PROPOSAL FORM
Bid #TTP-24-25-C3022
HSIP Class II Buffered Bike Lanes
City Project No. C3022
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.
SPECARED PALMENT MARVISO
Company Name:
1186 BRANED S5.
Company Address:
SuN VALET CA. 91352
Phone: 28 834-8199
Email:
DENNIS STERNAL
By:
Print Name
Title:
Signature:
5-30-25
Date:
NOTICE TO BIDDERS REGARDING CONTRACTUAL REQUIREMENTS
Bid #TTP-24-25-C3022
HSIP Class II Buffered Bike Lanes
City Project No. C3022
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.
The City reserves the sole right to accept or reject any requests for modifications to these terms.
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 CGL 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.
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.
Date: 5-30-25
Authorized Signature:
Printed Name: DENNIS STEROAtL
BID SCHEDULE
Bid #TTP-24-25-C3022
HSIP Class I! Buffered Bike Lanes
City Project No. C3022
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.
All bids, including all pricing, shall be effective/valid for a minimum period of 120 calendar days after the date of bid closing. 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.
1. MOBILIZATION
1 LS 10, 005- 10d00 -
PREPARATION AND IMPLEMENTATION OF
2. BEST MANGEMENT PRACTICES 1 LS
1,000- 1,000 -
TRAFFIC CONTROL
1 LS 31,500 -
31,500 -
REMOVE EXISTING STRIPING/RPM
66529 LF •50 33,264.50
5. REMOVE EXISTING PAVEMENT MARKING
2376 SQFT 3.50 8316 -
6. INSTALL DETAIL 9
10730 LF ,75 8047,50
7. INSTALL DETAIL 12
9211 LF • 75 6805.25
8. INSTALL DETAIL 19
467 LF 1.75 811.25
9. INSTALL DETAIL 22
2341 LF 2- 4682 -
10. INSTALL DETAIL 27B
19340 LF • 60 11, 60t -
INSTALL DETAIL 27C 134 LF , 40
11. 80.40
12. INSTALL DETAIL 29 4362 LF 4-
12,448 -
INSTALL DETAIL 32 3.50
13. 5113 LF 12,595.50
14. INSTALL DETAIL 37B 2930 LF 4395-
1.50 15. INSTALL DETAIL 38 2471 LF 1.75 4324,25
16. INSTALL DETAIL 38A 902 LF 1.50
1353-
INSTALL DETAIL 38B Les-
17. 100 LF 2 -
INSTALL DETAIL 39
18. 19628 LF , 60 11,226,80
19. INSTALL DETAIL 39A 4715 LF • 60
2571 -
20. INSTALL DETAIL 40 160 LF 3 -
480 -
21. INSTALL DETAIL 41 142 LF 426-
3 -
22. INSTALL LIMIT LINE LF
358 3.50 1253 -
INSTALL 12" CHEVRON/DIAGONAL HATCH
23. 1622 LF 3.50 5677 -
24. INSTALL 12" CROSSWALK 555 LF 3,58 1942.50
25. INSTALL "STOP" PAVEMENT MARKING
7 EA 225 -
1,525 -
INSTALL "STOP AHEAD" PAVEMENT
26. MARKING 6 EA 500- 3,000 -
INSTALL BIKE LANE SYMBOL AND ARROW
27. MARKING 65 EA 325- 21,125-
INSTALL TYPE I ARROW PAVEMENT
28. MARKING 5 EA 175- 875-
INSTALL TYPE IV ARROW PAVEMENT
29. MARKING 47 EA 175- 5225-
INSTALL TYPE VII ARROW PAVEMENT
30. 3 EA 350-
MARKING 1870-
FURNISH AND INSTALL CUSTOM CITY SIGN
31. ON POST 2 EA 450- 900-
REMOVE EXISTING SIGN los -
32. 1 EA 100-
33. FURNISH AND INSTALL SIGN AND POST 6 EA 405- 2Y00 -
34. FURNISH AND INSTALL SIGN 150 -
32 EA
4805 -
35. RELOCATE EXISTING SIGN EA | 200- 200-
1 TOTAL BASE BID AMOUNT: 230,469,95
TOTAL BID AMOUNT IN WORDS: TWO HUNDRED THIATY TOWAND,
FOUR HUNDRED SIX-MME DINARS +95/04 -
BIDDER'S INFORMATION AND CERTIFICATION
Bid #TTP-24-25-C3022
HSIP Class II Buffered Bike Lanes
City Project No. C3022
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.
