PROPOSAL FORM
Bid #CIP-23-24-M0153SS
2023-24 Slurry Seal Project
City Project No. M0153
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 Satay IAC.
Company Address: 2990 Myars street
Riverside, CA 92503
Phone: (909) 421-8226
Email:
By: Jeff lotty
Print Name
Resident
Title:
Cypa
Signature:
4-15-24
Date:
NOTICE TO BIDDERS REGARDING CONTRACTUAL REQUIREMENTS
Bid #CIP-23-24-M0153SS
2023-24 Slurry Seal Project
City Project No. M0153
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 City of Santa Clarita (City). By agreeing to perform the work or submitting a proposal, you verify that you comply with and agree to be bound by these requirements. If any additional Contract documents are 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.
II. 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 priorto 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
CONTRÁCTOR 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: _ 4-15-24
Date:_
Printed Name: Jeff letty, President
BIDDER'S INFORMATION AND CERTIFICATION
Bid #CIP-23-24-M0153SS
2023-24 Slurry Seal Project
City Project No. M0153
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 Asphalf South, Ii.
Business Address: 2990 Myers It, Riverside, CA 99503
Telephone No.: (909421-8216
State CONTRACTOR's License No. & Class: 184969 A
DIR No.: 1000000845
Original Date: 09/25/2000 Expiration Date: 09/30/2024
The following are the names, titles, addresses, and phone numbers of all individuals, frim members, partners, joint ventures, and/or corporate officers having a principal interest in this proposal:
Jeff Petty-hasident
Tim Grifin- Vice President
Tyler Stender-Secretany
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:
N/A
All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows:
N/A
IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals of all aforementioned principals this_15 day of Apnl 2024 BIDDER:
Signature
Jeff Petty, President
Name and Title of Signatory
American Aphalt South, Inc.
Legal Name of Bidder
1990 Myers It, Rirewide, cA 91503
Address
(949) 423-8276 94-3324781
• Telephone Number Federal Tax I.D. No.
BIDDER'S QUESTIONNAIRE
Bid #CIP-23-24-M0153SS
2023-24 Slurry Seal Project
City Project No. M0153
City of Santa Clarita, California
1. Submitted by: American biphall Sort, I Telephone: (909) 4121-8226 Principal Office Address: 2970 Mpoor sti, hiverside, ct 91302
2. Type of Firm:
• C Corporation
* S Corporation
Individual/Sole Proprietor or Single -Member LLC
Partnership
Limited Liability Company "C" C-Corp
Limited Liability Company "S" S-Corp
• Limited Liability Company "P" Partnership
• Other
3a. If a corporation, answer these questions:
Date of Incorporation: Jeb. 15/1999 state of incorporation: Calibia President's Name: Tet lette
Vice-President's Name: Tim Enten
Secretary or Clerk's Name: Tyler Stender
Allan Henderson
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-23-24-M0153SS
2023-24 Slurry Seal Project
City Project No. MO153
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
5. CONTRACTOR's Representative: Jeff Potty
Title: President
Alternate: Tim Gifin
Title: Vice heridest
List the major construction projects your organization has in progress as of this date:
A.
Owner: See Attached List
Project Location:
Type of Project:
Owner: -
Project Location:
Type of Project:
C.
