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None - 2001-07-16
V SUBMITTED TO: SUBMITTED BY: PREPARED BY: Council/Agency Meeting Held: Deferred/Continued to: *Approved ❑ Conditionally Approved ❑ Denied Cit CI rk's igna re Council Meeting Date: October 18, 2004 Department Number: PW 04-081 CITY OF HUNTINGTON BEACH o 0 REQUEST FOR CITY COUNCIL ACTION o - - Cn HONORABLE MAYOR AND CITY COUNCIL MEMBERS lam. PENELOPE CUL T - A ,City r Administrat > - 4 ROBERT F. BEARDSLEY, PE, Director of Public Works / SUBJECT: Authorize the Rejection of Bids and the Permission to Re -advertise the Gothard Street Rehabilitation Improvements Project, CC-1154 [Statement of Issue, Funding Source, Recommended Action, Alternative Action(s), Analysis„ Environmental Status, Attachments) Statement of Issue: Bids received for Gothard Street Communications Conduit Project, CC- 1107 exceeded the budgeted amount by over $350,000. Authorization is requested to reject all bids for the Gothard Street Rehabilitation Project, CC-1154 and Gothard Street Communications Conduit Project, CC-1107 and to re -advertise the Gothard Street Rehabilitation Project, CC-1154 without the communications element. Fundinq Source: Project funds are budgeted Improvements Account No. 20790008.82300 $628,850. Recommended Action: Motion to: in the Gas Tax, Arterial Rehabilitation, Street The engineer's preliminary estimate is l% 1. Reject all bids received for the Gothard Street Rehabilitation Project, CC-1154 and Gothard<the omm- unications�-Eor�dt�it-Pro se 1), CC-1107 combined projects, and dir y Clerk to return all bid bonds; and 2. Authorize ors o re -advertise the Gothard Street Rehabilitation Project, CC-1154 for bids. Alternative Action(s): Accept the lowest responsive and responsible bid by R.J. Noble Company, in the amount of $1,278,410.49. This action would require an additional $350,000 be appropriated from the General Fund. This action is not recommended since the higher than expected bids for the communication portion of the project indicate that the current approach to this element of the project (CC 1107) is not feasible based on available funding sources. 04-081 Oct 18 Taite (Arterial Road Rehab CC1154 S CC1107) -- 10/5/2004 8:33 AM REQUEST FOR CITY COUNCIL ACTION MEETING DATE: October 18, 2004 DEPARTMENT ID NUMBER: PW 04-081 Analysis: Staff combined two current capital projects on Gothard Street, between Ellis Avenue and Heil Avenue, to reduce overall construction costs and minimize future pavement impacts on Gothard Street. The Gothard Street Rehabilitation Project, CC-1154 and the Gothard Street Communications Conduit Project, CC-1107 were combined into one bid package. Bids were received on September 28, 2004 for the combined project. The basis of award for the combined project was the sum of both bid schedules (i.e. the total bid for both projects). The bids are listed below: No. BIDDER'S NAME Pavement Rehab, CC-1154 Communications, CC-1107 TOTAL BID AMOUNT 1 R.J. Noble Company $656,745.49 S621,665.00 $1,278,410.49 2 All American Asphalt $637,847.00 S661,036-00 $1,298.883.00 3 Pal ., Inc. DBA Excel Paving $712,534.88 S595,990.00 $1,308,524.88 4 Sequel Contractors, Inc. $758,684.06 $557,530.00 $1,316,214.06 5 Ranco Corporation $733,345.62 S598,300.00 S1,331,645.62 The lowest responsive and responsible bid for the Gothard Street Rehabilitation element of the project, CC-1154 was within budget, however, the bid for the Gothard Street Communications element of the project, CC-1107 was approximately $350,000 over budget Therefore, staff recommends that all bids'be rejected and the Gothard Street Rehabilitation Project, CC-1154,- be bid as a single project. Requesting bids for the Gothard Street Communications Conduit Project, CC-1107 would be cancelled at this time pending further evaluation of alternatives to the current project approach. Since the basis of award for the project was the sum of work elements for both projects, and the communications element of the project represents a significant portion of the total bid, the City Attorney's office has indicated that it would not be appropriate to award a contract for the pavement rehabilitation portion of the project based on the submitted bids. Therefore, staff is recommending rejection of all bids and that the project be repackaged to include only the pavement rehabilitation portion of the project. Public Works Commission Action: The Public Works Commission recommended the project for bids on May 21, 2003, by a vote of 5-072 (Absent Commissioners: Gartland and Johnson). Environmental Status: These projects are categorically exempt pursuant to the California Environmental Quality Act, Section 15301 (C). G:1R C A12004104-C81 Oct 18 Taite (Arterial Road Rehab CC1154 & CC7107).doc -2- 10I512004 8:33 AM REQUEST FOR CITY COUNCIL ACTION MEETING DATE: October 18, 2004 DEPARTMENT ID NUMBER: PW 04-081 Attachment(s): RCA Author: Larry Taite:jg G:\R C A\2004\04-081 Oct 18 Taite (Arterial Road Rehab CC1154 & CC1107).doc -3- 10/5/2004 8:33 AM CITY OF HUNTINGTON BEACH GOTHARD ST., CC-1154, & GOTHARD ST., CC-1107 BID DATE: SEPTEMBER 28, 2004 TIME: 2:00 PM ENGINEER'S ESTIMATE: $920,338 BID LIST No. BIDDER'S NAME RANK TOTAL BID AMOUNT 1 All American Asphalt 2 Alliance Street Works -- 3 Elite Bobcat Service Inc. — 4 Excel Paving Co. 34p 308 Sa . 8 5 Hillcrest Construction _. 6 Los Angeles Engineering Inc. _ 7 Minco Construction — 8 Moore Electrical — 9 Orion Contracting Inc. 10 Pavement Recycling Systems _ 11 Pete & Sons Construction Inc. — 12 JR.J. Noble D -qQ 13 Ranco Corporation ,��- oL 14 Sequel Contractors Inc. . 0(0 15 Shawnan — 16 Sterndahl Enterprises 17 VCI Telecom Inc. �- 18 19 20 21 22 23 24 file Bid List CC-1154-1107 As ("Iry F utjT1NCTOtt BEACt#. Ct SEP 28 p !. 5q v ;car oa CD -,_-:3 ; cli L 00 =Z d 8Z d3S to n V3'HOV39 NO.lDMINMI -r-, 30 A l ( 3 GOTHARD STREET PAVEMENT REHAB PROJECT From Ellis Avenue to Heil Avenue 100°/ Design Level Engineers Cost Estimate March 31 2004 Item No �` � � � ,,..., -- � Item Description - v $ Unit of Measure Quantity Unit Cost Sub Total Cost 1 2-4 PVC Conduit (Trenched in Pavement LF 10 670 $ 2350 $ 250 745 00 2 New No 6 Pullbox EA 15 $ 55000 $ 8 250 00 3 Splice vault EA 6 $ 1,50000 $ 9 000 00 0 /7 Sub total Cost $ 0 10% Contingency $ 26-799`3A TOTAL COST $ -2844" 50 -�- 1of1 GOTHARD STREET PAVEMENT REHAB PROJECT From Ellis Avenue to Heil Avenue 100% Design Level Engineer's Cost Estimate March 31, 2004 Item No. Item Description Unit of Measure Quantity Unit Cost Sub -Total Cost 1 24" PVC Conduit(Trenched in Pavement LF 10,670 $ 2350 $ 250,74500 2 New No 6 Pullbox EA 15 $ 55000 $ 8,25000 3 Splice vault EA 6 $ 1,50000 $ 9,00000 Sub -total Cost $ 267,995 00 10% Contingency $ 26,799.50 TOTAL COST $ 294,794.50 1 Of 1 4-1154-Gothard Plsn Title Shut Bid Schedule Cost Item [Mscn tion Qty jUnd U Unit 1 Const. Ramp 8 EA 8 EA S 8.000.00 2 Protect in Place - EA 3 Consi. 0.25' Overta W/ .10' Level 327.197 SF 4 Const 0.15' Overta WI.10' level 308.229 SF 5 Adj, OCSD Sewer MH EA EA $ 6 Adj. Sewer MH 38 EA 38 EA $ 10.640 00 7 M. Storm Drain MH 8 EA 8 EA $ 2,240.00 8 Ad'. Water Valve 91 EA 91 EA $ 25,662.00 9 Excay. & Const. New 0.5' 7,070 SF 10 Excay. & Const. New 0.6' 7.426 SF 11 Excay. & Const. New 0.7' 6.746 SF 12 lCold Mill 0 15' R Int. 11,447 SF 13 Cold Mill 0 25' Q Int. 27,372 SF 14 Cold Milt 0 15'. W=8' 75.918 SF 15 Cold Mill 0.25'. W-8' 74,180 SF 16 Inst. Loop Detectors 60 EA 80 EA S 16,000 00 17 Adj. Survey Monument 3 EA 3 EA 825.00 18 Prepare Comer Record 25 EA 25 EA 7,50000 19 1 Adi. BX Others 25 EA 25 EA 19AI GTE 19BI LUISON 19C GAS ANODE 16- 17- 18- 19- 21 - 22 - 23 - 24 - 25 - 26 - 27 - 88 Total Const A/C Base 915 TN S 36.600 00 9*10 Total Cold Mill 188.916]SF S 47.2290 3*A*B*C Total Overlay 9.218 ITN I S 368,720 00 8A Total Excavation 471 ICY IS 11.77500 Traffic Control Plan Project Traffic Control Striping Rout & Seal Motuhzatwn 9/29/2004 10559.02 LF S 14.99311 10559.02 LF 6 26.080.78 10559.02 LF $ 33,788.86 2347 SY S 30.511.00 Total $ 640,565.45 1.82% S 11.659.00 Grand Total $ 652,224.45 Calculations Depth U Unit Oly Unit Ott Unit 8 EA EA 0.25 327197.33 SF 302960 CY 5889,55 TN 0.15 308228 99 SF 1712.38 CY 3328,87 TN 0 EA 38 EA 8 EA 91 EA 0.5 7070.00 SF 130.93 CY 254.52 TN 0.6 7426.00 SF 165.02 CY 32060 TN 0.7 6746 00 SF 174.90 CY 340.00 TN 0.151 11446.98 SF 0.251 27371.60 SF 0.151 75917.52 SF 0251 74179.78 SF 80 EA 3 EA 25 EA 25 EA EA EA EA 915,32 TN 188915.88 SF 9218.43 TN 470 84 CY •J J City of Huntington Beach Project Name. Gothard Street Rehabilitation Improvements Public Works Department Bid Openning• September 28, 2004 @ 2:00 PM 2000 Main Street, P.O. Box 190 Engineer's Estimate $628,843 00 Huntington Beach, CA 92648 Cash Contract # ' 1154 BID SUMMARY No. Description QuantityUnit 1 Mobilization 1 L s _ 2_ Traffic Control Plan _ 1 L S 3 Furnish Project Traffic Control 1 L S 4 Cold Milling & Header Cutting 188916 S F 5_ Unclassified Excavation 471 C Y _ 6 _ Construct Asphalt Concrete (Overlay, Full Depth, etc) Pavement Reinforcement Fabric & Ro-ute and Seal of Cracks Adjust Sewer/Storm Drain Manhole to Grade _ _ 10133 To S Y _ 7_ 8 2347_ 46 Each _10_ Traffic Striping _ _ 1 L S 11 Traffic Loop _ 80 Each 12 Remove & Reconstruct Access Ramp _ 8 Each 13 14 Adjust Survey Monument Well to Grade Survey Monumentation 3 _ Each _ 25 Each 15 0 _ 0 _ o 16 0 0 0 17 18 20 21 0 _ _ _ _ _ 0 0 _o 0 0 0 _ 0 0 _o 0 0 22 0 0 0 23 _ 24 25 0 0 0 0 0 0 0 0 Total Bid0 : RJ Noble Company Bidder 1 All American Asphalt Bidder 2 Palp., Inc. DBA Excel Paving Bidder 3 Sequel Contractors, Inc. Bidder 4 Page 1 City of Huntington Beach Project Name Gothard Street Rehabilitation Improvements 0 T33Public Works Department Bid Openning September 28, 2004 @ 2 00 PM 2000 Main Street, P.O. Box 190 Engineer's Estimate $628,843 00 Huntington Beach, CA 92648 Cash Contract # 1154 BID SUMMARY Item Contract No. Descri tion Qua Unit 1 Mobilization 1 L S 2 Traffic Control Plan 1 L S 3 Furnish Project Traffic Control 1 L S 4 Cold Milling & Header Cutting 188916 S F 5 Unclassified Excavation 471 C Y 6 Construct Asphalt Concrete (Overlay, Full Depth, etc) 10133 _ To 7 Pavement Reinforcement Fabric & Route and Seal of Cracks 2347 S Y 8 Adjust Sewer/Storm Drain Manhole to Grade 46 Eac 9 Adjust Water Valve to Grade 91 Eac 10 Traffic Striping 1 L S 11 Traffic Loop 80 Each 12 Remove & Reconstruct Access Ramp 8 Each 13 Adjust Survey Monument Well to Grade 3 Each 14 Survey Monumentation 25 Each 15 0 0 0 16 0 0 0 17 0 0 0 18 0 0 0 19 0 0 _ o 20 0 0 0 21 0 0 0 22 0 0 0 23 0 0 0 24 0 0 0 25 0 0 0 Ranco Corporation Bidder 5 UnUnitf Price I Amount n h h Company 6 Bidder 6 Unit11t Price Amount Company 7 Bidder 7 Unit f Price � Amount Company 8 Bidder 8 Unitt Price Amount $17,500 00 $17,500 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $6,000 00 $6,000 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $47,000 00 $47,000 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $017 $32,115 72 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $45 00 $21,195 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $49 30 $499,556 90 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $4 00 $9,388 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $200 00 $9,200 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $190 00 $17,290 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $40,000 00 $40,000 00 $0 00 $0 00 $0 00 _ $0 00 $0 00 $0 00 $175 00 $14,000 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $1,500 00 $12,000 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $200 00 $600 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $300 00 $7,500 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $0 00 $0 00 $0 00 $o 00 $o 00 $o 00 $0 00 $o 00 _ $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $o 00 $000 $000 $o 00 $000 $000 $000 $000 $000 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $000 $000 $000 $o 00 $000 $o 00 Sill 00 $000 Page 2 •J J City of Huntington Beach Public Works Department 2000 Main Street, P.O. Box 190 Huntington Beach, CA 92648 BID SUMMARY No. Desc 1 Mobilization 2 Traffic Control Plan 3 Furnish Project Traffic Control 4 Install 2-4 inch PVC Conduit (Tree 5 Install No 6 Pullbox 6 Install Splice Vault 7 0 -- 8 0 --- -- 10 0 11 0 _ 12 0 13 0 _ 14 0 15 0 16 0 17 0 19 0 20 0 -- ---- 21 0 22 0 23 0 24 0 25 0 in luantfty Unit 1 1 L: L, 1 L: 10670 15 LF EF 6 EF 0 0 -� 0 0 0 0 0 0 i 0 0 i i 0 0 0 i 0 0 i 0 0 0 0 c Total Bide Project Name. Gothard Street Rehab -Communications Conduit (Phase 1) Improvements Bid Openning' September 28, 2004 @ 2:00 PM Engineer's Estimate $291,49500 Cash Contract # ' 1107 RJ Noble Company Bidder 1 Unit Price Amount All American Asphalt Bidder 2 Unit Price Amount Palp, Inc., DBA Excel Paving Bidder 3 Unit Price Amount Sequel Contractors, Inc. Bidder 4 Unit Price Amount $17,500 00 $6,000 00 $17,500 00 $6,000 00 $17,500 00 _ $6,000 00 $17,500 00 $6,000 00 $30,000 00 $6,500 00 $30,000 00 $6,500 00 $17,500.00 $6,000 00 $17,500 00 $6,000 00 $18,000 00 $18,000 00 $74,376 00 $74,376 00 $5,500 00 $5,500 00 $29,750 00 $29,750 00 $53 00 $473 00 $565,510 00 $7,095 00 $48 00 $1,000 00 $512,160 00 $15,000 00 $47 00 $1,500 00 $501,490 00 $22,500 00 $44 00 $1,000 00 $469,480 00 $15,000 00 $1,260 00 $7,560 00 $6,000 00 -$36,000 00 $5,000 00 $_30_,000 00 $0 00 $3,300 00 $19,800 00 $0.00 $0 00 $0.00 $0 00 $0 00 _ $0 00 $0 00 $0 00 00 $0 00 __ $0 00 _ _ $0 00 $0 00_ $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 _ $0 00 _ $0.00 _$0 $0 00 _ $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 _ $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 _ $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 _ $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 _ $0 00 $0 00 $0 00 _ $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 _ $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 _ $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 _ $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $621,665 00 $661,036 00 $595,990 00 $557,530 00 Page 1 •J J City of Huntington Beach Public Works Department 2000 Main Street, P.O. Box 190 Huntington Beach, CA 92648 BID SUMMARY tom No. Description Contract Quantity Unit 1 Mobilization 1 L.S 2 Traffic Control Plan 1 L S 3 Furnish Project Traffic Control 1 L S 4 Install 2-4 inch PVC Conduit (Trenched in Pavement) 10670 L.F 5 Install No. 6 Pullbox 15 E A 6 Install Splice Vault 6 E A 7 0 0 [ 8 0 0 [ 9 0 0 [ 10 0 0 [ 11 0 0 [ 12 0 0 [ 13 0 0 [ 14 0 0 [ 15 0 0 [ 16 0 0 [ 17 0 0 [ 18 0 _ 0 [ 19 0 _ 0 [ 20 0 0 [ 21 0 0 [ 22 0 0 [ 23 0 0 [ 24 0 0 [ 25 10 0 [ Total Bid: Project Name: Gothard Street Rehab -Communications Conduit (Phase 1) Improvements Bid Openning: September 28, 2004 @ 2:00 PM Engineer's Estimate: $291,495.00 Cash Contract # : 1107 Ranco Corporation Bidder 5 Unit Price Amount Company 6 Bidder 6 Unit Price Amount Company 7 Bidder 7 Unit Price Amount Company 8 Bidder 8 Unit Price Amount $17,500.00 $17,500 00 $0.00 $0 00 $0.00 $0 00 $0.00 $6,000.00 $6,000 00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0 00 $26,000.00 $26,000 00 $0.00 $0 00 $0.00 $0.00 $50.00 $533,500.00 $0.00 $0 00 $0.00 $0 00 $0.00 $0 00 $500.00 $7,500 00 $0.00 $0 00 $0.00 $0 00 $0.00 $0.00 $1,300.00 $7,800 00 $0.00 $0 00 $0.00 $0.00 $0.00 $0 00 $0.00 $0 00 $0 00 $0.00 00 $0.00 $0.00 $0.00 $0 00 __$0.00 $0.00 $0.00 $0.00 _$0 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0 00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0 00 $0.00 $0 00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0 00 $0.00 $0 00 $0.00 $0 00 $0.00 $0 00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0 00 $0.00 $0 00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0 00 $0.00 $0 00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 _$o.00 $0.00 $0.00 $0 00 $0.00 $0.00 _ $0.00 $0 00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0 00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0 00 $0.00 $0 00 $0.00 $0.00 $0.00 $o.00 $0.00 $0.00 $598,300 00 MEN=$0.00 $0 00 $0 00 Page 2 CITY OF HUNTINGTON BEACH GOTHARD ST. REHABILITATION, CC-1154 & GOTHARD ST. REHABILITATION-COMMUNCIATIONS CONDUIT (PHASE 1), CC-1107 BID DATE: SEPTEMBER 28, 2004 TIME: 2:00 PM ENGINEER'S ESTIMATE: $920,338 (Gothard St., CC-1154: $628,843, Gothard St., CC-1107: $291,495) FINAL BID RESULTS No. BIDDER'S NAME Gothard St., CC-1154 Gothard St., CC-1107 TOTAL. BID AMOUNT Blip AMOUNT SUBMITTED CORRECTED DIFFERENCE 1 R.J. Noble $656,745 49 $621,665.00 $1,278,410.49 $1,278,410.49 $0.00 2 All American Asphalt $637,847.00 $661,036.00 $1,298,883.00 $1,283,283.00 $15,600.00 3 IPalp., Inc. DBA Excel Paving $712,534.88 $595,990.00 $1,308,524.88 $1,308,524.88 $0.00 4 Sequel Contractors, Inc. $758,684.06 $557,530.00 $1,316,214.06 $1,316,214.06 $0.00 5 Ranco Corporation $733,345.62 $598,300.00 $1,331,645.62 $1,331,645.62 $0.00 file Bid List & Results CC-1154-1107 As CITY OF HUNTINGTON BEACH GOTHARD ST. REHABILITATION, CC-1154 & GOTHARD ST. REHABILITATION-COMMUNCIATIONS CONDUIT (PHASE 1), CC-1107 BID DATE: SEPTEMBER 28, 2004 TIME: 2:00 PM ENGINEER'S ESTIMATE: $920,338 (Gothard St., CC-1154: $628,843, Gothard St., CC-1107: $291,495) FINAL BID RESULTS No. BIDDER'S NAME Gothard St., CC-1154 Gothard St., CC-1107 TOTAL, BID AMOUNT 1 R.J. Noble $656,745.49 $621,665.00 $1,278,410.49 2 All American Asphalt $637,847.00 $661,036.00 $1,298,883.00 3 Palp., Inc. DBA Excel Paving $712,534.88 $595,990.00 $1,308,524.88 4 Sequel Contractors, Inc. $758,684.06 $557,530.00 $1,316,214.06 5 Ranco Corporation $733,345.62 $598,300.00 $1,331,645.62 file: Bid List & Results CC-1154-1107.xls DEPARTMENT OF PUBLIC WORKS ENGINEER Larry Talte 536-5590 ACCT. # 207-00 207.48270 LIST OF BIDDERS THAT HAVE TAKEN PLANS AND SPECIFICATIONS FOR SOB CC NO. 1154 & 1107 COST $801$100 Mailed PROJECT Gothard St. Rehabilitation, CC-1154 & Gothard ENGIEST. $920,338 St. Rehab -Communications Conduit (Phase 1), Estimate Breakdown CC-1107 Improvements. [CC-1154: S628,843] (Limits: Ellis Avenue to Heil Avenue) [CC-1107: S291,492 DESCR. The project consists primarily of grinding of the PLANS & September 9.2004 existing pavement, removal of failed roadway SPECS sections, asphalt paving of failed areas, AVAILABLE overlaying the streets with asphalt concrete, •• installation of curb access ramps, pull boxes, splice vaults, fiber optic conduit, adjusting manholes, monuments and valves to grade, and installing traffic loops. _ OPEN BIDS September 28, 2004 A.M. 2:00 P.M. 0. NAME AND ADDRESS NO. FAX NO. RECEIPT NO. ILI Pi I rTEL. 3 6% t' okl-- 7 �' - Ioq �a I r y o 7 ! V yy -3 S4� I (o 6 �-� l�r c1/ 8q R z Tv��� Q c� 7-/'Ss� d���see PAGE 1 OF Ce- I IXY c c Il Q -7 NAME AND ADDRESS I IN � �� � %�rI � NO=�, ►T I mum Pi2m Beim ON f,: ul - I G • 1 1p PAGE �- OF CITY OF HUNTINGTON BEACH GOTHARD ST., CC-11549 & GOTHARD ST., CC-1107 BID DATE: SEPTEMBER 28,2004 TIME: 2:00 PM ENGINEER'S ESTIMATE: $920,338 BID LIST N 0 . ...... RA -BID OTAL; AmoUNT;'.':, 1 All American Asphalt 2 126 C111- 2 Alliance Street Works 3 Elite Bobcat Service Inc. 4 Excel Paving Co. -7 3o 6,, S-:;! Y 5 Hillcrest Construction 6 Los Angeles Engineering Inc. 7 Minco Construction 8 Moore Electrical 9 Orion Contracting Inc. 10 Pavement Recycling Systems 11 Pete & Sons Construction Inc. 12 R.J. Noble -T-r- 13 Ranco Corporation 6 Yr. 14 Sequel Contractors Inc. ole Z/y R-f- 15 Shaman 16 Sterndahl Enterprises 17 VCI Telecom Inc. 18 19 20 21 22 23 24 file: Bid Us. CC-1 154-1107.xi.s CITY OF HUNTINGTON BEACH GOTHARD ST., CC-1 1549 & GOTHARD ST., CC-1 107 BID DATE: SEPTEMBER 28, 2004 TIME: 2:00 PIVI ENGINEER'S ESTIMATE: $920,338 BID LIST N 6' 1i Iii'm ill i::NAlVlE:::::::::::::% RANK :::;:;::';!:::TOTAL--"BID�AMOUNT::::;:;:,::: I All American Asphalt A 031, .1 e 3. a 2 Alliance Street Works 3 Elite Bobcat Service Inc. 4 Excel Paving Co. 3 3 09 SQ OR 5 Hillcrest Construction 6 11-os Angeles Engineering Inc. 7 Minco Construction 8 Moore Electricil 9 Orion Contracting Inc.-. 10 IPavement Recycling Systems 11 Pete & Sons Construction Inc. 12 R.J. Noble 13 Ranco Corporation 14 Sequel Contractors Inc. Z' ;Q/q. 0(0 15 Shawnan 16 Sterndahl Enterprises 17 lVCI Telecom Inc. 18 19 20 21' 22 23 1241 file: Bid List CC-1 154-1107.xis PROOF OF PUBLICATION STATE OF CALIFORNIA) ) ss. COUNTY OF ORANGE ) N011� NNIIIG sidered unless it is made M IO CC-) 15 «-) )0% on a form furnished by the City of Huntington am a Citizen of the United States and a Notice is hereby bids be Beach, Department of Public resident of the County aforesaid; I am that sealed will received by the City of Huntington Beach at the Works, and is ! made in accordance with the provisions of the over the age of eighteen years, and not a office of the City Clerk at City Hall, 2000 Main proposal requirements. Each bidder must be party to or interested in the below entitled Street, Huntington CA until licensed and also as required matter. I am a principal clerk of the the hour 2:00 the hour of 2:00 PM on September 28, 2004, at which time bids will by law.lified by law. The City Council of the City of Huntington Beach HUNTINGTON BEACH INDEPENDENT, be opened publicly and read aloud in the Council reserves the right to reject any or all bids. a newspaper of general circulation, Chambers for the GOTHARD ,STREET RE- By order of the City Council of the City of printed and published in the City of HABILITATION, CC- 1154 i GOTHARD Huntington Beach, Cali- fornia the 16th of June 2003. Huntington Beach, County of Orange, STREET REHAB-COM- MUNICATIONS CON- DUIT (PHASE 1) CC- Joan L. Flynn City Clerk the City State of California, and that attached ,107 IMPROVEMENTS in the City of Huntington of of Huntington Beach 2000 Main Street. Notice is a true and complete copy as Beach. A set of plans, speci- (714)536-5431 Published Huntington fications, and contract Beach Independent was printed and published in the documents may be September 9, 16, 23, 2004 obtained starting Sep- 092-gg5 Huntington Beach issue of said at City; Haller 9, Department Hall, Department newspaper to wit the Issue(s) of. of Public Works upon receipt of a non-re- fundable fee of $80.00, sales tax included, if picked up or $100.00 Sept. 9, 2004 if mailed (Bidder shall pay additional cost for special delivery). Se t . 1 6 2004 p Each bid shall be made on the Proposal Form Sept . 23 , 2004 provided in the contract documents, and shall be accompanied by a cer- tified or cashier's check or a bid bond for not less than 10% of the amount of the bid, made payable to the City of Huntington Beach. The declare, under penalty of perjury, that acto pefrman shall, in the erorance of the work the foregoing is true and correct. and improvements, conform to the Labor the State Code of of California and other Laws of the State of Executed on September 23, 2004 California applicable thereto wit the ex - ceptioly ofsuch at Costa Mesa, California. variations that may be the required under special statutes pursu- ant to which proceedings hereunder are taken and 6z_�w which have not been superseded by the provisions of the Labor Code. Preference to Signature labor shall be given only in the manner provided bylaw. No bid shall be con- NOTICE INVITING SEALED BIDS for CC-1154 & CC-1107 Notice is hereby given that sealed bids will be received by the City of Huntington Beach at the office of the City Clerk at City Hall, 2000 Main Street, Huntington Beach, CA 92648, until the hour of 2:00 PNI on September 28, 2004, at which time bids will be opened publicly and read aloud in the Council Chambers for the GOTIIARD STREET REHABILITATION, CC-1154 & GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1) CC-1107 IMPROVEMENTS in the City of Huntington Beach. A set of plans, specifications, and contract documents may be obtained starting September 9, 2004 at City Hall, Department of Public Works upon receipt of a non-refundable fee of S80.00, sales tax included, if picked up or S100.00 if mailed (Bidder shall pay additional cost for special delivery). Each bid shall be made on the Proposal Form provided in the contract documents, and shall be accompanied by a certified or cashier's check or a bid bond for not less than 10% of the amount of the bid, made payable to the City of Huntington Beach. The Contractor shall, in the performance of the work and improvements, conform to the Labor Code of the State of California and other Laws of the State of California applicable thereto, with the exception only of such variations that may be required under the special statutes pursuant to which proceedings hereunder are taken and which have not been superseded by the provisions of the Labor Code. Preference to labor shall be given only in the manner provided by law. No bid shall be considered unless it is made on a form furnished by the City of Huntington Beach, Department of Public Works, and is made in accordance with the provisions of the proposal requirements. Each bidder must be licensed and also prequalified as required by law. The City Council of the City of Huntington Beach reserves the right to reject any or all bids. By order of the City Council of the City of Huntington Beach, California the 16th of June 2003. Joan L. Flynn _ City Clerk of the City of Huntington Beach 2000 Main Street. (714) 536-5431 NISB-CC•1154 & CG1107 LIM CITY OF HUNTINGTON BEACH 2000 Main Street P.O. Box 190 Huntington Beach, CA 92648 LETTER OF TRANSMITTAL Attention: Joan L. Flynn To: C+ty Clerk's Office 000 Alain Street Huntington Beach, CA 92648 Fax (714) 374-1573 Date: September 1.2004 Project/C.C. No.: C.C. No. 1154 & 1107 Regarding: Gothard Street RehaNiation a Communications CW64 (Phase 1) Improvements ❑ We are sending you: ❑ By Mail ❑ Sy Fax Mall(Number of pages Including this sheet:) ® We are hand delivering: ❑ Attached ❑ Under a separate cover via the following hems: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change Order ® Other. Notice Inviting Sealed erd Item # Co ies Pages Descri lion 1 1 1 Notice Inviting Seated Bias 2 Gothard Street Rehabilitation Communications Conduit (Phase 1) Improvements, CG1154 & CC-1107 respectMet. 3 4 5 These are transmitted as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit_coplas for approval ® For your use ❑ Approved as noted ❑ Submit copies for distribution ® For your action ❑ Returned for corrections ❑ Returpcorrected prints ❑ For review/comment ❑ Other. Remarks: On June 16, 2003, the City Council authorized the advertisement of the Gothard Street Rehabilitation Improvements project. Please find attached the Notice Inviting Sealed Bids for advertisement on 919/04, 9/16/04 & 9/23/04. Bid opening is scheduled for 9/28/04 @ 2:00 pm. Please contact me at 536-5590 with any questions you may have. d c: file BOalte, Civil Engineering Assistant GACo,4mx nom CcNmmM (CCS)%Cc1154\FRE AWARD\N(SB TRnys►uiAtTO CisRx CC-1154 & M 107MOC PROOF OF PUBLICATION STATE OF CALIFORNIA) ) ss. COUNTY OF ORANGE ) I am a Citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the below entitled matter. 1 am a principal clerk of the HUNTINGTON BEACH INDEPENDENT, a newspaper of general circulation, printed and published in the City of Huntington Beach, County of Orange, State of California, and that attached Notice is a true and complete copy as was printed and published in the Huntington Beach issue of said newspaper to wit the Issue(s) of: Sept. 9, 2004 Sept. 16, 2004 Sept. 23, 2004 declare, under penalty of perjury, that the foregoing is true and correct. Executed on September 23, 2004 at Costa Mesa, California. _ Signature pQj SEAIip sidered unless it is made BIOScc.iw I on a form furnished by Notice is hereby given the City of Huntington Beach, Department ,of that sealed bids will be Public Works, and is received by the City of made in accordance with Huntington Beach at the the provisions of the office of the City Clerk proposal requirements. at City Hall, 2000 Main Each bidder must be Street, Hunt-in•gton'ITeenwed— and. _also Beach, CA 92648, until prequalified as required the hour of 2:00 PM on by law. September 28, 2004, The City Council of the at which time bids will City of Huntington Beach be opendd publicly and reserves the right to read aloud in the Council reject any or all bids. Chambers for the By order of the - City GOTHARD STREET RE- Council of the City of HABILITATION, CC- Huntington Beach, Cali- f 154 & GOTHARD fornia the 16th of June STREET REHAB-COM- 2003' MUNICATIONS CON- Joan L. Flynn DUIT (PHASE 1) CC- City Clerk of the City of 1107 IMPROVEMENTS Huntington Beach in the City of Huntington 2000 Main Street. Beach. (714) 536-5431 A set of plans, speci- Published Huntington fications, and contract Beach Independent documents may be September 9, 16, 23, obtained starting Sep- 2004 092-966 (ember 9, 2004 at City Hall, Department of -'---- Public Works upon receipt of a non-re- fundable fee of $80.00, sales tax included, if picked up or $100.00, if mailed (Bidder shall pay additional cost for special delivery). Each bid shall be made on the Proposal Form provided in the contract documents, and shall be accompanied by a cer- tified or cashier's check or a bid bond for not less than 10`A of the amount of the bid, made' payable'to the City of Huntington Beach. The Contractor shall, in the performance of the work and improvements, conform to the Labor Code of the State of California and other Laws of the State of California applicable, thereto, with the ex- ception only of fisuch variations that may be required under the special statutes pursu- ant to which proceedings hereunder are taken and which have not been superseded by the provisions of the Labor Code. Preference to labor shall be given only in the manner provided by law. • No bid. shall be con- NOTICE INVITING SEALED BIDS for CC-1154 & CC-1 107 Notice is hereby given that sealed bids will be received by the City of Huntington Beach at the office'of the City Clerk at City Hall, 2000 Main Street, Huntington Beach, CA 92648, until the hour of 2:00 PAI on September 28, 2004, at which time bids will be opened publicly and read aloud in the Council Chambers for the GOTHARD STREET REHABILITATION, CC-1154 & GOTHARD STREET REHAB-CONL1IUii'ICATIONS-CONDUIT (PHASE 1) CC-1107 hIPROVEbIEN''TS in the City of Huntington Beach. A set of plans, specifications, and contract documents may be obtained starting September 9, 2004 at City Hall, Department of Public Works upon receipt of a non-refundable fee of S80.00, sales tax included, if picked up or Sl 00.00 if mailed (Bidder shall pay additional cost for special delivery). Each bid shall be made on the Proposal Form provided in the contract documents, and shall be accompanied by a certified or cashier's check or a bid bond for not less than 10% of the amount of the bid, made payable to the City of Huntington Beach. The Contractor shall, in the performance of the work and improvements, conform to the Labor Code of the State of California and other Laws of the State of California applicable thereto, with the exception only of such variations that may be required under the special statutes-pursuant`to which'proceedings hereunder are taken and which have not been superseded by the provisions of the Labor Code. Preference to labor shall be given only in the manner provided by law. No bid shall be considered unless it is made on a form furnished by th-V City of Huntington Beach, Department of Public Works, and is made in accordance %rith the provisions of the proposal requirements. Each bidder must be licensed and also prequalified as required by law. The City Council of the City of Huntington Beach reserves the right to reject any or all bids. By order of the City Council of the City of Huntington Beach, California the l 6th of Lune 2003. Joan L. Fl City Clerk of the City of Huntington Beach 2000 Main Street. (714) 536-5431 NISB-CC-1154 & CC-1107 J� CITY OF HUNTINGTON BEACH 2000 Main Street P.O. Box 190 Huntington Beach, CA 92648 LETTER OF TRANSMITTAL A nntion: Joan L. Fhmn To: City Cleric's Office 2000 Main Street Huntiggton Beach, C4 92648 Fax (714) 374-1573 Date: September 2. 2()� ProjectlC.C. No.- CC No. 1154 & 1107 Regarding: Gothard Sfreet RehabNation d Communicafions Conduit (Phase T) Improvements ❑ We are sending you: ❑ By Mail ❑ By Fax Mail(Number of pages Including this sheet:) ® We are hand delivering: ❑ Attached ❑ tinder a separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change Order ® Other -Yorke fnvftin_a Sealed B1dft Rem # Copies Pages Description 1 1 1 Notice Inviting Sealed Bids 2 Gothard Street Rehabilitation b Communications Conduit (Phase 1) Improvements, . CC-1154 b CC-1107 resaectivel . 3 4 5 These are transmitted as checked below: ❑ For approval ❑ Approved as submitted ❑ Rasubmlt_eopTes for approval ® For your use ❑ Approved as noted ❑ Submlt coples for distribution ® For your action ❑ Returned for corrections ❑ Returncorrected prints ❑ For reviewlcomment ❑ other: Remarks: On June 16; 2003, the City Council authorized the advertisement of the Gothard Street Rehabilitation Improvements project. PIease find attached the Notice Inviting Sealed Bids for advertisement on 9/9/04, 9/16/04 & 9/23/04. Bid opening is scheduled for 9/28/04 @ 2:00 pm. Please contact me at 536-5590 with any questions you may have. c: file d gy te, Civil Engineering Assistant G:\CONmwcnoY Comucrs (CCs)\CC1 154\nZ AWARMNISB TR&NsMrrALTO Cunt CC-1154 $ CC L 107AOC I nsfarcc-I mi. Fl101 Notice i gven that s i s;. ill beeft elftt received by the City of Huntington Beach at the office of the f1 Clerk at City, Hall, Main Street, H ttigton Beach, CA 644s until the hour of 2:00 PM on. September 28, 2004, at which time bids will be opened publicly and. read aloud in the Council Chaalobecs for the GOTHARD STREET RE- HABILITATION, CC- 1154 i GOTHARD STREET REHAB-COM- Mul"CATIONS CON- DUIT (PHASE 1) CC- 110f IMPROVEMENTS in the Beach.City of Huntington CLIENT REFERENCE #: L�G'I1S�! Al ��Or% A set of plans, speci- fications, and contract documents may be obtained "starting Sep- INDEPENDENT REFERENCE #: tember 9, 2004 at City Hall, Department of Public Works upon receipt of a non-re- fundable fee of $80.00, sales tax included, if pii;ked,or $100.00 if 'mad(Bidder shall • pay additional ditional cost for EAR ADVERTISER, special delivery). Each bid shall be made on the Proposal Form provided in the contract documents and ,shall be accompanied by •a cer- ENCLOSED PLEASE FIND A CLIPPING OF YOUR AD FROM THE FIRST tified or cashier's check or a bid bond for not less than 10% of the ,payableamount f t e bid, ihe ,made PUBLICATION, BEGINNING ON � 9-U AND EXPIRING ON -- ity of Huntington Beach. The Contractor shall, in the e work and performance improvements, d IF YOU NEED TO MAKE ANY CHANGES OR CORRECTIONS, PLEASE CALL conform to the Labor. Codeof the State of laws°ofathenStatehof ME AT YOUR EARLIEST CONVENIENCE. California applicable thereto, with the such y4piatops thattion only ° may, be. THE COST OF THIS PUBLICATION WILL BE $ re Wed under the special statutes pursu' ant towhich proceedings hereunder are taken and THANKS FOR YOUR COOPERATION AND PATRONAGE. which have not been superseded by the provisions of the Labor Code. Preference to labor shall be given only in the manner provided by law. SINCERELY, No bid shall be con- sidered unless it is made on a form furnished by the City of Huntington Beach, Department of Public Works, and is MICHAEL SLETTEN, the .pr accfissions of with the Rrd0lsions of the LEGAL ADVERTISING REPRESENTATIVE proposal requirements. Each bidder must be Iiceal nsed and so prequalified as required by law. The City Council of the City of Huntington Beach reserves the right to reject any or all bids. By order of the City Council of the City of Huntington Beach, Cali- fornia the 16th of June) 2003. Joan L. Flynn City Clerk of the City of Huntington Beach 2000 Maiq Street. (714) 536-5431 Published Huntington Beach Independent September 9, 16, 23, 2004 092-966 - - - 330 West Bay Street, Costa Mesa, Califomia 92627 (949) 642-4321 • Fax (949) 646-5008 Publication of Tames Community News • A Division of the Bcs Angeles Mmes Council/Agency Meeting Held: Deferred/Continued to: Approved ❑ Conditionally Approved ❑ Denied FC it I rk's igna re Council Meeting Date: October 18. 2004 Department Number: PW 04-081 CITY OF HUNTINGTON BEACH REQUEST FOR CITY COUNCIL ACTION �r_ SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL MEMBE —' SUBMITTED BY: PENELOPE CUL T , City Admini satrat 6 r M PREPARED BY: ROBERT F. BEARDSLEY, PE, Director of Public Works SUBJECT: Authorize the Rejection of Bids and the Permission to Re -advertise the Gothard Street Rehabilitation Improvements Project, CC-1154 I Statement of Issue, Funding Source, Recommended Action, Alternative Action(s), Analysis, Environmental Status, Attachment(s) Statement of Issue: Bids received for Gothard Street Communications Conduit Project, CC- 1107 exceeded the budgeted amount by over $350,000. Authorization is requested to reject all bids for the Gothard Street Rehabilitation Project, CC-1154 and Gothard Street Communications Conduit Project, CC-1107 and to re -advertise the Gothard Street Rehabilitation Project, CC-1154 without the communications element. Funding Source: Project funds are budgeted in the Gas Tax, Arterial Rehabilitation, Street Improvements Account No. 20790008.82300. The engineer's preliminary estimate is $628,850. Recommended Action: Motion to: 1. Reject all bids received for the Gothard Street Rehabilitation Project, CC-1154 and Gothard Street Communications Conduit Project (Phase 1), CC-1107 combined projects, and direct the City Clerk to return all bid bonds; and 2. Authorize the Director of Public Works to re -advertise the Gothard Street Rehabilitation Project, CC-1154 for bids. Alternative Actions : Accept the lowest responsive and responsible bid by R.J. Noble Company, in the amount of $1,278,410.49. This action would require an additional $350,000 be appropriated from the General Fund. This action is not recommended since the higher than expected bids for the communication portion of the project indicate that the current approach to this element of the project (CC 1107) is not feasible based on available funding sources. 04-081 Oct 18 Taite (Arterial Road Rehab CC1154 & CC1107) — 101512004 8:33 Ant Rh�UEST FOR CITY COUNCIL ANION MEETING DATE: October 18, 2004 DEPARTMENT ID NUMBER: PW 04-081 Analysis: Staff combined two current capital projects on Gothard Street, between Ellis Avenue and Heil Avenue, to reduce overall construction costs and minimize future pavement impacts on Gothard Street. The Gothard Street Rehabilitation Project, CC-1154 and the Gothard Street Communications Conduit Project, CC-1107 were combined into one bid package. Bids were received on September 28, 2004 for the combined project. The basis of award for the combined project was the sum of both bid schedules (i.e. the total bid for both projects). The bids are listed below: No. BIDDER'S NAME Pavement Rehab, CC-1154 Communications, CC-1107 TOTAL BID AMOUNT 1 R.J. Noble Company $656,745.49 $621,665.00 $1,278,410.49 2 All American Asphalt $637,647.00 $661,036.00 S1,298,883.00 3 Pal ., Inc. DBA Excel Paving $712,534.88 S595,990.00 S1,308,524.88 4 Sequel Contractors, Inc. $758,684.06 S557,530.00 $1,316,214.06 5 Ranco Corporation $733,345.62 $598,300.00 $1,331,645.62 The lowest responsive and responsible bid for the Gothard Street Rehabilitation element of the project, CC-1154 was within budget, however, the bid for the Gothard Street Communications element of the project. CC-1107 was approximately S350,000 over budget. Therefore, staff recommends that all bids be rejected and the Gothard Street Rehabilitation Project, CC-1154, be bid as a single project. Requesting bids for the Gothard Street Communications Conduit Project, CC-1107 would be cancelled at this time pending further evaluation of alternatives to the current project approach. Since the basis of award for the project was the sum of work elements for both projects, and She communications element of the project represents a significant portion of the total bid, the City Attorney's office has indicated that it would not be appropriate to award a contract for the pavement rehabilitation portion of the project based on the submitted bids. Therefore, staff is recommending rejection of all bids and that the project be repackaged to include only the pavement rehabilitation portion of the project. Public Works Commission Action: The Public Works Commission recommended the project for bids on May 21, 2003, by a vote of 5-0-2 (Absent Commissioners: Gartland and Johnson). Environmental Status: These projects are categorically exempt pursuant to the California Environmental Quality Act, Section 15301 (C). WR C A12004104-081 Oct 18 Taite (Arterial Road Rehab CC1154 & CC1107).doc -2- 101512004 8:33 AM R�tIUEST FOR CITY COUNCIL ACTION MEETING DATE: October 18, 2004 DEPARTMENT ID NUMBER: PW 04-081 Attachment(s1: RCA Author: Larry Taite:jg GAR C A=04104-081 Oct 18 Taite (Arterial Road Rehab CC1154 & CC1107).doc a- 101512004 8:33 AM ATTACHMENT #1 'r NTS PROPOSED PROJECT APPROX. 