SPECIAGZED PAVEMENT MARKING LLE
Bidder's Name:_
Business Address: 1186/ BRANARS ST, SUN VAURY, 4 91252
Telephone No.: 818 834 8129
854894 C-32
State CONTRACTOR's License No. & Class:
1000886659
DIR No.:
2056 4-38-26
Original Date: Expiration 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:
WARK PAGE - PRES.
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:
NA
All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows:
MA
IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals of all aforementioned principals this day of Mt 2025.
O- B
BIDDER:
Signature
DENIS STERNDALL - ESTARADA
Name and Title of Signatory
SPECKZED PAVEMENT MAHAND LE
Legal Name of Bidder
48 834-8999 91-1854057
Telephone Number Federal Tax I.D. No.
BIDDER'S QUESTIONNAIRE
Bid #TTP-24-25-C3022
HSIP Class Il Buffered Bike Lanes
City Project No. C3022
City of Santa Clarita, California
1. Submitted by. PELAZZED PAVEMENT MARNS CL 805 834-8199
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: State of Incorporation:
President's Name:
Vice-President's Name:
Secretary or Clerk's Name:
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 #TTP-24-25-C3022
HSIP Class II Buffered Bike Lanes
City Project No. C3022
City of Santa Clarita, California
Name of person holding CONTRACTOR's license: | MARK PiKE License number: 824894 Class: _ C32 Expiration Date: 4-30-26 D.I.R. Registration# 000886659
CONTRACTOR'S Representative: PENNS STERNOALL
Title: ESTIMATOR
Alternate:
Title:
6. List the major construction projects your organization has in progress as of this date:
A.
Owner:
Project Location: — CERE CITY
Type or Poet: PENDLE + PERKE STRAINS
B.
Owner:
project location: SMI VANE ME STARI
Type of Project: _ CITYWIDE
C.
Owner: LA COUNTY
Project Location:_
Type of Project: CURVE CANINE SENS
CERTIFICATION OF NON-SEGREGATED FACILITIES
Bid #TTP-24-25-C3022
HSIP Class Il Buffered Bike Lanes
City Project No. C3022
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.
SPECKUZED PAVEMENT MARKUMES LLL
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 # TTP-24-25-C3022
HSIP Class Il Buffered Bike Lanes
City Project No. C3022
City of Santa Clarita, California
Subcontractor DIR Registration No.* Dollar Value of Work NONE
Age of firm: DBE: Yes No Annual Gross Receipts:
Certifying Agency:
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 Age of firm: DBE: Yes No Annual Gross Receipts:
Certifying Agency:
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 Age of firm: Annual Gross Receipts:
Certifying seN:
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 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.
REFERENCES
Bid #TTP-24-25-C3022
HSIP Class II Buffered Bike Lanes
City Project No. C3022
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:
1. CIN OF SANTA ARTA 23220 VALENKA BUD
Name and Address of Owner / Agency
(ERVEN TARAMILA 661 510-1132
Name and Telephone Number of Person Familiar with Project (35 K BIKE LANES 2022
Contract Amount Type of Work Date Completed
CITY OF SIML VAVEY 2929 TAPO CUN RA.
Name and Address of Owner / Agency
JUsTW LINK 805 583-6884
Name and Telephone Number of Person Familiar with Project 2тok CITY RESTRIDIS MALS 202X
Contract Amount Type of Work Date Completed
(121 OF (6) ANGELES 11E. 75 S.
