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Home My WebLink AboutC25430A Monterey Medians from Country Club 2 Hovley Ln W 661-02REQUEST: CITY OF PALM DESERT PUBLIC WORKS DEPARTMENT STAFF REPORT Award Contract No.C25430A to International Pavement Solutions, of Indio, California for Construction of the Monterey Avenue Medians from Country Club Drive to Hovley Lane West (Project No. 661-02) SUBMITTED BY: Mark Greenwood, P.E., Director of Public Works APPLICANT: International Paving Solutions, Inc. P.O. Box 10458 San Bernardino, CA 92423 DATE: March 27, 2008 CONTENTS: Vicinity Map Contract Agreement Contractor's Proposal Recommendation: By Minute Motion: 1. Award Contract No.C25430A, in the amount of $161,975.00, to International Pavement Solutions, Inc., of San Bernardino, California for Construction of the Monterey Avenue Medians from Country Club Drive to Hovley Lane West (Project No. 661-02); 2. Approve a 10% contingency in the amount of $16,197.50; 3. Authorize the Mayor to execute the subject agreement; and 4. Appropriate $89,000.00 to account 400-4371-433-4001. Discussion: At the August 25, 2005 City Council Meeting, the Council approved the design for the median island on Monterey Avenue, south of Country Club Drive. The median will replace the yellow delineators which now stand in the painted median between Country Club Drive and Hovley Lane West. As directed by Council, the median island will be constructed to allow left -turn egress from Sagewood Drive to southbound Monterey Avenue. The City has entered into an agreement with the City of Rancho Mirage to split the cost of the median island evenly between the two cities. Award Contract C25430A to International Paving Solutions, Inc. Page 2 of 2 March 27, 2008 On March 11, 2008, sealed bids for the project were opened and read aloud. The following is a summary of the bids received: Simon Contracting. Contreras Construction. Dateland Construction. International Pavement Solutions, Inc. C & B Concrete Elite Bobcat Service Imperial Paving Indio, California Indio, California Coachella, California San Bernardino, California Redlands, California Corona, California Santa Fe Springs, California $207,090.00 $188,580.00 $197,007.00 $161,975.00 $164,077.50 $190,300.00 $215,850.00 As illustrated, International Paving Solutions, Inc., of San Bernardino, California, submitted the lowest responsive bid in the amount of $161,975.00. The following represents how the project is expected to proceed: City Council Contract Award Construction Period (30 Calendar Days) Project Acceptance March 27, 2008 May 2008 — June 2008 June 2008 Funding is partially available for this project in the project account (400-4371-433-4001). Therefore, staff recommends that City Council award Contract No. C25430A in the amount of $161,975.00 (plus a 10% contingency) to International Paving Solutions, Inc. for construction of the Monterey Avenue medians from Country Club Drive to Hovley Lane West (Project No. 661-02), authorize the Mayor to execute the agreement, and appropriate $89,000.00 to the project account. Prepared By: Ryan Gayler Project Administrator Approval: r Homer Croy ACM for Develop Carlos Orteg City Manager t Services Depa Mark Gree ood, P.E. Director of Public Works Paul Gibson Director of Finance ..ITY COUNCIL CTION: APPROVED .,� DENIED RECEIVED OTHER IMEETING DATE -- AYES: KEIL1; , ore3elA,a (' !l(1 NOES: NJ(flP ABSENT: M( ABSTAIN: �n,�q�y�y�q� G.1Pub Works1Staff Reports120081March 27111 Award C25430A Inierrtet a rinireurAJorpygps•yr�rl I l l �l i' / lara c,onrracr ro rr0 ror monrerey meorans oo r-ut.LOC VOriginal on File W1t (City Clerk's Office Monterey A�enue Medians - Country Club Drive to .