2 MILES Gothard Street Rehabilitation and Communications Conduit Improvements GOTH ARD STREET; CC-1154 & CC-1107 LOCATION MAP 'ja id CITY OF HUNTINGTON BEACH Vw DEPARTMENT OF PUBLIC WORKS 1 of 1 \99 M RCA ROUTING SHEET INITIATING DEPARTMENT: Public Works SUBJECT: Authorize the Rejection of Bids and Premission to Re - advertise the Gothard Street Rehabilitation Improvements Project, CC-1154 COUNCIL MEETING DATE: October 18, 2004 RCA ATTACHMENTS STATUS Ordinance wlexhibits & legislative draft if applicable) Not Applicable Resolution wlexhibits & legislative draft if applicable) Not Applicable Tract Map, Location Map and/or other Exhibits Attached Contract/Agreement (wlexhibits if applicable) (Signed in fql! by the City Attome Not Applicable Subleases, Third Party Agreements, etc. (Approved as to fomt PZ City Attome Not Applicable Certificates of Insurance (Approved by the Pity Attome) Not Applicable Financial Impact Statement Unbud et, over $5,000 Not Applicable Bonds If applicable) Not Applicable Staff Report (If applicable) Not Applicable Commission, Board or Committee Report (If applicable) Not Applicable Find in s/Conditions for Approval and/or Denial Not Applicable EXPLANATION FOR MISSING ATTACHMENTS REVIEWED RETURNED FORWARDED Administrative Staff Assistant City Administrator Initial Ci Administrator Initial City Clerk ( ) EXPLANATION FOR RETURN OF ITEM: I3CA Author: L. Taite I—)ITY OF HUNTINGTON BEA(.%.w' Am�l 1� CXA&FL94 MEETING DATE: July 16, 2001 DEPARTMENT ID UMBER: PW 01-094 Council/Agency Meeting Held: 0-7-- kb 01 Deferred/Continued to: VA proved O Conditionally Ap ved O Denied 1 a t CI Signature Cauntril Meeting Date: 5uly 16, 2001 Department ID Number: PW 01-0 CITY OF HUNTINGTON BEACH REQUEST FOR COUNCIL ACTION ;i —M. SUBMITTED TO: HONORABLE MAYOR AND CITY CO NCI MEMBERS =-<�E2 I mpr.,< SUBMITTED BY: RAY SILVER, City Administrator,( C-) PREPARED 13 OBERT F. BEARDSLEY, Director o Public Wor Cr � SUBJECT: Authorize Advertisement for the Fiber Optic Interti F oject - c,=-//0 7 Statement of Issue, Funding Source, Recommended Action, Alternative Action(s), Analysis, Environmental Status, Attachments) Statement of Issue: Plans and specifications have been prepared for the installation of fiber optic cable as part of CC 1107, the Intelligent Transportation System (ITS). City Council authorization is required to advertise for construction bids. Funding Source: Funds in the amount of $1,052,000 are budgeted in ITS Grant fund 83991022.84400. Recommended Action: 1. Approve plans and specifications and authorize the Director of Public Works to request bids for the Fiber Optic Intertie Project; and 2. Approve the attached Sample Contract subject to award of the contract to the lowest responsive/responsible bidder. Alternative Action(s): 1. Do not recommend the approval of plans and specifications and recommend modification of the plans within the framework of the grant funded program and the City's fiber optic backbone system. Failure to approve plans, specifications and estimates by the City Council will delay the project and could jeopardize the City's availability of Federal Funds and future phases of the ITS project. Analysis: The City has embarked on a program to provide Intelligent Transportation System (ITS) elements within the City's transportation system. Staff has aggressively and successfully pursued funds at the State and Federal levels to finance system improvements teat will enhance the ability to manage the transportation system and provide better 01-094 July 16 Stachelski (CC1107 Plan and Bid approval)•2• 713101 11:41 AM /� t.1QUEST FOR COUNCIL ACTli,rN MEETING DATE: July 16, 2001 DEPARTMENT ID NUMBER: PW 01-094 information to motorists and other system users. The ITS element of the current project provides a key backbone communication system for the expanded use of current and future ITS elements. It allows the City to communicate with other agencies and monitor transportation issues outside of the City. The City has obtained additional future grant funding ($980,000) to build onto this backbone system and is seeking funding for additional phases of the system. The location map identifies the fiber optic connection route and the location of facilities to be connected under this project. ( Attachment 1) In November 2000, the City Council approved $590,000 in General Funds to expand the ITS project. These funds were combined with the grant and will be used to install additional fiber optic capabilities and connect key City facilities, replace current leased T1 lines, and to provide future fiber optic connection capabilities for data links, telephone services and video images. A report was presented to the City Council detailing the City supplemental project to expand the fiber optic system. (Attachment 2.) The City anticipates substantial savings in the cost of installing fiber optic facilities. In addition, the opportunity exists to reduce current expenditures, improve communication links between City facilities and potentially generate additional revenue. The City's design consultant, National Engineering Technology Corporation (NET), has completed the plans, specifications and estimates for both the ITS and City elements of the project. The current construction costs, including contingencies, are estimated to be $1,033,000. Plans, specifications and other bid documents are available for review from the Public Works Engineering Division. Public Works Commission Action: The Public Works Commission considered the overall project at its November 2000 meeting. The Commission has received other reports on the progress of the project during the past 12 months and has consistently supported the project. Environmental Status: This project is categorically exempt pursuant to the California Environmental Quality Act, Section 1503 (c). Attachments 1 1 Project Location Map 2 Sample Contract RCA Author. Bob Stachelski:jm G:1R C A12001101-094 July 16 Slathelski (CC1107 Plan and Bid appmal).doc 01-094 July 16 5tachelski ICC1107 Plan and Bid approval)-3- 715101 12:44 PM ATTACHMENT #1 -Z z W111t, -1, , "ZrXs -5, ®r! 'e, qQ7 A �g "K sp 4 ar jp, P, '20A I F, - m ,vim -0, gg K T V1 %W1 W, j ffn W I-; Nl� ,43 27 — 001, JOY, A Aft, �,z�_Yjr g, 1600 ,,,. "i ^".> yaw s,.p �� ,. , 11V J 4� A -41 Fw d _Edl ffcm j 97 4 IJJ Z7 74; 7� W, A A, a 7 ff fzRw g.; j Q, L RIP/ J OF orn: - _2 _ — 7 _r2� 1 OF _J, I -A,,ti -, Z, _700k rr 4"1 :w- —7111 77"M 7— � WON _4 10-2 10 f 4 All *510 ;E IF/ I -A A F Z Vo C11 "W-2- -vAr; for f4p F, "nv• i _aCI it ,4 7 11/ Y-, Face �A V I P q;p _w_Fj7 J Wr'�-, A LTNa IS, 3p % 077 P F" Ilk",' AZ maw A; wiwr�_'1111 W, q 10 TO, A J _7 y - me rt ,-d7vfC `Q L, Jf,e,' 100" A01- All" Z ys ,1_49 'W4 M W "fir N of `7�,'�` i w9 0 AMF A ow j 21 4"/- Ad-, A T f;PUB1frC---W0R R NTf0 C - I -TTYV, 1 0 P U 71 A� Wow 4ic A"', 4- ATTACHMENT FIBER OPTIC CONNECTION ROUTE AND FACILITIES LOCATION MAP Not to scale 6/29/01 ATTACHMENT #2 I ME SAMPLE FEDERALLY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR 1-405 MULTWURISDICTIONAL SMART CORRIDOR AND CALTRANS DISTRICT-12 INTERTIE PROJECT (CC-1107) THIS AGREEMENT is made and entered into on this day of , 2001, by and between the CITY OF HUNTINGTON BEACH, a Municipal Corporation of the State of California, hereinafter referred to as "CITY," and a California corporation, hereinafter referred to as "CONTRACTOR.* WHEREAS, CITY solicited bids for a Public Works PROJECT, hereinafter referred to as "PROJECT," more fully described as 1405 Multi -Jurisdictional Smart Corridor and Caitrans District-121ntertie Project in the City of Huntington Beach, California; and CONTRACTOR has been selected and is to perform said work; NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged, the parties covenant and agree as follows: 1. STATEMENT OF WORK: ACCEPTANCE OF RISK CONTRACTOR shall fumish, at its own expense, all labor, plant, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to assume the risk of all loss or damage arising out of the nature of the project, during its progress or prior to acceptance, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of work, and for all other risks of any description connected with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be bome by CITY, and for well and faithfully completing the work within the stipulated time and in the manner 1 ��rr�ru.wo� olot SAMPLE shown and described in this Agreement, and in accordance with the requirements of CITY under them for the compensation set forth in the accepted bid proposal. However, the total compensation to be paid is to be computed on the basis of the units of work as it is actually performed, in accordance with the stipulated prices named in the Bid Sheets). 2. ACCEPTANCE OF CONDITIONS OF WORK: PLANS AND SPECIFICATIONS. CONTRACTOR acknowledges that it is fully familiar with all of the terms, conditions and obligations of this Agreement and the Contract Documents (as hereinafter defined), the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by said Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The 2000 edition of Standard Specifications for Public Works Construction, published by Builder's News, Inc., 10801 National Boulevard. Los Angeles, California 90064, and all amendments thereto, written and promulgated by the Southern California Chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee; 2 agrm/fonnV FUNDa7102.'01 SAMPLE D. Bid documents including the Notice inviting Bids, the Special Instructions to Bidders and the CONTRACTOR's proposal (attached hereto as Exhibit "A" ); E. The particular plans, specifications, special provisions and addenda applicable to the PROJECT. Anything mentioned in the specifications and not indicated in the plans or indicated in the plans and not mentioned in the specifications, shall be of like effect as if indicated and mentioned in both. In case of discrepancy between any plans, specifications, special provisions, or addenda, the matter shall be immediately submitted by CONTRACTOR to the Department of Public Works of CITY (hereinafter referred to as "DPW"), without whose decision said discrepancy shall not be adjusted by CONTRACTOR, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of said bid or proposal which is in conflict herewith. 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the contract documents, a sum not to exceed Dollars ($ } as set forth in the Contract Documents, to be paid as provided for by the terms and conditions of this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after notice to proceed is issued and shall diligently prosecute PROJECT to completion within days from the execution of this Agreement by CITY, excluding delays provided for herein. 3 agrWt'onnsrrcar-uaw07-01'01 SAMPLE 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the contract documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the contract documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors and CITY forces working on the PROJECT, in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and conditions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work on CONTRACTOR on the premises. G. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the contract documents unless a change therefrom is authorized in writing by the DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT as the DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the written order of the DPW, and CONTRACTOR shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by the DPW. When directed to change the work, CONTRACTOR shall submit immediately to the DPW a written cost proposal reflecting the effect of the change. Should the DPW not agree 4 aSrWrtxms/fcdFUND'07f0Z'0 i SAMPLE M, to such cost proposal, the work shall be performed according to the changes ordered in writing by the DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by the CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or fumished under this Agreement unless and until a Notice to Proceed has been given to the CONTRACTOR by CITY. CITY does not warrant that the work site will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to the CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 8. BONDS CONTRACTOR shall, prior to entering upon the performance of this Agreement, furnish the following three bonds approved by the City Attomey: One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work; one in the amount of one hundred percent (100%) of the contract price to warrant such performance for a period of one (1) year after CITY's acceptance thereof; and one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished. Only bonds issued by Califomia admitted sureties will be accepted. 9. WARRANTIES The CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in 5 $gme,funm/ FUND/o7ra.ot SAMPLE MA the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and expense. 10. CALIFORNIA FAIR EMPLOYMENT AND HOUSING ACT CONTRACTOR agrees to comply with all requirements and utilize fair employment practices in accordance with California Govemment Code Sections 12900 et seq. 11. CALIFORNIA PREVAILING WAGE LAW. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. 12. CALIFORNIA PREVAILING WAGE LAW - PENALTY Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 13. CALIFORNIA EIGHT -HOUR LAW California Labor Code, Sections 1810 et seq, shall apply to the performance of this Agreement; thereunder, not more than eight (8) hours shall constitute one day's work and 6 agrce%rormslrcd FUN U 07iO2.'O I SAMPLE CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight (8) hours of labor per day or forty (40) hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. 14. CALIFORNIA EIGHT HOUR LAW- PENALTY Pursuant to this Agreement and in accordance with Califomia Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit tvrentyfive dollars ($25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any one (1) calendar day or forty (40) hours in any one (1) calendar week in violation of Califomia Labor Code Section 1815. 15. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 16. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 17. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its 7 agree ixmslredFUNDa07.'02'o1 SAMPLE IN subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 18. INDEPENDENT CONTRACTOR It is understood and agreed that the CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not as an employee of CITY. CONTRACTOR shall secure, at its expense, and be responsible for any and all payment of income tax, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONTRACTOR and its officers, agents and employees, and all business licenses, if any, in connection with the PROJECT. 19. LIQUIDATED DAMAGESIDELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of work! nglcalendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay; it is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of Five Hundred Dollars ($500) per day for each and every working days delay in completing the work in excess of the number of working/calendar days set forth in section 4 herein, which sum represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable losses CITY would sustain in the event of and by reasons of such delay; and CONTRACTOR agrees to pay said damages herein provided, and further agrees that CITY 8 egreefonnVIP IFUND OW02.DI SAMPLE V V� may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not restricted to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontra--tors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless the DPW shall grant a further period of time prior to the date of final settlement of the Agreement), notify the DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of the DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in nowise caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days the CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. No claim for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of material by CITY or delays by other contractors or subcontractors, will be allowed and said extension of time for completion shall be the sole remedy of CONTRACTOR. 9 ■grcdrormsifLdrmr)'07ro2.'0i SAMPLE %.r0 20 DIFFERING SITE CONDITIONS (1) Notice: The CONTRACTOR shall promptly, and before such conditions are disturbed, notify the DPW in writing of: (a) subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the contract documents; or (b) unknown physical conditions at the job site, of an unusual riature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the character to be performed under this Agreement. The DPW shall promptly investigate the conditions and if it finds that such conditions to materially so differ and cause an increase or decrease in the time required for performance of any part of the work under this Agreement, whether or not changed as a result of such conditions, an equitable adjustment shall be made and the Agreement modified in writing accordingly, (2) Time extension: No claim of the CONTRACTOR under this section shall be allowed unless the CONTRACTOR has given the notice required hereunder, provided, however, the time prescribed therefor may be extended by CITY. 21. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to the CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this section. The DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to the CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the 10 agrWfk mislred FUND, D, OVOID SAMPLE i3 quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, the DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its judgment the findings warrant. 22. PROGRESS PAYMENTS Each month the DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, ten percent (10%) will be deducted and retained by CITY and the remainder, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of the DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if the DPW finds that satisfactory progress has been and is being made, the CONTRACTOR may be paid such sum as will bring the payment of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT, as determined by DPW, less all previous payments and less all previous retained amounts. The final payment, if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a notice of completion by CITY. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by the DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 11 apcerfonns udFUNDb7101'0i SAMPLE 23. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and expense of CONTRACTOR, who shalt retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 24. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with the DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors upon PROJECT have been paid in full and that there are no claims outstanding against PROJECT for either labor or material, except certain times, if any, to be set forth in an affidavit covering disputed claims, or items in connection with Notices to Withhold which have been filed under the provisions of the statutes of the State of California. 25. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. 26. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold and save harmless CITY, its officers, and employees against any and all liability, claims, judgments, costs and demands, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, including those arising from the passive concurrent negligence of CITY, but save and except those which arise out of the active concurrent negligence, sole negligence, or the sole willful misconduct of CITY. CONTRACTOR will conduct all defense at its sole cost and expense. CITY shall be 12 ogreelromu/redFU:K fl'OV021/o I SAMPLE reimbursed by CONTRACTOR for all costs or attorney fees incurred by CITY in enforcing this obligation. 27. WORKERS COMPENSATION INSURANCE Pursuant to Califomia Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of said Code. which requires every employer to be insured against liability for workers compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall maintain workers compensation insurance in an amount of not less than One Hundred Thousand Dollars ($100.000) bodily injury by accident, each occurrence, One Hundred Thousand Dollars ($100,000) bodily injury by disease, each employee, Two Hundred Fifty Thousand Dollars ($260,000) bodily injury by disease, policy limit. CONTRACTOR shall require all subcontractors to provide such workers compensation insurance for all of the subcontractors' employees. CONTRACTOR shall fumish to CITY a certificate of waiver of subrogation under the terms of the workers compensation insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 28. INSURANCE In addition to the workers compensation insurance and CONTRACTOR's covenant to indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. Said policy shall indemnify CONTRACTOR, its officers, agents and employees, while acting Within the scope of their duties, against any and all claims of arising out of or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including productslcompieted operations liability and blanket contractual liability, of $1,000,000 per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less 13 agmelfoffm!fcdrUNA'07,'02.'01 SAMPLE than $1,000,000. Said policy shall name CiTY, its officers, and employees as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary. Under no circumstances shall said abovementioned insurance contain a self - insured retention, or a "deductible" or any other similar form of limitation on the required coverage. 29. CERTIFICATES OF INSURANCE; ADDITIONAL_ INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; said certificates shall: 1. provide the name and policy number of each carrier and policy; 2. shall state that the policy is currently in force; 3. shall promise to provide that such policies will not be canceled or modified without thirty (30) days prior written notice of CITY; and 4. shall state as follows: "The above detailed coverage is not subject to any deductible or self -insured retention, or any other form of similar type limitation." CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the provisions for indemnification of CITY by CONTRACTOR under the Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all sa-d policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. 14 agredfi rms/W ruND,01M l SAMPLE A separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming the CITY, its officers and employees as Additional Insureds shall be provided to the City Attorney for approval prior to any payment hereunder. 30. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the contract documents, CITY may give notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten (10) days after such notice of intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. 31. DISPOSITION OF PLAN, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 32. NON -ASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement, or any part hereof, or any right or duty created herein, without the prior written consent of CITY and the surety. 15 ag=3orms rcdrUND'o710z,'0I SAMPLE 33. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of Califomia Govemment Code Sections 1090 et seq. 34. STOP NOTICESJRECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to reasonable administrative costs and attorney fees, costs and necessary disbursements arising out of the processing of Stop Notices, Notices To Withhold, or any similar legal document. Said obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop Notice filed in excess of two, regardless of whether or not CITY is named in an action to enforce such Stop Notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 35. NOTICES All notices required or permitted hereunder shall be delivered in person or by registered or certified mail to an authorized representative of the party to whom delivery is to be made, at the place of business of such party, or to any other place designated in writing by such party. 36. CAPTIONS Captions of the section of this Agreement are for convenience and reference only, and the words contained therein shall in no way be held to explain, modify, amplify or aid in the interpretation, construction or meaning of the provisions of this Agreement. 16 egrcefomiVfcdrU�rDrOrouO1 SAMPLE 37. FEDERAL PARTICIPATION The PROJECT pursuant to which the work covered by this Agreement is being executed is being assisted by the United States of America. Several contract provisions embodied herein are included in this Agreement in accordance with the provisions applicable to such federal assistance. As federal funds are financing all or part of this work, all of the statutes, rules and regulations promulgated by the Federal Government and applicable to the work will apply, and CONTRACTOR agrees to comply therewith. 38. DAVIS-BACON ACT CONTRACTOR agrees to pay and require all subcontractors to pay all employees on said PROJECT a salary or wage at least equal to the prevailing rate of per diem wage as determined by the Secretary of Labor in accordance with the Davis -Bacon Act (40 USC Section 176a, of seq.) for each craft or type of worker needed to perform this Agreement. CONTRACTOR agrees to comply with all applicable federal labor standards provisions; said provisions are incorporated herein by this reference. 39. DISCRIMINATION, MINORITIES, ALIENS CONTRACTOR shall not discriminate nor allow its employees, agents, principals, or subcontractors to discriminate against any employee or applicant for employment on the basis of race, religious creed, national origin or sex. CONTRACTOR shall take affirmative steps to hire local qualified minority individuals when job opportunities occur and utilize local business firms when possible. 40. EQUAL EMPLOYMENT OPPORTUNITY The CONTRACTOR will comply with all provisions of Executive Omer 11246, entitled "Equal Employment Opportunity," and amended by Executive Order 11375, and as supplemented in Department of Labor regulations (41 CFR part 60). 17 agmefu ms/WFUNDr07/01'01 SAMPLE CONTRACTOR is required to have an affirmative action plan which declares that it does not discriminate on the basis of race, color, religion, creed, national origin, sex or age to ensure equality of opportunity in all aspects of employment. Section 503 of the Rehabilitation Act of 1973 (29 USC Section 701, et seq.) prohibits job discrimination because of handicap and requires affirmative action to employ and advance in employment qualified handicapped workers. Section 402 of the Vietnam Era Veterans Readjustment Assistance Act of 1974 (38 USC Section 219 et seq.) prohibits job discrimination and requires affirmative action to comply and advance in employment (1) qualified Vietnam veterans during the first four (4) years after their discharge and (2) qualified disabled veterans throughout their working life if they have a thirty percent (30%) or more disability. To ensure compliance with these requirements, the CONTRACTOR shall provide the CITY its written affirmative action plan prior to commencement of work. The CONTRACTOR is required to provide the CITY with a listing of its subcontractors together with a completed affirmative action program from each subcontractor when applicable. 41. COPELAND "ANTI -KICKBACK" ACT CONTRACTOR and its subcontractors shall comply with the provisions of the Copeland "Anti -Kickback" Act (18 USC Section 874), as supplemented in Department of Labor regulations, which Act provides that each shall be prohibited from including, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he is otherwise entitled. 42. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT The CONTRACTOR shall comply with the provisions of Section 103 and 107 of the Contract Work Hours and Safety Standards Act (40 USC 327 of seq.) as supplemented by Department of Labor regulations (29 CFR, part 5). Under Section 103 of the Act each 18 a_zm-erbmWccdr UND/07ro:roi SAMPLE �W) CONTRACTOR shall be required to compute the wages of every mechanic and laborer on the basis of a standard workday of eight (8) hours and standard workweek of forty (40) hours. Work in excess of the standard workday or workweek is permissible provided that the worker is compensated at a rate of not less than 1-112 times the basic rate of pay for all hours worked in excess of eight (8) hours in any calendar day or forty (40) hours in the workweek. Section 107 of the Act is applicable to construction work and provides that no laborer or mechanic shall be required to work in surroundings or under working conditions which are unsanitary, hazardous, or dangerous to his health and safety as determined under construction, safety and health standards promulgated by the Secretary of Labor. These requirements do not apply to the purchase of supplies or materials or articles ordinarily available on the open market or contracts for transportation. 43. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT. (a) CONTRACTOR stipulates that all facilities to be utilized in the performance of this Agreement were not listed, on the date of contract award, on the United States Environmental Protection Agency (EPA) List of Violating Facilities, pursuant to 40 CFR 15.20. (b) The CONTRACTOR agrees to comply with all of the requirements of Section 114 of the Clean Air Act and section 308 of the Federal Water Pollution Control Act and all regulations and guidelines listed thereunder. (c) The CONTRACTOR shall promptly notify the CITY of the receipt of any communication from the Director, Office of Federal Activities, EPA, indicating that a facility to be utilized pursuant to this Agreement is under consideration to be listed on the EPA List of Violating Facilities. 19 agreefor+r okdFUNao7,roa'oi SAMPLE (d) The CONTRACTOR agrees to include or cause to be included the requirements of paragraph (a) thorough (d) of this section in every nonexempt subcontract, and further agrees to take such action as the Government may direct as a means of enforcing such requirements. 44. ENERGY CONSERVATION Agreements with federal participation shall recognize mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (42 USC Section 6201, et seq. ). 45. HOUSING AND URBAN DEVELOPMENT CONTRACTOR agrees to comply with any and all rules, regulations, guidelines, procedures and standards of the United States Department of Housing and Urban Development and complete any and all reports and forms that may be required in accordance therewith. 46. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY and CITY shall not be liable for payment of any legal service expenses incurred by CONTRACTOR. 47. ATTORNEY'S FEES In the event suit is brought by either party to enforce the terms and provisions of this agreement or to secure the performance hereof, each party shall bear its own attorney's fees. 20 agrWfbm lrcdRMD(O 020I SAMPLE 48. ENTIRETY The foregoing represents the entire Agreement between the parties. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized offices the day, month and year first above written. By: print name ITS: (circle one) Chairman/President/Vice President AND By: print name ITS: (circle one) Secretary/Chief Financial Officer/Asst. Secretary -Treasurer REVIEWED AND APPROVED: City Administrator CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California Mayor City Clerk APPROVED AS TO FORM: rat City Attorney INITIATED AND APPROVED: 21 a srrefbrmsWfcdFUND--07i02;V t SAMPLE Director of Public Works Om �wI SAMPLE FEDERALLY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR 1405 MULTI -JURISDICTIONAL SMART CORRIDOR AND CALTRANS DISTRICT- 12 INTERTIE PROJECT (CC-1107) TABLE OF CONTENTS Pane No. 1. STATEMENT OF WORK; ACCEPTANCE OF RISK 1 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS 2 3. COMPENSATION 3 4. COMMENCEMENT OF PROJECT 3 5. TIME OF THE ESSENCE 4 6. CHANGES 4 7. NOTICE TO PROCEED 5 8. BONDS 5 9. WARRANTIES 6 10. CALIFORNIA FAIR EMPLOYMENT 5 ii. CALIFORNIA PREVAILING WAGE LAW 6 12 CALIFORNIA PREVAILING WAGE LAW - PENALTY 6 13. CALIFORNIA EIGHT HOUR LAW 7 14. CALIFORNIA EIGHT HOUR LAW - PENALTY 7 15. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE 7 16. EMPLOYMENT APPRENTICES 7 17. PAYROLL RECORDS 8 18. INDEPENDENT CONTRACTOR 8 19. LIQUIDATED DAMAGES/DELAYS 8 20. DIFFERING SITE CONDITIONS 10 21. VARIATIONS 1N ESTIMATED QUANTITIES 10 22. PROGRESS PAYMENTS 11 23. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES 12 24. AFFIDAVITS OF SATISFACTION OF CLAIMS 12 25. WAIVER OF CLAIMS 12 26. INDEMNIFICATION, DEFENSE, HOLD HARMLESS 12 27. WORKERS COMPENSATION INSURANCE 13 28. INSURANCE 13 29. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED 14 30. DEFAULT & TERMINATION 15 31. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS 15 32 NOWASSIGNABILITY 15 33. CITY EMPLOYEES AND OFFICIALS 16 34. STOP NOTICES; RECOVERY OF ADMINISTRATIVE COSTS 16 35. NOTICES 16 36. CAPTIONS 16 37. FEDERAL PARTICIPATION 17 38. DAVIS-BACON ACT 17 39. DISCRIMINATION; MINORITIES, ALIENS 17 40. EQUAL EMPLOYMENT OPPORTUNITY 17 41. COPELAND 'ANTI -KICKBACK' ACT 18 42. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT 18 43. CLEAN AIR ACT AND FEDERAL WATER -POLLUTION CONTROL ACT 19 44. ENERGY CONSERVATION 20 45. HOUSING AND URBAN DEVELOPMENT 20 46. LEGAL SERVICES SUBCONTRACTING PROHIBITED 20 47. ATTORNEY FEES 20 48. ENTIRETY 21 � RCA 4kOUTING SHEET INITIATING DEPARTMENT: PUBLIC WORKS SUBJECT: AUTHORIZE ADVERTISEMENT FOR THE FIBER OPTIC INTERTIE PROJECT COUNCIL MEETING DATE: July 16, 2001 RCA ATTACHMENTS STATUS Ordinance wlexhibits & legislative draft if applicable) Not Applicable Resolution wlexhibits & legislative draft if applicable) Not Applicable Tract Map, Location Map and/or other Exhibits Not Applicable Contract/Agreement (w/exhibits if applicable) Signed in full by the City Attome Attached Subleases, Third Party Agreements, etc. (Approved as to form b C Nty Attome Not Applicable Certificates of Insurance &proved by the City Attomgj Not Applicable Financial Impact Statement Unbud et, over $5,000 Not Applicable Bonds If applicable) Not Applicable Staff Report if applicable) Not Applicable Commission, Board or Committee Report if applicable) Not Applicable Findings/Conditions for Approval and/or Denial Not Ap —] licable EXPLANATION FOR MISSING ATTACHMENTS REVIEWED RETURNED FORWARDED Administrative Staff Assistant City Administrator initial City Administrator Initial City Clerk EXPLANATION FOR RETURN OF ITEM: RCA Author. BobStachelski:jm SECTION A �W' �,1h5�� f`'" 8+27'a' NOTICE INVITING SEALED BIDS 940'0} for the INTERSTATE 405 h1ULTI-JURISDICTIO`'AL SMART CORRIDOR PROJECT CASH CONTRACT No.1107 in the CITY OF 1IUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 pm on Tuesday, September 4, 2001. Bids will be publicly opened in the Council Chambers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648, upon payment of a $25.00 nonrefundable fee if picked up, or payment of a $35.00 nonrefundable fee if mailed. This is a Davis -Bacon project and the Federal Regulations will be enforced. Any contract entered into pursuant to this notice will incorporate the provisions of the Federal Labor Standards (Appendix 11, I1, IV), which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct a 10% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the California Government Code, Section 4590. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on tl:e approved Proposal forms in conformance with the Instructions to Bidders. A-1 The bid must be accompani;,.,y a certified check, cashier's check, o�;1der's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 16th day of July 2001. Attest: . Connie Brockway CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-2 04 � k-01'OL)�..I CITY OF IIUNTINGTON`L,BEACH CICITYLOF l� 2 0 0 0 N1 a i n S t r e e t HUNTUIGT O BEACH. C A P.O. Box 190 Huntington Beach, CA 91mo-q P 4 4U LETTER OF TRANSMITTAL Attention: Connie Brockway To: City Clerk's Office 2000 Main Street Huntington Eeach, CA 92648 - Fax (714) 374-1573 Date: August 9 2001 Project/C.C. No.: C.C. No. 1107 Regarding: 1405 Multi -Jurisdictional Smart Corridor Proiect -- - - We are sending you: By Mail E) By Fax Mail(Number of pages Including this sheet:) ® We are hand delivering: ❑ Attached ❑ Under a separate cover via the following Items: Shop drawings Prints Plans Samples Specifications Copy of letter ❑ Change Order ® Other. Notice Inviting Sealed Bids hem # Copies Pa es Description 1 1 2 Notice Inviting Seated Bids 2 3 4 5 These are transmitted as checked below: For approval Approved as submitted Resubmlt copies for approval ® Foryour use Approved as noted Submit copies for distribution ® For your action Returned for corrections Retum corrected prints ❑ For review/comment Other. Remarks: On July 16, 2001, the City Council authorized the advertisement of the I-405 Multi - jurisdictional Smart Corridor Project. Please find attached the Notice Inviting Sealed Bids for this project. Please have this advertised for August 16, August 23, and August 30 for bid opening on September 4, 2001. Please contact me at extension 5086 with any questions you may have. cc: Byic Bob Stac elski, PE, Associate Trafficl Engineer C-.\\1 INN I-WRUk7LFSWACHELBV 1 EMPURARY IYTERIET k [LUOLK511 01 U620CLERk.DUC m-co i LU CITY CLERK CITY OF HUNTINGTON BEACH, CA 2001 SEP I I P 1: 5 q a c, o T U (V O q CL.J w z o z 10 Z d I I d3S MOZ " V3'H3d3814010NI1NnH J0 A113 V8313 Al13 M �wI COPIES TO: Front Desk Engineer City Clerk PROJECT CC-1107 PROJECT NAME: 1-405 MULTI - JURISDICTIONAL SMART CORRIDOR PROJECT BID DATE: SEPT. 11, 2001 @ 2PM (Engineer's Estimate: $1,000,000) BID LIST BIDDER'S HAMS RANK TOTAL BI(D� AMOUNT $ '� D i. AMELCO ELECTRIC 1� 1 2. �:.lOHNSON, INC. $ 3. C. T. & F. INC. d. CRAFT COMMUNICATIONS 5. CROSSTOWN ELECTRICAL 6. GUENO DEVELOPMENT $ �' r� ��• �� 7. HERMAN WEISSKER, INC. ! S. L. A. SIGNAL. INC. 9. MOORE ELECTRIC $ 139 V0, 10 VCI TELCOM INC (/ 11. ob anin HqT MA PROOF OF PUBLICATION STATE OF CALIFORNIA) .. } SS. County of Orange } I am a Citizen of the United States and a resident of the County aforesaid; I am ove- the age of eighteen years, and not a party to or interested in the below entitled matter. i am a principal clerk of the HUNTINGTON BEACH INDEPENDENT, a newspaper of general circulation, printed and published in the City of Huntington Beach, , County of Orange, State • of California, and that attached Notice is a true and complete copy as was printed and published in the Huntington Beach and Fountain Valley issues of said newspaper to wit the issue(s) of: August 16, 2001 August23, 2001 August 30, 2001 I declare, under penalty of perjury, that the foregoing is true and correct. Executed on Aucrust 30, 20ni at Costa Mesa, California. Signature SECTION A then aoo0r rice { ' the provisions of the Cal. NOTICE INVITING ,tarnia - Government SEALEDfor the lOs I The CodeComractor shalt be I { INTERSTATE 4DS ; ttenehctat owner of the. j MULTI- aXery erad VW reeeem JURISMT(ONAL a7 I^lerest Ih "'" t The AGENCY hereby SMART CORRIDOR affirmatively ensures PROJECT that minority business CASH CONTRACT enterprises will be at - No. 1107 lorded to oMorlurtity to In the s tma bids in response CITY OF to nos notice and will not HUNTINGTON be 6-nrn'naled *Onsl BEACH on the basis of race. IS color. national ongm, PUBLIC NOTICE HEREBY GIVEN that ancestry. sex, of refxpon trio CITY OF HUNT- in any Consideration INGTON BEAC1i, as Ong trio award Ot contract. AGENCY, Invites sealed N bids for the above stated preeened unless it Is bid shaft be con - bids and will receive - projects bids in the c" of ved prepared on the 8p ms the City Clerk, Second i,fo ig with Mo Floor, 2000 Main Street. Instructions to Bidders. Huntington Beach, Cak- The bid must be ac. foinia 9260. UP to the Companied t, a aedKted hour of 2:00 pm on check• cashiers check. or bidders bond made Tuesdayy September 4.1 Cayabte to Me AGENCY 200t. Bade +eft bis pub. or err amount no less N opened in the Coun-' Cten 10% of the amount ci Chambers unless oIh. tie The successful bid- erwise posted. der Shall be licensed in Copses of the Plans, accordance with Speakcatiorts aril con, lrovrs+ons of the Busi- tract documents are less and Professions available from the OCrce- Code aril sW possess of the Director of PutA,o a Stale Contractor's Works, 2000 Id -in License Class at the 4.Streel, Huntington 0" of the bd Boom. CA 926Q. upon The Wccesslut Coin grac payment of a S25 00 tun end his subcon- Aonrettindab[e hue it tremors wAT be required Por Payri� of to possess business i95.0 nonrelunda5le licenses from the fee I mailed AGENCY. Tros Is a Davis -Baron The AGENCY re - and Ilia Federal W"s the ^BM 1a reject Regulations wil' be any or all bids, to waree enforced. Any cc-niract; Siy irregularity and to enkfred Imo pursusrl to take all bids under this notice w111 in- advisement for corporate the provisions maximum period of 60 of the Federal Labor d}"' ORDER of the Standards (Appendix 11, CITY COUNCIL f the R. he vnice are on file CITY OF HUNTINGTON at the Office of the Diroc• BEACH. CAUFORNIA, for of Publi: V/oaks. to 161h Oa of jut 2000 Main Street. Hunt- t oy y Inglon Beach, CA 2XI1.I, . 92648. The AGENCY will de- Connie Brockway. :duet a 10`e retelili3n CfTY CLERK OF THE from all progress pay- CITY OF HUNTINGTON Lma rits. The Contactor BEACH y Substitute an Published Huntington w bolder surety of Beach Independent Au- -. value b the wen. oust 16. 23. 30. 2001 ..r - 083.161 64 M City of Huntington Beach Public Works Department -� 2000 Main Street Huntington Beach CA 92648 Tel. (714) 536-5431, Fax (714) 374-1573 -n oar. ADDENDUM NUMBER ONE t p n D r'''v '' ;,- x For v N 1-405 MULTI -JURISDICTIONAL SMART CORRIDOR PROJECT - CC- 1107 August 30, 2001 Notice To All Bidders: Please note the following revisions/clarifications to the Project Plans, Specifications and Technical Provisions: I. Section F — Technical Provisions: 7.2 Base Bid, Items 2 and 5— 24" PVC Conduit (Trenched In Pavement)/(Trenched in Soil), pages F-40 and F-41, and Sheets 24 and 25130. At the contractor's discretion, the City will allow the modification of the trench detail to provide for a side -by -side layout of the conduit In the trench and the deletion of the sand base with the use of a bottom of trench conduit spacer. The minimum cover indicated in the Plans (along with other trench details) shall be maintained regardless of the trench alternative proposed by the contractor. 