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HomeMy WebLinkAboutJob 2. Souza Engineering Contracting, Inc. North ChorroBID FORMS — ADDENDUM NO. 1 BID FORMS — ADDENDUM NO. 1 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: materials labor to complete all the required work satisfactorily in compliance with plans specifications special provisions for the prices set forth in the bid item list: BID ITEM LIST FOR NORTH CHORRO NEIGHBORHOOD GREENWAY, SPECIFICATION NO. 1000036 Item Item Unit of Estimated Item Price Total No. SS„' Description Measure Quantity (in figures) (in fi ures 1 7 97 TRAFFIC CONTROL PLAN AND LS 1 53b, (000 S38,(Qoc 12 IMPLEMENTATION kS 2 5,9 CONSTRUCTION SURVEY LS 1 _ 3 5, 9, 7 COMPLY WITH CALTRANS LS 1 ENCROACHMENT PERMIT - 2 - COMPLY WITH GRANT DEED AND 4 5, 9, 7 RIGHT OF WAY AGREEMENT - LS 1 BIKE PATH 5 9, 15, CLEARING, GRUBBING, AND LIMB LS 1 17 REMOVAL S - 6 9 15, CHORRO STREET SQFT 10000 26, 39 RECONSTRUCTION 1, $o 9, 15, 7 26, CLASS I BIKE PATH (OPTION 2) SQFT 6600 73. 90 9 \ - 93$ lucib- 9, 15, 8 26, MINOR CONCRETE (SIDEWALK) SQFT 1700 73, 90 14- a3 4 - 9, 15, 9 26, MINOR CONCRETE (CURB AND LF 2355 39, GUTTER) 73,90 1 1 qg - a30"1g0 BID FORMS -ADDENDUM NO. 1 A SAS BID FORMS - ADDENDUM NO. 1 9, 15, 10 26, MINOR CONCRETE (CROSS LF 250 39, GUTTER) 73, 90 als- DSO' 9, 15. 11 26, MINOR CONCRETE (DRIVEWAY SQFT 800 39, RAMPS) 73, 90- 12 9, 73, MINOR CONCRETE (1.25' LF 1600 90 CONCRETE BIKE MEDIAN) (ref y0 �u 13 9, 73, MINOR CONCRETE (T CONCRETE LF 1650 90 BIKE MEDIAN) iSn•4D aUA Ic n- 14 9, 15, MINOR CONCRETE (SIDEWALK EA 1 73690 UNDERDRAIN) in n- I 9, 15, 20, MINOR CONCRETE (ENERGY 15 DISSIPATION STRUCTURE AND EA 1 73, , COBBLE) _ S _ 9, 15, 26, STRUCTURE CONCRETE (CURB 8, 16 GUTTER RETAINING WALL - LF 172 73, 9p BROAD ST - STA 21+40 TO 23+12) S _ _ 9, 15, 26, STRUCTURE CONCRETE 17 51 (RETAINING WALL - BIKE PATH - LF 180 73, 90 STA 1 +00 TO 2+80) 9, 15, STRUCTURE CONCRETE 18 26, (LANDSCAPE HIGH CURB - LF 123 73, 90 CHORRO/101) -A _ UA 339 9, 15, 19 26, STRUCTURE CONCRETE (CMU EA 1 51, PILASTER - BIKE PATH) 73. 90 IS .I - 20 9, 37 TYPE II SLURRY SEAL SQYD 30,440 21 9, 15, BIKE LANE AND EXISTING CURB LS 1 37 RAMP EDGE GRINDn- 22 9,12 TEMPORARY STRIPING AND LS 1 PAVEMENT MARKINGS I55. n'In- Iccn� _ 23 9, 15, MINOR HOT MIX ASPHALT (CASE SQFT 2,330 39 1 - 10" THICK) n•�o y� qqg- 24 9,39 MINOR HOT MIX ASPHALT (SPEED EA 7 HUMP - TYPE 2).y 25 9,15 ADJUST STORMDRAIN MANHOLE EA 6 TO GRADE 110- Ln - 26 9, 15 ADJUST SANITARY SEWER EA 3 MANHOLE TO GRADE 1310 - 430- 27 9,15 ADJUST COMMUNICATION EA 36 VAULT/MANHOLE/BOX TO GRADE 1 i0- 28 9,15 ADJUST WATER VALVE TO EA 12 GRADE m- jqto- BID FORMS -ADDENDUM NO. 1 BID FORMS - ADDENDUM NO. 1 29 9,15 ADJUST WATER METER TO EA 11 GRADE g- g - 30 9764' 18" HDPE STORM DRAIN PIPE LF 63 14 31 9 15, MINOR CONCRETE (STORMDRAIN EA 1 39, 77 CATCH BASIN) a4 _94.0m _ 32 9 15, MINOR CONCRETE (STORMDRAIN EA 2 39,77 MANHOLE)n- 33 9 64, 6" PERFORATED UNDERDRAIN LF 62 77 PIPE1y- 34 9 15, MINOR CONCRETE (12" MIDSTATE EA 3 77 STORMDRAIN CATCH BASIN) 35 9 15, MINOR CONCRETE (24" MIDSTATE EA 1 77 STORMDRAIN CATCH BASIN) 330 _ ACV) REMOVE AND REPLACE 36 9, 64, STORMDRAIN INLET GRATE AND EA 17 77 INSTALL FILTEREXX STORMEXX FILTER (olbo - 104 a 37 9,82 12' PUNCH POST EA 45 - 38 9,82 14' PUNCH POST EA 3 Aso- - 39 9,82 R1-1 SIGN 18" EA 2- 40 9, 82 R1-1 SIGN 30" EA 4 -� _ q_ 41 9, 82 R1-2 SIGN 25" EA 1 - - 42 9,82 R1-3P PLAQUE EA 4 cl_ a,x,_ 43 9,82 R4-11 SIGN EA 7 , _ 44 9,82 R5-3 SIGN EA 2 1 Ln 45 9, 82 R7-9 SIGN EA 18 46 9, 82 R10-15 (MODIFIED) "YIELD TO EA 5 BIKE" SIGN b- 47 9,82 R81 (CA) SIGN EA 3 48 9,82 R81A (CA) SIGN EA 2 49 9,82 R81 B (CA) SIGN EA 5- 50 9, 82 W1-1 SIGN EA 2 51 9,82 W1-2L SIGN EA 2 52 9,82 W4-4P SIGN EA 1- 53 9,82 W11-2 SIGN EA 8 54 9,82 W16-7P SIGN EA 8 55 9,82 W84 (CA) SIGN EA 3- 56 9, 82 GREENWAY ARROW PLAQUE EA 8 Sk- m- 57 9,82 GREENWAY SIGN EA 19 _ _ LiI UA 58 9,82 PEXCO CITY POST MODEL EAC, 23 36" WHITE WITH 2 GREY WRAPS L4COEA _ J 3 - 59 9,82 72" WHEEL STOP EA 8 Iy yp- 6" YELLOW TACTILE GUIDE STRIP, 60 9, 82 VANGUARD ADA SYSTEMS OR LF 82 APPROVED EQUAL I�o- BID FORMS -ADDENDUM NO. 1 BID FORMS - ADDENDUM NO. 1 61 9,82 INSTALL EXISTING / RELOCATED SIGN EA 16 q960- 62 9,84 CURB PAINT LF 200 - - 63 9, 84 PREFORMED THERMOPLASTIC SHEETS (BROAD/MURRAY) SQFT 120 - - 64 9, 84 ZICLA ZEBRA CYCLE TRACK LANE SEPARATORS- EA 48 65 9,84 4" YELLOW STRIPING LF 1,300 k•ao- 66 9,84 DETAIL 1 LF 2,750 i•io 3p� - 67 9.84 DETAIL 8 LF 50 68 9,84 DETAIL 22 LF 2,450 yo v ;o- 69 9,84 DETAIL 39 LF 3,750 70 9,84 BIKE BUFFER LF 1,360 3.e0 c�ba- 71 9, 84 BIKE BUFFER AT DRIVEWAY SQFT 1,140 3.se, Q1A_ 72 9, 84 HI-VIS CROSSWALK EA 35 ib 6 - 73 9,84 STOP BAR LF 465 y•uo - 74 9,84 STOP LEGEND EA 32 3$44- - 75 9, 84 STOP LEGEND (1/2 SCALE) EA 7 14-7 _ IN 7 q _ 76 9, 84 BIKE / PED DIRECTIONAL SYMBOL EA 2 - I - 77 9,84 TYPE II ARROW EA 1�- 78 9,84 TYPE IV ARROW EA 1 3m- 79 9, 84 HUMP LEGEND EA 12 80 9,84 PED LEGEND EA 2 0- 81 9,84 XING LEGEND EA 4 kop- 82 9,84 SLOW LEGEND EA 2 ; y- -1�k- 83 9,84 SCHOOL LEGEND EA 4 ;aqo- 84 9,84 TURNING BIKE BOX EA 3 y��- ,al - 85 9,84 BIKE SYMBOL & ARROW EA 23 y? - 86 9,84 GREENBACK CHEVRON EA 25 „_ - 87 9,84 GREENBACK SHARROW EA 2 _ 3�- 88 9,84 GREENWAY SYMBOL EA 22 y n- 89 9, 84 GREEN CASE BIKE LANE MARKINGS LF 118 o ya4 to 90 9,84 CASE GREE2BIKE LANE MARKINGS LF 286 so 91 9, 84 GREEN BIKE LANE MARKINGS (CASE 3) LF 364 92 9 84 GREEN SEALMASTER COLOR SAFE PAVEMENT MARKING SQFT 5,640 �t.3af3- 93 9, 84 YIELD LINE EA 5 - 94 9, 84, 87 RELOCATE RRFB SOLAR CROSSWALK (RAMONA) LS 1 3y . 95 9, 84, 87 RRFB SOLAR CROSSWALK (CHORRO/MILL) LS 1 -79. - 31C.00U- BID FORMS -ADDENDUM NO. 1 BID FORMS — ADDENDUM NO. 1 FOOTHILL TO RAMONA BIKE PATH 96 9,86 LIGHTING / CHORRO LIGHTING / LS 1 CHORRO PG&E SERVICE b - 631 97 9,20 BENCHES (BIKE PATH & EA 3 CHORRO/MOUNTAIN VIEW) c S - 98 9,20 TRASH CONTAINER (BIKE PATH) EA 2 99 9,20 METAL PICKET FENCING (BIKE LF 136 PATH) a - 314.140 - 100 9,20 CHAINLINK FENCE (CHORRO /101) LF 297 - - 101 9,20 CHAINLINK GATES (CHORRO /101) EA 6- 102 9,20 SOIL PREPARATION (NON- CY 130 BIORETENTION & TREE PITS)- 103 9,20 BIORETENTION SOIL MIX CY 90- 104 9,20 CLASS II DRAIN ROCK TON 200 - 105 9,20 ENERGY DISSIPATOR ROCK TON 5 106 1 9,20 IRRIGATION LS 1 gppp- tspncn 