Repair And Testing Of The Lake Park Well C-1 00 41 43 – BID FORMS 00 41 43 – BID FORMS
BID
Bids will be received on www.planetbids.com , until Error! Reference source not found. on Error! Reference source not found. 23rd 2026 .
Repair And Testing Of The Lake Park Well
NAME OF BIDDER: ______________________________________________ To the City of San Jacinto, with its principal place of business at: 595 S. San Jacinto Ave, San Jacinto, CA 92583
A. In response to the Notice Inviting Bids 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B. This Bid constitutes a firm offer to the City which cannot be withdrawn for 90 calendar days after the date set for opening of bids, or until a Contract is executed by the City and a third party, whichever is earlier.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) calendar 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 security 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.
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.
9. Completed Executive Order N-22 Certification form.
Well Tec Services
Repair And Testing Of The Lake Park Well C-2 00 41 43 – BID FORMS
10. Completed Fleet Compliance Certification form.
F. Bidder is an ◯ individual, or ◯ corporation, or ◯ partnership, organized under the laws of the State of _______________________________.
G. 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
Expiration date
License classification
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.)
The undersigned acknowledges receipt, understanding, and full consideration of the following addenda to the Contract Documents:
Addenda No. ________________________________________________ 802369
08/31/2026
C57, A, B, C-8
California
Repair And Testing Of The Lake Park Well C-3 00 41 43 – BID FORMS [SIGNATURE ON NEXT PAGE]
Repair And Testing Of The Lake Park Well C-4 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:
(Company Name)
By
(Signature)
___________________________________
(Type or print name) (Phone Number)
___________________________________
(Title) (Email Address)
(Where signed) (City, State)
(corporate seal)
Dated: , 20
State of Incorporation:
Names and addresses of all partners or joint venturers:
Statement of the authority of signatory to bind Bidder:
Well Tec Services 531 Edgar Ave Beaumont CA 92223
Mike Rentz 909-754-7020
President [email protected]
Beaumont, CA
February 20 26
California
Repair And Testing Of The Lake Park Well C-5 00 41 43 – BID FORMS The costs for any work shown or required in the Contract Documents, but not specifically identified as a bid line item are to be included in the related bid 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 City 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).
TOTAL AMOUNT BASE BID IN WORDS:___________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ List of Addenda Received: _______________________________________________________ Name of Bidder:
Signature:
Name and Title:
Dated:
Well Tec Services
Mike Rentz, President
February 20, 2026
One hundred ninety-nine thousand six hundred fifty dollars and zero cents.
N/A
Repair And Testing Of The Lake Park Well C-9 00 41 43 – BID FORMS
DESIGNATION OF SUBCONTRACTORS
The subcontractor listed below will perform work or labor or render service to the successful Bidder 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 successful Bidder, 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 Bidder’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
Work to be
done by
Subcontractor
Name of
Subcontractor
Location of
Business
CSLB
Contractor
License No.
DIR
Registration
Number
25% Swage Kings Fresno, CA 1003102 2000014687
Repair And Testing Of The Lake Park Well C-10 00 41 43 – BID FORMS Portion of
Work to be
done by
Subcontractor
Name of
Subcontractor
Location of
Business
CSLB
Contractor
License No.
