PROPOSAL FORM
Bid #CIP-22-23-M0149SS
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
TO THE CITY OF SANTA CLARITA, AS CITY:
In accordance with CITY's NOTICE INVITING BIDS, the undersigned BIDDER hereby proposes to furnish all materials, equipment, tools, labor, and incidentals required for the above-stated project as set forth in the plans, specifications, and contract documents therefore, and to perform all work in the manner and time prescribed therein.
BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, INSTRUCTIONS TO BIDDERS, and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with CITY at the unit and/or lump sum prices set forth in the following BID SCHEDULE. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to CITY of the proposal guarantee accompanying this proposal.
BIDDER understands that a bid is required for the entire work that the estimated quantities set forth in BID SCHEDULE are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE CITY RESERVES THE RIGHT TO INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum price(s) bid include all appurtenant expenses, taxes, royalties, and fees for the project's duration. In case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures.
If awarded the contract, the undersigned further agrees that in the event of the Bidder's default in executing the required contract and filing the necessary bonds and insurance certificates within ten working days after the date of the CITY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the CITY and this bid and the acceptance hereof may, at the CITY's option, be considered null and void.
Company Name: American Asphalt South, Inc
Company Address: 19192 El Rivino Road
Riverside, (4 92909
Phone: (909) 437-8236
Email: Jeffpe amenanasshatkrouth. com
By: Jeff letty
Print Name
Title: Presidant
Signature:
Date: 4-11-23
NOTICE TO BIDDERS REGARDING CONTRACTUAL REQUIREMENTS
Bid #CIP-22-23-M0149SS
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
SUMMARY OF INDEMNITY AND INSURANCE REQUIREMENTS
1. These are the Indemnity and Insurance Requirements for Contractors providing services or supplies to Ity of santa Clarita (City). By agreeing to perform the work or submitting a proposal, you verify that yo omply with and agree to be bound by these requirements. If any additional Contract documents ar executed, the actual Indemnity language and Insurance Requirements may include additional provisions as deemed appropriate by City's Purchasing Agent.
Questions and requests for modification of these terms must be negotiated and approved prior to bid submission and are at the full discretion of the City.
2. You should check with your Insurance advisors to verify compliance and determine if additional coverage or limits may be needed to adequately insure your obligations under this agreement. These are the minimum required and do not in any way represent or imply that such coverage is sufficient to adequately cover the Contractor's liability under this agreement. The full coverage and limits afforded under Contractor's policies of Insurance shall be available to Buyer and these Insurance Requirements shall not in any way act to reduce coverage that is broader or includes higher limits than those required.
The Insurance obligations under this agreement shall be: 1—all the Insurance coverage and limits carried by or available to the Contractor; or 2-the minimum Insurance requirements shown in this agreement, whichever is greater. Any insurance proceeds in excess of the specified minimum limits and coverage required, which are applicable to a given loss, shall be available to City.
3. Contractor shall furnish the City with original Certificates of Insurance including all required amendatory endorsements and a copy of the Declarations and Endorsement Page of the CL policy listing all policy endorsements to City before work begins. City reserves the right to require full-certified copies of all Insurance coverage and endorsements.
I. INDEMNIFICATION:
City and its-respective elected and appointed boards, officials, officers, agents, employees, and volunteers (individually and collectively, "Indemnitees") shall have no liability to CONTRACTOR or any other person for, and CONTRACTOR shall indemnify, defend, protect, and hold harmless Indemnitees from and against, any and all liabilities, claims, actions, causes of action, proceedings, suits, damages, judgments, liens, levies, costs, and expenses of whatever nature, including reasonable attorney's fees and disbursements (collectively, "Claims"), which Indemnitees may suffer or incur or to which Indemnitees may become subject by reason of or arising out of any injury to or death of any person(s), damage to property, loss of use of property, economic loss, or otherwise occurring as a result of or allegedly caused by the CONTRACTOR'S performance of or failure to perform any services under this Agreement, or by the negligent or willful acts or omissions of CONTRACTOR, its agents, officers, directors, or employees, committed in performing any of the services under this Agreement.