107 9,210 TREE WATERING BAGS (NON- EA 35 IRRIGATED TREES)- 108 9,20 PLANTING (SHRUBS - ALL AREAS) SQFT 10,672 109 9,20 PLANTING (TREES - ALL AREAS) EA 63 �z — y - 110 9,20 GREENWAY EA 285 PLANTERS/SOIL/PLANTS 111 9,20 MULCH (BIORETENTION AREAS) CY 9- 112 9,20 MULCH (CONVENTIONAL CY 96 PLANTING AREAS & TREES) 13 - 113 9, 20 GREENWAY PLANTERS LS 1 MAINT/WATERING (1-YR) _ _ 114 9, 20 ESTABLISHMENT/MAINTENANCE LS 1 ALL TREES & PLANTS (1 YR) / 14CO_ y6 _ 115 9,20 HAND WATER NON -IRRIGATED EA 35 TREES N-YR) - 90 - 116 9,20 HAND WATER NON -IRRIGATED LS 1 UNDERSTORY PLANTINGS N-YR) 7 - 117 9,73 CURB RAMP ALMOND -MISSION (E) LS 1 C-4.17 a rsn - ;;,I. - 118 9,73 CURB RAMP BROAD -MISSION (E) LS 1 C-4.16 - - 119 9,73 CURB RAMP BROAD -MISSION (N) LS 1 C-4.15 120 9,73 CURB RAMP CENTER-CHORRO LS 1 (NE) C-4.26 au.3 - y. - 121 9,73 CURB RAMP CENTER-CHORRO LS 1 (NW) C-4.25 77.- 122 9,73 CURB RAMP CENTER-CHORRO LS 1 (SE) C-4.27 as., u- p;)kpn- 123 9,73 CURB RAMP CENTER-CHORRO LS 1 (SW) C-4.28 25,39,7_ 5 .390 - 124 9, 73 CURB RAMP CERRO ROMAULDO- LS 1 FERRINI (NW) C-4.4 5 SIO- 3S. I - BID FORMS -ADDENDUM NO. 1 0 BID FORMS - ADDENDUM NO. 1 125 9,73 CURB RAMP CERRO ROMAULDO- LS 1 FERRINI (SE) C-4.3 - d� - 126 9,73 CURB RAMP FELTON-FERRINI LS 1 (NW) C-4.2 a �. „ - a► t cn - 127 9,73 CURB RAMP FELTON-FERRINI LS 1 (SW) C-4.1 iq. yi - iq.ui - 128 9,73 CURB RAMP LINCOLN-CHORRO LS 1 (NE) C-4.35.��n_ � 129 9,73 CURB RAMP LINCOLN-CHORRO LS 1 (NW) C-4.34 �.y�n- a�.u► - 130 9,73 CURB RAMP LINCOLN-CHORRO LS 1 (SE) C-4.36- 131 9,73 CURB RAMP LINCOLN-CHORRO LS 1 (SW) C-4.37 aLA. into a4 k - 132 9,73 CURB RAMP MEINEKE-BROAD (N) LS 1 C-4.8in- 133 9,73 CURB RAMP MEINEKE-BROAD (S) LS 1 C-4.9 as _ as Q0o - 134 9,73 CURB RAMP MEINEKE C-4.10 LS 1- 135 9,73 CURB RAMP MILL-CHORRO (NW) LS 1 C-4.46 9 a9 - a. aua- 136 9,73 CURB RAMP MILL-CHORRO (NE) LS 1 C-4.49 3q n- ' 137 9,73 CURB RAMP MILL-CHORRO (SE) LS 1 C-4.48 - 138 9.73 CURB RAMP MILL-CHORRO (SW) LS 1 C-4.47 . Licn - zcr 1Sn - 139 9,73 CURB RAMP MISSION-CHORRO LS 1 (NE) C-4.20 aa. - - 140 9,73 CURB RAMP MISSION-CHORRO LS 1 (NW) C-4.19 a3. ISsO- a3.I - 141 9,73 CURB RAMP MISSION-CHORRO LS 1 (SE) C-4.21a►.�in- 142 9,73 CURB RAMP MISSION-CHORRO LS 1 (SW) C-4.22 143 9,73 CURB RAMP MISSION BULBOUT LS 1 C-4.18wkQ- 144 9,73 CURB RAMP MOUNTAIN VIEW- LS 1 CHORRO (NE) C-4.30aR.AOf�- 145 9,73 CURB RAMP MOUNTAIN VIEW- LS 1 93,4io- 23'y10- CHORRO (NW) C-4.29 SAS 146 9,73 CURB RAMP MOUNTAIN VIEW- LS 1 CHORRO (SE) C-4.31 �a.1►.n- ra.�►�n- 147 9,73 CURB RAMP MOUNTAIN VIEW- LS 1 CHORRO (SW) C-4.33lnlh- 148 9,73 CURB RAMP MURRAY-BROAD (E) LS 1 C-4.12 91- 149 9,73 CURB RAMP MURRAY-BROAD (N) LS 1 C-4.11 I rr I Iq - 150 9,73 CURB RAMP MURRAY-BROAD (S) LS 1 C-4.13 19,�k - Iq q - BID FORMS -ADDENDUM NO. 1 BID FORMS — ADDENDUM NO. 1 151 9,73 CURB RAMP MURRAY-BROAD (W) LS 1 C-4.14 I - 152 9,73 CURB RAMP PEACH-CHORRO LS 1 (SE) C-4.43 153 9, 73 CURB RAMP PEACH-CHORRO LS 1 (NW) C-4.45n- 154 9, 73 CURB RAMP PEACH-CHORRO LS 1 (SW) C-4.44- 155 9,73 CURB RAMP PEACH-CHORRO LS 1 (NE) C-4.42 . a - 3ao- 156 9,73 CURB RAMP RAMONA-BROAD (E) LS 1 C-4.6 a0 ►-10" 157 9,73 CURB RAMP RAMONA-BROAD (W) LS 1 C-4.7 4 45 4 4 �- 158 9,73 RAMP RAMONA CROSSING LS 1 Po.110 C 4 5B _ 159 9,73 CURB RAMP VENABLE-CHORRO LS 1 (NE) C-4.23- 160 9,73 CURB RAMP WALNUT-CHORRO LS 1 (SE) C-4.40 161 9,73 CURB RAMP WALNUT-CHORRO LS 1 (SE) C-4.24 162 9,73 CURB RAMP WALNUT-CHORRO LS 1 (N) C-4.38 ��.