PROPOSAL GUARANTEE BID BOND
Bid #CIP-24-25-MO157SS
2024-25 Slurry Seal Project
City Project No. MO157
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 of
City of Santa Clarita, as CITY, in the penal sum 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 21st Day of April _ 2025
CONTRACTOR: Jeff retty - fresident
Name and Title of Signatory
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
Name Kathleen Le, Attorney-in-Fact 800-444-4134
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 Departine spent ute a cret o, as amended and earned on da sat uses in the state where, the project is located.
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 who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, ol
alidity of that document
State of California Riverside
County of
On April 23, 2025 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 MM A ARTE AGA
WITNESS my hand and official seal. COMM #2372221
NOTARY PUBLIC - CALIFORNIA
SAN BERNARDINO COUNTY
My Commission Expires August 25. 2025
Signature (Seal)
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individua who signed the document to which this certificate i
attached, and not the truthfulness, accuracy, o
alidity of that documen
State of California
County of Sacrament
On April 21, 2025 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(e) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/theif authorized capacity(ies), and that by his/her/theif signature(6) on the instrument the person(6), or the entity upon behalf of which the person(6) 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
COUNTY OF SACRAMENTO
Comm. Expires APR. 22, 2027
IN
Signature (Seal)
L everest™
POWER OF ATTORNEY
EVEREST REINSURANCE COMPANY and EVEREST NATIONAL INSURANCE COMPANY KNOW ALL PERSONS BY THESE PRESENTS: That Everest Reinsurance Company and Everest National Insurance Company, corporations of the State of Delaware ("Company") having their principal offices located at Warren Corporate Center, 100 Everest Way, Warren, New Jersey, 07059, do hereby nominate, constitute, and appoint:
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 its 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 and undertakings 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 revocation Such bonds and undertakings, when duly executed by the aforesaid Attorney(s)-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 Attorney 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 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 attorney qualifying the attomey named in the given power of attorey 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 attorney, and to attach thereto the corporate seal of the Company.
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 Nationa Insurance Everest Reinsurance Company and Everest National Insurance Company
CORPORATE CORPORAT
SEAL company SEAL
1973 1985
DELAWARE DELAWARE
By: Anthony Romano, Senior Vice President
said Company arthe seat after otherinal at men is so apoles and was fied a so a did ear ire are are real ore
LINDA ROBINS
Notary Public, State of New York Aver Polan
No 01R06239736
Qualified in Queens County
Term Expires April 26, 2027
Linda Robins, Notary Public
1, Sylvia Semerdjian, Assistant Secretary of Everest Reinsurance Company and Everest National Insurance Company do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Section of the bylaws and resolutions of said Corporation as set forth in said Power of Attorney, with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID CORPORATION, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power 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 21st day of April 2025 Reinsurance tiona/
ORPORAT, CORPORATE Sihano
SEAL company SEAL
1072
1985
DELAWARE
• DELAWARE
By: Sylvia Semerdjian, Assistant Secretary
ES 00 01 04 16
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE N° 08969
SAN FRANCISCO
Amended
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, Automobile, 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 laws 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
Insurancs Commissioner
By
Valerie J. Sarfaty
for Nettie Hoge Rapan
Chief Deputy
NOTICE:
Qualification with the Secretary of State must be accomplished as required by the California Corporations Code promptly after issuance of this Certificate of Authority. Failure to do so will be a violation of Insurance Code Section 701 and will be 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 39391
CALIFORNIA
DEPARTMENT OF INSURANCE
COMPANY PROFILE
Company Profile
Company Search Company Information
Resusy Search EVEREST NATIONAL INSURANCE COMPANY
Gormation 100 EVEREST WAY
WARREN, NJ 07059
Old Company 800-438-4375
Names
Agent for Service Old Company Names Effective Date
Reference
Information DRYDEN GUARANTY INSURANCE COMPAN 10/20/1993 NAIC Group List PRUDENTIAL NATIONAL INSURANCE COMPANY 06/17/1996 Lines of Business Agent For Service
Workers
Compensation Melissa DeKoven
Complaint and 2710 Gateway Oaks Drive, Suite 150N
Request for Sacramento CA 95833-3505
Action/Appeals
Contact Informatior
Reference Information
Pancel statements
Annual Statements NAIC #: |10120
Quarterly
Statements California Company ID #: 3138-5
Company Complaint Date Authorized in California: 03/02/1988 Company
rformance License Status: UNLIMITED-NORMAL
imparison Da
mpa Company Type: Property & Casualty
forcement Acti
State of Domicile: DELAWARE
Composite
Complaints Studies
Additional Info back to top
ind A Compan
epresentative i
Your Area NAIC Group List
/iew Financia
isclaime NAIC Group #: 1120 EVEREST REINS HOLDINGS GRP
Lines Of Business
For an explan is an of rized to es acts, please within these lies of insurance.