If any action or proceeding is brought against Indemnitees by reason of any of the matters against which CONTRACTOR has agreed to indemnify Indemnitees as provided above, CONTRACTOR, upon notice from City, shall defend Indemnitees at its expense by counsel acceptable to City, such acceptance not to be unreasonably withheld. Indemnitees need not have first paid for any of the matters to which Indemnitees are entitled to indemnification in order to be so indemnified. The limits of the insurance required to be maintained by CONTRACTOR in this Agreement shall not limit the liability of CONTRACTOR hereunder. The provisions of this section shall survive the expiration or earlier termination of this agreement.
The provisions of this section do not apply to Claims occurring as a result of the City's active negligence or acts of omission.
Il. INSURANCE
CONTRACTOR shall maintain and submit certificates of all applicable insurance including, but not limited to, the following and as otherwise required by law. The terms of the insurance policy or policies issued to provide the above insurance coverage shall provide that said insurance may not be amended or canceled by the carrier, for non-payment of premiums or otherwise, without thirty (30) days prior written notice of amendment or cancellation to the CITY. In the event the said insurance is canceled, the CONTRACTOR shall, prior to the cancellation date, submit to the City Clerk new evidence of insurance in the amounts established.
Liability Insurance
During the entire term of this Agreement, the CONTRACTOR agrees to procure and maintain General Liability insurance at its sole expense to protect against loss from liability imposed by law for damages on account of bodily injury, including death therefrom, suffered or alleged to be suffered by any person or persons whomsoever, resulting directly or indirectly from any act or activities, errors or omissions, of the CITY, or CONTRACTOR or any person acting for the CITY, or under its control or direction, and also to protect against loss from liability imposed by law for damages to any property of any person caused directly or indirectly by or from acts or activities of the CITY, or CONTRACTOR or any person acting for the CITY, or under its control or direction. Such public liability and property damage insurance shall also provide for and protect the CITY against incurring any legal cost in defending claims for alleged loss. Such General, Public and Professional liability and property damage insurance shall be maintained in full force and effect throughout the term of the Agreement and any extension thereof in the amount indicated above or the following minimum limits:
Commercial General Liability Insurance, including coverage for Premises and Operations, Contractual Liability, Personal Injury Liability, Products/Completed Operations Liability, and Independent Contractors' Liability (if applicable), in an amount of not less than two million dollars ($2,000,000.00) per occurrence, four million dollars ($4,000,000.00) annual aggregate, written on an occurrence form.
Products/Completed Operations coverage shall extend a minimum of three (3) years after project completion. Coverage shall be included on behalf of the CONTRACTOR for covered claims arising out of the actions of independent contractors. If the CONTRACTOR is using subcontractors, the policy must include work performed "by or on behalf" of the CONTRACTOR. Policy shall contain no language that would invalidate or remove the CONTRACTOR'S duty to defend or indemnify for claims or suits expressly excluded from coverage. Policy shall specifically provide for a duty to defend 'on the part of the CONTRACTOR. •
Worker's Compensation Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, Worker's Compensation Insurance in the amount of $1,000,000 per occurrence or in such amount as will fully comply with the laws of the State of California and which shall indemnify, insure and provide legal defense for both the CONTRACTOR and the CITY against any loss, claim or damage arising from any injuries or occupational diseases happening to any worker employed by the CONTRACTOR in the course of carrying out the work within the Agreement. Such insurance shall also contain a waiver of subrogation naming the City of Santa Clarita.
Automotive Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, throughout the term of this Agreement, and any extension thereof, public liability and property damage insurance coverage for automotive equipment with coverage limits of not less than $1,000,000 combined single limit for each accident. All such insurance shall be primary insurance and shall name the City of Santa Clarita as an additional insured.
Builder's Risk
Upon commencement of construction and with approval of CITY, CONTRACTOR shall obtain and maintain Builder's Risk Insurance for the entire duration of the Project until only the CITY has an insurable interest.
The Builder's Risk coverage shall include the coverages as specified below:
The named insureds shall be CONTRACTOR and CITY, including its officers, officials, employees, and agents. All subcontractors (excluding those solely responsible for design work) of any tier and suppliers shall be included as additional insureds as their interests may appear. CONTRACTOR shall not be required to maintain property insurance for any portion of the Project following transfer of control thereof to CITY.
The policy shall contain a provision that all proceeds from the Builder's Risk Policy shall be made payable to the CITY. The CITY will act as a fiduciary for all other interests in the Project.