�1'1f - S-7. 6- 163 9,19 ROUGH GRADING CUT (BIKE CY 300 PATH) •qo 164 9, 19 ROUGH GRADING CUT (STORM CY 200 WATER MITIGATION AREAS) 3 - TkI. - 165 9,77 REMOVE EXISTING MANHOLE EA 1 AND INSTALL (N) SEWER 13,SS0 — MANHOLE SS - 166 9,77 INSTALL COATING ON (N) SEWER EA 1 MANHOLE I ia, p - - 167 9,77 REMOVE EXISTING CLEANOUT EA 1 AND INSTALL (N) SEWER CLEANOUT ►A5 �- 168 9,77 REMOVE EXISTING 12" CMP AND LF 45 INSTALL (N) 12" PVC STORMDRAIN 3141- w 21n- 169 9,77 ABANDON EXISTING SEWERLINE LF 275 AND INSTALL (N) 6" HDPE SEWERLINE 170 9,77 CONNECT TO EXISTING SDMH EA 1 PER ENG. STD. 3540- 171 9,77 CONNECT EXISTING SEWER EA 4 LATERAL TO SEWER MAIN u - 14 I - 172 9,77 RE -GRADE SEWER LATERAL LF 10 BEYOND 6 FEET- 173 9,77 REMOVE EXISTING CONCRETE LS 1 OUTLET STRUCTURE i - r)- 174 9,77 INSTALL (N) CATCH BASIN EA 1 PS Gh- _ 1 175 9,73 REMOVE AND REPLACE SQFT 60 SIDEWALK Flo aN�u - BID FORMS -ADDENDUM NO. 1 m M. BID FORMS --ADDENDUM NO. 1 176 9, 77 BYPASS PUMPING LS 1 .,.)o - I a9 - 177 1 9,77 1 POTHOLING LS 1 ! _ Bid Total (or Base Bid) $ Company Name: Souza Engineering Contracting, Inc. dba Souza Construction Cp, 076r `(3`blo (1) refers to section in the Standard Specifications, with modifications in the Special Provisions, that describe required work. Contractor shall provide a schedule of values for all LS items before or at the pre -construction meeting. BID FORMS —ADDENDUM NO. 1 H 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 % of Works Address and Phone Specific Total Name Under Which Registration Number of Office, Mill or Description of Base Subcontractor is Licensed License Number Number Shop Subcontract Bid }��► � Sir1 I�� kl52,ZZ Ibtyob4812 Iwo T1redlhbin swong Ay)j 15 5' S�Gr�u 134wrs�eld �i grwcjc 0Ag 3-ICI P61VeMen 30%QI WD200339Z 102HO sg1/1 Sevc,inc SILWr -r 2•P [.oat yig CD. V tiAb Auru� l. SP.NI Valley , cA 1 r152 Cen�lra+l Cogs �}lo3q`l2 I000Dpq�o85 5NO s. �e LP Grover ,CA 'I 3433 Lte Wilson Srofl38 jD000D-1-►I-I 9316�r'k5 R.O. Sox 2So Acroyo �ji0vl��ILQ Attach additional sheets as needed. "(A'Z BID FORMS H 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 % of Works Address and Phone Specific Total Name Under Which Registration Number of Office, Mill or Description of Base Subcontractor is Licensed License Number Number Shop Subcontract Bid Snude,� � Sons ��N��S L A IMSr, upICs Qac� �; c Cj �t�� Cc' tbo CjcovQ Attach additional sheets as needed. 1DO00464to7 R o- eox IvSSl LA -\A 5c,;ipe t 10,5 Los . 