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HomeMy WebLinkAboutC23210H - Freedom Park Well Site 713-13 Contract No. C23210H CITY OF PALM DESERT PUBLIC WORKS DEPARTMENT STAFF REPORT REQUEST: AWARD CONTRACT NO. C23210H FOR CONSTRUCTION OF THE FREEDOM PARK WELL SITE PROJECT TO VALLEY PIPELINE SERVICES OF PALM DESERT, CALIFORNIA, IN THE AMOUNT OF $64,300.08 (PROJECT NO. 713-13) SUBMITTED BY: Mark Greenwood, P.E., Director of Public Works CONTRACTOR: Valley Pipeline Services 42-240 Green Way, Suite 1 Palm Desert, CA 92211 DATE: October 23, 2014 CONTENTS: Contract Agreement and Bonds Contractor's Proposal Location Map Recommendation By Minute Motion: 1. Waive bid irregularity; 2. Award Contract No. C23210H for construction of the Freedom Park Well Site Project to Valley Pipeline Services of Palm Desert, California, in the amount of $64,300.08 (Project No. 713-13); 3. Authorize the Director of Finance to set aside a 10 percent contingency in the amount of $6,430.01; 4. Appropriate $25,000 from Unobligated Park and Recreation Facilities Fund to the project account 233-4618-454-4001; and 5. Authorize the Mayor to execute agreement. There is currently $50,000 available in Park Fund, Account No. 233-4618-454-4001. With the addition of the appropriated $25,000, funds will be available to cover all costs associated with this project. Staff Report Award Contract C23210H to Valley Pipeline. (Project No. 713-13) Page 2 of 3 October 23, 2014 Strateqic Plan Obiective The proposed action will further the goals of the strategic plan by providing a reliable water source for the water district. This is integral to the City's parks and recreation program, and is a key component of health and safety for the City's residents. Backqround During the construction of Freedom Park, the City and Stonebridge agreed to provide a well site to Coachella Valley Water District at the northwest corner of the park. In addition to providing the land for the well site, the City and Stonebridge agreed to install a retention basin, construct a block wall surrounding the site, and bring electrical conduit and a water line to the property. The construction of the retention basin and wall is complete. If the actions in this report are approved, it will allow the City to bring electrical conduit and a water line to the well site and turn the facility over to CVWD. A call for bids was advertised, and on September 30, 2014, sealed bids were opened and read aloud. The following is a summary of the bids received: Contractor Location Bid Amount Valley Pipeline Services Palm Desert, CA $ 64,300.00 CV Construction and Eng. Thermal, CA $ 66,700.00 Jones Brothers Coachella, CA $ 69,710.00 Dateland Construction Indio, CA $ 73,684.00 Kincaid Industries Thousand Palms, CA $ 87,996.54 Pyramid Building Desert Hot Springs, CA $ 88,740.00 Valley Pipeline Services submitted the lowest responsive bid. Upon reviewing the proposal submitted by the apparent low bidder, an irregularity was found. The contractor rounded down eight cents on one of the line items of work. There is a provision in the specification that explains how to deal with this situation. The correct information is clearly discernable from the line item bid sheet. The City Attorney indicated that the error is immaterial and the irregularity may be waived. An appropriation of$25,000 is necessary for this project. The appropriation will increase the budget to exceed the construction contract, including the contingency, by more than $4,000. The excess funds are necessary for soils and materials testing for the project. Fiscal Analvsis The funding for the project will come from accounts set aside for the construction of parks and supporting infrastructure, and no General Funds will be used on the project. Stonebridge contributed funds to construct the well site. $13,196.98 is available to help Staff Report Award Contract C23210H to Valley Pipeline. (Project No. 713-13) Page 3 of 3 October 23, 2014 defray the cost of the project. Upon completion of the project, the site will be turned over to the Coachella Valley Water District, and the City will have no on-going maintenance obligations. Prepa�d By: Depa Head: ,l- � �� f / ��/ ✓ Ryar� Gayler, ject Administrator Mark enwood, .E. Direc of Public Works � ,`.