Owner:
Project Location:
Type of Project:
BONDED WORK ON HAND
SLURRY C.SEAL
BID DATE AGENCY/PROJECT SLURRYS CONTRACTS TIME PROFIT DAYS DAYS PROFIT TOTAL PROT 3/28/2023 CITY OF FONTANA $706,000.00 11
5/9/2023 CITY OF ARROYO GRANDE $637,483.45 $1,737,575.49 60 WD 12 9/13/2023 CITY OF LAKE FOREST $409,816.75 $1,401,467.50 50WD 10 8.5 $0.00 1/2 done 9/19/2023 CITY OF TEMECULA $1,655,722.11 $2,236,747.11 75WD 37.5 25 $0.00 2/3 complete 9/21/2023 CITY OF PASO.ROBLES $142,700.00 $165,004.50 30WD $0.00 9/21/2023 CITY OF EASTVALE $1,356,545.96 $2,837,744.46 60WD 32 11/7/2023 CITY OF LA MESA $625,715.54 $1,463,066.98 30WD 13 21 $0.00 12/14/2023 CITY OF SAN FERNANDO $455,143.00 $1,204,535.80 90WD 10 - $0.00 2/15/2024 TOWN OF YUCCA VALLEY $1,035,965.00 $1,715,165.00 60CD 18 10 $0.00 2/20/2024 CITY OF ARCADIA $903,430.00 $1,201,535.00 60CD 22 $0.00 3/5/2024 CITY OF RIVERSIDE-TAXIWAY A $274,676.00 $592,270.70 87CD 5000C 3/6/2024 CITY OF SAN JACINTO $998,230.80 $2,495,489.60 90WD 20 3/5/2024 CITY OF POMONA $665,098.75 $1,355,328.75 40WD 14 $0.00 CITY OF FONTANA $1,400,000.00 18 $0.00
CITY OF HUNTINGTON BEACH $750,000.00 12 $0.00
CITY OF POWAY $1,200,000.00 $0.00
CITY OF EL CAJON $850,000.00 $0.00
CITY OF GARDEN GROVE $700,000.00 $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9,160,527.36 $24,011,930.89 243 144 $0.00
CERTIFICATION OF NON-SEGREGATED FACILITIES
Bid #CIP-23-24-M0153SS
2023-24 Slurry Seal Project
City Project No. M0153
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 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.
American Aphalt Sath, Isk. park
BIDDER Jeff Petty-Prendent
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).
DESIGNATION OF SUBCONTRACTORS
Bid # CIP-23-24-M01535S
2023-24 Slurry Seal Project
City Project No. MO153
City of Santa Clarita, California
isted below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or rende service in excess of ½ of 1 percent, or $10,000 (whichever is greater) of the prime contractor's total bid. If no Subcontractors will be used fill out the forn with NA. Add addt. sheets if needed.
Subcontractor DIR Registration No.* Dollar Value of Work A.C. Becker 1000001096 * 81,290,69
Location and Place of Business
28355 Kelly Johnson Parkway, Santa Clarita, CA 91355
Bid Schedule Item No's Description of Work Partial Mobitization and Trafke lontol, Trim and foone Tree hoots
License No. Exp. Date: Phone
258162 06/30/2025 (661) 259-4845
Subcontractor DIR Registration No.* Dollar Value of Work Manhole Adjusting, Im 1000004104 $ 14100°0
Location and Place of Business
9500 Beverly hoad, Pico hivera, cd 90660
Bid Schedule Item No'S: Description of Work
47а д Adjust Manholes
License No. Exp. Date: Phone (
398443 01/31/2025 (323) 558-8000
Subcontractor DIR Registration No.* Jollar Value of Wor Toro Enterprises, Inc. 1000002410 $ 90,511.15
Location and Place of Business
P.0. Box 6289, Oxnard, CA 93031
gр7, 1, 3.13,18.11 Description of Work Partia! Mobitzaton and Tuffe Control Remove Thermoplaste and Install Striping, Markings and
remove & Ink /l speed nomp
License No. Exp. Date:
110580 08131/2025 (805) 483-4515
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 submita 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 BIDBÉR 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-23-24-M015355
2023-24 Slurry Seal Project
City Project No. MO153
City of Santa Clarita, California
sted below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or rend ervice in excess of% of 1 percent, or $10,000 (whichever is greater) of the prime contractor's total bid. If no Subcontractors will be used fill out the for with NA. Add addt. sheets if needed.
Subcontractor DIR Registration No.*
Tesoro Contractors, Inc. 1000993157 Dollar Value of Wort 3,000.00
Location and Place of Business
9600 kauffman the, south Gate, CA 90280
Bid Schedule Item No's: Description of Work
14 Remove and Install Perumanent Traffe Loops
License No. Exp. Date: Phone (
1091995 05/31/2026 (323) 519-6641
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 ( )
Subcontractor DIR Registration No.* Dollar Value of Work Location and Place of Business
Bid Schédule Item No's: Description of Work
License No. Exp. Date: Phone ( )
REFERENCES
Bid #CIP-23-24-M0153SS.