2. All references in the Contract Documents to the Bid Due date shall be amended to Tuesday, September 11, 2001 at 2:00_pm, City Clerk's Office. Bids will be publicly opened In the Council Chambers Immediately following the closing of bid acceptance. This modification does not change the Engineer's Estimate for this project. This is to acknowledge receipt and review of Addendum Number one, dated August 30, 2001. Company Name Date By All bidders must acknowledge the receipt of this Addendum with your bid proposal. St-ould you have any questions regarding this Addendum, please call Bob Stachelski at (714) 375- 6036. CITY OF HUNTINGTON BEACH 2000 MAIN STREET OFFICE OF THE CITY CLERK To:, -k2. J7. 1\16-duF co I7 R� C�R6c C4- CALIFORNIA 92648 Enclosed please find your original bid bond issued by 7I 4jc--L a j C \ (� C • or- for Joan L. Fl O City Clerk JF:pe Enclosure g:/follo«up/cashcont/retumbidbond.doc (Telephone:714-536-5227) TRAVELERS CASUALTY AND SURETY COMPANY OF AMIERICA Hartford, Connecticut 06183 Bond No. N/A KNOW ALL f. EN BY THESE PRESENTS, That%,re, R. J. NOBLE CO:IPANY as Principal, hereinafter tatted the Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF Ah'=RICA, of Hartford. Connecticut, a corporation duly organized under the laws of the Slate of Connecticut, as Surety, hereinafter tailed the Surety. are held and firmly bound unla CITY OF HUNTINCTON BEACH 2s Obliynee. herefinMer called the Obligee, In the sum of TEN PERCENT OF THE A`tOUNT OF THE BID Dollars (S 10% OF BID POMT). for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, Jointly and severally, firmly by these presents. WHEREAS. the Principal has submitted a bid for GOTEARD STREET REHAB /CONDfUNICATI ONS COSDUIT NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter Into a Contract with the Obllgee in accordance with the terms of such bid, and give such bond or bonds as may be specified In the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the. prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Pfincipal to enter Stich Contract and give such bond or bonds, If the Principal shall pay to the Obiigee the 01erence not to exce", the penariy hereof between the amount specified in said bid and such larger amount for which the Obligee may in, good faith cc.-Lract Y :th ano'.her party to perform the t":cif: covered by said bid, then this obligation sh2lt be null and void, otherwise 1:3 remain In full force and effect. Signed and sealed this 14tt:day of SEPTEMBER CA rrPCss) (>rYlness) .2004 . R. J. NOBLE COMPA\T (Pnnapa? (Sea') MI EL J. VER, PRESIDENT TRAVELERS CASUALTY A!jP SURETY COMPANY OF AMERICA ATTORNEY—IN—F Frinted In cooperation wtth the American Institute of Architects JAIA2 by Travelers Casuatty and Surety Company of America. The language In this document conforms exactly to the language used In AIA Document A310, February 1970 edition. 5-M9 C (07-97) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5907 State of CALIFORNIA County of ORANGE On - before me, JENNIFER DE. IONGH, NOTARY PUBLIC DATE NAME, TITLE. OF OFFICER - E.G., 'JANE DOE, NOTARY PUBLIC' . personally appeared MICHAEL J. CARVER, PRESIDENT, R.J. NOBLE COMPANY NAME(S) OF SIGNERS) personally known to me - basis of satisfactory evidence to be the person) whose name(w) is/awe subscribed to the within instrument and ac- knowledged to me that he/sheAlgey executed the same in his/fir authorized ,!eNNIFERDEIONGH capacity(ies), and that by his/tTeTithe;T- NOTARYPUBLIC -CALIFORNIA na sl ture on the instrument the COMMISSION # 14M37 g rumenperson(*, Comm. ORANGECCOoUN a 2007 or the entity upon behalf of which the personN acted, executed the instrument. WITNESS my, hand and official seal. SIGNATURE OF NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER Tm_E(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave., P.O. Box 7184 - Canoga Park, CA 91309-7184 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California SS. County of RIVERSIDE On 1s�1_rr,� _ ,—, before me, R. CISNEROS T ale Name &M Tore of Dlt-ca ie q . "Jane Doe. No" PuGK l personally appeared MICHAEL D. STONG Nammst ol Sgnensl R. CISNEROS COMM. #1418731 .3. NOTARY PU9L1C • CALIFORNIA RIVERSIDE COUtiTY IN mg Comm. Exoires June 7.200$ `9 personally known to me C proved to me on the basis of satisfactory evidence to be the personas'}' whose namq/) isl§K subscribed to the within instrument and acknowledged to me that helshe.'they executed the same in hislhe444e r authorized capacity(ies), and that by hislhef-4#e-if signature(y)'on the instrument the personw. or the entity upon behalf of which the person(; acted, executed the instrument. W TNESS my hand and official seal. Puee Notary Seal Above $"I' r* of N.Lary PLC--. � A OPTIONAL �S Though the information below is rot required by law. it may prove valuable to persons relying or. the document and could prevent fraudulent removal and reattachment of this form to another document. r Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name- - Individual a 1 Number of Pages: S '1 r 1 r a Top L' 7:J*`b re'± F a Corporate Officer = Title(s): r Partner — Limited C General r = Attorney in Fact j Trustee Guardian or Conservator = Other: 1 Signer Is Representing: 01"'4XnoPA a7A310CMm•9WDoSaaA,$.POE:. 2•CnanwwmCAi'3+3 2+C2•rr.eucm.-nun.^^c 9 ". I.-'M' =r.-7N AA 1—F",.s�-.,-ri;:, One'rcw:r SC,,rar. Traveler "' HarCord, CT C61E3 IMPORTANT DISCLOSURE NOTICE. OF TERRORiSM INSURANCE. COVERAGE On. Nlovennher 26, 2002, President Hush signed. into law the'Terrorism }disk Insu'raiice Acf'of 2002 (the "Act"j. Th --Art' establishes a short term program under which the Federal Government will share -in the payment of covered losses caused by certain acts of international terrorism.. We • are providing you With ,this notice to inform you of the key features of the Act, and -to let ybu know what effect, if any, the Act will -have on your premium. any,. Under the Act, insurers are required.to 'provide coverage for certain losses caused by international acts of terrorism as defined in the 'Act. The Act further provides that the Federal Government will pay,a share of such losses. 'Specifically,, the Federal Government tivill pay 00O/C of the amount of covered losses caused by certain acts of_terrorisrh which is in excess of Travelers' statutorily established •deductible for that year. The Act also caps the amount of terrorism -related losses for which the Federal Government or an insurer can be responsible -at $100,000,000,000.0D, provided that the insurer has met its deductible. Please note that.passage of the Act does not result in any change in coverage under the attached policy or bond (or the'policy or bond being' quoted). Please also note that no separate additional premium charge has been 'made for the terrorism coverage required by the Act. The premium charge .that Is allocable to•such coverage Is Inseparable from .and imbedded in'your overall premium, and is no more than one percent of your premium. TRAVELERS CASUALTY AND SURETY CONIPA.ti'Y OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY FARINILNGTON CASUALTY COMPANY Hartford, Connecticut 06183-9062 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORI EY(S)-IN-FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, corporalions'duly organized under the laws of the State of Connecticut, and having their principal offices in the City_of Hartford, Count] of Hartford, State of Connecticut, (hereinafter the "Companies") hath made, constituted and appointed, -and do by these presents make, constitute and appoint: Michael D. Stong, Shawn Blume, Susan C. IHonteon, Rosemary Cisneros, of Riverside, California, their true and lawful Attomey(s)-in-Fact, with full power and authority hereby conferred to sign, execute and ackno►v'_cdge, at any place within the United States, the following instrument(s): by his1her sole signature and act, any and all bonds, r:cognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undemiking and any and all consents in„ident thereto and to bind the Companies, thereby as fully and to the same extent as if the same were signed by the duty authorized officers of the Companies, and all the acts of said Attomcy(s)-in-Fact, pursuant to the authority herein given, are hereby ratified and confirmed. This ap,)ointment is made under and by authority of the following Standing Resolutions of said Companies, which Resolutions are now in full force and effect: VOTED: That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second `'ice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact cad Agc-.ts to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe to sign v.ith the Company's na.-ne and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the natur. of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her. VOTED That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is riled in the office of the Secretary. : VOTED That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaILng shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman., any Executive Vice President, any Senior Tice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary, or (b) duly executed (under seal, if required; by one or more Attomcys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority. This Pt ter of Attorney and CertifiCate of Authority is signed and Sealed by facsimile (mechanical or printed) under and by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FAROIINGTON CASUALTY COMPANY, which Resolution is now in full force and effect: VOTED That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purpose: only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or ccrtifu;ate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company i-t the future with respect to any bond or undem-A .ng to which it is attached. (Q3-0a) t'nlimitod IN WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY have caused this instrument to be signed by their Senior Vice President and their corporate seals to be hereto affixed this 7th day of August, 2004. STATE OF CONNECUCUT } SS Hartford COUNTY OF HARTFORD �aa�yp,WM�4Wl,y LTY AN, 5 ¢",�N�S�UAfTyn �J� SG pA Uq��L r r m 9 HA TFORD, Z 1982 O r y � �iyt'•,.. ���y''�ca v�b1 �aa ry . �� TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY FARMINGTON CASUALTY COMPANY George W. Thompson Senior Vice President On this 7th day of August, 2004 before me personally came GEORGE W. THOMPSON to me known, who, being by me duly sworn, did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, the corporations described in and which executed the above instrument; that he/she knows the seals of said corporations; that the seals affixed to the said instrument are such corporate seals, and that he/she executed the said instrument on behalf of the corporations by authority of his/her office under the Standing Resolutions thereof. # AU8Lt0 �' My commission expires June 30, 2006 Notary Public Marie C. Tetreault CERTIFICATE I, the undersigned, Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, stock corporations of the State of Connecticut, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority remains in full force and has not been revoked; and furthermore, that the Standing Resolutions of the Boards of Directors, as set forth in the Certificate of Authority, are now in force Signed and Sealed at the Home Office of the Compan} , in the City of Hartford, State of Connecticut. Dated this j Li -rk day of SePkbL,-r , 20 C)Qi F aWi651re�y eJP��TY ANps C'As �r CQ y 0 9 a HARTFORD. < 0 9 8 2� O s a� CONM. R. CONN. o - L y a r By Peter Schwartz Senior Vice President a I,� �.•� irf) I,. CA • . R.J. NOBLE COMPANY ASPHALT PAVING • ENGINEERING CONTRACTORS 15505 E. LINCOLN AVE. • P.O. BOX 620 ORANGE, CALIFORNIA 92856 (714) 637-1550 TO: CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH, CA 92648 GOTHARD STREET REHAB/COMMUNICATIONS CC1154CC1107 BID DATE: 09-28-04 BID TIME: 2:00 P.M. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD STREET REHABILITATION - CC 1154, FROM ELLIS AVENUE TO HEIL AVENUE STPL 5181 141 AND GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT PHASE - CC 1107, FROM ELLIS AVENUE TO HEIL AVENUE ITS 99-5181 127 September 9, 2004 Noti:e To All Bidders: Please rote the following clarification to the Project Plans, Specifications, and Technical Provisions: Incc rporated Into the Gothard Street Rehabilitation, CC-1154 plans and specifications is Addendum No. 1, slated September 9, 2004 and the following attached documents: 1) GOTHARD STREET PAVEMENT REHAB -COMMUNICATIONS CONDUIT (PHASE 1), CC-1107, ITS 99.5181 (127) CONSTRUCITON PLANS (13 SHEETS) 2) GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1) - CC-1107, ITS 99-5181 (127) SPECIAL PROVISIONS 3) SECTION A, NOTICE INVITING SEALED BIDS 4) SECTION B, INSTUCTIONS TO BIDDERS 5) SECTION C, PROJECT BID SCHEDULE (Gothard Street Rehabilitation - CC-i154, STPL-5181 (141) and Gothard Street Rehab -Communications Conduit (Phase 1) - CC-1107, ITS 99-5181 (127)) The Contractor's submitted proposal shalt be enclosed In a seated envelope plainly marked on the outside: "SEALED BID" for 1. GOTHARD STREET REHABILITATION - CC-1154, FROM ELLIS AVENUE TO HEIL AVENUE 11. GOTHARD STREET PAVEMENT REHAB -COMMUNICATIONS CONDUIT (PHASE 1) - CC-1107, FROM ELLIS AVENUE TO HEIL AVENUE Project Description: The project consists primarily of grinding of the existing pavement, removal of failed roadway sections, asphalt paving of failed areas, overlaying the streets with asphalt concrete, Installation of curb access ramps, pull boxes, splice vaults, fiber optic conduit, adjusting manholes, monuments and valves to grade, and Installing traffic loops. 1 l All This Is a Davis -Bacon project and the Federal Regulations will be enforced. Any contract entered Into pursuant to this notice will Incorporate the provisions of the Federal Labor Standards, which are on file at the office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. • The contract allows the contractor 85 working days to complete the contract. • The DBE goal for each Cash Contract (1154 & 1107) Is 7%. • The contractor shall provide to the City all required City and Federal documents for each Cash Contract (CC-1154 & CC-1107) project. For the purpose of making partial payments, the amounts set forth for the contract Items of work hereinafter listed shall be deemed to be the maximum value of said contract Item of work, which will be recognized for prcgress payment purposes: a) Mobilization Gothard, CC-1154..................$17,500 Gothard, CC-1107..................$17,500 b) Traffic Control Plan Gothard, CC-1154..................$6,000 Gothard, CC-1107..................$6,000 Fiber Optic Conduit Installation & Traffic Control: The fiber optic conduit installation shall precede the pavement rehabilitation work. When fiber optic conduit Installation and pavement rehabilitation work are occurring simultaneously, there shall be a minimum of one- half mile separation between any lane closure activity. EnEineer's Estimate: $920,338 • Gothard Street Rehabilitation, CC-1154: $628,843 • Gothard Street Rehab -Communications Conduit (Phase 1), CC-1107: $291,495 This modification changes the Engineer's Estimate for this project from $652,343 to $920,338. This is to acknowledge receipt and review of Addendum Number one, dated September 9, 2004. R-NOBLE COMPAMY Company Name By MICHAEL . CARVER, PRESIDENT SEPTEMBER 9, 2004 Dale All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Lary J. Taite at (714) 536-5590. SECTION C PROPOSAL for the construction of I. GOTHARD STREET REHABILITATION - CC 1154, FROM ELLIS AVENUE TO HEIL AVENUE II. GOTHARD STREET PAlvTMENT REI IAB-COMINIUNI CAT] ONS CONDUIT (PHASE 1) - CC 1107, FRO'1%1 ELLIS ANTNUE TO HEIL AVENUE in the CITY OF HUN"TINGTON BEACH TO THE HONORABLE MAYOR AND IIEAIBERS OF THE. COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 85 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of wort: satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, ro}mlties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govcm over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. 10% BIDDER'S Accompanying this proposal of bid, find BOND in the amount of S----------- which said amount is not Iess than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature 1. SEPT 9, 2004 IMI94EL J ARVER, PRESIDENT C-2 SECTION C PROJECT BID SCHEDULE Gothard Street Rehabilitation, CC-1154, STPL - 5181 (141) Gothard Street Rehab -Communications Conduit (Phase 1), CC-1107, ITS 99-5181 (127) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: S f, ?78 41D.49 TOTAL AMOUNT LUMP SUM BID IN WORDS: C-2.1 GOTHARD STREET REHABILITATION IMPROVEMENTS CC NO.1154 STPL - 5181 (141) C-2.2 GOTHARD STREET (CC-1154) PROJECT BID SCHEDULE ITEM ESTlh1ATED ;:;".:.ITEM WITH .UNIT,PRICEWRITTEN IN j,- ;UNIT:Pf1ICE_ .;EXTENDED .NO:' -QUANTITY 1 _ w.� F `i•=- ';iNORDS = .�.'... �`► .'• -: AMOUNT: 1 1 Mobilization IS 17 , 500.0 $ 17.500 . L.S. @ SEVENTEEN THOUSAND FIVE HUtr'DRIMIlars NO Cents 2 1 Traffic Control Plan $ 6,000.00 $ L.S. @ SIX THOUSAND Dollars NO Cents 3 1 Furnish Project Traffic Control $_] 7_000 0 $ t 7 . nM _ n L.S. @ SEM 'T.I� EEN HOUSAND Dollars No Cents 4 188,916 Cold Milling 8, Header Cutting $ 0.14 $ 26,448. S.F. @ ZERO Dollars FOURTEEN Cents 5 471 Unclassified Excavation $ 33.OU $ 5,543, C.Y. @ THIRTY THREE Dollars NU Cents 6 10,133 Construct Asphalt Concrete (Overlay, Full Depth, $ $ Ton etc.) Y G Dollars Cents 7 2,347 Pavement Reinforcement Fabric & Route and $ 6.25 $ 4,668.1 S.Y. Seal of Cracks @six - - Dollars TWENTY FIVE Cents 8 46 Adjust Sewer/Storm Drain Manhole to Grade $ 250.00 $- 11.500 Each @ TWO HUNDRED FIFTY Dollars NO Cents 9 91 Adjust Water Valve to Grade $ $ •110 Each @ TWO HUNDRED FIFTY Dollars No Cents 10 1 Traffic Stripin $�= ,Do $E' = L.S. @ --�t l - l c �-��`10t� nr� Dollars Cents 11 80 Traffic Loop $ 185.00 $ 14 , 800 . Each @ ONE HUt3DRED EIGHTY FIVE Dollars NO Cents 12 8 Remove & Reconstruct Access Ramp $ $ Each @_1110 MiDURAIM DNVA41 RED_ ,Dollars Nn Cents 13 3 Adjust S:jrvey Monument Well to Grade $ 275.00 $. 825.00- Each @ TWO HUNDRED SEVENTY FIVE Dollars NO Cents 54 25 Survey Monumentation $ 325.00 S_1,125.00 Each @ THREE HUNDRED TWENTY FIVE Dollars Cents Sub Total Bid Amount. Bid in Figures: $ . Sut: Total Bid Amount, Bid in Words: , 5l , hmmq GOTHAR.D STREET REHAB- COMMUNICATIONS CONDUIT (PHASE 1) IMPROVEMENTS CC NO.110 ITS 99-5181 (127) c-2.a GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1), CC-1107 PROJECT BID SCHEDULE .ITEM_ ESTIMATED '' ' t ITEM WITH UNIT PRICE WRITTEN IN : -� UNIT PRICE EXTENDED NO.' -� 60ANTITY ... 1. " • WARDS . � . "` .. I.. ' , - 1' AIIAOUNT 1 1 Mobilization $1L.IQ0.00 $JLA00-,,0 L.S. @SEVENTEEN THOUSAND FIVE. FiUNDRIDDIlars No Cents 2 1 Traffic Control Plan $6,000.00 $62000.00 L.S. @ SIX THOUSAND Dollars NO Cents 3 1 Furnish Project Traffic Control $ $ L.S. @ Dollars Cents 4 10,670 Install 2-4 inch PVC Conduit (Trenched in Pavement) $ $ L.F. l @ 1F Fes{ tl-F-ew Dollars �"�= 5'0�r� 3tp ,V N° Cents 5 15 Install No. 6 Pullbox $ $ E.A. @ Fbv JL&w#Jr:,"f) SeLC- zfZ ftfOa Dollars Cents 6 6 Install Splice Vault $ $(P C> E.A Ar arp @ ale Tr{owa MJ r.,� -IWo /iwyx-Zl� rs .Jv Cents Sub Total Bid Amount, Bid in Figures: $ 1 00 Sub Total Bid Amount, Bid in Words: 51A a>~t S�C tz tl J C-2.5 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion of work Name and Address of Subcontractor State License Number Class �1�S L 1k Smnod ?"l Yt?' and 'cDuvveslinQ By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange MICHAEL J. CARVER , being first duly sworn, deposes and says that he rm. iie is _PRESIDENT of R.J. NOBLE COMPANY the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; 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 colluded, 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, or that of any other bidder, or to secure any advantage against the public 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 fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. R.J. NOBLE COMPANY Name of Bidder Si ature adder MICHAEL J. CARVER, PRESIDENT 15505 E. LINCOLN AVE., ORANGE, CA 92865 Address of Bidder JENNIFER DE YONGH Subscribed and sworn to before me this 28th day of SEPTEISBER , 200 NOTARY PUBLIC-CAUFORNIA e '� commss;ON 0 1448237 ORANGE COUNTY ^ My Comm. ExP. Onoher 28. 2067 NOTARY NOTARY SEAL C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUN"TINGTON BEACII, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROWNIENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: 09-28-04 R.J. NOBLE COMPANY Contractor MICHAEL J. CARVER PRESIDENT Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance mith Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes XNO If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the folloA ing certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance m accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Date: 09-28-04 R.J. NOBLE COAKPAW, Contractor B MICHAEL J. CARVER PRESIDENT Title C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800422-4133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: R.J. NOBLE COMPANY Contractor B MICHAEL J. CARVER PRESIDENT Title Date: 09-28-04 Note: This form is required for every Dig Alert Identification Number issued by USA. during the course of the Work Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: R.J. NOBLE COMPANY Bidder Name 15505 E. LINCOLN AVENUE Business Address ORANGE, CA 92865 City, ( 714 ) 637-1550 Telephone Number A-782908 CLASS A State Contractor's License No. and Class AUGUST 2000 Original Date Issued AUGUST 2006 Expiration Date The work site was inspected by STEVE MENDOZA State Zip of our office on 09-16-04 , 200_. The following are persons, firms, and corporations having a principal interest in this proposal: R.J. NOBLE COMPAU A A .IFORNIA CORPORATION MICHAEL J. CARVER, PRESIDENT STAN HILTON, SECRETARY C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. R.J. NOBLE COMPANY Company Name ture of. MICHAEL J. CARVER, PRESIDENT Printed or Typed Signature Subscribed and sworn to before me this 280day of SEPTEMBER , .1LNP7!FER OE IONGH NOTARY PUBLIC - CAUVORNSA COMIMSSION 11448237 c "' ORANGE COUNTY ' /n� my Comm. Exp. October 28. 20017 NOTARY PUBLI eta DE IONGH NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. COUNTY OF RIVERSIDE, 4080 LErtON STREET, RIVERSIDE, CA Name and Address of Public Agency Name and Telephone No. of Project Manager: STAN DERY 909-955-6785 $825,885.00 PAVEMENT REHABILITATION JUNE 2002 Contract Amount Type of Work . Date Completed 2. CITY OF ANAHEIM. 200 S. ANAHEIM BLVD.. ANAHEIM, CA Name and Address of Public Agency Name and Telephone No. of Project Manager: RALPH HARP 714-254-5126 $437,191.47 TUSTIN AVENUE STREET IMPTS. DECEMBER 2002 Contract Amount Type of Work 3.CITY OF FULLERTON,0 W. COMMONWEALTH AVENUE FULLERTON CA Name and Address of Public Agency Date Completed Name and Telephone No. of Project Manager: RON BOWERS 714-738--6322 $811,899.00 HARBOR BLVD., REHABILITATION FEBRUARY 2003 Contract Amount Type of Work Date Completed C-10 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who pro-,7de a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name: R. J . NOBLE COMPANY Address: 15505 E. LINCOLN AVENUE ORANGE, CA 92665 Phone: 714-637-1550 Fax: 714-637-6321 .Contact Person: MICHAEL J. CARVER, PRESIDENT No. of years in business 54 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YES NO TSpe of work/services/materials provided by firm? ASPHALT PAVING GENERAL ENGINEERING CONTRACTORS What was your firm's Gross Annual receipt's for last ear? ❑ Less than $1 Million o Less than $5 Million ❑ Less than $10 Million ❑ Less than $15 MiIlion 0 More than $I5 Million ti.y. This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-1 I CITY OF HUNTLNGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or wear contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will' use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name:4AqaDn'-d__ saj� Address: » O+ 5 fr)a i n N . Ga�lb(M� CwQz0A .Contact Person at Y-s Ci a T) Phonel�Q�' Fax: -100 Vo. of years. in business-1-1 C0L,"5 Is the firm currently certified as DBE under 49 CFR Part 26? YES 0 Type of worldservices/materials provided by fun?� rev i:aL wca vvw Sul b %uuaa tUW1U11 r7.LGio6 b lure Iasi o Less than S 1 Million `15C Less than S5 Million ❑ Less than $10 Million ❑ Less than $IS Million ❑ More than $1 S Million This form can be duplicat:d if necessary to report all bidders (DBEs and non DBEs) iafcrmatien. C-11 CITY OF HLNTLNGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. Ibis information is also required from the proposed prime contractor, and must be submitted with their b�id/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: ALL AMERICAN ASPHALT Phone:.909-736-7600 Address: P.O. Box 2229 Fax: 909-739-4671 CORONA, CA 92878 .Contact Person: DICK owr_NS No. of years in business 35 YEARS Is the firm currently certified as DBE undo. 49 CFR Par. 26? 17ES NO Type of work'services/materials provided by firm? PAVING, GRADING, CONCRETE What was your tirm's Uros3 Annual receipt's for last year7 o Less than S1 Million o Less than $5 Million o Less than $ 10 Million a Less than $15 Million lb More than S15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide.a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their b4d1proposal. The City of Huntington Beach will use this information to maintain and update a'Bidder's" list to assist in the annual DBE goal setting process. Firm Name: C. L.. CONCRETE Phone: 626-334-2357 Address: 1035 W. GLADSTONE ST Fa`C: 626-334-3517 AZUSA, CA 91702 .Contact Person: CAMILO LOPEZ No. of years in business 35 YEARS . Is the ftm currently certified as DBE under 49 CFR Part 26? YE NO Type of workJse.-vicesJmateaals provided by firm? CONCRETE, CURB, (;UTTER, SIDEWALKS What was your brrn's Gross Annual receipt's for lastyear? ❑ Less than $1 Million 6 Less than $5 Million o Less than $10 Million ❑ Less than $1 S Million ❑ More than S15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) mformatien. C-11 i CITY OF HUNTlINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contr�aetors, who provide a proposal, bid, quote, or we: a contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their Vidlproposal. The City of Huntington Beach 1xU use this information to maintain and update a'Bidder's" list to assist in the annual DBE goal setting process. Firm Name: CASE LAND SURVEYING, INC. r Address: 1010 N. BATAVIA STREET STE. ,D ORANGE, CA 92867 Phone: 714-628-8948 Fax: 714-628-8905 .Contact Person: LAM CASE No. of years in business 18 YEARS Is the firm currently certified as DBE under 49 CFR Part 25? YES NO Type of work!services/materials provided by firm? SURVEY SERVICES what was your nrm's Bross Annual receipt's for last ear'! 0 Less than $1 Million a Less than S5 Million a Less than $10 Million a Less than S 15 Million a More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HLNTLNGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide.a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prune contracto_, and must be submitted with their bid,proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. II.t Firm NameFt Phone: — TK1 ' (Pg (P Address: !� 2Q -e • 4:,:: �bYUV . CN 0ia&T .Contact Person: U os, ni ic�. No. of of years. in business Is the firm currently certified as DBE under 49 CFR Part 26? YES `0 Type of worWservices/materials provided by firm? wt,at was Your nm's cross Amum receipt's for Last vear't o Less than $1 Minion o Less than $5 Million c Less than $10 Million Less than S15 Million y Iylorc than $I5 Million This form can be duplicated if necessary to r rort all bidders (DBEs and non DBEs) informaticn. C-11 0t/28/2004 12:19 9513525596 HIGH LIGHT ELECTRIC PAGE 05/05 CITY OF HLFNTVGTON BEACH BIDDERS LIST All Bidders/proposers are required to prodded the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime cont: actor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name:_xdovlrewy r4criCfCG . Address: 7o'r'o410E srtasr�G eA . VZ505/ Phone: l B7 � Z:6A - 9fb u b Fax: 951- 352- zga`R .Contact Person:_ 7 n,e _ &J-1r, nozA No. of years in business S Is the firm currently certified as DBE under 49 CFR Part 26?' dg? NO Type of work/services/materials provided by firm? 'Arc rrsz*L Aer A1r-r1r,_v:rS What was your fum's Gross Annual recei is for lastyear? o Less than $1 Million o Less than $S Million o'Ass than $10 Million Less than $15 Million o More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non.DBEs) information. C-11 CITY OF HUNTII GTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This inferrm-lion is also required from the proposed prime contractor, and must be submitted with their b &1proposz1. The City of Huntington Beach will use this information to rnaintain and update a `Bidder's" list to assist in the annual DBE goal sett:ng process. Firm Name: J & S SIGN C01%?ANY Address: 822 V. KATELLA AVE., ORANGE, CA 92867 Phone: 714-639-4921 Fat: 714-538-2779 Contact Person: CLINT RIEBER No. of years_ in business 33 YEARs Is the firm currently certified as DBE under 49 CFR Part 26? . YES NO Type of woWservices/materials provided by firm? TRAFFIC STRIPING, MARKINGS Wtat was your trrn's Bross Annual receipt's for last year'! o Less than $1 Million b Less than $5 Million fl Less than SIG Million ❑ Less than $15 Million ❑ More than $1 S Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTLNGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide.a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prhe contractor, aad must be submitted with their bid/proposa?. The City of Huntington Beach wit use this information to maintain and upd +-. a `Bidder's" list to assist in the annual DBE goal setting process. FirmName:800ff-/ glgC410ja Phone + 31 `- 42021 Address: 3 r} ��h Fax: Ct � .C_ ontact Pe: f son: i�i(, ; J l n.�l-n- No. of years. in business j ?)P_.a -e�' i v� �Z lxtG IL Is thfirm currently certified as DBE under 49 CM Part 26? . YES ONO Type of w•or cls.—Mceslmaterials provided by firm?_q � zck&v& What %--s your t='s Gross Annual recei Ys for Iasi a ,7 ❑ Less than S1 Million a Less than $5 Million a Less than S10 Million a Less than S 15 Million - - - - —More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. I CITY OF HWi TINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contraed by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their Wd/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. FirmN=e: ORANGE COUNTY STRIPING, INC. Address: 183 N. PIXLEY STREET Phone: 714-639-4550 Fax: 714-639-6353 ORANGE, CA 92868 .Contact Person: ROBERT LITCHFIELD No. of years. in business 32 YEARs . Is the firm currently certified as DBE undo: 49 CFR Part 26? YES N4 Type of worklse:viceslmatcrials provided by firm? STRIPING' What was your tm's dross Annual recez Ys far last ar o Less than $1 Million o Less than $5 Million ]b Less than $10 Million o Less than $15 Million o More than SIS Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. CITY OF HUNTINGTON BEACH BIDDERS LIST AL Bidders/propcscrs are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prune. This informztion is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update u `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: 1. Address:_ 1��5 11 P W6,23TURNIEUEZ176 Phone: 60-) Z 05Y4 Fwx: No. of years. in business Is the firm currently certified as DBE under 49 CFR Part 26? YES (DO T ype of work/senices/materials provided by firm? What was your firm's Gross Annual rece' is for last)Mar? a ss than $I Minion Less than $5 Million a Less than $1 D Million a Less than $15 Million a More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. r CITY OF HUNTLNGTON BEACH BIDDERS LIST All Bidders/pro-posers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed grime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. FFirm Name: PAVEMENT RECYCLING PhoAe.. 909-682-1091 - i Address: P.O. BOX ' 1266 Fat: 909-682-1094 RIVERSIDE, CA 92502 .Contact Person: DON SANTE No. of years in business 15 YEARS Is the firm currently certified as DBE under 49 CFR Par` 26? YES NO Type of woWsenriceslmaterials provided by firm? COED PLANE, PULVERIZING What was your Mm's Gross Annual receipt's for lastyear? �6 Less than S1 Wlion a Less than $5 Million o Less than $10 Million, o Less than $15 Million o More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitt.-d with their bid/proposed. The City of Huntington Beach will use this information to maintain and update a'Bidder's" list to assist in the annual DBE goal setting process. Firm Name: RAMIREZ CONSTRUCTION Address: 656 E. SAN'BERNARDIND RD COVINA; CA 91723 .Contct Person: ART BALLIN Phone: - 626-967-5790 Fa.Y: 626-967-5688 No. of years in business 10 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YES NO r Type of work/services/mate:iais provided by firM?UTILITIES ADJUSTMENTS What was your firm's Gross Annual receipt's for last year? a Less than SI Million ❑ Less than $5 Million a Less than $10 Million ❑ Less than S I $Million v More than $15 Million This form can be duplicated if necessary to report aU bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTLVGTOL BEACH BIDDERS LIST All Bidden/proposers arc required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach v,,U use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting proctss. Firm Name: SUDHAKAR COMPANY Address: 1450 FITZGERALD RIALTO, CA 92376 .Contact Person: STEVE FLEENER PhOne:•909-879-2933 Fax: 909-879-2939 No. of years_ in business 6 YEARS Is the firm ctnrreently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? ROAD SLURRY, ROAD STRIPING what was your tirm's Liross .yanuai receipt's for past year'! u Less than SI Million a Less than S5 Million o Less than S10 Million, dt Less than $15 Million a Mort than SIS Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 J CITY OF HUNTMGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the faUowing information for all DBE and non - DBE contractors, who provide a proposal, bid, Vote, or wee contracted by the proposed prime. This infor=dor. is also required from the proposed prime contractor, anal must be subautt~d v -ith their hid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" Its: to assist in the annual DBE goal setting process. Firm Name: SMITHSON ELECTRIC, INC. I Address: 1938 E. KATELLA AVE., OWNGE, CA 92867 Phone•' 714-997-9556 Pat; 714-997-9559 .Contact Person: PATRICK T . SMITHSON N.O. of years. in business 16 YEARS is the 5.-m currently certified as DBE under 49 CFR Part 26? YES NO Type of worjclservices/materiah provided by flan? TRAFFIC LOOPS %vnat was YOUr Ilrm•S cross Annual MCeMT-S Tor fast ear'C o Less than S1 MMon 41 Ltss than $5 Million a Less than S10 Million o Less than S 15 Million a More than SI5 Million 'this form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. r1i 1 I CITY OF HUNTNGTON BEACH BIDDERS LIST All Bidders!proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach v6ill use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: STEP-NrDAHL ENT., INC. Phone: 818-834-8199 Address: 11861 BRANFORD STREET Fa.,. 818-834-8618 SLUT VALLEY, CA 91352 . ConLnct Person: DENNY STERNMAHL . No. of years in buSiness 21 YEARS Is the firm cu.-rentiy certified as DBE under 49 CFR Part 26? YES I�'0 Type of worklserviceslnaterials provided by firm? STRIPING rWhat was your nrm-s dross Annual receipt's for last year'! v Less than SI Million ❑ Less than $5 Million xx Less than $10 Million o Less than MS Million ❑ More than S15 Million This form can be duplicated if necessary to report an bidden (DBEs and non DBEs) information. C-1 I CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidderslproposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prim. This information is also required from the proposed prime contractor, and must be submitted with :heir bidlproposa? The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Named(' 1 U n'11c1:0--�hilopil"ie Address:? o • W 'r-61- I �i4 "Iv41 C& 61A S:5s Contact Person: Yet rn� Fax: 'I l - =' l SAq No. of yea.,-s in business Is the fire currently certified as DBE under 49 CFR Par. 26? S NO Type of worklserviceslmaterials provided by firm? 1 Pik What was your tirm's Gross Annual receipt's for last ar? ❑ Less than $1 Million Less than $5 Million ' o 'LGss than $10 Million ' a Less than $15 Million o More than S 15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidderslproposers are required to provided the fallowing information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach %ill use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name• TRAFFIC CON''TROL ENGINEERING Address: 231 E. IMPERIAL RWY. , STE 241- FL'LLERTON, CA 92635 Phone:- 714-447-6077 Fax: 714-447-6081 .Contact Person: DAVID No. of years. in business 14 YEARS Is the f rem currently certified as DBE under 49 CFR Part 26? YES NO Type of workfs .rviceshnaterials provided by firm? TRAFFIC CONTROL DESIGN - What was your fcrm's Gross Annual receipt's for last year? o Less than S 1 Million ff Less than $5 Million a Less than S10 Million a Less than $15 Million o More than S15 Million 'This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information, C-11 CITY OF HLNTINGT04N BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their Vid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setdng process. FixmNarse: JU yj Phone: [P2 - SM 4- Address: `lam n - zu sc c it n ry -Fax: U7-{P . �.()V'j na s GA q 19 � a Cont~cr Person: '' 'fi a. of ycars. in business O YQj Is the firm currently certified as DBE under 49 CFR Part 26? YES '0 Type of work services/materials provided by firm? 44 What was your firm's Gross Annual recei is for lastyear? o Less than $1 Million �tss than S5 Million ss than $10 Million ❑ Less than M 5 Million ❑ h1ore than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) informaton. r_11 CITY OF HUNTS GTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitud with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: Address: Phone: Fax: .Contact Person: No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES Type of work/serviceslmaterials provided by firm? What was your tlrm's Gross Annual receipt's.%r last year? ❑ Less than $1 Million a Less than $5 Million a Less than $14 Million ❑ Less than $15 Million t1 More than $15 Million NO This form can be duplicated if necessary to report all bidders {DBEs and non DBEs} kformadcn. C-11 CITY OF HUNTLNGTONI BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be subnuttrd with their bicl<'proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name: Address: Prone: Fat: .Contact Person: No. of years. in business Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of worklserviceslmatecials provided by firm? What was your firm's Gross Annual receipt's for las;Year? o Less than $1 Million a Less than $5 Million El Less than $10 Million a Less than $15 Million o More than $IS Million This form can be duplicated if necessary to r kort all bidders (DBEs and non DBEs) information. C-11 w CITY OF HUN=GTOV BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: Phone: Address: Fax: Contact Person: No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? What was your ti m's Gross Annual receipt's for last year? o Less than S I Million a Less than $5 Million ❑ Less than $10 Million v Less than S15 Million ❑ More than S15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) infcrmat!cn. C-11 Local Assistance Procedures Manual r-At=it Ju-t 7'S&-E Checklist Instructions Attachment C (I71EBIDDER'S=CU170NONTIESIGNA=PORTIO,V OFTfsrlSPR0P0S,4L SHALL ALSO C04N'STI1ZTlEANEND0R3'. ffiVTXNT) EXECUMNOF THOSE CERTIFICATIONS WNCHRREA PART OF M PROPOSE) IEQUALTNWLOYI aNT OPPORTUNITY CERTMCAMIN The bidder R . J . NOBLE CWAn - - -- . prcposed subcontractor - _ _-_ hereby certifies that he has has not . participated in a previous contract or subcontract subject to the equal opportunity clauses, as revired by Execu+ ve Orders 10925, 11114, or 11246, and that; where requir-A he has filed wits the Saint r,xpor►: ng Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Commime on Equal Employment Opportunity, all reports due under the applicabl: filling requirements. Mote: 'Ibe above certification is required by the Equal Employment Opportunity Regulations of the Secre=%--y of Labor (41 CFR 60-1.7(b) (1)), and crust be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal ogpom:aity clause. Contrvac's and subcontta.^ts which are exempt from the equal opportunity clause arc set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Ord-:s or ti2eir implementing regulatioas. Proposed prise contractors and subcontractors who have participated in a previous t ontmct or subcontract subject to tie Executive Orders and have not filed the required reports should note that 41 CFR 60-IJ(b) (1) prevents the ascend of contracts and subcontracts unless such contractor Subs a report covering the delinquent period or such oche: period specified by the Federal Highway Administration or by tt`e Director, Office of Federal Contract Compliance, U.S. Department. of Labor. u-"9 C-12 Page 1-1 45 Local Assistance Procedures Manual EIT ME PS&E Checklist Instructions Attachment G DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying ac5vitlps pursuant to 31 U.S.C. 1. Type of Federal Action, Z Status of Federal Acton: 3. Repert Type: a cefthd NONE ❑ a. M"oterlanitgon NONE d tntat ❑ a. Intat NONE L mate. —charge t Own award c mperatve aMernert d ban , C. pas;-dwd•d ForVatedal Chang aQny: a ban Nranb• L lean rsurance rear - quater da;e at tax reaatt 4. Name and Adress of Repotng Entiti: S. If RepoMng Entity in No.41s Subawardee. Enter • ❑ Prime ❑ Subawardee Name and Address of Prune: Tier , ffknown NONE NONE Congressional District, lfkxmrr Congressional Dlstri ifkaowrr 6. Federal Department/Agency: 7. Federal Program Namel4e3crlptton: NONE NONE CFDA Number, Map,-Ucatfe 1. Federal Action Number, ffknowl 9. Award Amount, lflmow is NONE $ NONE 10. L Name and Address of zobb Ing Entity b. Individuals Performing Services (fnclsr,ng address If (G'ln mi.