HomeMy WebLinkAbout7. Names and Addresses of General Contractor and Sub-ContractorBID FORMS
BIDDER ACKNOWLEDGEMENTS
By signing below, the bidder acknowledges and confirms that this bid is based on the information contained
in all contract documents, including the notice to bidders, plans, specifications, special provisions, and
addendum number(s) "iA (Note: You are responsible to verify the number of
addenda prior to the bid opening.)
The undersigned further agrees that in case of default in executing the required contract, with necessary
bonds, within eight days, (not including Saturdays, Sundays, and legal holidays), after having received a
mailed notice that the contract is ready for signature, the proceeds of the check or bond accompanying his
bid will become the property of the City of San Luis Obispo.
66R_+0
Licens d in accordance with an act providing for the registration of contractors, License No. Expiration
Date MIf -.x,
The above statement is made under penalty of perjury, and any bid not containing this information "will be
considered non -responsive and will be rq}e ed" by t1w City.
Signature of Bidder�_�"
(Print Name and Title of Bidder)
DIR- Public Works
Registration No: V_)C)M®-i(caR\
Business Name (DBA):Qy, O
Owner/Legal Name: .; p NdVe rL4d1
Indicate One: ❑Sole -proprietor ❑ Partnership 21 orporation
List Partners/Corporate Officers: pemy"A_ uarlf4_e_� �N�.,A,ea r'�y�LAK�Z�,�„r
Name Title
Name Title
Name Title
Business Address %?,5-03-
Street Address 3 J \ CG�ir` hf� � - g 1�� � lc�, _ (A
Mailing Address ' T
City, State, Zip Code k L
Phone Number Uo \ - �f G w
Fax Number \ -x
Email Address VAe ele Dam
Date
BID FORMS
H
,AAV64v
BID FORMS
LIST OF SUBCONTRACTORS
Pursuant to Section 4100 of the Public Contracts Code and section 2-1.33C of the
standard specifications, the Bidder is required to furnish the following information for each
Subcontractor performing more than 1/2 percent (0.5%) of the total base bid. Do not list
alternative subcontractors for the same work. Subcontracting must not total more than
fifty percent (50%) of the submitted bid except as allowed in section 5-1.13 of the standard
specifications.
For Streets & Highways projects, subcontractors performing less than ten thousand dollars
($10,000) worth of work need not be mentioned. Subcontractors required to pay
prevailing wage, must be registered with the Department of Industrial Relations
pursuant to Labor Code section 1725.5 to be listed.
NOTE: If there are no subcontractors, write "NONE" and submit with bid.
Name Under Which
Subcontractor is Licensed
DIR Public
Works Address and Phone
Registration Number of Office, Mill or
License Number Number Shop
611gV
6&1-17Y-C301
L5 7o 2-7 pU-&tq oy it
Attach additional sheets as needed.
BID FORMS
D
3&3Y
z�--7u /0 ti7
Specific
Description of
Subcontract
% of
Total
Base
Bid
�a
8070