�-- aul S. Gibson, Director of Finance A roval: CITY COiINCILACTTON APl'I20VED ✓ DTNTED RECLIVED OTHER MEETING DATE '" n M. Wohlmuth, City Manager ,�yrg; ' S `� d� a �Tors: t��� A13SP:NT: N��- AI3STA[;v: VF.RiF{LD BY: Original on File with City Clerk s Office Contract No. C23210H AGREEMENT THIS AGREEMENT is made and entered into this 23`d day of October, 2Q14, by and between City of Palm Desert, California, hereafter called "CITY" and Vallev Pipeline Services hereinafter called "CONTRACTOR". WITNESSETH RECITALS: CONTRACTOR has submitted to CITY its Contractor's Bid for the construction of CITY Project, 1. FREEDOM PARK WELL SITE IMPROVEMENTS, PROJECT NO. 713-13, CONTRACT NO. C23210H, 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; Q) The Standard Specifications as modified in other portions of the Contract Documents; (k) The Plans; (I) Any Change Orders issued; (m) 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 15 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 $1,000.00 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 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 snall be paid in the manner set forth in the Contraci Documenis ihe 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 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 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: CITY: BY: ATTEST BY: TITLE: Mayor of Palm Desert, CA TITLE: Citv 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 CONTRACTOR ACKNOWLEDGMENT 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 (seal) PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That whereas the City of Palm Desert has awarded to Vallev Piqeline Services hereinafter designated as the "Principal", a contract for: FREEDOM PARK WELL SITE IMPROVEMENTS PROJECT NO. 713-13 CONTRACT NO. C23210H 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, Valley Pipeline Services 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 Sixty-four thousand three hundred and 08/100 Dollars ($64,300.08), 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. 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 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 (Seal) PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: THAT WHEREAS, the City of Palm Desert (sometimes referred to hereinafter as "Obligee") has awarded to Valley Pipeline Services (hereinafter designated as the "CONTRACTOR"), an agreement dated October 23, 2014 described as follows: FREEDOM PARK WELL SITE IMPROVEMENTS, PROJECT NO. 713-13, CONTRACT NO. C23210H, (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, Valley Pipeline Services , 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 Sixtv-four thousand three hundred and 08/100 Dollars ($64,300.08), 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. 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) Acknowledgment 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 (Seal) , � � C — CONTRACTOR S BID , FREEDOM PARK WELL SITE IMPROVEMENTS PROJECT NO. 713-13 � CONTRACT NO. C23210H TO: CITY OF PALM DESERT, "CITY" ' DATE: SE�Tbr•8b- 3A,, ?p t`�1 - - BIDDER: �,«+ry ���_� _S��ic.