HomeMy WebLinkAboutC28800E Free Right-turn Lane at Fred Waring x Hwy 111 658-08Contract No. C28800E
CITY OF PALM DESERT
PUBLIC WORKS DEPARTMENT
STAFF REPORT
REQUEST: AWARD CONTRACT NO. C28800E FOR CONSTRUCTION OF THE
FREE RIGHT TURN LANE AT FRED WARING DRIVE AND
HIGHWAY 111 PROJECT TO ALL AMERICAN ASPHALT OF
CORONA, CALIFORNIA, IN THE AMOUNT OF $313,765 (PROJECT
NO. 658-08)
SUBMITTED BY: Mark Greenwood, P.E., Director of Public Works
CONTRACTOR: All American Asphalt
400 East Sixth Street,
Corona, CA 92879
DATE: March 10, 2016
CONTENTS: Contract Agreement and Bonds
Contractor's Proposal
Vicinity Map
Recommendation
By Minute Motion:
1. Award Contract No. C28800E for construction of the Free Right Turn Lane at
Fred Waring Drive and Highway 111 Project to All American Asphalt of Corona,
California, in the amount of $313,765 (Project No. 658-08);
2. Authorize the Director of Finance to set aside a 10 percent contingency in the
amount of $31,376; and
3. Authorize the Mayor to execute the agreement.
Funding is available for this project in Account No. 2134384-4400100, Measure "A" Fund.
Background
In March 2008, the City was awarded federal Congestion Mitigation and Air Quality (CMAQ)
grants for eight projects. The Regional Transportation Improvement Program was
approved, which allows the City to proceed with the development of the projects. One of
these projects is the reconfiguration of the right turn lanes from westbound Fred Waring
Drive to northbound Highway 111. This project will eliminate the dual right turn lanes and
replace them with a single, unrestricted free right turn lane.
Staff Report
Award Contract C28800E to All American Asphalt, Inc. (Project 658-08)
Page 2 of 2
March 10, 2016
In December 2012, the City Council approved the appraisals and set just compensation for
the property acquisition required to construct the free right turn.
In September 2015, Caltrans authorized the construction phase of the project. Staff did not
want to construct during the winter season and opted to wait until summer of 2016.
A call for bids for the project was advertised, and on February 29, 2016, sealed bids were
opened and read aloud. The following is a summary of the bids received:
Contractor
Location
Bid Amount
All American Asphalt
Corona, CA
$313,765
Granite Construction
Indio, CA
$338,338
Atom Engineering
Hemet, CA
$374,962
Bids were verified and All American Asphalt submitted the lowest responsive bid.
Fiscal Analvsis
This project is primarily funded using a CMAQ grant. The CMAQ grant reimbursed the City
88.0 percent of the design costs and 88.8 percent of the right-of-way acquisition and
acquisition services. Caltrans will reimburse the City up to 100 percent of the construction
costs. The City will utilize Local Measure A funds to contribute the City's share of this
project.
Prepared By:
,) el Kdontalvo, P.E, Senior Engineer
Pa S. Gibson, Director of Finance
• 7"W-
JgiKrf M. Wohlmuth, City Manager
DeZw
Ma,..
Directorof P blic Works
CONTRACT NO. C28800E
AGREEMENT
THIS AGREEMENT is made and entered into this 10th day of March, 2016, by
and between City of Palm Desert, California, hereafter called "CITY" and All American
Asphalt hereinafter called "CONTRACTOR".
WITNESSETH
RECITALS:
CONTRACTOR has submitted to CITY its Contractor's Bid for the construction of CITY
Project,
1. FREE RIGHT TURN LANE AT FRED WARING DRIVE AND HIGHWAY 111,
CITY CONTRACT NO. C28800E, CITY PROJECT NO. 658-08, FEDERAL
PROJECT NO. CML 5414(008), in strict accordance with the Contract
Documents identified below, CITY has accepted said Bid.
2. CONTRACTOR states that it has re-examined its CONTRACTOR'S Bid and
found it to be correct, has ascertained that its Subcontractors are properly
licensed and possess the requisite skill and forces, has examined the site and
Contract in accordance with the Contract Documents for the money set forth in
its Bid to be paid as provided in the Contract Documents.
AGREEMENT:
IT IS AGREED BY THE PARTIES AS FOLLOWS:
1. Contract Documents: The entire contract consists of the following: (a) The
Agreement; (b) The Notice Inviting Bids; (c) The Instruction to Bidders; (d) The
Contractor's Bid; (e) The Bidder's Bond; (f) The Performance Bond; (g) The
Payment Bond; (h) The General Specifications; (i) The Special Provisions; 0)
The Standard Specifications as modified in other portions of the Contract
Documents; (k) The Plans; (1) Any Change Orders issued; (m) Any additional or
supplemental specifications, notices, instructions and drawings issued in
accordance with the provisions of the Contract Documents (n) The Determination
of Prevailing Wage Rates for Public Work,(o) Disadvantaged Business Enterprise
Documents, (p) Federal Requirements for Federal Aid Construction Projects (q)
Addenda No(s) 1. All of said Documents presently in existence are by this
reference incorporated herein as if here set forth in full and upon the proper
issuance of their documents they shall likewise be deemed incorporated.
2. Contractor shall commence the work within ten calendar days after the date of
the Notice to Proceed and will do all things necessary to construct the work
generally described in Recital No. 1 in accordance with the Contract Documents
CONTRACT NO. C28800E
and will complete said work within 45 Calendar Days from the Notice to Proceed
date to the satisfaction of the Engineer.
3. Contractor agrees to indemnify, defend and save CITY and its officers, agents
and employees, and the Engineer harmless from:
a. Any and all liability, claims, damages, losses or injuries to any person or
other entity, including injury to Contractor's employees, and all claims
which arise from or are connected with the negligent performance of or
failure to perform the work or other obligations of this Agreement, or which
are caused or which are claimed to be caused by the negligent or
intentional acts or omissions of Contractor, its subcontractors, its agents
or employees, and, all expenses of investigating and defending against
same,
b. Any and all liability, claims, damages, losses or injuries to any and all
contractors, subcontractors, material -men, laborers, or any other person,
firm or corporation furnishing or supplying work, services, materials or
supplies in connection with the performance of the Agreement.