2023-24 Slurry Seal Project
City Project No. M0153
City of Santa Clarita, California
The following 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:
ty of Santa Clarito 23920 Valencia BIva Santa Clarita
lame and Address of Owner / Agenc
Name mirepo enter econ Famia 1 - 95 661-857-7211
2,177,080.02 Alc, crack Fill, Slurry Seal, Strifing 11/23 Contract Amount Type of Work Date Completec
ounty ot INyo 168N. Edwards st. Independence, CA
Vame and Address of Owner / Agenc
Greg Waters 760-709-2232
Name and Telephone Number of Person Familiar with Project 457167.30 Story Seal Striping 11/20/22
Contract Amount Type of Work Date Completed
Mantra Ssotene/A10401 Magnolia Ave Santee, CA
Toby Espinola 619-258-4100
Name and Telephone Number of Person Familiar with Project 737,508.88 Concrete, Alc repair, • Slurry Seal, Chip Seal 1/1/21 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 list
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
IRAN CONTRACTING ACT CERTIFICATION
(Public Contract Code Sections 2200 et seq.)
Bid #CIP-23-24-M015355
2023-24 Slurry Seal Project
City Project No. M0153
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 in Iran.
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
I, 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
American Asphalt South, Inc.
4-15-24 Jeff Petty, President
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 $250,000 or twice the Contract amount, termination of the Contract and/or ineligibility to bid on contracts for three years.
END OF DOCUMENT
PROPOSAL GUARANTEE BID BOND
Bid #CIP-23-24-M0153SS
2023-24 Slurry Seal Project
City Project No. M0153
City of Santa Clarita, California
KNOW ALL PERSONS BY THESE PRESENTS that American Asphalt South, Inc. → as BIDDER, and Everest National Insurance Company as SURETY, are held and firmly bound unto the Ten percent
City of Santa Clarita, as CITY, in the penal sum of of amount bid dollars ($ 10% of Amount Bid), which is ten percent (10%) of the total amount bid by BIDDER to CITY for the above-stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to CITY for the above-stated project, if said bid is rejected, or if said bid is accepted and the contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of CITY.
IN WITNESS WHEREAS, the parties hereto have set their names, titles, hands, and seals, this 2nd Day of April 2024
CONTRACTOR: Jeff Petty - President
Signature
American Asphalt South, Inc.
Legal Name of Bidder
2990 Myers Street, Riverside, CA 92503
Bidder Address
909-427-8276
Telephone Number Federal Tax I.D. No.
SURETY*: . Everest National Insurance Company Cant 2
Name Kathleen Le, Attorney-In Fact
908-604-3000 Kevin. [email protected]
Phone Number and Email
100 Everest Way. Warren Corporate Center, Warren, NJ 07059 Address
*Provide BIDDER and SURETY name, phone number, email, and the name, title, address, and phone number for Surety signatures must be notarized prior to submittal.
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual aho shed, and note ento mes, ari recitate is
validity of that document.
Coate of California Riverside
On April 3, 2024 before me, Rosa Maria Arteaga- Notary
(insert name and title of the officer)
personally appeared Jeff Petty
, who proved to me
on the basis of satisfactory evidence to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged to me that he executed the same in hisauthorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
• ROSA MARIA ARTEAGA:
COM #2372221
WITNESS my hand and official seal.
NOTARY PUBLIC - CALIFORNIA
SAN BERNARDINO COUNTY|
My Commission Expires Auquet 25, 2025:
... ..