Policy shall be provided for replacement value on an "all risk" basis for the completed value of the project.
There shall be no coinsurance penalty or provisional limit provision in any such policy. Policy must include:
(1) coverage for any ensuing loss from faulty workmanship, nonconforming work, omission or deficiency in design or specifications; (2) coverage against machinery accidents and operational testing; (3) coverage for removal of debris, and insuring the buildings, structures, machinery, equipment, materials, facilities, fixtures and all other properties constituting a part of the Project; (4) Ordinance or law coverage for contingent rebuilding, demolition, and increased costs of construction; (5) transit coverage (unless insured by the supplier or receiving contractor), with sub-limits sufficient to insure the full replacement value of any key equipment item; (6) ocean marine cargo coverage insuring any Project materials or supplies, if applicable; (7) coverage with sub-limits sufficient to insure the full replacement value of any property or equipment stored either on or off the site or any staging area. Such insurance shall be on a form acceptable to CITY to ensure adequacy of terms and sub-limits and shall be submitted to the CITY prior to commencement of construction.
Fire and Extended Coverage Insurance (Services involving real property only) CONTRACTOR agrees to procure and maintain, at its sole expense, during the term of this Agreement, and any extension thereof, a policy of fire, extended coverage and vandalism insurance.
Pollution Liability and/or Asbestos Pollution Liability and/or Errors & Omissions Contractors Pollution Liability and/or Asbestos Pollution Liability and/or Errors & Omissions with limit no less than $2,000,000 per claim or occurrence and $2,000,000 aggregate per policy period of one year.
Coverage must be included for bodily injury and property damage, including coverage for loss of use and/or diminution in property value, and for clean-up costs arising out of, pertaining to, or in any way related to the actual or alleged discharge, dispersal, seepage, migration, release or escape of contaminants or pollutants, arising out of or pertaining to the services provided by CONTRACTOR under this Agreement, including the transportation of hazardous materials or contaminants.
Professional Liability (if Design-Build)
Professional Liability Insurance, insuring against professional errors and omissions arising from CONTRACTOR'S work on the Project, in an amount not less than [$2,000,000] combined single limit for each occurrence. If CONTRACTOR cannot provide an occurrence policy, CONTRACTOR shall provide insurance covering claims made as a result of performance of work on this Project and shall maintain such insurance in effect for not less than three years following final completion of the Project.
Waiver of Subrogation
All insurance coverage maintained or procured pursuant to this Agreement shall be endorsed to waive subrogation against the CITY, its elected or appointed officers, agents, officials, employees and volunteers or shall specifically allow CONTRACTOR or others providing insurance evidence in compliance with these specifications to waive their right of recovery prior to a loss. CONTRACTOR hereby waives its own right of recovery against the CITY, and shall require similar written express waivers and insurance clauses from each of its subconsultants.
Separation of Insureds
A severability of interests provision must apply for all additional insureds ensuring that CONTRACTOR'S insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the insurer's limits of liability. The policy(ies) shall not contain any cross-liability exclusions.
Pass Through Clause
CONTRACTOR agrees to ensure that its subconsultants, subcontractors, and any other party involved with the project who is brought onto or involved in the project by CONTRACTOR, provide the same minimum insurance coverage and endorsements required of CONTRACTOR. CONTRACTOR agrees to monitor and review all such coverage and assumes all responsibility for ensuring that such coverage is provided in conformity with the requirements of this section. CONTRACTOR agrees that upon request, all Agreements with consultants, subcontractors, and others engaged in the project will be submitted to the CITY for review.
Self-Insured Retentions
Any self-insured retentions must be declared to and approved by the CITY. The CITY reserves the right to require that self-insured retentions be eliminated, lowered, or replaced by a deductible. Self-insurance will not be considered to comply with these specifications unless approved by the CITY.
Primary and Additional Insured
All of such insurance shall be primary and shall name the City of Santa Clarita as additional insured. A Certificate of Insurance and an additional insured endorsement (for general and automobile liability), evidencing the above insurance coverage with a company acceptable to the City's Purchasing Agent shall be submitted to the CITY prior to execution of this Agreement on behalf of the CITY.