C. Attention is directed to the General Specifications - Claims, Liability, and
Indemnity Agreement/Hold Harmless sections, which specifications are
made part of this Agreement as set forth in Agreement paragraph 1,
above.
d. Attention is directed to Section 6-9, "Liquidated Damages" of the
Standard Specifications and is hereby amended to substitute the "City of
Palm Desert" in place of "Agency." Liquidated damages shall be $1,900
per calendar day of delay.
4. Should any litigation or arbitration be commenced between the parties
concerning the works of improvements as referenced herein, the prevailing party
in any such litigation, being the CITY or the Contractor, should be entitled to a
reasonable sum for attorney's fees incurred in any such litigation relating to this
Contract.
5. This Agreement shall be binding upon all parties hereto and their respective
heirs, executors, administrators, successors, and assigns.
6. Contractor shall be paid in the manner set forth in the Contract Documents the
amount of its Bid as accepted by CITY, subject to such additions and deductions
as may be made pursuant to the Contact Documents and applicable law.
Satisfactory Performance: The prime Contractor agrees to pay each
Subcontractor under this prime contract for satisfactory performance of its
contract no later than 10 days from the receipt of each payment the prime
Contractor receives from City of Palm Desert. Any delay or postponement of
CONTRACT NO. C28800E
payment from the above referenced time frame may occur only for good cause
following written approval of the City of Palm Desert.
Release of Retention: The prime Contractor agrees further to release retention
payments to each Subcontractor within 30 days after the Subcontractor's work is
satisfactorily completed. Any delay or postponement of payment from the above
referenced time frame may occur only for good cause following written approval
of the City of Palm Desert.
7. Execution of the Agreement by the parties constitutes their agreement to abide
by all applicable provisions of the California Labor Code; constitutes contractor's
certification that he is aware of the provisions of said Code and will comply with
them; and further constitutes Contractor's certification as follows:
1 am aware of the provisions of Section 3700 of the California Labor Code which
requires every employer to be insured against liability for workers' compensation
or to undertake self insurance in accordance with the provisions of that Code,
and I will comply with such provisions before commencing the performance of the
work of this contract."
IN WITNESS WHEREOF the parties hereto have executed or caused to be
executed by their duly authorized officials, this Agreement which shall be deemed an
original on the date first above written.
CONTRACTOR: All American Asphalt
Signature to be notarized
TITLE:
CITY:
TITLE: Mavor of Palm Desert, CA
APPROVED AS TO CONTENT:
MARK GREENWOOD, P.E.
DIRECTOR OF PUBLIC WORKS
ATTEST BY:
TITLE:
ATTEST BY:
TITLE: City Clerk of Palm Desert, CA
APPROVED AS TO FORM:
ROBERT W. HARGREAVES
CITY ATTORNEY
CONTRACT NO. C28800E
CONTRACTOR 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 California )
) SS.
County of
On , 20 , before me, , a
Notary Public, personally appeared ,
who proved to me on the basis of satisfactory evidence to be the person(s)
whose name(s) is/are subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their authorized capacity(ies),
and that by his/her/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.
WITNESS my hand and official seal.
Signature
CONTRACT NO. C28800E
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
awarded to
designated as the "Principal", a contract for:
That whereas the City of Palm Desert has
hereinafter
FREE RIGHT TURN LANE AT FRED WARING DRIVE
AND HIGHWAY 111 PROJECT
CITY PROJECT NO. 658-08
CITY CONTRACT NO. C28800E
FEDERAL AID PROJECT NO. CML 5414 (008)
WHEREAS, said Principal is required under the terms of said contract to furnish
a good and sufficient bond for the performance of said contract:
NOW THEREFORE, WE, All American Asphalt the Principal, and
as Surety, are held and firmly bound
unto the City of Palm Desert hereinafter called the City, in the penal sum of Three
Hundred Thirteen Thousand Seven Hundred Sixtv-five and 00/100 Dollars
($313.765.00), being 100% of the contract amount in lawful money of the United States
of America for the payment of which sum well and truly to be made, we hereby bind
ourselves, our heirs, executors, administrators, and successors, jointly and severally,
firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that if the above bounded
Principal, his executors, heirs, administrators, and successors, or assigns, shall in all
things stand to and abide by, and well and truly keep and perform the covenants and
agreements in the said contract and any alterations thereof made as therein provided,
on his or their part, to be kept and performed at the time and in the manner therein
specified, and in all respects according to their true intent and meaning, and shall
indemnify and save harmless the City, its officers and agents, as therein stipulated, then
this obligation shall become null and void; otherwise, it shall be and remain in full force
and virtue.
And the said Surety, for value received, hereby stipulates and agrees that no
change, extension of time, alteration or addition to terms of the contract or to the work to
be performed thereunder or the specifications accompanying the same shall in any wise
affect its obligations on this bond, and it does hereby waive notice of any such change,
extension of time, alterations or additions to the terms of the contract or to the work or
the specifications.
Should it become necessary for the City to institute a lawsuit or any other legal
proceeding to enforce the terms and conditions of this bond, then all costs of said
proceeding, including attorneys' fees, shall be awarded to the prevailing party.
CONTRACT NO. C28800E
IN WITNESS WHEREOF, identical counterparts of this instrument, each of which
shall for all purposes be deemed an original thereof, have been duly executed by the
Principal and Surety above named, on this day of , 20
SURETY
(Signature must be notarized)
INSURANCE COMPANY and/or AGENT
ADDRESS
TELEPHONE NUMBER
SURETY ACKNOWLEDGEMENT
PRINCIPAL
(Signature must be notarized)
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 California
County of
On before me,
personally appeared
, who proved to me on the basis of
satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/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.
WITNESS my hand and official seal.
Signature
CONTRACT NO. C28800E
PRINCIPAL ACKNOWLEDGEMENT
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 California
County of
��
before me,
personally appeared
who proved to me on the basis of
satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/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.
WITNESS my hand and official seal.