DIR
Registration
Number
(Attach additional sheets if necessary)
Name of Bidder
Signature
Name and Title
Dated
Well Tec Services
Mike Rentz, President
February 20, 2026
Repair And Testing Of The Lake Park Well C-11 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: ___________________________________________
2.0 Type, if Entity: ___________________________________________
3.0 Bidder Address: ___________________________________________ _____________________________________________________________ _____________________________________________________________ Telephone Number
_____________________________________________________________ Email Address
4.0 How many years has Bidder’s organization been in business as a Contractor? ______________________________
5.0 How many years has Bidder’s organization been in business under its present name? ________________________
5.1 Under what other or former names has Bidder’s organization operated?_______________________________________________
6.0 If Bidder’s organization is a corporation, answer the following:
6.1 Date of Incorporation: ________________________________
6.2 State of Incorporation: ________________________________
6.3 President’s Name: ________________________________
6.4 Vice-President’s Name(s): ________________________________ ________________________________
6.5 Secretary’s Name: ________________________________
6.6 Treasurer’s Name: ________________________________
Well Tec Services
531 Edgar Ave Beaumont CA 92223
909-754-7020
[email protected]
25 years
25 years
N/A
California
Mike Rentz
S Corporation
December 18, 2001
Larry Lawrence
Mike Rentz
Mike Rentz
Repair And Testing Of The Lake Park Well C-12 00 41 43 – BID FORMS
7.0 If an individual or a partnership, answer the following:
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:
___________________________________________________________ ___________________________________________________________
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? ___________________________________________________________ ___________________________________________________________ ___________________________________________________________
11.0 Has Bidder ever failed to complete any work awarded to it? If so, note when, where, and why:
___________________________________________________________ ___________________________________________________________
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:
___________________________________________________________ ___________________________________________________________ December 18, 2001
N/A
N/A
N/A
Well drilling, pump services and maintenance
No
No
Repair And Testing Of The Lake Park Well C-13 00 41 43 – BID FORMS
13.0 List Trade References:
___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________
14.0 List Bank References (Bank and Branch Address):
___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________
15.0 Name of Bonding Company and Name and Address of Agent:
___________________________________________________________ ___________________________________________________________ ___________________________________________________________ [REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK]
Primo Brands (formerly Nestle Waters)
Fontana Water Company/ San Gabriel Water Company
San Bernardino County
Cucamonga Valley Water District
Citi Bank 777 Beaumont Ave Beaumont, CA 92223
Federated Insurance 5701 W Talavi Blvd Suite 200 Glendale, AZ 85306 Repair And Testing Of The Lake Park Well C-14 00 41 43 – BID FORMS B. LIST OF CURRENT PROJECTS (BACKLOG)
[Duplicate page if needed for listing additional current projects.] Project Client Reference
(agency
name/contact
info)
Description of
Bidder’s Work
Completion Date Cost of Bidder’s
Work
South Rancho
San Manuel
Rod Garton
Pump & booster
station & pipeline 3/13/26 $679,281.00
Catholic booster
Montecito Memorial
Kai Koslowski
booster pull
& inspect 2/27/26 $1475.00
126 Discharge Head
Rancho Water
Steve Drew
Discharge Head
Fabrication 3/13/26 $9893.00
SP Borehole
Primo Brands
Tam Pham
Roof repairs 3/2/26 $9679.00
Lucerne Valley Pull, brush, bail 2/27/26 $10,795.00
Oak Hills
County of San Bernardino
Zach Tipton
County of San Bernardino
Zach Tipton
Install check valve 2/27/26 $2396.12
7 Boosters 5/1/26 $359,510.95 Equipment for
7 boosters
Rancho Water
Steve Drew
Injection Well Redevelopment
3 year contract for
injection well redevelopment
Orange County Water
David Field 2029 TBD
Existing Ag Well
County of San Bernardino
Jon Aldana Well Rehab 4/1/26 $34,195.00
Repair And Testing Of The Lake Park Well C-15 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 on the Project.
