Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-1 of 30 Issued for Bid: 2/24/2026
CITY OF SOUTH SAN FRANCISCO
ORANGE MEMORIAL PARK RESTROOM RENOVATION
PROJECT NO. PR-OMP 2026, BID NO. 2413
FEDERAL AID PROJECT NO. PR-OMP 2026
PART I – PROPOSAL
PROPOSAL FORMS
FORM OF AGREEMENT FOR PUBLIC IMPROVEMENTS
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-2 of 30 Issued for Bid: 2/24/2026
TABLE OF CONTENTS
PROPOSAL FORMS TO SUBMIT WITH BID ............................................................................ 3 o PROPOSAL .................................................................................................................... 3 o COMPANY PROFILE AND INFORMATION ............................................................. 6 o REFERENCES FOR PRIME CONTRACTOR/BIDDER ............................................. 7 o SECTION 3 COMPLIANCE DECLARATION ............................................................ 8 o EXHIBIT 12B – BIDDER’S LIST OF SUBCONTRACTORS ..................................... 9 o DESIGNATION OF SUBCONTRACTORS ............................................................... 10 o WORKER’S COMPENSATION CERTIFICATION .................................................. 11 o NON-COLLUSION DECLARATION ........................................................................ 12 o DEBARMENT AND SUSPENSION CERTIFICATION ........................................... 13 o EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION ................................ 14 o CERTIFICATE OF NON-DISCRIMINATION .......................................................... 15 o NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS ............. 16 o DISCLOSURE OF LOBBYING ACTIVITIES ........................................................... 17 o BID PROTESTS ........................................................................................................... 18 o BID BOND ................................................................................................................... 20 FORMS DUE FROM BIDDERS WITHIN FIVE DAYS OF BID OPENING ........................... 22 o EXHIBIT 15-G CONSTRUCTION CONTRACT DBE COMMITMENT ................. 22 o EXHIBIT 15-H PROPOSER/CONTRACTOR GOOD FAITH EFFORTS ................ 22 o EXHIBIT 16-B SUBCONTRACTING REQUEST ..................................................... 22 FORMS TO BE SUBMITTED BY SUCCESSFUL BIDDER .................................................... 23 o CONTRACTOR’S PAYMENT BOND ....................................................................... 23 o FAITHFUL PERFORMANCE BOND ........................................................................ 26 o GUARANTY BOND .................................................................................................... 28 o CERTIFICATE OF INSURANCE ............................................................................... 30 o FORM W-9 REQUEST FOR TAXPAYER ID NUMBER .......................................... 30 o FORM 590 WITHOLDING EXEMPTION CERTIFICATE ....................................... 30 o COPY OF CURRENT SSF BUSINESS LICENSE ..................................................... 30 Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-3 of 30 Issued for Bid: 2/24/2026
PROPOSAL FORMS TO SUBMIT WITH BID
PROPOSAL
CITY OF SOUTH SAN FRANCISCO
ORANGE MEMORIAL PARK RESTROOM RENOVATION
PROJECT NO. PR-OMP 2026, BID NO. 2413
FEDERAL AID PROJECT NO. PR-OMP 2026
This Bid is Submitted By:
_____________________________________________________________________________ Name of Prime Contractor Submitting Bid (Please print clearly) ______________________________________________________________________________ Name of Representative Submitting Bid (Please print clearly) ___________________
Date
To the Honorable City Council
City of South San Francisco
In submitting this proposal as herein described, the undersigned as a bidder, declares that he or she has thoroughly examined all of the contract documents herein contained in the addenda; that he or she has carefully examined the locations of the proposed work, the plans and specifications for the ORANGE MEMORIAL PARK RESTROOM RENOVATION, PROJECT NO. PR-OMP 2026, BID NO. 2413, SOUTH SAN FRANCISCO, CALIFORNIA, and hereby proposes to furnish all materials and do all work necessary and/or required to complete the work in accordance with the plans, special provisions, and specifications for the lump sum prices or bid prices set forth in the schedule below and forming a part of this proposal.
Bidder also declares that they have visited the site and become familiar with and satisfied themselves as to the surface and sub-surface general, local, and site conditions that may affect cost, progress, and performance of the Work.
Bidder has carefully studied all on-site conditions and all drawings of physical conditions in or relating to existing surface or subsurface structures at the site, including the existing site conditions.