AIRCRAFT
AUTOMOBILE
BOILER AND MACHINERY
BURGLARY
COMMON CARRIER LIABILITY
FIRE
LIABILITY
MARINE
MISCELLANEOUS
PLATE GLASS
SPRINKLER
SURETY
TEAM AND VEHICLE
WORKERS' COMPENSATION
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© 2008 California Department of Insurance
Everest National Insurance Company
(NAIC #10120)
BUSINESS ADDRESS: 100 Everest Way, Warren Corporate Center, Warren, NJ 07059.
PHONE: (908) 604-3000.
UNDERWRITING LIMITATION b/: $20,477,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA,
KS, KY, LA, ME, 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.
BIDDER'S INFORMATION AND CERTIFICATION
Bid #CIP-24-25-MO157SS
2024-25 Slurry Seal Project
City Project No. MO157
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
The certet in an ears on or or electra al ers to an are enter ner 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: Amencan Asphalt South, Inc
2990 Myers Street, Riverside, cA 92503
Business Address:
(909) 421-8226
Telephone No.:
184969 A
State CONTRACTOR's License No. & Class: -
1000000645
DIR No.:
0925/2000 Expiration Date: 07/30/2026
Original Date:
The following are the names, titles, addresses, and phone numbers of all individuals, firm members, partners, joint ventures, and/or corporate officers having a principal interest in this proposal:
Jeff letty-Prerident
Tim Griffin- Vice Resident
Tyler Stender-Secretary
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/t
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 /6 day of All/2025.
BIDDER:
Signature
Jeff letty, , President
Name and Title of Signatory
Amencan As phalt South, In
Legal Name of Bidder
2r97o Myers St, Qwerride, c1 92503
Address
(909) 427-8276 943324781
Telephone Number Federal Tax I.D. No.
BID SCHEDULE
Bid #CIP-24-25-MO157SS
2024-25 Slurry Seal Project
City Project No. MO157
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.
BIDDER must hold pricing for one hundred twenty (120) days following the bid due date. In the event a final contract has not been awarded within this period, the City reserves the right to negotiate extensions to this period. 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 DESCRIPTION QTY UNIT UNIT PRICE TOTAL
NO.
Mobilization, Bonds & Insurance LS $ 50,000.00 $ 50,000,00 1 2. Traffic Control $/10,000,00 $ 110,000.00
1 LS
3. Storm Water Pollution Control Program $ 2,500,00 $ 2,500.00 1 LS
4. Crack Seal & Slurry Seal (Type I) $ 451.60 $ 823,680,00 1,800 TN
Crack Fill & Double Seal Coat $ 0.40 $ 43,604,00
109,010 SF
4" Remove and Replace $ 8,50 $ 195,940.00
6. 18,240 SF
7. AC Fill $ 3,900.00 $ 3,500.00
1 Grind AC Flush (Allowance) $ 6.60 $ 15,939.00
8. 2,415 LF
Lower Water Valve Covers $ 1,100,00 $ 2,200.00
2 EA
10. Adjust Water Valve Cover Finish Grade $ 1,100.00 $ 2,200.00 2 EA
11. Lower Manhole Covers $ 2,200,00 $ 4,400.00
2 EA
12. Adjust Manhole Cover Finish Grade $ 2,200.00 $ 4,400.00 2 EA
13. 12" White Crosswalk / Limit Line (Thermo) $ 4,40 $ 5,302.00 1,205 LF
14. 12" Yellow Line (Thermo) $ 4.40 $ 5,016.00
1,140 LF
15. 24" Yellow Crosswalk Line (Thermo) $ 2.30 $ 11,465.30 1,489 LF
16. White Parking Stall Striping $ 35,20 $ 2,886.40
82 EA
17. Speed Bump Striping 13 $ 242.00 $ 3,148.00
EA
18. Install Blue RPM @ Fire Hydrant $ 22.50 $ 1,650.00
60 EA
19. Striping Detail #1 (Thermo) $ 0.88 $ 6,202.84
5,918 LF
20. Striping Detail #22 (Thermo & Markers) $ 1,21 $ 11,888.25 9,825 LF
21. Striping Detail #38 (Thermo) $ 1.98 $ 2,118.60
1,070 LF
22. Striping Detail #39 (Thermo) $ 0,88 $ 10,322.60
11,795 LF
Striping Detail #39A (Thermo) $ 0.88 $5,181.60
23. 5,895 LF
24. Arrow Type I (L/R) (Thermo) $ 182.00 $ 2,618.00
14 EA
Arrow Type IV (L/R) (Thermo) $ 121.00 $ 2,420.00
25. 20 EA
