HomeMy WebLinkAboutR. Burke CorporationAll bid forms must
forms and required
forms together.
BID FORMS
be completed and submitted with your bid. Failure to submit these
bid bond is cause to reject the bid as nonresponsive. Staple all bid
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.
SS i
Description
Measure
Quantity
(in figures)
in figures)
COMPLY WITH BUILDING
$10,000.00
LS
1
------------
PERMIT REQUIREMENTS
DEMOLITION AND REMOVAL OF
35,800.00
2
15
LS
1
--
EXISTING IMPROVEMENT
EXCAVATION AND GRADING
3
19
LS
1
_____-____
$39,300.00
4
20
TREETRIMMING
LS
1
$10,000.00
INSTALL IRRIGATION PIPING
$5,200.00
5
15,20
LS
1
AND SPRINKLER SYSTEM
6
20
TURF AREA SEEDING
LS
1
----------
$8,000.00
30 DAY PLANT ESTABLISHMENT
4,000.00
7
20
LS
1
_________
PERIOD
INSTALL (N) CONCRETE
$34.00
$81,600.00
8
73
SQFT
2400
WALKWAY
9
73
INSTALL (N) RAISED STAGE
EA
1
628,100.00
28,100.00
10
80
INSTALL FENCE
LF
80
$225.00
$18,000.00
11
80
INSTALL GATE
EA
1
I3,400.00
$3,400.00
INSTALL LIGHT POST AND
:$13,000.00
52,000.00
12
86
EA
4
CONDUIT PER CITY STD. 7915
INSTALL LIGHT PULL BOX PER
6720.00
4,320.00
13
86
EA
6
CITY STD. 7915
BID FORMS
A
BID FORMS
Itarn
lkirn
Unit of
Esdrnaled
tt ni Pri.c-r
Tail
IND.
55 v
Descri tip 2n
Measure
Quantity
in figures)
in figures)
INSTALL BOCCE BALL COUR
b33,000.00
33,000.00
14
99
EA
1
(8 FT_X 45 FT)
INSTALL SHADE STRUCTURE
$42,500.00
42,500.00
15
99
EA
1
(21 FT X 26 FT)
16
99
INSTALL 6 FT BENCH
EA
1
4,500.
$4,500.00
Base Bid
$ 379,720.00
17
80
INSTALL FENCE
LF
142
i185.00
26,270.00
18
80
REMOVE EXISTING FENCE
LF
142
$23.00
3,266.00
19
99
INSTALL PICNIC TABLE
EA
3
$4,200.00
$12,600.00
20
99
INSTALL ADA PICNIC TABLE
EA
1
$4,100.00
$4,100.00
21
99
INSTALL CHESS TABLE
EA
3
17,700.00
22
99
INSTALL CHESS TABLE SEAT
EA
6
$980.00
5,880.00
Additive Alternative A
$69,816.00
Total Project Bid = (Base Bid + Additive Alternative A)
$449,563.00
Company Name: R. Burke Corporation
(1) refers to section in the Standard Specifications, with modifications in the Special Provisions, that describe required
work.
BID FORMS
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
Electricraft, Inc.
KCI Environmental
License Number
468443
813844
Attach additional sheets as needed.
DIR Public
Works
Registration
Number
1000002190
1000010403
BID FORMS
C
Address and Phone
Specific
Number of Office, Mill or
Description of
Shop
Subcontract
200 Suburban Rd
Item #12
Install Light Post
San Luis Obisp o,
Itemll 13
ILight Light Box
CA 93401
P.O. Box 3307
Item #5
Irtigation
San Luis Obispo
p
Item #s
Turf Area Seeding
CA 93401
Item #7
Plant Establishment
% of
Total
Base
Bid
5%
2%
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
�/ 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 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 courtwhich 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
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 ✓ 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 ✓ 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
I, Robert E. Burke
I am President
BID FORMS
NON -COLLUSION DECLARATION
of R. Burke Corporation
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 /16 , 20 23 , in San Luis Obispo
I declare under penalty of perjury under the laws of the State of California that the foregoing
is true and correct.