Signature
CONTRACT NO. C28800E
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT WHEREAS, the City of Palm Desert (sometimes referred to hereinafter as
"Obligee") has awarded to All American Asphalt (hereinafter designated as the
"CONTRACTOR"), an agreement dated March 10. 2016 described as follows: FREE
RIGHT TURN LANE AT FRED WARING DR. AND HIGHWAY 111, CITY PROJECT
NO. 658-08, CITY CONTRACT NO. C28800E, FEDERAL PROJECT NO. CIVIL
5414(008), (hereinafter referred to as the "Contract"); and
WHEREAS, said CONTRACTOR is required to furnish a bond in connection with said
Contract, and pursuant to Section 9100 of the California Civil Code;
NOW, THEREFORE, we, All American Asphalt, the undersigned CONTRACTOR, as
Principal, and a corporation organized
and existing under the laws of the State of , and
duly authorized to transact business under the laws of the State of California, as Surety,
are held and firmly bound unto the City of Palm Desert and to any and all persons,
companies or corporations entitled to file stop payment notices under Section 9100 of
the California Civil Code, in the sum of Three Hundred Thirteen Thousand Seven
Hundred Sixtv-five and 00/100 Dollars ($313,765.00), said sum being not less than one
hundred percent (100%) of the total amount payable by the said Obligee under the
terms of the said Contract, for which payment well and truly to be made, we bind
ourselves, our heirs, executors and administrators, successors and assigns, jointly and
severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, that, if said CONTRACTOR, his or
its heirs, executors, administrators, successors or assigns, or Subcontractors, shall fail
to pay for any materials, provisions or other supplies, implements, machinery or power
used in, upon, for or about the performance of the Public Work contracted to be done,
or to pay any person for any work or labor of any kind, or for bestowing skills or other
necessary services thereon, or for amounts due under the Unemployment Insurance
Code with respect to such work or labor, or for any amounts required to be deducted,
withheld, and paid over to the Employment Development Department from the wages of
employees of said CONTRACTOR and his or its Subcontractors pursuant to Section
13020 of the Unemployment Insurance Code with respect to such work and labor as
required by the provisions of Section 9100 et seq. of the Civil Code, or for any amounts
required to be deducted, withheld, and paid over to the Franchise Tax Board or Internal
Revenue Service from the wages of employees of the CONTRACTOR or his or its
Subcontractors, the Surety or Sureties hereon will pay for the same in an amount not
exceeding the sum specified in this bond, otherwise the above obligation shall be void.
In addition to the provisions herein above, it is agreed that this bond will inure to the
benefit of any and all persons, companies and corporations entitled to serve stop
payment notices under Section 9100 of the Civil Code, so as to give a right of action to
them or their assigns in any suit brought upon this bond.
CONTRACT NO. C28800E
The Surety, for value received, hereby stipulates and agrees that no change, extension
of time, alteration or addition to the terms of the said Contract or to the work to be
performed thereunder or the Specifications accompanying the same shall in any way
affect its obligations on this bond, and it does hereby waive notice of any such change,
extension of time, alteration or addition to the terms of the Contract or to the
Specifications.
No final settlement between the Obligee and the CONTRACTOR hereunder shall
abridge the right of any beneficiary hereunder, whose claim may be unsatisfied.
CONTRACTOR and Surety agree that if the Obligee is required to engage the services
of an attorney in connection with the enforcement of the bond, each shall pay Obligee's
reasonable attorney's fees incurred, with or without suit, in addition to the above sum.
IN WITNESS WHEREOF, we have hereunto set our hands and seals this
day of 20
PRINCIPAL/CONTRACTOR:
(Typed Name of CONTRACTOR)
By:
(Signature)
(Typed Name and Title)
(Signature must be notarized)
The rate of premium on this bond is $
SURETY:
(Typed Name of Surety)
By:
(Signature of Attorney -in -Fact)
(Typed Name of Attorney -in -Fact)
(Signature must be notarized)
The total amount of premium charged: $
(the above must be filled in by corporate surety).
per thousand.
IMPORTANT: Surety companies executing bonds must possess a certificate of
authority from the California Insurance Commissioner authorizing them to write surety
insurance defined in Section 105 of the California Insurance Code, and if the work or
project is financed, in whole or in part, with federal, grant or loan funds, it must also
appear on the Treasury Department's most current list (Circular 570 as amended).
THIS IS A REQUIRED FORM.
Any claims under this bond may be addressed to:
(Name, Address and Telephone No. of Surety)
(Name, Address and Telephone No. of agent or representative for service of process in
California if different from above)
CONTRACT NO. C28800E
SURETY 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 California )
County of )
On
before me,
personally appeared
who proved to me on the basis of
satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/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.
WITNESS my hand and official seal.
Signature
CONTRACT NO. C28800E
PRINCIPAL 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 California
County of
On
before me,
personally appeared
who proved to me on the basis of
satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/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.
WITNESS my hand and official seal.
Signature
C - CONTRACTOR'S BID
FREE RIGHT TURN LANE AT
FRED WARING DRIVE AND HIGHWAY 111 PROJECT
PROJECT NO.658-08
CONTRACT NO. C28800E
FEDERAL AID PROJECT NO. CML 5414(008)
TO:
CITY OF PALM DESERT, "CITY"
DATE:
Z I Z(a /,Zo1
BIDDER:
A\1 Nr of an
Nt a `I "CONTRACTOR"
The UNDERSIGNED, "CONTRACTOR", having carefully examined the site and the
Contract Documents for the construction of, FREE RIGHT TURN LANE AT FRED
WARING DR. AND HIGHWAY 111, CITY PROJECT NO. 658-08, CONTRACT NO.
C28800E, FEDERAL PROJECT NO. CML 5414(008), hereby proposes to construct the
work in accordance with the Contract Documents, including Addenda No(s). for
the amount stated in this Bid.
By submitting this Bid, CONTRACTOR agrees with CITY:
1. That unless withdrawn in person by CONTRACTOR or some person authorized
in writing by CONTRACTOR before the time specified in the Notice Inviting Bids
for the public opening of bids, this Bid constitutes an irrevocable offer for 60
calendar days after that date.
2. The CITY has the right to reject any or all Bids and to waive any irregularities or
informalities contained in a Bid.
3. That the contract shall be awarded only by the governing body of CITY. Said
contract shall only be deemed awarded after the CONTRACTOR'S complete
submission of all contract documents, bonds, insurance documentation, and the
CITY shall obtain all necessary signatures of the governing body, at which time
the contract shall be deemed awarded.
4. To submit to CITY such information as CITY may require to determine the
Bidder's financial standing experience and to perform the work.