signature Rica how Holes
ACKNOWLEDGMENT
A notary public or other officer completing this
eno signe vere only the identity of is endia le
valiany of anat documentituness, accuracy, o
State of California
County of Sacramento
On April 2, 2024 before me, - S. Smith, Notary Public
(insert name and title of the officer)
personally appeared Kathleen Le
who proved to me on the basis of satisfactory evidence to be the person(6) whose name (6) 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/theif signature(6) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
S. SMITH
COMM. # 2442257
WITNESS my hand and official seal. NOTARY PUBLIC RAMENNA BE
COUNTY OF SACRAMENTO
Comm. Expires APR. 22, 2027
son
Signature (Seal)
4 everest
POWER OF ATTORNEY
EVEREST REINSURANCE COMPANY and EVEREST NATIONAL INSURANCE COMPANY *Company having their pi cipal of pes located a. Ware Cop rate Curate Everes ay. are an eraser ear are orale or these an or anare Elizabeth Collodi, John Hopkins, John Weber, Joseph H. Weber, Renee Ramsey, Sara Walliser, Mindy Whitehouse, Jennifer Lakmann, Deanna Quintero, Bill Rapp, Jason March, Matthew Foster, Tony Clark, Samantha Watkins, Phil Watkins, Brad Espinosa, Paula Senna, Pam Sey, Breanna Boatright, Kathleen Le, Sharon Smith, Cassandra Medina s true and lawful Attorney(s)-in-fact to make, execute, attest, seal and deliver for and on its behalf, as surety, and as its act and deed, where required, any and all bonds ar ndertakings in the nature thereof, for the penal sum of no one of which is in any event to exceed UNLIMITED, reserving for itself the full power of substitution and revocatio Such bonds and undertakings, when duly executed by the aforesaid Attorneys)-in-fact shall be binding upon the Company as fully and to the same extent as if such bonds and undertakings were signed by the President and Secretary of the Company and sealed with its corporate seal.
This Power of Attorey is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Board of Directors of Company ("Board") on April 21, 2016:
RESOLVED, that the President, any Executive Vice President, and any Senior Vice President are hereby appointed by the Board as authorized to make, execute, seal and deliver for and on behalf of the Company, any and all bonds, undertakings, contracts or obligations in surety or co-surety with others and that the Secretary or any Assistant Secretary of the Company be and that each of them hereby is authorized to attest to the execution of any such bonds, undertakings, contracts or obligations in surety or co-surety and attach thereto the corporate seal of the Company.
RESOLVED, FURTHER, that the President, any Executive Vice President, and any Senior Vice President are hereby authorized to execute powers of attomey qualifying the attorey named in the given power of attorney to execute, on behalf of the Company, bonds and undertakings in surety or co-surety with others, and that the Secretary or any Assistant Secretary of the Company be, and that each of them is hereby authorized to attest the execution of any such power of attomey, and to attach thereto the corporate seal of the Company.
RESOLVED, FURTHER, that the signature of such officers named in the preceding resolutions and the corporate seal of the Company may be affixed to such powers of attomey or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be thereafter valid and binding upon the Company with respect to any bond, undertaking, contract or obligation in surety or co-surety with others to which it is attached.
IN WITNESS WHEREOF, Everest Reinsurance Company and Everest National Insurance Company have caused their corporate seals to be affixed hereto, and these presents to be signed by their duly authorized officers this 10' day of October 2023.
Reinsurance National Insurance Everest Reinsurance Company and Everest National Insurance Company
CORPORATE CORPORATE
SEAL SEAL
1973 1985
DELAWARE DELAWARE Tued
By: Anthony Romano, Senior Vice President
On this 22nd of March 2023, before me personally came Anthony Romano, known to me, who, being duly sworn, did execute the above instrument; that he knows the seal o said Company; that the seal affixed to the aforesaid instrument is such corporate seal and was affixed thereto; and that he executed said instrument by like orde
LINDA ROBINS
Notary Public, State of New York
No 01R06239736
Qualified in Queens County
Term Expires April 26, 2027
Linda Robins, Notary Public
of Attorney has not been revoked and is now in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company, this 2nd day of April _2024.
Reinsurance
CORPORATE Suhans
SEAL SEAL
1973
1985
CELAWARL Ateduc)
15u1813 DELAWAN
By: Sylvia Semerdjian, Assistant Secretary
ES 00 01 04 16
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE N° 08969
SAN FRANCISCO
Certificate of Authority
THIS IS TO CERTIFY THAT, Pursuant to the Insurance Code of the State of California, Everest National Insurance Company
of Delaware , organized under the
laws of Delaware , subject to its Articles of Incorporation or other fundamental organizational documents, is hereby authorized to transact within the State, subject to all provisions of this Certificate, the following classes of insurance:
Fire, Marine, Surety, Plate Glass, Liability, Workers' Compensation, Common Carrier Liability, Boiler and Machinery, Burglary, Sprinkler, Team and Vehicle, Autonobile, Aircraft, and Miscellaneous as such classes are now or may hereafter be defined in the Insurance Laws of the State of California.
THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all, and not in violation of any, of the applicable laws and lawful requirements made under authority of the lows of the State of California as long as such laws or requirements are in effect and applicable, and as such laws and requirements now are, or may hereafter be changed or amended.
