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Quincon, Inc.
City of San Luis Obispo Bid 2000188 BID FORMS All bid forms must be completed and submitted with your bid. Failure to submit these forms and required bid bond is cause to reject the bid as nonresponsive. Staple all bid forms together. THE UNDERSIGNED, agrees that they have carefully examined: 1. the location of the proposed work 2. the plans and specifications 3. read the accompanying instructions to bidders and propose to furnish all: 4. materials 5. labor to complete all the required work satisfactorily in compliance with 6. plans 7. specifications 8. special provisions for the prices set forth in the bid item list: BID ITEM LIST FOR MITCHELL PARK REVITALIZATION PROJECT, SPECIFICATION NO. 2000188 Item Item Unit of Estimated Item Price Total No. SS11) Description Measure Quantity in fi ures (n fil 9 ures 1 3 COMPLY WITH BUILDING LS 1 64-0:60-- 610.50 PERMIT REQUIREMENTS 2 15 DEMOLITION AND REMOVAL OF LS 1 32,3 32,600.93 EXISTING IMPROVEMENT 3 19 EXCAVATION AND GRADING LS 1 5-277� .,&8 52,753.68 4 20 TREE TRIMMING LS 1 14,89a.48 10,803.48 5 15,20 INSTALL IRRIGATION PIPING LS 1 1.401-2-:4$ 14,912.18 AND SPRINKLER SYSTEM 6 20 TURF AREA SEEDING LS 1 3,-052- 3,052.52 7 20 30 DAY PLANT ESTABLISHMENT LS 1 4;424'94 4,424.94 PERIOD INSTALL (N) CONCRETE 8 73 SQFT 2400 18.69 44,859.86 WALKWAY INSTALL (N) RAISED STAGE 9 73 EA 1 15,152.72 15,152.72 10 80 INSTALL FENCE LF 80 177.05 14,163.70 11 80 INSTALL GATE EA 1 1,831.51 1,831.51 12 86 INSTALL LIGHT POST AND EA 4 12,033.04 48,132.16 CONDUIT PER CITY STD. 7915 13 86 INSTALL LIGHT PULL BOX PER EA 6 2,743.20 16,459.20 CITY STD. 7915 BID FORMS A 11/9/2023 4:15 PM p. 17 City of San Luis Obispo Bid 2000188 BID FORMS Item No. SS(1) Item Description Unit of Measure Estimated Quantity Item Price in figures) Total in figures) 14 99 INSTALL BOCCE BALL COUR (8 FT X 45 FT) EA 1 18,217.45 18,217.45 15 99 INSTALL SHADE STRUCTURE (21 FT X 26 FT) EA 1 51,709.72 51,709.72 16 99 INSTALL 6 FT BENCH EA 1 3,853.50 3,853.50 Base Bid $ 333,538.05 17 80 INSTALL FENCE LF 142 177.05 25,140.57 18 80 REMOVE EXISTING FENCE LF 142 28.55 4,053.75 19 99 INSTALL PICNIC TABLE EA 3 3,500.63 10,501.90 20 99 INSTALL ADA PICNIC TABLE EA 1 5,741.18 5,741.18 21 99 INSTALL CHESS TABLE EA 3 4,665.07 13,995.20 22 99 INSTALL CHESS TABLE SEAT EA 6 806.68 4,840.08 Additive Alternative A $ 64,272.67 Total Project Bid = (Base Bid + Additive Alternative A) $ 7 Company Name: Quincon, Inc. (1) refers to section in the Standard Specifications, with modifications in the Special Provisions, that describe required work. BID FORMS Z 11/9/2023 4:15 PM p. 18 City of San Luis Obispo Bid 2000188 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. DIR Public Works Address and Phone Specific Name Under Which Registration Number of Office, Mill or Description of Subcontractor is Licensed License Number Number Shop Subcontract ASM Electric 1006640 1000030389 793 E. Foothill Blvd Electrical San Luis Obispo, CA 93405 805-980-8977 Big Wakoo 878381 1000005304 358 E. Ormonde Rd Fencing Arroyo Grande, CA 93420 805-801-3890 Attach additional sheets as needed. BID FORMS C % of Total Base Bid o.I�, 2 .mil boi 11/9/2023 4:15 PM P. 19 City of San Luis Obispo Bid 2000188 BID FORMS PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT In compliance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985), the bidder hereby declares under penalty of perjury under the laws of the State of California that the bidder, or any subcontractor to be engaged by the bidder, has , has not X been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University. The term "bidder" is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.1. NOTE: The bidder must place a check mark after "has" or "has not" in one of the blank spaces provided. The above Statement is part of the Bid. Signing this Bid on the signature portion constitute signature of this Statement. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE In compliance with Public Contract Code Section 10162, the Bidder must complete, under penalty of perjury, the following 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 X No If the answer is yes, attach a letter explaining the circumstances PUBLIC CONTRACT CODE SECTION 10232 STATEMENT In compliance with Public Contract Code Section 10232, you hereby state under penalty of perjury, that no more than one final unappealable finding of contempt of court by a federal court has been issued against you within the immediately preceding two-year period because of your failure to comply with an order of a federal court which orders you to comply with an order of the National Labor Relations Board. LABOR CODE SECTION 1725.5 STATEMENTS The bidder has delinquent liability to an employee or the state for any assessment of back wages or related damages, interest, fines, or penalties pursuant to any final judgment, order, or determination by a court or any federal, state, or local administrative agency, including a confirmed arbitration award. Any judgment, order, or determination that is BID FORMS D 11/9/2023 4:15 PM p. 20 City of San Luis Obispo Bid 2000188 BID FORMS under appeal is excluded, provided that the contractor has secured the payment of any amount eventually found due through a bond or other appropriate means. Yes X No The bidder is currently debarred under Section 1777.1 or under any other federal or state law providing for the debarment of contractors from public works. Yes X No NOTE: The above Statements and Questionnaire are part of the Bid. Signing this Bid on the signature portion constitute signature of this Statement and Questionnaire. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. BID FORMS E 11/9/2023 4:15 PM p. 21 City of San Luis Obispo Bid 2000188 I Jose Quintana I am President BID FORMS NON -COLLUSION DECLARATION of Quincon, Inc. declare that the party making the foregoing bid that the bid is not made in the interest of, or on 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 refrained from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the 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, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Executed on 11/15 , 20 23 , in Grover Beach I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. {1 (Signature and Title of Declarant) (SEAL) ROMELIAALCANTAR c Subscribed and sworn to before me vy COMM. #2443388 NOTARY PUBLIC-CALIFORNIA N th Is i W day of 00yt w1, W , 20 -1'�5 SAN LUIS OBISPO COUNTY My Comm. ExplmsAAAA April n y u..a.aua.u.a..a..� 1 1J Notary Public Company Name: Quincon, Inc. BID FORMS F 11 /9/2023 4:15 PM p. 22 City of San Luis Obispo Bid 2000188 BID 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) (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. Licensed in accordance with an act providing for the registration of contractors, License No 888545 Expiration Date 12/31 /2024 The above statement is made under penalty of perjury, and any bid not containing this information "will be considered non -responsive and will be r�jectgd" by the City. Signature of Bidder Jose Qu tana, President DIR— Public Works Registration No: 1 Business Name (DBA): Quincon, Inc. Owner/Legal Name: Jose Quintana Indicate One: ❑Sole -proprietor List Partners/Corporate Officers: Jose Quintana Name (Print Name and Title of Bidder) ❑ Partnership ®Corporation President Title Name Title Name Title Business Address 200 South 13th Street, Ste 101, Grover Beach, CA 93433 Street Address 200 South 13th Street, Ste 101, Grover Beach, CA 93433 Mailing Address PO Box 1029 City, State, zip Code Grover Beach, CA, 93433 Phone Number 805-574-1660 Fax Number 805-481-2440 Email Address jose@quinconinc.com Date 11 /15/23 BID FORMS G 11/9/2023 4:15 PM p. 23 City of San Luis Obispo Bid 2000188 BID FORMS QUALIFICATIONS Failure to furnish complete reference information ON THIS FORM, as specified in this project's Notice to Bidders and indicated below, is cause to reject the bid. Additional information may be attached but is not a substitute for this form. Reference Number 1 Customer