0 sas , CA I rrm of A i-i on 9qoz. I00000cllol 11%9 N. lac/csoK Q.0-6e.r- r 1•L g3Z�3 BID FORMS H 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 I 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 J BID FORMS NON -COLLUSION DECLARATION Steve A. Souza , declare that President Souza Engineering Contracting, Inc. I am of dha Souza Construction 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 _ O , 200-2, , in San Luis Obipso, CA I declare under penalty of p ' ry un 1117 he laws oft State of California that the foregoing is true and correct. _ '—J (SignVe and Title of Declarant) (SEAL) Subscribed and sworn to before me this day of 20 SP.e- PA�aLhP . Notary Public Company Name: BID FORMS K CALIFORNIA 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 b(mW\!s,_ On � Q%j Date before me,�C`1�� N0`C1.1 Here Insert Name and Title of the Offi er personally appeared STp—Qe— �\ • 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. I certify under PENALTY OF PERJURY under the DANIELLEA. EDRAUN laws of the State of California that the foregoing Notmry Public ' Californit SanLui3ObisaoC-My paragraph is true and correct. Commission ♦ 2]69667 MYComm. p„rsJul li,:o:e WITNESS my hand and official seal. Signature Place Notary Seal and/or Stamp Above Signature of Notary Public 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: Document Date:. Number of Pages: 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: ©2019 National Notary Association Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: 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) 1 . (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. 479476, A Licensed in accordance with an act providing for the registration of contractors, License No. Expiration Date 02/28/23 /- The above statement is made un er penalty of p rjury, a ny not containing this information "will be considered non -responsive and 11 be rej ed" he ity. Signature of Bidde c—,---� Steve A. Souza Presid (Print Name and Title of Bidder) DIR— Public Works Registration No: 1000007861 Business Name (DBA): Souza Construction Owner/Legal Name: Souza Engineering Contractinq, Inc Indicate One: ❑Sole -proprietor ❑ Partnership Corporation List Partners/Corporate Officers: Steve A. Souza President Name Title Lisa Elliott Secretary Name Title Name Title Business Address P.O. Box 3810, San Luis Obispo, CA 93403 Street Address 4027 Santa Fe Road, San Luis Obispo, CA 93401 Mailing Address P.O. Box 3810 City, State, Zip Code San Luis Obipso, CA 93403 Phone Number 805-546-8288 Fax Number 805-546-8287 Email Address lisa@souzaconstructioninc.com Date \13o Oa3 BID FORMS L 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 San Luis Obispo Cannon & Associates Telephone & Email Charlie Gray 805-544-7407 char]ieG@cannoncorp.us Project Name (Site Address): Tank Farm Road & Orcutt Road Roundabout, San Luis Obispo Did this project include curb ramp Describe the services provided and how this project is similar to construction? that which is being bid: Yes X No ❑ Curb ramps, Concrete work, paving Was this contract for a public agency? Yes X No ❑ Reference Number 2 Date proiect completed: 11/2022 Customer Name & Contact Individual City of San Luis Obispo Richard Fisher Telephone & Email 805-431-5471 rfisher@slocity.org Project Name (Site Address): Railroad Safety Trail ,Taft to Pepper Street, San Luis Obispo Did this project include curb ramp construction? Yes X No ❑ Was this contract for a public agency? Yes X