�r=J.�:�. ,',�.��'�' �:��-.'',��."yti,''��'f:�ti�_ �;�'`. }� +• i `�{ j�ti� '�` � V � . 5' { _ '��'.';' . .. -1' �. � � .' s' ti �r,.' �+'.Vs"�' � hY,_ ,�._:d �. �r � . :*{ ." � ; ; �� . F r: a.ti:,#�.::¢�..W .. .' i�..*'.�.. r�r. 3 �I, � . . ;ti ,'ti,;, . ��:.,1, ;i'� M1.: �� , "� *� '' �F . -... .., . , '�_s_?�!a4 at4.-�• '(�� +��{xw';.•�:.A r�e .� ' . � . ..� -� .:�,� �.}�,,� � ?�� s��. � , , . . "rrk�K;�}L .I.� .s.!'7Q �'r.'�;.r I �*�y. � :`�':, *�}�'�r...��,� � � � .xJ J+.� G /:::h�f+. • �ti-,?�: i'..�'� �'yx �..<ti. 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Y+k�t�l ' . � �}+ �� ;'�t� t x _, _��r_��; � i .._ . ,�i iii+ i3Si��.tl Agreement THIS AGREEMENT is made and entered into this 27'h day of March, 2008, by and between City of Palm Desert, California, hereafter called "Owner" and International Pavement Solutions, Inc. hereinafter called "CONTRACTOR". WITNESSETH RECITALS: CONTRACTOR has submitted to Owner its CONTRACTOR'S Proposal for the construction of Owner Project, 1. Monterey Avenue Medians from Country Club Drive to Hovley Lane West, PROJECT NO. 661-02, CONTRACT NO. C25430A, in strict accordance with the Contract Documents identified below, Owner has accepted said Proposal. 2. CONTRACTOR states that it has re-examined its CONTRACTOR'S Proposal 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 Proposal 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 Proposal; (e) The Bidder's Bond; (f) The Performance Bond; (g) The Payment Bond; (h) The General Specifications; (i) The Special Provisions; Q) The Standard Specifications as modified in other portions of the Contract Documents; (k) The Plans; (I) Addenda Nos. 1; (m) The Determination of Prevailing Wage Rates for Public Work; (n) Any Change Orders issued; (o) Any additional or supplemental specifications, notices, instructions and drawings issued in accordance with the provisions of the Contract Documents. 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 and will complete said work within thirty (30) calendar days from the Notice to Proceed date to the satisfaction of the Engineer. 3. CONTRACTOR agrees to indemnify, defend and save Owner 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 furnNshing 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 $1,000.00 dollars 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 Owner 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 Proposal as accepted by Owner, 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 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: "I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for worker's compensation or to undertake self insurance in accordance with the provisions of that Code, and t 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. (Remainder of this page has intentionally been left blank. Signature blocks are contained on the ne�page] CONTRACTOR: BY; ATTEST BY: Signature to be notarized TITLE: TITLE: OWNER: BY: ATTEST BY: Signature to be notarized TITLE: Mavor of Palm Desert, CA TITLE: City Clerk of Palm Desert, CA APPROVED AS TO CONTENT: APPROVED AS TO FORM: MARK GREENWOOD, P.E. DAVID J. ERWIN DIRECTOR OF PUBLIC WORKS CITY ATTORNEY Performance Bond KNOW ALL MEN BY THESE PRESENTS: That whereas the City of Paim Desert has awarded to International Pavement Solutions, Inc. hereinafter designated as the "Principal", a contract for: Monterey