5. That the accompanying certified or cashier's check or Bid Bond constitutes a
guarantee that if awarded the contract, CONTRACTOR will execute the
Agreement and deliver the required bonds and certificates of insurance within 10
days after notice of award. If CONTRACTOR fails to execute and deliver said
documents, the check or bond is to be charged with the costs of the resultant
damages to CITY, including but not limited to publication costs, the difference in
money between the amount bid and the amount in excess of the bid which costs
CITY to do or cause to be done the work involved, lease and rental costs,
Page C-1
i
additional salaries and overhead, increased interest and costs of funding the `
project, attorney expense, additional engineering and architectural expense and
cost of maintaining or construction alternate facilities occasioned by the failure to
execute and deliver said documents.
It is understood that the quantities shown hereon, except for those quantities marked
"Lump Sum", are estimates and the final payment will be based upon the actual work
performed, subject to such adjustment and alterations as elsewhere provided herein.
ITEM' , r �.. _ •, At
NQ. t I EM DESCRI&10� UNIT' . QTY • . ,UNIT POST TOTAL .� • ,�
1 Mobilization
2 Traffic Control
3 Clearing and Grubbing
4 Remove and Dispose of Tree
5 Remove Base and Surfacing
1 6 Cold Mill Asphalt Concrete
Pavement
7 Remove Concrete Curb / Curb and
Gutter
8 Remove Concrete
9 Unclassified Excavation (F)
10 Relocate Monument Sign
11 Landscape and Irrigation System
Modifications
_ 12 Aagre ate Base
13 Asphalt Concrete Pavement Surface
Course
14 Asphalt Concrete Pavement Base
Course
is Asphalt Concrete Pavement Slot
Paving
16 Concrete Curb and Gutter (Type 1)
17 Concrete Median Curb
(Type 11)
18 Concrete Sidewalk and Median
Hardscape
19 Concrete Curb Ramp
20 Truncated Domes
21 Pedestrian Barricades
LS
LS
LS
EA
SF
SF
1
$
UGC)
1
$
00007
8
$
100
2,700
$
10 —
9,300
$
q b
LF 285
SF 2,550
LS 1
EA 1
LS 1
CY 140
TON 180
TON 115
TON 8
Page C-2
LF 280
LF 165
SF 2,150
EA 1
SF 48
EA 2
$ 1'
$ 2,w
$ 10OU6-
$ U)t,0
$100-"
$
$13CO ,
$ 4 SS-
$LG-oOu-
$ 1C060-
$ 1COW -
$ 5��v
$2']v6o-
o5-
$ 5-u 10
$ !C 60C —
$ Woo -
$ '�VdU--
$ I 1 WO -
U-w -
$
$ 121.cl0 O -
$1,4-ZC -
$fq_
$I —
$ ` 000
t
i
1T�11`D`E,SCRIRT,.ION�-
(1 22 Traffic Signals (S) and Safety
Li htin (S)
23 Signing and Striping
TOTAL BID PIRCE
C TY - } 'UNIT -COST
TOTAL.'
{UNIT^,"
LS 1
�vco
LS
$ XbNC -
$ UGC.)
$ J I 1 V .✓ I u V
The costs of any work shown or required in the Plans and Specifications, but not
specifically identified as a Pay Item are included in the related Pay Item(s), and no
additional compensation shall be due CONTRACTOR by virtue of CONTRACTOR'S
compliance with the Plans and Specifications. I r
TOTAL AMOUNT BASE BID IN FIGURES $
TOTAL AMOUNT BASE BID IN WORDS AA)f-eP
-NWSanr� q�Qn �%064-d R\,�,f'4 PW f)d tO V 5 -
IN WITNESS WHEREOF CONTRACTOR executed this Bid as of date set forth on
Page C-1.
SignatureLaw„ j S lSfl�lv`,t,� `�-nCS�C Yt
Title: k\\ fie, tcoln�-
CONTRACTOR
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 California
County of 2AVQtS(A;;r
Subscribed and sworn to (Q� before me on this Z� day of kAlew
(month), 7-01 G (year), by eJbW4!L 1 CA-R LSo1V
proved to me on the basis of satisfactory evidence to be the person(
who appeared before me.
Signature of Notary
ti.q-x
Page C-3
S. ROYSTER
Commission 12083832
w Notary Pope - California
Riverside Counttr
Mir Comm. Expires Oct 26. 20tiB
D - INFORMATION REQUIRED OF BIDDER
TO ACCOMPANY BID
The bidder is required to supply the following information. Additional sheets may be
attached if necessary.
(1) Company Name pm Fref iavn t� T
(2) Address `��U F�S SAX �j—��(�Q� umrQll CA 9Zei�
(3) Telephone No. CQS
(4) Type of Firm (Individual, Partnership or Corporation)(,o�
(5) Corporation organized under the laws of the State of l Lei 1�
(6) Contractor's License No.Exp. Date } 13� III
i
(7) Department of Industrial Relations Contractor Registration number: IDODXii�
(8) List the names and addresses of all owners of the firm or names and titles of all
officers of the corporation:
ft\\ - wtv-" �ce�140-�� T►0. �22Za Corona► CA 92--&-Hr
&L2VA 7� C.DiL-�,\+c 1?resje0- ZZ1q %,mr,�, (-A 9Z�8
rkc,�� r�S, �P«Ar . U�DX 222et C-oran0., CA 9 ,Mr
(9) Number of years' experience as a Contractor in construction work '7 7 U-6rS
J
(10) List at least three similar projects completed recently:
Contract Amount Class of Work Date Completed Name, Address &
Telephone No. of Owner
2.
3.