26. Arrow Type VII (L/R) (Thermo) $ 389.00 $ 1,540.00
4 EA
27. Arrow Type VIII (Thermo) $ 440.00 $ 880.00
2 EA
28. "STOP" Legend (Thermo) $ 250.00 $ 6,150.00
23 EA
29. "25" Legend (Thermo) $ 165.00 $ 825.00
5 EA
"PED" Legend (Thermo) $ 150.00 $ 450.00
30. 3 EA
"SLOW" Legend (Thermo) $ 200.00 $ 600,00
31. 3 EA
"SCHOOL" Legend (Thermo) $ 300,00 $ 1,800.00
32. 6 EA
33. "XING" Legend (Thermo) $ 200,00 $ 1,200.00
6 EA
"AHEAD" Legend (Thermo) $ 250.00 $ 2,250.00
34. EA
35. "BUMP" Legend (Thermo) $ 220.00 $ 5,220.00
26 EA
"Bike Lane Arrow" Legend (Thermo) $ 239.00 $ 2,950.00
36. 10 EA
37. "HEADS UP" Legend (Thermo) $350.00 $1400.00
4 EA
TOTAL BASE BID AMOUNT: $1,31,013.59
TOTAL BASE BID AMOUNT IN WORDS: One Milion, three hundred serenteen. thowand, thirteen & %oo dollars
CERTIFICATION OF NON-SEGREGATED FACILITIES
Bid #CIP-24-25-M0157SS
2024-25 Slurry Seal Project
City Project No. MO157
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, 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.priorto.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.
Amenan Aighalt Sata Inc
BIDDER
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-24-25-M0157SS
2024-25 Slurry Seal Project
City Project No. MO157
City of Santa Clarita, California
vith NA. Add addt. sheets if needec
Subcontractor DIR Registration No.* ollar Value of Wor
Onyx Paving Company, Ix. 1000004798 10349000
Location and Place of Business
2890 E. La resta Ave., Anaheim, CA 92806
Bid Schedule Item No's:
1-2,6-12
License No Exp. Date: Phone ()
630360 10/31/2025 (214) 632-6699
Subcontractor DIR Registration No.* Dollar Value of Work Luktes Striping, Inc. 1000003491 4 39,429.25
Location and Place of Business
2060 Emery Ave., La Habra, CA 90631
Bid Schedule Item No's: Description of Work
Double Seal Coat
License No. Exp. Date: Phone ()
922425 09/30/2026 (214) 352-7005
Subcontractor DIR Registration No.* Dollar Value of Work PCI 1000813596 $100.281.90
Location and Place of Business
975 W. 1st street, Azusa, CA 91202
Bid Schedule Item No's: Description of Work Partia / Modihzasn and Fratte Cortol, 12,13-37 Replace striping, Martings and Markers
License No. Exp. Date: Phone ()
415490 01/31/2025 (562)218-0504
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 awarded. *Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.
IRAN CONTRACTING ACT CERTIFICATION
(Public Contract Code Sections 2200 et seq.)
Bid #CIP-24-25-MO157SS
2024-25 Slurry Seal Project
City Project No. M0157
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 seq.) is true and correct:
Proposer is not:
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
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
American Asphalt South, Inc.
Firm
4-16-25 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 $250,000 or twice the Contract amount, termination of the Contract and/or ineligibility to bid on contracts for three years.
END OF DOCUMENT
NON-COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106) Bid #CIP-24-25-M0157SS
2024-25 Slurry Seal Project
City Project No. MO157
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-24-25-MO157SS
2024-25 Slurry Seal Project
City Project No. MO157
City of Santa Clarita, California
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
Jeff Petty being first duly sworn deposes and says that he/she is the President _ (sole owner, a partner, president,
mencan As phalf South, Inc. 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, orto 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 President
PROPOSAL FORM
Bid #CIP-24-25-MO157SS
2024-25 Slurry Seal Project
City Project No. MO157
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 Asphalf South, Inc.