No ❑ Describe the services provided and how this project is similar to that which is being bid: Curb ramps, slurry seal, concrete Date oroiect completed: 06/2022 Reference Number 3 Customer Name & Contact Individual Countv of San Luis Obisoo Jimmy Tomac Telephone & Email 805-781-4476 jtomac@co.slo.ca.us Project Name (Site Address): County of San Luis Obispo, Crosswalk Enhancements, County Wide Did this project include roadway Describe the services provided and how this project is similar to maintenance by slurry sealing? that which is being bid: Ye_s No ❑ Curb ramps, Flashing Beacons Was this contract for a public agency? Yes X No ❑ Date BID FORMS M 05/2022 BID FORMS ATTACH BIDDER'S BOND TO ACCOMPANY BID Know all men by these presents: Souza That we ,Fnginccring Contracting, Inc. dha SQLI::J ('onsrrucrinn , AS PRINCIPAL, and Everest Reinsurance Company , AS SURETY, are held and firmly bound unto the City of San Luis Obispo in the sum of: ten percent of the amount bid ---------------------------------------------- Dollars ( J 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 Souza Engineering Contracting, Inc. dba Souza Construction to construct North Chorro Neighborhood Greenway, Specification No.1000036 (insert name of street and limits to be improved or project) dated31i a 3 is accepted by the City of San Luis Obispo, and if the above bounden Souza Engineering Contracting, Inc. dba Souza Construction 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, Souza l iginccring Contracting, Inc. dba Souza Construction , 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 23rdday of January 2023 Bidder Principal: Souza Engineering Contracting, Inc. dba Souza Construction �)A& wh�qe 3\3 S nature Date Title: US(x M104 get re-tirLJ Surety: Fve insurance Company Charles M. Griswold, 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 N 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 Santa Clara On Iaiitiary 23, 2023 Date personally appeared before me, P. K. Simicich. Notary Public Charles M. Griswold 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. �,•:. y� P. K. SIMICICH .� Notary Public - California Santa Clara County Commission r 2302862 My Comm. Expires Sep 21,023 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing parag h is true and correct. WITNESS my hian nd Ic' Lseal. Signature Signature of Notary 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: Document Date: Number of Pages: 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: @2014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 Z ERE%'\ POWER OF ATTORNEY EVEREST REINSURANCE COMPANY DELAWARE KNOW ALL PERSONS BY THESE PRESENTS: That Everest Reinsurance Company, a corporation of the State of Delaware ("Company") having its principal office located at 477 Martinsville Road, Liberty Corner, New Jersey 07938, do hereby nominate, constitute, and appoint: Vincent M. Scolarl, Patricia K. Simlcich, Wendy R. Pastora, David J. Bachan, Charles M. Griswold, Steven M. Duke, Martha Velia Garcia its true and lawful Attorney(s)-in-fact to make, execute, attest, seal and deliver for and on