Page D-1
442015„
PAST WORK REFERENCES
City of Hawthorne Hawthrone Blvd Reconstruction
4455 W. 162"`' Street Contract Amount: $12,579,000.00
Hawthorne, CA 90250 Start: 4/2014
Contact: Heecheol Kwon, (310) 349-2980 Completed: 5/2015
City of Inglewood
One Manchester Blvd, 31d Floor
Inglewood, CA 90301
Contact: Hunter Nguyen, (310) 412-4252
County of Ventura
800 S. Victoria Ave
Ventura, CA 93009
Contact: Jeewoong Kim, (805) 654-3987
City of Montclair
5111 Benito Street
Montclair, CA 91763
Contact: Steve Stanton, (909) 625-9444
Florence Ave
Contract Amount: $2,639,000.00
Start: 4/2015
Completed: 10/2015
Pavement Resurfacing, Phase II
Contract Amount: $2,401,970.00
Start: 4/2015
Completed: 10/2015
Northeast Montclair Street Rehabilitation
Contract Amount: $514,150.00
Start: 4/2015
Completed: 7/2015
Riverside County Transportation Commission Route 74 Widening
4080 Lemon Street, 31 Floor Contract: $1,970,004.00
Riverside, CA 92501 Start: 4/2014
Contact: Bill Seitz, (949) 300-9132 Completed: 7/2015
City of Riverside
3900 Main Street
Riverside, CA 92501
Contact: Steve Howard, (951) 826-5708
Long Beach Unified School District
2201 E. Market Street
Long Beach, CA 92805
Contact: Nancy Chinchilla, (562) 997-7513
2014/15 Arterial Streets
Contract Amount: $1,683,076.00
Start: 4/2015
Completed: 9/2015
Garfield Elementary School Pavement
Contract Amount: $1,976,508.00
Start: 6/2015
Completed: 11/2015
(11) Pursuant to California Public Contracting Code, Section 4100 et. Seq., the
following list gives the name business address, and portion of work (description
of work to be done) for each subcontractor that will be used in the work if the
bidder is awarded the Contract, (Additional supporting data may be attached to
this page. Each page shall be sequentially numbered, and headed "Proposed
Contractors" and shall be signed.) The Bidder shall list all subcontractors who
will perform work or labor or render service to the prime contractor in excess of
one-half of one percent of the prime's bid. Failure to include the
subcontractor's DIR registration number may result in the bid being
rejected as non -responsive.
Subcontractor's Name: \1 (A t,'� ''ON, ',�-UIII M
License Number: 09 ' 00 DIR Contractor Registration No. f q3w
Business Address: Pn Gq �)ZS-c OYC(MC CCI 9Zs(P�;-
Telephone: -114 Qq`I OR 03 /
Work Description: IV_e-e f2jp�1Y1rniGt 2 Percent of Work:
Subcontractor's Nammee:�OOj 9
License Number:_UY / 9 1 DIR Contractor Registration No. l 0000a)oo
Business Address: '2440 G S I#*e k I atW 0 c q2/3_2_11
Telephone: QO�q ;-,,x4 11-7 0
0
Work Description: &M 19)h Percent of Work: "L'�'ll-0 0
Subcontractor's Name: wow Oe����. � O �
gy""'2 '
License Number: (7091 DIR Contractor Registration No. 1 Ood Zzq-_-�!
Business Address: VO J�rik ) OU ( NCJ h 16iY) d C Q 7�
Telephone: a09 Ucr� 3j10
Work Description: OA CCA-P
Percent of Work: � '"q �,,
(12) List ttAnpe o the p�rsQ�n wt
nspec ed the site of the proposed work for your
firm k-zO aW U1L ,� e �
(13) A financial statement or other information and references sufficiently
comprehensive to permit an appraisal of your current financial condition may be
required by the City.
(14) Contractor hereby swears under penalty of perjury that this information provided
is true and correct, By: //��XTitle: l,.f��fn
Signature Contractor
Page D-2
(11) Pursuant to California Public Contracting Code, Section 4100 et. Seq., the
following list gives the name business address, and portion of work (description
of work to be done) for each subcontractor that will be used in the work if the
bidder is awarded the Contract, (Additional supporting data may be attached to
this page. Each page shall be sequentially numbered, and headed "Proposed
Contractors" and shall be signed.) The Bidder shall list all subcontractors who
will perform work or labor or render service to the prime contractor in excess of
one-half of one percent of the prime's bid. Failure to include the
VA subcontractor's DIR registration number may result in the bid being
reiected as non -responsive.
Subcontractor's Name: C1. Sevuw
License Number: ins . 1 DIR Contractor Registration No.
Business Address: fbfi �cmd " C�M67
f:.
Telephone: 109 4�4 4Wd
Work Description: �P,117,tI�1/�.( Percent of Work: 6%1-)7v
Subcontractor's Name:
License Number: DIR Contractor Registration No.
r
Business Address:
a Telephone:
Work Description: Percent of Work:
Subcontractor's Name:
License Number: DIR Contractor Registration No.
Business Address: _
Telephone:
Work Description: Percent of Work:
(12) List t( n me o the person wtlVnspec ed the site of the proposed work for your
firm �,JNIUk _0; Q( r 1�� J
(13) A financial statement or other information and references sufficiently
comprehensive to permit an appraisal of your current financial condition may be
required by the City.
(14) Contractor hereby swears under penalty of perjury that this information provided
is true and correct.
By: '0� - TitIe:Z,i�7a� � n�t Ice ?rfs8w�
Si nature Contractor
Page D-2
E - NONCOLLUSION DECLARATION
To be Executed by Bidder and Submitted with Bid
The undersigned declares:
I am the \C. ?0!5&V1V of 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 n
\ n i tt�
? Ylclf�i 2�v , 2g�, at �lrt?� , l .
City
State
By:
Signature
Title: &QJ
CONTRACTOR
Page E-1
a C2&n*0' eo�
CALIFORNIA JURAT OOV CODE § 8202
A notary public or other officer completing this certificate verifies on I) 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 California
County of Riverside
0 ROYSTER
7 Commission #I 2083832
i Notary Public - California =
Riverside County
IMy Comm. Wires Oct 26, 2018
Place Notary Seal Above
Subscribed and sworn to (or affirmed) before
me on this 26th day of February t 2016.
Date Month
By (1) Edward J. Carlson
Name of Signer
Proved to me on the basis of satisfactory evidence
be the person who appeared before me (.) (,)
Name of Signer
Prov to me on the basis of satisfactory evidence
be he person who appeared before me.)
11
Signature
Ignature of tary Public
OPTIONAL
Though the information below Is not required by law. 4 may prove
valuable to person relying on the document and could prevent
fraudulent removal and reattachment of this form to another document
Further Description of Any Attached Document
Title or Type of Document Nonco'lusion Declaration
Document Date. 2-26-16 Number of Pages 1
Signer(s) Other Than Named Above None
Top of rumb here
Top of thumb here
BID BOND NUMBER 08597423
F — BIDDER'S BOND
To Accompany Bid
KNOW ALL MEN BY THESE PRESENTS,
That we, A I American Asphalt as principal,
and Fidelity and Deposit Company of Maryland as surety, are held and
firmly bound unto the City of Palm Desert in the sum of $ Ten Percent ofTotar (10% of bid)
to be paid to the said City or its certain attorney, its successors and assigns; for which
payment, well and truly to be made, we bind ourselves, our heirs, executors and
administrators, successors or assigns, jointly and severally, firmly by these presents.