Avenue Medians from Country Club Drive to Hovley Lane West PROJECT NO. 661-02 CONTRACT NO. C25430A 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, International Pavement Solutions, Inc. the Principal, and as Surety, are held and firmly bound unto the City of Palm Desert hereinafter called the Owner, in the penal sum of One Hundred Sixty-one Thousand Nine Hundred Seventv-five Dollars ($161,975.00.), 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 Owner, 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 Owner 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. 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 PRINCIPAL BY: BY: INSURANCE COMPANY and/or AGENT ADDRESS TELEPHONE NUMBER Payment Bond KNOW ALL MEN BY THESE PRESENTS: THAT WHEREAS, the City of Palm Desert (sometimes referred to hereinafter as "Obligee") has awarded to International Pavement Solutions, Inc. (hereinafter designated as the "CONTRACTOR"), an agreement dated March 27, 2008 described as follows: Monterey Avenue Medians from Country Club Drive to Hovley Lane West, PROJECT NO. 661-02, CONTRACT NO. C25430A, (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 3247 of the California Civil Code; NOW, THEREFORE, we, International Pavement Solutions, Inc. , 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 notices under Section 3181 of the California Civil Code, in the sum of One Hundred Sixtv-one Thousand Nine Hundred Seventy-five Dollars ($161,975.00), 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 3247 through 3252 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 notices under Section 3181 of the Civil Code, so as to give a right of action to them or their assigns in any suit brought upon this bond. 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: SURETY: (Typed Name of CONTRACTOR) (Typed Name of Surety) By: BY� (Signature) (Signature of Attorney-in-Fact) (Typed Name and Title) (Typed Name of Attorney-in-Fact) The rate of premium on this bond is $ per thousand. The total amount of premium charged: $ (the above must be filled in by corporate surety). IMPORTANT: Surety companies executing bonds must possess a certificate of authority from the California lnsurance Commissioner authorizing them to write surety insurance defined in Section 105 of the California lnsurance 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) ! � Contractor°s Proposat (� Monterey Avenue Medians from Country Ctub Drive to Hovley Lane West l I Project No. 667-02 Contract No. C25430A r� � TO: CITY OF PALM DESERT, "Owner" ( DATE: M LUC.�I. I�� ZC��S l ' � BIDDER: ��m�� P��°�'�'s, �G' "CONTRACTOR" � `'� The UNDERSIGNED, "CONTRACTOR", having carefully examined the s€te and the Contract Documents for fhe construction of, Monterey Avenue Medians from Country � Club Drive to Hovley Lane West, Project No. 66'[-02, Contract No. C25434A, hereby `'�'� roposes to construct the work in accordance with the Contract Documents, including � Addenda No(s). � for the amount stafed in fhis Proposal. By submitting this Proposal, CONTRACT4R agrees with Owner: L: 1. That unless withdrawn in person by CONTRACTOR or some person autharized in writing by C�NTRACTOR— not by t�lephane or telegram — before the time specifi�d in the Notice Inviting Bids for the public opening of bids, this Praposal canstitutes an �, irrevocable offer for 60 calendar days after that date. 2. The Owner has the right to reject any or all Proposals and to waive any irregularities ar informalities cantained in a Proposal. 