By submitting this Bid, the bidder acknowledges, and is fully aware, that all building and sitework construction inspections on this project shall be coursed through the City of South San Francisco Building Division (“Division”). The Division shall perform all necessary building and site-work inspections on the project pursuant to the City’s local ordinance and the California Building Codes.
BEAM Construction
Michelle Dolan
2/24/26
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-4 of 30 Issued for Bid: 2/24/2026 Bidder is familiar with and has satisfied itself as to all Federal, State, and local laws and regulations and permits that may affect cost, progress and performance of the work.
The undersigned further proposes that if this proposal is accepted, he or she will execute a contract with the City of South San Francisco, in the form of Agreement for Public Improvements to furnish all materials, to provide a superintendent and all labor, equipment and expenses of whatever nature necessary to construct the work in conformity with the plan, specifications, and other contract provisions herein contained, or reasonably implied as necessary to complete the work in a manner satisfactory to the City Engineer.
Bids must be for the entire work. The estimated quantities are given only for the purpose of comparing of bids. The City of South San Francisco does not expressly or by implication agree that the actual amount of work will correspond with these quantities and reserves the right to increase or decrease the amount of any class or portion of the work or omit portions of the work, as it may deem necessary or desirable.
For each bid item, the bidder shall set forth, via the electronic pricing table found within OpenGov.
In the case of unit-priced items, the amount set forth under the total column shall be the extension of the unit-price bid for the estimated quantity for the item.
The City reserves the right to reject any and all proposals and/or waive any irregularity in any proposal received. Unless otherwise required by law, no bidder may withdraw his proposal for a period of ninety (90) calendar days after the date set for receipt thereof.
The basis of the award shall be the lowest responsible bidder on the Total Base Bid. The City will determine which, if any, of the additive alternates will be awarded and constructed. The City reserves the right to reject any or all base bids and additive alternate work.
Complete bids shall be submitted for all items. A bidder’s bond, certified check or cash in the amount of ten percent (10%) of the sum total bid for all projects, payable to the City of South San Francisco, shall accompany the bid proposal, otherwise the bid shall not be considered valid.
All forms shall be completely filled out, signed and dated as indicated. All completed forms shall be submitted with this proposal.
The undersigned further agrees that in case of default in executing the required contract with necessary bond within ten (10) calendar days, not including Saturdays, Sundays, and holidays, after having received notice that the contract is ready for signature, the proceeds of the check or bonds accompanying this bid shall become the property of the City of South San Francisco. _____________________________________________________________________________ Signature and Title of Authorized Representative Submitting Bid ______________________________________________________________________________ Bidder Company Name
______________________________________________________________________________ Bidder Business Address
___________________
Date
BEAM Construction
2/24/26
234 Taraval St., San Francisco CA 94116
CFO
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-5 of 30 Issued for Bid: 2/24/2026 Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-6 of 30 Issued for Bid: 2/24/2026
COMPANY PROFILE AND INFORMATION
Bidder’s Name (Business/Firm Name):
Business/Firm Address:
Telephone Number: Fax Number:
E-Mail Address:
Type of Business: Individual ( ) Partnership ( ) Corporation ( ) Corporation organized under the laws of the State of
Contractors License Number: State:
Classification: Expiration Date:
DIR Registration No.: Expiration Date:
If bidder is a corporation, the legal name of the corporation shall be set forth together with the signature of the officer or officers authorized to sign contracts on behalf of the corporation; if bidder is part of a partnership, the true name of the firm shall be set forth together with the signature of the partner or partners authorized to sign contracts on behalf of the partnership; and if bidder is an individual, his or her legal name shall be set forth.
NAME/S AND TITLES OF ALL OFFICERS IN THE FIRM
BEAM Construction
234 Taraval St., San Francisco CA 94116
650-302-8600
[email protected]
x
CA
1079434 CA
B 8/31/2027
2000000284 6/30/2027
Brian Reilly
Edward Reilly
Aisling Crowley
Michelle Dolan
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-7 of 30 Issued for Bid: 2/24/2026
REFERENCES FOR PRIME CONTRACTOR/BIDDER
Company Name and
Address
Contact Person and
Phone Number
Type of Work Contract Amount
4332 24th David and Supkreet Residential Remodel $1,090,416 Terrace Fox Family
[email protected]
Residential Remodel $664,000
Alvarado Bettner Family
[email protected] Residential Remodel $1,403,816
St. Anne & St. Emydius Jim Sparber
815-529-0776
Green Infrastructure $1,927,393
Venetia Valley Bill Savage
510-610-0601
Bathroom addition $1,255,000
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-8 of 30 Issued for Bid: 2/24/2026 SECTION 3 COMPLIANCE DECLARATION
As a minimum requirement for consideration of contract award, bidders/proposers shall declare their intent to comply with Section 3 (24 CFR 75) of the Housing and Urban Development Act of 1968, as amended. The bidder/proposer is obliged, to the greatest extent feasible, to give opportunities for training and employment to low-income and very low-income persons residing in the service area or neighborhood in which the covered Section 3 project/service is located, and/or to award subcontracts to other Section 3 business concerns that provide economic opportunities for Section 3 workers and Targeted Section 3 workers.