Requirements
Should CONTRACTOR, for any reason, fail to obtain and maintain the insurance required by this Agreement, CITY may obtain coverage at CONTRACTOR'S expense and deduct the cost of such insurance from payments due to CONTRACTOR under this Agreement or terminate. In the alternative, should CONTRACTOR fail to meet any of the insurance requirements under this Agreement, CITY may cancel the Agreement immediately with no penalty.
Should CONTRACTOR'S insurance required by this Agreement be canceled at any point prior to expiration of the policy, CONTRACTOR must notify CITY within 24 hours of receipt of notice of cancelation.
Furthermore, CONTRACTOR must obtain replacement coverage that meets all contractual requirements within 10 days of the prior insurer's issuance of notice of cancelation. CONTRACTOR must ensure that there is no lapse in coverage.
If the operation under this Agreement results in an increased or decreased risk in the opinion of the City's Purchasing Agent, then the CONTRACTOR agrees that the minimum limits herein above designated shall be changed accordingly upon request by the City's Purchasing Agent.
The CONTRACTOR agrees that provisions of this paragraph as to maintenance of insurance shall not be construed as limiting in any way the extent to which the CONTRACTOR may be held responsible for the payment of damages to persons or property resulting from the CONTRACTOR'S activities or the activities of any person or persons for which the CONTRACTOR is otherwise responsible.
I have read and understand the above requirements and agree to be bound by them for any work performed for the City.
Authorized Signature: _ Date: 4-11-23
Printed Name: Jeff Petty, President
BIDDER'S INFORMATION AND CERTIFICATION
Bid #CIP-22-23-M0149SS
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, CA
Bidder certifies that the representations of the bid are true and correct and made under penalty of perjury.
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE
Bidder certifies that in all previous contracts or subcontracts, all reports which may have been due under the requirements of any CITY, State, or Federal equal employment opportunity orders have been satisfactorily filed, and that no such reports are currently outstanding.
AFFIRMATIVE ACTION CERTIFICATION
Bidder certifies that affirmative action has been taken to seek out and consider minority business enterprises for those portions of the work to be subcontracted, and that such affirmative actions have been fully documented, that said documentation is open to inspection, and that said affirmative action will remain in effect for the life of any contract awarded hereunder. Furthermore, Bidder certifies that affirmative action will be taken to meet all equal employment opportunity requirements of the contract documents.
CERTIFICATION REGARDING DIR CONTRACTOR/SUBCONTRACTOR REGISTRATION By my signature hereunder, as the Contractor, I certify that Contractor, and all Subcontractors listed on the Subcontractor Designations form are the subject of current and active contractor registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor's registration number is indicated below. Subcontractors' registration numbers are indicated on the Subcontractor Designations form.
Bidder's Name: American Asphalt South, Inc.
Business Address: 19992 El Rivino Load, Riverside, CA 92509 Telephone No: (909) 421-8226
State CONTRACTOR's License No. & Class: 184969 A
DIR No.: 1000000645
Original Date: 09/29/2000 09/30/2024
Expiration Date:
The following are the names, titles, addresses, and phone numbers of all individuals, firm members, partners, joint véntures, and/or corporate officers having a principal interest in this proposal:
Jeff letty-Preridant
Tim Giftin- Secretary
Rick Entrikin- Treasurer
The dates of any voluntary or involuntary bankruptcy judgments against any principal having an interest in this proposal, or any firm, corporation, partnership or joint venture of which any principal having an interest in this proposal was an owner, corporate officer, partner or joint venture are as follows:
None
All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows:
None
IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals of all aforementioned principals this _ _ day otApril_ 2023 BIDDER:
Signatyr
Jeff Petty, President
Name and Title of Signatory
American A phalt South, Inc.
Legal Name of Bidder
19192 El hivino Road, Riverside, cA 92509
Address
(909) 421-8276 94-3324281
Telephone Number Federal Tax I.D. No.