-at last name, first name, M.0. (ff'erent from Na 103) gastvarre, in, name, Uq: NONE NONE (a!ta: r Con&..rekn Sheets) (necessary) 11. Amount cf Payment (check all that apply): 11 Type of Payment (check all ghat apply) • ❑ actual ❑ planned L retailer NONE k one -title fee NONE c. mrnmiss:on 12. Form of Payment (check all that apply): L cash B b. hrkint; sped( - nature NONE d. cmingert The e. defe,Ted t c',ter, apec:ff: 14. Brief Description of Services Performed or to b: performed and Date(s) of Service, Including offlcer(s), employee;s), or member(s) contacted, for Payment Indicated In kern 11: NONE (auaclr Corttfrrtratfarr S.�ep.'(sj !l'necessary) 13. Coniinuatfon Sheet(s) attached: Yea ❑ No 16, kb mom w ;t*sted hou;h bts roan k a dhorhad by Me 31 U.S.C. Sed n 51�ttae: 13EL This d`s r' se of bt^ylnp a N103 is a mattertat reyr83ea31o11 Of lact o m whkh ralwa eas paced try lie forabm when this Caraac!w wa F7att Name: MI EL CARVER Mde er en<usi kft Thta dlsdom is requr0 pursuant to 31 U.5.C.135Z Th.s ft matnwlE W repo led b Cta Ccop m wm wnzai y end A be . PRE S I DE!3T Trig. eyaU to br pllbEa krecCOn. Ant pe= who !gs b fke the "d dlad:su� atdtiv rieltoAddP.% trofWtImteansto,ocaandmtmorethan TeleponeNo_714—E37-15.1raDate: Q()-2 a-Q st aa•oao for e:�h tom" 1 fare. Federal Use Only: Iurihanzea to local Reps +...,.. - - s ma;d tom i l iier. 0142-93 C-13 rase 12-55 February 1,1998 . F.XIWJT 22-E Ucal Assistance Procedures Manual Attacha:eat G ME Checklist Instructions r STRUC71ONS FOR COMPLETION OF SF LLL, DISCLOSURE OF LOBBYLYG ACM=S This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipi=4 a: the in :nation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. S moon 1352. The filing of a form is required for such pw;ment or agreement to make payment to lobbying entity for influencing or attempting to influence as officer or employee of any agency, a Member of . Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the iapl:mm ing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Co% essional District if known. Check the appropriate classification of the reporting entity that designates if it is or experts to be a prune or subaward recipient Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in Item 4 checks "Subawardec" then enter the full name, address, city, State and zip code of the prime Federal recipient Include Congressional District, if known. 6. Eater the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if knowm. For example, Department of Transportation, United States Coast Girard. 7. :rater the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commi ments. 8. Enter the most appropriate Federal identifying number available for the Federal action identification in item I (e.g., Request for Proposal (RFP) number, Invitation for Bid (EFB) number, grant announcetnent number, the contract grant or loan award number, the appiication/proposat control number assigned by the Federal agency). Include prefixes, e.g., TTF-DE-90-00I " 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or S. 10. (a) Eater the full name, address, city, State and zip code *of the lobbying entity engaged by the reporing entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle initial (Nil). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (tem 4) to the lobbying entity (item 10). Indicate whether the pa.% went has been made (actu31) or az'll be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-ldnd contribution, specify the nature and value of the in -kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. Page 12•S4 C-14 Local Assistance Procedures Manual EXEDIT 12-E PS&E CbeekEst 7nstrutdoes Attachment G 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to peform and the date(s) of my services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employse(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sbeet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name title and telephone cumber. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, seanhing existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reductioa Project (0348-0046), Washington, D.C. 20503. C—>S Page 12-55 • . R.J. NOBLE COMPANY ASPHALT PAVING • ENGINEERING CONTRACTORS 15505 E LINCOLN AVE • PO BOX 620 ORANGE, CALIFORNIA 92856 (714) 637-1550 - ------ ---- TO: ' �IN \ CITY F HUNTI O NGTON BEACH ATTN LARRY TAITE Local Assistance Procedures Mannai F.XfIMIT 12-E FS&E Checklist instructions Attachment L LOCAL AGENCY BTDDER•DBE INFORMATION This information may be submitted v6 ith your bid proposal if it is not, and you are the apparent low bidder or � the second or third low bidder, it must be submitted and received by the administabS agency no later than the time cified in the ecial provisions. COIR-fti M: BIDDE VSNAME: R.J. NOBLE CO`1PANY CONTRACTNO.: CC 1154 ADDRESS.15505 E. LINCOLN AVENUE B]D AMOUNT• $ 5 • 9 ORANGE, CA 92865 BID'OP G DATE; 09-28-64 DBE GOAL FROM CON MCT °lo CON=ACT MI NO. TTLM OF WORK APED DESCRiMON OF WORK OR SERVICES TO BE SUBCflI RACTED OR MATERIALS TO BE PROVIDED X&ME OF DBE " (:Fame afDBEs, Cc:tfi=6cn Number, and Telephone Number) DOLLAR - AMOU.NT •,s DBE PERCENT 000 DBE 8,9,13 ADJ UTILITIES RAMIREZ CONSTRUCTION 34,310.00 100I CT 024273 626-967-5790 6 PORTION OF ASPHALT OIL W.C. GOOLSBY 19,500.00 100% CT 002822 X 60% 800-839-9697 = $11,700.00 Total CIaimed a460W.Participation 1 If 100016 of brm is not to be performed or hazisbed by DBE, describe exact pordon, kcludiag planned locnron ofwo:k to be or: ed. of item to be performed or f miMed by DBE `• DBEs must be cutified by Caivaas on the date bids are opcned Subcontractors and suppliers cent ficd state-fusd:d only camct be rued to meet goals an fe aUy funded cootra= •'• Credit for a DBE supplier, who is not a maaufwt%= h limited to 60% of the smozmt gal d to the supplier. (See Swat: Tisadvaauged Business" (DBE) of the special proyWons) DIPORTAhT; Names of DBE subcontractors and their respective item(s) of work listed abof a should be consistent with the name and items of work in the "List of Subcontractors" submitted with your bid pursuant to the Subcontractors Listive Law. �09-28-04 714-637-1550 idder Date (Area Cade) tel No. MICHAEL J. CARVER, PRESIDENT Peron to Contact {Please type or print) D:161 tt = fbr NE3S Ptoj = (1) Ori&d-Calms DEAF for NM ft&cr; (2) Copy->;aW Agt%T ptjat file DjMh9= tx=*NM L:ft= (1) Original Load AFm7lmjca &e W2T.OF TRA.N'SMRTATION {FED DBE) trlMnM DC OE-19 (REV t19.1345) C-16 Page 12-67 Tuhday,�Septernber 23. 2004 U9 AM 7JOB ESTIMATE RAMIREZ CONSTRUCTION INC. 656 E. San Bernardino Rd. Covina, CA 9 1 723 (626 967-5794 Fax. (626)967-56e8 Lfl: #6632 CUCP #34655 DBE Cerb iQ Did Date: 9-28-2004 Time: 2:00 PM Job Number. We are pie ased to s(!b,-Vt th9 fo,',bw.Ing cost astlm1fA' Job Description Gothard Street Rehab. -City of Huntington Beach ITEM N01QT'rS1 DESCRIPTION NIT PRIC TOTAL Overlay Section Maximum 2- 4G Adjust Sewer & Storm Drain Manholes tograde 235.00 10 810.00 91 dust Water Valves to STade 250.00 22 750.00 3 Adjust Survey Monuments tograde 250.00 760.00 i (Note: Price includes water valve box. NOTE JAa er Schedule -A Hours of work 9:00am - 4:d0 m Ramirez Const_, must be notified 2 weeks erlor to estimated move In. Prices are based upon one move In. Price does not Include tying off any items TOTALI 34 310.00 Price does not Include Cleaning Utility Covers. Manholes must be protected so Asphalt doer not.adhere to ring 8 cover. Price does not Include Installing T-Lock or Zebron coating to manholes. All inbcrIs gua2ntred to be as specffied. All work to be corpleted In a %voildnanlike ma; tne:, eCCDr;,'ing fn stardalc' prac� ces. Any efte.atlon ordm r lbn tram above spec ficatic^rs Invc,'Ving extra costs will be executed only upon written orders, and will becore an extra charge over and above the estl „a'e. All agreemenrs contingent upon s.wkes, accidents ordways beyond ourwntrnl. By ar'ccenvng this estimate co^; -actor acknm-ledges that rr is fam,lfar w.,o:l Me provisicns W Section 7108.5 of the Business and professions Code which imFoses an obligation on the Contractor to pay a Subcontractor any progress payments earned within 10 days of rece!pt of funds frcm the cv net. Contractcr Further agrees to pay to Subcontractor a pena;Yy of 1. 5% per month for each month that paynnant Is not made at er receipt of funds covering such prcgress from oviner. X Signature of Acceptance """""Please sign and Fax a copy and Forward crlglnal sIgne'ure- --'---- Local ASslsbace Procedures Manual EXHIM 12-E I-S&E Checklist instructions Attachment L LOCAL AGENCY BIDDER -DBE INFORMATION This information may be submitted Rath your bid proposal. If it is not, and you are the apparent low bidder or the second or third low bidder, it must be submitted and received by the administering agency no later than the time specifiled in the special provisions. CO./RTEJP.IvL'. BIDI)DMAN E: R.J. FOBLE CO:TANY CONIRACTNO-1 CC 1107 ADDRESS:15505 E. LINCOLN AVEW. E - BIDAMOLML -.S 621,665.00 ORANGE, CA 92865. BID-OPENL�iG DATE: 09-28-04 DBE GOAL FROM CONTRACT 7% CO�iIUCT rM4ISO. I rD4 OF WORK AND DESC:KI1`'II0:1 OF WORK OR SERVICES TO BE SMCtDNTRACPED OR MATERIALS TO BE PROVIDED NAME OF DBE'* (,%me of DBEs, CaaSczdon Number, and Telephone Nwnbcr) DOLLAR AJMOVNT •'* DBE PERCENT "` DBE 495,6, PORTION OF MATERIALS. LA SIGNAL, INC. 75,600.00 c FOR ELECTRICAL WORK CT-027869 X 60% 626-968-3771 W $45,360.00 $45,360. Total Claimed 75 600 45 360. Participation 60 % 100 'Yo If 1000/6 of item 13 not to be performed or finnisbed by DBE, de=ibe enact portion, inludmg ptaaned location of work to be ere. forced of item to be rm*rmed cr Eznished by DBE as DBEs must be certified by Caltraas on the due bids am ope=ed Subcontractors and supplien certifitd stare•fmded only caanat be used to meet goals on federally fimded eontrwm *60 LSedit for a DBE supplier, who is not a mmufactuc ere is limited to 60% of the amount paid to the supplier. (See Sedon 'DLwh-antaged Business' (DBE) of the special provisions) LWORTAIrT: Names of DBE subcontractors and their respective items) of work listed above should be consistent with the name and items of work in the "List of Subcontractors" submitted with your bid pursuant to the Subcontractors Listinev Law. -28-04 714-637-1550 idder Date (Area Code) t:L No. MICHAEL J. CARVER, PRESIDENT Person to Contact (Pleiw type or print) lrisinbrmon fcrNAS ftv v= (1) Qtin r as DLAE for NHS Projem (Z) Copy -Local Agency project file ==Ibutloa fm vatKN is rro*= (t) ofttm t t.omt Agmcy PMJ= ric DEPI'. OF T&tNSP KrA• 10N (FFD DU) MOD= DC OE 19 {Rick M1845) )0 C-16 Page L'-67 RAYMOND C. MORALES JR. INC., DOA L A SIGNAL 15100 E. NELSON, INDUSTRY, CA 91745 Phone: (6N 968-3771 Fax: (626) 968.5720 License #: 775110 C10, Fxp- 2/28/2006 • c Signal •�,nn� ,fj�tlCtrtry Date: 9/28/04 - Rtreet Lighting To: R J NOBLE INSTALLATION & RELOCATION Attn: STEVE MENDOZA Specializing in Round Loops From: Chris Morales _ Regarding: CITY OF HUNTINGTON BEACH GOTHARD STREET REHAB *REVISED BID ***THIS QUOTE IS VALID FOR 60 DAYS*** . ITEM DESCRIPTION QTY. UNIT PRICE AMOUNT GOTHARD STREET REHABILITATION IMPROV_ 11 TRAFFIC LOOP 80EA $175.00 $14,000.00 GOTHARD STREET COMMUNICATION CONDUIT 2 TRAFFIC CONTROL PLAN 1LS LUMP SUM $3,000.00 3 FURNISH PROJECT TRAFFIC CONTROL 1LS LUMP SUM $15,000.00 4 INSTALL 2-4" PVC CONDUIT 1067OLF $50.85 $542,569.50 5 INSTALL NO. 6 PULL BOX 15EA $450.00 $6,750.00 6 INSTALL SPLICE VAULT SEA $1,200.00 $7,200.00 Our Quote Excludes: Grand Total: $588,519.50 1. Permit, Inspection, and Utility Fees. ... TUIS QUQTE LS VALID FOR 60 DAYS 2. Retention Same as General Contractor. 3. Signing and Striping. 4. Wavier of Subrogation for Workers Comp. Insurance. 5. Bond. 6. Insurance over $1,000,000. Thank You, 09/29/2004 15 33 6269688590 RCM JR ELECT PAGE 02 F11H Utuv raX 215`322—fbbU Sep 29 '04 13`12 P 01 Metropolibm Trsnsporf:446n mm" One Cat+eway Plaza 215 9=,z000 Tel (.as Angeles, CA gOO12,2952 metM%nct QD Metro- ptember 29, 2004 WA Rki* 4195 Raymond C Morales, Jr 4 A. Signal, Inc. ;15100 E, Nelson Avenue City of Industry, CA 917" SUBJECT: Certification Extension Dear Mr Morales Please be advised of the extension of the folkwing certification(s) for your firm to Dec"bw 31, 2004; - Disadvantaged Business Enterprise (DBE} ® Small Humps= .Enterpd5a (Sap �7 Women Business Entwpnse (WV1 ® Minority Business Enterprise (MBq You have the folbwing NAICS 2002 code(s) 335122 Commercial, Industrial and insitltutional E m*wc Ughdog Fixture Manuf+saturrng 335931 Current -Carrying Wiring Device Manufarcluring If you have any questions, please contact us at (213) 922-2600 Sincerely. Joe R t n6e2 U Manager Diversity & Economic Opportunity Department CIDOOAaIk arl65-VO*WiN wl)•UlmmvbWD WAfl rPVATICNKIM Wffi MnWbn Le� kXfto &Mn BMAIM CcrUf9FW0 UsR Ow a.mow" riaa, M0 SW WU-s,for Anomie, CA M12 2952 Pm 213 9T —%M Pa- 217-922-7W 1 EMIT 15-K Local Assistance Procedures Manual Report of DBE Awards Locode: Project No. Total Contract Bid: Feder -,I Share: REPORT OF DBE AWARDS COMPLETE THIS FORIM FOR EACH CONTRACT STPL 51. 1415 I, 77R,Li n. t,g Agency: CITY OF HUNTINGTON BEACH DBE Goal: 77. Reimbursement Ratio: Award Date: ' Combined DBE Percent of Federal Share for this Project: DBE Subcontractors (excludin¢ women) Awarded by Ethinic Groun and other Disadvanta'ed Black Hispanic Native Asian- Indian Asian- Pacific Other Total A No. 2 2 Total $ 109,910.0) Fed $ 1 179,670.00179, 670.0 DBE Subcontractors excluding men Grand Total M%VBE WWBE Total B No. 1 1 Total S Fcd $ 119700.(011.700.03 • Total A + B No. 3 Total $ 129,410.00 Fed $ 91,370.00 Numb er of subcontracts awarded by type of work: Professional and Consultant Services DBE MW13E W %BE (excluding women) 1. En!;ineering 2. Ar-.hiteciural 3. Ri4,ht of way a. Ofaer Construction 1. GradingMtainage 2. Pairing 3. Stracu=sBuildings 4. Materials 5. Equipment 6. Truclang 7. Traffic Control 8. Landscaping 9. Other c - TOTALS: o;� Note: For the purpose of this report, use the following definitions. • DBE = disadvantaged business enterprise • MWBE a minority women business enterprise s WiVBE - white women business enterprise C n-17 The following are the electrical subcontractors who where contacted and sent over quotes but were not used for various reasons. We are a Un1cn Ccritractor. Union Labord •• Z -1 Page: I of W -- . ift Emindmip INC. Name of Project CITY OF HUNTINGTON BEACH GOTHARD STREET REHAB Contract ##: CC-1154 &CC-1107 Exp. Indefinitely Exp: 04/30106 Bid Date & rime: 9/2812004 2:00 Item # Description Unit Qty Unit Price Extension Price CC-1154 11 TRAFFIC LOOP EA 80 $250.00 $20 000.00 CC-1107 1 MOBILIZATION LS 1 $70,000.00 $70,000.00 4 INSTALL 24" PVC CONDUIT TRENCHED IN PAVEMENT LF 10670 $62.00 $661 540.00 5 INSTALL NO.6 PULLBOX EA 15 $1,350.00 $20 250.00 6 INSTALL SPLICE VAULT EA 6 $2,100.00 $12 600.00 "INCLUDES BASE PAVE, IF BASE PAVE PERFORMED BY PRIME CONTRACTOR DEDUCT $40,000.00;" Grand Tctalj $784,390.00 Address: P.O. Box 7339; Riverside, CA 92513-7339 Tel: (909) 352-9646 Fax: (909) 352-2921 Estimator: MARTIN LAMBAREN m uo N m N m m C. r LO Ln W FJ Ln UI in cn CD Cp Please review attached sheets for accurate and complete details. Ouote Is not valid unless general terms exclusions sheet is sent with quote. 09%28/2004 12.19 9513525596 HIGH LIGHT ELECTRIC PAGE 02/05 HIGH LIGHT ELECTRIC, Inc. Padm 2 of ....%.. High Light Electric is providing a quote for job: HUNTINGTON BEACH — COMARD ST. REHAB hirer Light Electric has the following general terra% and exclusions; * No Bonding - No encroachment permits for any agency and charges for joint cheeks - No "traffic Control - + * No False work Lighting No Railroad Insurance No Portable Flashing Beacons, CMS Boards & Utility Scr%'ice Fees No SINTP Program - No Aerially Deposited Lead Program k Steel Plates for SW openings No Conduit steel Casings, CNtS relocations, and Modiftca:iom to CNIS structure, Sign foundations. No rebar reist#'or: ement for electrical components on bridges, sound walls and any other structure. No cat trackf'tg, sandblasting, regrading, survey &: elcvatioms, striping, and R signs not m6unted on Signal Ar=. Will require a minimum of I Owd for loop installation with the purpose of installing as many as possible. Any rescheduling cf any work is based on availability. No liability insurance above 2 million combined (if more call for pricing) - All conduits must be installed at sub grade after compaction approval with a 48 hr-wd notice to work Any conduit work on structures must have a 48 hr-wd notice to our office Retention is to be held per agency specs and reduction of retention shall be passed to HL. Retention stall be Quid in full 34 CID after acceptance of electrical work (no retention to be Feld during PE), no exceptions. All work is based under the agency Specs and any conflict sl`all arise, our exceptions sheet takes precedence. Exclude any related type of work for sections 16 and I5-3 of state standard specs "clearing grubbing and "removal concrete" respectively_ All mark-ups arc our; except for the GC allowable mark-up in the agency xpccs. Contractor shall provide a 2-week schedule and a CPyi schcittle and any revisions throughout the life of project. All Contract change orders shall be accepted (by HL) prior to col=tncement of any wrork. - No charge for dumping job dirt/conctete on rubble job site - Contractor to be responsible for scheduling of work and its suer Subs. Contractor must eso provide adequate time for construction of our work. • The price submitted is based on conditions set forth on this yaae and is part of the contract whether or not listed in the contract document and shall supersede any advertised requirements made by the contractor. Any modifications to this must be in writing prior to accepting price and in writing prior to bid acceptance. Price is based on items bid only with inclusions of this sheet. Price does not include any modifications, or maintaining of systems for the benefit of the contractor unless specified in an item bid and/or special provisions of the project, Materials to be ordered after a signed contract. >Erxclasion of all AC and PCC Patching and Removal*(see note below)* * See comments for the job if an alternative is Riven. If not you may call for pricing. ** L. re comments for job if an aittmative is Civen, the contractor to provide power within 25' 4-1- af structure and general to pity any bill from utility company if alternative is Civen. Additional comments or exclusions for this job are: -CONiIIUNICATION CONDUITS BID SCHEDULE QUOTE IS MCLUSnT OF: -SANVCUT AC & SPOILS REMOVAL ANID DISPOSAL & AC BASE PAVE. -1F BASE PAVE BY PMTE CONTRACTOR DEDUCT S40,000.00 -BID ITEM #11 RAFFIC LOOPS MAY BE REMOVED FROM PRICE UOTF, IF NOTICE TS GIVEN TO HIGHLIGHT ELECTRIC. PRIOR TO BID TIME If arty yucshun p1mic C23 tha of-icc. sincerely, F-itimadng Dcpertmcttt P.O. BOX 7339 - RIVERSIDE, CA 92513-7339; LIC. 806335 C-10, Im Tel: (909) 352-9646 FAM (909) 352-2921 C9/28/2004 12:19 9513525596 HIGH LYGFiT ELECTRIC PAGE A3/05. LUMIRAL•1 WXYLIANUc Tax:213-043-66SS glut 3 2034 15:22 P.01 C-11i1` rr �� T�Tn +. O�A V lw MD CAT FICATIOW PROGRAM (CUCP� December 1.2003 Mr. Fein Mendoza High Ligbt Electdo. Juc. 16101 ulumvi,ew Dtirt Paws, U 92570 i Bear MG Mendoza: RE• CITY OF LOS A!LGE UXSA�VA.N"TAGED�14il Ol TY BUSI�iESS RISE MA—M BEI CE9M9- .M'l%' RENM& rile Na CCU- 10383, YocrDisadv&utaged/ATinorft:y Business Entuprist (DRUVW) mUcatioamewal date 11as bm ext=ded to Dec=bet 1, 2034. You will be nod5od at a i n=t date ay to the xcucwal ofyour certiflcai7i= It jcm bm c any questions, please cawtact Claire Bmtan a. (213) 847 5569 o; e-maii at cbenizt@bmiacity.org. I,r-in =Iy, XMUNMM PMMr, , Certificati on Manager Ciffix of Ccaaxact Consplience £-n-ea-t of C=tmct Mministration rrr��.�.r r u• - _ _ MY of LO A-Ve" • DquUMI tiF UC Woeb a Z% a d Car= Admirdumiioa • effin of Cm m CervuMoeet~,ii1+..�A� Sty s 6% t. 8;rt "- P. S:Ite 13M * Lae Age44 CA 9M,.4 & Fame (213)147-WO 0 Fuc Ci1?)1474566 e3/28/2004 12:19 9513525596 Unified Certification Proerim . HIGH LIGHT ELECTRIC PAGE' 0410 Page 1 of Z 0 Search Returned 1 Records Thu May a611:48:45PDT 2004 Firm 1D 28642 DBA Name H10H LIGHT ELECTRIC Addrese Une1 9020 ARLINGTON AVENUE/P.O. BOX 7312 Addmaa Ltne2 (may RIVERSIDE Stolle CA Mp Code1 02503 Z1p Cede2 7330 CaMilsatlon Type ME Wall Area Code (009 ) Phone Number SU-064a Fax Area Code (009 J fax Phone Number 352-2407 Agency Name CITY OF LOS ANGELES Countles 1314 1518 10 215 30 33 36 37 Districts 08 07 08 091112 NAICS 221119 238210 23e923 541613 Back—T-O—Que- x-arm 0 ht:://svhqucp.dotea,gov:7781/ucpquer;rpumSubmit.d<i r#-A^^^ SEP-28-2004 TUE 12:48 PM Moore Signals & Lighting FAX NO. 714 693 4838 MSL Electric. -Inc Moore SiSMals & Ligi hug Lic # 822450, C10 VROJKG(' QUOTATION Project Description: Gothard Sirect OWncr/Contact: City oFHun lington Acach Bid Date: 9-28-04 2pnt 4 Nq all 2-4" conduit (Trench in Pave) 10,670 Lr, 55,00 586,850.00 5 Install #0 pb 15 ca 750.00 11,250M 6 InsLii1 Splice Vault 6 on 4,900.00 29,400.00 Grand Total S 627,500.00 includes base paving; (611) EXCLUSIONS: Bond, survey, permits and foes, traffic control & utility foes, Prepared by: Wat-vorn Mooe•e 4511 E. Eisenhower Circle, Anaheim, CA 92807 - Tel (714) 693-4837, Fax (714)693-4838 Mobile # (714) 863-5649 SEP-28-2004 TUE 11'35 AM Moore Signals & Lighting FAX NO 714 693 4838 P 01/01 MSL Electric, Inc. Moore Signals & Lighting Lic # 822450, C10 PROJECT QUO'rNUON Project Doscnption 001111rc1 SIrcu Owncr/Contact City of Hantington Beall Bid Date 9-28-04 2pm i�rex� pegri Lion afWork' ' 'pant - Unit I V31it Bice 4 Install 2-4" conduit (trench in Pave) 5 Install 46 pb 6 Install Splice V,uilt 10,670 LF 5700 608,190 00 15 ca 75000 11,250 00 6 ca 4,90000 29,400 00 Ci and Total S 648,840 00 EXCLUSIONS: Bond, survey, permits and feos, traffic control & uttluy fees P,epared by 'Wai ren Moore 4511 E Eisenhower Circle, Anaheim, CA 92807 - Tel (714) 693-4837, Fax (714)693-4838 Mobile # (714) 863-5649 SEP-28-2004 TUE 11:53 AM 0 FAX N0, 0 Pr 01/01 ir 1 C-rR.rCAL COMMACUNG, INC License #610382 C-10 463 N Smith Ave . Corona, CA 92880 - Ph. (909)371-4202 - Fax (909)278-3406 SUBCONTRACT QUOTATION Project Description: Gothard Street Rehabilitation / Communications Conduit from Eths to Heil Avenue, Huntington Beach Owner/Agency City of Huntington Beach Rid Date & Time: September 28, 2004 (a7 2.00 PM Goi tbiid, 000f'('W��7-£ 11 Traffic Loops 80 EA 26000 20,800 00 TOTAL BID 20 800.00 45119' 1 ►11 ii ii fig& ; �'J Y- 4 Install 2-4 inch PVC Conduit (Trenched in pavement 10,670 LF 53 00 565,510 00 S lInstall No 6 Pullbox 15 FA 72000 10,800 00 6 1 Install Splice Vault 6 EA 3,15000 18,900 00 TOTAL BIB 595,210,00 EXCLUSIONS: Bond premium, permits, survey fees, inspection fees, sigung, striping, angmeering, engineering fees, utihty permits and fees AC Patch backs 0 Dond Rates is 0 8% IC ` -j <V, r iL A, Prepared by Richard Shackleton �0 9/2812004 Page 1 of 1 http /NVww MooteElsctrR438t34-GothardStRehab(5TPL5181(141)-HuntingtonBeach Xis CALIFORNIA PROFESSIONAL ENGINEERING INC. PH0NTI: FAX (626) 452-8658 9316 MABEL AVE. (626) 448-0470 SOUTH EL MONTE, CA 91733 A& C-10. 793907- ' CERTLPYELD DBFJStABE CT 31277 EXPIRE Oa-01.2003 PROJECT NAME: GOTHARD STREET RE1 1 1 PROJECT No: CC1107 {� G'YTY, STATE, HU1�'T1�1GTOW BEACH ,CA BID DATE: SEPT , 28rn, 2004 Rm TIME: 2:00 PM t1+E ��; ,2 YS�.�:w14'9PEG77CX`n�,'Ls7?�U'�:tlC4� Ps�A�.S� 70 TLK.'�7.rrf�74i t�tabR�¢7aW1� )tM� vrr.►[�a raA�LY.s s�Yzn mw'CCTz0& 4'0._[Axw'%rq, r&-W-f of %Outx nEMS QUXNTITY n-ff D> SCWTION MOBILIZATION VNIT OTAL TOTAL I LS 17500.00 $17500.00 2 LS TFAtMC CONTROL PLAN 6000.00 $6000.00 3 LS FURNISH PROJECT TRAFFIC CONTROL 5000.00 $5000.00 4 1067OLF 1 LF 2.42' PVC CONDUIT S50.00 $533.500.00 5 15 1 06 PULL Box 1040.00 $I5000.00 6 6 t im ull splice Vault 4000.00 S24000.00 '10TAL 601,000 .00 NOTE: PLEASE NOTIFY 7 DAYS PRIOR TO JOB STARTL4G EXCLUDES: BO:V•A PREMIUM, ALL PEPUN 1TS, D(SPEMON FEES. Quotation base on addcndum i11 V _ t0 39vd OtII ONIMMMa cO 0LPO8bti9Z9 Pt:Et POOL/BZ/60 09/28/2004 13:11 6264480470 CP ENGINEERING INC PAGE 01 CALIFORNIA PROFESSIONAL ENGINEERING INC. 13x011m. I FAX (626) 452-8658 11 ' 9316 MA13EL AVE (626) 448-0470 SOUTH EL MONTE, CA 91733 A& C-10, 793907 CERTIFIELD DBE/SMBE CT- 031277 EXPIRE 04-01-2005 PROJECT NAME GOTHARD STREET REHAB PROJECT No: CC1107 CITY, STATE, HUNTI GTON BEACH,CA BTD DATE: SEPT, 28T'T, 2004 DID TEME. 2.00 PM WE7(T,, XMeYSVdl%zTs7xfCr'FIC4170W,,'!; WTT,%trrafU,;r,� a ROTO Ts 1A) FC"757fOrd& 4AMORNA9YVAL -A" rQv1*rer TVECT-MA J,r110 COfhfftV7'r91rt T01 LOUM M,N U oT'WNM IrEms QVA'VTITY UNF r DESCRIFTIO UNIT' TOTAL rKME 1 LS MOBILTZATION ,l TRAMC CONTROL PLAN 17500 00 $17500 00 2 LS 6000.00 $6000,00 3 LS FURNTSH PROJECT TRAFFIC CONTROL 5000.00 $5000.00 4 10670LF 1 LP 2-4" PVC CONDUIT %50.00 $533,500 00 5 15 1 46 PULL BOX 1000.00 $15000.00 6 6 1 install splice vault 4000.00 $24000 00 TOTAL 601,000.00 NOTE: PLEASE NO� Y 7 DAYS PRIOR TO JOB STARTING ! EXCLUDES: B6No itT 41T[TM, ALL PTRMITS, INSPEC TON ]EES. Quatatiou base as :t8A16du6 #1 ' U� ANWAWA 4" ' A Subsidiary of Quanta Servlccs, Inc. September 28, 2004 Attu: GENERAL CONTRACTORS Ref; Gothard St_ Rehab -Communications Conduit (Phase 1), CC-1107 Improvements Dcar Estimators: VC1 TeIcom,'Ine. is pleased to provide you with a quote on the above referenced location. Our quote is as follows: SEE ATTACHED BID SCHEDULE (CC-1107) *This above bid is based upon base paving only. Our policy is based upon con. pieting all work during the specifications of the Contncl Ilic above bid does not include any costs for special pen -nits, survey or inspection fees or Bonding. Your signature below authorizes VCI Tcico:r., L-tc. to proceed with performance of refererccd work in accordance with all terns and conditions set fortis herein. It would be necessary to forward to our Upland office a purchase order for the work. Upon receipt of your purchase order dt permits, VCI Telcom, Ire. will USA the project and begin work within (14) calendar days. Should you have any questions, please feel free to comtect the undersigned at (909) 94b- 0905. Sincerely, VCI Telcom, Inc, 0h R REPUFF.MnVE r4w15ar4- - Accepted by Tim Burks (authorized mprtscntative) Manager Date 192T W. II'Strat, Vpiand, CA 9t786 (M) 946-0905- FAX ") 946-0934 INnntirtton 801 Gtitornia $tsta Uctn%c 765716 =.fit •; L �- 1 � 1�1• .1 A Subsidiary of Quanta Scrvlces, Inc. September 28, 2004 Attu: GENTcM CONTRACTORS Ref: Gothard St. Rehab -Communications Conduit (Phase 1), CC-1107 Jrrprovcmctlts Dell E3timatory VCI Telcom, Inc. is pleased to provide you with a quote on the above referenced location. Our quote is as follows: SEE ATTACKED BID 5CMDULE (CC-1107) *this above hid is based upon ba3c paving only. Our policy is based upon completing All work dudbg the specifications of the Contract. The above bid does not include any costs for special permits, survey or inspection fees or Bonding. Your signature below authorizes VC1 Telcom, lane. to proceed with pe-formance of referenced work in accordance with all terns and conditions set forth herein. It would be necessary to forward to out Upland office a purchase order for the work. Upon receipt of your purchase order & permits, VCI TelcoM Inc. will USA the project and begin work within (14) calendar days. Should you have any questions, plea3e feel free to contact the undersigned at (909) 946- 0905. Sincerely, VCI Telconi, Inc. CUSTOMER REPRESEN rcnvVUAW Accepted by Tir gc ks (authorized representative) Date 1921 W.11* Street, Upland, CA 91786 (909) 946-"95- VAX (709) 4a M3s Huntlncma Ikk Gsrroraim State ucense 765716 GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1), CC-1107 nn^ ocr--r Min 4zrmmnl H I" ITN } � Itll I I �'!t PITFlV7 RFIRM' iI Itl i^GF 1 1 Mobilization $1 7 & 500, $1 7, 500 . L S Seventeen Thousand Five Dollars Hundred & 00 100 Cents 2 1 Traffic; Control Plan $mod - $6,000.0 L S Q_ Six Thousand Dollars & 0 0 / 1 0 Cents 3 1 Furnish Protect Traffic Control $- 6$ 5 0 0 $_„6 , 5 0 0- L S @ jj Thous i ve HiindrEppllars & 0 0/ 1 0 0 Cents 4 10,670 Install 2-4 inch PVC Conduit (Trenched In Pavement) $ 51�6 00 $ 5 2, L F @ Fifty -One Dollars S 1'xty Cents 5 15 Install No 6 Pullbox $ 61 5 n 00 $ 9 , zz5 EA @ S i x Hundred fiftgea Dollars & 0 0 1 0 0 Cents 6 6 Install Splice vault $ 1 415 , $ 8 " 42 EA @ One Thousand Four Hundre0ollars Fifteen & 00/100 Cents Sub Total Bid Amount, Bid In Figures $ 59 6 , 2 $ 7 n 0 0 Sub Total Bid Amount, Sld In Words Five Hundred Ninety -Fight Thousand Two Flandr-,e>%1 and no cents Ou 1 o � d E 7 1 E C-2 5 GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1), CC•1107 vaici-irc-r wn sCwFnULF �TEMx ^S �1r11 �Rfi�E.11rp11■+N' LEI � t•y-•;."; `"�'• EN + !M'1.ii[�77l}}'��c1'•�,'„�L ��� .�yN�}Y, r y4y-i�^1 rid" � `��f'�11. i RIJS •" 1 7 Mobilization '$17.500. $17.151DO L.S. �. Seventeen Thousand Five Dollars Hundred & 0 0 Celts 2 1 Traffic Control Plan $R0,000,1 $ 6,0 0_0 . L.S. Six Thousand Dollars & 00710 Cents 3 1 Furnish Project Traffic Control $ 6 . 0_0_ S 6.500. L-s. @ Six _TLhai na £ivc MunAr&IIars & 0 Q 10 0 Cents 4 10,670 Instal 2.4 inch PVC Conduit (Trenched in Pavement) S 51�60- L.F. e Fifty -One Dollars Sixty Cents 5 15 Instal No, 6 Pullbox $ 6,_ 1 � 40 S� EA. Q Six Hundred fijtten Dollars & 0 0 10 0 Gents 6 6 Install Splice Vault $1L 4 1 5. EA. ® One Thousand Four Hundre9ollars if teen & 00 100 Cents Sub Total Bid Amount. Bib in Figures: $ 598 , 2 $ 7 _ 0 0 Sub Total Bid Amount, Bid in Words, Five Hundred Ninety -Eight Thousand w and no -tents 0. h �+7 u 0 Loll] 01 J TO: R.J. NOBLE COMPANY ASPHALT PAVING • ENGINEERING CONTRACTORS 15505 E. LINCOLN AVE. • P.O. BOX 620 ORANGE, CALIFORNIA 92856 (714) 637-1550 CITY OF HUNTINGTON BEACH ATTN: LARRY TAITE ti; R.J. NOBLE C0MPANY ASPHALT PAVING • ENGINEERING CONTRACTORS LK;. A•782P08 September 30, 2004 City of Huntington Beach Public Works Department 2000 Main Street Huntington Beach, CA 92648 Attention: Larry Taite RE: Gothard Street Rehabilitation CC-1154, CC-1107, STPL 5181(141) Dear Larry: This letter is to inform you of an error that was made on our subcontractor's listing for the above -reference project. L.A. Signal was inadvertently listed due to an oversight on my part. After reviewing the quote that was sent over, I realized that it had been sent by Raymond C. Morales, Jr., dba L.A. Signal. I am enclosing the proposal from the above subcontractor for your information. Please do not hesitate to call if you have any questions regarding this issue. Sincerely, aj/_&W� Steve Mendoza Estimator /cp Enclsoure ORANGE:15505 E. LINCOLN AVE. a P.O. BOX 620.ORANGE, CALIFORNIA 92856-6620 • (714) 637-1550 a FAX (714) 637-6321 RAYl OND C. MORALES JR. INC., DBA L ,A SIGNAL 15100 E. NELSON, INDUSTRY, CA 91745 Phone: (626) 968-3771 Fax: (626) 968-5720 License ##: 775110 C10, Exp. 2/28/2006 Date: 9/28/04 To: R J NOBLE Attn: STEVE MENDOZA From: Chris Morales Regarding: CITY OF HUNTINGTON BEACH GOTHARD STREET REHAB *REVISED BID ***THIS QUOTE IS VALID FOR 60 DAYS*** • Traffic Signal •Z.an� Petecmnq -Stvice/ Lightir+g IINSTALLA71ON & RELOCATION Specializing in Roans:! Loops ITEM DESCRIPTION QTY. UNIT PRICE AMOUNT GOTHARD STREET REHABILITATION IMPROV. 11 TRAFFIC LOOP 80EA $175.00 $14,000.00 GOTHARD STREET COMMUNICATION CONDUIT 2 TRAFFIC CONTROL PLAN 'ILS LUMP SUM $3,000.00 3 FURNISH PROJECT TRAFFIC CONTROL 1LS LUMP SUM $15,000.00 4 INSTALL 2-4" PVC CONDUIT 10670LF $50.85 $542,569.50 5 INSTALL NO, 6 PULL BOX 15I5A $450.00 $6,750.00 6 INSTALL SPLICE VAULT 6EA $1,200.00 $7,200.00 Our Quate Excludes: Grand Total: $568,519.50 1. Permit, Inspection, and Utility Fees. ***'PHIS OUOTE IS VALID FOR 60 DAYS 2. Retention Same as General Contractor. 3. Signing and Striping. 4. Wavier of Subrogation for Workers Comp. Insurance. 5. Bond. 6. Insurance over $1 tOOO,000. -riff a„1? v,,.. CITY OF HUNTINGTON BEACH 2000 MAIN STREET OFFICE OF THE CITY CLERK CALIFORNIA 92648 Enclosed please find your original bid bond issued by CL�L� 'e- �00Wi7— op /y14RYLrij b for _ //S4 ` Ce - ll0 -�- NbW -0 4-085 — 4 f - TaW Joan fi-ynn lirg) City Clerk JF:pe Enclosure g/follo«up/cashcont/retumbidbonddoc (Telephone 714.536.5227) UFidelity and Deposit Company of Maryland j&w* Home Office: P.O. Box 1227. Baltimore. MD 21203-1227 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, ALL AMERICAN ASPHALT BOND NO. 085, 97 423 , as Principal, (hereinafter called the "Principal"), and FIDELITY AND DEPOSIT COMPANY OF MARYLAND P.O. Box 1227, Baltimore, Maryland 21203, a corporation duly organized under the laws of the State of Maryland, as Surety, (hereinafter called the "Surety"), are held and firmly bound unto City of Huntington Beach as Obligee, (hereinafter called the "Obligee"), in the sum of TEN PERCENT OF THE TOTAL BID PRICE IN --- ---- Dollars ($ 10% OF TOTAL BID PRICE ),for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Construction of Gothard Street Rehabilitation - CC 1154 from Ellis Avenue to Heil Avenue, STPL-5181(141) & Gothard Street Rehabilitation -Communications Conduit (Phase 1), CC 1107, from Ellis Avenue to Heil Avenue, ITS 99-5181(127) Bid Date: September 28, 2004 ' NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 23rd Witness day of September A.D., 2004 ALL AMERICAN ASPHALT (SEAL) Princi Title parr OrOAle y/ Vice— Pf-eiden+ FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety BY (SEAL) M. BRO W , Attorney -in -Fact Pnnted in cooperation with the American Institute of Architects (AIA) by Fidelity and Deposit Company of Maryland Fidelity and Deposit Company of Maryland vouches that the language in the document conforms exactly to the language used in AIA Document A-310, February 1970 Edition BID70000ZZ0701f CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT -nnnn�, , - - -- -- State of California County of Riverside ss. On September 24, 2004 before me, Debbie A. Matsen, Notary Public, Date Name and Title of Officer Personally appeared Robert Bradley NameW of Signer) dh DEBBIE A tW4TSEN 01MYComm. Commission # 1452589 Notary Public - Calltomla Riverside County Expires Nov 22, 2007 OPTIONAL X personally known to me to be the person ,M whose name islare-subscribed to the within instrument and acknowledged to me that helshekhey - executed the same in histheAheir-authorized capacity(e*, and that by hislheAieir signature(s) on the instrument the person(g) or, the entity upon behalf of which the persona$) acted, executed the instrument WITNESS my hand and official seal, '..en 11 rj . 1iL&tQ01N) Signature of Notary Public Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Bid Bond, City of Huntington Beach Document Date: September 23, 2004 Number of Pages: 1 Signer( Other Than Named Above: Owen M. Brown Signer's Name: Robert Bradley Individual XCorporate Officer Title(: Vice President Partner- Limited _General Attorney -in -Fact Top of thumb here C _Trustee �I _Guardian or Conservator _Other: c� Signer is Representing: All American Asphalt �I C'IC� �I 'I �I — u"LIL'uL•"L-u:-_-�L"L' Cacmty bf ORANGE 9-23-04 �mme,_�BARBARPI J. HE]iDSR nY Wpoered + OWEN H. BROWN ]aperundy lum m to fns XKXM IF •FI . to be the perm*) whose rmame(ct blmx sdbg bed lb RIO WWdl kwbL Wt and sctetowtedped b ms tud, 11 W Ead the Sarno in frill autlrortmd tapecr3). and teed - by fC ;) an I* kabumar t the person(;)• or tns upon behalf of which the Rerun(;.•) a the � �i►an�d arm � OPTIONAL nvWjtwhfio m*x belbrxhnota►p*edbyrG!=Wpmm dbbpommm* fasOwaedcoWpw.� fa��4+�f nraorrf � a+RsdafaY d ew � n anorr�rr The or Type d Doasner* BID BOND : Document Deis: 9— 2 3— 0 4 Numb" d Pagesl"� ems) OVWMmNmnWAb0W ALL AMERICAN -ASPHALT Capadti(ift) Chd:>d by Olydvkl� 0 C pop to crow —T S)c ❑ Partner—C] Umiled O Ck XXXAftmay4~ O Tnrstee ❑ Guardmt or C 0 mvdw la Od>ar: siWw isigFIDELITY AND DEPOSIT COMPANY OF HARTLAND elmMoF""aow rhadwwlkeA.10*410 m 0 SZURICH THIS IMPORTANT DISCLOSURE NOTICE IS PART OF YOUR BOND Fidelity and Deposit Company of Maryland, Colonial American Casualty and Surety Company, Zurich American Insurance Company, and American Guarantee and Liability Insurance Company are making the following informational disclosures in compliance with The Terrorism Risk Insurance Act of 2002. No action is required on your part. Disclosure of Terrorism Premium Tt.e premium charge for risk of loss resulting from acts of terrorism (as defined in the Act) under this bond is $ waived . This amount is reflected in the total premium for this bond. Disclosure of Availability of Coverage for Terrorism Losses As tequired by the Terrorism Risk Insurance Act of 2002, we have made available to you coverage for losses resulting from acts of terrorism (as defined in the Act) with terms, amounts, and limitations that do not differ materially as those for losses arising from events other than acts of terrorism. Disclosure of Federal Share of Insurance Company's Terrorism Losses Ttie Terrorism Risk Insurance Act of 2002 establishes a mechanism by which the United States government will share in insurance company losses resulting from acts of terrorism (as defined in the Act) after a insurance company has paid losses in excess of an annual aggregate deductible. For 2002; the insurance company deductible is 1% of direct earned premium in the prior year; for 2003, 7% of direct earned premium in the prior, year; for 2004, 10% of direct eamed_ premium in the prior year; and for 2005, 15% of direct earned premium in the prior year. The federal share of an insurance company's losses above its deductible is 90%. In the event the United States government participates in losses, the United States government may direct insurance companies to collect a terrorism surcharge from po?icyholders. The Act does not currently provide for insurance industry or United States government participation in terrorism losses that exceed $100 billion in any one calendar year. Definition of Act of Terrorism Tke Terrorism Risk Insurance Act defines "act of terrorism" as any act that is certified by the Secretary of the Treasury, in concurrence with the Secretary of State and the Attomey General of the United States: . to be an act of terrorism; 2. to be a violent act or an act that is dangerous to human life, property or infrastructure; 3. to have resulted in damage within the United States, or outside of the United States in the case of an air carrier (as defined in section 40102 of title 49, United 17 States Code) or a United States flag vessel (or a vessel based principally in the United States, on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States), or the premises of a United States mission; and 4. to have been committed by an individual or individuals acting on behalf of any foreign person or foreign interest as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. But, no act shall be certified by the Secretary as an act of terrorism if the act is committed as part of the course of a war declared by Congress (except for workers' compensation) or property and casualty insurance losses resulting from the act, in the aggregate, do not exceed $5,000,000. These disclosures are informational only and do not modify your bond or affect your rights under the bond. Copyright Zurich American Insurance Company 2003 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. a corporation of the State of Maryland, by M. P. HAMINIOND. Vice President, and L. L. GOUCHER. Assistant Secretary, in pursuance of authority granted by Article VI. Section 2, of the By -Laws of said Company, w- set forth on the reverse side hereof and are hereby certified to be in" full force and effect on the date hereof d •s r gate, constitute and appoint Owen Al. BROWN, of Anaheim. California,' its true and law•f m y- � , to make. execute. seal and deliver, for, and on its behalfas surety, and as its act and - F, t �t o c nn=Q and the execution of such bonds or undcrtakin2s in pursuan �o, s on said Company, as fully and amply, to all intents and purposes, as if thv Xccq , f used by the regularly elected officers of the Company at its office in Bal TO U �Irt�h�tr his power of attorney revokes that issued on behalf of Owen M. �,ia I�� The said Assistant Section 2, of the By- icrtlf} that the extract set forth on the rcvcnc side hereof is a true copy of Article: VI. and is now in force. IN WITNESS WHEREOF, the said Vice -President and Assistant Secretary have hereunto subscritxd their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND. this I Ith day of February. A.D.2003. ATTEST: V 9901°s i a tt71 i r � State of Maryland I ss: City of Baltimore FIDELITY AND DEPOSIT COMPANY OF MARYLAND ��. By: L L Coacher Assistant Secreran- Af. P. llantmond _ . Vice President On this I 1 th day of Febntary, A.D. 2003. before the subscriber. a Notary Public of the State of Maryland. duly commissioned and qualified. came hl. P. HANINIOND. Vice President, and L. L. GOUCHER. Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth and saith. that they are the said officers of the Company aforesaid. and that the seal affixed to the preceding instrument is the Corporate Seal of said Company. and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I ha« hereunto set my hand and affixed my Official Seal the day and year first above written. Sandra L,vint Aloarev Nolan. Public My Commission Expires: January 1.200.1 POa-F 0124160 EXTRACT FROM BY-LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND "Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice -President, or any of the Senior Vice -Presidents or Vice -Presidents specially authorized so to do by the Board of Directors or by the Executive Committee. shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries. to appoint Resident Vice -Presidents, Assistant Vice -Presidents and .Attorneys -in -Fact as the business of the Company may require, or to authorize any person or persons to execute on behalf of the Company any bonds, undertaking. rccognizances. stipulations. ' policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in the nature of mortrases,...and to affix the seal of the Company thereto. - CERTIFICATE 1, the undersigned. Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that the Vice -President who executed the said Power of Attorney was one of the additional Vice -Presidents specially authorized by the Board of Directors to appoint any Attorney -in -Fact as provided in Article Vl. Section 2. of the By -Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Oth day of May. 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the .Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed.- binding TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company, this 23ra day or September - 2004 Aukruru Secrerun' �w61Gd wed �vr vvs�r.�ra v-,rrsw�r nenaiol 11'Ct�-nov1 "' (.G �1541 61,15 Arena e -tv Nye i l 'Aymue C. CsokVvrd Stvpef &wmekrt 9614 0- �c,Mmunlcu+ions Candui+ C(-haee 1) — r-4 110-1, -From &11 i5 Ay-e"e +D R-e iI Ayraw P in -the 6e-1-y o-(* 14Uv'-Viv16t?v' Do NOT OPZ-IV wcr4 a& 6-W-Ai t MAI L $� d D&e : StpYmber 90, olw� at & ' p°Pm ll niericacn _ sphalt P.O. BOX 2229 CORONA, CA 92878-2229 TO: Office of the City Clerk Second Floor City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 RETURN REQUESTED i I Y (.' I eTrItr1 ctli '�a cr�z p (• -) L;, . Local Assistance Procedures Manual rj=IT 12-E PS&E Checklist instructions Attachment L LOCAL AGENCY BIDDER -DBE INFORMATION This information may be submitted with your bid proposal. If it is not, and you are the apparent low bidder or the second or third low bidder, it must be submitted and received by the administering agency no later thaw the time specified in the special provisions. CO.IRTEJPIU: BIDDER'SNANIE: A11 ArnftiCan, Asphal-l- CO1%7RACTNO.: CC 15 STPL-51 1 1) ADDRESS: P.D; P�nsr BIDAMOUNT: $ 1,283,283.60 _ Cd-mc. l �4 9a878-aq BIDOPENING DATE: 9 28 4 DBE GOAL FR01v4 CONTRACT 7 % CONTRACT rMM NO. ITEM OF WORK AND DESCI HMON OF WORK OR SERVICES TO BE SUBCONTRACTED OR MATERIALS TO BE PROVIDED NAN E OF DBE'• (.NLme of DBEs, Cerrfi=don Number, and Telephone Number) DOLLAR AMOUNT *00 DBE PERCLN T 0*0 DBE 1-601 2-4" P.V.C. Conduit- California Professional 556,050.00 & Traffic Loops Engineeering, Inc.. CT 031277 (626) 452-8658 Total Claimed 4 Participation % 'Yo * If 100 'a of itch is not to be performed or fiunisbei by DBE, describe exact portion, iccluding planned location ofuo:k to be pt-formed. of item to be petformed or furnished by DBE we DBEs roust be certified by Caltrans on the date bids are opered. Subcontractors and srpplirrs Certified State-Pandd only cannot be used to meet goals on federally funded contracts. �'• Credit for a DBE supplier, wbo is not a manufactures is U=Ited to 60% of the ernount paid to the supplier. (See Section 'Disadvantaged Business" (DBE) of the special provisions) DIPORTAN'': Names of DBE subcontractors and their respective itern(s) of Rork listed above should be consistent with the name and items of Rork In the "List of Subcontractors" submitted with your bid ursuant to the Subcontractors Listing Law. Si trite of Bidder ate (Area Code) tel. No. e°XM6d ey, V ' r,e5 id r� - Person tea Contact (Plc a type or print) Dim-budon iorNM Pmje:ts: Dinriibudon for non-NHs P=njcas: DEPT. OF TRANSPORTATfON (1) Original-U=w DLAE for hM Projecs. (2) CDFY6LDC9 Asmcy project Me (1) Origins! Local Agency project file (FED DBE) MODEFIED DC-OE-19 (R$V MIS-95) C-16 _ Par 12-67 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD STREET REHABILITATION - CC 11 FROM ELLIS AVENUE TO HEIL AVENUE STPL 5181 1i 41) AND GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT f PHASE 1) - CC 1107, FROM ELLIS AVENUE TO HEIL AVENUE ITS 99-5181 127 September 9, 2004 Not'.ce To All Bidders: Please note the following clarification to the Project Plans, Specifcations, and Technical Provisions: Incorporated Into the Gothard Street Rehabilitation, CC-1154 plans and specifications is Addendum No. 1, dated September 9, 2004 and the following attached documents: 1) GOTHARD STREET PAVEMENT REHAB -COMMUNICATIONS CONDUIT (PHASE 1), CC-1107, ITS 99-5181 (127) CONSTRUCITON PLANS (13 SHEETS) 2) GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1) - CC-1107, ITS 9"181 (127) SPECIAL. PROVISIONS 3) SECTION A, NOTICE INVITING SEALED BIDS 4) SECTION B, INSTUCTIONS TO BIDDERS 5) SECTION C, PROJECT BID SCHEDULE (Gothard Street Rehabilitation - CCA 154, STPL-5181(141) and Gothard Street Rehab-Communlcatlons Conduit (Phase 1) - CC-1107, ITS 99-5181 (127)) The Contractor's submitted proposal shall be enclosed in a seated envelope plainly marked on the outside: "SEALED BID" for I. GOTHARD STREET REHABILITATION - CC-1154, FROM ELLIS AVENUE TO HEIL AVENUE IL GOTHARD STREET PAVEMENT REHAB -COMMUNICATIONS CONDUIT (PHASE 1) - CC-1107, FROM ELLIS AVENUE TO HEIL AVENUE Project Description: The project consists primarily of grinding of the existing pavement, removal of failed roadway sections, asphalt paving of failed areas, overlaying the streets with asphalt concrete, Installation of curt. access ramps, pull boxes, splice vaults, fiber optic condult, adjusting manholes, monuments and valves to grade, and installing traffic loops. 4 This Is a Davis -Bacon project and the Federal Regulations will be enforced. Any contract entered into pursuant to this notice will incorporate the provisions of the Federal Labor Standards, which are on file at the office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. • The contract allows the contractor 85 working days to complete the contract. • The DBE goal for each Cash Contract (1154 & 1107) is 7%. • The contractor shall provide to the City all required City and Federal documents for each Cash Contract (CC-1154 & CC-1107) project - For the purpose of making partial payments, the amounts set forth for the contract Items of work hereinafter listed shall be deemed to be the maximum value of said contract item of work, which will be recognized for progress payment purposes: a) Mobilization - Gothard, CC-1154..................$17,500 Gothard, CC-1107..................$17,500 b) Traffic Control Plan Gothard, CCA 154..................$6,000 Gothard, CCA 107..................$6,000 Fiber Optic Conduit Installation & Traffic Control: The fiber optic conduit Installation shall precede the pavement rehabilitation work. When fiber optic conduit Installation and pavement rehabilitation work are occurring simultaneously, there shall be a minimum of one- half mile separation between any lane closure activity. Engineer's Estimate: $920,338 • Gothard Street Rehabilitation, CC-1154: $628,843 • Gothard Street Rehab -Communications Conduit (Phase 1), CC-1107: $291,495 This modification changes the Engineer's Estimate for this project from $652,343 to $920,338. This is to acknowledge receipt and review of Addendum Number one, dated September 9, 2004. Company Name % -by Pa,rt ,, Da e Ail bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Lary J. Taite at (714) 536-5590. SECTION C PROPOSAL for the construction of I. GOTHARD STREET REHABILITATION - CC 1154, FROM ELLIS AVENUE TO HEIL AVENUE II. GOTHARD STREET PAVEMENT REIIAB-COMM UNI CATIONS CONDUIT (PRASE I) - CC 11079 FROM ELLIS AVENUE TO VEIL AVENUE in the CITY OF HUN TINGTOti BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 85 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sure prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed «ill result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and «ill readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and fling the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, finds!0 Wei +s &ralI in the amount of $ which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case maybe). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received BidAers Si nature C-2 SECTION C PROJECT BID SCHEDULE Gothard Street Rehabilitation, CCA 154, STPL - 5181 (141) Gothard Street Rehab -Communications Conduit (Phase 1), CC-1107, ITS 99-518I (127) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: I I;w 3t3S3. o0 TOTAL AMOUNT LUMP SUM BID IN WORDS: O Mill ' TOO ...-Jre S IF&hf fArfe-K w tJ Id i�tfl= Twrc a 061(-rs CLA4 z e rc.�+-� C-2.1 GOTHARD STREET REHABILITATION IMPROVEMENTS CC NO.1154 STPL - 5181 (141) C-2.2 GOTHARD STREET (CC-1154) PROJECT BID SCHEDULE ITEM ESTIMATED ITEM WITH UNIT PRICE WRITTEN IN : UNIT PRICE EXTENDED 40.. QUANTITY WORDS AMOUNT 1 1 Mobilization L.S. @Ssnealecn T — . Dollars Cents 2 1 Traffic Control Plan $ $� �4 L.S. @ w a Dollars Cents 3 1 Fumish Project Traffic Control $IV_._ZrvA $3( 2_C ;.3 L.S. @ -.r pAr � " .&6aq F;4,, 17dinollars t0er%4 IEEger Cents 4 188,916 Cold Milling & Header Cuttin $ O• $%� S.F. @ Zeer Dollars Cents 5 471 Unclassified Excavation $ $ 2Ypk=2- C.Y. @ ��� T, LJO Dollars xs�cp Cents 6 10,133 Construct Asphalt Concrete (Overlay, Full Depth, $ Yor?d Ton etc.) Dollars Z c rs Cents 7 2,347 Pavement Reinforcement Fabric & Route and S.Y. Seal of Cracks @ O++e Dollars i Cents 8 46 Adjust Sewer/Storm Drai6 Manhole to Grade $Q= $ Ifs Each FJ4 A„liars Dollars wCents c.n 9 91 Adjust Water Valve to Grade $ Z a - Each @ Two K.gd!=J F-e4,. Dollars c ro Cents 10 1 Traffic Striping $o $ t on L.S. @Et4ome Trw•s•..1 f;*Oe 14 'ell—cotlars Zdry Cents 11 80 Traffic Loop $moo k- $46cv Each @'W o_ 1Y A0 j rr3 ,�"n� X _ _Dollars ,',. ze r Cents 12 8 Remove &Reconstruct Access Ramp tltro o $ M O °- Each Dollars 7.ery Cents 13 3 Adjust Survey Monument Well to Grade $ SOb $ 0 0 Each @ j c.• Dollars i.G n• Cents 14 25 Survey Monumentation $ $ >roc Each ( ,. Nc y%SCfJf+-Wk _ _Dollars eo 3I� Ze ro Cents Sub Total Bid Amount, Bid in Figures: $ b 7 tt t 2 - 00 Sub Total Bid Amount, Bid in Words: 5,x S-,,AKJ Twr+y F.-sr- 7-..Po Hw-ire-1 Fv r# lea. vw(wfs C-2.3 GOTHARD STREET REHAB- COMMUNICATIONS CONDUIT (PHASE 1) IMPROVEMENTS CC NO.1107 ITS 99-5181 (127) C-2.4 GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1), CC-1107 PROJECT BID SCHEDULE 'ITEM ESTIMATED ITEM WITH UNIT.PRICE WRITTEN IN.'' ':.. UNIT.PRICE -EXTENDED f' NO. --- .' QUANTITY ' WORDS AMOUNT 1 1 Mobilization $ U- vo $4 L.S. @�c{�,�.�e�xr�.a.st,.3 F"x I..Lal Dollars Cents 2 1 Traffic Control Plan $ 64000 L.S. @ ',r ►.e Dollars Z.t•rn Cents 3 1 Furnish Project Traffic Control $ }i $16 L.S. �.►�.. i r Ied 4 10,670 Install 2-4 inch PVC Conduit (Trenched in Pavement) L.F. @ -�{-"g _S r4,,_ E'-q LA- Dollars Ls= Cents 5 15 Install No. 6 Pullbox $ oo $_Ul oa o E.A. @ 0 %C- Dollars Cro Cents 6 6 Install Splice Vault S.fl r? $ Z� E.A. Dollars z ewo Cents Sub Total Bid Amount, Bid in Figures- $ L Sub Total Bid Amount, Bid in Words: S %sx 14%.4 r04 roe t7 "d-1+e •--J- To.vf Y S d k Oi 1fK r3 C-2.5 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion o lf'ork Name and Address of Subcontractor State License Number Class iLti}�+��� So kek 40 Inc /►�fG �q3q 6 g} {; box, o Gea- — G� w�enl TrQ��� to�Mbi Cl�, if+�shl...; ��Ipf`ira� By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSIOti AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED M ITH BID State of California ss. County of$mrrge- A i vrri5 id e Pynbf!&_j5r&j.je V_, being first duly sworn, deposes and says that he sr- sh is Vice P1-et+,4t4+ T of An Amey-inm Asa Salt- the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; 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 colluded, 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, or that of any other bidder, or to secure any advantage against the public 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 fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. OE834E A MAMEN Commisslon � 7452589 Notary Public - Caslomla Rtverstde County My Comm. Does Noy 22.2007 i it � i. ,kr Signature of Bidder RCS t dlev,vi0yes tr+ / . d Subscribed and sworn to before me this a44h day of,SAoj►mb , ?00 _4-_ . NOTARY PUBLIC NOTARY SEAL C -4 UTILITY AGREEMENT HONORABLE ]MAYOR AND CITY COUNCIL CITY OF HUN''TINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified Persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to beperformed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: SafmlwaH,at l MUM ., on, . 3 1 to mai re -WIT Title C-S DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes ONo If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. �s..0 1V • 'ei? Contractor Vier Vrt45re1&%+ Title C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/42I7 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-4224133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number* i :��. a i /II• Contractor V ;ee Title Note: This form is required for every Dig Alert Identification AWmbcr issued by U.S.A. during the course of the Mork Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name P.O. (hor aAAc Business Address Caw`Le- City, State Zip ( qPl ) -73L,5- -7 0Q .. ...__ Telephone Number !ra V7b73 A �e-i a; State Contractor's License No. and Class 1- Iq-11 Original Date Issued Expiration Date The work site was inspected bylbxq Lr 6ogvp of our office on ,,Seoem rr__alt 200j. The following are persons, firms, and corporations having a principal interest in this proposal: r C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. _ - Signature of Bidder Printed or Typed Signature DEBBIE A MATSEN r4;�:—,;�Zcommwlon #E 1452589 Subscribed and sworn to before me thisday of r , 200�. . Nolary Pubnc - Callromla Rtverslde county MyComm. Expires Nov 22.2007 NOTARY PUBLIC-.lg�'o q •,Q_] NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: AddressNanie and • Agency Name and Telephone No. of Project Manager: ,� 60 i x ,c . Lccaw) gcaD-�oU 353.�[�5 bra 5f Q�rXginr,±1, [t [54(fj3 Contract Amount Type of Work Date Completed 2. C-brpa- care CIyiz f eyj,Ar Crire r—n!?.-4- e-*A- 199a-1 Name and Address of Public Agency Name and Telephone No. of Project Manager: fau l L zte4f b41 yn 1r 4m 5n �AV3,,4W0JP0 �jr!et aP,ew o+rul+;r-w Palo!, Contract Amount 'Type of Work Date Completed 3. C Name and Address of Public Agency " Name and Telephone No. of Project Manager: i (1 Wa 11141, Sfre& 006:1101Wrt 14 f 0S Contract Amount Type of Work Date Completed C-10 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who protide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. 11=4 ►�; WROW 1101 • Fax: Log)-)5u--7(o%p .Contact Person: 91)1o+r p,, 7A L- gj No. of years in business ?,5 V Aa rs . Is the firm currently certified as DBE under 49 CFR Part 2 6 ? YES Type of work/services/materials provided by firm? What was vour firm's Gross Annual receipts for last ear? I o Less than $1 Million a Less than $5 Million a Less than $10 Million a Less than $15 Million u More than $15 Million This form can be duplicated if necessary to report all bidders {DBEs and non DBEs} information. C-11 Local Assistance Procedures Manual LAI=11-1: X .PS&-E Checklist Instructions Attachment C (!HE BIDDERSF.XEC070NOiVTHE SIG41 ATUREPOR770,Y OF =PROPOSA SMU ALSO M A'ST1TU7'E ANENDaBSDMVT kVD EXECUTION OF THOSE CE=ICA770NS UWCHAREA PART OF THIS PROPOSAL) EQUALTIN PLOYINIEh'T OPPORTUI\= CERTIFICATION The bidder • • ,� _ , hereby certifies that he has 2L has -no; ___, participated in a Frvious contract or subcontr=t subject to the equal opportunity clauses, as mvired by E.Yecu ve Orders 10925,11114, or 11245, and that, where r-.,gLir A he has filed with the Joint Repor4ang Committee, the Dirertor of the Office of Federal Contract Compliance, a Federal Government contrasting or administering agency, or the former Presider:t's Committee on. Equal Employment Oppom ity, all re -ports due under the arplicabl: filling requirements. Note: The above ce.•dacation is required by the Equal Employment Opportunity Re`?ulatioas of the Secreta of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Conti=cts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (G=eralh, only contracts or subcontracts of $10,000 or under are exempt) Cut eatly, Sta^dard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. . Proposed prune contractors and subcontractors who have participated in a previous contra: or subcontract s0lect to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other, period specified by the Federal Highway Administration or by the Director, Office of Federal. Contract Compliance, U.S.Depart±acnt of Labor. 17-"9 C-12 Pace 1245 Local Assistance Procedures Manual PS&E Checklist instructions Attacbment G . DISCLOSURE OF LOBBYING ACTIVITIES ` Complete this form to disclose lobbvina activities Dursuant to 31 U.S.C. 1. Type of F\eraln: 2. StatusofFederalActlor.: 3. RepertType: wntra ❑ bl�'ot'alarpecdan tL icE>;alawa-d s ln�afb. b. o mated cl�ge a cmec d ban C. pcst-award For Material Change Only, a banp �, k year Guaiert dMe of les;rarort 4. Name and Adress of o.ing Entity: S. If Reporing Ertty in No.4 is Subawardea. Ester • Prime a:dee Name and Address of Prime: \Tier_,known Congressicnal Z?)strict, Congressional District, ifl:rosvx 6. Federal DepattmentlAgency: 7. Federal Program NamelDescription: CFnA Number, JtappGcable 6. Federal Action Number, 1know L 9. Award Amount, tkncwrr 5 - Ia. s. Name and Address of Lobbying Entity b. Individuals Performing Services r1nclt.'d.ng address) (dlndivldJa;last name, frst name, M, dl"en:nifm'n Na iDa} (last nave, Its, name, W: (a'tad! Corrta;t.'afic Sheens) lrnecessam 11. Amount cf Payment (check all that apply): Type of Payment (check all teat apply) $ $^tttal planned a. ret&er b. cne-tlrte fee 1L Form of Payment (check all that apply): a cash c, =.niss'on d con!~•tgent fee e b. ln•Idru: spedfy. naturevalue defem:d 14. 8rlef flescription of Services Performed orto be performed and Data(s) of SeMca, Including ofticer(s), employee(s), or member(s) contacted, for Payment InI In Kern 11: (34ach ew tnvadcn S.Vws) ftecessary) 13. Continuation Sheeas)attached: lies ❑ No = 6• ktiamattan req,:esbd arao this km is v.0a t A by Me 31 @.B.C. 50:5M Sigra=e: im This d 9vm" of bb%taQ ec"5N Is a mm" reor oamn 01989 IV pan WM m%= we prmd by to 1brabm when Ift ransacDon was Pdnt Name: Rnt?art- 1821a ley •, . mma1do or awed kr& This dybdJoaes i/t.�n AW pursaaM to 31 U.S.C.�135X �y% •,U {{ls V. .atci% in be n]piW to to Ccfq ss ia�niy aid ll b4 l� ..{� t ara4a:sa 1x Prha:lrs~ect~n. Airy pusonwho �]s b 1!e 1hs rsqutsd d1s:.� shot be si4-ject to add peaany or rat kss than St 0= and nd mcra than Tele�hcne No_ � '13r�! k &D _ Date: ttUO,go fcr srd sa:f ra5rre. Federal Use Only: /W4tian:edfor� Repnduc',ao �.�. Stindard rvrm LM Rar. M-I Page n-55 C—." February 1,1998 • EXHIBIT l: -E Local Assistance Procedures Manual ,Attachment G PSgE Checklist Instructions V STRUCTlO,NS FOR COMPLETION OF SF LLL, DISCLOSURE OF LOBBMG ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the ire itiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. Sectica 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of. Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is iradequat`. Complete all items that apply for both the initial filing and material change report. Refer to tho implementing guidance published by the ice of Management and Budget for additional information. I. Identify the type of covered Federal action for which lobb-viag activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action 4. Eater the full name, address, city, State and zip code of the reporting entity. Include Consnrssioni4 District if known. Check the appropriate classification of the reporting entity that designates if it is or expo= to be a prime or suba A- rd recipient Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address, city, State and zip code of the prime Federal recipient Include Congressional District, if known. 6. Eater the name of the Federal agency making the award or loan commitment. Include at lest one organizadon level below agency name, if known. For exn mple, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number. for grants, cooperative agreements, loans and loan commitments. S. Enter the most appropriate Federal identifying number available for the Federal action identification in item 1(e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, gram announcement number, the contract grant or loan award number, the application/proposal control number assigned by the Federal agency). include prefixes, e.g., wM-DE-90-001 " 9. For a covered Federal action where there has been an award or loan commitment by the Federal agmcy, enter the Federal amount of the awardfloan commitments for the prime entity identified in item 4 or 5. 10. (a) Enter the full nine, address, city, State and zip code 'of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal -action. (b) Enter the full names of the individual(s) performing sen,-ices and include full address if different tom 10 (a). Enter Last Name, First Name and Middle Initial 0Q. 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (tem 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or vnill be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriatr box(es). Check all boxes that apply. If payment is made through an in-ldnd contribution, specify the nature and value of the in -kind payment 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. Pave I2-54 C-14 Local Assistance Procedures Manual D=rr 12.E ME Checklist Instmetions .. __ _ ` Attachment G 14. Provide a specific and detated description of the services that the lobbyist has performed or will be ` expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sbeet(s) is attacbed. 15. The certifying official shall sign and date the form, print his/her name title and telephone dumber. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and Completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information; including suggestions for reducing this burden; to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. CITY OF HUNTINGTON BEACH 2000 MAIN STREET OFFICE OF THE CITY CLERK 2004 CALIFORNIA 92648 Enclosed please find your original bid bond issued by 00,1 M J //J S 77 7UgA _ o 1 aif / 7zZ2—,S for O-C - •` d? -//, ' Joan L. Flynn City Clerk JF:pe Enclosure g:/follo«vp/cashcont/retumbidbond doc (Telephone: 714-536-5227) Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No. A3I0 (Febrtu ry,1970 Edition) KNOW ALL MEN BY THESE PRESENTS, that we PALP Inc. dba Excel Paving Company as Principal hereinafter called the Principal, and Federal Insurance Company a corporation duly organized under the laws of the state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound urro City of Huntington Beach as Obligee, hereinafter called the Obligee, in the sum of Teq_percent of the total amount of the bid Dollars (S 1 oo/o ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our beirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Gothard Street Rehabilitation NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documt:rits with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 14th ORSC 21328 (5/97) day of September , 2004 PALP Inc. dba Excel Paving Company Witness LL1'U-= (Seal)By: -. . M0'iot FIR;ESI?tra Namefritle Witness Federal Insurance Company . ., . _ Surety — (Seal) J�� By: Q. &. Douglas d . Rapp Attorney -in -Fact CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California County of Orange On before me, personally appeared ® Personally known to me - or - CNVIFA.P COATS t'PUSL-C-CALIO c;��RN1A—� !Ay Term £7S. J J 2. 2008 A.P. Coats, Notary Public . NAAM TrrLE OF OFFICER Dowlas A.'Rapp Proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that helshelthey 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. WITNESS my hand and official seal. (SIGNATURE O NOTARY) OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUALIOWNER ❑ CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LIh'IITED ❑ GENERAL ❑ ATTORNEY IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER SIGNER IS REPRESENTING: NAME OF PERSONS) OR E9=(IES) DESCRIPTION OF ATTACHED DOCUMENT TYRE OR TYPE OF DOM ENT NUMBER OF PAGES DATE OF DOCUMENT Chubb POWER Federal Insurance Company Attn: Surety Department ICU OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren, Ns 07059 Know All by These Presents, That FEDEnALINSURANCE COMPANY. an Indiana corporation, Vl Ga-ANT INSURANCE COMPANY. a NewYork corporation, anJ PACIFIC INDEMNITY COMPANY. a Wisconsin corporation. do each hereby constitute and appoint Douglas A. Rapp or Linda D. Coats of Laguna Hills, California ---------------------------------- each as their trve and IawV. Attomey-In-Fact to execute under such designation In their names "to affix theirwrporato seals to and dealer for and on their behalf as surety fteeraon or ottwwM e, bonds and tmdestakings and ether writings obligatory In the stature thereof (ether !hare ball bonds) given or executed In the course of business, and any instruments arnendng cr aRerfrrg the same, and consents to the modification or a..1eration of any Instrument referred to In said bonds cc obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY. VIGILANT INSURANCE COMPANY. and PACIFIC INDEMNrfY COMPANY have each executed and attested these presertts and affficed their corporate seals on this 2 2 n d day of January, 2004 /'�� / =teeexLr:,.� Kc mete C. Wendel, AwtstaM Secretary STATE OF NEW JERSEY as. County of Somerset One is 2 2 naiay of January, 2004 .before me. a Notary Public of New Jersey, personally woe Ksrre4r C. Werodet, tlo rro bvwn to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNrTY COMPANY,1he ew pardes which exawled Via toreg�irg Power of Altornay, and Vre eald Kenneth C. Vftx*t bekV by me duly awom, dd depose and say Vrat he Is Assistant Seeretary of FEDERAL MURANCE COMPANY, VIGILANT MURANCE COMPANY. and PACIFIC INDEMN[TY COMPANY and Wows the corporate seals ttrered. that the seas a!kixed lo to kxegoiny Power dAdorney we such eorpate camp and were thereto alflxed by &O* try oHhe 9yUws of said Comparles; and that he slgr*d said Poway at Arixney as Assistant Seeatary of said Carga des by 9-1 a:,Lhorftf and that he h acgw1rded with Frank E. Robertso% and knows Nm to be Vke President of sand Companies: and treat the slgral,ra of Frank E. Robertson, eubsedbed to sold Power of Attcmey is In** geaukw handwd*V of Frank E. Robertson, and was lhersto vJwxtbed by aviborty of said Dtt&ws and In. deponenfa presence. Notarial Seal Karen A. Puke Vd!q Pubic State of Ntm Jewy rat �` LLLc u No. 22-316-il - Notary Public of FEDERAL INSURANCE COMPANY. VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY: 'AS p6w4rsib'f attorney for and on behalf of the Corrsparry may and shag be executed In the same and on behalf of the Company, either by the Chaimman or the President or a Vice President or an Assistant Vice Preslderet, jointly with the Secretary or an Asusrstant Secretary. under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President. any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary and the seal d the Conmpany may bo affixed by facsimile to,arry power of aftnmey or to any certificate relating thereto appointing Assistant Secretaries orAzIomeys-in-!`act for p•.rrposes only of executing and attesting bonds and undertaldngs and ether wrMngs obligatory In the nature tt►ered, and sny such power of attorney or certificate bearing such facsirniie signature or facsh llle seal shalt be vald and bindng upon the Company and any such power so e recuted and certified by such facsimrie algnature and facsimile seal shal be valid and bindW upon the Company KfC1 respect to any bond or urdenaldrrg to which it Is attached.' 1. Ken-veth C. Wendel, Asdstw t Seaetary of FWERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITYCOMPANY (the'Companies") do hereby certify that M the foregoing extract of the By -Laws a the Companies Is true and correct. (ih the Companies are duty kensed and autho&ed to transact surety business In all 50 of the Limed States of America and the District of CokmVa and are authorized by the U. S. Treasury Department; further, I=*%W and Vigilant are licensed In Puerto Rim and trim U. S. Virgin Islands, and Federal Is licensed InArnerfcan Samoa. Guam, and each of the Provinces of Canada except Prince Edward Island; and (Fill the foregoing Power of Attorney Is true, correct and in full force and effact Gina n under my hand and seals of Bald Companies at Warren, NJ this - -3 A th --- day of __Sept, 2004 _ '"ibl0t / coon INTHE EVENTYOU WISH TO NOTIFY US OFA CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND On NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903-3485 Fax (908) 903-3656 a -mail: sure, @chubb.com from 15-16-WZ tEd 4-M CONSEW CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT Slate of California ss. County of Los AngQ es _ — 4 nr^A On 2 Q �".iY , before me, C. Phillips. Notary -Public , Data Nam* and TNa of Off -car (s p . Jana Doa, Notary PuWcc ) personally appeared PALP DBA EXCEL PAVING CO, By C.P.Brown, President , Name(s) c1 5gMitgsp�xijaj rw C. PHILLIPS Comm�ss:on. t ' 1dc82 No:s:y Fct4c . Ca \ ) LDS AnS:ies ;,- MT Comm. Erpret MayrI I. ?F:, 21 personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islare subscribed to the within Instrument and acknowledged to me that helshelthey executed the same in hislherltheir 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. WITNESSd official seal. . Place Nobly seal ADo ti s �■ r Notary PU*c OPTIONAL Though the Information below is not required by law, if may prove valuable to persons dying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer Signer's Name: ❑ Individual ❑ Corporate Officer—Tttle(s). ❑ Partner — ❑ Limited ❑ General ❑ Attorney In Fact ❑ Trustee Cl Guardian or Conservator ❑ Other: Signer Is Representing: Too of CxwrO We 01%2NabonllWary .la/ocWIon-MDasotoAm. P.O. Box 2a02-Gunworr.CA111t1L2a02-wmmrdaWwtarya.p PmdW.5W NorderCall Te4Fraa1-0004'64tr Ull, IIIG. 013A EXCR PAVING COMPANY '30 LEMON AVENUE )NG IXACH, CA AO(3Qf• 2.0 o TL UOD Co� C f50(91 sty �8 r�� ' City of Huntington Beach Public Works Department 2000 Main Street -' Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD STREET REHABILITATION - CC 1154, FROM ELLIS AVENUE TO HEIL AVENUE STPL 5181 141 AND GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT PHASE 1) -cc 1107, FROM ELLIS AVENUE TO HEIL AVENUE ITS 9999-5181 127 September 9, 2004 Not;ce To All Bidders: Please note the folioWng clarification to the Project Plans, Specifications, and Technical Provisions: Incorporated into the Gothard Street Rehabilitation, CC-1154 plans and specifications is Addendum No. 1, dated September 9, 2004 and the following attached documents: 1) GOTHARD STREET PAVEMENT REHAB -COMMUNICATIONS CONDUIT (PHASE 1), CC-1107, ITS 99-5181 (127) CONSTRUCITON PLANS (13 SHEETS) 2) GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1) - CC-1107. ITS 99-5181 (127) SPECIAL PROVISIONS 3) SECTION A, NOTICE INVITING SEALED BIDS 4) SECTION B, INSTUCTIONS TO BIDDERS 5) SECTION C, PROJECT BID SCHEDULE (Gothard Street Rehabilitation - CC-1154, STPL-5181 (141) and Gothard Street Rehab -Communications Conduit (Phase 1) - CC-1107, ITS 99-5181 (127)) The Contractor's submitted proposal shall be enclosed In a sealed envelope plainly marked on the outside: "SEALED BID" for I. GOTHARD STREET REHABILfTATION - CC-1154, FROM ELLIS AVENUE TO HEIL AVENUE 11. GOTHARD STREET PAVEMENT REHAB -COMMUNICATIONS CONDUIT (PHASE 1) - CC-1107, FROM ELLIS AVENUE TO HEIL AVENUE Protect Description: The project consists primarily of grinding of the existing pavement, removal of failed roadway sections, asphalt paving of failed areas, overlaying the streets with asphalt concrete, Installation of curb access ramps, pull boxes, splice vaults, fiber optic conduit, adjusting manholes, monuments and valves to grade, and Installing traffic loops. This is a Davis -Bacon project and the Federal Regulations will be enforced. Any contract entered into pursuant to this notice will Incorporate the provisions of the Federal Labor Standards, which are on file at the office of the Director of Public Works, 2000 Main Street. Huntington Beach, CA 92648. - c • The contract allows the contractor 85 working days to complete the contract • The DBE goal for each Cash Contract (1154 & 1107) Is 7%. • The contractor shall provide to the City all required City and Federal documents for each Cash Contract (CC4154 & CC-1107) project = - For the purpose of making partial payments, the amounts set forth for the contract Items of work hereinafter listed shall be deemed to be the maximum value of said contract Item of work, which will be recognized for progress payment purposes: a) Mobilization Gothard, CC-1154..................$17,500 Gothard, CC-1107..................$17,500 b) Traffic Control Plan Gothard, CC-1154..................$6,000 Gothard, CC-1107..................$6,000 Fiber Optic Conduit Installation & Traffic Control: The fiber optic conduit installation shall precede the pavement rehabilitation work. When fiber optic conduit Installation and pavement rehabilitation work are occurring simultaneously, there shall be a minimum of one- half mile separation between any lane closure activity. Engineer's Estimate: $920,338 • Gothard Street Rehabilitation, CC-1154: $628,843 • Gothard Street Rehab -Communications Conduit (Phase 1), CC-1107: $291,495 This modification changes the Engineer's Estimate for this project from $652,343 to $920,338. This is to acknowledge receipt and review of Addendum number one, dated September 9, 2004. FALP. INIC. UBA w ) Company Name BY G.�, BRQi"��Y, PRESIDEW _up 2 82004 Date All All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Larry J. Taite at (714) 536-5590. SECTION C PROPOSAL for the construction of I. GOTHARD STREET REHABILITATION - CC 1154, FROM ELLIS AVENUE TO HEIL AVENUE H. GOTHARD STREET PAVEMENT REHAB -COMMUNICATIONS CONDUIT (PHASE 1) - CC 1107, FROM ELLIS AVENUE TO HEIL AVENUE in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 85 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY -at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGr�ENCttY'S option, be considered null and void. Accompanying this proposal of bid, find in the amounto7 14 PERCENT OFA WIN gip+ said amount is not less than 10% of the aggregate of the total bid price,*as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). G Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Si nature nrn n u SEP 2 8 2004 C.F. BROWN PRESIDENT C-2 SECTION C PROJECT BID SCHEDULE Gothard Street Rehabilitation, CC-1154, STPL - 5181 (141) Gothard Street Rehab -Communications Conduit (Phase 1), CC-1I07, ITS 99-5181 (127) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: $ 130�b5ti�, TOTAL AMOUNT LUI IP SUM BID IN WORDS: •A A • . / 1 _ _ . . ♦i i C-2.1 GOTHARD STREET REHABILITATION IMPROVEMENTS CC NO.1154 STPL - 5181 (141) C-2.2 • GOTHARD STREET (CC-1154) PROJECT BID SCHEDULE ITEM ESTIMATED ITEM WITH UNIT.PRICE WRITTEN IN.-. ..UNIT PRICE EXTENDED NO.. QUANTITY :: WORDS ' = AMOUNT 1 1 Mobilization $2(odD4- $Vbcca L.S. @MAIM► Sib I'MLIS ,)�~r Dollars 03 boa Cents 2 1 Traffic Control Plan $ $ L.S. @fkL±LLUS� 2S)1 A VWJ LJ Dollars Cents 3 1 Furnish Project Traffic Control L.S. FLIL WgW Dollars OD Cents 4 188,916 Cold M;Iling & Header Cutting $ . Lb $ S.F. @ 00 Dollars �c 60 Cents 5 471 Unclassified Excavation ��ps "� C.Y. @ r� 511- , _ Dollars Cents 6 10,133 Construct Asphalt Concrete (Overlay. Full Depth, $ � $ � f, Ton etc.) @ r P J --p Dollars G7 Cents 7 2,347 Pavement Reinforcement Fabric & Route and S.Y. Seal of Cracks @ _rT j%1�)'�.� �� Dollars (30 Cents 8 46 Adjust Sewer/Storm Drain Manhole to Grade Each @ t+YJAItA Sureurl'Vr--Dollars M i Cents 9 91 Adjust Water Valve to Grade $ 1S, $ ? •S OZ�. Each @'rtjo 14ill .0 C9 S!AT^ —Dollars T—� Cents Cents 10 1 Traffic Striping L.S. @��-Y'ti`1 'Fvc- -n4JS M.b r Dollars L'>D Cents 11 80 Traffic Loop $�� $ 2a Each "t M_WIIW SeA, r� 'RX _r Dollars M Cents 12 8 Remove & Reconstruct Access Rarr.p pp[ryy $ $ � Each ell Tfty rAx. n Se am WA-0Dolrars a'O Cents 13 3 Adjust Survey Monument Well to Grade $_ $� Each @!Tu1J tPAO/[d SP.tT=rtT r1X Dollars 00 Cents 14 25 Survey Monumentation sxq — Each JbJk,40A Dollars Cents Sib Total Bid Amount, Bid in Figures: $ S ab Total Bid Amoupt. Bid in Words: UC, 3A%13 RV_ ,1 ,diem 7)4 Off A91 `d1''/ 0., � 1 C-2.3 GOTHARD STREET REHAB- COMMUNICATIONS CONDUIT (PHASE 1) IMPROVEMENTS CC NO.1107 ITS 99-5181 (127) C-2.4 GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1), CC-1107 PROJECT BID SCHEDULE ITl:ht :• .ti `=ESTIMATED . - !.F'"" °ITEM WITH,t3N�r PRICE'.W TTEN �� ;' �.: C.i.f-d""c.' .'1; >an-'.".iS• '.. - s•_- NIT,,PRICE: .A. 'EXTENDED �•.+, 'f�O: QIJAMI7`Y `j•-,i. "� ;mot : ;. ;.WC+WROS _4.•a!7• 1 1 Mobilization L.S. @ 't A Dollars Cents 2 1 Traffic Control Plan $_ $ L.S. @�;� s fiX 4u] Dollars LID Cents 3 1 Furnish Project Traffic Control $I $ 5SUt3 - L.S. AjApyr_ Dollars Cents 4 10,670 Install 2-4 inch PVC Conduit (Trenched in Pavement) $ $ L.F. @ SPA.► Dollars [� Cents 5 15 Install No. fi Pullbox $ $ E.A. @ [lam uSRJ'D RLK (LJNk tC — Dollars ao Cents 6 6 Install Splice Vault $ — $ E.A. 30 00 @ S f" `—"' Dollars w Cents Sub Total Bid Amount, Bid in Figures: $ ,,';Lqa5 01610 Sub Total Bid Amount, l3i in Words: kutSCuLw ,0► C-2.5 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion ot Work Name and Address of Subcontractor State License Number Class bih-\UT'Q Do'M 1001A ^`\ �00 �S 2(Q'to13 SAP+I S� 3xA q 5ur+r�j CJF4a Ld KA SUKvPo,\ lot )a a kol J) C U4u R04"_;__ rL' St1r.7 1, �n OL L By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange r , being first,dalXP,orn, deposes and says that he or she is -igc of cvprl D!L11L.I rnkIDAkly the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; 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 colluded, conspired, connived, or agreed -Aith 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, or that of any other bidder, or to secure any advantage against the public 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 breakdoxm thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. n R;LF.I:r.. EA EXCEL PK`.''ING C0"P1,NY Name of Bidder /01 �' C.P. BROWN PRESIDENT Signature of Bidder 2230 LEMON AVENUE LONG BEACH, CA 90806 + Address of Bidder Subscribed and sworn to before me this day of EP 2 8 2u094200 NOTARY PUBLIGEEATTACHED NOTARY SEAL C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ss. County of Las Angeles _ orCIP 2 8 M- , before me, C. phil,ipa. Votary Public Data Name om Two of OfrKor tog . "JnM Doe. Not" PubuC) personally appeared PALP DBA EXCEL _P_AVING_ CO. By_C.P.Brown. President: hamo(sj tO 6.W+o+4q C. PHILLIP$ N, 'f Commtss;on. A f 4U�824 lao'a y rk;�'Ilc - Ca::'oM!3 N LosAng•_les Ccvi'y Cr iomm, hPtret M� ii.1''@ dt�blc�x IV, 23 personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose rtame(s) Ware subscribed to the within Instrument and acknowledged to me that he/shelthey executed the same in hisiherltheir authorized capacity(ies), and that by hislherlthetr signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and official seal. Plop Notary Saar Above sty d Notary Pubhc OPrIONAL Though the information below is not required by taw, it may prove valuable to persons relying on the document and could prevent fraudulent removal and rteatiachmont of this fomn to another document Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capaclty(ies) Claimed by Signer Signer's 14ame: ❑ Individual SDP of r"Mo r*te ❑ Corporate Officer — Tille(s): ❑ Partner —❑ Limited ❑ General ❑ Attorney In Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing- 0 1999 Na0wW lblryAS90MGa 4 9M DO SM Ave.. PO. Box 2402 • CMWPOA4 CA Pma. ML W7 RaaUrr. coo Wfoo 1-0004164&" UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: S FF 2 8 204 C-5 P,'-LP. INC. C'JA EXCEL COMPANY Contractor By C.P. BSOWN. PRESIDENT Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? . ❑ Yes !J No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. c-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require 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. Date: SE' 2 3 Lr",0K PALP. !„C. DEA EXCEL PAVING COMDANY Contractor By r',P, Title C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-8004224133 a minimum of two working Clays before scheduled excavation. Dig Alert Identification Number: Contractor Title Date: Note: This form is required for every Dig Alert Identification Number issued by USA. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: PALP, INC. DBA pXrF:l p Bidder Name 2230 LEMON AVENUE A� pA lq,r .................... LONG REACH' CA 90006 Business Address City, Stare zip-,, Telephone Number STATE UC. 688 059 8A* State Contractor's License No. and Class V3. kvq4 Original Date Issued Expiration Date C �&Slw\ VVX.,Tk^ The work site was inspected by A�g of our office an Ck�UJA 200. The following are persons, firms, and corporations having a principal interest in this proposal: CURT18 R BROW, I pirmirn it jU!rrc= M1,6 OMM CAROLYN I BROVIRSEIRETARY& CHIEF ANAROAL70MCER MMM-2 1k"AF;Sf*I'311CfrKQqVth! CURM P BRO�i of, Via P,.D9ff ERLICE t FlAn-,Twa Ptu, oDa MCHELE E DRMLICH, AS2STAW "Fun PALP. 11,41G. 03t' C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. PALP. INC. DBA EXCEL PAVING COIkAPANY Company Name C.P. Signature of Bidder BSOViN PnnIESIDEf Printed or Typed Signature Subscribed and sworn to before me this day of 2004 , 200 . NOTARY PUBLIC 3EEATTACHED NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. SEMATTAQU . Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work` Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: 3. Contract Amount ' Type of Work Date Completed Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-10 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ss. County of Las Angeles On 6EP 2 8 M , before me, _c. -phimps. Notary Public --- Dale Name and We of Onrtu (a q ,'J" Da, Notary P„WK) personally appeared pALP DBA EXCEL PAVING CO. By C.P.Brown, President: — — Nam.(.) or S"r(s) —' C. PHLLIPS JCommiss:on. N 1492824 .� gn in m I� xy P.,Vlc •Ca'r1cr�a I.- ' Los Ang-'es ^o: my n) forma. torn Ally 11" WA S] personally known to me 0 proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Istare subscribed to the within Instrument and acknowledged to me that helshelthey executed the same in his/her/their authorized capacity(ies), and that by hislherltheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my d and official seal. Ptum Nowy seal Above t n at Notary Public OPTIONAL Though the information below is not required by law, 0 may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual ' '' Top of thUrro We ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney In Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing- 0IM NaftW N Aaq AaWMm • SM 04 Bcb AY*., P.O. 0= =at • dhahwalti CA 91313-2W2 • wrtW tk-*0Wym2 Prod- Not, W? Paom%r Call TrAFroo 114W '6 - CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid,'proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Pi'LF. INC. 1)3k Firm Name: EXCEL PA` NIG CO" ,PANY 2230 LEMON AVENUE Address: Lt1N , PEACN_ Cr WMA Phone: (562) 599-5841 Fax: FAX (562) 591•'><4£5 .Contact Person: ASas n No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of wort Jservices/materials provided by firm? Phi PAa to What was your firm's Gross Annual receipt's for last year? ❑ Less than $1 Million O Less than $5 Million ❑ Less than $10 Million a Less than $15 MilIon ar'More than $15 Million " ..I.. This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 .411Wi a /YVGYY• %� MaLEILLDIA u-% PS&E Checklist Instructions Attachment C (=BIDDER S F.XECUT70NON7M SIGNATURE PORTION OF THIS PROPOSAL SHAD ALSO C0MTT=ANENDORSEMU1'40 EXECUTIOV OF THOSE CERTIF.IC 77ONS WNCHARE A PART OF INS PROPOSE) EQUAL EIMPLOYWNT OPPORTUNTITY CERTIFICATION Rl'LP. I'IC. CS: The bidder EXP��: +t;G COMPANY _ _ . proposed subcontractor _ . hereby certifies that he has IG has not_, participated in a previous contract or subcontrazt subject to th.e equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, a :d the where rz..quired, he has filed with the Joint Reparting Committee, the Director of the Office of Federal Contract Compliance, aFederal Go,%trnment coatracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due unde. the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secreta-y of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidden and proposed subcontractors only it connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts v}1Zich are exempt from the equal opportunity clause aro'set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of S10,000 or under are exempt) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing ngulations. ` Proposed grime contractors and subcontractors who have participated in a p: eviaus con --act or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevcnts the avr-ard of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Admb strztion or by tie Director, Office of Federal Contract Compliance, U.S. Department of Labor. I.. 17-"9 C-12 Page 1-1 45 Local Assistance Procedures Manual ExHmrr 12-E PS&P Checklist Instructions Attachment G DISCLOSURE OF LOBBYING ACTIVITIES Complete this torn to disclose lobbying actrdes pursuant to 31 U.S.C. 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a contract a a 1:1111oEerlo,-,fmien L Initial award a Inlnal �b mate:lal change grant c. moperalvs ap amert a post -awed dal Chan eon�: Forhlateg e ion g-mmus = ban ft=a year ' guater date of last report 4. Name and Adress of lteperting Ent-ti: S. If Reporting Er.9ty in No.4Is Subawardae. Enter • �rtme ❑ Subawardee Name and Address of Prime: Tier_, Yknowtl LN. INC. 08A EXCEL PAVIVG C0f►1PAHY 30 LEMON AVENUE NG BEACH, CA 90806 Congmsslonal District, 11know: Congresslonal District, Yknown: 6. Federal DepartmentlAgency: T. Federal Program NameMcscription: CFDA Number, h1arpGc351e 8. Federal Action number, ►iknowx 9. Award A count, ff known: $ 10. a. Name snd Address of Lobbying Enthy b. Individua!s Performing Services FrrJuTxg eddress If (11nd,Wdua,last name, Srstname, Ml): McTriftm No. 10a) has: nave, drs: narre, Ml): (elach Confk ,60 Sheet(s) Unecessary) 11. Amount of Payrnent (check all that apply): 11 Type of Payment (check all that apply) $ actual o planned a. retainer b. one•tir,1e fee r~ rnrrmisslon IL Form of Payment (check all that apply): 8 d. ca.�,.rtgent fee b. In -kind; sp e nature e. deferred valueL c1her, apec:ljr: 14. Brief Des :ription of Services Performed or to be performed and Date(s) of Service, including offlcer(s). empleyee(s), or member(s) contacted, for Payment Indicated In item 11: (a�.ach Contirlra�on Sres;(sj lfne:essary) 19. Conl3nualJon Meet(s) attached: Yes No 16. Irtmt."an "OstM fta gh etits Arm Is wmcftd by toe 31 U.B.C. se -ten Slgrattxe: t. z The db� s�aa of bujing WMeer Is a r4was r*1"' eon of raa C.. 8fiA �4'�V PRr"ct r rr Won whlch relro on ptaced by tM eerabm when Ibis nv adon rrea Pity Name: Race or entend kilo. Thla dlseloun k nquM pursuant to 31 U.S.C.1 am Tbla Irdwmato wn be npoftd tc to Carprets aaft-w roaFy and A be e: ehWbeeir&je IDaMpnalt/ofaotimtt.an3 abMiandmttmmm thin TelerhoneNo. 562i5,49-5841 Da%SFP 2 6 201 �, CL,0�0 ia� rich ta:1 tarn. Federal Use Only: J4NrortzedlortscatRepoeCicaae Stands,-d Form t11 Ro. 01-MCs C-13 Page 1245 February 1,1998 FXKMIT 12-It Local Assistaece Procedures Mannar Attaebaent G PS&E CbecUlst Instructions VSTRUCTIOtiS FOR COMPLETION OF SF LLL, DISCLOSURE OF LOBBYLYG ACTiVTTIES This disclosure form shall be completed by the reporting entity, whether suba-Awdee or prime Federal recipient, at the initiation or re.eipt of covered Federal action or a material change to previous filing Fursuant to title 31 U.S.C. Section 1352. The filing of a form is required for such pq%went or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of. Congress as off ccr or employee of Congress or an employee of a Member of Conaess in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implem:n:ing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subalvard recipient. Identify the tier of the subawardee, e.g., the first subawardee of the pine is the first tier. SubaAwds include but are not limited to subcontracts, subgrants aid contract awards under greats. 5. If the organization filing the report in Item 4 checks "Subawardee" then enter the fill name, address, city, State and zip cod: of the prime Federal recipient. include Congressional District, if ]mown. 5. Enter the name of the Federal agency making the award or loan commitment Include at least one organization level below agency name, if kamm. For exaacple, Department of Transportation, United States Coast Guard. 7. Enter the Federal prop= nave or description for the covered Federal action (item 1). If knoRa, enter the full Catalog of Federal Domestic Assistance (CFDA) number. for grants, cooperative agreements, loans and loan commr.ments. S. Enter the most appropriate Federal identifying number available for the Federal action identification in item 1(e.g., Request for Proposal (RR) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant or loan award number, the appUcation/proposal control number assigned by the Federal agency). Include prefixes, e.g., *M DE-90-001 " 9. For a covered Federal action where there has been an award or loan commitment by the Federal a_ency, enter the Federal amount of the aAardlloan commitments for the prime emit identified in item 4 or 5. 10. (a) Enter the full name, address, city, State and zip code of the lobbying entity engaged by the reporting entity identff ed in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (Ml). 11. Eater the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbing entity (item 10). Indicate whether the payment has beta made (actual) or az'11 bs made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made er planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made throw an in-ldnd contribution, specify the nature and value of the in -kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. Page I2.54 C..14 Local Assistance Procedures Manual EXMIr 12 E ME Checklist Instructions _ Attachment G 14. Provide a specific and detaUed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuatioa sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name title and teIephone number. Public reporting burden for this collection of information is estimated to average 3 0 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden cstimste or any other aspect of this collection of information, including suggestions for reducing this burden; to the Office ofMaaagement and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. C-15 Page 12-55 Local Assistance Procedures Manual E?CffiMII.12-E PS&E Checklist Instructions Attachment L LOCAL AGENCY BIDDER -DBE INFORMATION This information may be submitted with your bid proposaL If it is not, and you are the apparent low bidder or the second or third low bidder, it must be submitted and received by the administering agency no later than the tune ecified in the eciai provisions. COJRTEJP.Nt: BMDER'SNANZ PALM' INC. DBA EXCEL. PAVINr, t,lpANy CONTRACTNO.: ADDRESS: BID AMOUNT: S BID'OPEMNG DA :brf G o �1 ►1 DBE GOAL FROM CONTRACT CONTRACT ITEM NO. ITEM OF WORK AND DESCREMON OF WORK OR SERVICES TO BE SUBCONTRACTED OR MATERIALS TO BE PROVIDED NAME OF DBE •• (..r'atae of DBEs, Certification Number, and Telephone Number) DOLLAR AMOUNT ••• DBE PERCLIT •+• DBE 8 a t3 Aomxs ut�i;-hc s Ra mar,z sr [tou quo ��t 1 . .� Gt�trri 'lmG, V Cam irk3t2"1''!, n'41b50 ? Total Claimed-tg(o�q Participation a/1 • If 100°/+ of imm is not to be performed or furnished by DB:, describe exact portion, including planned location of work to be aformed. of item to be performed or furnished by DBE DBEs must be certified ty Cal=m on the date bids are orened. Subcontractors and suppliers certified state -funded only cannot be used to met goals on federally funded contracts. •'+ Credit for a DBE supplier, who is not it manufacturer Is limited to 600% of the amount paid to the supplier. (See Section 'Disadvantaged Business' (DBE) of the special provisions) DIPORTAN"r: Names of DBE subcontractors and their respective item(s) of Rork listed above should be consistent v6th the name and items of work in the "List of Subcontractors" submitted with your bid vursuant to the Subcontractors Listing Law. r ],'A _ / SEP 2 S 20��t naQN, t�tidIDE>Jz Date (Area Code) tel.No. Person to Contact (PIeise type or print) Dimlbudon for MIS Projects: Disuibudan for non, -MIS Pmjeus: DEPT.OF TRANSPORTATION (I) Original-Caitrsas DL4E for NUS Pro ems. (2) Coff-land Agency pmjr•t 81c (1) Otig?nal Local Agency project file (FED DBE) MODMI) DC-OE-19 (REY 09-18-95) C-16 Pave 13-b7 EXMBIT 15-K Local Assistance Procedures Manual Report of DBE Aw•=rds REPORT OF DBE AWARDS � StiBAtQ � tau" • COMPLETE THIS FORM FOR EACH CON TRACT Locode: Agency. Project No. DBE Goal: .Total Contract Bid: Reimbursement Ratio: Federal Share: Award Date: Combined DBE Percent of Federal Share for this Project: DBE Subcontractors (excludine women) Awarded by Ethinic Groun and other Disadvantaved. Black Hispanic Native Asian- Indian Asian- Pacific Other Total A No. Total 3 Fed S DBE Subcontractors (excludinz men amber of subcontracts awarded by type of work: Erofe -,sional and Consultant Services 1. Engineering 2. Architectural 3. Rl*.t of Way 4. O-her Const uucctiou 1. G_ading/Drainage 2. Pwving 3. Structures/Buildings 4. Materials 5. Equipment 6. Trucking 7. Traffic Control S. Landscaping 9. Other TOTALS: Grand Total Total A + B No. Total S Fed $ DBE ME (excluding women) • Note: For the purpose of this report, use the following definitions. • DBE - disadvantaged business enterprise • IAWBE — minority women business enterprise WWBE - white women business enterprise rr—, 7 EXt"."EL PAVING COMPANY A GENERAL ENGINEERING CONTRACTOR STATE LICENSE NO. 688659A P.O. BOX 16405 LONG BEACH, CA 90806-5195 (562) 599-5841 FAX (562) 591-7485 C. P. Brown, President: 33 years experience working for other general contractors with the past 22 years being self- employed in own general engineering contracting business. INCUMBENCY AND SIGNATURE CERTIFICATE OF PALP, INC. The undersigned, Carolyn J. Brown, being the duty elected and Incumbent Secretary of PALP. Inc. dba Excel Paving Company, a California corporation (the "Corporation"), hereby certifies that the persons named below are, on and as of the date hereof, the duly qualified, elected and acting Officers of the Corporation holding the office set forth opposite their names below, such officers being authorized to sign, in the name of and on behalf of the Corporation. Curtis P. Brown President and Chief Operating Officer Carolyn J. Brown Secretary and Chief Financial Officer George R. McRae Senior Vice President Curtis P. Brown 111 Vice President Bruce E. Flatt Vice President & Assistant Secretary Michele E. Drakullch Assistant Secretary IN WITNESS WHEREOF, the undersigned has executed this Certificate as of the date set forth below. Date: November 5, 2001 / AROLYN . B , ecretary N :EXCEL PAVING COMPANY A GENERAL ENGINEERING CONTRACTOR STATE LICENSE NO. 688659A CREDIT APPLICATION Excel Paving Company 2230 Lemon Avenue P.O. Box 16405 Long Beach, CA 90806 Telephone:562-599-5841 Fax: 562-599-3679 Type of Business: General Engineering Contractors Contractors License # 688659A Fed I.D.# 953672914 Excel Paving Company Is a Corporation Owner. Palp, Inc. 2230 Lemon Avenue Long Beach, CA 90806 In business since October 1981 Same location since October 1981 Property owned by Brown 8 Mills Financial rating with Dun & Bradstreet: Rating 3A2, SIC # 1611 US Bank, 2633 Cherry Ave., Signal Hill, CA 90806 Account Representative: Liz Acres or Celine Gonzalez Telephone: 562-490-2068 or 562490-2079 Checking Account #1534-9195 8689 TRADE REFERENCES: P.O. BOX 16405 LONG BEACH, CA 90806-5195 (562) 599-5841 FAX (562) 591-7485 Cow Phone Fax Contact Vulcan Materials 323-258-2777 323-254-6102 Silvia Asredondo R.E.H. Trucking 909-591-0871 909-591-0506 Gina Mendiola Blue Diamond Materials 714-578-9507 714- 49-2831 Jerry Easterwood Savala Equipment 800-223-2473 949-552-8597 Mona Covington SPECIAL BILLING REQUIREMENTS: Show job number on Invoices to expedite payment. I certify that the above Information Is true and correct, and that we can and will comply with your terms. C.P. Brawn Date President EXCEL PAVING COMPANY P.O. BOX 16405 A GENERAL ENGINEERING CONTRACTOR LONG BEACH, CA 90806-5195 STATE LICENSE NO. 688659A (562) 599-5841 FAX (562) 591-7485 Reference List As of May, 2000 I. City of Long Beach 333 West Ocean Boulevard Long Beach CA 90802 Gillis Munroe, Chief Construction Inspector (562) 570-5161 2. Burbank -Glendale -Pasadena Airport Authority 2627 Hollywood Way Burbank CA 91505 Dan Feger, P.E. (818) 840-9456 Or (818) 840-8840 3. Los Angeles County Public Works 900 South Fremont Avenue Alhambra CA 91803 Gary Hartley, Construction Division (626) 458-3100 "U""EL PAVING COMPANY A GENERAL ENGINEERING CONTRACTOR STATE LICENSE NO. 688659A Bonding Agent: Rapp Surety Services 23461 South Pointe Drive Suite 345 Laguna Hills CA 92653 Contact: Douglas A. Rapp Office: (714) 457-1060 Fax: (949) 457-1070 Surety: Federal Insurance Company C/O Surety Department 801 South Figueroa Street 23n° Floor Los Angeles CA 90017 Insurance Carrier: A. P.O. Box 30127 Los Angeles CA 90030-0127 The Wooditch Company One Park Plaza Suite 400 Irvine CA 92614 Contact: William Wooditch Office: (714) 553-9800 Fax: (714) 553-0670 P.O. BOX 16405 LONG BEACH, CA 90806-5195 (562) 599-5841 FAX (562) 591-7485 EXCEL PAVING COMPANY OPEN JOBS 2003 ESTIMATED % BACKLOG JOB FINAL WORK WORK REMAINING NO. PROJECTIOWNERIAGENCY INCOME COMPL. 3369 ONE OCEAN TRAILS DR., 187.017 100.0% 3589 MEDICI, LOS ANGELES 1,300,961 100.0% 3637 12015 HARBOR BLVD., GARDEN GROVE 292,022 100.0%Q 3704 TAXIWAY D L.B. AIRPORT 3,698.591 100.0% 3714 PIERT, PORT OF LB 14,292.378 100.0% 3716 710 FWY PCH TO 405 19.243,795 9B.2% 3721 IMPERIAL HW LOS ANGELES 1,037,837 99.9% 3723 INDIANA & WA VERNON 158,522 86.2% 3737 4341 E. WASHi COMMERCE 4,354,077 100.0% 3742 HENRY FORD, LA 2,700,058 100.0% 3747 WEST & EAST ALAMEDA 7,215.816 100.0% 3807 OVERLAND AV LOS ANGELES 2,014,005 100.0% 3833 GRAND CANA LOS ANGELES 690,359 100,0%v 3834 GATES 3 & 4 L.B. AIRPORT 434,826 100.0% 3835 SECURITY GA L.B. AIRPORT 350,251 100.0% 3836 BELLFLOWER LONG BEACH 587,385 99.8% 3837 PARKCREST LONG BEACH 576,440 100.0% 3836 COLLEGE PAR LONG BEACH 129.620 100.0% 3839 VARIOUS STR LONG BEACH 1,414,033 100.0%D 3841 MANUAL INTE PORT OF LA 10.946,975 1.5% 3843 LAUREL CYN LOS ANGELES 722,540 100.0% 3844 SHADY CYN P IRVINE 134,618 100.0% 3853 MISSION BLVDPOMONA 1,933,686 100.0% 3855 21 ST ST., HERMOSA BEACH 93.674 94.9% 3860 54TH ES, LOS ANGELES 372,883 100.0% 3862 VARIOUS ST 0 RANCHO PALOS VERDES 1,335,586 100.0% 3865 2627 HOLLYW BURBIGLEN/AIRP 153,295 99.5% 3866 HARDING AVE LA 1,272,458 99.9% 3867 SAN FERNANDLA 241.389 100.0% 3875 ORANGE AVE. LONG BEACH 1,075,722 100.0°% 3876 PARTHENIA, LA 1,068,233 100.0% 3880 BERTH 212- 22 POLA 5,249,813 99.9% 3881 BROADWAY LA 2,370.101 97.0% 3882 RTE 110 LOS ANGELES 13,878 1.0% 3888 2001-2002 AN BEVERLY HILLS 1,071,191 100.0% 3891 DODSON MS LA 417,115 100.0% 3893 CHERRY AVE LONG BEACH 47,332 49.5% 3894 ROWAN AVE LA 529,889 100.0% 3895 PIER S PORT OF LONG BEACH 11,152,520 99.4% 3898 1200 GETTY C LOS ANGELES 83,066 98.1 °% 3900 CENTURY PK LOS ANGELES 769,641 100.0% 3904 ST. JOHNS HL SANTA MONICA 307,699 100.0% 3906 ROUND MEAD HIDDEN HILLS 481,337 100.0% 3907 ADDAMS ES LONG BEACH 298,807 100.0% 3908 13652 CANTA LOS ANGELES 351,000 100.0% 3909 AMGEN CTR THOUSAND OAKS 904,004 100.0% 3910 AMGEN CTR THOUSAND OAKS 181,997 100.0% 3912 GRAND AVE EL SEGUNDO 285,134 87.0% 3914 ALLEYS -13TH SEAL BEACH 1,176,425 100.0% 3915 OVERLAND ES LOS ANGELES 412,000 100.0% 3916 JOHN MUIR M LOS ANGELES 346,489 100.0% 3919 AVENIDA 14MAZ SANTA MONICA 10.370 100.0% 3922 BELLAGIO & N LA 1,274,420 67.1 % 3923 OLYMPIC BLV BEVERLY HILLS 1.093,192 100.0% 3925 DIAMONDICRE LAGUNA BCH 266.863 100.0% 349,155 676 21,908 1.323 10.779.418 4,740 737 1,897 2,864 72,224 13.743 23.893 62.192 1,542 36,969 418,912 r; EXCEL PAVING COMPANY OPEN JOBS 2003 ESTIMATED °% BACKLOG ' JOB FINAL WORK WORK REMAINING NO. PROJECTIOWNERIAGENCY INCOME COMPL. 3C-26 KENNETH VILLGLENDALE 934.377 100.0°% 3S27 BUS CENTER, INGLEWOOD 1,228.113 97.9°% 25,627 3429 OLYMPIC BLV LOS ANGELES 501,589 99.7°% 1,734 3131 PCH 8 ADMIR SUNSET BEACH 161,473 99.9% 3933 CORONA AVE LOS ANGELES 420.114 100.0% 3S34 ROSCOMARE BELL 491,620 98.4°% 8,016 3937 1730 CORONA LONG BEACH 3,800 100.0°% 3939 GLENNEYRE S LAGUNA BCH 408,063 100.0°% 3940 HARDING E.S., SYLMAR 634,037 100.0% 3941 SOUTH STREE LONG BEACH 334,371 100.0% 3943 SOMERSETBLBELLFLOWER 322,468 100.0°% 3945 CAMINO CAPI SAN JUAN CAPISTRANO 299,287 100.0°% 3947 TUSTIN AVE., ANAHEIM 3,855.000 62.1% 1,460,824 3948 PALISADES C LOS ANGELES 209.154 60.0°% 83.625 3949 2300 E. PCH, WILMINGTON 110,062 100.0°% 3950 PV. DR/SCHO RANCHO PALOS VERDES 27,036 100.0°% 3951 2401 E. WARD LONG BEACH 399,700 100.0°% 3952 DO'M4EY HOS DOWNEY 22,784 36.0°% 14,593 3953 PLAYA DEL RE LAUSD 468.728 100.0°% 3954 505 N. FIGUER LOS ANGELES 106.331 100.0°% 3959 SANTA MONIC LOS ANGELES 42.569.000 19.8°% 34,156,524 3961 YACHT HARBOR, 157.908 95.4°% 7,247 3962 S. AIACLAY AV SAN FERNANDO 412,397 100.0°% 3963 ELDORADO P LONG BEACH 156,007 100.0°% 3954 LONG BEACH LONG BEACH 343.141 99.8°% 762 3956 13652 CANTA PANORAMA CITY 50,000 15.8°% 42,091 3957 5722 DAIRY A LONG BEACH 5,500 100.0°% 3957 5722 DAIRY A LONG BEACH 5,500 100.0°% 3959 BERTH 2O6-20 PORT OF LA 3,147.023 90.6°% 296,867 3971 VARIOUS & W CULVER CITY 1,178,796 99.7°% 3,879 3972 633 W. 5TH ST L.A 10,760 100.0°% 3973 LOS ROBLES THOUS OAKS 311,907 44.1°% 174,453 3976 EXCESLIOR D NORWALK 357,193 .100.0% 3977 ROSECRANS, NORWALK 200,532 '100.0% 3978 WARDLOW'CL LONG BEACH 721.029 100.0°% 3979 WARDL.OWPV LONG BEACH 786,368 ,, 100.0°% 3982 ROSECRANS COMPTON 33,850 100.0°% 3983 18349 FIGUER LOS ANGELES 10,759 100.0°% 3984 CADILLACNE LOS ANGELES 585,293 63.6°% 213.296 3985 TOWN CENTER HALL 143,281 100.0°% 3986 .2627 HOLLYW BURBANK 291,290 99.8°% 556 3987 RAMSDELL AV LA CRECENTA 130.702 100.0°% 3988 VARIOUS ST R SEAL BEACH 161,607 68.5°% 50,980 3989 SEE JASON MARTIN 0 100.0°% 3990 OCEAN BLVD LONG BEACH 1,284.138 90.9°% 116,899 3991 ROSECRANS NORWALK 91,835 100.0% 3992 NEWPORT BLVDMCTORIA 279,603 90.6°% 26,341 3993 108016TH RANCHO CUCUMONGA 301.499 100.0°% 3995 ALICIA PKWY/PASEO DE ALICIA 246.473 100.0°% 3996 SEE JOB#3934 0 100.0°% 3998 COLLEGE PK SEAL BEACH 6,600 100.0°% 3999 LILO PKG LOT ANAHEIM 181.180 100.0% 4000 HOLLYWOOD WAY OFF RAMP 46,240 10040°% 4001 BRISTOLMEMLOCK 24,140 100.0% 4002 170TH ST, ARTESIA 82,489 6.7°% 76,941 4003 710 FRWYIANAHEIM 312,757 42.3% 180,578 4004 GREEN VALLY CIRCLE CULVER CITY 1,118.606 98.2°% 20,436 4005 CATALINA LANDIND LB 1,400,000 85.7% 200,181 EXCEL PAVING COMPANY OPEN JOBS 2003 ESTIMATED % BACKLOG JOB FINAL WORK WORK REMAINING • NO. PROJECTIOWNERIAGENCY INCOME COMPL. ' 4006 LB AIRPORT P L.B. 178,897 100.0% 4007 LB AIRPORT PW107104 32,010 100.0% 4009 HAVEN ST, RNCHO CUCAMONGA 371,360 99.3% 2,780 4010 MAPLE AVE MONTEBELLO 118,886 100.0% 4011 BURBIGLENIPASA AIRPORT 271,638 98.8% 3,223 4012 CAMELLA ES N. HOLLYWOOD 154.652 60.8% 60,578 4013 FILBERT AVE SYLMAR 36,253 100.0% 4014 CANTEBURY AVE ES 471,227 99.7% 1,501 4015 MCCOY CLEAR VW DR 6,500 100.0% 4016 STEVENSONIJOHNSON 400,000 91.2% 35,194 4017 POLA BERTH 210-211 1,093,039 2.5% 1,066.079 4018 MT SAC 1,368,000 96.3% 50,968 4021 INGLEWOOD AVE 180,463 100.0% 4023 GARDENDALE DOWNEY 146,398 100.0% 4024 UCLA KINROSS 1,900,000 35.4% 1,227.856 4025 SANTA MONICA ES 8,880 100.0% 4026 GAGE & COMPTON 321.776 89.4% 34,258 4027 BEVERLY HILLS 3RD/CIVIC 27,170 100.0% 4028 CALIFIBURNETT SIGNAL HILL 80,600 80.2% 15,950 4029 MANCHESTER BLVD. BUENA PARK 107,900 100.0% 4030 CAMINO LAS RAMBLAS 227.391 0.8% 225,607 4031 BARTONIBURCHIPRISK 436,139 89.4% 46,364 4032 DORLANDINORWALK 83,009 95.1% 4,109 4033 LB AIRPORT VARIOUS 65,851 100.0% 4035 MAINT ST & MACARTHUR 522,995 0.7% 519.177 4038 RE GRP 190TH GARDENA 19,199 100.0% 4039 NO VLY OCC CENTER 419,323 76.1% 100,190 4040 HATH DIN ANTON BLVD 90,000 100.0% 4041 HARVARD AVE. IRVINE 1,076.979 12.3% 944,394 4042 TUDOR WESTWOOD PLAZA 752,600 0.5% 748,617 4043 LAS BRISAS 37,540 87.1% 4,836 4044 BELU33RD ST MAN. BCH 58,660 0.7% 58,269 4045 5 FRWY, OR. CO 148,290 1.4% 146,241 4047 DAPPLEGRAYI R.H.E. 394,473 85.9% 55,483 4048 4100 RPV SO RPV 350,000 36.6% 221,879 4049 TOWN CENTE COSTA MESA 36,000 100.0% 4050 CRENSHAW B LACPW 1,174,657 0.5% 1,168,453 4051 BLDG M-4 NORTHROP GRUMAN 290,000 79.0% 60,872 4052 BAKE PKWY IRVINE 26,900 75.5% 6,588 4053 340 LOMA L.B. 4,200 12.8% 3,664 4055 L.B. AIRPORT L.B. 15,317 100.0% 4057 PALO VERDE UCI 574,000 0.5% 570,863 4059 MARK TWAIN LA 600,000 0.7% 595,620 4060 1100 N. GRAN WALNUT 1,170,197 0.6% 1,163,170 4061 PANKOW BLD M.B. 627,000 0.0% 627,000 4063 190 MARINA D LB TRANSIT 94,W0 0.5% 94,400 4064 WALGROVE E. L.A. 719,719 0.7% 714,896 4065 LA CITY COLL LA 322,000 68.3% 102,134 EXCEL PAVING CO. CLOSED JOBS 2003 JOB Year of 2003 ' NO. PROJECT NAME 3498 9425 PENFIELD AVE, CHATSWORTH 3307 BRISTOL ST., SANTA ANA 3662 777 PAULING DR., THOUSAND OAKS 3366 555 W. TEMPLE ST., LOS ANGELES 3569 23388 MULHOLLAND, WEST HOLLYWOOD 3572 SHADY CYNISAND CYN, IRVINE 3693 11847 W. GORHAM AVE. 3720 2699 PALOMA ST., 3732 GARVEY & CORP CTR, 3745 WARNER AVE., 3752 PIER 400 ICTF, 3764 BERTH 230-232 3768 ERRINGER AVE 3788 PALO VERDE AVE 3796 VARIOUS LOCATIONS 3797 GOMPERS ELENI SCH 3812 2627 HOLLYWOOD WY, 3814 PIER 400 LEAD TRK, 3817 PORTSHEAD RD., 3818 BERTH 115 3821 MACARTHUR BLVD. 3829 COMPTON AVE 3840 *CALIFORNIA REHAB 3846 42ND & ANGELES MESA E.S. 3847 * STRT REHAB 3848 SANTA MONICA MUNICIPAL POOL 3852 BANDERA RD. 3857 9521 DALEN ST, 3858 VON KARMAN & MAIN, 3859 OLD TOWN WEST, 3863 E. PKG LOT AVIATION, 3869 SEPULVEDAIPCH 3870 CRENSHAW BLVD., 3871 CARSON:& HELMS 3872 TAFT ES, 3874 SYLMAR HS, 3877 LONG BEACH AIRPORT 3883 15 AVE SCHOOL 3884 DANA MIDDLE SCHOOL 3885 PIER W 3886 PKG LOTS D & E 3889 74TH ST ES 3892 CLEVELAND HS LOS ANGELES PASADENA MONTEREY PARK SANTA ANA LA POLA SIMI VALLEY LONG BEACH SIMI VALLEY LONG BEACH BURBANK POLA MALIBU SAN PEDRO IRVINE LA COUNTY GLENDALE LOS ANGELES GLENDALE SANTA MONICA LA DOWNEY IRVINE LOS ALAMITOS REDONDO BCH MALIBU LA CULVER CITY LOS ANGELES LOS ANGELES LONG BEACH LOS ANGELES LOS ANGELES PORT OF LONG BEA LONG BEACH LOS ANGELES FINAL INCOME AMOUNT 524,427 8,891,538 246,72-9 833,768 2,166,833 11.156.694 181,777 109.929 2,292,779 2,645.776 6.718,112 2,259,075 520,781 488,074 2,021,101 526,406 3,659,178 3,013,820 154,668 1,603,575 364,009 1,335,672 289,022 626,703 1,967,209 4,900 232,256 41,478 122,403 848,052 434,879 41,910 1,301,618 910,143 371,367 452,900 28,500 245,632 631,459 385,401 341,042 270,412 98,100 z CLOSED JOBS 2003 Year of 2003 JOB NO, PROJECT NAME FINAL ' INCOME AMOUNT 3896 FISHBURN AVE ES LOS ANGELES 304,115 3897 2100 AMGEN CTR DR, THOUSAND OAKS 113.884 3899 LOCAL ST REHAB LAWNDALE 348,148 3901 VIEWLINE DR SIMI VALLEY 319,900 3903 LEXINGTON & BURTON BEVERLY HILLS 139,610 3905 RTE 5160 AT SOTO, LOS ANGELES 7,233 3911 SUPER BLOCK PKG SANTA ANA 208,478 3917 UCLA CAMPUS LOS ANGELES 135,323 3918 MULHOLLAND HWY LA 16,629 3921 BOLSA CH1CA & RANCHO HUNTINGTON BCH 25,078 3930 EL CAMINO REAL, LOS ANGELES 373,649 3935 GAULT ST. E.S., LOS ANGELES 594,379 3936 EL MORRO ES, LAGUNA BCH 29.900 3938 DORSEY H.S., LOS ANGELES 159,454 3942 LONG BEACH AIRPORT LONG BEACH 16,022 3944 DANA POINT HARBOR DANA POINT 383,919 3946 2021 E. ROSECRANS, EL SEGUNDO 2,500 3955 WASH & INDIANA, VERNON 150,698 3956 8111 VENTURA, PANORAMA CITY 13,497 3957 SOUTH BEACH IMPVTS, SANTA MONICA 19,250 3958 PIER T GDR XING, PORT OF LONG BEA 77,912 3960 UCLA CAMPUS, LOS ANGELES 47,499 3965 2670 HOLLYWOOD WAY, BURBANK 59,560 3966 13652 CANTARA, PANORAMA CITY 0 3968 OCEAN PK, SANTA MONICA 198.605 3970 CABRILLO AVE ES, SAN PEDRO 375,255 3972 633 W. 5TH ST, LOS ANGELES 10,760 3974 DISCOVERY WELL PK, SIGNAL HILL 57,625 3975 2401 E. PCH, WILMINGTON 7,147 3980 7100 SANTA MONICA LOS ANGELES 4,361 3994 3333 SKY PK DR TORRANCE 5,029 4008 MOOG WESTERN AVE 128,302 4019 GRAND ST, LO 1,996 4020 PIPE CON PCH 3,800 4022 BOEING PLANT 42 PLMDL 305,399 4034 OSO PARKWAY 53,354 4036 WHITTIER SCHOOLS 41,231 4037 33RDIORANGE SH 15,489 4046 LINCOLNIJEFFERSON L.A. 16,011 4054 WORLD WAY WEST L.A. 8,676 4056 2300 PCH L.B 3,400 4058 SANTA MONICA/HILLCREST B.H. 1,550 CONTRACTOR'S NAME. PALP_,INC. _DBA EXCEL PAVING COMPANY A C014PANY EXPERIENCE -(REFERENCE 1.05 OF THE RESPONSIBILITY STATEMENT) FORALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH AVALUE IN EXCESS OF $2.000.000 CQklPLETEDWfTHlN THE AST FIVE YEARS AND OP RATIONAL FOR AT LEAST ONE YEA PROVIDE THE FOLLOWING INFORMATION: PROJECT NAME;: PIER T MARINE TERMINAL PROJECT DESCRIPTION: DEMO, ASPHALT CONCRETE, CRUSHED MISC. BASE, ELECTRICAL, SIRIEJUG,BATHROOMS, SIGN STRUCTURES, UNDERGROUND, CONCRETE FOR THE PIER T MARINE TERMIEKLE, LONG BLACH LOCATION: PIER T DATE OF OCCUPANCY BY OWNER: CONSTRUCTION VALUE: $33,481,910.00 PROJECT DURATION- PER CONTRACT 6/98 M7WK THRU 12/99 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR: K/A INITIAL SUBCONTRACT VALUE: FINAL SUBCONTRACT VALUE: ARCHITECT: PORT OF LONG BEACH GENERAL CONTRACTOR INFORMATION NAME: PALP INC. DBA EXCEL PAVING COMPANY CONTACT:' BRUCE :FLATT TELEPHONE: Sfi2/599-5841 OWNER INFORMATION NAME: ONG BEACH CONTACT: .GARY CARDAMONE TELEPHONE:? 562/590-4172 DOLLAR AMOUNT OF CLAIMS SUBMITTED INITIAL SETTLEMENT PERCENT COMPLETE: % ALL CIMNGES ARE MUTUALLY AGREE TO An TYPICALLY AGENCY GENERA' COPY ADDITIONAL PAGES AS NEEDED 14 CONTRACTOR'S NAME PALP INC. DBA ExCE P�AVINQ .COMPANY A. COMPANY EXPERIENCE -(REFERENCE 1.05 OF THE RESPONSIBILITY STATEMENT) FORALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH AVALUE IN EXCESS OF $2,000,000 COMPLETED WITHIN THE LAST FIVE YEARS AND OPERATIONAL FOR AT LEAST ONE YEAR PROVIDE THE FOLLOWING INFORMATION: PROJECT NAME: OCEAN BLVD. EAST AND WEST RECONSTRUCTION PROJECT DESCRIPTION: SEWER/WATER/STORM DRAIN, GRADE CHANGE, CMB, A/C, STRIPING, SIGNALIZATION . LOCATION: OCEAN BLVD. EAST AND WEST DATE OF OCCUPANCY BY OWNER CONSTRUCTION VALUE: $11,290 * 045.00 PROJECT DURATION -PER CONTRACT 6/99 AIMV&THRU 12/99 IF YOUR WORK WAS PERFORMEb AS A SUBCONTRACTOR: NIA INITIAL SUBCONTRACT VALUE: FINAL SUBCONTRACT VALUE: ARCHITECT: PORT OF LONG BEACH GENERAL CONTRACTOR INFORMATION NAME: PALP INC. DBA EXCEL PAVING COMPANY CONTACT:' BRUCE FLATT TELEPHONE: 562 /599-5841 OWNER INFORMATION NAME: PORT OF LONG BEACH CONTACT: GARY CARDAMONE TELEPHONE:5621 590-4127 DOLLAR AMOUNT OF CLAIMS SUBMITTED INITIAL SETTLEMENT PERCENT COMPLETE: % ALL CHANGES ARE MUTUALLY = === TO AND TYPICALLY AGENCY COPY ADDITIONAL PAGES AS NEEDED 14 CONTRACTOR'S NAME_ PALP IN, -DI) A EXCEL PAVING_ COMPANY A. COMPANY EXPERIENCE -(REFERENCE 1.05 OF THE RESPONSIBILITY STATEMENT) FORALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH AVALUE IN EXCESS OF $2.000,000 COMPLETED WITHIN THE LAST FNE YEARS AND OPERATIONAL FOR AT LEAST ONE YEAR PROVIDE THE FOLLOWING INFORMATION: PROJECT NAME: THE PORT OF LONG BEACH PROJECT DESCRIPTION: PIER J SITS IMPROVEMENTS RAILROAD, WHARFS, FENCE, ELECTRICAL, STRUCTURES, LANDSCAPE, ASPHALT CONCRETE, CRUSHED MISC. BASE LOCATION: PER J HARBOR SCENIC DATE OF OCCUPANCY BY OWNER: CONSTRUCTION VALUE: $ 9.138 ,146.00 , PROJECT DURATION - PER CONTRACT 4/98 ABWC THRU 3/00 IF YOUR WORK WAS PERFORMEb AS A SUBCONTRACTOR: N/A INITIAL SUBCONTRACT VALUE: FINAL SUBCONTRACT VALUE: ARCHITECT: PORT OF LONG BEACH GENERAL CONTRACTOR INFORMATION NAME: PALP INC. DBA EXCEL PAVING COMPANY CONTACT:' BRUCE FLATT TELEPHONE: 562/5 99-5841 OWNER INFORMATION NAME: THE PORT OF LONG BEACH CONTACT: GARY CARDA110NE 'TELEPHONE: _562/590-4127 DOLLAR AMOUNT OF CLAIMS SUBMITTED INITIAL SETTLEMENT PERCENT COMPLETE: % ALL CHANGES ARE MUTUALLY AGREEI TO AN TYPICALLY AGENCY GENERA'I COPY ADDITIONAL PAGES AS NEEDED 14 CONTRACTOR'S NAME PALP INC. DBA EXCEL PAVING COMPANY A. COMPANY EXPERIENCE (REFERENCE 1.05 OF THE RESPONSIBILITY STATEMENT) PROVIDE THE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH AVALUE IN EXCESS OF $2,000,000 PRESENTLY UNDER CONSTRUCTION. PROJECT NAME: PIER S NORTH FILL PROJECT DESCRIPTION: INSTALLATION OF SEWER, WATER, STORM DRAIN, ELECTRICAL COMMUNICATION, LIGHTING, CONDUIT &.VAULTS, MSE WALL CONSTRUCTOR, GRADING, CMB PLACEMENT & ASPHALT PAxIgG�._..�. - LOCATION: BERTHS S102-S110 CONSTRUCTION VALUE: $10,425,708.00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR: N/A INITIAL SUBCONTRACT VALUE: FINAL SUBCONTRACT VALUE: ARCHITECT: PORT OF LONG BEACH GENERAL CONTRACTOR INFORMATION NAME: PALP INC. DBA EXCEL PAVING COMPANY CONTACT: `BRUCE FLATT_ _ TELEPHONE:562/599-5841 OWNER INFORMATION NAME: PORT OF LONG BEACH CONTACT: GARY BAKER BUTCH MCBLAINE TELEPHONE: 5621432-1778 DOLLAR AMOUNT OF CLAIMS SUBMITTED INITIAL SETTLEMENT PERCENT COMPLETE: ALL CHANGES ARE MUTUALLY erkr: TO AND TYPICALLY AGENCY COPY ADDITIONAL PAGES AS NEEDED 13 CONTRACTORS NAME C01VANY A C MPANY XPE I NN"-(REFERENCE 1.05 OF THE RESPONSIBILITY STATEMENT) FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH AVALUE IN EXCESS OF $2,000,000 COMPLETED WITHI THE LAST FIVE YEARS AND OPERATIONAL FOR AT LEAST ONE YEAR PROVIDE THE FOLLOWING INFORMATION: PROJECT NAME: 1997--98 6 1998-99 ANNUAL INFRASTRUCTURE PROJECT PROJECT DESCRIPTION:-SIBEET IMPROYEMENTS. ASPHALT CONCRETE, COLD MILL- - ELECTRICAL, STRIPING, SLURRY SEAL, CONCRETE LOCATION: VARIOUS LOCATIONS, SANTA CLARITA DATE OF OCCUPANCY BY OWNER: CONSTRUCTION VALUE: ^ S4,n92,472.nn PROJECT DURATION - PER CONTRACT 7/98 AOXIAL TiiRU 12 28 IF YOUR WORK WAS PERFORMEb AS A SUBCONTRACTOR. INITIAL SUBCONTRACT VALUE: N/A FINAL SUBCONTRACT VALUE: ARCHITECT: SANTA CLARITA GENERAL CONTRACTOR INFORMATION NAME: PALP INC. DBA EXCEL PAVING COMPANY CONTACT:' BRUCE FLATT TELEPHONE: 562 599-5841 OWNER INFORMATION NAME: CITY OF SANTA CLARITA CONTACT: KERRY. BYER TELEPHONE: 805/255-4984 DOLLAR AMOUNT OF CLAIMS SUBMITTED INITIAL SETTLEMENT PERCENT COMPLETE: % ALL CHANGES ARE IfUTUALLY AGREE: TO AND TYPICALLY AGENCY GENERA' COPY ADDITIONAL PAGES AS NEEDED 14 CONTRACTOR'S NAME F&I INC. DBA EXCEL PAVING COMPANY A !POMPANYgXPERIENCE JREFERENCE 1.05 OF THE RESPONSIBILITY STATEMENT) FORALL PROJECTS WHICHINVOLVE CONSTRUCTION WORK WITH AVALUE IN EXCESS OF $2,000,000 COMPLETED W THIN THE AST FIVE YEARS AND OPERATI NAL FOR AT LEAST NE Y A PROVIDE THE FOLLOWING INFORMATION: PROJECT NAME: PARK AND RIDE. LOT PROJECT DESCRIPTION:- SITE WORK, BATHROOMS. ASPHALT CONCRETE, CRUSHED MISC. BASE, STRIPING. SJ0,�S, EAUIERS,,_STRUCTURES, BRIDGE WIDENING LOCATION: 91 FWY & 405 FWY DATE OF OCCUPANCY BY OWNER: CONSTRUCTION VALUE: $11, 358,103.00 PROJECT DURATION- PER CONTRACT 4/95 =611AL THRU 8/98 IF YOUR WORK WAS PERFORME'[S AS A SUBCONTRACTOR: N/A INITIAL SUBCONTRACT VALUE: FINAL SUBCONTRACT VALUE: .ARCHITECT: CALTRANS GENERAL CONTRACTOR INFORMATION . NAME: PALP INC. DBA EXCEL PAVING COMPANY CONTACT BRUCE'-FLATT TELEPHONE: 562 /599-58!+1 OWNER INFORMATION NAME: CALTRANS DIST. 7 CONTACT: MURKY MUM TELEPHONE: 213/897-3656 DOLLAR AMOUNT OF CLAIMS SUBMITTED INITIAL SETTLEMENT PERCENT COMPLETE: ALL CRA14GES ARE MUTUALLY TO AND TYPICALLY AGENCY u-v- F:M,4 COPY ADDITIONAL PAGES AS NEEDED 14 CONTRACTOR'S NAME PALP INC. DBA EXCEL PAVING COMPANY A. COMPANY EXPERIENCE {REFERENCE 1.05 OF THE RESPONSIBILITY STATEMENT) PROVIDE THE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH AVALUE IN EXCESS OF $2,000,000 QRESENTLY UNDER CONSTRUCTION. PROJECT NAME: RECONSTRUCTION OF THE BROADWAY SIDEWALK PROJECT DESCRIPTION: SIDEWALK AND BASEMENT STRUCTURAL REPAIR LOCATION: BETWEEN 2ND ST. AND 5TH ST.. LOS ANGELES CONSTRUCTION VALUE: $2,514,839.00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR: N/A INITIAL SUBCONTRACT VALUE: FINAL SUBCONTRACT VALUE: ARCHITECT: CIO LOS ANGELES GENERAL CONTRACTOR INFORMATION NAME: PALP INC. DBA EXCEL PAVING COFXANY CONTACT: BRUCE FLATT TELEPH0NE:562/599-5841 OWNER INFORMATION NNOE: CITY OF LOS ANGELES CONTACT: suAsxT RH.Ax]:A TELEPHONE: 213/847-8982 DOLLAR AMOUNT OF CLAIMS SUBMITTED INITIAL SETTLEMENT PERCENT COMPLETE: ALL CHANGES ARE MUTUALLY AGREED TO AND TYPICALLY AGENCY GENERAT COPY ADDITIONAL PAGES AS NEEDED 13 CONTRACTOR'S NAME PALP INC. DBA EXCEL PAVING COMPANY A. COMPANY EXPERIENCE (REFERENCE 1.05 OF THE RESPONSIBILITY STATEMENT) PROVIDE THE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH AVALUE IN EXCESS OF $2,000,000 PRESENTLY UNDER CONSTRUCTION. PROJECT NAME: TUSTIN AVE., STREET IMPROVEMENT PROJECT DESCRIPTION: A/C PAVE, CMB, RAMP WIDENING, CURB & GUTTER, STRIPING, K-RAIL, DEMO, RETAINING WALLS, BRIDGE ABUTMENTS, IRRIGATION, SIGNALIZATION LOCATION: TUSTIN AVE. AT SR-91 FWY., ANAHEIM CONSTRUCTION VALUE: $347,051 _7S IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR: N/A INITIAL SUBCONTRACT VALUE: FINAL SUBCONTRACT VALUE: ARCHITECT: S/¢ MAREIM GENERAL CONTRACTOR INFORMATION NAME: PALP .INC'.* ABA EXCEL PAVING COMPANY CONTACT: BRUCE FLATT TELEPHONE:562/599-5841 OWNER INFORMATION NAME: CITY OF ANAHEIM CONTACT: RALPH HARP TELEPHONE: 714 / 7 62-5162 DOLLAR AMOUNT OF CLAIMS SUBMITTED INITIAL SETTLEMENT PERCENT COMPLETE: I % ALL CHANGES ARE MUTUALLY ===" TO AND TYPICALLY AGENCY COPY ADDITIONAL PAGES AS NEEDED 13 CONTRACTOR'S NAME PALL INc. DBA FxrrY. Pamr, COMPANY A. COMPANY EXPERIENCE (REFERENCE 1.05 OF THE RESPONSIBILITY STATEMENT) PROVIDE THE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH AVALUE IN EXCESS OF $2,000,000 PRESENTLY UNDER CONSTRUCTION. PROJECT NAME: BERTH 212-225 BACKLAND IRPROVEMENTS PROJECT DESCRIPTION: CONSTRUCT 15 FOUNDATIONS FOR ' , RELOCATE ELECTRICAL CONDUIT AND WATERLINE FOR HMPS AND RELOCATE 15 EMPS, CONSTRUCT 15,000 LF OF CRANE CONC.RUNWAY. CONSTRUCT 3 SUBSTATIONS.4 ASERAJ,1' P"TNG. LOCATION: sgn PEDRO CONSTRUCTION VALUE: $4, 297 , 540.00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR: NIA INITIAL SUBCONTRACT VALUE: FINAL SUBCONTRACT VALUE: ARCHITECT: PORT OF LOS ANGELES GENERAL CONTRACTOR INFORMATION NAME: PALP INC. pnA EZryL .PAYIKC, rc)rfpArly CONTACT: BRUCE MATT TELEPHONE: 562 /59 9-5841 OWNER INFORMATION NAME: PORT OF LOS ANGELES CONTACT: JACK CHANG TELEPHONE: —310/,j, 2-3225,., DOLLAR AMOUNT OF CLAIMS SUBMITTED INITIAL SETTLEMENT PERCENT COMPLETE: % ALL C1LkNGES ARE MUTUALLY AGREI TO AND TYPICALLY AGENCY GENER) COPY ADDITIONAL PAGES AS NEEDED 13 CONTRACTOR'S NAME PALP INC. DBA EXCEL PAVING COMPANY A. COMPANY EXPERIENCE (REFERENCE 1.05 OF THE RESPONSIBILITY STATEMENT) PROVIDE THE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH A VALUE IN EXCESS OF $2,000,000 PBESENTLY UNDER CONSTBUQTION. PROJECT NAME: SANTA MONICA-TRANSIT PARKWAY PROJECT PROJECT DESCRIPTION: UNDERGROUND,- RETAINING WALLS, FWY. ON RAMPS, A/C PAVE, SIDEWALK, CURB & GUTTER, SIGNALIZATION, LANDSCAPING LOCATION: FROM 405 FWY. TO BEVERLY HILLS CITY LIMIT, LOS ANGELES CONSTRUCTION VALUE: S 1G , 455 „152.00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR: N/A INITIAL SUBCONTRACT VALUE: FINAL SUBCONTRACT VALUE: ARCHITECT: C/O LOS ANGELES GENERAL CONTRACTOR INFORMATION NAME: PALP INC. DBA EXCEL PAVING COMPANY CONTACT: I}RVCE_FLATT TELEPHONE: 562/599-5841 OWNER INFORMATION NAME: CITY OF LOS ANGELES CONTACT: CARL NELSON TELEPHONE: 2111847-6613 -..,_ - DOLLAR AMOUNT OF CLAIMS SUBMITTED INITIAL SETTLEMENT PERCENT COMPLETE: ALL CHANGES ARE ' MUTUALLY = = =.::: TO AND TYPICALLY AGEECY T_- COPY ADDITIONAL PAGES AS NEEDED 13 WdMAI fill Ct Nato of Subcontra is Firm: Phone: WO Address: l 1 IJ. �1iA� In T Faa: fM Type of work/services/materials provided: Number of years 1zt business: Contact Person:: T hWM Is the firm currently certified� s a DBE under 49 CFR Part 26? El Yes Ef No Check the box below for the firm's annual gross receipts last year. LAC. 33�D3S3a3 IA-VLess 0 Less than SI miWon D Mess than $5 million than SIO trillion than S15 minion 0 More than SIS million UsI Bidder's. Inforniatioltfor ,quote1 c , � Name of Subcontractor' Firm: Phone: fn -IW 'j= pdk Address: 11fD U41, Sr Fax: VM 7M kALnj Type of work/services/materlah provided: Number of years in business: AS V C•b j SU 1 SLY' Contact Person: Is the firm currently certifie-d�►s a DBE under 49 CFR Part 26? 0 Yes tallo Check the box below for the firm's annual gross receipts last year. l c # 21DID7 3' A 0 Less than $1 million ❑ Less than $5 million a Less than $10 million 0 Less than S15 million More than $15 million { { { Jbid { 1 �iroj�cts,.1 obtain Name o Sui.cortract r'a i ; Phone: f" J u ti Address: 1!451 OUtnek Dir. I'Fax: (CM twim,to(A CA aw Type of work/seniceslmaterials provided: Number of Sears in business: Contact Person:.CO(Y\ LA rub ficurrently certiiled as a DDE under 49 CFR rrsjrto2d Check the box beloij- for the frm's b? 0 Yes o annual gross receipts last year. 0 than S1 million Less than SS million LAC, � C�� �O, l•� 0 Less than $14 million 0 Less than S15 million 0 More than $15 million Cold M;l1 bc attract r't i Name of C-10i Phoae: Address: 5'kl W. 1.}lMytt0�1et 1j Fax: 641 &611 203CI LA kha\ C a Type of work/senices/materials pro-vided: CO�d Mi Gl Number of years In business: k Contact Person: Is the firm currently cert ed��s a DBE under 49 CFR Part 26? 0 Yes Q'ilo Check the box below for the firm's annual gross recel is last year. 0 Less than SI miWon than S5 million 011 0 Less than S10 million 0 mess than S1S million 33�01❑ Mora than $15 million List Didd,cr"s �JnrornW!Oh for each Subcontr3cluf ithat bid or quote subcontracts un I . )OT-ars%liled &B Name of Subcontractor's Firm: Be:Pbo( ) Address: Fax: ( } Type of work/services/materials prodded: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check the boar below for the firm's Part 26? 0 Yes 0 No annual gross receipts last year. ❑ Less than $1 million 0 Less than $5 million ❑ Less than $10 million 0 Less than $15 million 0 More than $15 million 4 Nance of Subcontractor's Firm: PlsoQe: ( } Address: Fax: ( } Type of work1senices/materials prodded: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? ❑ Yes ❑ No annual gross race[ is last near. 0 Less than $1 million 0 Less than $S million 0 Less than $10 million 0 Less than $15 minion 0 More than S15 million EketffiCAL Name of ubcontractor's Firm: Phone: (jig E)J�e -ICM 1AA1#1% ME-4 Address: 1AW, %'{-,, 'V_r Fix: hiLV Z1 Los PRam vi-p Type of worl,/sen•ices/materials provided: Number or years in business: Contact Person: -rimer Is the firm currently certifieda DBE under 49 CFR tart 26? ❑ Yes6'No Check the boa below for the firm's annual gross receipts last Xear. V; (, 551D 113 1 Z 1P a5 -320A I A M O Less than S1 million 0 Less than 55 million 0 Xess than S10 mllllon 211ASS than S15 mififon 0 More than $15 million List! Bidd�-r�sllnfbrmatioh for each Subcontmcloe, thal pid or 1111-0temitcanivarts on DOT-aWitc , d c Name of Subcontractor's Firm: . Phone., S1 Y � til �8 Address: `U51k0 Ar"%.. +,, cT- IDJA f\US vt CkVqC)Lp Fav eig 'ill CLIAS Type of work/services/materials provided: Cat G" INumberof years In business: 1D k- Contact Person: Is the firm cu ently certified as a DBE under 49 CFR Part 26? CYes ❑ No Check the box below for the firm's annual gross receipts last year. G U b J�- 5 k0152) ❑ Less than $l million 0 Less than S5 znHHon 0 ess than SIO million GrIAss than S15 million 0 More than $15 million Name of Subcontractor's Fl Address: 221 �} . (L01Abr& AVC) _ LOS AnL&x CA cl a Number of years In b siness: I rL.