3 That the contract shall be awarded onlv bv the qovernin9 body of OWNER. Said __ _ contract shall only be deemed awarded after the CONTRACTOR'S complete submission of all contract documents, bonds, insurance documentation, and the :"' --o�ltAlE--R�-s�all--s�ai�a-a�l-�s�ssa-r�sigraa#�r-�--��gav��9--��bic.l�-tirxie.-. � the contract shalf be deemed awarded. �:� 4. To submit to Owner such information as Owner 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 con#ract, C4NTRACTOR will execute #he Agreement and deliver the required bonds and certifcates of insurance within 10 days after � notice o# award. !f CONTRACTOR faiis to execute and deliver said documents, the check or bond is to be charged with the costs of the resultant damages to Owner, including but not limited to publication costs, the difference in money between the � amount bid and th� amount in excess of the bid whicf� costs �wner to do or cause to be done the work involved, lease and rental costs, addit�onal salaries and overhead, increased interest and costs of funding the project, attorney �xpense,,additional � engineering and architectural expense and cost of main#aining or constructian alternate facilities occasioned by the failure to execute and deliver said documents. i ,, , Page C-1 I � � � lt is understoad that the quantities shown hereon, except for those quantities marked ( "Lump Sum", are but estimates and the finaf payment will be based upon the actual 1. work performed, subject #o such adjustmen# and alterations as elsewhere provided herein. tr_ � � • • w ! • � • • : ,:. . . 1 Mobilization LS 1 $ Od.0° $ DDD.°i' 2 Traffic Control LS 1 $ DOD.°� $3�4• dD 3 Survey/Staking LS 1 $5��' $5��• ° �' 4 Sawcut Pavement L.F 2,900 $ /, 0° $a-�IDD• 5 Remove Base and Surfacin SF 16,500 $ /. $ $ 2�75•'� " 6 Remove Median Curb LF 35 $ �O � 3� o� 7 Irri ation Sleevin LS 1 $/D,00O.'° $ /D��'•�' 8 Concrete Median Island Curb LF 2,900 $ 1 •� $ 522D0• � 9 1' Trench Pave SF 9,500 . $5•�� $ Q�• �� 0 Unclassified Excavation F CY 925 $ �D� �" � 1850�•' 11 Ad'ust Manhole Frame and Cover EA 2 $ J ovD• $ v�• °i-' 12 Si nin , Stri in and Pavement Markers LS � � 3 � �3�aa�'� '[3 S ecia) Services LS 1 $ 30,040 $ 30,000 $ $ �'`:, $ $ $ $ �' $ $ $ $ ._� �_______ _ � _. ._ — $ $ l_�: � � �� _ � � $ � �_ � $ � � � � I � � � � . � � � i $ � � � TOTAL BCD PRICE ��b �75•� � � Page C�2 1 ` The costs of any work shawn or rec{uired in the Pfans and Specifications, but not specifically identified as a Pay Item are included in the related Pay ltem(s), and no ( additional compensa#ion shall be due CONTRACTOR by virtue of CONTRACTOR'S I . compliance with the Plans and Speci�cations. ( TOTAL AMOUNT BASE BID IN FIGURES $ �� i vl� 5� �� l , T�TAL AMOUNT BASE BID IN WORDS � �a� u�x �"Q" f. c� �.i� h,�� -c�,-�J�i�� do�f� �no� �10 C�s 1N WITNESS WHEREOF C�NTRACTOR executed this proposal as of date set forth on �" Page C-1: � gy, G �j�-]--C�(� � Sign e Titie:..�'Z�f'�.�i bY� �a�.�l?��-<?D��"�,U�'15, r".�VLG• � �� l�� C�NTRACTOR , Attest by: ��L�& �l � Notary Pubfic in and for sai County and State,�Set Gt�`�`� T�t��: ��S 1 ��Nr � � �� .. f��.� (_ � C � � Page C-3 .,��,��,.,,,��.,«.�.,,..,.,�.,,�.�...,..�„�.,K.�.,<W.,�.,.�.,�.�,w»,�,�..�....�.,,.,�..,,,u,,..,.,K.�.,,,�„�.�..,,,��.�.�w,.�m<.H..u�.,�>�..,...�.,,,..,.,...�.,,..,�,,.�.,�,�.,.�.�„ � : State of California � CALIFORNlA ALL-PURPOSE � ; countyof c�� 7nr�/Lf�.