BIDDER'S QUESTIONNAIRE
Bid #CIP-22-23-M0149SS
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
1. Submitted by: American Asphalt Suth, Ine Telephone: _ (908) 427-8216 Principal Office Address: 19192 El hivino hoad, Riverside, ct 91509
2. Type of Firm:
C Corporation
S Corporation
Individual/Sole Proprietor or Single - Member LLC
Partnership
Limited Liability Company "C" C-Corp
0 Limited Liability Company "S" S-Corp
Limited Liability Company "P" Partnership
Other
3a. If a corporation, answer these questions:
Date of Incorporation: / Feb. I5,t 1979 state of incorporation: California President's Name: Jeff letty
Vice-President's Name: N/A
Secretary or Clerk's Name: Tim Griffin
lick Entritin
Treasurer's Name:
3b. If a partnership, answer these questions:
Date of organization: State Organized in:
Name of all partners holding more than a 10% interest:
Designate which are General or Managing Partners.
BIDDER'S QUESTIONNAIRE (cont'd)
Bid #CIP-22-23-M0149SS
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
Name of person holding CONTRACTOR's license: Allan Henderson License number: 184969 class: A Expiration Date: _ 09/30/2024 D..R. Registration # 1000000645
CONTRACTOR's Representative: Jeff Petty
Title: President
Tim Griffin
Alternate:
Title: Secretary
List the major construction projects your organization has in progress as of this date:
A.
Owner: Coonty of Riverside
Project Location:_ Various Locations
Type of Project: Crack Seal, Slurry Scal, Micro-Suracing, Stiping Owner: City of San Fernando
Project Location: Various Locanons
Type of Project: ARAM, Type I Shurry, Type 22D Mcro-Suracing, Stiping C.
Owner: City of Moreno Valley
Proiect Location: Vanous Locatony
Type of Project: Type 2 Sery Seal
BID SCHEDULE
Bid #CIP-22-23-MO149A
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, CA
BIDDER: _ American Asphalt South, Inc
ITEM PAYMENT TOTAL
BID ITEMS UNIT UNIT PRICE *TOTAL COST
NO. REFERENCE QUANTITIES
1 Mobilization, Bonds & Insurance F2-1 LS 100,000.00 100,000.00 2 Traffic Control F2-2.8 LS --- 200,000.00 200,000.00
3 Storm Water Pollution Control Program F1-9 LS 1,500,00 2,900.00 4 Crack Seal & Slurry Seal (Type I) F2-9.4 TN 2,453 499,95 7,211,659.35 Crack Fill & Double Seal Coat F2-10-.3 SF 486,875 0.23 1Í,98/.25 4" Remove and Replace F2-5.4 SF 52,366 342,992.30
Stablization Allowance SF 8.53 46.112.00
F2-5.4 5,240
8 Trim and Prune Tree Root F2-8.3 SF 750 22.00 16,500.00 9 Lower and Adjust Water Valve Covers to Finish Grade F2-11.3 EA 6,600.00 10 Lower and Adjust Manhole Covers to Finish Grade F2-11.3 EA 5 13,200.00 11 12" White Crosswalk / Limit Line (Thermo) F2-12.4 LF 1,516 2,096.00 12 24" Yellow Crosswalk Line (Thermo) F2-12.4 LF 115 1380.00 13 Install Blue RPM @ Fire Hydrant F2-12.4 EA 94 12.00 6128.00 14 Remove and Install Permanent Traffic Loops F2-13.4 EA 10 190.00 1,500.00 15 Striping Detail #22 (Thermo & Markers) F2-12 4 LF 5,635 3.00 16,109.00 16 Striping Detail #27B (Thermo & Markers) F2-12.4 LF 6,480 2.00 12,960.00
17 Striping Detail #39 (Thermo) F2-12.4 LF 34,182 0.72 29.611.04 18 Striping Detail #39A (Thermo) F2-12.4 LF 22,639 0.12 16,300.08 19 "AHEAD" Legend (Thermo) F2-12.4 EA 1 500.00
20 "STOP" Legend (Thermo) F2-12.4 EA 58 125.00 2,290.00 21 Arrow Type IV (L/R) (Thermo) F2-12.4 EA 200.00 2,000.00 22 Arrow Type VII (L/R) (Thermo) F2-12.4 EA 2 500,00 7,000,00 23 Bike Lane Symbol Without Person F2-12.4 EA 60 200.00 12.000.00 24 Bike Lane Arrow F2-12.4 EA 89 100,00 €, 100.00
TOTAL
BASE BID TOTAL AMOUNT IN FIGURES: 2,122, 080.02
BASE BID TOTAL AMOUNT IN WORDS: Two Million, one handied Seven-Seven thasand. eighty 8r00 Dollars *NOTE: In case of error in extension of price into the total price column, the unit price will govern. •..!