(SEAL)
Robert E. Burke. President
ignature and Title of Declarant}
Subscribed and sworn to before me
this 16th day of November, 2023
SEE ATTACHED
Notary Public
Company Name: R. Burke Corporation
BID FORMS
F
CALIFORNIA
JURAT CERTIFICATE
.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 San Luis Obispo
Subscribed and sworn to (or affirmed) before me on this 16th day of November
2023 by Robert E. Burke
proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
r1o' 4 &1,.. HELENA ELAINE QUINTANAR
COMM, A 2426177 a
WITNESS MY HAND AND OFFIC L S L. NOTARY PUBLIC • CALIFORNIA n
SAN LUIS OBISPO COUNTY
Comm. EXP. NOV. 11, 2026
of Notary Public
uintanar, NP
OPTIONAL INFORMATION
(Notary Seal)
77ie jurat contained within this document is in accordance with California law. Any affidavit subscribed and sworn to before a notary shall use
the preceding wording or substantially similar wording pursuant to Civil Code sections 1189 and 8202. A jurat certificate cannot be affixed
to a document sent by mail or otherwise delivered to a notarypublic, including electronic means, whereby the signer did not
personally appear before the notary public, even if the signer is known by the notary ptiblic. The seal and signature cannot be
affixed to a document without the correct notarial wording. As an additional option an afant can produce all affidavit on the
same document as the notarial certificate wording to eliminate the use of additional documentation.
DESCRIPTION OF ATTACHED DOCUMENT
Non -collusion Declaration
(Title of document)
Number of Pages 2 (Including jurat)
Document Date 11 /16/2023
Bid Documents
(Additional Information)
CAPACITY CLAIMED BY THE SIGNER
Individual
Corporate Officer
Partner
Attorney -In -Fact
Trustee
Other:
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, includina 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.
264193
Licensed in accordance with an act providing for the registration of contractors, License No. Expiration
Date 01/31/2024
The above statement is made under penalty of perjury, and any bid not containing this information "will be
considered non -responsive and will be rejected" by the City.
Signature of Bidder
Robert E. Burke, President
(Print Name and Title of Bidder)
DIR— Public Works
Registration No: 1000007955
Business Name (DBA): R. Burke Corporation
Owner/Legal Name: Robert E. Burke
Indicate One: ❑Sole -proprietor ❑ Partnership OCorporation
List Partners/Corporate Officers: Robert E. Burke, President
Name Title
Joanne Burke, Vice President/Secreta
Name Title
;athy Burke, Treasurer
Name Title
Business Address P.O. Box 957
Street Address P.O. Box 957
Mailing Address P. O. Box 957
City, State, Zip Code San Luis Obispo, CA 93406
Phone Number 805-543-8568
Fax Number 805-543-2521
Email Address rbc@rburkecorporation.com
Date 11 /16/2023
BID FORMS
G
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 Lompoc -Danny Lara
Telephone &Email
805-315-7864- d_lara@ci.lompoc.ca.us
Project Name (Site Address): Bettie Park, Lompoc CA
Did this project include ADA
compliance concrete flatwork?
Yes vf No ❑
Was this contract for a public agency?
Yes \pf No ❑
Reference Number 2
Describe the services provided and how this project is similar to
that which is being bid:
ADA Curb Ramp & Parking Lot
Date project completed: 07/22
Customer Name & Contact Individual
City of San Luis Obispo -Bobby Browning
Telephone & Email
Project Name (Site Address):
Did this project include ADA
compliance concrete flatwork?
Yes V No ❑
Was this contract for a public agency?
Yes V No ❑
Reference Number 3
Customer Name & Contact Individual
Telephone & Email
Project Name (Site Address):
Did this project include ADA
compli nce concrete flatwork?
Yes No ❑
Was this contract for a public agency?
Yes `d No ❑
805-540-1031- bbrowni
Sinsheimer Court Entrance Replacement
Describe the services provided and how this project is similar to
that which is being bid:
ADA Curb Ramp & Court Entrance
Date project completed: 04/22
City of San Luis Obispo - Bobby Browning
805-540-1031- bbrowning@slocity.org
Roadway Sealing 2022, Spec No. 1000560
Describe the services provided and how this project is similar to
that which is being bid:
ADA Curb ramps
Date
BID FORMS
H
02/23
BID FORMS
ATTACH BIDDER'S BOND TO ACCOMPANY BID
Know all men by these presents:
Thatwe R. Burke Corporation AS PRINCIPAL, and
THE OHIO CASUALTY INSURANCE COMPANY AS SURETY, are held and firmly
bound unto the City of San Luis Obispo in the sum of:
TEN PERCENT OF AMOUNT BID Dollars ( 10% OF BID ) to be paid to
said City or its certain attorney, its successors and assigns; for which payment, well and truly to be 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 PRINCIPAL
to construct MITCHELL PARK REVITALIZATION PROJECT, SPECIFICATION NO. 2000188
(insert name of street and limits to be improved or project)
dated NOVEMBER 16TH, 2023 is accepted by the City of San Luis Obispo, and if the above
bounden PRINCIPAL , 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,
PRINCIPAL 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.