The undersigned bidder/proposer agrees that, as a condition of responsiveness to the solicitation and prior to recommendation for contract award, they will agree to comply with the Section 3 requirements by including the Section 3 contract language in the contract, by meeting the Section 3 benchmarks to the greatest extent feasible, and by reporting all accomplishments and providing all required documentation on a quarterly basis for the duration of the contract.
The Section 3 benchmarks apply to all Section 3 covered contracts as follows:
• Section 3 workers: 25% or more of the total number of labor hours worked by all workers employed on a Section 3 project; and
• Targeted Section 3 workers: 5% or more of the total number of labor hours worked by all workers employed on a Section 3 project (included as part of the 25% Section 3 worker benchmark above)
Failure to agree to comply with the Section 3 requirements and reporting obligations shall be grounds for determining the bidder/proposer non-responsive, and no further consideration for contract award shall be granted.
I declare under penalty of perjury under the laws of the State of California that we agree to comply with the Section 3 requirements as stated above. _____________________________________________________________________________ Signature and Title of Authorized Representative of Bidder ______________________________________________________________________________ Bidder Company Name
___________________
Date
BEAM Construction
2/23/26
CFO
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-9 of 30 Issued for Bid: 2/24/2026 EXHIBIT 12B – BIDDER’S LIST OF SUBCONTRACTORS
(fillable form at https://dot.ca.gov/programs/local-assistance/forms/local-assistance-procedures-manual-forms) Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-10 of 30 Issued for Bid: 2/24/2026
DESIGNATION OF SUBCONTRACTORS
Pursuant to the provisions of Sections 4100 to 4113 inclusive, of the Government Code of the State of California, the Contractor shall not, without the consent of the City of South San Francisco, either:
(a) Substitute any person or subcontractors in place of the subcontractors designated in his or her original bid.
(b) Permit any subcontract to be assigned or transferred, or allow it to be performed by anyone other than the original subcontractor listed in the bid. (c) Sublet or subcontract any portion of the work in excess of one-half (½) of the one percent (1%) of his bid as to which his original bid did not designate a subcontractor.
Should the Contractor violate any of the provisions of said Government Code Sections 4100 to 4113, inclusive, his or her so doing shall be deemed a violation of this Contract, and the City may cancel the Contract. In the event of such violation, the Contractor may be penalized to the extent of ten percent (10%) of the amount of the subcontract involved.
Note: Not less than fifty percent (50%) of the contract work shall be done by the Prime Contractor, also typically referred to as the Bidder.
No. (a) Name of Sub-Contractor (c) License No. & Exp. Date (e) Description of Work (b) Address of Sub-Contractor (d) Sub-Contractor DIR No. (f) % and Value of Work 1 (a) (c) (e)
(b) (d) (f)
2 (a) (c) (e)
(b) (d) (f)
3 (a) (c) (e)
(b) (d) (f)
4 (a) (c) (e)
(b) (d) (f)
5 (a) (c) (e)
(b) (d) (f)
_____________________________________________________________________________ Signature and Title of Authorized Representative of Bidder ______________________________________________________________________________ Bidder Company Name
___________________
Date
BEAM Construction
2/24/26
CFO
Eoin De Barra Plumbing
1001173276
1033633 2/29/28 Plumbing
1420 Crespi Dr, Pacifica
Kevin Reilly Electric 881461 8/31/26
29 Brookdale Ave. San Rafael 1000563475
Electric
25%
8%
OT Epoxy Floors
1001058825
1127401 10/31/26 flooring
Spring Valley 3%
$47,800
$18,000
$6,707.61
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-11 of 30 Issued for Bid: 2/24/2026 WORKER’S COMPENSATION CERTIFICATION
I certify, by my signature below, that I am aware of the provisions of Section 3700 of the California Labor Code. §3700 requires every employer be insured against liability for worker’s compensation or to undertake self-insurance in accordance with the provisions of that code. I further certify that I will comply with such provisions before commencing the performance of the work of this contract.