REFERENCES
Bid #CIP-22-23-M0149SS
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
The tollowing are the names, addresses, and telephone numbers of three public agencies for which bidder has performed and completed work of a similar scope and size within the past 3 years. If the scope of work/specifications requests references different than instructions above, the scope of work/specifications shall govern:
1. See Attached
Name and Address of Owner / Agency
Name and Telephone Number of Person Familiar with Project Contract Amount Type of Work Date Completed
2. Name and Address of Owner / Agency
Name and Telephone Number of Person Familiar with Project Contract Amount Type of Work Date Completed
3. Name and Address of Owner / Agency
Name and Telephone Number of Person Familiar with Project Contract Amount Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from whom bidder intends to procure insurance bonds:
See Attached
REFERENCE LIST
AGENCY/CONTACT PROJECT NAME DOLLAR AMOUNT DATE COMPLETED COUNTY OF RIVERSIDE SLURRY SEAL AND CURB RAMP ACCESSIBILITY $2,531,940.65 Dec-22 PAUL CASTILLO PROJECT FY 2021-2022 DISTRICT 1
(951)961-6184
COUNTY OF RIVERSIDE SLURRY SEAL AND CURB RAMP ACCESSIBILITY $4,035,932.05 Oct-22 STEVE WANN PROJECT FY 2021-2022 DISTRICT 3
(951)961-5946
CITY OF P.V. ESTATES FY 21/22 SLURRY SEAL PROJECT $670,335.63 Sep-22
ELIZABETH BECERRA MALAGA COVE
(310)750-9821
CITY OF CORONADO STREET PREVENTIVE MAINTENANCE $408,383.00 Feb-22 DAVE JOHNSON FY 21/22
(619)522-2425
CITY OF CARLSBAD 2021 SLURRY SEAL AND FOG SEAL $1,836,898.59 IN PROGRESS STEVE DIDIER CONTRACT NO. 6001-21SS
(760)602-7539
CITY OF LAKE FOREST SLURRY SEAL FOR NON-ARTERIAL STREETS $1,334,137.13 Jan-23
TAYLOR ABERNATHY
(949)461-3490
• CITY OF PALM DESERT 2021 SLURRY SEAL PROJECT $2,195,028.90 Nov-22 RYAN GAYLER PROJECT NO. 751-12; CONTRACT NO. C42450
(760)346-0611
CITY OF HEMET 2021/2022 CITYWIDE SLURRY SEAL $403,613.65 Sep-22
CHASE KEYS
(951)765-2360
CITY OF R.S. MARGARITA FY 21-22 ANNUAL RESIDENTIAL SLURRY SEAL $564,895.75 Sep-22
BRIAN DUGAN
(949)635-1805
REFERENCE LIST
AGENCY/CONTACT PROJECT NAME DOLLAR AMOUNT DATE COMPLETED CITY OF ORANGE ANNUAL SLURRY SEAL AT VARIOUS LOCATIONS $604,446.75 Nov-22 YOUICHI NAKAGAWA 21-22
(714)744-5544
CITY OF CLOVIS RUBBERIZED CAPE SEAL 2022 $1,195,564.33 Aug-22
THOMAS CHENG
(559)324-2374
CITY OF NEW. BEACH SLURRY SEAL PROGRAM $787,623.74 Nov-22 PATRICIA CARPENTER PROJECT NO. 22R04
(949)644-3317
CITY OF CYPRESS STREET REHABILITATION $334,382.05 Sep-22
ALEX BANGEAN
(714)229-6684
CITY OF EASTVALE 2022 RESIDENTIAL SLURRY SEAL PROJECT PENDING IN PROGRESS
YURCHI CHOI
(951)703-4471
CITY OF TEMECULA PY 20202 CITYWIDE SLURRY SEAL PROGRAM PENDING IN PROGRESS
RYAN CASTILLO
(951)693-3964
COUNTY OF INYO
CITY OF VISTA SLURRY SEAL PROJECT 2022 PENDING IN PORGRESS CIP NOS. 8262, 8313
(760)643-5415
BROKERS & SURETIES FROM WHOM THE BIDDER INTENDS
TO PROCURE INSURANCE AND BONDS
BONDING AGENT: INTERWEST INSURANCE SERVICES, INC.