3. Name and Address of Owner / Agency
VIRAMUTES 213 216-6235
Name and Telephone Number of Person Familiar with Project 4,000.600 AMA STRIPeS MART. ON SOME
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:
LICKTON 713458-5334
NKK PATETTA
GOVERNMENT-WIDE DEBARMENT AND SUSPENSION (NONPROCURMENT) Bid #TTP-24-25-C3022
HSIP Class Il Buffered Bike Lanes
City Project No. C3022
City of Santa Clarita, California
Instructions for Certification: By signing and submitting this bid or proposal, the prospective lower tier participant is providing the signed certification set out below. (1) It will comply and facilitate compliance with U.S. DOT regulations, "Nonprocurement Suspension and Debarment," 2 CFR part 1200, which adopts and supplements the U.S. Office of Management and Budget (U.S. OMB) "Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement)," 2 CFR part 180,
(2) To the best of its knowledge and belief, that its Principals and Subrecipients at the first tier:
Are eligible to participate in covered transactions of any Federal department or agency and are not presently:
(1) Debarred,
(2) Suspended,
(3) Proposed for debarment,
(4) Declared ineligible,
(5) Voluntarily excluded, or
(6) Disqualified,
b. Its management has not within a three-year period preceding its latest application or proposal been convicted of or had a civil judgment rendered against any of them for:
Commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction, or contract under a public transaction,
(2) Violation of any Federal or State antitrust statute, or (3) Commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making any false statement, or receiving stolen property, C. It is not presently indicted for, or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses listed in the preceding subsection
2.b of this Certification,
It has not had one or more public transactions (Federal, State, or local) terminated for cause or default within a three-year period preceding this Certification, e. If, at a later time, it receives any information that contradicts the statements of subsections 2.a -
2.d above, it will promptly provide that information to FTA, f. It will treat each lower tier contract or lower tier subcontract under its Project as a covered lower tier contract for purposes of 2 CFR part 1200 and 2 CFR part 180 if it:
(1) Equals or exceeds $25,000,
(2) Is for audit services, or
(3) Requires the consent of a Federal official, and
g. It will require that each covered lower tier contractor and subcontractor:
(1) Comply and facilitate compliance with the Federal requirements of 2 CFR parts 180 and 1200, and
(2) Assure that each lower tier participant in its Project is not presently declared by any Federal department or agency to be:
a. Debarred from participation in its federally funded Project, b. Suspended from participation in its federally funded Project, c. Proposed for debarment from participation in its federally funded Project, d. Declared ineligible to participate in its federally funded Project, e. Voluntarily excluded from participation in its federally funded Project, or f. Disqualified from participation in its federally funded Project, and (3) It will provide a written explanation as indicated on a page attached in TA's TEAM-Web or the Signature Page if it or any of its principals, including any of its first tier Subrecipients or its Third Party Participants at a lower tier, is unable to certify compliance with the preceding statements in this Certification Group.
Certification
Contractor SPEVALZED PAVEMENT
Signature of Authorized Official - в. Date 523,25
Name and Title of Contractor's Authorized Official DENA> STERNDAL - ESTIMATO
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
Bid #TTP-24-25-C3022
HSIP Class Il Buffered Bike Lanes
City Project No. C3022
City of Santa Clarita, California
→ proposed subcontractor
* has not
Employment Opportunity, all reports that are under the applicable filing requirements.
Company: DECLAURED AVENG MANNE LL
By: DEMAR STERNDALL
Title: ESTIMATOR
Date: 5-30-25
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.
Proposed prime CONTRACTORS/BIDDER and subcontractors who have participated in a previous contract 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.
NON-COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106) Bid #TTP-24-25-C3022
HSIP Class II Buffered Bike Lanes
City Project No. C3022
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 pater deila ces that he bid iation, ade in then erest port on that one any in greciosed person. 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 #TTP-24-25-C3022
HSIP Class lI Buffered Bike Lanes
City Project No. C3022
City of Santa Clarita, California
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
DENIS STEENDAD
being first duly sworn deposes and says that he/she is
ESTINATU (sole owner, a partner, president, etc.) of
SPECALLED PREMEN
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 ESTMATOo
Bond No. Bid Bond
PROPOSAL GUARANTEE BID BOND
Bid #TTP-24-25-C3022
HSIP Class It Buffered Bike Lanes
City Project No. C3022
City of Santa Clarita, California
KNOW ALL PERSONS BY THESE PRESENTS that Specialized Pavement Marking, LLC - as BIDDER, and Swiss Re Corporate Solutions America Insurance Corporation as SURETY, are held and firmly bound unto the Ten Percent of the Total Amount Bid 10% of the Total Amount Bid City of Santa Clarita, as CITY, in the penal sum of _ dollars (S. __, 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 19th _Day of May - 2025.