Company Address: 2990 Myers Street
Riverside, cA 92503
(909) 427-8226
Phone:
Teffgeamaicanasphatsoctt.com
Email:
By: Jeff letty
Print Name
President
Title:
Signature: Gast
416-25
Date:
REFERENCES
Bid #CIP-24-25-M0157SS
2024-25 Slurry Seal Project
City Project No. MO157
City of Santa Clarita, California
1. See Attached List
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
Name and Address of Owner / Agency
Name and Telephone Number of Person Familiar with Project Contract Amount Type of Work Date Completed
bidder intends to procure insurance bonds: Ther intends to reurensurancesses, and telephone numeheof all brokers and sureties from whom
REFERENCE LIST
AGENCY/CONTACT PROJECT NAME DOLLAR AMOUNT DATE COMPLETED COUNTY OF VENTURA PAVEMENT RESURFACING SANTA ROSA VALLEY $2,047,198.90 Jan-24 TERRY SMITH AREA; CONTRACT NO. RD24-01
(805)654-4789
CITY OF VENTURA PAVEMENT MAINTENANCE 2021/22; STREET $818,035.63 Jan-24 MARK GARCIA SLURRY SEAL SPEC NO. 2022-036
(805)658-4789
CITY OF ONTARIO 2023 STREET MAINTENANCE SLURRY SEAL, $1,581,917.07 Mar-24
YESANIA LOPEZ CAPE SEAL AND CDBG PAVEMENT MANAGEMENT
(909)395-2103 REHAILITATION
CITY OF TEMECULA CITYWIDE SLURRY SEAL PROGRAM FY 2022-23 $2,366,610.43 Mar-24
EMALEE SENA
(951)506-5171
CITY OF EASTVALE 2023 RESIDENTIAL SLURRY SEAL PROJECT $2,885,903.52 Apr-24
JIMMY CHUNG
(951)703-4492
PAUL HENDERSO GRANDE 2022 SLURRY SEAL PROJECT $1,431,609.48 May-24 (805)473-5466
CITY OF MISSION VIEJO 2023 RESIDENTIAL SLURRY $843,594.31 Apr-24
RICHARD SCHLESINGER
(949)470-3079
CITY OF P.V. ESTATES FY 22/23 SLURRY SEAL PROJECT $541,875.78 Jan-24
MONICA PANGCO
(951)475-3625
CITY OF PASO ROBLES EASTSIDE SLURRY SEAL ZONE F $166,005.00 Apr-24
DITAS ESPERANZA
(805)237-3861
REFERENCE LIST
AGENCY CONTACT PROJECT NAME DOLLAR AMOUNT DATE COMPLETED CITY OF HUNTINGTON BEACHZONE 2 SLURRY SEAL PROJECT $879,600.00 Sep-24
DERRECK LIVERMORE
(714)374-1732
CITY OF LAKE FOREST SLURRY SEAL FOR NON ARTERIAL STREETS $1,172,943.15 May-24
TAYLOR ABERNATHY ZONE A AND LAKE FOREST SPORTS PARK
(949)461-3400
CITY OF LA MESA 20CATIUNS, BID NO 24-1ECT VARIOUS $2,058,646.56 Jun-24
TRISTENLEGER
(630)437-0484
TOWN OF YUCCA VALLEY 2024 TOWNWIDE CRACK FILL/ SLURRY SEAL/ $1,790,364.23 Jul-24
ALEX QISHTA CAPE SEAL PROJECT
(760)369-6579
CITY OF SAN JACINTO AD 2003-1; 2023 MAINTENANCE CYCLE $3,555,758.17 Jul-24
STUART MCKIBBIN
(951)654-3592
CITY OF ARCADIA 2023/24 ANNUAL SLURRY SEAL PROJECT $1,183,595.09 Jul-24
JAN BALANAY
(626)254-2726
CITY OF POMONA STREET PRESERVATION CITYWIDE FY 23/24 $2,018,929.24 Jul-24 MICHAELLEE PROJECT NO. 428-69720
(909)532-5061
CITY OF SAN FERNANDO FY 2023/24 PHASE 3 ANNUAL STREET $1,717,933.00 Sep-24
MANUEL FABIAN RESURFACING PROJECT
(818)898-1243
CITY OF SANTA CLARITA 2022/23 ANNUAL SLURRY SEAL $753,092.17 Sep-24 RAMIRO FUENTES PROJECT NO. M0149SS
(661)857-1211
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 NATIONAL INSURANCE COMPANY
100 EVEREST WAY, WARREN CORPORATE CENTER
WARREN, NJ 07059
(908)604-3000
INSURANCE AGENT: INTERWEST INSURANCE SERVICES, INC.
368 E. YOSEMITE AVENUE, SUITE 100
MERCED, CA 95340
(209)724-2324