Date: Project Number: PR-OMP 2026
Project Name: Orange Memorial Park Restroom Renovation
Company Name:
Address:
Print Name:
Title:
Signature:
2/24/26
BEAM Construction
234 Taraval St., San Francisco CA 94116
Michelle Dolan
CFO
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-12 of 30 Issued for Bid: 2/24/2026
NON-COLLUSION DECLARATION
The undersigned declares:
I am the _______________________ [ Insert Title] of ______________________________, [Insert name of company, corporation or joint venture] the party making the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham.
The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true.
The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on ___________________[date], at _________________________[city], ________[state].
_____________________________________________________________________________ Signature and Title of Authorized Representative of Bidder ______________________________________________________________________________ Bidder Company Name
___________________
Date
CFO BEAM Construction
CFO
BEAM Construction
2/24/26
2/24/26
San Francisco CA
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-13 of 30 Issued for Bid: 2/24/2026
DEBARMENT AND SUSPENSION CERTIFICATION
(Title 48, Code of Federal Regulations, Part 9, Subpart 9.4) The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager:
• Is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency;
• Has not been suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within the past 3 years;
• Does not have a proposed debarment pending; and
• Has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following space.
Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exceptions noted above, indicate below to whom they apply, the initiating agency, and the dates of action(s).
Note: Providing false information may result in criminal prosecution or administrative sanctions.
The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. _____________________________________________________________________________ Signature and Title of Authorized Representative of Bidder ______________________________________________________________________________ Bidder Company Name
___________________
Date
2/24/26
BEAM Construction
CFO
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-14 of 30 Issued for Bid: 2/24/2026
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
Bidder _________________________________________________________, proposed subcontractor __________________________________________________, hereby certifies that they have _____ /have not ______ participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, they have filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President’s Committee on Equal Employment Opportunity all reports due under the applicable filing requirements.
Note: The above certification is required by the Equal Employment Opportunity Regulations 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. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.
Proposed prime contractors 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)(2) prevents the award of contracts and subcontracts unless such contractor 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. _____________________________________________________________________________ Signature and Title of Authorized Representative of Bidder ______________________________________________________________________________ Bidder Company Name
___________________
Date
BEAM Construction
BEAM Construction
2/24/26
CFO
x
Eoin Debarra Plumbing
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-14 of 30 Issued for Bid: 2/24/2026
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
Bidder _________________________________________________________, proposed subcontractor __________________________________________________, hereby certifies that they have _____ /have not ______ participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, they have filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President’s Committee on Equal Employment Opportunity all reports due under the applicable filing requirements.
Note: The above certification is required by the Equal Employment Opportunity Regulations 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. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.
Proposed prime contractors 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)(2) prevents the award of contracts and subcontracts unless such contractor 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. _____________________________________________________________________________ Signature and Title of Authorized Representative of Bidder ______________________________________________________________________________ Bidder Company Name
___________________
Date
BEAM Construction
BEAM Construction
2/24/26
CFO
x
Kevin Reilly Electric
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-14 of 30 Issued for Bid: 2/24/2026
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
Bidder _________________________________________________________, proposed subcontractor __________________________________________________, hereby certifies that they have _____ /have not ______ participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, they have filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President’s Committee on Equal Employment Opportunity all reports due under the applicable filing requirements.
Note: The above certification is required by the Equal Employment Opportunity Regulations 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. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.
Proposed prime contractors 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)(2) prevents the award of contracts and subcontracts unless such contractor 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. _____________________________________________________________________________ Signature and Title of Authorized Representative of Bidder ______________________________________________________________________________ Bidder Company Name
___________________
Date
BEAM Construction
BEAM Construction
2/24/26
CFO
x
OT Epoxy
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-15 of 30 Issued for Bid: 2/24/2026
CERTIFICATE OF NON-DISCRIMINATION
"ON BEHALF OF the Bidder making this proposal, the undersigned certifies that there will be no discrimination in employment with regard to race, color, religion, sex, or national origin; that all Federal, State and local directives and executive orders regarding nondiscrimination in employment will be complied with; and that the principle of equal opportunity in employment will be demonstrated positively and aggressively."
