/2021
6.2 State of Incorporation: California
6.3 President's Name: Benjamin S. Tvizer
6.4 Vice-President's Name(s): N/A
6.5 Secretary's Name: N/A
6.6 Treasurer's Name: N/A
19TH STREET STORM DRAIN IMPROVEMENTS -28- 00 41 43 - BID FORMS
7.0 If an individual or a partnership, answer the following: - N/A
7.1 Date of Organization:
7.2 Name and address of all partners (state whether general or limited partnership):
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.
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 a contract? If so, attach a separate sheet of explanation:
No
13.0 List Trade References:
General Construction Licenses A, B, and C36
19TH STREET STORM DRAIN IMPROVEMENTS -29- 00 41 43 - BID FORMS
14.0 List Bank References (Bank and Branch Address):
Chase Bank
10701 W PICO BLVD, LOS ANGELES, CA 90064
15.0 Name of Bonding Company and Name and Address of Agent:
S Philips Surety & Insurance Services Inc.
Shay Philips
22647 Ventura Blvd #349, Woodland Hills, CA 91364
[REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK]
19TH STREET STORM DRAIN IMPROVEMENTS -30- 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)
Restroom Acher City of Moreno Valley Core aNy 0 December 2025 $481,880 Unit Cover Adition ry City of Camarill More even gish September 2026 $318,000 Sanitation District Q4 2026 $1,033,000.00
City of Inglewood Installation of stormwater bio- $895,800 etention features to improve
improvement quality and manage September 2026
unoff in the
Interior refresh of Pentland
University o Building P, including December 2025 $789,500 alifornia, Riversidi parades to finishes ar
ktures at UC Riversid
Full removal and replacement
ot existing street llahts along January 2026 $828,000
Pera seign cry or san Dimas Bonita Avenue. Key
te trenching.
or boring to install conduits,
lectrical pedestals, and
installing new electrical wiring
Senior Canton Project City of Ripon Compose a once January 2026 $348,000 a pre-purchased pergola.
Vewport-Mes
Jnified Schoo f the existing culinar December 2025 $297,800.00 _District classroom, involving new
flooring, stainless steel
countertons fixtures, and
commercial kitchen
Koumena
19TH STREET STORM DRAIN IMPROVEMENTS -31- 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)
Sidewalk Repair City of Morgan Hill
& Replacement Cynthia Iwanaga May-25 $160,000
(408) 776-7383
installation of 14 ADA
compliant curb ramps and
removal of tree roots from
previousy removed trees o
revent future sidewalk
damage
Point Vicente Gutters, speed
terpretive Cente Pilos ende ump, concrete slat 03/02/2025 $305,881 rainage Improvemen! and drainage
Rehabilitation of existing park
Rehabilitation Valley Moreno restrooms to improve functionality, 25/10/2024 $147,000 accessibility, and overall facility
condition in the City of Moreno Valley
provence Park City of University Place prevent erosion, stabilize the 09/12/2024 $189,163.64 use, including excavation
19TH STREET STORM DRAIN IMPROVEMENTS -32- 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 person's job title, name and percent of time to be allocated to this project:
Project Manager, Gil Tvizer, 100%
2. Summarize each person's specialized education:
On the Job training s education
In ISrall
3. List each person's years of construction experience relevant to the project:
less than 5 years
4. Summarize such experience:
less than 5 years of experience in general construction 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.
19TH STREET STORM DRAIN IMPROVEMENTS -33- 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:
N/A
Name of Bidder Estate Design and Construction
Signature
Name and Title_ Benjamin S. Tvizer, CEO
Dated 12/7/2025
1gTH STREET STORM DRAIN IMPROVEMENTS -34- 00 41 43 - BID FORMS
NON-COLLUSION DECLARATION
The undersigned declares:
I am the CEO of Estate Design and Construction, 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 12/7/2025 [date], at Culver City [city]._ California [state].
Name of Bidder Estate Design and Construction
Signature
Name and Title_Benjamin S. Tvizer, CEO
Dated 12/7/2025
19TH STREET STORM DRAIN IMPROVEMENTS -35- 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:
V 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.
M The amount of the Contract payable to the Contractor for the Project does not exceed $1,000,000.
Signature:_
Printed Name:_ Benjamin S. Tvizer
Title:_CEO
Firm Name: Estate Design and Construction
Date:_12/7/2025
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.
19th STREET STORM DRAIN IMPROVEMENTS -36- 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.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 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: Estate Design and Construction
DIR Registration Number: PW-LR-1001158686
DIR Registration Expiration:_06/30/2026
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.
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 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.
Name of Bidder_Estate Design and Construction
Signature
Name and Title Benjamin S. Tvizer, CEO
Dated 12/7/2025
' 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." 19th STREET STORM DRAIN IMPROVEMENTS -37- 00 41 43 - BID FORMS 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 ir 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 Estate Design and Construction
Signature
Name and Title_ Benjamin S. Tvizer, CEO
Dated_ 12/7/2025
19TH STREET STORM DRAIN IMPROVEMENTS -38- 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. • 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).
The Fleet does not fall under the Regulation or are otherwise exempted and a detailed reasoning is attached hereto.
Name of Bidder: Estate Design and Construction
Signature:
Name: Benjamin S. Tvizer
Title: CEO
Date: 12/7/2025
19TH STREET STORM DRAIN IMPROVEMENTS -39- 00 41 43 - BID FORMS