� f� } CERTtFiCATE OF ACKNOWLEDGMENT � - � � = On L� ` �-(�� before me, # f (here insert name and le of the officer) � s personally appeared � . r i , � � � � who prov�d 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 #o 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 � � ' upan behalf of which the person(s)acted,executed the instrument. � � � I certify under PENALTY OF P�RJURY under the laws of the ,�,�„ � s Sfiate of California that the foregoing paragraph is true and correct. �� ' Comml�alon�1d82034 � Notary Publtc-Cdlbrnla WITNESS my hand and official seal. Sar�eemardino Caun�y ' Carrn.E Apr 10.7A08 � �S k l f ; ; Signature ; ; {Seal) � � > ' OPTIONAL INFORMA770N � x � ; Although the informaiion in this section is nor required by law,it co[rld�revent fraudulenc removal and reaitachment of rhis i - acknowledgment ro nn unauthorized documen�and m4y prove usefu!to persons relying�n the attached document. J i 3 Description of Attached Document � % `i' �"` ' - '�� A �. .�P • �� "�.��.'^`'�'�.';..�� . ---------'__._..___ _ ___.._------------_- .. .--. .__ __—_ . The preceding CertiFicate of Acknowledgment is attached to a document Method of Signer ldentification _ _ _ __ � � titled/for,che purpose of �fp f'CZ�/��'J ,(e�__�. eci co me on the basis of satis[actory evidence: ' { �_._ .�--.--_ -- -._. �orm(s)of identifiration �)uedlble wi�r��a<�es) ' - - - -`=�a�-��fJUF'�•`-�`�'� -v"'•-�-'�`--� � arial event is detailed in norary journal on: 3 �(�� -- Pa�e Ac Entry tf r� j ; contarn�ng �,.�_ pages,and dated _�--f—U�_�._- ---.. Q_�. _/_.--- ; ; _ ¢ The signer{s)capacity or authoriCy is/are as: Notarycc>ncacr. _ _ _____.__ _____. r __. � ` � ] Iridividual(s) Other ( : --------�.__.. __ �. -—- -- � [ ) Attomey-in-Fact n s f , Jl '(�Additional5iyneFlsl t_� Sign�:�(s)Thumbprinttsl , �orporate O(ficer(s) _ . - % . r --r�,—,�i:1---_. __. _. j {_�l ;7�1vN.�- __ Y 1 ..__'___. . . ._.._. ... 4 j - • I : � ._ . .""""".'—__... .. __..___.. ..—_.___—"_'—__.—_.....____ _"-.... , i f x � � � ; ± Guardian/Co,iservator ' s [_i Partner-L imited/General i [�I Trustee(s) . ` ' �_` Other, t ; .... _. ._ . � i . r T representin9��M .1..__ ... - __ --�U�7.Q_Y.��l� ` =. Natne(sl ot cikun; a�FnutyG�s i.ncr is Repre�enUn9 k : • ' I . i . .._._ .----�--' "r ;. _�_ _.�..._.._._..�_.__....Y_.�...._..� _. ._ _.---'--� --- --. ..'—_--- -' ...-..._ . . ..__... .__. - � Y ��.IM�.t1'M^.�.�. Mr:,��.uc�.:�I.f�Jlui.nJ..�.1.v:il:vary4i.W'JI�+[.:�•r.4rw:Jlw��.•h•�'i�1m.;1'. �':IivL�O�ir �'G�'�Owv n.M��ww.�qxi�'rv��r:r��.� s)Copync�ht 10071volary Rut�iy.lnc 925 29d�Si..Ues'�hcines.l�iO3I1 3G1 T Fnrm ACK63. 10/07. To re-ordei.caU tulbGct•t�8:7�id9-6588 0�v��us nn ihe Iniemc�;u r,nn.Nv„•,;;�wwry��r;ir:turn { � l` Information Req�ired of Bidder (�' The bidder is required to supply the fallowing information. Additiona! sheets may � t. be attached if necessary. (1) Address PU�X IC7�5�' �S�-IJ�'3'ZL��D � �Z4z3 � q�� `79y- 2�c� I {2) Teie�h�ne No. � (3) Type of Firm (lndividuai, Partnership ar Carporafion) ��/�� (4) Carparation organized under the laws af the State of 1��Gl�— ��-� (5) Contractor's l.icense No. �2�ZZ� Exp. Date �f� 3�`��$ Contractor hereby swears under penalty of perjury that this in#ormation provided is true and correct. . `_�� gy. � Title: ��'n�� Signature Contractor `" List the names and addresses of al! awners af the firm or names and titles of all - ��} afficers of the carporation: �s�►�cnrr--g+�tirr c-�r�c�c� S�i��/��su.�+e. �1` 3pg52 L1tiCDa.k�Ctin 6x.�d.� �P�LL�trtds Ca. 923�73 ��NNt9 . ,�,l�G��oC.. , �IICG p�sit�Nr�= �. rt�ta.lC �;.�h�. 3D� LGt� q227s , ... -713 ��d� , ,�d�t ar2us� �R237`f � (7) Number of years' experience as a Contractor in construction wark �� -- --- ____.