HomeMy WebLinkAboutC29240 - Cvc Ctr Parkway Turf Retrofit Contract No. C29240
CITY OF PALM DESERT
PUBLIC WORKS DEPARTMENT
STAFF REPORT
REQUEST: AWARD CONTRACT NO. C29240 FOR THE CIVIC CENTER
PARKWAY TURF RETROFIT PROJECT — PHASE I TO LEON'S
LANDSCAPING & TREE SERVICE IN THE AMOUNT OF
$34,937.13 (PROJECT NO. 962-10)
SUBMITTED BY: Mark Greenwood, P.E., Director of Public Works '
CONTRACTOR: Leon's Landscaping & Tree Service
P.O. Box 96
Thousand Palms, CA 92276
DATE: February 25, 2010
CONTENTS: Contract Agreement
Contractor's Proposal
Vicinity Map
Recommendation
By Minute Motion:
1. Award Contract No. C29240 for the Civic Center Parkway Turf
Retrofit Project — Phase I to Leon's Landscaping & Tree Service in
the amount of$34,937.13 (Project No. 962-10);
2. Approve a 10 percent contingency of$3,493.71; and
3. Authorize the Mayor to execute the subject agreement.
Funding is available for this project in Account No. 400-4614-433-4001, Capital Project
Reserve Fund.
Backqround
On September 24, 2009, City Council authorized staff to proceed with the bidding
process for the Civic Center Parkway Turf Retrofit Project — Phase I. This project
removes the turf between the sidewalk and curb, and replaces it with drought tolerant
landscaping.
On January 23 and 28, 2010, the City Clerk advertised and called for bids. Bids were
opened and read aloud on Monday, February 8, 2010, at 9 a.m. with the following
results:
Staff Report
Award Contract C29240 Civic Center Parkway Turf Retrofit Project— Phase I
February 25, 2010
Page 2 of 2
Contractor Location Bid Amount
Leon's Landscaping & Tree Service Thousand Palms, CA 34,937.13
Sierra Landscape Palm Desert, CA 42,141.05
Hernandez Landscape Co., Inc. Ontario, CA 49,756.35
Hort Tech, Inc. Bermuda Dunes, CA 52,342.00
Diversified Landscape Management, Inc. Mission Viejo, CA 53,982.99
Candyl Golf Group, Inc. La Quinta, CA 54,245.00
Rock Bottom, Inc. Bakersfield, CA 57,408.25
All Seasons Landscape & Design, Inc. Cherry Valley, CA 58,636.54
American West Landscape, Inc. Chino, CA 64,321.69
Earth Sculptures, Inc. Indio, CA 69,059.66
Mariposa Landscapes, Inc. Irwindale, CA 88,193.68
Staff reviewed the bid proposal for the lowest bidder, Leon's Landscaping & Tree
Service, and determined that all bid requirements have been met. Leon's Landscaping
& Tree Service has performed contract work for the City and has successfully executed
the terms of the contract.
Staff recommends that City Council award the contract for the Civic Center Parkway
TurF Retrofit Project — Phase I to Leon's Landscaping & Tree Service in the amount of
$34,937.13, approve a 10 percent contingency in the amount of $3,493.71, and
authorize the Mayor to execute the agreement.
Fiscal Analvsis
The engineer's estimate for this project was $130,300. The lowest bid is in the amount
of $34,937.13; which is a savings of $95,362.87. Funds are available in Account No.
400-4614-433-4001, Capital Project Reserve Fund.
Prepared By: _ Approved By:
, �„ �
�� -
Diane Hollinger, Lands pe Specialist H. Spe ce ight, Landscape Manager
Depart n ad:
Mark Greenw od, P.E. C�y�6�}��CTLi��O�rector of Finance
Director of Public Works APPROVED.....,Y:......._......D1r'Ni�D
RECEIVED OTHER
Ap val: �
MEET
AYES:
Jo M. Wohlmuth, City Manager NOES:
ABSENTs
ABSTAIN:
G:IPubWorkslStaf(Report5120101February 25103 Award C29240 Civic Cer�y�4p{VJi�5f.Ffgtyy[d��e��SR tr - i Center Pkwy Turf RetrotiLdoc
VL'ltll'1L'U ISY'
Original on File w�ith City CI 's O!'t'ice
Contract No. C29240
Agreement
THIS AGREEMENT is made and entered into this 25th day of February, 2010, by
and between City of Palm Desert, California, hereafter called "Owner" and Leon's
Landscaping & Tree Service hereinafter called "Contractor".