*Amount Bid
THE CONDITION OF THIS OBLIGATION IS SUCH, that if the certain bid of the above
bounden principal to perform certain work described as follows:
FREE RIGHT TURN LANE AT FRED WARING DRIVE
AND HIGHWAY 111 PROJECT
CITY PROJECT NO.658-08
CONTRACT NO..C28800E
FEDERAL AID PROJECT NO. CML 5414 (008)
The general items of work to be done hereunder consist of mobilization; removal of
existing improvements; roadway construction including curb and gutter, sidewalk
pavement and traffic signal modifications and other improvements as shown on the
plans and per these specifications and dated February 29, 2016 is
accepted by the City of Palm Desert, and if the above bounden principal All American Asphalt
shall duly enter into and execute a contract for such
construction, and shall execute and deliver the Performance Bond and Payment Bond
and insurance certificates as required by said contract, then this obligation shall become
null and void; otherwise it shall be and remain in full force and effect.
Should it become necessary for the City to institute a lawsuit, or any other legal
proceeding to enforce the terms and conditions of this bond, then all costs of said
proceeding, including attorneys fees, shall be awarded to the prevailing party.
[Remainder of this page has intentionally been left blank.
Signature blocks are contained on the next page]
Page F-1
IN WITNESS WHEREOF, We hereunto set our Hands and Seals this 25th day
of February 2016
Contractor's Name: All American Asphalt /
Contractor's Signature:
I `` I Mudt be Notarized
Title:�-A DAS1 nlx-a W-Ae&
Address: 400 East Sixth Street, Corona, CA 92879
Telephone: (951)736-7600
Surety's Name: Fidelity and Deposit Company of Maryland
Surety's Signature: �t ._.w C-2j +ctcl
Must be Notarized
Title: Rebecca Haas -Bates, Attorney -in -Fact
Address: 777 S. Figueroa Street, Suite 3900, Los Angeles, CA 90017
Telephone: (213)270-0600
Page F-2
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which Chic eertiffcate is attached anti not the tntthfttlncsc, arrurne%. nr validity orthat document
State of California
County of Riverside
On February 26. 2016 before me, B. Rooster. Notary Public
Date Here Insert name and Us of the Officer
personally appeared Edward J. Carlson
Neme!ilMerSipnsr!�
who proved to me on the basis of satisfactory evidence to be the
B. ROYSTER person(s) whose name(s) is/are subscribed to the within instrument
_ MK7omrntssion #I 2063632 and acknowledged to me that he/sbe 4ey executed the same in
Notary Public - Celltornfa his/her;4heir authorized capacity(ies), and that by his/hefAheif
Z 0Rlversitte County signature(s) on the instrument the person(s), or the entity upon behalf
My Comm. Expires Oct 26, 2018 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 forgoing paragraph is true and correct.
WITNESS my hart - nd off seal. 11 �
Signature J�
Place Notary Seal Above 1pn n► of 4,.ybat
OPTIONAL
Though the information below is not required by law, it may prove valuable to person relying on the document
and could prevent fraudulent removal and reattachment of this form to another document
Description of Attached Document
Title or Type of Document Bidder's Bond — City of Palm Desert
Document Date. February 25. 2016 Number of Pages:
Signer(s) Other Than Named Above Rebecca Haas -Bates, Attornev-in-Fact
Capacity(ies) Claimed by Signer(s)
Signer's Name- Edward J. Carlson
_ Individual
X Corporate Officer — Title(&): Vice President
Partner Limited r. General
Attorney in Fact
Trustee Top of th..mb hors
Other -
Signer is Representing:
All American Asphalt
Signer's Name:
r. Individual
c Corporate Officer — Title(s)-
c Partner _j Limited o Gen
c Attorney in Fad
Trustee
Other:
Signer is Representing:
9
Top of Vk nb here
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
J.. Y.i..-11 .. II..I .... i .la:I..J1., 11.'1.. II...I Yi.l. 11..1 4.iJ1.101.r1�.i.11..0...11 .i J..:Jl.i 1... II.1,91..A.. 11 ..II.. 11.. 11. J1.i 11
A notary public or other officer completing this certificate verifies only the identify 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 California
County of Orange
On 02/25/2016 before me, R. Panuno, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Rebecca Haas -Bates
Name(*of Signerr*
who proved to me on the basis of satisfactory evidence to be the persons} whose name* is/are
subscribed to the within instrument and acknowledged to me that Wshe/thew executed the same in
hWber/th►eir authorized capacity(iec), and that by hic(her/their signature4on the instrument the person(*
or the entity upon behalf of which the person(s4 acted, executed the Instrument.
P. PMMO
Commission # 2035ON
Notary Public - CalllOmla
Orange County
Mr Comm. Empires Aunt S. 2017 1
Place Notary Seal Above
I certify under PENALTY OF PERJURY under the laws
of the State of Califomia that the foregoing paragraph
is tru
I ESS my hand a d offici s
Signature of Notary Public
OPTIONAL
Though this section is optional, completing this Information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Bid Bond Document Date: 02/25/2016
Number of Pages: Two(2) Signer(s) Other Than Named Above: All American Asphalt
Capacity(ies) Claimed by Signer(s)
Signer's Name: Rebecca Haas -Rates
C1 Corporate Officer — Title(s):
0 Partner — 0 Limited O General
n Individual 2Attomey In Fact
0 Trustee O Guardian or Conservator
❑ Other.
Signer Is Representing:
Fidelilv and Deposit Companv orMaryland
Signer's Name:
D Corporate Officer -- Title(s):
O Partner — O Limited O General
0 Individual 0 Attomey in Fact
O Trustee O Guardian or Conservator
f] Other.
Signer Is Representing:
... •111, 19, 0 1•,III..II. 11.•11.. 11010.• II.r Y I— I., 11..1 .r 11.• II.. 111.11 Lr 11.. 11.. W 1.. 11 . .10 ;"Nl IIw 11 6-.1 ✓ 1/-1.1.1.I...;.11.. 11 A1"11., 1 .. it"01. i M.,;I 1Y.I..1 +A . 1
02014 National Notary Association - www.NabonaiNotary.org -1-800-US NOTARY (1-800-818-8827) ltam if5907
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V. Section 8. Attomevs-in-Fact. The Chief Executive Officer. the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies,
recognizances. stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney -in -fact to affix the corporate seal thereto: and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate: and 1 do further certify that Article V. Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Scat of the Company may he affixed by facsimile on any Power of Attorney. -Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may he signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the I0th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President. Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTINIOIJY WHEREOF, I have h eunto subscribed my name and affixed the corporate seals of the said Companies.
this q,day of p1"T 20J.