Name & Contact Individual City of Guadalupe / Sonia Rios Telephone & Email 805-356-3906 / soniariosventura@rcdcc.org Project Name (Site Address): LeRoy Park and Community Center Rehabilitation / 4689 11th St, Guadalupe, CA 93434 Did this project include ADA Describe the services provided and how this project is similar to compliance concrete flatwork? that which is being bid: This work involved the renovation o Yes og No ❑ the existing building which included all the site work. Lar dscape, irrigation, ADA concrete walks, ADA compliant paths, concrete Was this contract for a public agency? retaining walls, and fencing. Yes 29 No ❑ Date proiect completed: 8/13/2021 Reference Number 2 Customer Name & Contact Individual Orcutt Union School District / Brad Gitchell _ Telephone & Email 805-938-8971 / bgitchell@orcuft-schools.net Project Name (Site Address): Innovation Project / 500 Dyer St., Orcutt, CA 93455 Did this project include ADA Describe the services provided and how this project is similar to compliance concrete flatwork? that which is being bid: New building that included all site w Yes ?q No ❑ it involved ADA concrete ramps, railing, concrete ADA co flat work, irrigation, planting, asphalt paving. Was this contract for a public agency? Yes N No ❑ Date project completed: 8/6/2021 Reference Number 3 Customer Name & Contact Individual City of Santa Barbara Parks & Recreation / Keven Strasburg Telephone & Email 805-897-1906 / kstrasburg@santabarbaraca.gov Project Name (Site Address): Off Leash Dog Area at Mackenzie Park / 3111 State St, Santa Barbara, CA 93101 Did this project include ADA Describe the services provided and how this project is similar to compliance concrete flatwork? that which is being bid: Convert an area of the park into an Yes X No ❑ dog park. Included grading, concrete benches, porous A concrete flat work, fencing, concrete walls, boulder place Was this contract for a public agency? engineered ground covered, irrigation, planting, drinking Yes X No ❑ fountain. Date project completed: 8/8/2019 BID FORMS H )rk. It crete ff leash A vent, 11/9/2023 4:15 PM p. 24 BID FORMS ATTACH BIDDER'S BOND TO ACCOMPANY BID Know all men by these presents: That we Quincon, Inc. , AS PRINCIPAL, and Great Midwest Insurance Company AS SURETY, are held and firmly bound unto the City of San Luis Obispo in the sum of: Ten Percent of Total Amount Bid Dollars ( (T°°1) °s roles aid AIMM to be paid to said City or its certain attorney, its successors and assigns; for which payment, well and trulytobe made, we bind ourselves, our heirs, executors and administrators, successors or assigns, jointly and severally, firmly by these presents: THE CONDITION OF THIS OBLIGATION IS SUCH, that if the certain bid of the above bounden Quincon. Inc. to construct Mitchell Park Revitalization Project Specification No. 2000188. (insert name of street and limits to be improved or project) dated November 14, 2023 is accepted by the City of San Luis Obispo, and if the above bounden Quincon, Inc. his heirs, executors, administrators, successors, and assigns shall duly enter into and execute a contract for such construction and shall execute and deliver the two bonds described within ten (10) days (not including Saturdays, Sundays, or legal holidays) after the above bounden, Quincon, Inc. has received notice by and from the said City of San Luis Obispo that said contract is ready for execution, then this obligation shall become null and void; otherwise, it shall be and remain in full force and virtue. 14th November IN WITNESS WHEREOF, we hereunto set our hands and seals this day of , 20 23 Bidder Principal: Quincon, Inc. ) L_ -Jose Quintana Title.