+�S _ ti.1�. "CONTRACTOR" � The UNDERSIGNED, "CONTRACTOR", having caretully examinad the site and the Contrect Documants for the construction of, FREEDOM PARK WELL SITE � IMPROVEMENTS, PROJECT NO. 713-13, CONTRACT NO. C23210H, hereby proposes to oonstruct the w�ork in acoordarx;a with the Contract Documents, induding Addenda No(s). � for the amount steted in this Bid. ` By submitting this Btd, CONTRACTOR agro�a with CITY: 1. That unless withdra�nm in person by CONTRACTOR or sane person authorized ' in writing by CONTRACTOR baforo the time specifled in the No�Ce Inviting Bids for the public opening aF bids, this Bid constitutes an irrevocable of'ffer for 60 , calendar days after that date. 2. The CITY has the right to reje�t any or all &ds and to waive any irregularities or informalibes oontained 'm a Bid. � 3. That the oontraet shall be awerded only by the go�veming body of CITY. Said contrad shall oniy be deemed awerded after the CONTRACTOR'S comple�te ' submission af all oontracc;t documents, bonds, insurance documentetion, and the CtTY shall obfiein all neoessary signetures af the gaveming body, et which time the contr�d shell be deemed awerded. ' 4. To submit to CITY such infom�ation as CITY may require to detertnine the B�ders finenciai standing e�erierx:e and to perform the w�ork. ' S. That the �coompenying certified or c�tshier's chedc or Bid Bond constibutes a guarantee that if awarded the contract, CONTRACTOR wiH execute the � Apreement and deliver the required bonds and cert'rficates af insurance within 10 days aiter r�o�ice of award. If CONTRACTOR fails to execute and cieliver said documents, the check or bond is t� be charged with the oosts of the rosultant , dsimages to CIIY, induding but nat limited to publication costs, the differenoe in money betw�een the amoerrt bid and the amourrt in exc�ss of the bid whid� oosts CITY b� do or cause to be done the w�nrk inv�olved, lease arxl rented oosts, � addidonal salaries and overheed, incressed irrterest and oosta af fiu�ding the P�'oleGt, atbornaY e�ense, additional engineerii�g and ar+d�itec�urel exper�se and oost of maintaining or oon�ion altemate facili�es occ�sioned by the failure to , execxita and deliver said docurr�ents. Page C-1 , tt is understood that the quantities shaMm hereon, except for those quanMiea marked "Lump Sum", aro estlma�s and the flnal payment witl be based upon the ac�ual work — periorrnad, subjed to such adjustrr�errt and alberetions as elaewhera provided her�ein. 1 Mobilization LS 1 S��V90 S 9��,� , 2 Water Line Improvements LF 200 $ �y� s �,� 3 Ebctrical Conduit Improvemants LF 850 � 1$ s �5�� 4 PCC Sideweik and Driveway—6" SF 1,600 � �.,,b 3 q,44o _ 5 PVC Irrigation Sleeve—4" LF 12 a�,8�1 $ �.�o — TOTAL BID PRICE s t�l �3m _ Page C-2 ' ' The oosts of a work ahown or uired in the Pla� and S ' ns but not �Y �1 Pedficatw , � spedficaify icbntifled as e Pay tbam aro induded in tha relstad Pay tbem(s)� er�d no additional oomper�sation shaN be due CONTRACTOR by virtue af CONTRACTOR'S complianoe with the Plans and Specjfic�tions. � TOTAL AMOUNT BASE BID IN FIGURES= �� i �� TOTAL AMOUNT BASE BID IN V11dRDS S�X'�M 4b��- "iG�aNS�w�fl �1�N.� ' 1i�a�pata Do�.��s � IN 1MTNESS WHEREOF CONTRACTOR executed this Bid as af date set fiortl� on PaBe C-1: , By: Signature , Tttle: ��S��T CONTRACTOR , State of ) . � cour,ty af J l v..0 s� . ' Su�and swom to(or mned) befnrerpa on th' � ay 0 9 t,� (morrth)� °� (Yee�)� bY V `' � . pro�ved to me on the baais af ctory eviderx�e to be the Pefsa� who appeered before me. � Signeture of ' (Sesl o�f Notary) ' � SHIRLEY A.BARDSNES � � CortuMssion�r 1988218 _ �+h Notuy Public-C�INornia i '� Hiverside County � M Comm.Ex i�es Se 13,2016+ � ' ' � PaBe G3 , , ' � F - BIDDER S BOND � To Ac�pony Bid ' KNOW ALL MEN BY THESE PRESENTS, TNat we, c.- es prirxx:ipal� ' and ' ► s►,,a..