_____________________________________________________________________________ Signature and Title of Authorized Representative of Bidder ______________________________________________________________________________ Bidder Company Name
___________________
Date
BEAM Construction
CFO
2/24/26
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-16 of 30 Issued for Bid: 2/24/2026
NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS
The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that:
(l) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. _____________________________________________________________________________ Signature and Title of Authorized Representative of Bidder ______________________________________________________________________________ Bidder Company Name
___________________
Date
BEAM Construction
2/24/26
CFO
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-17 of 30 Issued for Bid: 2/24/2026
DISCLOSURE OF LOBBYING ACTIVITIES
(fillable form at https://dot.ca.gov/programs/local-assistance/forms/local-assistance-procedures-manual-forms) Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-18 of 30 Issued for Bid: 2/24/2026
BID PROTESTS
Any protest of the proposed award of Contract to the Bidder with the lowest responsible bid must be submitted in writing to the Office of the City Engineer, 315 Maple Avenue, South San Francisco, California, 94080, no later than 5 p.m. of the third (3rd) business day following the date of the Bid Opening (“Bid Protest Deadline”). Email is not an acceptable form for a bid protest submission. All protests shall comply with the following procedures:
1. To be eligible to submit a bid protest, the party filing the protest must have actually submitted a bid on the Project. A subcontractor or supplier of a party filing a bid on this Project is not eligible to submit a bid protest. A party may not rely on the bid protest submitted by another Bidder, but must pursue its own protest in a timely manner as set forth herein.
2. The bid protest must be accompanied by a non-refundable bid protest filing fee in the amount of $2,000.00 in the form of a cashier’s check or certified check made out to “City of South San Francisco.” A protest that is submitted without this filing fee will be returned without further action or consideration.
3. The bid protest must contain a complete statement of the basis for the protest, as well as all documentation supporting or justifying the protest. The bid protest must refer to the specific portions of the Contract Documents upon which the protest is based. The bid protest must be notarized and signed under penalty of perjury. Material submitted after the Bid Protest Deadline will not be considered.
4. The protest must state the facts and refer to the specific portion of the document(s) or specifications or the specific statute that form the basis for the protest. The protest must include the name, address, email address, and telephone number of the person representing the protesting party, and the address to which notices should be directed.
5. The party filing the protest must concurrently transmit a copy of the initial protest to the Bidder who is the subject of the protest.
6. The Protested Bidder may submit a written response to the protest, provided the response is received by City before 5:00 p.m. two working days after the Bid Protest Deadline or after actual receipt of the bid protest, whichever is sooner.
7. The procedure and time limits set forth in this Section are mandatory and are the Bidder’s sole and exclusive remedy in the event of a bid protest. The Bidder’s failure to fully comply with these procedures shall constitute a waiver of any right to further pursue the bid protest, including filing of a challenge of the award pursuant to the California Public Contract Code, filing of a claim pursuant to the California Government Code, or initiation of any other legal proceedings.
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-19 of 30 Issued for Bid: 2/24/2026
8. The City shall review all timely protests prior to formal award of the Contract. At the time of the City Council’s consideration of the award of the Contract, the City Council may also consider the merits of any timely protests. The City Council may either accept the protest and award the Contract to the next lowest responsive and responsible Bidder, or reject the protest and award to the lowest responsive and responsible Bidder.
9. These bid protest procedures shall not limit the City Council’s ability to reject all bids.
_____________________________________________________________________________ Signature and Title of Authorized Representative of Bidder ______________________________________________________________________________ Bidder Company Name
___________________
Date
BEAM Construction
2/24/26
CFO
Orange Memorial Park Restroom Renovation
Proposal
Project No. PR-OMP 2026, Bid No. 2413 P-22 of 30
FORMS DUE FROM BIDDERS WITHIN FIVE DAYS OF BID OPENING
EXHIBIT 15-G CONSTRUCTION CONTRACT DBE COMMITMENT
(fillable form at https://dot.ca.gov/programs/local-assistance/forms/local-assistance-procedures-manual-forms) EXHIBIT 15-H PROPOSER/CONTRACTOR GOOD FAITH EFFORTS
(fillable form at https://dot.ca.gov/programs/local-assistance/forms/local-assistance-procedures-manual-forms) EXHIBIT 16-B SUBCONTRACTING REQUEST
(fillable form at https://dot.ca.gov/programs/local-assistance/forms/local-assistance-procedures-manual-forms)