WITNESSETH
RECITALS:
Contractor has submitted to Owner its Contractor's Proposal for the construction of
Owner Project,
1. CIVIC CENTER PARKWAY TURF RETROFIT PROJECT— PHASE I, PROJECT
NO. 962-10, CONTRACT NO. C29240, 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; (j) 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 (10) 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 forty-five (45) calendar days from the Notice to
Proceed date to the satisfaction of the City Engineer.
Page 1
Contract No. C29240
3. Contractor agrees to indemnify, defend and save Owner and its officers, agents and
employees, and the City 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 five hundred dollars ($500.00)
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 ten (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 thirty (30) days after the Subcontractor's work is satisfactorily
Page 2
Contract No. C29240
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 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:
BY: ATTEST BY:
Signature to be notarized
TITLE: TITLE:
OWNER:
BY: ATTEST BY:
Signature to be notarized
TITLE: Mayor 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
Page 3
Contract No. C29240
Performance Bond
KNOW ALL MEN BY THESE PRESENTS: That whereas the City of Palm Desert has
awarded to Leon's Landscaping & Tree Service hereinafter designated as the
"Principal", a contract for:
CIVIC CENTER PARKWAY TURF RETROFIT PROJECT
PHASEI
PROJECT NO. 962-10
CONTRACT NO. C29240
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, Leon's Landscapinq & Tree Service 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 Thirtv-four Thousand Nine Hundred Thirtv-seven and 13/100
Dollars ($34,937.13 ), 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.
Page 1
Contract No. C29240
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
Page 2
Contract No. C29240
Payment Bond
KNOW ALL MEN BY THESE PRESENTS:
THAT WHEREAS, the City of Palm Desert (sometimes referred to hereinafter as
"Obligee") has awarded to Leon's Landscaping & Tree Service (hereinafter
designated as the "Contractor"), an agreement dated February 25, 2010, described as
follows: CIVIC CENTER PARKWAY TURF RETROFIT PROJECT — PHASE I,
PROJECT NO. 962-10, CONTRACT NO. C29240, (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, Leon's Landscapinq & Tree Service , 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 Thirty-four Thousand Nine Hundred Thirty-seven
and 13/100 Dollars ($34,937.13), said sum being not less than one hundred percent
(100°/o) 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.
Page 1
Contract No. C29240
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 befinreen 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)
Page 2
Contractor's Proposal
CIVIC CENTER PARKWAY TURF RETROFIT PROJECT
PHASEI
Project No. 962-14
Contract No. C29240
TO: CITY OF PALM DESERT, "Owner"
DATE: •� I�� ' Of �
.._.__.
BIDDER: �t�'� � ra,r-e��ca��a ' {r.ce_ ��rv�c-� "Cantractor"
The UNDERSIGNED, "Contractor", having carefully examined the site and the Contract
Documents for the construction of CIVIC CENTER PARKWAY TURF RETROFIT
PROJECT — PHASE I, Project No. 962-10, Contract No. C29240, hereby proposes to
construct the ork in accordance with the Contract Documents, including Addenda
No(s). � for the amount stated in this Proposal.
By submitting this Proposal, Contractor agrees with Owner:
1. That unless withdrawn in person by Contractor or some person authorized in writing
by Contractor — not by telephone or telegram — before the time specified in the
Natice Inviting Bids for the public opening of bids, this Proposal constitutes an
irrevocable offer for sixty (60) calendar days after that date.
2. The Owner has the right to reject any or all Proposals and to waive any irregularities
or informalities contained in a Proposal.
3. That the contract shall be awarded only by the goveming 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 OWNER shall
obtain all necessary signatures of the governing body, at which time the contract
shall be deemed awarded.
4. To submit to Owner such infarmation as Owner may require to determine the
Bidder's financial standing experience and to pertorm the woric.
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
deiiver the required bonds and certificates of insurance within ten (10) days after
notice of award. !f Contractor fails 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 the amount in excess af the bid which costs Owner to do or cause to be done
the work involved, lease and rental costs, additional salaries and overhead,
Page C-1
760-341-7098
02:38:21 p,m. OZ-03-2010 4t4
8. increased interest and costs of funding the pro)ect, attomey expense, addit(onal
engineering and archttectural expense and cost of mainteining or construction
altemate facilltiss occasioned by the failure to execute and deliver said documents.