� _ .__ __ ( (8) List at least three simiEar projects completed recentfy: 1:.� Contract Amaunt Class of Work Date Completed Name, Address & �i Tele hone No. of Owner °' �• 22 5��•'' �ph�-� 3-I��0�7 �s�,.� j�c„92�� 5 � �oo�- lm �ry Szs�•3 , � 2��$��c�c�o. � � so�n.,�� -��, -�7z,s 3��3.73� Jv _ p� ' /.,3�-U7 � ��, Cv cnc�� . ( �;6n 2 l.. ��I �7�-�72 �23 4 l I ' { f Page D-1 � � ( {9) List the names and addresses of each Subcontracfior who will pertorm work in or about the work improvemsnt, and indicate what portion of the work will be done by each `��' Subcantracfior: !:_. , .� G a�Q�e. a.ri , r� Subcontractor s Name. � �-/� l ^` License Number: 7�z 3�7 _, ��f 50 �i fzq�r'al �1 � Address:_ - - ,�i�:Q--�-o , Cp �t2,.��7 C� �., Telephone:f RD�I) ��g- �-�l�� , � Work to be perfarmed: S (�1 n-G} �� - Subcontractor's Name: 7: " License Number: �. Address: ��'� Tele hone: P � Work to be perFarmed: ( Subcontractor's Name: 1,:� . - ------Ei eer-tse-��er: � Address: �^ Telephone: � Work to be performed: c (10) Lis# the na e of the person who inspected the site of the proposed work for your ( firm cDYl rlele- � (11} A financial statement or other information and references sufficiently � comprehensive to permit an appraisal of your current financia! condi#ion may be required by the Owner. � � Page D-2 I �„ Non-Coltusion Affdavit To be Executed by Bidder and Submitted with Bid � STATE OF CALiFORNIA) ) SS ( COUNTY (3F REVERSIDE) 1.. �� C• ��' , being first duly swom, deposes d 1 says that helshe is �I��p�N'fi of�.-f�'l?Gt��i�at�vP��-S�l�d+0�`�e t- party making the foregaing bid; that the bid is not made in #he interest af, ar on behalf of �pl2,.pa�"�"�p�.J , any undiscfosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not � colfusive or sham; that the bidder has not directly or indirectfy induced or solicited any other bidder to put in a false or sham bid, and has not directly ar indirectly coliuded, conspired, connived, or agreed with any bidder or anyone e�se to put in a sham bid, or �� that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communicatian, ar conference with anyane to fix the bid price of the bidder or any other bidder, or to fix any overhead, pro�t, ar cost element � of the bid price, or of that of any other bidder, or to secure any advantage against the pubic body awarding the contract of anyone Enterested tn the propased contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or " indirect{y, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative ther�to, or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, bid depQsitory, or �''' to an member or a ent thereof to effectuate a collusive ar sham bid. Y g �,; � Subscribed and sworn to, before me this � day of + , 20�� , �,�' By� � -a#�u�"P I 'rl Title: ��`�I�LGIt!]- �..: CONTRACTOR Attest By: �� Notary Pubtic in and for said C ty and State �, Title: '�/ I � r��'`� �'�` ( i Page E-1 I State of California County of San Bernardino Su�scribed and sworn to {or affirmed) before me on this 7th day of March, 2008, by Brent C. Rieaer, praved to me an the basis of satisfactory evidence to be the person(s) who appeared before me. A LKMAI�N HEftGENR�DER CornnlMiot�111482034 NotaN��'�dltorNa SOn Be�tlars�CoW�1Y MV Co�m►•ExpiresApr 1Q 2008 � ' �(Seal} SignatureC.�- fLt/1� 'n�- pril Kimmen Hergenreder,Not Public Certificate aftached to: Non-Collusion Aifdavit, Dated: fl3/07/08 City af Palm Desert, Monterey Ave Medians from Country Cfub Drive to Hovley Lane West. Project No. 661-02, Cantract Na. C25430A