UV .•° n'°'�. �F�� ow
s
itAL '�
Michael Bond, Vice President
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said
Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby
nominate, constitute, and appoint William SYRKIN, Rebecca HAAS-BATES, Sergio D. BECHARA tied Richard ADAIR, all of Irvine,
California, EACH its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as
its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall
be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duty executed and acknowledged by
rive regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly
elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland.. and the
regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their
own proper persons,
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V. Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF. the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of tlx: said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 5th day of August. A.D. 2015.
ATTEST:
W.
4t, e)-, All�
Secretary
Eric D. Banres
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL. AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Vice President
Thonmas O. McClellan
Stale of Maryland
County of Baltimore
On this 51h day of August. A.D 2015. before the subscriber, a Notary Public of the State of Maryland, duty commissioned and qualified, THOMAS O.
NICCLEI.LAN, Vice President, and ERIC D. BARNES, Secretary, of the Companies, to me personalty known to be the individunls and oflces described
in and who executed the preceding instrutrimt, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that hclslx: is the
said officer of the Company aforesaid, and that the seals affixed to the preceding instrurtwnt are the Corporate Seals of said Companies, and that the said
Corporate Seats and the signature as such officer were duly affixed and subscribed to the said Instrument by the authority and direction of the said
Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written
Constance A. Dunn, Notary Public
My Commission Expires- July 9, 2019
POA-F 012-0033D
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 California )
County of I
On before me,
personally appeared
who proved to me on t basis of satisfactory
evidence to be the person(s) whose name(s) is/bbbed to a within instrument and
acknowledged to me that he/she/they execuame n his/her/their authorized
capacity(ies), and that by his/her/their signatures)u ent the person(s), or the entity
upon behalf of which the person(s) acted, executeent.I certify under PENALTY OF PERJURY under the State of California that the
foregoing paragraph is true and correct.
WITHd and official seal.
Signature
Acknowledgment k�A441mev J
A Notary Public or other officer ompleting this certificate verifies only the identity of the individual who
signed the document, to whit his certificate is attached, and not the truthfulness, accuracy, or validity of
that document.
State of California
County of / )
On before me,
persona appeared
who proved to me on the basis of satisfactory
evid ce to be the person(s) whose name(s) is/are subscribed to the within instrument and
ac owledged to me that he/she/they executed the same in his/her/thelr authorized
pacity(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.
Signature
WITNESS my hand and official seal.
Page F-3
t
gage J�Ai
Man=17-0 Local,laistntaftKa res]tmul
Dtsadsiata=ed Bastwu Entayrises OBE) CeRdcstion 5tstas Claasp
Foam CP-CEhl 2403(F) (N9W 1099)
DISADVANTAGED BUSLNESS EN WRISES (DBE) CHANGE LV CERTMCATION STATUS REPORT
The top of the form mgmm -�peabc mfium um regudsag the cow-bucbon project Cotmact N mba. Co-ty.
Rrnrt.. Post Miles, the Adrauzeaa><Apamy, the Commel Cauwletron Date, and the Emmzted Co nrxi Amato
b ceq=m the Pttme Con=ctm's craze sad Btrmen AA&w.% The foca; of the farm u to-u%=Wte =Acetify
the achnl DBE dollar ammw paid to cows an federaRy funded project: dhu had a chatted m Cafifscaboo
:taros ios,a= the comae of the ctetaplmoa a6thr aorrfsact The two sttuaacon: that are bang adr..ed bjr CP{Et+f
2403M art, tf a fiaa cutiW as a DBE and doing vmk ca the contract dutmg the worse of the ptajed become:
DrmmSed, and tf a non -DBE firm dotmg work on the contract &zing the com-s of the project bwau m Caxa6ovai
uaDBE
The fu= has a cuh=m m — the Contact Item No (or Iteaa :Jac) a: weU as a calm= fz the Subcocrnctm "
Name, Busme:s A&bw— Bets: Phmc and coatractoc : CerhUltaon D7®ber
The cab==mtttl#A Ataatmt Paid %lils CvmW wM be mad to mter the acne! do$u vaine of the wmk
pafotmed by thox cwuacros who meet the cot doom a andmed abort drama the tame period then• as
Certified as a DBE. ThL- cohtmn an tha CR4MJ-2403(F) -should oak ml6d the dollar she of work performed
wlale the firm %%a Camfied a: a DBE
The coh== cAned Ccu&ztoa'Daoaftfitat m Date (Letts atmchod) call relied eeha the dm of the
Decutdcanoa Lettm:, t ot3 by tkt Ct%-d Right Program or the date of the Cw"cm= Certificate mailed art by
the Cnil Rights Program Then n a boa to ched-- that support dacvmentatioa r. attached to the CP-MI--2403 (F)
foray
There " a Comae= section for any addummW a &=wtsoa that enay need to be Mculad reps mg say of the
abate urn: cu ms
The CEhi-2403 (F) bar m area at the bottom where the Coatradar and die Re tdtat Ettp per saga and date that
the mformatton pvnided n co=p!ete and torrid c-
i
There c a Cc sae - :wtwn for way addraoml taiotmatloo that may need to be pranded re2edimg any of the
abate tray.-aenom
The OU61.2403 (F) ha- an area at the bottomwhem the Co motor sad the Resdmt Er4=&,W saga and date that
the mformatwn psm-uW as cm q lore sad correct
Page17-U
"IT A 290d
Page J-12
EPP K43
E33EWT 17-F local Atsistaare Freced ms llaaaai
final Aeprt-L:tAzs fan efl kindrantaged Buns Eeleryrtes Mfg, Fast-71ar 9abcessnftn
f1NAL RMKM - UTM17ATIO` OF DL4ADVAt`UGM BUSLESS
LN-Mp MS (DM:} FI&ST-TM?. MMCON-rRA.CTOR.S
CDt 240_-'(F) (tier 02 2008)
Tba fmaa requsm specific n1f nmu tou rtgatdm, the camtractsonpraject Corm==- timber, Catmty, RDGte, Pwt
Maw. Fa fetal -aid Project No, the Admmatrsatd Agency. the Contract Complai= Date and the F--tmneed Contract
Amount It ngmw. the ptmy! contractor name and bu:me- add<r Tl a fogs: of the fotm L to dezcrtbe ttho dsd what
by taami tact stem minbar and desasptum:, xkmg for spemrk &Mv values of ties wok conVIeW Wall down by
,sbconractoc who perfomoed the ttolk bout DBE and am -OBE wo* fosters rM prime contractors are nKturtd to
A as the lope of work pufuemed by thaw mm fivr . along wak the aotyeqp=d=g dollar talw of wmi
The fbrw has a column to enter the Cotrnct Item No. (or Item Nos) and drcaspuan cf wink performed a macedah
pronded. as wtO as a c oh= for the mbcontraetor tome and but wz addrt:s For those firms who are DBE, that is a
column to enter thew DBE Ca tficanaaNlm6w The 178E *anldpmsadr their caettficatum numberto the contractor and
notify the contacta to wntmg with the date of the decer2L6 catetsa of rhea swu: ;b=W change dnnng the coarse of the
pro1ect-
Tbe form has a col;jn= 6u the dolLir %-2ke to be ertaed for the am tarok pwformed by the subcontractor.