It ls understood that the quantities shown hereon, except for those quantities marked
"Lump Sum", are but estimates and the flnal payment wilt be based upon the actuai
work perfonned, subJect to sucF�adjustment and alterations as elsewhere provided
herein.
• � � � ,� p�� �•{;._,�, <F �f ' .
.r�tess'.'�l'a`Y�.r;.Sas�:y at;�i�i�;`.:��.y�$��:4���f,ty�4,�,,�,,�,.�Y✓Y,F+,�'� r�'�l'.�i;.• ^`' fN''haW Ft°3•�}�s^p>;-ti}�t
1 MobAlzatlon .< <. � { �..:�.,�-..�...:; �.,^f,5�. .. _,.:,:. �..:�
LS 1 $ $ .tt�
Clearing�and Grubbing/Irrigation SF 20,931 $ �
2 Demolitfon pp i o? �St�. 7a
3 Earthwork and Gradin SF 20,931
Boulde�s, "Cresta" 3' -5' City �,S �8 $ . a � ���,y
4 Provided $ (D� � $ 1,17D. �
Inorganic Mulch/Decomposed Granite SF 20,931 $ $
"Brimstone"wM 1%fines, 2" depth
5 after com action �� !! �6�a.oS _
8 Cobbiestone 6"— 12" Ci rovided SF 1228 $o. 7� $ 7�, g�
7 !M atlon s stem �S � $ �sa � S9Sa w
8 A �ve americana—5 Galion �q �
A A ave a i—5 Gallon� $ '`� $ ��Oo
10 Aloe'Blue Elf 1 Gallon � 8 � �� $ •°O
11 Baile multiradiata—1 Gallon � 27 $ �a,oo $ �y'°D
Callistemon viminalis "Little Jahn" 8 $ ��' a�.a°
12 5 Gallon � 8 �
l8.s� $ ryg.�
13 Das Ilrfon wheeler(5 Gallon EA 22 $ �g.so $ �
14 Eu horbla b! landulosa 1 Gallon EA 1 b $ l a � $ t�o.o�
Fouquleria splendens—7' Ht./ EA 11
15 8- 10 Cane Minimum � �ao•a� $i3�,,a�
18 Goss ium harknessii 5 Gallon Eq 20 � �,�, $ � �
17 Hes eraloe arviflara—1 Gallon EA 8 $ �(�•� $ go.�,
18 Lantana'Gold mound'S Gallon Eq �q. $ �_c� $ � �
19 lantana montevidensis 5 Galion EA 3 $ i�3 •°o $ .oa
20 Noi(na bl lovli—5 Gailon EA 12 $ � .sa $ ,o0
21 0 untia microda sis min 6—7 ads EA 3 $ 3p $ o•
22 Pedtlanthus maaroca us 5 Gallon EA 4 $ y�g,� $ g �
23 Penstemon a 11 Gallon Eq 12 $ !a,a, $ y_�
24 Russella e ufsetiformis—5 Gallon Eq d $ t g.� � ..�a•�
25 Yucca elata 15 Gallon Eq g $��,� $ ? o �
26 Yucca fa�cionia—24 ox EA 4 $ �.s m $ �Do��
Maintenance and�Establishmenf LS 9 $ 3500 $
27 Per�od,90 da s %�.�
Page C-2
� � O p � � �
28 Tra�c Control LS ; 1 � $ ���f � �.op i
� $
_ ` 3y,�3� i3.
i TOTAL BID PRICE
The costs of any wark 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.
TOTAL AMlJUNT BASE BID iN FIGURES $ �J�a ��
TOTAL AMp UNT B SE BI IN WORDS ~V>> � ��sY' o`aSc�—�
✓1� h-� 1�Uy..�. � � � o •
IN WITNESS WHEREOF Contractor executed this prop al s of date set forth on
Page C-1: a �
By. �
S g ture
Titfe: .,. ��Q-�� �'��
Contractor
Attest by:
Notary Pub{ic in and for said County and State
Titie:
Page C-3
ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of Riverside
On February 6, 2010 before me, Fernando Vigil,Notary Public, personally appeared
Serafin Diaz Leon,who proved to me on the basis of satisfactory evidence to be the
person(�)whose name(g) is/aFe subscribed to the within instrument and acknowledged to
me that he/sl�e/tl�y executed the same in his/l�er/tlieir authorized capacity(�es-),and that
by his/�er/t�signature(.a�)on the instrument the person(8�),or the entity upon behalf of
which the person(�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.