&. Phone: (a}l) 31&2, Z3 Fax: (21313g i (v' 8 t Type of worklsenices/mi provided: Contact Person. �i`1 Is the firm currently certified� s a DBE under 49 CFR Check the boa below for the f rm's Part26? ❑ Yes NNS o I annual Bross receipts last year. 0 Less than S5 million 0 Less than S10 million 0 Less than $15 million More than Sly million V X.V[Y'l Ulrt__. Name of Subcontract r't Firm: L Phone: (101 371 4to2,, Address: tALA 0 . 5 K%TlA Avu effM1,4, CA 011'500 Number of years in business: 1R .� Far: � ?,�g �qVp Type of work/services/materials proAded: iG�� Contact Person: US Is the firm currently certifled as a DBE under 49 CFR Part 26? ❑ Yes 0140 Check the box below for the firm's annual gross recel is last year. LIe. Av- ��� 3�2. {�,�. b tT" ❑ Less than 51 million ❑ Less than 55 wMion 0 Less than SIO millionT ❑ Less than SIS mlWon More than S15 million ..W11.1p. vrill.q. Name of Subcontractor's Address: ia3q) 6 . DOSM-Af, CA Number of years In business: 10 k Phone: (1 j) FAY: (119 CM g15501 T)'pe of work/ser vIces/materials provided: Contact Person:•r SmcMStx� Is the firm currently certified a DBE under 49 CFR Check the box below for the firm's Part26? ❑ Yes la No Annual gross recei is last year. 0 Less than $1 million LAC '�p (p1q ,5kQ) ❑ Less than S5 million 22 Z. 0 r + 18..�, I ss than S10 million :�7 U`t�{ `� 0 Less than S15 million O More than S15 million Name of Subcont etor's Firm* Phone: ((t4 520 i S A- C-, Address. q�{P S. �,�� Sf 2$0 Fax: hp� 510 Lk0?. Type of work/senices/materials provided: Number of years in business: Contact Person: L.G V Is the Crrm currpe�ntly certified as a DBE under 49 CFR Part 26? E�rYes ❑ No Check the box below for the firm's annual ross receipts last •ear. eo IT VF p 12VA_ e0l QO 0 Less than Si snlWor► © Leg than S5 million Less than S10 million 0 Less than S1S million 0 More than S15 million CILwi AL. Name of ubconAr etor' Firm: Phone: WO aZ1 n1141 Address: �tzi� Sc.6v►r AVU 11 A gD201 Fax: (5W Type of n•orkfsenices/wateriah prodded: �(t CgrI G4L- Number of years in business: �,L Contact Person: -Ub S1ulOAS Is the firm currently certified as a DBE under 49 CFR Part 26? 0 Yes B'h'o Check the box below for the firm's annual gross receipts last year. r O Lew than $1 Million D Less than S5 million ❑ Less than S10 million PlAw than S1S minion ❑ Mon than $15 Mallon Subcontractor Jt Name nfSenccontractoar'm xrrut: �„ d Phone. c i - a2 ' Address:3opp E Cpf�na.d0 S'r NYUJNC' M Cr OtTeo (Q Faz: h''B fo32 �Sta� Type of rvork/services/materials provided: E CAY't CAJ - Number of years in business: L Contact Person: fnn Is the firm currently certidiedps a DBE under 49 CFR Part 26? 0 Yes Check the box below for the firm's annual gross receipts last year. `i C 4 2'1 ! i A f C lO �� _ d3�40 0 Less than S1 million ❑ Less than $5 mHUon ❑ Less than S10 million 0 ss than $15 million More than S15 million Name of Subeontrac or's Firgti:. Phone: ( ) Address: 15 too E NjS w 00smr 1-145 Fax: ( ) Type of Rork►sen-ices/materials proiided: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Part 26? 0 Yes ❑ No Check the box below for the firm's annual gross receipts last year. I .�� i� ��n � 1.-.1 �r L- ❑ Less than $1 million 0 Less than 55 million 0 Less than S10 million 0 Less than S15 million ❑ More than $15 million Name of Subcontmetor' +r• Phone: ( )-�t� L 1t C,7Y� [h L Address: �5__1--1G �'[St�N G Fu: ( )`li �T1D�.1w� 7rpe of work/services/materials provided: Number of years In business: � ,t• CALdy(_1 _ Contact Person: �f Is the tlrm currently certffl d 4 a DBE under 49 CFR Check the box below for the firm's Part 26? ❑ Yes B No annual gross receipts last year. G -W OV 50 0 XAn than S1 million than SS mWlon Name of Su metor' FirM Address: �AAfA Number of years in business: 3 {.. Contact Person: , f� Is the firm curffintly certified as a DBE u Part 26? 6T Yes 0 No 0 More than $15 Phone: (#IQ Fax: Tjrpe of woi proiided: 49 CFR I Check the box below for the frm's annual gross receipts last Sear. 0 Leas than 55 tntillon 0 Less than $10 million ❑ Less than $15 million 0 More than $15 million List'lliddizir's'lorarmatioO for each SubcontrictOlthat bid or quaiii suliciontracis tin DOT -assisted Name of Subcontractor's Firm: Phone: ( ) Address: Fax: ( ) 1-pe of work/sen•iceslmattrials provided: Number of years in business: Contact Person: Is the ilrm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 0 No annual gross receipts last year. 0 Less than 51 miWon 0 Leas than SS million 0 Less than $10 million 0 Less than $15 million 0 More than $15 million V \ . .' r illchilli to- lit It )III's and Ilon-DBL%. %%lihilul Name of Subcontractor's Firm: Address: (Daq 1 V%kOLM OL� Oy- 4ki�`( A (A Number of years In business: Phone: fili) Oq3 obtli5 Fax: hiq 513 044 �3 Type of work/senices/mterials proilded: Contact Person: Is the firm cur, utly certified as a DBE under 49 CFR Part 26? VVes ❑ No Check the box below for the firm's annual gross receipts last year. L%C, (� �`1 ` o7`��T ❑ Less than $1 million 0 Len than 55 mWion Less than S10 Mallon C Lets than S1S miifion ❑ blore than S15 million Name of Subcontractor's Firm: Address: 8CO E,. WNLAO t+ ftVC.J FLLW W\ CA RTV51 Number of years to business: i5 k Phone: (119 843 5AL Fax: h 4 N$ 5 i A Type of work/senices/materials prodded: Contact Person: &M ibIc&w Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? ❑ Yes ❑ No annual gross receipts last year. c ❑ Less than SI million t•t �i 0 Less than S5 miWon ss than SIO mfllfon O Less than 515 million O More than S15 million OrDjecis. including both bIlEs and non-DIIEs, it hoMicr Name of ubcontractor's Firm: s ucccs%ruf air unsuccessful Ili their aftempts'lo Phone: atop (v81D Address: 15j q 0. S TE r pn�ud gi7cvl - Number of years In business: 10 A- Fax: (4a) qW 0220 Type of �,ork'� ice materials prodded: c�YA CaLk ST R; pe, Contact Person: lea 1 t1n Is the firm currently certified a DBE under 49 CFR Part 26? 0 Yes i�o Check the box below for the firm's annual gross receipts last year. J IU l ❑ Lea than $1 million Less than SS million ❑ Less than S10 million ❑Less than SlS million 0 Afore than S1S million J Name of Subcontractor's Firm: n i Phone: (1VO io1A 45S0 Address: 1�'� �. Fax: (lei (a3q Viul 1 CaG CA a Type of worVsenices/materhJs proAded: "n,i i, rl Number of years in business: 31 Contact Person: Is the firm currently certified as a DBE under 49 CYR Part 26? 0 Yes O"o Check the box below for the firm's annual gross receipts last year. ❑ Leas than S1 million LAc 4_1 005 than $5 million 0 Less than S10 million IO •l 0 Leas than $15 miWon 0 More than $15 million Name of Subcontractor's Firm i Phone: (O q �Z 50-1 AK& STrll 6 Address: 11i-% N. A U S C Wj On VVMa Fax: (blo O i q 2)005 Type of worklseniccslmaterials pro-vided: Number of years in business: sr� n Contact Person: Is the firm currently certifie,_d a a DEE under 49 CIR Part 25? 0 Yes eX rio Check the box below for the firm's annual gross receipts last year. ❑ Less than S1 million Lt � � 5 � I q �� ❑ ss than ss Million ess than SIO million ❑Less than $15 million ram,, � � � I � 13� Tw `'� ❑ More than S15 million List Bidder's linrormalidn fur each Subcontrail that hid or 4luaWiub&)n1rac1s on DOT-wl I ObtaM ca ntru'll 1i i Name of Subc ntractor's Firm: I - 1 11 111 ; h , "I � I Phone: A0i 8li5 ?A Address: 2lb ' oAq WAkj Fax: �c� �5 1 o aYY1 CY�O�. n Type of a �orl~/seniceslmaterials proilded: Number of years in business: 21 A, ' � Contact ]Person: Is the firm currently certified a BE under 49 CFR Part 25? 0 Yes GY o Check the box below for the firm's annual gross receipts last year. 0 Less than $1 mlllion than $S mWioa iJ 0 Less than S10 million r_ n a5 ,,A qL) j D } `� U `[ 0 Less than $15 miWou 0 More than $15 miliion aly t1rill, 3 Name of S bcontractor's Firm: Phone: MAI ?A3ll Address: Ill PAIrIA UMA D Number of years in business: Fax:" vs vim Type of work1senices/materials prol �U t:oatact Perto a: 51.E Is the firm currently certified as a DBE under 49 CFR Part 26? Yl ❑ No Check the box below for the firm's annual gross receipts last year. ❑ Less than 51 mllllou 0 Less than $5 million than 10 million$ O List than Sly miliiop 0 More than $15 mUHon Name of Subcontractor's Firm: Address: W bo� liallb UM(,.% (k aOSO(4 Number of years in business: 1� Contact Person: .6,k\ Is the firm currently eertified as a DVE under 49 CFR Part 26? 0 Yes dNo Phone: ( } 5&a IAO 0S Fax: %L Ut aa3q Type of work/serrices/materials provided: SAY IPIi ti _ MAY1141C/t5 Check the box below for the firm's annual gross receipts last year. 0 Less than $1 million 0 Less than $5 million O J&ss than S10 million PILess. than S15 million 0 More than SIS million proJicts. IncIn41nW[)uth 1JUES 2nd non i%fitr suict. %ful Or ull 0 1 Name of Subcontractor's Firm: Phone: ( ) Address: Fax: Type of work/senices/materials proilded: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 0 No annual i ross recei is last year. 0 Less than S1 million 0 Liss than S5 million 0 Less than S10 million ❑ Less than $15 million 0 More than $15 minion ••Sdu a UAIVIInts obtain "I Name of Subcontractor's Firm: S h Phone:} Address: a1500 Cuuvrl1 W Fax: t QimAve Type of work/services/materials proAded: Number of years In business: • . Contact Person: Joy Is the firm currently certified s a DBE under 49 CFR Part 267 ❑ Yes "0 Check the box below for the firm's annual Lyross receipts last year. 0 Less than Sl million ❑ Leas than SS niffion, Me 3 `[ 0 Less than S10 million 0 Less than Sly million ore than SIS million Name of Subcontractor's Firm: Address: & Sptt3 Wra ,F%o C4vi ru. CA C1 1qy,>- Number of years In business: 10 Contact Person:_ Arr /t2� Is the firm currently certified as a DBE under 49 CFR Part 26? Q'rYes 0 No CT Phone: (alq Gj WJ 5"JgD Fax: (6-Q all c Type ofworklsenices/materials provided: ON n__._ -._•.. —!_ - Check the box below for the firm's annual gross receipts last year. 0,Less than $1 million Less than $5 million ❑ Less than S10 million ❑ Less than S15 million ❑ More than S15 million obtaldcontrails. Name of Subcontractor's Firm: Phone: ( Address: Fax: ( j Type of work/sen•ices/materials provided: Number of years In business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Past 26? 0 Yes ❑ No Check the box. below for the firm's annual gross receipts last :ear. 0 Las than St million 0 Less than S5 million 0 Less than $10 million 0 Less than S15 million 0 More than S15 million Name of Subcoatmctoes Firm: Phone: (A s�3t� 23�5'1 r Address: 103S W. Cj STDAtr ST Fax: k?9 33 q 351-1 AUs4 a 11 al Type of work/services/mteriais proAded: Number of years in business: 2-,0 Contact Person: Is the firm currently certified as a DBE under 49 CFR Part 26? R"'Yes 0 No Check the boz below for the firm's annual gross receipts last year. O Less than Sl mWion 0 Less than $S million than S10 minion a5� � RZ `1 ❑ Las than S15 minion ❑ More than $15 a�illlon CT no i OSO-4 Name of Subcontractor's Firm: Address: eaB Wmsoa ST QAP(t , CA C1 30 Number of years In business: W ,r Contact Person: Is the firm currently eertifled�s a DBE under 49 CFR Part 26? ❑ Yes i9' 0 LIC, M50 RO - off,-2cdFtL1A53 Phone: �� .� 11q , ' Fax: Type of work/services/materials p Check the box below for the firm's annual gross receipts last year. 0 Less than $1 million ❑ Less than S5 million ❑ Less than $10 million O'Less than SIS million ❑ More than $15 million GF Name of Subs ntmctor's F1rsn: Phone: t�l 'jlp�j- �� (p� Address: PO 00i 51cl Fax: W y6* -"7221b 61 o U11A, CA 01 T)Te of worldsen1ces/materials proilded: Number of years In business: IO t Contact Person: Is the firm currently certified s a DBE under 49 CFR Part 26? D Yes'o Check the box below for the firm's annual gross receipts last year. ❑ Less than St million 0 Less than SS mWion Ll 0 Less than Sld million sa than $15 million f—n �, � �� � D vvj 0 More than S15 million Wrivr �� %1111 It Name of So biontractor'a JYirgi:m Phone: (11 cilia ZZ?.Z Address: 1,49 0. Pop jak- S, Fax: ptq�ia fcq3 ! &Mbll,b Cl CIEW Type of work/senices/materials proilded: Number of years to business: 40t Contact Person: 1 _ Is the Cum curry�ndy certified as a DBE under 49 CFR Part 26? IYYes 0 No Check the box below for the firm's annual gross receipts last year. #" ��,� U G Less than $l millloa 21,ess than 55 mWion ❑Less than S10million 0 Less than $15 miWon 13 More than $15 wHUon List Bidder 'S L Inforniatioit for each Subcontra toi that bid or luote i subcontracts oto DOT-a-,%i%tcd 6t Name of Subcontractor's Firm: KM ep Cop Phone: � h �aZ 25gj Address: PO 60� 61001 Fax: 04 IM, ZSM �fL.A C4 Type of woriclserviceshnateriads proilded: Number of years In business: Contact Person: Date J DAI_ S Is the firm currently certifie�d��rs a DBE under 49 CFR Part 26? 0 yes LX No Check the box below for the firm's annual gross receipts last year. r =L t �t JUWrLess ❑ Less than S1 million ❑ Less than $5 million than SIO million 0 Less than S15 million 0 More than S15 million Name of Su Katractor's irm: Phone: 0" (017, Address: lIA s S. iacr Uri( !�G Lommillll eA 0, n �tt Number of years in business: 1n jr Fax: 2 S Type ofwork/senices/mate rials proilded: Contact Person: 2 6S Is the firm currig�ently certified as a DBE under 49 CFR Part 26? ErYes ❑ No Check the box below for the firm's annual gross recei is last year. �T �L ,� �►� � � + ("� ` T'T•+' CV,V ��P ❑ Less than $1 mWlon 0 Less than SS mwion than S10 million 0 Less than million S1 0More than S15 mwion vv. l Name o(Su ontmeto 's Fi Phone: .. Address: 1010 Q• eaTA 11 A4 Fax: hil We 0105 Type of worlc/sen•lces/moterials proAded: Number of years in business: is �, SQ f Contact Person: LWq-CASE Is the firm currently certified pos a DBE under 49 CFR Put 26? 0 Yes is No Check the box below for the firm's annual gross receipts last year. 2 0 zr W1'�G� 0 Less than $I million 0 iess than ss mwion than SIO mwion 0 Less than SIS million 0 More than $15 niwion Pst Bidder's Inforniaticiii for each Subconlractor; Oat bid or quote Isubcontracts on DOT-aotshtcd dt , Name of Subcontractor's Firm: Phone: { ) Address: Fax: ( } Type of work/seniceslmateriab provided: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Put 26? ❑ Yes ❑ No Check the box below for the firm's annual gross receipts last year. 0 Less than S1 mwion 0 Less than S5 mllllou ❑ Less than SIO million 0 Less than S15 million 0 More than S15 million Name of Subcontractor's Firm: Phone: ( j Address: Fax: ( } Type of worLfsenices/materials provided: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes ❑ No annual gross receipts last year. ❑ Less than $1 million 0 Less than S5 million 0 Leas than $10 million ❑ Leas than S15 million 0 More than $15 mlwon H%I HiddWS ltifi , irmsti(ln ror vach Sidn'titilractip't-1 111A Name of Subcontractor's i 612.1li CX-_ bill or I It fill Phone: &V —101(AR Address: 11SIO 6 • 1JOIAUT Sr Number of years in business: 'L �' Fax: (10-6 qq-14V4 Type of work/services/materials prodded: LATI05CA X TYCtr r rXk MjA rvn ri Contact Person: Is the firm currently certified as a DBE under 49 CFR Part 26? C Yes YINo Check the box below for the firm's annual gross recel is last year. (050 92H than S1 miWon Less than $S million ❑ Less than SIU million ❑ Less than S15 million O More than S15 million Name of S Firm: Address: PO 60A 5W32, LW 61 6d�) CA Number of years in business: Contact Person: g}rU C45 Is the farm currently certified"rsa DBE under 49 CFR Part 26? 0 Yes p(No U(, *- WSV IFI.A -�v 01I r11AV401(o i Phone: L% Fax: (gi)- Type of work/senices/materials proilded: Check the box below for the fsrm's annual gross receipts last year. _ ❑ Less than $1 miUlon ess than S5 million O Less than S10 million 0 Less than S15 million ❑ More than S1S million ljfl� 10101RIMM Name of Sui or�t actar'6 Fi sC + Phone: ht j) qOj j ogo3 Address: PO W 3zgo Fax: hiT.i 4010 Qm"C t,, CA �j�] Type of work/senices/materials prodded: Number of years in business: Contact Person: Is the firm currently c rtirte as a DBE under 49 CFR Check the box below for the firm's Part 267 ❑ Yes iNo annual ross receipts last year. ❑ JLAW than $1 miUion Ef Less than $5 million LtCr �SaP 0 Less than $10 million ❑Less than S15 miWon 0 More than S1S million Name of Sobc tractor's Fires: Phone: (19 612, 1 glfl Address: l2)1i %L1)Vit.� Fax: h"� y'12 ItitZ Nag&(M CA Type otwork/senices!materisls proAded: Number of years in business: `�... . Contact Person: Is the firm eu ently certified as a DBE under 49 CFR Part 267 10Yes ❑ No Check the box below for the firm's annual tross receipts last year. 11 lit Colt* Vlt ❑ Las than S1 mWlon 0 Less than SS mWioa E than SIO mWion ❑ %s than SIS miWou ❑ More than $15 wUUou Nance of Subcontmetor'g Firm: Phone: A i?.i NA LA:m o SGt Pt. Address: �p�y 60 1. ; KA�L k Av<— Fax: �`'r� i� n! � ��5 Type of worklsenices/materials proAded: Number of years In bhUness: Eo ,t,. Contact Person: t1 W.�, Is the firm currently certlfled as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes D No annual gross receipts last year. 0 Less than $1 million D Less than $5 million 0 ss than $10 million ss than S15 million ❑ More than S15 million List Ridder's �Informalioh for each ti Name of 4p.bcontractorls Firm: Phone: 3' 007,*� Address: I W 145 V" Fax: 3�3 OC�7o Type of work/senices/materials proilded: Can d 5 WK Number of years In b slness: Contact Person: Saic 2, Is the firm currently certified as a DBE under 49 CFR Part 26? ❑ Yes i'No Check the box below for the firm's annual aross receipts last year. . L—L F #- 4145-q3S losq 0 Less than $1 million 0 JASS than SS million VUSS than SIO Million 0 Less than $15 million 0 Diore than S15 million j BIDDERS LIST •'. Bidder: F�tf.P• INC. D� PARY Firm Name:_ 1 1 tV VA * _ ' t'hon Address: Fai• Contact Person: No. of years in business Is the firm currently certified as a DBE under 49 CFR Part 26? VYES ❑ NO Type of work/services/materials provided by firm? Vb q,13 ❑ Less than $1 h11111on MA- 3'L71 (P ❑ Less than $5 Million ❑ Less than S10 Million ootW ❑ Less than $15 M1111on vote O More than 515 Mlion F1rm Name: Phone: Address: FAY: Contact Person: No. of years In business Is the firm currently certified as a DBE under 49 CFR Part 26? . ❑ YES ❑ NO .Type or work/services/materials provided by firm? ❑ Less than $1 A11111on ❑ Less than $5 Million ❑ Less than $10 Million ❑ Less than $15 hiiilion ❑ More than $15 Million F1rin Name: Phone: Address: Fax; Contact Person: No. of years in business Is the firm currently certified as a DBE under 49 CFR Part 26? ❑ Y'ES ❑ NO .Type of work/serviceslmattrials provided by firm? ❑ Less than $1 Million ❑ Less than $5 Million ❑ Less than $10 htililon ❑ Less than $15 Million 0 More than $15 Million M l L� Irsme orsqtvarsetoes Firm: kddress: 12,16 -�100Mfi c -b PrPC_ _ Ste- R_ �Pn , 3 (A Kumber of Years In busineii: .r. Caatsct Person: Is the ilrm currently certlheda DBE under 49 CTZ Paxt 261 0 Yes kS O F'eo a5 tku)� L63 Nrcme of Sabcontmetor's Firm: Address: 000) If, hats 61 M Number of years In busine s: Co ntact Persom: Is the firm currently certllledJ�� s a DBE and Part 261 ❑ Yes !a'No • �,C G' t2'A -n.-A 8cq 51-n nXI ( ) Type of► rork/services/materlab provided: Check the box below for the firm's Annual gross recei is lost year. 0-Less than $1 million QqAss than $5 mWlon O Less than $10 million ❑ lreqs than $15 Mimon VAlere than $15 million phone: j* 10 06t03 ()(Om Fax., J6) Type of work/services/snater[Ab provided: Check the box below for the firm's annual gross recei is fast year. ❑ Less than $1 m4Won .— M! «anr. Mime of Subcont etor's Firm: Pbonet r � Address: (Q30i TAduS Fax: 3 I)•pe of work/serrices!materiab pro}lded: Number of years In business; o r C Contact Person: W Is the firm currently cerd.fied as a DBE under 49 CFR Check the box below for the firm's PArt 261 0 Yes ❑ No annual gross receipts last yar. . �� ?A � I] Less than 1 miWop q s this 5 mlllion --- AL__ d%dA U tf vve name of bcontractor's rwr Phcner { ) S Address; 1442A bay tw AW-j Fes: ( ) 4017,3 Type otwork/`ervices/materlah Number of years In buriness;LG� Contact Perron; Is the&= enrrmUy certin d��++s a DBE ender 49 CFR Cheek the box below for the firm Is Pert 26? 0 Yes i� O Annual eross recei is last vear. 0 J&js than $I nnillion Less than $S million 1 OS�S 0 Less thanS10 million O Less than $15 million 0 h ore than $15 millions r i Nisne of fin onlittract r'a Firs * Phoner Address; q'S%,e) �{.'(' -tAs M S{ Lo otv' CA- ao-1OQ Number of years In business; ]Paz-. 4d -- so 2 1�•pe of work/services/materials proilded: Contactperson: t Y.. Is tLit Jim currently certitied,is a DBE under 49 CFR Part 26? 0 Yes No- Check the box below for the firrm's annual Voss receipts last year. U G 3 15 l'-lUtm "� �Z ��rl�� 1�� ❑ Lm than 1 nnliliou thin SS million Q Leal than 10 million . ❑ Leas than $15 mlWon Novae of Subcoat ctor's Firm; Phon t ( ) ,.0 01 Ll Address: 15135 CW pvv. Fair ? 110 U kLA rA°�l'11),pe of work/sen4ces!materitis pro`•Ided: Number of years In business: 1a Contact Iverson: &L Is the firm c;Wes tiy certified its a DDE under 49 CFR Check the bon below for the f rm's Part,"67 ❑ No annul tross rece! to list jear. Uir-0313 —1 Q than 1 m1won +' Less than 15 miiltoa vF 02. 0 Lest than 10 wlllion 0 Lees Wan $15 Door .. . t ti f♦ PI11P.11�C.0�A BIDDERS LIST Bidder: PANY Tlrm Name• S Phone: Address; Oh Fax: �L A Contact Person: No. or years In business Is the firm currently certified as a DBE under 49 CFR Part 26? ❑ YES ❑ NO Type of work/services/materials provided by firm? LiC#(?Agbc) xtrm name- Address: 13 Less than $1 Million 17 Less than $5 Million ❑ Less than $10 Million ❑ Less than $15 Million ❑ more than $1$ h1I11Ion Phone: Fax: Contact Person: No. oryears In business Is the firm Currently certified as a DBE under 49 CFR Part 26? ❑ YES ❑ NO .7)Te of work/services/materials provided by firm? ❑ Less than $1 Million 17 Less than $511iilllon ❑ Less than $1011iillion ❑ Less than $15 MIUlon ❑ Wfore than $15 Dlilllon Firm Name: Phone: Address: Fax: Contact Person: No. of years In business Is the firm currently certified as a DUE under 49 CFR Part 26? ❑ YES ❑ NO Type of work/servlces/materials provided by firm? ❑ Less than $1 A11111on ❑ Less than $5 Million ❑ Less than $10 Million ❑ Less than $15 Million 0 More than $15 Million Name of Subcontractor's Firm: 111VIIII)IN its Phone: ( } Address: Fax: ( } Type of work/services/materials provided: Number of years in business: Contact Person: Is the urns currently certified as a DBE under 49 CFR Part 26? 0 Yes 0 No Check the box below for the firm's annual gross receipts last year. 0 Leaa than $1 mutton 0 Las than SS Mallon 0 Las than $10 mWioQ 0 Leas than S1S Million 0 More than S15 million Name otSubcontmetor'a Firm: Address: Number of years in business: Contact Perron: Is the firm currently certified as a DBE under 4 CCFR Part 267 0 Yes 0 No Phone: ( ) Type of woriclservices/materfals provided: Check the box below for the firm's annual gross receipts last •ear. ❑ Less than Sl million 0 Less than $5 million 0 Less than $10 million ❑ Less than S15 million ❑ More than $15 million , , Name of Subcontractor's Firm: Phone-.( } Address: F": ( ) Type of work/senices/materials proAded; Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check: the box below for the firm's Part 26? 0 Yes 0 No annual gross receipts lest year. 0 Leas than $1 million ❑ Leas than $5 million 0 Less than S10 million ❑ Leas than $15 million 0 More than $15 million CITY OF HUNTINGTON BEACH 2000 MAIN STREET OFFICE OF THE CITY CLERK Ctn,6&7'Z-- O-�S'2004 7m, Wig, L CALIFORNIA 92648 Enclosed please find your original bid bond issued by f� 'f /CAjt) AS.-,7 7W-Z- 0l Cf>< /7Z3i-;S for C�11/07Z Joan L Flynn City Clerk JF pe Enclosure g /follo%sup/cashcondrett.-nbtdbond doc (Telephone 714 536 5227) Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No. A310 (February,1970 Edition) KNOW ALL MEN BY THESE PRESENTS, that we Sequel Contractors, Inc. _ a i Principal hereinafter called the Principal, and Federal Insurance Company a corporation duly organized under the laws of the state of as Surety, hereinafter called the Surety, a-e held and firmly bound unto City of Huntington Beach Indiana as Obligee, hereinafter called the Obligee, in the sum of Ten percent of the total amount of the bid Dollars (S 100,'a ). for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. V-11EREAS, the Principal has submitted a bid for Gothard Street Rehabilitation NOW, THEREFORE, if the Obli-ee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the Lidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for Lae prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference rot to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this Witness Witness ORSC 21328 (5/97) 16th day of .,. September 2034 (Seal) / Name.,"Title Federal Insurance Comaanv Surery (Seal) By; L!411, Douglas A.'Rapp Attorney-ir.-Fact CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California Counly of Orange On SEP 16 2004 personally.appeared ® Personally knov+m to me - or - A.P. COATS CGht I-1408145 n Nl'�" D, before me, A_ .P. Coats, Notary Public NA-%M TITLE OF OFFICER Douglas A. Rapp NAME OF 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 helshelthey 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. OAA%CE CO u Y (jj WITNESS my bandjand official seal. ur Tim Eaa. JwY 2 `^ i1 (srdk TIREOFhOrRRW OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDnMUALIOWNER ❑ CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LINMD ❑ GENERAL ❑ ATTORNEY IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER SIGNER IS REPRESENTING: NANfE OF PERSONS) OR ENITI'Y(ZES) DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT OW-1 Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059 Know An by These Presents, That FEDERALINSURANCE COMPANY. an Inftna coTora m VIGIULNT INSURANCE COMPANY, a NewYork corporatork and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp or Linda D. Coats of Laguna Hills, California ---------------------------------- each as their true and laxful Attorney-inrFact W execute under such designation In their names and to affix their corporate seats to and dealer for and on their behal as surety thereon or otherwise, bonds and undertakings and other writings obrgatory In the nature thereof (other than ball bonds) given or executed In the course of business, and any instruments amending or altering the same, and consents to the rnodfication or alteration of any instrument starred to In said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY. VIGILANT INSURANCE COMPANY. and PACIFIC INDEMNITY COMPANY have each ex cuted and attested these presents and affixed their corporate seats on tails Kenneth C. Werxiel. Assistant secretary STATE OF NEW JERSEY I ss. County of Somerset 22nd dayof January, 2004 E. Robertson. Orr nt On this 2 2 nay of January, 2004 , before line. a Notay Public of New Jersey. personecy came K~h C. Wendel, to me known ID Pa /testa Secretary of FEDEML tNSUPANCE COMPANY, MGrLANT INSURANCE COMPANY. and PAQFrC INDEWilry OOMPANY, tthe canpanies which *Yearted the lore-26trV Power of Atiomey, and the Bald KerneM C. Wendel belrg by me duly swam, did depose and say that he Ls AssM" secret uy of FEDERAL MURANCE COMPANY. VIG LANT INSURANCE COMPANY, and PACIFIC INDEM1 TYC OMPANY and knows Ira oorporsto seals thereof, that the seals sfrhxed to the forepokV Power of Attorney are such Corporate seals and were thereto a.'flxad by auttorlly d the By -Laws of Bald Companies; and that he sighed sald Pourer of Roney as Assistant secretary of said CompaNes by ice a cod y. and Cat he Is acquainted Wti, Frank E. Robwtson, and prows him b be Vim President of saki Companies,- and Cut ChB aVurtu a of Frarrlt E Reber an. sub!crbed to said Power of Attorney Is In the Qenu ina handwrt rig of Frank E Robertson, and was Chereb subscribed by authortty of said By4Aws and In deporxnfs presence. Nolmw Seat iL--,,el A. Pike OW1 �Ui?-1C S[3t° Ol hCV! �a1. f NO.2231-6,17 (� Notary Public ICEWIFICATION d FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY. and PACIFIC INDEMNITY COMPANY: "Ara powlers of attorney for and on behalf of the Comparry may and shall be executed In the name and on behalf of the Company, either by the Chairrnan or the President or a Vice president or an Assistant Vice President. joirttly with the Mary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved, printed or 0thoVaphod. The signature of each of the following officers_ Chairman, President any Vice Presiderrt arry Assistant V11ce President any Secretary, any Assistant Secretary and the seat of the Company may be affixed by facsimile b any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys -In -Fact for purposes only of executing and atterdng bonds and undertakings and o7ter writings obligatory In the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal Shad be vald and binding upon the Company and any such power so exewted and certified by such facsirrile signature and facsimile seat shall be valid and binding upon the Company with respect to any bond or undertaking to which it Is attached.' I. Kervteth C. Wendel.Assistant Seeretaryof FEDERALINSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies") do hereby cettity that , (q the foregoing extract d the By -Laws of the Corrpanles Is true and correct (il) the Companies are duly licensed and authorized to transact surety business in aA 50 of ft United States of America and the District cf Coltmtbia and are authorized by to U. S. Treasury Department; further. Federal and Vigilant are licensed In Puerto Rico and the U. S. Virgin Islands, and Federal Is licensed in American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Wand; and (i) the foregoing Power of Attorney Is true, correct and in full force and effect. Gf,rn under my hand and seals of said Companies at Warren. NJ this Z 6th day of September 2004 0 4 o * z �. ` .. ti 7 t)LM4* hscoo Ks� *�fw witf Misr ,- � Kenneth C. Wendel, Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OFANY OTHER MATTER, PLEASE CONTACT US ATADDRESS LISTED ABOVE. OR BY Telephone 908) 903-3485 Fax (908) 903-3656 e-mail: surelyCchubb.com Form 1 s.1 o-csss (Ed. 4-1191 CONSENT CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State cf California County of LOS ANGELES ss. On SEP 1 6 20N , before me, MICHAELAL,LENAMUNDSON. FI ABY PURLIC Date Karns and TA. of Ofr-w (e q ,'Jars Dos. Notney Puw c7 personally appeared Thomas S._Pack, President t+a��uw Ar��prr WTMCOr�� tei�73 V !OS ANGBM Col my Caen► Eq. Apr! t3. 200! 21personaily known to me 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 helshelthey executed the same in his/her/their authorized capacity(ies), and that by hislherltheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Plane Ndary $sal Apo.* S.gnahna of PWtery PvW OPTIONAL Though the Information below Is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and re 9.1fachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ ' Individual . lop of Ihurtiff +o hers ❑ Corporate Officer---Tifle(s): ❑ Partner — ❑ Limited ❑ General ❑ Attomey In Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer Is Representing: 0 1997 Nabonal No yAssoWtion • 0.3N) De Sato Ave.. P.O. Boa 2402 • Chamw&-A, CA 913112402 Prod. No. $307 Raordar. Cafe TG&F"* 1-200•8754W 213o"'- oG r 'i 13546 Imperial Hwy Santa Fe Springs, CA 90670 ' ;Yee 4- ta6y$ trty�rlG �, rw fF 1 � 1 1013a td'?1,ri��i! City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD STREET REHABILITATION - CC 1154, FROM ELLIS AVENUE TO HEIL AVENUE STPL 5181 141 AND GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT MHASE, 1) - CC 1107, FROM ELLIS AVENUE TO HEIL AVENUE ITS 99-5181 September 9, 2004 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Technical Provisions: Incorporated Into the Gothard Street Rehabilitation, CC-1154 plans and specifications is Addendum No. 1, dated September 9, 2004 and the following attached documents: 1) GOTHARD STREET PAVEMENT REHAB -COMMUNICATIONS CONDUIT (PHASE 1), CC-1107, ITS 99-5181 (127) CONSTRUCITON PLANS (13 SHEETS) 2) GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1) - CC-1107, ITS 99-5181 (127) SPECIAL PROVISIONS ' 3) SECTION A, NOTICE INVITING SEALED BIDS 4) SECTION B, INSTUCTIONS TO BIDDERS 5) SECTION C, PROJECT BID SCHEDULE (Gothard Street Rehabilitation - CC-1154, STPL-5181 (141) and Gothard Street Rehab -Communications Conduit (Phase 1) - CC-1107, ITS 99.5181 (127)) The Contractor's submitted proposal shall be enclosed in a sealed envelope plainly marked on the outside: "SEALED BID" for 1. GOTHARD STREET REHABILITATION - CC-1154, FROM ELLIS AVENUE TO HEIL AVENUE 11. GOTHARD STREET PAVEMENT REHAB -COMMUNICATIONS CONDUIT (PHASE 1) - CC4107, FROM ELLIS AVENUE TO HEIL AVENUE Project Description: The project consists primarily of grinding of the existing pavement, removal of failed roadway sections, asphalt paving of failed areas, overlaying the streets with asphalt concrete, Installation of curb access ramps, pull boxes, splice vaults, fiber optic conduit, adjusting manholes, monuments and valves to grade, and Installing traffic loops. This Is a Davis -Bacon project and the Federal Regulations will be enforced. Any contract entered Into pursuant to this notice will Incorporate the provisions of the Federal tabor Standards, which are on file at the office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. • The contract allows the contractor 85 working days to complete the contract. • The DBE goal for each Cash Contract (1154 & 1107) is 7%. • The contractor shall provide to the City all required City and Federal documents for each Cash Contract (CC4154 & CC-1107) project. For the purpose of making partial payments, the amounts set forth for the contract items of work hereinafter listed shall be deemed to be the maximum value of said contract Item of work, which will be recognized for progress payment purposes: = a) Mobilization - Gothard, CCA 154..................$17,500 Gothard, CCA 107..................$17,500 b) Traffic Control Plan Gothard, CC-1154.................. $6,000 Gothard, CC-1107..................$6,000 Fiber Optic Conduit Installation & Traffic Control: The fiber optic conduit Installation shall precede the pavement rehabilitation work. When fiber optic conduit Installation and pavement rehabilitation work are occurring simultaneously, there shall be a minimum of one- half mile separation between any lane closure activity. Engineer's Estimate: $920,338 • Gothard Street Rehabilitation, CC-1154: $628,843 • Gothard Street Rehab -Communications Conduit (Phase 1), CC-1107: $291,495 This modification changes the Engineer's Estimate for this project from $652,343 to $920,338. This is to acknowledge receipt and review of Addendum Number one, dale ptember 9.2004. SEQUEL .- KO&U4,0ZgCompany Name Date All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call tarry J. Taite at (714) 536-5590. SEQUEL CONTRACTORS, INC. SECTION C PROPOSAL for the construction of I. _ GOTHARD STREET REHABILITATION - CC 11542 FROM ELLIS AVENUE TO HEIL AVENUE II. GOTHARD STREET PAVEMENT REIL B-COMMUNICATIONS CONDUIT (PHASE 1) - CC 1107, FROM ELLIS AVENUE TO HEIL AVENUE in the CITY OF HUNTINGTON BEACII TO THE IIONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform -all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 85 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or Iump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at su-.h time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 SEQUEL CONTRACTORS, INC. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. • o�T Accompanying this proposal of bid, finVIDDER'S BON�the amount of $ % • which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). _ . Bidder shalt signify receipt of all Addenda here, if any. I SEQUEL CONTRACTORS, INC. SECTION C PROJECT BID SCHEDULE Gothard Street Rehabilitation, CC-1154, STPL - 5181 (141) Gothard Street Rehab -Communications Conduit (Phase 1), CC-1107, ITS 99-5181 (127) PROJECT RID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: TOTAL AMOUNT LUMP SUM BID IN WORDS: C-2.1 SEQUEL CONTRACTORS, INC. GOTHARD STREET REHABILITATION IMPROVEMENTS CC NO.1154 STPL 5181 (141) C-2.2 WOUEL CONTRACTORS, IN,- GOTHARD STREET (CC-1154) PROJECT BID SCHEDULE ITEM ESTIMATED ITEM WITH UNIT PRICE WRITTEN IN :.:" UNIT -PRICE EXTENDED NO. OUANTITY � --WORDS ` : • " „.:: "-" = AMOI?NT 1 1 Mobilization $150; $ /7„S92 L.S. @ ,rI A!K �7rG Dollars Wr.1 eWtwjr -6—Cents 2 1 Traffic Contrgl Plan $ $ OOd L.S. ! f @ "K o4L•J r wJ Dollars -a' Cents 3 1 Fumish Project Traffic Control $ $�ZSD, L.S. aL7'Lr c., Sera - ars Ci Cents 4 188.916 Cold Kiling & Header Cutting $ .1( $ - S.F. @ -4rwX" Dollars r.•+ r.. Cents 5 471 C.Y. Unclassified Ex vation @ lUYw Dollars -�- Cents 6 10.133 Construct/Asphalt Concrete (Overlap, Full Depth, $,�_ $ Toni- � Dollars -$" Cents 7 2,347 Pavement Reinforcement Fabric & Route and S.Y. Seal of Cra @ Dollars Cents 8 46 Ad' e�fS qrm Arai anh9le t� o Grade Each � kd r wev f Dollars -e- Cents 9 91 Adjus Water Valve to G 5 -- Each f t'*�I�re� / Dollars -B' Cents 10 1 Traffi $ 5 L.S. Dollars -v- Cents 11 80 Traffi Loop��// Each // @ l il444is� 10, Dollars _9' 10 Cents 12 8 Each 8yjteconstruct Ar�ess Ramp ;x7,0v&Js,,we'c &4014Vw4ollars $ $ _P_ Cents 13 3 AdjuV Survey,Mory�m�n� J�io Grade $ $ O Each a. �!/ NN �j�/ Dollars -$' Cents 14 25 Survey onume do $ $ ZST Each @/r�ilre/�L� Dollars .�- Cents SL5 Total Bid Amount, Bid in Fi ures: $ SuD Total Bid Amount, Bid in Words: 1-4 SL i6 M C-2.3 I SEQUEL CONTRACTORS, INC, GOTHARD STREET REHAB- COMMUNICATIONS CONDUIT (PHASE 1) IMPROVEMENTS CC NO.1107 ITS 99-5181 (127) C-2.4 SEQUEL CONTRACTORS, INC. GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1), CC-1107 PROJECT BID SCHEDULE -ITEM ESTIMATED : ITEM WITH UNIT PRICE WRITTEN IN : , UNIT PRICE, --EXTENDED i NO: i.dUMTITY WORDS - `AMOUNT 1 1 Mobilization L.S. Dollars N rI v5 -d" Cents 2 1 Traffic Control Plan $ $ L.S. @_5ir AwwSM.1 Dollars .s— Cents 3 1 Fumish Pro'ect Traffic Control $ 6, $ _ 7Sb, L.S. @� Dollars Cents 4 10,670 Install 2-4 inch PVC Con it Trenched in Pavement) $ - $ L.F. @� Dollars Cents 5 15 Install NQ, 6 Pyljbox , x/ $f p b� $ E.A. . l D�►Ss� � sd Dollars Cents 6 6 Install Splice Vault $ $ E.A. U n./� tC! Mts,..r t ,pollars /T -o- Cents Sub Total Bid Amount, Bid In Fi uses: S Sub Total Bid Amount, Bid in Words: r / [rj r fYUC itL./'G Yti{/�r 1'S14-'7 ly C-2.5 SEQUEL CONTRACTORS, INC. LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion of Work Name and Address of Subcontractor State License Number Class r i sari c?.S% Rawincr Cos��wc�7w� 4�4vlA^ 03 2 it1.cr1 -t JI iU? 14 7S3 god C/o 3 V. G•1 • �/� 1�t..cG� �.?3�0� G3� 074 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors Iisting. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange being first dulyy��sworn,deposes and says that he or she is of �QUEL IONNMUORS, INCihe party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; 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 colluded, 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, or that of any other bidder, or to secure any advantage against the public 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 fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. SEQUEL( Name of Bidder Sr NTA r E SG'i?CAUL . W1670 Address of Bidder Subscribed and sworn to before me this day of , 200 _ NOTARY PUBLIC SEEATT'AC8ED NOTARY SEAL C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of LO ANGELES ss. On SEP 2 s W , before me, MtCHAELAU.EN AMUNDSON. NOTARY PUBLIC pue Name ena Tile of Oftw (e.g..'Jo* Dw. rwwy Pudre7 personally appeared Thonw S. Pack President �".) °' 59r"rlej SHICHAILALL:NACOMM.N103459 NOTARrK0jc ALV- Ri�AAQ LOS ANGELES COUNRT My Caen. Exp Apr9 13.2008 C-" ersonally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose names) is/are subscribed to the within Instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized capacity(ies), and that by his/her/their s:gnature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS m hand and fiici seal. Pun NM" sec Above nrre 10 nowt' Pubic OPTIONAL Though the information below is not required by law, it mey prove valuable to persons relying on the document and could prevent Iraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages- Signer(s) Other Than Named Above: Capacity(les) Cialmed by Signer Signers Name: ❑ Individual ' Top of QKrnb hers ❑ Corporate Officer — Title(s): ❑ Partner —❑ limited ❑ General ❑ Attorney in Fact ❑ Trustee �. ❑ Guardian or Conserrator ,+ ❑ Other: Signer Is Representing: 01997 NadmW Notary Auoda& n - 9350 Oe Sob Ave.. P.O. Hox 2402 - ChauwortN CA 91313-2402 Prod No. 5907 Re~ Ca, TWAN 14W4764W UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUN-FINGTOti BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMEIN"TS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A parson who, by reason of experience or instruction, is familiar with the operation to beperformed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: SEP 2 8 W Title Thomas S. Pack, President C-5 SEQUEL CONTRACTORS, INC. DISQUALIFICATION QUESTIONNAIRE In accordance with Goverziment Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes 0INo If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require 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. Date: S:P 2 8 W SEQUEL CONTR%�XoRS, INC. Contractor Th=s S. Pack, Presidont Title C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-8004224133 a minimum of two working days before scheduled excavation. Di, Alert Identification Number: Contractor By Title Date: Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Mork. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATIOn BIDDER certifies that the following information is true and correct: sEouELcorTaacroas. Bidder Name Business Address 13546 MPERIAL HVVY. SANTA FE SPRINGa CAUF. 00670 City, State Zip Telephone Number 6106' A . State Contractor's License No. and Class .January 31,1M Original Date Issued J.-NDUM1. 31, 2005 Expiration Date Tile work site was inspected by . Mwmas $-Fack of our off ce on Ilt 7 2o0-� The following are persons, firms, and corporations having a principal interest in this proposal: CORPORATION Thorns S. Pack, Mmki rat • . MICHAELA.li APILEA.AMSEC TA Y . C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. SEC Company Nam Si CONTRACTORS, INC. ' Thomas S. Pack. Presldert Printed or Typed Signature Subscribed and sworn to before me this _ day of NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: Name and Address of Public Agency a. Name and Telephone No. of Project Manager: �kC� Contract Amount , Type of Work Date Completed 2. S Name and Address of Public Agency zo Name and Telephone No. of Project Manager: Contract Amount ` Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: �J Contract Amount Type of Work Date Completed C-1 U CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California Countyof LOS ANGELES r ss. On ''s? 2 8 2X4 before me, FXCHAEL ALLEN AMUNDSON, NCrTAflY PUBLIC Date Marne end Ties of ofter (e.g. *Jam Do*. Mowry Puu c') personalty appeared _ Thomas S. Pack, President Wers me{e) d Sgrage) onally known to me O proved to me on the basis of satisfactory evidence MICHAEL Ai L:,V A"DjON COMM. tr14R1459 NOTARY R MLIC-CAL Fo0.1 A Los NWALES COUNTY My Come b- ApI 17. M N to be the person(s) whose name(s) Ware 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/herttheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand an official s i. P4" Wile" SW Above ' S9"r . d Noary PLAec OPTIONAL Though the information below is not required by law, it may prove valuable to persons retying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Document Date: . . . Number of Pages: Signers) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: CO Individual Top of RxXren have ❑ Corporate Officer — Title(s): ❑ Partner —❑ limited ❑ General ❑ Attorney in Fact ❑ Trustee �. ❑ Guardian or Conservator ❑ Other. Signer Is Representing: 0 1997 Naaorrl Notary Anadoftn • 9= on Sob Ave.. P.O. em 2402 • Ctghwmrm. G 91313-2402 Prod. No. 5907 Reorder. Dal ToRFree t4!IW4? W VR .90 SEQUEL CONTRACTORS, INC_; ST. LIC 0 610600A 13546 IMPERIAL HIGHWAY SANTA FE SPRINGS, CA 90670 FAX (562) 802-7499 OFFICE (562) 802-7227 STATEMENT OF EXPERIENCE 1. OWNER: CITY OF ANAHEIM ADDRESS: 200 S. ANAHEIM BLVD. ANAHEIM, CA 92805 PHONE NO: (714) 765-5776 CONTACT: CHUCK SMITH PROJECT: KATELLA AVE BEAUTIFICATION PHASE I I PROJECT AMOUNT: S 17,500,000.00 COMPLETION DATE: i•IARCH 2001 2. OWNER: CITE" UI: ANAHEIN.I ADDRESS: 200 S. ANA14EIv1 BLVD. ANAHEIM, CA 92805 PHONE NO: (714) 765-5776 CONTACT: CHUCK SMITH PROJECT: KATELLA .AVE BEAUTIFICATION PHASE I PROJECT AMOUNT: S19,941,735.00 COMPLETION DATE: JUNE 24,1999 3. OWNER: JOHN WAN NE AIRPORT ADDRESS: ;151 AIRWAY DRIVE COSTA MESA CA 92643 PHONE NO: (714) 252-2570 CONTACT: DAVE McMILLER PROJECT: ANNUAL MAINTENANCE PROJECT AINIOUNT: S 1,000,000.00 ANNUALLY COMPLETION DATE: DULY OF 1996, 1997, 1998, 1999, 2001 4. OWNER: CITY OF BEVERLY HILLS # 206 ADDRESS: 455 REXFORD DRIVE,.,., BEVERLY HILLS, CA'Q0210 PHONE NO: (310) 285-2511 CONTACT: CHRIS THEISEN/ROB BESTS PROJECT: BURTON WAY PROJECT AMOUNT: S 3,585,560.00 COMPLETION DATE: SEPTEMBER 1999 5. OWNER: PORT OF LOS ANGELES ADDRESS: 425 S. PALOS VERDES ST SAN PEDRO CA 90733 PHONE NO: (310) 732-3654 CONTACT: SAL ZAMBRANO PROJECT. ANNUAL PAVING CONTACT PROJECT AMOUNT: S 5,550,000.00 + COMPLETION DATE: ONGOING 6. OWNER: CITY OF LAGUNA HILLS ADDRESS: 25201 PASEO DE ALICIA LAGUNA HILLS. CA 92653 PHONE NO: (949) 707-2655 CONTACT: KEN.ROSENFIELD PROJECT: OSO PARKWAY RESURFAC:IN*10 & iMEDIAN IMPROVE.NIENTS PROJECT AMOUNT: S 1.714.973.00 COMPLETION DATE- MAYS. 2(1,00 7. OWNER: CITY OF C:IJLVI:I% CITY ADDRESS: P.O BOX 507 CUINER CITY. CA 90232 PHONE NO: (310) 253-5760 CONTACT: MARGARET LIU PROJECT: WASHINGTON BLVD. PROJECT AMOUNT: $ 4,342,937.00 COMPLETION DATE: SEPTEMBER 1998 s. a 10. 12. OWNER: ADDRESS: PHONE NO: CONTACT: PROJECT: PROJECT AMOUNT: COMPLETION DATE: 0«'NER: ADDRESS: PHONE NO: CONTACT: PROJECT: PROJECT AMOUNT: COMPLETION DATE: OWNER: ADDRESS: PHONE NO: CONTACT: PROJECT: PROJECT A.NtOUNT: COMPLETION DATE: 0WNER: ADDRESS: PHONE NO: CONTACT: PROJECT: PROJECT AIviOUNT: CO;�iPLETION DATE: OWNER: ADDRESS: PHONE NO: CONTACT: PROJECT: PROJECT AMOUNT: CO.MPE1: CIO` DATE: C'1,1'ti'OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 (714) 647-5045 - TYRONE CHESANEK S.'%Ni DPOINTE NEIGHBORHOOD S 1,249,807.00 OCTOBER 2001 LACDPW 900 S. FREMONT AVE. ALHAMBRA, CA 91803 (626) 458-3I97 SAM ASSOUM OLYMPIC BLVD. S 2,242,000.00 APRIL 2002 CITY OF BEVERLY HILLS 455 N. REXFORD DRIVE BEVERLY HILLS, CA 90210 (310) 285-2311 CHRIS TYSO` VARIOUS LOCATIONS 5 1. 150,000.00 JI:NE 2002 ci rY OF SANI GABRIEL 425 SOUTH MISSION DRIVE SAN GABRIEL, CA 91776 (626) 308-2800 EXT. 715 BRUCE MATTERN ROSES RD. S 970,000.00 MAY 24, 2002 CITY OF HA%% fHORNE 4455 W 120' S-I'REET HA%k7HORNE, CA 90250 (310) 970-7959 AKBAR FAROKVII WASHINGTON AVE. S 535,000.00 SEPTEMBER 2001 CITY OF HUNTINGTO:`1 BEACH BIDDERS LIST All Bidders/proposers are required to provided the follo,%ing information for all DBE and non - DBE contractors, who proNide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted %ith their bid/proposaI. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name: SFOUEL CONTRACTORS, INC. Address: 13546 IMPERIAL i- M. iSAWA FF SPRINGS, CAUF. 90670 Phone:. ,(662) 802 7227 Fax: Contact Person: president No. of years in business I- the firm currently certified as DBE under 49 CFR Part 26? YES Type of work/services/materials provided by firm? 61C3ft A Wtiat was your tam's Gross Annual receipt's for last year? o Less than $1 Million o Less than $5 Million o ss than $10 Million o ss than $15 Million VMore than S15 Million /3 This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C 1I Local Assistance Procedures Manual r x+, Kt i u_t ME Checklist Instructions Attacbment C {TIEBIDDER'SEXECU170NONTLT S1GjYATUIhEPORTION OF=PROPOSAL SHALL ALSO COA=1TUTE ANENDORSZMFhT AND EXECUTION OF MOSE CER77F7CA770NS TVMCHAREA PART OFT?IISPROPOSAL) EQUAL.EMPLOYWNT OPPORTUNITY CERTIFICATION SEQUEL CONTRACTOR.,� PVC, ?he bidder __ _ , prCpoSed subcontractor _ , hereby certifies that he has has not ---, participated in a previous contract or subcon=t subject to 6e equal opportunity clauses, as required by Executive Orders 10925,11114, or 11246, an3 that, where re..quked, he has filed with the Joint F,eporting Committee, the Director of the Offs of Federal Contract Compliance, aFederal Government contracting or administering agency, or the former President's Committee on Equa1 Employment Opportunity, all report due under the applicable filling requirements. Note: The above cerdfication is required by the Equal Employment Opportunity Regulations of the Sec: e.%-y of Labor (41 CFR60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contacts and subcontracts %tdch are exempt from the equal opportunity clause are 'set forth in 41 CFR 60-1.5. (Generalh, only comma:ts or subconzacts of $10,000 or trader are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementag regulations. Proposed prime eontrartors and subcontractors Who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless sach contractor submits a report covering the delinquent period or such other period specified by the Federal Mghwav Administt2 ion or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. i2-"9 C-12 Page1245 Local Assistance Procedures Manual EXMIT ME PS&E Checklist Instructions Attachment G DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose labbyinq activitles pursuant to 31 U.S.C. rnrn 1. Type of Federal Action' x. States of FederalA:-tlon: 3. RepertType: ❑a. mntrsct ❑ a. bidlo}ferla;pCcem ❑ a. Inu b. Inateial Is enm ti lnl,"al ward cI'.args e cooperatve agwNftl a ban . a post aWd For l aterial Change Only: e. loan ri"ri ee r. km hiresnn year a qua let dab of lash roper. 4. Nam nd Actress of Reporing Entity: S. If Reporting Ectlty In No. 41s Subawardet. Enter • Prime Sutawardee Name and Address of Prime: Tier , Itknown Congresslonat District, llrknaw.x Congressional Distri4 ffkro m 6. Federal DepartrlentlAgency: 7. Federal Program NamelDescrlption: CFDA Number, flaprAcable 8. Federal Acton Number, ffkna . • 9. Award Amoun4 ffkncwrr NA s 10. a. Name and Address of lobbying Entity b. Individuals Performing Services 0n:1uTZr.g adepts: if ( fro MduK last name, first name, M.1): dl`erent from Na 10a) (vas: name, fZ tna;f9, Afo: NA N - (atta h Confrsra.`ion Sheets) f ecenary) 11. Amount of Payment (check all that apply): 13. Type of Payment (check all that apply) S ariltal Ej planned a rataher b• one-0me fee 12. Form of Payment (check all that apply): & cornmission AIA a casts e b. Its-kE4 spew'fy: nature d. cantyge-it fae value e. deferred L ctlter, specify: 14. Brief Description of Services Performed or to bt performed and Date(*) of Servlc% Inc.uding ofticer(s), employett(s), or mtlnber(s) contacted, for Payment Indicated In Item 11: (auach Cantlrue_cn 5."lee. ) ynecessary) 13. Continuation Sheets) attached: Yes No 15- htonnaCan ngm2d euou'R ibis term Is wlhortted by Tlee 31 U.1t..C. signature: 13M Thy ftb= otlo>:lylnp 810m Is a Irdwft repass Wan of tact Pr64zI�Q!'� upon whb:h m1 ra as Oxmd br 1he tfer ado» when ars ransaMon wa Print N afi owes or ende•ed hp. This dxdosrae Is nqufred pursuant10 31 U.S r 13SL This hour zui vtl ba mponad a U Ur mu arrLmnaatfy end wIf be Tit3: �l17rr18S S. P F'rw3sld6rti srabas tlr pt bkfteceaa Any person who tags in tie the nwhi dlsd shall W rAeet ID a d,a pmany of act less T.an f 10= and act mare than ;: aC,w; 0 for each cull talon. Federal Use Only:- ""�a M R°P°° Standard F= UL Rev. 01-M25 C-13 Pace I2-55 February I,1998 - EXHMIT 12-E Local Assistance procedures Dfanual Attachment G PS&E Checklist Instructions DGIRUCTTOINS FOR CO&IFLETIOS OF SF LLL, DLSCLOSURE OF LOBBYr G ACTIVITIES SEOUEL CONTACTORS, INC. This disclosure form shall be completed by the reporting entity, whether suba-mardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. Section 1=. The filing of a farm is required for such pa*,went or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of . Congress an officer or employee of Congress or an employcc of a Member of Congress in -connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report Refer to the implementing guidance publish,d by the Office of Management and Budget for additional information. I. Identify the type of covered Federal action for which lobb)iing activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occu: red. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District if know. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prune is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization fiiiag the report in Item 4 checks "Subawardee" then enter the full name, address, city, State and zip code of the prime Federal recipient include Conpressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if ]mown. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number. for grants, cooperative agreements, loans and loan conmtitrnents. 8. Enter the most appropriate Federal identifying number available for the Federal action identification in item 1(e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant =ouncement number, the contract Sant or loam award number, the applicationlproposal control number assigned by the Federal agency). Include prefixes, e.g., 'RFP DE 90-OD1." 9. For a covered Federal action where there has been an award or loan cornmitment by the Federal agency, enter the Federal amount of the award<'toan commitments for the prime entity identified in item 4 or 5. 10. (a) Enter the full male, address, city, State and zip code'of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from I D (a). Enter Last Name, Firs: Name and Middle Initial M. 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (act-4 or a iiU be made (planned). Check all boxes that apply. If this is a material change report, eater the cumulative amount of payment made or planned to to made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made thraugh as in -kind contribution, sp-ify the nature and value of the in -kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. ftn 12-54 C-14 Local Assistanee Procedures Manual ExEaBIT 12 E PS&E Checklist Instructions AttwhmenttG 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employees) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheets) is attached. lb. The certifying official shall sign and data the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching msting data sources, gathering and maintaining the data needed, and completing and reviewing the collection of ft formation. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. C-15 Page 12-55 Local Assistance Procedures Manual EMMIT 22-E ME Checklist Instructions Attachment L LOCAL AGENCY BIDDER -DBE INFORMATION This information may be submitted v6ith your bid proposal. If it is not; and you are the apparent low biddw or the second or third low bidder, it must be submitted and received by the administering agency no Iater than the time specified in the special provisions. CO.IRTER Ivi.: CONTRACT NO.: BID AMOUNT: S BID'OPENING DATE: SEP 2 8 M BimmvsNAME: SEQUEL CONTRACTORS, INC. ADDRESS: 1359 IMEERIAL 4• WY. SANRA FE MINA- S CAI1&, 2D670 DB:, GOAL FROM CONTRACT, z2% CONTRACT ITEM NO. ITEM OF WORK AND DESCRIPTION OF WORK OR SERVICES TO BE StMCON TRACTED OR MATERIALS TO BE PROVIDED NAME OF DBE •- (Nzme of DBEs, Certifiea:ion Number, and Telephone Humber) DOLLAR AMOiJA7 O DBE PERCENT '•• DBE .? %rmtAr-C.wr�w of f,/J f+Kir4fTMf��l 1�C.M/rir troft�ru w 3lr,s/O.!2 2.S%; likVtps GP• ��1 t� j /7, E-pD.111, A Iv/. spy /n'cl�i .2�t�'�% Tr+T Tiric�•�d J�;fjb—. "r° 2.4•/ Total Claimed Participation • If 100% of it= is not to be performed or fitrnis5d by DBE, describe exact portion, including planned location of aori- to be orme& of it" to be performed or fiunished by DBE •' DBEs must be certified by Calt = on the date bids are opened. Subcontractors and suppliers certified state-fundd only cannot be used to inert goals on federally Siaded contracts. •' • Credit for a DBE supplier, who is not a manufacturer is Limited to b0% of the amount paid to the supplier. (See Section Tisad%=ngd Business" (DBE) of the special provisions) L. IPORTAINT: Naves of DBE s bcoutractors and their respective item(s) of work listed above should be consistent the name an items of work in the "List of Subcontractors" submitted a-itli your bid pursuant a Subcontr Listing Law. '-/- SEP 2 8 =4 532) 802= Date (Ara Code) tel. No. Thomas S. Pack. President Person to Contact (Please type or print) Distribudon for NM Pmjc= Distribmion for non-\M Projear: DEPT.0F TR&NSPORTAM01 (1) Orignal-Uhrars DLAE for NHS Pro}ear. (2) Copy -Local Agency project We (1) Original Local Agency project file (FED DOE-) MODTIED DC-OE-19 (REV D9-18A5) R C—lfi Pav L'-67 _ EXHrBIT 1" Local Assistance rrocedures Manual Report of DBE Awards REPORT OF DBE AWARDS WIMP= THIS FOILM FOR EACH CONTRACT Locode: Project No. Total Contract Bid: Federal Share: Agency. - DBE Goal: ' Reimburs=cnt Ratio: Award Date: Combined DBE Percent of Federal Share for this Project: DBE Subcontractors fexcludint women) Awarded hvEthinic Groun and other Disadvantaned Black Hispanic Native Asian- Indian Asian- Pacific Other Total A No. Tots: 5 Fed 5 DBE Subcontractors excluding men) Grand Total Total A + B No. Total S Fed S Number of subcontracts awarded by type of work: rofes ;ionaI and Consultant Services PBE MBE RV+V'BE (excludirg mmen) 1. Eng-mi coring 2. Architectural 3. Right of Way 4. Other Construction 1. Grading/Drainage 2. Paving 3. StrrcturesMuildings 4. Materials S. EcViipment 6. Trucking 7. Trz.ific Control S. Landscaping 9. Other TOTALS: Note: For the purpose of this report, use the following definitioas. • DBE = disadvantaged business enterprise • M 13E = minority women business enterprise WRWBE = whhe women business enterprise r_17 CITY OF HUNTINGTON BEACH 2000 MAIN STREET OFFICE OF THE CITY CLERK CALIFORNIA 92648 Enclosed please find your original bid bond issued by .0 / gjCD L"/ for Joan L. Flynn City Clerk JF:pe Enclosure g:/follo«up/cashcont/retumbidbond.d:c (Telephone:714-536.5227) KNOW ALL MEN BY THESE PRESENTS: Thdt Wo, RANCO CORPORATION , (horai after called the Principal), and LINCOLN GENERAL INSURANCE COMPANY a corpoiltjoo organized and doing business under and by virtue of the laws of the State of PA , and duly licensed for the purpose of making, guaranteeing or becoming soles surety upon beads or undertakings required or authorized by the laws of the State of CALIFORNIA , as Surety, are held And firmly bound unto CITY OF HUNTINGTON BEACH (hmivafrer called the obligee) in the just and full sum of TEN PERCENT G AMOUNT BID lawful money of the United States of America, for the paYwad of which, well and tivly to be trade, we hereby bind oumlves and our hairs, executors, adtninish'ators, successors and assigns, jointly and severally, firmly by these preonts. THE CONDITION OF THIS OBLIGATION IS SUCH THAT W1ElERW, the above bounden Principal Ss aforesaid, is about to hand in and submit to the obligor a bid or proposal dated- 9 / 2 8 / 0 4 for Pr0j*Ct dV=ibed as: GOTHARD STREET, STREET IMPROVEMENTS in accordance with the. plans and specificI—A s filed in the offim of the obligee, and under the notice inviting Proposals therefor. NOW, THEMORB, if the bid Or proposal of said principal shall be accepted, and the contract for such work be awarded to the principal &n=q on by the said obligee, and said principal shall enter into a contract and bond for the completion of said work as roquired by law, then this obligation to be null and t void, OImwise to be and wwatn in full force and effect. y IN WTrNUS WHEREOF, said principal and said Swety have caused these presents toj be duly signed a ndsealedthiS24TH dayof SEPTEMBER 2004 BY: M. LINCOLN GENERAL INSURANCE COMPANY Attorney -in Fact AS 1-007 64 z CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No. W7 State of CALIErram County of CPJ11>G8 On SF21EM3ER 24, 2004 before me, B=Ml JAMM FRITaMD, NOTARY RRUC GATE ' NAME. ME OF OFFrCER - M. JANE DOE. WtARY RJBLIC' . personally appeared TM IRA J. E NAME(S) OF SKINERIS) II personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be the person(N) whose name() is/L subscribed to the within instrument and ac- " BEitTRA�1J.f Ri7CHARD knowiedged to me that Wshe executed ,tM cot::l.9146a142 Cy the same In XWher/MM authorized Notary P=;c-Cahiornia Orange County capacity(tem), and that by tjylher/ tiff 'Comm. Ex Tres _ .r" fAUARY 2a. 2008 signature(sj on the Instrument the person(X), .,or the entity upon behalf of which the person(i) acted, executed the instrunifnt. WITNESS my ha d a ffic' I s I. . , . SiCiNA RE OF NOTARY , OPTIONAL Though the data below Is not required by law, it may prove valuable to persons relying on the document and could prevent fraidulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER TM EM ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL E ATTORNEY•IN-FACT , ❑ TRUSTEE(S) D GUARDWYCONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: k"Z OF KRSC"S) OR ENMYrXS) DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT PLUMBER OF PAGES DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION - SM Remmet Ave., P.O. Sox 7184 • Canoga Pak, CA 91309-7164 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California County of Orange On SEP 2 4 266 before me, RacherA. _Tohnsan/.No_ taro PubCc NAME, TITLE OF OFFICER personally appeared E. Da0e ones Diane'.IonesL Christopher D. -Tones NAME OF SIGNERS) ® Personally known to me -- or — 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/shelthey 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 t he person(s) acted, executed the instrument. WITNESS my hand and official seal. +� "040,11+ AI 11as _ d1A, OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAI./OWNER DESCRIPTION OF ATTACHED DOCUMENT ® CORPORATE OFFICER resident. Secretar_y...&jt. 'Vice President TITLE(S) TITLE OR TYPE OF DOCUMENT ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY -IN -FACT ❑ TRUSTEE(S) NUMSER OF PAGES ❑ GUARDIAN/CONSERVATOR ❑ OTHER - DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) __ Ranco Coazoration ;S:.: r++..,,y�t.'� r.. :,..; i.•.' +'. \Lt'S, .f�W.•�'I~F3:ri Jyr •'J. sS�"��. ''. 1'w'•'3• `�►iir •��y'rl,r•" %'' �.r '/iJlr."r ,.r 5.� �. • ��,�f .i �,. ,.W't�, ;,. �er.r •,�+„r. i .,�. .r'�'l`:F• :i .sl :t .}.r: ,' .!•, ,. ,q. .►• .:� a•'i �'.+. :'�•'f: �'�O� . IPAT/OAI�= F , K.•+` r ,,.', ',.' . "[.} , r+'•'' .� f;j`7^ ', t ..,:., ." {:: „r i. ' , 31 'J't � /r' .J••+•tiw,ISt• wr,•,r •1'4'' •' .J'' .7l• 1'rJr«•[Q..il 1p...�ti_•r._fft�.�•�,,�.i /''°[r .. M r r}:A /+Z'r•�\�►. ..'�. *''�i• .'t • "f, / a "' � , .• ZPII�'RW�Bo_x9007 GENERAL•ENGINEERING CONTRACTORf�''. f : r'BRE&,QX 92821` • [t1i'Y OF ,.+,r••.rry, ';Y :►'�:', /•.. .}`,:•'t'4'-�i••*:+3: :'rl. .1+1 '•ti. 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Bids: 7/28/04 E?2:00pm r T t . 7 : .Y , I.,ti ,•r . ! ? 4. l' 1 e q' +r d ,. a [ - 'r Project #:CC-1154/CC-1107 ' ' '� s w." ',�': •y1J r , .:.w 5 rr r+, e - . f City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD STREET REHABILITATION - CC 1154, FROM ELLIS AVENUE TO HEIL AVENUE STP L 5181 1j 41 ) GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT PHASE 1) -CC 1107 FROM ELLIS AVENUE TO HEIL AVENUE ITS 99-5181 127 September 9, 2004 Not.:;e To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Technical Provisions: Incorporated Into the Gothard Street Rehabilitation, CC-1154 plans and specifications Is Addendum No. 1, dated September 9, 2004 and the following attached documents: 1) GOTHARD STREET PAVEMENT REHAB -COMMUNICATIONS CONDUIT (PHASE 1). CC-1107, ITS 99-5181 (127) CONSTRUCITON PLANS (13 SHEETS) 2) GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1) - CC-1107, ITS 99-5181 (127) SPECIAL PROVISIONS 3) SECTION A, NOTICE INVITING SEALED BIDS 4) SECTION B, INSTUCTIONS TO BIDDERS 5) SECTION C, PROJECT BID SCHEDULE (Gothard Street Rehabilitation - CC-1154, STPL-5181 (141) and Gothard Street Rehab -Communications Conduit (Phase 1) - CC-1107, ITS 99.5181 (127)) The Contractor's submitted proposal shall be enclosed In a sealed envelope plainly marked on the outside: "SEALED BID" for 1. GOTHARD STREET REHABILITATION - CC-1154, FROM ELLIS AVENUE TO HEIL AVENUE Il. GOTHARD STREET PAVEMENT REHAB -COMMUNICATIONS CONDUIT (PHASE 1) - CC-1107, FROM ELLIS AVENUE TO HEIL AVENUE Project Description: The project consists primarily of grinding of the existing pavement, removal of failed roadway sections, asphalt paving of failed areas, overlaying the streets with asphalt concrete, Installation of curb access ramps, pull boxes, splice vaults, fiber optic conduit, adjusting manholes, monuments and valves to grate, and installing traffic loops_ This is a Davis -Bacon project and the Federal Regulations will be enforced. Any contract entered Into pursuant to this notice will Incorporate the provisions of the Federal Labor Standards, which are on file at the office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. • The contract allows the contractor 85 working days to complete the contract. • The DBE goal for each Cash Contract (1154 & 1107) Is 7%. • The contractor shall provide to the City all required City and Federal documents for each Cash Contract (CC-1154 & CC-1107) project. For the purpose of making partial payments, the amounts set forth for the contract Items of work hereinafter listed shall be deemed to be the maximum value of said contract item of work, which will be recognized for progress payment purposes: a) Mobilization Gothard, CC-1154..................$17,500 Gothard, CC-1107..................$17,500 b) Traffic Control Plan Gothard, CC-1154..................$6,000 Gothard, CC-1107..................$6,000 Fiber Optic Conduit Installation & Traffic Control: The fiber optic conduit Installation shall precede the pavement rehabilitation work. When fiber optic conduit Installation and pavement rehabilitation work are occurring simultaneously, there shall be a minimum of one- half mile separation between any lane closure activity. Engineer's Estimate: $920,338 • Gothard Street Rehabilitation, CC-1154: $628,843 • Gothard Street Rehab -Communications Conduit (Phase 1), CC-1107: $291,495 This modification changes the Engineer's Estimate for this project from $652,343 to $920,338. This is to acknowledge receipt and review of Addendum Number pd b 1.2.004. Rarm ObV110 n�-lan Company Name By Date All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Lary J. Taite at (714) 536-5590. SECTION C PROPOSAL for the construction of L GOTHARD STREET REHABILITATIO►V - CC I1549 FRO.NL I ELLIS AVENUE TO HEIL AVENUE II. GOTHAR.D STREET PAVENIENT REHAB-CO'MMUNICATIO S CONDUIT (PHASE 1) - CC 11079, FROM ELLIS AVENUE TO HEIL AVENUE in the CITY OF HUh'TINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUN'TINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 85 working days, starting ftom the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful.aexamination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER, understands that failure to enter into a contract in the manner and time prescribed will resuh -in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find n the amount of $ a 7o which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case maybe). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received 's Signature C-2 _-. SECTION C PROJECT BID SCHEDULE Gotha-d Street Rehabilitation, CC-1154, STPL - 5181 (141) Gothard Street Rehab -Communications Conduit (Phase 1), CC-1107, ITS 99-5181 (127) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: S l ., 3311 (,f +i�' 4,• TOTAL AMOUNT LUMP SUM PID IN WORD 4%3C l�.i.�.oa -trNAUM QL*off %L-t� owe= --Lav►s*.P.i .5fv. rljLt ittLol, C-2.1 GOTHARD STREET REHABILITATION IMPROVEMENTS CC NO.1154 STPL - 5181 (141) C-2.2 GOTHARD STREET (CC-1154) PROJECT BID SCHEDULE ITEM ESTIMATED :. ITEM WITH UNITTPRICE-WRITTEN IN..- = . .UNIT PRICE. _EXTENDED. 'd0: QUANTITY' WORDS AMOUNT. 1 1 Mobilization $1_'l•500.00 $12apQQp L.S. &nWollars Cents 2 1 Traffic Control Plan $ _b,00o.bD $ 6,04D.OD L.S. @_S'1 �C-i�loUSaX1C1 --- -_Dollars Cents 3 1 L.S. Fu h PLLr�oje t Traffic Control @ 1`-T1 CJG*t JLcu s *►►,1— Dollars Cents 4 188,916 Cold Mi,ling & Header Cutting $ .11 $32,115'i2 S.F. @ Dollars Cents 5 471 Unclassified Excavation $ 145.D0 S?[p5.00 C.Y. @ iyt Dollars Cents 6 10,133 Construct Asphalt Concrete (Overlay, Full Depth, $ $ r Ton etc. @ J, � * w Dollars A..;h,% Cents 7 2,347 Pavement Reinforcement Fabric & Route and $ SR,368-00 S.Y. Seal of Cracks @ Dollars rAn Cents 8 46 Adjust Sewer/Storm Drain Manhole to Grade $-Z o $q.a�m•m Each @ T{N3r:5 Wmyrck Dollars b Cents 9 91 Adjust Water Valve to Grad $,go� $M90• Each @ _ 1K 1, Dollars TioJ Cents 10 1 Traffic Striping $-L4JpD S L.S. @7G� =uEaviia Dollars `-►Y1n Cents 11 80 Traffic Loop $ 1:15.0O $ Each @b[Atil&CA Y Fj\pC_Dollars Cents 12 8 Remove & Reconstruct Access Ramp $1 `5(= $ Each @ Dollars Cents 13 3 Ad"ust Surve Monument Well to Grade UM-M $_k0Q_W Each in A _A Dollars inn Cents 14 25 Survey Monumentation $-aCWXL $ 0 Each @ Dollars Cents Sib Total Bid Amount, Bid in Figures: $ IV5 �Lb Total Bid Amount, Bid in Words: 'U� i�-7` A% -W aus*.s I.Ja. ",� _ riJL':: 4tAA... 4 Vf -- C-2.3 m GOTHARD STREET REHAB- COMMUNICATIONS CONDUIT (PHASE 1) IMPRONTEMENTS CC NO.1107 ITS 99-5181 (127) C-2.G GOTHARD STREET REHAB -COMMUNICATIONS CONDUIT (PHASE 1)• CC-1107 PROJECT BID SCHEDULE .ITEM 1 ESTIMATED_ . ------- ITEM WITH UNIT PRICE WRITTEN IN:; :::. UNIT PRICE •EXTENDED NO. - :.QUANTITY : WORDS = ; :. i' AMOCINT 1 1 Mobilization S $ L.S. @ y rr , sauA ollars Cents 2 1 Traffic Control Plan S $ L.S. @ X 7balsa ddDollars Cents 3 1 taff Furnish Project ic�C�,ontrol S •� $ � L.S. ax T 4�uAt c.i L Dollars Cents a 10,670 Install VC Conduit (Trenched in Pavement) SS0.60 g on • L.F. @ `'` Dollars Cents 5 15 Install 1P,6 Pul(box 5 $ oo E.A. @ V A J k&0E-L Dollars Cents 6 6 Install Splice Vault S y °D• $ -� E.A. ( Dollars Cents Sub Total Bid Amount, Bid in Figures: $ Sub Total Bid Arniount. Bid in WoJds: , %ram P c1+,*- to ►1 �'1 tict ov S .I lam. 8A C-2.5 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render senice to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion of 11,0m. Name and Address of Subcontractor . State License Number Class + 0— g-ts'Wd-v LS4tt By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED «'ITH BID State of California ss. County of Orange Yi L being first duly sworn, deposes and says that he or she is V' Fir of 4Yicfl S'�ry , _ _ the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; 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 colluded, 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, or that of any other bidder, or to secure any advantage against the public 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 fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Signature of Bidder Addressof Bidder Subscribed and sworn to before me this day of , 200 _ NOTARY PUBLIC NOTARY SEAL C-4 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California County of Orange On SEP Z 7 2004 before me, Eache[A. _Tohnsonj.NOtaru Pu6Cc NAME, TITLE OF OFFICER personally appeared E. Dafe ones Diane ones Christopher D. Jones NAME OF SIGNERS) ® Personally known to me — or -- Proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that helshelthey executed the same in his/herttheir authorized capacity(ies), and that by OFFICIAL SEAL D his/her/their signature(s) on the instrument the person(s), or the RAC14ELA.,iow�5or� entity upon behalf of which t he person(s) acted, executed the Z �cu,r ns m instrument. Q OPA O CauJIY .uv�uw+ i+�+ E':�"•.`:1Bu' .a �►1l WTTNFSS my hand and official seal_ \(SIGNATURE 01 NOTARY) OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL/OWNER DESCRIPTION OF ATTACHED DOCUMENT CORPORATE OFFICER sident a toO.W. Mcc President TITLE(S) TITLE OR TYPE OF DOCUMENT ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SLGNER 15 REPRESENTI46: NAME OF PERSON(S) OR ENTITY(IES) Banco C oration NUMBER OF PAGES DATE OF DOCUMENT UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACIi, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of erperience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. MRIMMIT476M. I,• I t a Contractor & .mot t ���,Mlamgww. 10 =—At Date: nj 21 1 D DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? 0 Yes No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require 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 1 will comply with such provisions before commencing the performance of the work of this contract. Date: 9110 l D q • Contractor C Title C-7 UNDERGROUNTD SERVICE ALERT IDENTIFICATION NUMBER {To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service AIert at 1-8004224133 a minimum of two working days before scheduled excavation. Dig Alert Identification Aumber: Contractor IM Title Date: Dote: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Mork. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name - - Q_ o. E= 9- Do Business Address City, State Zip 1,714) g9z-25Do Telephone Number State Contractor's License No. and Class al04 Ict I Original Date Issued 02-1 0l0 Expiration Date q �2 0� The work site was inspected by of our office on , 200�. The following are persons, firms, and corporations having a principal interest in this proposal: FU Wo, 17cii s J t•:. �. ��.� C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Signature of Bidder Printed or Typed Subscribed and sworn to before me this _ day of , 200_ NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. &x. ahacirr�c{ Name and Address of Public Agency 2. 3. Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency -Type of Work Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Date Completed Date Completed C-10 F CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California Counly of Orange On SEP 2 7 2004 before me, PwchefA. ohnson arota PubCc NAME, TITLE OF OFFICER personally appeared E. Dale -Tones, Diane _Tones. Christopher D. _Tones NAME OF SIGNER(5) ® Personally known to me — or — 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 helshelthey executed the same in his/her/their authorized capa-.ity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the OFFICIAL SE41. D entity upon behalf of which t he person(s) acted, executed the W ��� a .�� Z 422115 m instrument. Q OR41GE OOl.N1r �cx•,V zoJ7 l llflllflll lllll��lll llll WITNESS my hand and official seal. it Aftl (k*VorkE OF TARP) OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDVALJOWNER 121 CORPORATE OFFICER Tre.tident, Secrefary,,&st. 'Vice President TITLE(5) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SWNER IS REPRESENTING: NAME OF PER50N(5) OR ENTITY(IES) Banco Cor oration DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT References: City of Lynwood City of Torrance 11330 Bullis Rd. 3031 Torrance Blvd. Lynwood, CA 90262 Torrance, Ca. 90509 3 I 0-603-0220 310-618-2820 Elias Saikaly $600,000 $2001000.00 Sandy Cohen City of Carson City of Carson 701 E. Carson Street 701 E. Carson Street Carson, Ca 90749 Carson, CA 90749 310-830-7600 310-830-7600 Travis Hopkins Patricia Elkins $600,000 2000 $250,000 City of Santa Ana City of Torrance 20 Civic Center Plaza 3031 Torrance Blvd. Santa Ana, Ca 92702 Torrance, CA 90509 714-647-5018 Steve Finton Ed Torres 310-618-2975 $500,000 $3007000 City of Riverside City of Diamond Bar 3900 Main Street 21825 E. Copley Dr. Riverside, Ca 92522 Diamond Bar, CA 91765 909-826-5889 909-396-5671 Daniel Ciacchella John Ilasin $200,000 $300,000 CITY OF HUNTD;GTON. BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid<iproposal. The City of Huntington Beach will use this information to maintain and update I a "Bidder's" list to assist in the annual DBE goal setting process. Ra i m o mi r Po'on Phone: '11q)c ::12.- Fax: -T4 99Z— 20 25Z2 1 .Contact Person: CyOkt No. of years in business 13 Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm?, What was your firm's Gross Annual receipt's for last ear? ' i o Less than $1 Million o Less than $5 Million < Less than $10 MiIIion o Less than $15 Million o More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 Local Assistance Procedures Manual Z-At1Ln11' il.E )ME Checklist instructions Attachment C (THEBIDDERSEXECU770NOiV =SIGs .4YVREPOItTIO.,Y 0FTJUSPR0P0SAL SHALL ALSO CONSTITUTE AN END OBSEALENT.,LNDF.XE'CU17ONOFTHOSE CER77FICATIOiVS TFECHA RE A PART OF TIiIS PROP0S.(L) The bidder subcontractor EQUALEIIPLOYMNT OPPORTUNITY CERMCATTON 0 prcposed _ , hereby certifies that he his _,, has not participated in a previous contractor subcontra; t subject to the equal oppo; turury clauses, as r:quir:d by EYccutve Orders 10925,11114, or 1I246, and that; where required, he has filled with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former Presiderres Committee on Equal Employment Opportunity, all reports due under the applicabl. filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Se..; eta.-y of Labor (41 CFR 60-1.7(b) (1)), and must be submia:d by bidders and proposed subcontractors only in connection with contrasts and subcontracts which rr subject to the equal opportunity clause. Contacts and subcontracts which are exempt from the eopportunity equal clause are .set forth in 41 CFR 60-1.5. (Generalh, only contracts or subcontracts of $10,OCO or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. . Proposed prime contractors and subcontractors who have participated in a previous comet or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the avmrd of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Adminismtion or by the Director, Office of Federal Contract Comp 'Rance, U.S. Department of Labor. u-&-" C-1.2 Pape L145 Local Assistance Procedures 11Manu3l EUMTT ME PS&E ChecUist Instructions Attacb©ent G . DISCLOSURE OF LOBBYING ACTIVITIES Complete this farm to disclose lobbvino activities pursuant to 31 U.S.0 �nrn 1. Type of Federal Ae=: 2. Status of Federal Action: 3. Report Type: ❑a contact A. bM'otferla,,;C:atoa IL Intal ❑ a Instal b. tL Omni award mates( Change e wo peralve ati^ eKr+ent d. loan , C. post -award ForMaterial Change Only: a ban g6mut L ban kmrz I yea date of l- report qua -ter — 4. Name and Adress of Reporting Entity: S. N Reperng Entity in No.4ls Subawardee. E�tar • Prime ❑ subawa dee Name and Address of Prime: Tier_, Fknown Congressional 01strict, lbowx Congressional District, lfkrown: L Federal Department/Agency: T. Federal Program h'amelDesc:iption• CFDA Number, Napp'im51e S. Federal Action Humber, fknowt 9. Award Amount fkrcwrr S 10. a. flame and Address of Lobbying Entity b, individuals Performing Services (lr.G'c^dfng edNss If (h'trrr'd U4 last name, ffrst name, MI). dXweri lmm No.1Ca) • Pat verve, +fry nao, ie, A10: fd'"d CcrfCrualran sheets) ynecessao) 11. Ameu nt of Payment (check ail that apply): 19. Type of Payment (check all that apply) S13anal ❑ Planned a. reta'ner b. one tlnle tea cctn,nEs=Eon IL Form of Payment (check all that apply): L cashG. d. pnti;ngent fee b. En-lancr• apedfyr nature a. deferred halve L ether, epect.yr: 1 & Brief Description of Sources Performed or to be performed and Dates) of Service, lrlcludlng officer(s), employee(s), or msmber(s) contacted, for Payment laftred In ltemr 11: (affaclt Carftvaftn Sheef(s) Wne:•essay) 15. Confinua:ion Sheets) attached: Yea No 16. kd=. r"on niquax: tl m*4 Ibis Wro is ar,hatred by Me 31 U.Bt, 5a^ Signature: 1 M him ne of pfMd p ewlvlvtyes b a Wtheaf rec�esr�e"of upon which roF.arrce vas ytrtad by 1ne 4er atro.e when tba trafsX7an was —s Print Blame: Yf � c i jLL j � made or eructed trtb. This ms*M Is req M pursuant to 31 U.5 t.13EL ■fin Q� l V•l[L This urkumaxnAbrrepolydblie Cavesswmlwrt aywdw7be TeT—S1 T Us: , k . avd,34 for try tzecd"ta. Any Pew who des to as me required dls--=rce sho be tupea b a chi penatty of not feu than $10= and rM more than p Telerhone No, Date: ` stoc,�Dtoreaar <9:r tasu�, Federal Use Onl : AM=ed1`.rLDMROMMM7e li�rtd:rd Form LLL tir+r. Dt-03.95 C-13 Pave 12-55 February 1,1998 -,F.k'nr 12-E Local Assistance Procedures Manual Attachment G PS&E Checklist Instructions LtiSTRUMONS FOR C031PLETION OF SF LLL, DISCLOSURE OF LOBBYLYG ACTIVnUS This disclosure for•n shalt be completed by the reporting entity, whether subawardee or prime Federal rcipient, at the in: tiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. S :cticn 1352. The filing of a form is required for such pa; went or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employe: of any agency, a Member of . ConQrss an officer or employee of Congress or an employee of a Member of Congress in'connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is i.nadequwLr. Complete all items that apply for both the initial Ming and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. L Identify the type of Covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action, 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred.. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal fiction. 4. Enter the full name, address, city, State and zip code of the reporting entity. include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prince or subavvard recipient Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract av mrds under grants. 5. If the organization filing the report in Item 4 checks "Subawardee" then enter the fill name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, if known. G. Enter the name of the Federal agency malting the award or loan commitment. Include at least one organization level below agency name, if knoum. For exmnple, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. S. Enter the most appropriate Federal identifying number available for the Federal action identification in it=1(e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract pint, or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., 7M DE-90-001 " 9. For a covered Federal action where there has been an award or loan commitment by the Federal k,--tcy, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, State and zip code bf the lobbying entity cagaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial QQ. 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). indicate whether the payment has been made (act:ial) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount. of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made throe& an in -kind contribution, specify the nature and value of the in -kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. Page 11-54 C-34 Local Assistance Procedures Manual E CMIT ICE _ PS&E Cbecklist Instructions _ _ _ . Attacbment G 14. Provide a specific and detaned description of the services that the1obbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted, 15. Check whether or not a continuation sheet(s) is attached. 16. The certifying official shall sign and date the form, print his)her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sou mes, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503.