�+�� c.o:.., as sur�e�ty, sre held and firmly bound unbo the City af Palm Desert in th af s 1.,��-130.so (1096 of bid) to be peid to the sald City or its oartain at�orney, its suooassors and assigns; fia which � payment, weA and bvly to be made, w�e bind ourselvea, our heira� executors and edmirKstretors, sucoessors or essigns,joirrtty and severeliy� flrmy by these presents. � THE CONDITION OF THIS OBLIGATION IS SUCH� thert if the oertain bid of the above bounden prindpal to periorm certein woric described as foliaws: FREEDOM PARK WELL SITE IMPROVEMENTS , PROJECT NO. 713-13 CONTRACT NO. C23210H ' The general ibems of work to be done heraunder oor�sist oF. Mobilization; Clearing and Grubbing; Trenching; Install Dudjle Iron Pipe; fnstall PVC Conduit; Install Decornpoaed � Granite; and Constnx;t Sidewalk and deted +c�'w+�� Z�t , ���( is acceNted by the City of Paim Desert, and ff the above bounden prkx;ipal ahedi � duly enter inbo and execube a oontr�ct for oonstrudbn, and shsq execube and cieuver the Perfom�ance Bond and Payrr�ern Bond and insuranoe oertificatas as requirod � by seid c�ontrad, then this obtigatlon shsll beoorr�e null and void; ofherwise it shall be end remain in full foroe and eRed. Should it beoome nec�ssary for the City to instltute a Iswvsuit, or any o�her legal ' ptooeeding to enforoe the t�erms �d oonditiona aF th�s bond, then aN costs of said P�+�9. including attorne�s fees, shaN be ewarded to the p�e�veiling petty. � (Remeinder of this pe8►e has intenti�or►al/y been laft blenk. � Slgneture bbcks are�onteined on the next pageJ � � � Pege F-1 � IN WITNESS WHEREOF, 1Me hereunto set our Hands and Seals this 29ch day of September 2014 . Contractor's Name: Vallev Pipeline Service,Inc. ConUactors Signature: �_ Title: Steve Vatter, President Address: 42-240 Green WaX.Suite 1, Palm Desert,CA 92211 Telepholl e: 760-340-3715 Surety's Name• Com an Surety's Signature: Title: e -in-Fact Address: 2 3 Telephone: soo-Zss-o351 _ Acknowledgment � K.SHIREY � State of Califomia ) � �01"'r"10""°� � � NOTMV PIllLIC CALIFdtMY1 � County of �wrs�d�t ) � ��'�''2011 � on 4 ���w before me, �� �+'"1 �1�t• personally appeared $r�� ` , who proved to me on the basis of satisfactory evidence to be the person(,� whose name(�f isl� subscxibed to the within inshument and adcnowledged to me that heJsFu�fllt6y executed the same in his/h�eir authorized capactity(je�, and that by his/herkffeir signatur�(ec) on the instrument the pe�n(�; or the entity upon behalf of which the person(Sf acted, executed the instrument. I certify unde� PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph is true and correct. VIATNESS my hand and official seal. Signature (Seai) Page F-2 � � D— INFORIAATION REQUIRED OF BIDDER � TO ACCOMPANY BID ' The bidder is required to supply the fiollowing inForrnation. Additional sheets may be attac�ed if necessary. (�) ��Y Name V*�.�y '����� ,SwJ�c,is . �ac.. , (2) Address u�10 1��.�s �� O+ts�ear �1 � (3) Telephona No. �'�r���+�-37�S (4) TYPe of Frm (Individual, Partnership or Corporetion) l��.a.�r�ro.� � (5) Corpora�tion organized under the lews of the State af G�u�N�. ' (6) Gontracbor'a Lioense No. 9Bg742 E�, pate ���`zA+s- (� List the names and addresses of aN o�wr�ers of the firm or nsmes and tides o#ali � o�'ic�rs of the corporation: ��� �(�-cr�- �s�e�r� � _S�i�*-� .��1- �w� �l�s+c,�� � , (8) Number af years axperience aa s Contrador in oonstrudion work 1 , (9) List at least threa similar projec�a comple�t�ed reoenty: ' Contrad Anaunt Cless af Vlbric Dete Completed Narna,Address 8� T No. oF Owner 1. ta+��, SE �.S.u.g,p .��V�yait� "''�1 S�fy GM�L,E,�,fM4� Mw`I f�. tew�s � S�ia�.�"D+�hrl� - ��R]n�► (9.n�3`�r- l 2. ��� �_, ,.�K Se.st���T. us . � � {9 2�9 Sq y��„��J �.I 3 a � �`'1 ��b�.- iL J4.