FERNANDO ViGIL
� ` Cor�w.#1�92869
�! � NOT��•��IFORNU �
g .�_� `,� < �S Mr Couw.Ez�.M�u.o,201z``
S i nature �; �,��.w.���� �:_...._ � �
------------------------------------OPTIONAL INFORMATION-_-----------------------------------
DESCRIPTION OF ATTACHED DOCUMENT
Contractor's Proposal
TITLE OR TYPE OF DOCUMENT
Three
NUMBER OF PAGES
February O5.2010
DATE OF DOCUMENT
CAPACITY CLAIMED BY SIGNER(PRINCIPAL)
❑ INDIVIDUAL
C� CORPORATE OFFICER -TITLE S President
� )_____________.............__ __.
❑ PARTNER(S)
0 ATTORNEY-IN-FACT
O GUARDIAN/CONSERVATOR
O OTHER
SIGNER IS REPRESENTING:
NAME OF PERSON(S)OR ENTITY(IES)
Information Required of Bidder
The bidder is required to supply the following information. Additionai sheets may
be attached if necessary.
(1) Address ��.�,, k C'1 L���N-dv� 1-�vl.►�rt.S Cl�aa'"7�
(2) Telephone No. ��d7���/�3f�`�
(3) Type of Firm (Individual, Partnership or Corporation} �Gr� �
{4) Corporation organized under the laws of the State of �'�'m'''zi -
(5) Contractor's License Na.,C o�7--��5`/0"� Exp. Date � �'3 / �� � �
Contractor hereby swears under penalty of perjury that this information provided
is true and correct.
_ � ����-
� �
: . Title: r
igna ure Contractor
(6) List the names and addresses of a{I owners of the firm or names and titles of al(
officers of the corporation:
5�►►--�,r--, 1.��-�-, ��a- � �.-e�
��-cea�-c.�,.,--Y
'-�t o�ov r U/L.a� a-lr�-�'�3 `�-�ti�"'
���-e.�-��wv� ��-�'!'�--7 So '�(h.�u�-..�/t.��✓t w�-� G��'�d�Qo
(7) Number of years' experience as a Contractor in construction work ��cv�-s .
(8) List at least three(3) similar projects completed recently:
Contract Amount Class of Work Date Completed Name, Address 8�
Tele hone No. of Owner
s� '` + C�e.r.1•.�,,, g wr»1� 1�/1Lr
( 1 ` �1tD,9� . �� -to o�es�r#-ScR a ��0i o '7�3�ita-Ilto! .�✓��-ItmS�n
2.� � I �cp, p�p� !'�p�j-ro i-vr� C�..�W�7r+-v3 (3"65D W'V Y�r'.
� �� � n�,��p�. ► f�+o �a��r.��- c�vo�r-�a�8
'D�st-r�- to�*�ow � L.a-�o/a�+^�G
3. ��✓�� OOO .�� t►2s�.,il�+�n� lav i b 1�--isg s�. pr.D�n.r.-.� pr. In+�
pc��+-, i r►-r�a n, -z� �a3 a=�3`�S'_
� �7��
Page D-1
,
(9) �ist the names and addresses of each Subcontractor who will perform work in or
about the work improvement, and indicate what portion of the work will be done
by each Subcontractor:
1
Subcontractor's Name: �C� �-��,.
License Number:
Address:
Telephone:
Work to be performed:
Subcontractor's Name:
License Number:
Add ress:
Telephone:
Work to be performed:
Subcontractor's Name:
License Number:
Address:
Telephone:
Work to be performed:
(10) List the name of the person who inspected the site of the proposed work for your
firm
(11) A financial statement or other information and references sufficiently
comprehensive to permit an appraisal of yaur current financial condition m�
required by the Owner.