O_Be
CONTRACTOR: DENNIS STERDAT
Name and Title of Signatory Signature
Specialized Pavement Marking, LLC
Legal Name of Bidder
11861 Branford St, Sun Valley, CA 91352
Bidder Address
503-885-0420 91-1854057
Telephone Number Federal Tax I.D. No.
Swiss Re Corporate Solutions America Insurance Corporation SURETY*:
Name KD Wapato, Attorney-in-Fact
(816) 235-3700, [email protected]
Phone Number and Email
1200 MAIN ST. SUITE 800, KANSAS CITY, MO 64105 - 2478
Address
*Provide BIDDER and SURETY name, phone number, email, and the name, title, address, and phone number for authorized representative. IMPORTANT - Surety Companies executing Bonds must appear on the Treasury Department's most current list (Circular 570, as amended) and be authorized to transact business in the State where the project is located.
Surety signatures must be notarized prior to submittal.
ALL-PURPOSE 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, or validity of that document.
State of Arizona
County of Maricopa
On 5:19. 2025 before me, Jaren A. Marx. Notary Public, personally appeared KD Wapato who proved to me on the basis of satisfactory evidence to be the personts) whose namefs) is/are subscribed to the within instrument and acknowledgment to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of Arizona that the foregoing paragraph is true and correct.
BE TER STAR JAREN A MARX
Notary Public - Arizona
Maricopa County Witness my hand and official seal.
My Commission Expires
02/19/2028
Commission # 662868
Signature Quen A Marx
Jaren A. Marx, Notary Public
SWISS RE CORPORATE SOLUTIONS
SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION F/K/A NORTH AMERICAN SPECIALTY INSURANCE COMPANY ("SRCSAIC") SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION F/K/A WASHINGTON INTERNATIONAL INSURANCE COMPANY ("SRCSPIC") WESTPORT INSURANCE CORPORATION ("WIC")
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT SRCSAIC, a corporation duly organized and existing under laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, and SRCSPIC, a corporation organized and existing under the laws of the State of Missour and having its principal office in the City of Kansas City, Missouri, and WIC, organized under the laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, each does hereby make, constitute and appoint:
JANINA MONROE, TIMOTHY J. NOONAN, MICHELLE HAASE, MARTHA BARRERAS, CHARLES R. TETER III, JENNIFER G. OCHS, ADRIANA VALENZUELA, SARAH CAMPBELL, B. ALEMAN, ERIN BROWN, D. GARCIA, SIMONE GERHARD, EDWARD C. SPECTOR, ETHAN SPECTOR, MARINA TAPIA, KD WAPATO, RACHEL A. MULLEN and SHAWNDRAE N. JOHNSTON JOINTLY or SEVERALLY Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the FIFTY MILLION ($50,000,000.00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both SRCSAIC and SRSPIC at meetings duly called and held on the 18th of November 2021 and WIC by written consent of its Executive Committee dated July 18, 2011.
*RESOLVED, that any two of the President, any Managing Director, any Senior Vice President, any Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Corporation may be affixed to any such Power of Attorney 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 binding upon the Corporation when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." CORPORAT By
Erik Janssens, Senior Vice President of SRCSAIC & Senior Vice President of SRCSPIC & Senior Vice President of WIC
SEAL SEAL
1973
By.
Gerald Jagrowski, Vice President of SRCSAIC & Vice President of SRCSPIC & Vice President of WIC
IN WITNESS WHEREOF, SRSAIC, SRCSPIC, and WIC have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers
this 29TH day of APRIL → 2022
Swiss Re Corporate Solutions America Insurance Corporation State of Illinois Swiss Re Corporate Solutions Premier Imsurance Corporation County of Cook Westport Insurance Corporation
On this 29TH day of. APRIL -, 20 22 - before me, a Notary Public personally appeared Erik Janssens, Senior Vice President of SRCSAIC and Senior Vice President of SRCSPIC and Senior Vice President of WIC and Gerald Jagrowski, Vice President of SRSAIC and Vice President of SPCSPIC and Vice President of WIC, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies.
YASMIN A PATEL
OFFICIAL SERE
May 13. 3621
Yasmin A. Patel, Notary
I, Jeffrey Goldberg, the duly elected Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and WIC, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said SRSAIC and SRCSPIC and WIC, which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 19th day of, May _ 20 25.
Jeffrey Goldberg, Senior Vice President &
Assistant Secretary of SRCSAIC and
SRCSPIC and WIC