1357 E. LASSEN AVENUE
CHICO, CA 95973
(530)897-3154
SURETY COMPANY: EVEREST REINSURANCE COMPANY
P.O. BOX 830
LIBERTY CORNER, NJ 07938-0830
(908)604-3000
INSURANCE AGENT: INTERWEST INSURANCE SERVICES, INC.
368 E. YOSEMITE AVENUE, SUITE 100
MERCED, CA 95340
(209)724-2324
:
:
DESIGNATION OF SUBCONTRACTORS
Bid # CIP-22-23-M0149SS
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
with NA. Add addt. sheets if needed
Subcontractor DIR Registration No.* Dollar Value of Work Pavement he hab. Company 1000064823 I 149000.00
Location and Place of Business
810 Mandevilla Way, Corona, CA 92819
Bid Schedule Item No's: Description of Work
425 Crack Sea l
License No. Exp. Date: Phone ( )
1051394 03/31/2025 (114) 238-1444
Subcontractor DIR Registration No.*
Onux laving Company, In Dollar Value of Work
1000004198 505,000.00
Location and Place of Business
2890 , F. La Cresta Avc., Anaheim, CA 92806
id Schedule Item No's
arton of 1&2, 62, 8,91 brton of Mobilizanon & Traffe Control Y'ARR Stabilication Trim 2 Pone Tree hoot, Adst Warer Volver & Manholes
License No. Exp. Date:
630360 10/31/2023 114) 632-6699
Subcontractor DIR Registration No.*
Dollar Value of Wor
Likkes striping Inc. 1000003491 $ 93150,00
Location and Place of Business
2060 Emery Ave., La Habra, CA 90631
Bid Schedule Item No's: Description of Work
5 Double Seal Coat
License No. Exp. Date: Phone ( )
922425 09/30/2024 (114) 352-1005
NOTE: A BIDDER or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for an unregistered BIDDER to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the BIDDER is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract is awarded. *Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. :
:
DESIGNATION OF SUBCONTRACTORS
Bid # CIP-22-23-MO149SS
2022-23 Slurry Seal Project
City Project No. MO149
City of Santa Clarita, California
sted in exces oh% i canet, or 320,0 place er create eate prime contractors told bid. no subor rites will be use it or tre ro ith NA. Add addt. sheets if neede
Subcontractor DIR Registration No.*
Dollar Value of Work
California Professional Eng., Inc. 1000371609 в 4990.00 Location and Place of Business
19062 San Jase Avenue, La vente, CA 91248
Bid Schedule Item No's: Description of Work
14 Trafhic loops
License No. Exp. Date:
Phone (
193907 04/90/2023 (626) 810-1338
Subcontractor DIR Registration No.*
ollar Value of Wor
Chrisp Company 1000000306 151,619.39
ocation and Place of Busines
3650 Asood Road Fremont, CA 94539
Bid Schedule Item No's: Description of Work
11-13, 13-24 Remove & Replace stiping
License No. Exp. Date: / Phone ( )
314600 05/31/2023 (510) 656-2840
Subcontractor DIR Registration No.* Dollar Value of Work Location and Place of Business
Bid Schedule Item No's: Description of Work
License No. Exp. Date: / / Phone ( )
NOTE: A BIDDER or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for an unregistered BIDDER to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contraci Code, provided the BIDDER is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract is awarded. *Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. :
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
Bid #CIP-22-23-M01495S
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
This bidder. - proposed subcontractor
that it has has not - hereby certifies
→ participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that it has - has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements.
Company: American Aphalt South, Inc
By:
Title: Teff lette Prerident
Date: 4-11-23
The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)) and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.
roposed prime CONTRACTORS/BIDDER and subcontractors who have participated in a previous contrac or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such BIDDER submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor.
CERTIFICATION OF NON-SEGREGATED FACILITIES
Bid #CIP-22-23-MO149SS
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
The BIDDER certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments, and that it does not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained. The BIDDER certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it will not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained. The BIDDER agrees that a breach of this certification is a violation of the Equal Opportunity clause in this Contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, rest rooms, and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color, or national origin, because of habit, local custom, or otherwise. The BIDDER agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause, and that it will retain such certifications in its files.