its behalf, as surety, and as its act and deed, where required, any and all bonds and undertakings in the nature thereof, for the penal sum of no one of which is in any event to exceed UNLIMITED, reserving for itself the full power of substitution and revocation. Such bonds and undertakings, when duly executed by the aforesaid Attorney(s)-in-fact shall be binding upon the Company as fully and to the same extent as if such bonds and undertakings were signed by the President and Secretary of the Company and sealed with its corporate seal. This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Board of Directors of Company ("Board") on the 28th day of July 2016: RESOLVED, that the President any Executive Vice President, and any Senior Vice President and Anthony Romano are hereby appointed by the Board as authorized to make, execute, seal and deliver for and on behalf of the Company, any and all bonds, undertakings, contracts or obligations in surety or co -surety with others and that the Secretary or any Assistant Secretary of the Company be and that each of them hereby is authorized to attest to the execution of any such bonds, undertakings, contracts or obligations in surety or co -surety and attach thereto the corporate seal of the Company. RESOLVED, FURTHER, that the President, any Executive Vice President, and any Senior Vice President and Anthony Romano are hereby authorized to execute powers of attorney qualifying the attorney named in the given power of attorney to execute, on behalf of the Company, bonds and undertakings in surety or co -surety with others, and that the Secretary or any Assistant Secretary of the Company be, and that each of them is hereby authorized to attest the execution of any such power of attorney, and to attach thereto the corporate seal of the Company. RESOLVED, FURTHER, that the signature of such officers named in the preceding resolutions and the corporate seal of the Company may be affixed to such powers of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be thereafter valid and binding upon the Company with respect to any bond, undertaking, contract or obligation in surety or co -surety with others to which it is attached. IN WITNESS WHEREOF, Everest Reinsurance Company has caused their corporate seals to be affixed hereto, and these presents to be signed by their duly authorized officers this 28th day of July 2016. OEA Everest Reinsurance Company Attest: Nicole Chase, Assistant Secretary By: Anthony Romano, Vice President On this 28th day of July 2016, before me personally came Anthony Romano, known to me, who, being duly sworn, did execute the above instrument; that he knows the seal of said Company; that the seal affixed to the aforesaid instrument is such corporate seal and was affixed thereto; and that he executed said instrument by like order. LINDA ROBINS Notary Public, State of New York 1 No 01 R06239736 / Qualified in Queens County Term Expires April 25, 2023 Linda Robins, Notary Public IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company, at the Liberty Corner, this 23rd day of January 20 23 ES 00 01 04 16