IN WITNESS WHEREOF, we hereunto set our hands and seals this 3TH day of NOV. 20 23
Bidder Principal: R. BURKE CORPORATION
ae., t�� 411 401 Z923
Signature to
Title: Robert E. Burke, President
Surety:
THE OHIO CASUALTY INSURANCE COMPANY
BRITTON CHRISTIANSEN, ATTORNEY -in -FACT
Bidders signature is not required to be notarized. Surety's signature must be notarized.
Equivalent form may be substituted
(Rev. 6-30-14)
BID FORMS
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This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Liberty Mutual Insurance Company
Mutual The Ohio Casualty Insurance Company Certificate No: 8210752-969577
SURETY West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint,
Britton Christiansen; Kevin E. Vega; Philip E. Vega
all of the city of Covina state of CA each individually if there be more than one named, its true and lawful attorney -in -fact to make,
execute, seat, acknowledge and delivef, for and on its behalf as surety and as its act and deed, any and all undertakings, bands, recognizances and other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 11 th day of September 2023
Liberty Mutual Insurance Company
P4 1Ns�Rq P�qr lhsv tNstf..q The Ohio Casualty Insurance Company
A� �0 pop. a 4opo
POR4 �4P npPop, West American Insurance Company
J � Fom It�� an a m
X Q m w
1912 oy1919�o a 1991 0 9 Jd
4ca 5 ya �a`ye Mr$�`� D YS �'4ntnMf' da FC. .,s7In7 "yf U
State of PENNSYLVANIA David M. Carey, Assistant Secretary Cr
_
County of MONTGOMERY ss �
� E
On this 1 1 th day of Sc t� ctnhcr 2023 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secrelwy of Liberty Mutual Insurance a
Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes
therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. 0 CO
"/p rn rr as
�`1_ 4wp Cammaimvallh of Penn5ylveoia - Nolary Simiy
+rt v Teresa Pavdla, Nplpry Public Q}
OF
Montgomery County
My commission expires March 28, 2025 B N
Commission number 1126044 y-
1+di�' :• ?,SeiM1Ger. nonre6yiVania nSwUotlon a! Noten0l �erBSa Paster{a, Notary Public Q O
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 3
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: d M
ARTICLE IV - OFFICERS: Section 12. Power of Attorney. o 0
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety (cu C°
any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall •a Co
have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such o at
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the -2 m
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority to T
CL
ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M Carey, Assistant Secretary to appoint such attorneys -in -
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations
Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company de
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 8TH day of NOVEMBER , 2023 .
P~ IHSU "9 P�,SY t1YgV� a tN5%7,p7
R, Lppt'07i�f �r y-- GOAPoq,�r 9� -GP 40pPON,7 �iti
a3 �cm a: gar x3 �fi liu`�y�
1919 'ZU 1991
t W d
���:�actlu� -0a� yR3 ktiMrg orb +'s Motaxa �'b By. Renee C. Llewellyn, Assistant Secretary T
LMS-12873 LMIC OCIC WAIC Multi Co 02121
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
�. aa: 1... its."_'
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
SAN LUIS OBISPO
On NOV 0 6 2023
Date
before me,
l
McKENZIE SALAZAR, NOTARY PUBLIC
personally appeared BRITTON CHRISTIANSEN
Here Insert Name and Title of the Officer
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
10MLKENZIE SALAZAR
Notary Public - Cellfornia
San Luis D4lspeCounty
Commission a 2451004
V [amm. Exvlras Au* 13, 1021
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Signature h&n=t_
Signature of 1taryy Public
Place Notary Seal Above
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) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02014 National Notary Association • www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5907