BIDDER Totty, President
Required by the May 19, 1967 order on Elimination of Segregated Facilities, by the Secretary of Labor - 32 F.R. 7439, May 19, 1967 (F.R. Vol. 33, No. 33 - Friday, February 16, 1968 - p. 3065). •.
...
NON-COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106) Bid #CIP-22-23-M0149SS
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
To the CITY OF SANTA CLARITA:
In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106, the Bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that 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, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that 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, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.
THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE "BIDDER'S CERTIFICATION" SHALL
ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH FORM A PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION.
•..:
NON-COLLUSION AFFIDAVIT
Bid #CIP-22-23-M01495S
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
Jeff Petty
President being first duly sworn deposes and says that he/she is the
americon Arthalt South, Jac (sole owner, a partner, president, etc.) of the party making the foregoing bid; that such
bid is not made in the interest of or behalf of any undisclosed person, partnership, company, association, organization or corporation, that such bid is genuine and not collusive or sham, that said BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, or that anyone shall refrain from bidding, that said BIDDER has not in any manner, directly or indirectly sought by agreements, communication or conference with anyone to fix the bid price of said BIDDER or of any other BIDDER, or to fix the overhead, profit, or cost element of such bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the Contract or anyone interested in the proposed Contract; that all statements contained in such bid are true, and further, that said BIDDER has not, directly or indirectly, submitted its bid price, or any breakdown thereof, or the contents thereof, or divulged information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company, association, organization, bid depository, or to any member or CITY thereof, or to any other individual information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company association, organization, bid depository, or to any member or CITY thereof, or to any other individual, except to such person or persons as have a partnership or other financial interest with said BIDDER in his general business.
Bidder:
Signature
Title Jeff lette, Perident
DEBARMENT AND SUSPENSION CERTIFICATION
Bid #CIP-22-23-M014955
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
The bidder under penalty of perjury, certified that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, office manager:
is not currently under suspension, debarment, voluntary exclusion or determination of ineligibility by any governmental AGENCY; AGENCY within past three years has not been suspended, debarred, voluntarily excluded, or determined ineligible by any governmenta does not have a proposed debarment pending; and
If there are any exceptions to this certification, insert the exceptions in the following space.
Exceptions will not necessarily result in denial of award but will be considered in determining bidders responsibility. For any exception noted above, indicate below to whom it applies, initialing AGENCY, and dates of action.
The Contractor further certifies that it shall not knowingly enter into any transaction with any subcontractor, material supplier, or vendor who is debarred, suspended, declared ineligible, or voluntarily excluded from covered transactions by any federal or state department/agency.
NOTE: Providing false information may result in criminal prosecution or administrative sanctions.
The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification.
Bidder:
. Signature
Title Jeff letty, President
IRAN CONTRACTING ACT CERTIFICATION
(Public Contract Code Sections 2200 et seq.)
Bid #CIP-22-23-M0149SS
2022-23 Slurry Seal Project
City Project No. M0149
City of Santa Clarita, California
As required by California Public Contract Code section 2204, Proposer certifies that the option checked below relating to Proposer's status in regard to the Iran Contracting Act of 2010 (Public Contract Code sections 2200 et seg.) is true and correct:
Proposer is not:
(i) 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; or (ii) a financial institution 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 • Los Angeles County has exempted Proposer from the requirements of the Iran Contracting Act of 2010 after making a public finding that, absent the exemption, Los Angeles County will be unable to obtain the goods and/or services to be provided pursuant to the Contract.
The amount of the Contract payable to Proposer for the Project is less than $1,000,000.
CERTIFICATION
1, the official named below, CERTIFY UNDER PENALTY OF PERJURY, that I am duly authorized to legally bind the Proposer to the above selected option. This certification is made under the laws of the State of California.
Contractor
Amercan Aphalt South, In. Jook
Signed
4-11-23 Jeff Potty, • Prerident
Date Name/Title
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 5250,000 or twice the Contract amount, termination of the Contract and/or ineligibility to bid on contracts for three years.
END OF DOCUMENT