Project Client Reference
(agency
name/contact
info)
Description of
Bidder’s Work
Completion Date Cost of Bidder’s
Work
Oak Hills Well 4
San Bernardino
County SD
Well Rehab &
Packer Install
August 2023 $230,000.00
Well F10A Well Rehab &
Pump Installation May 2024 $37,000.00
Well 17B Fontana Water
Company
Well Rehab June 2024 $282,698.50
Well 44B Fontana Water
Company
Well Rehab June 2024 $83,964.00
Well F29A Fontana Water
Company
Well Rehab $212,900.00
Well 5 Cabazon Water
District
Well Rehab January 2024 $19,700.00
March 2023
Fontana Water
Company
Snow Valley Well Rehab
South Well
Well 2
Primo Brands
Well 1
Primo Brands
Well Rehab
Well Rehab
Well Rehab
August 2025 $611,842.44
Harmony Haven $67,000.00
Twin Pines
Riverside County
Riverside County August 2024 $33,000.00
November 2025
Well Rehab
November 2024 $42,589.00
January 2026 $34,548.20
Repair And Testing Of The Lake Park Well C-16 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:
2. Summarize each person’s specialized education:
3. List each person’s years of construction experience relevant to the project:
4. Summarize such experience:
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.
Mike Rentz, President 100%
Larry Lawrence, VP of Operations, 100%
Mike Rentz 30+ years in the well drilling, well and pump maintenance, and underground work Larry Lawrence 30+ years of engineering experience, 25 years of experience in water supply and treatment Mike Rentz 30 years
Larry Lawrence: 30+ years
New well contruction, well maintenance, equipment specialty installation, booster installation and maintenance, VFD installation and maintenance, and system design Repair And Testing Of The Lake Park Well C-17 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:
_______
Name of Bidder
Signature
Name and Title
Dated
Well Tec Services
Mike Rentz, President
February 20, 2026
Repair And Testing Of The Lake Park Well C-18 00 41 43 – BID FORMS
NON-COLLUSION DECLARATION
The undersigned declares:
I am the ___________________ of ______________________________, 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 __________ [date], at ___________________ [city], ___________________ [state].
Name of Bidder
Signature
Name and Title
Dated
President Well Tec Services
Beaumont California
Well Tec Services
Mike Rentz, President
February 20, 2026
2/20/26
Repair And Testing Of The Lake Park Well C-19 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:
Title:
Firm Name:
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.
Mike Rentz
President
Well Tec Services
February 20, 2026
Repair And Testing Of The Lake Park Well C-20 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/PublicWorks/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.1
Name of Bidder:
DIR Registration Number:
DIR Registration Expiration:_________________________
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 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
Signature
Name and Title
Dated
1 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.” Well Tec Services
1000018493
06/30/2027
Well Tec Services
Mike Rentz, President
February 20, 2026
Repair And Testing Of The Lake Park Well C-21 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 in 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
Signature
Name and Title
Dated
Well Tec Services
Mike Rentz, President
February 20, 2026
Repair And Testing Of The Lake Park Well C-22 00 41 43 – BID FORMS EXECUTIVE ORDER N-6-22 CERTIFICATION.
Executive Order N-6-22 issued by Governor Gavin Newsom on March 4, 2022, directs all agencies and departments that are subject to the Governor’s authority to (a) terminate any contracts with any individuals or entities that are determined to be a target of economic sanctions against Russia and Russian entities and individuals; and (b) refrain from entering into any new contracts with such individuals or entities while the aforementioned sanctions are in effect.
Executive Order N-6-22 also requires that any contractor that: (1) currently has a contract with District funded through grant funds provided by the State of California; and/or (2) submits a bid or proposal or otherwise proposes to or enter into or renew a contract with the District funded by State of California grant funds, certify that the person is not the target of any economic sanctions against Russia and Russian entities and individuals.
The contractor hereby certifies, SUBJECT TO PENALTY FOR PERJURY, that a) the contractor is not a target of any economic sanctions against Russian and Russian entities and individuals as discussed in Executive Order N-6-22 and b) the person signing below is duly authorized to legally bind the Contractor. This certification is made under the laws of the State of California.
Signature:
Printed Name:
Title:
Firm Name:
Date:
Mike Rentz
President
Well Tec Services
February 20, 2026
Repair And Testing Of The Lake Park Well D-1 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 subcontractor(s) (“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.
Signature:
Printed Name:
Title:
Firm Name:
Date:
Mike Rentz
President
Well Tec Services
February 20, 2026