The Non -DBE coiutm is used to enterr the d*Uv %alne of work perfarrsed for fun: « ba are aot ce ai&d `
DBE
The dect--a f wrbich col,— to be used fist ease m the DBE dollar vAm n Erased an what progom(S)
xatu: the firm" cwuf3ad 'I11: program statsz is detamcsdby the CaMorcia UaXwA Cand6cation Program
by etltmcay, pander, normship, and collad =—.0 : at me of cettifiedu= To confirm the ceAt5cation starter
and program status, access the Department of Traasparbs n Cird RtAbb web site at-
hdp .'.turww dot cxt:os'•'M bcw or by cuing (916) 324-1700 as the toll five number at (888) 810a346
Based on thss DBE Program stasns, the follou'mg table depot u+wh colt= to be need
i DBE Program Stattn I Column to be avid
r If prapain stag -how: DBE anZy I:U no other tAo�: h=tcd DBE
If a contractor pc-fmmmng rank as a DBE on the project becomr. dwern&d and :till per6oam: walk after then
deeavliritian data, enter the total daily ralivr padotmed by thz: cflmracbor tender the appeap:iate DBE ideanIIutson
cohnun
If a csmlra�r perfm�g tsaric a: a turn DBE on the protect bey catufied a: a DHE enter the d-n tahte of all '
work perfotvted after certification as a DBE under the appropriate i—9-tion cola=
Eater the total of nch of the SM colutms to FormC M-2;02M
Amy A—sw tD DBE cenfu—tion moat also be smbtmimtd on Fwmk-al 2403CF).
Eats the Date Waudk Cmapieted a: uaell a: the Date of Fun) Pa%ment (the date tcben the pane canZaetor made the
`final pr me7 ' to the nAxodra ctor for &a yortmn of wu& Lamed a: bung c ouplettad)
The cantractnr and the nrademt imgm er ssgo and daft the fimmt stsdsabag that the =fiv==on prwided c compIete gad
correct
pw 17-22
Jew 1, 201)
Page J-14
UT 0"I
Page J-15
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Page J-15
Page J-16
(THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS
PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENT AND
EXECUTION OF THOSE CERTIFICATIONS WHICH AREA PART OF THIS
PROPOSAL)
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
The bidder P A r'`w zx \01% f -44 t- , proposed
subcontractor hereby certifies that he
has 41 has 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,
he has 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 filling 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) (1) 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.
Page K-19
DEBARMENT AND SUSPENSION CERTIFICATION
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29
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 exception noted above, indicate below to
whom it applies, initiating agency, and dates of action.
Notes: 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.
Page K-20
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:
(1) 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.
Page K-21
DISCLOSURE OF LOBBYING ACTIVITIES
MCLOSURE OF LOWYOG ACai'III U
testa tm ro:sf To n3aam i
.,e m i! r, t c tssz
1. 7s pe of Federal Action • Status of Fed" Action:
3. Report Type:
a corn O a tides v.rcA6=
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b an osW ohms
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4 NAM and Add of Repotting Ewale 5 URaptffttag
ERWy mNw 1 it u
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and Ad&= of
Pnai � SaCas�..ae
Tla . disown
Coagmtoaa! Ditbi c k dkza" conowsin" Dc
• Federal Departae ACtacr 7 Ftdacal Pfw=
CFAI K dapFLicaCk
8 Fedval Action Naafba. d lmomw 9. Award • tC�eaa
Lo a Bane aad Address ofL.obbf Eab[y b Petfe7nmgS<retca (ta sabcp
(If LaditidaL. Wt cscae, fnsi zmna. NM aac dfcamNo lea)
(ate C (t) d et�iy)
noan !1 Aat ofPayast (ciactall that apply) 13. TypeotP ymm (cltackaD that apply)
tain S aitsst a ats
b eaten fet
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b. itrimd �•f+ .1. a defrfted
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1A Brief Decriptin of Sersic r to be putatnd-A Dales) of SeniM iwduftg
aQacer(s� eagteree(s} a t) caatacmt br Parytaeet [oicsdad in Dos Il
(ttata Cows--- i wa i) if e,eceaarg)
15 Caatlaafftiow s) amelel Tea 11 N.
t6 ladsetn d:aa� rtan � n aseloaaa h
M&)tU .Seafmlli2 flb,r•.�•.—dteLttaf S:doaeaes _
��ts ftavlh� tb Oar above sdna 2req r.
was a aannsd inn >va ii+clwse is
p= biSlt:
P01=lLU3C 135i Tisia.5a:m1nSM j ro
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p &hc +q.czm Aarrsm stbo &I m go tba nq=s
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S20A00 nerd as maw than tICO ttb l ib mc4 Otis+ TdaFimr l�a��� J� "► w�i Din
Aad�aed fa Lath lt�ceasnm
Federal V%* Onh: StsrAa AFatm-L LL
L
Page K-22
0VICINITY MAP '
Legend
— Circulation Network
City Boundary
P►itK-V1ltEw-DRw=
-1 U -
CA --
o—
•.i, km s -Sir4v
Streets
❑ Parcels (01/2016)
1: 6,443 O
Notes
VICINITY MAP