IN WITNESS WHEREOF, effective as of the - 2nd
day of - November 2011 -, I have hereunto
set my hand and caused my official seal to be affixed this 2nd day of - November 2011
Dave Jones
Insurance Commissioner
By ValeriD sa
Valerie J. Sarfati
for Nettie Hoge Bapan
Chief Deputy
NOTICE:
ualification with the Secretary of State must be accomplished as required by the California Corporations Code prompt ter issuance of this Certificate of Authority. Failure to do so will be a violation of Insurance Code Section 701 and will grounds for revoking this Certificate of Authority pursuant to the convenants made in the application therefor and the conditions contained herein.
FORM CB-3 - OSP 00 38391
Everest National Insurance Company
(NAIC #10120)
BUSINESS ADDRESS: 100 Everest Way, Warren Corporate Center, Warren, NJ 07059.
PHONE: (908) 604-3000.
UNDERWRITING LIMITATION b/: $20,494,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA,
KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, Wi, WY.
INCORPORATED IN: Delaware.
NON-COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106) Bid #CIP-23-24-M0153SS
2023-24 Slurry Seal Project
City Project No. M0153
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-23-24-MO153SS
2023-24 Slurry Seal Project
City Project No. M0153
City of Santa Clarita, California
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
Jeff lety being first duly sworn deposes and says that he/she is (sole owner, a partner, president,
Amencan Aphalf Souta, INc 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:
Signatur
Title President
•.
BID SCHEDULE
Bid #CIP-23-24-M015355
2023-24 Slurry Seal Project
City Project No. MO153
City of Santa Clarita, California
Fill out this form completely and submit with the bid response. Line item pricing must be entered on BidNet. In the event any mathematical discrepancies are found, please refer to Section B, Bid Instructions.
The award of contract, if made, will be to the lowest responsive BIDDER determined solely by the AGENCY.
The AGENCY also reserves the right to add/delete the quantities to the existing bid items, or delete the entire bid item if they are found not required by the Agency during the course of the construction, or add new bid items or scope of work by Contract Change Order at any time during the project up to the last contract working day.
The BIDDER agrees to hold all unit prices in this Bid Schedule constant throughout the duration of the project up to the last contract working day.
ITEM
NO. DESCRIPTION QTY UNIT UNIT PRICE TOTAL
1. Mobilization, Bonds & Insurance $ 50,000.00 $ 50,000.00 1 LS
Traffic Control $ 100,000.00 $ 100,000.00
1 LS
3. Storm Water Pollution Control Program
1 LS $ 13,000.00 $ 13,000.00
4. Crack Seal & Slurry Seal (Type Il) $ 424,00
1,193 TN $ 505,832.00
4" Remove and Replace $ 8,15
9,188 SF $ 80,395.00
6. Trim and Prune Tree Root
53 SF $ 60,00 $ 3,180.00
Speed Hump (Traffic Calming System) $ 2,500.00
14 EA $ 35,000.00
Lower and Adjust Manhole Covers to Finish
8. Grade $ 3,000.00 $ 18,000.00
6 EA
12" White Crosswalk / Limit Line (Thermo) $ 5.25
795 LF $ 4113.15
10. 24" Yellow Crosswalk Line (Thermo) $ 8,25
428 $ 3,531.00
11. Install Blue RPM @ Fire Hydrant $ 17.50 1$1,102.50
63 EA
12. Striping Detail #22 (Thermo & Markers) $ 2.50 $ 3,380.00 2,152 LF
13. Striping Detail #39 (Thermo) $ 1,090.00
525 LF $ 2,00
14. Remove and Install Permanent Traffic Loops $ 1,000.00 $ 4,000.00 4 EA
15. "AHEAD" Legend (Thermo)
29 EA $ 295.00 $ 8,595.00
16. "BUMP" Legend (Thermo) $ 275.00
29 EA $ 1,915.00
17. "STOP" Legend (Thermo)
34 EA $ 215.00 $ 9,390.00
TOTAL BASE BID AMOUNT: $ 852,524.25
TOTAL BASE BID AMOUNT IN WORDS: Eight hundnd fitty two thawand, five hundred twenty-four & 23/100 dollars