Page D-2
Non-Collusion Affidavit
. To be Executed by 8idder and Submitted with 8id
STATE OF CALIFORNIA)
) SS
COUNTY OF RIVERSIDE)
� t--��'� , being first duly sworn, deposes and says that
he/she is �Pr�S � -�� of , the party
making the fore oing bid; that t bid is not made in the interest of, or on behalf of
�.�r s c =�r�?���;�"°any undisclosed person, partnership,
campany, association, org nization, or corparation; that the bid is genuine and not
collusive or sham; that the bidder has not directly or indirectly induced or solicited any
other bidder to put in a false or sham bid, and has not directly or indirectly coiluded,
conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or
that anyone shall refrain from bidding; that the bidder has not in any manner, directly or
indirectly, sought by agreement, communication, or conference with anyone to fix the
bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element
of the bid price, or of that of any other bidder, or to secure any advantage against the
pubic body awarding the contract of anyone interested in the proposed contract; that all
statements contained in the bid are true; and, further, that the bidder has not, directly or
indirectly, submitted his or her bid price or any breakdown thereof, or the contents
thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee
to any corporation, partnership, company, association, organization, bid depository, or
to any member or agent thereof to effectuate a colfusive or sham bid.
Subscribed and swom to, before me this�day of �' � � �20 �'� ,
.
Signature
Title: �����t l`� ��1� /
Contractor
Attest By:
Notary Public in and for said County and State
Title:
E-1
� . � (e 4 -w"�1��'�r � - '/��f
`' t .�y.�.__
. � lv ` 'y'��'r .�
� m T �.� .. ` � n, � �I°�
d
�,. � ��u.�`�4` `. .:N�t ,. � . �� � � ^^ .
��`, 6 a�`3`i1���14s��F�+�[`,� �! • , � � s
� ��� � � . � �'� o
_�:.e "�' . -.� � . �. �r�,��,�k'yy�%"�. � ,� � � � . .. � r � c
,� - � ,, ;�r "��r �;, _ �� 3
s_
.
� r _ �
�
� . .. ,... .. . . � .
_ O
C�
�k, ' � r .� � sn k ..., . , y+'i. LL
,
��.�' P � +F.`• i
��� .. � f � 1 -.
� �
i p�
. � .C=i,: . i i
ni.
w
"v',g�,�Lye ' . j .'� L � _ c. �
; . � �
5 W� �'.. .�. � � �.; - - T;�� :. � �
� i .., • . ''��.. '�,� �`� .x�k
; � _ � ��� ,
<:� � �
a �, �m ���,�� .
_ �af .,,,� ,v& . •� �. i�
v� ,. 1 .. .. S4 r,. � Q
S�v � � ! ., �V �. �
•t. > i. • � y
�� q�:; � ����k = k li i� Q �.`'
p� P '� ' c Ir�� ■ f' : G � F-�
. �� � �' '�I � �, , � C�' w � O
� ��� E�� �:���w�� • � i� i`—' [�r 0 [� O
—!'��{��i . i
�I � - i� Z C� N
r.`,� - w � C�.
,p' � � �s�' �s� ,� L • � � � U F-'
.V � . I� F iY �
i � .
. �� ,
� �, f
,� \ . o .; U
���� ����.� - , � .�� � � � �
< �+,� y, •;'! ; � �`.y_ _ y'� �� �f,o
.
. w
-;�+ �`�'.�, � rr ,..'i�, "` �
� + "
�`�, ' �
q N: � .+a _ ��� .
.sa #� � � � � �
�� � 86
�
�
� /n• vf.
�
.,��� � �
.:..� <. �'., � ;
p ' .�:.���V..1L� w �n � �' .
� y �
.1'Y �+' 1�" • � � � ^+ � �r�y! *
� ,�
�' • R' �;
� �y ' � � _ ' �,1 " ` � ^
T , . � . .
r '�' F . �` � � s � �S�'�
. :�- � ,.'- ` . � . .. . -� � r� :� .. q� /��, °F�
� � �+�$!� . ...e ��r.:z. � 4� �a';, . x6fP��� ,� �E 1�
.n�v .yr+�" P'G'V "r hY�� f 4kc d1: g,€wf� 19R6b .._ . . '� �
''R ,�. *��. �'�b'.�NE�" � w
. .�. � ....� ��, 3�V 0787d�NVS � 'kp•' ��� . . wo f�•. `
�'� � � . � '���� cbd'�4`