�►� � Tt+� -Ta�,►.�a G�+��ct f�yy 3'Kt 3. �.+usM-i so+s�-, �Mwy Gas •*sw..�fe.a- .+�t . � ,�1���q3' g I�s l l`i c•�ss�wwt�•+•�µ- s sr*�.-t�.�.�, A+►- �a+.�(�1t� 1ii.1 � , PaBe D-1 , � ' 10 Pursuant to Califomie Public Co Code Section 4100 et. . the ( ) ��9 � �q . � following list gives the name business addross, end portion aF w�k (descxiption af w�ork to be done) for ea�ch subvor�tractor that will be used in the w�ork if the bidder is awarded the Contrad, (Additional supporting data may be a�tached to ' this pa8e. Each page shall be aequentialy numbered, and headed "Proposed Contradors' and shall be signed.) The Bidder shall list all subcorthedors who will per�orm w�ork or labor or render servioe to the prime c�ntrac�or in excess of ' one-haff of one percent of the prime's bid. Subcontractor'a Name: c�t�c.�sTa��c.. �►.KstT2 coas-��Ti� ' Lic:ense Number: "7Z 8 z 02 BusinessAddress: l�.O• � 5�-It�• l� Q��a� , G . G2z�$ � Telephone: �b� �,09- 'Z,73°1 1 Wbrlc Description: Coac�� 4't�t�a� �a�s�r�.u_ Perc�nt of Vuork: lo-�s'� Subcontractor's Name: +J1� ' License Number: � Business Address: Telephone: � Wbr1c Description: Peroent of Wbrk: Subcontractor's Name• r�ta, , L�cense Number: � Business Address: Telephone: , W�oiic Descripti�on: Peroent of Wbrk: (11) List the name af tfia parson who inspected the site of the proposed work�or your � firrr� _Sr�c �f,rnc��_ (12) A financfel steten�errt or other information and neferer�ces sufficiently � oompneher�sive to pannit an appr�isal af y�o� current finarx;ial oondition may be required by the Cit�r. � (13) Contrador hereby sw�ears under penalty af pery'ury that this ir�orrr�ation providad is true and comect. , By: Tida_-��o�s.�� re Cor�a�a Pege D-2 � ' � E - NONCOLLUSION DECLARATION , To bs Execubsd by Bfdder and Submitbed wHh Bid ' The underBigned daclares: I am the '�'n��cs►sa*�t of ��1 �.•rw� Sew►ws, �►x.; the ' party making tfie foragang bid. The bid is nat rnade in the interest af, or on behafF af, any undlsdosed person, part�ership� company, assoc�.iaition� organizetion, or oorporation. The bid is genuine end not cdlusive or sharn. The bidder has not directly � or indirectly induced or solicited any o�her bidder to put in a fafse or sham bid. The bitider has nd diredly or indirec�ty ooUuded� oorispired, oonnived, or agreed with any bidder or anyone else to put in a sham bid� or to refirain from bidding. Tha bidder has � nat in any menner, directly or indirecti�►, sought by agreemerrt, comm�mication, or confiarenoe with anyone to fix the bid price af the bidder or any ather bidder, or to foc any overt�ead, pro�fit, or oost element of the bid pric:e, or of thet of any other bidder. All ' stetemerrts contained in the bid are true. The bidder has nat, directiy or indirectly, submitted his or her bid prioe or any breakdowi� theroaf, or the ooMents thereof, or diwlged irrfurmetion or deta rolative thereto� tio any oorporafion� peitnership, company, � association, or8anization, bid depository, or to any member or agent thereof, to efi�eduate a oollusive or sham bid� and has nat peid, and witl not pay� any person or endty for such purpose. ` Any person executing this declarat�on on behalf of a bidder that is a corporatlon� par�tnership, joirrt venture, timited Gability oompany, limited liability partnership� or any � other entity, hereby reprosents that he or she has fu� power to execute, and does execute,this dedaretion on behaff af the bidder. � I declare under P��Y � P�I�Y undec the lews of the Sta�te of Califomia that the foregoing is true and corred and thet this dedaration is executed on 3��'0' Sirwr�� , 2011, at �r� ��.�- , Gp►. ' Gty State By: � �'�- 1 Signaturo � Tide:��i' CONTRACTOR , � � ' Page E-1 CVWD Well Site @ Freedom Park Date: 3/2013 VICINITY MAP