- I President Great Midwest Insurance Company Date Title: Attorney -in -Fact Bidder's signature is not required to be notarized. Surety's signature must be notarized. Equivalent form may be substituted (Rev. 6-30-14) BID FORMS 1 CLEAR CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California county of Orange on 11/14/2023 Date Personally appeared before me, Jessica Tinoco Garcia, Notary Public Here Insert Name and Title of the Officer Kevin P. Reed Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personowhose nameWare are subscribed to the within iI trument and cknowledged to me t a /she/they executed th sa a in i her/their authorized capacity{ie and th$ by is her/their siignature( on e instrumentthe personts orthe a tlty upon behalf of which the persvnO acted, executed the instrument. ov r JESSICATINOCO GARCIA Notary Public - California - Orange County Commission # 2400291 oR•'} My Comm. Expires Apr 10, 2026 Place Notary Seal Above I certify under PENALTY OF PERJURY underthe laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. 0 Signature �XIpltx, Signature of Notary Public ---------------------------------------------------- OPTIONAL ---------------------------------------------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document Number of Pages Document Date Signer(s) OtherThan Named Above Capacity(ies) Claimed by Signer(s) Signer's Name �] Corporate Officer—Title(s) Partner Limited [] General ® Individual 0 Attorney in Fact Q Trustee [1 Guardian or Conservator ® Other Signer Is Representing Signer's Name © Corporate Officer —Titles) ® Partner ❑ Limited OGeneral ® Individual 0 Attorney in Fact ®Trustee E] Guardian or Conservator Other Signer Is Representing �� �,��.cs:s�cr=t�-�sc• _.tom,car_r�ce.cnr,��.,rumor-�^c',rs'.r:r��•,r�...,r�,.y.-rr: �£ ©2014National NotaryAssociation • www.National Notary_org •1-800-USNOTARY (1-800-876-6827) Item#5907 POWER OF ATTORNEY Great Midwest Insurance Company KNOW ALL MEN BY THESE PRESENTS, that GREAT MIDWEST INSURANCE COMPANY, a Texas Corporation, with its principal n Houston, TX, does hereby constitute and appoint: Aaron Fosburg, Kevin P. Reed its true and lawful Attorney(s)-In-Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or othei writings obligatory in nature of a bond. This authority is made under and by the authority of a resolution which was passed by the Board of Directors of GREAT MIDWEST (INSURANCE COMPANY, on the 1st day of October, 2018 as follows: Resolved, that the President, or any officer, be and hereby is, authorized to appoint and empower any representative of the Company or other person or persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory in nature of a bond not to exceed Ten Million dollars ($10,000,000.00), which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, so appointed, may be removed in the Company's sole discretion and the authority so granted may be revoked as specified in the Power of Attorney. Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such Power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company, IN WITNESS THEREOF, GREAT MIDWEST INSURANCE COMPANY, has caused this instrument to be signed by its President, and i Corporate Seal to be affixed this 11th day of February, 2021. coRF3RATE SEAL ACKNOWLEDGEMENT BY GREAT MIDWEST INSURANCE COMPANY Mark W. Haushill President On this 11th day of February, 2021, before me, personally came Mark W. Haushill to me known, who being duly sworn, did depose and that he is the President of GREAT MIDWEST INSURANCE COMPANY, the corporation described in and which executed the above instrument; he executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation, �rAi+•� CHRISTINA BISHOP ' Notary Public, State of Taxas �. Comm, Expires 04.14-202a OF ���/il 41VVNotaty IQ 13 0904418 CERTIFICATE BY Christina Bishop Notary Public 1, the undersigned, Secretary of GREAT MIDWEST INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY tha' original Power of Attorney of which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolution set forth are now in force. Signed and Sealed at Houston, TX this 14th Day of NgvemEr 20 23 BY } Leslie K Shaunt Secretary Gi' Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of clain g any m4A q-iaMy ;alse information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits t insurance act, which is a crime and subjects such person to criminal and civil penalties.