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Job 4. Buchon Street Traffic Calming, R. Burke Corporation
All 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 BUCHON STREET TRAFFIC CALMING, SPECIFICATION NO. 2001015 Item Item Unit of Estimated Item Price Total No. SS(l) Description Measure Quantity in figures) in figures) 1 7,12 Temporary Traffic Control and LS 1 — $64,000.00 Implementation 2 84 Remove & Dispose Striping and LS 1 $14,200.00 Markings 3 19 Clear and Grub SQFT 4 1, 00.00 $4,000.00 82 Remove & Dispose Entire Sign EA 4 300.00 $1,200.00 4 and Post Assembly Adjust Monument Lid to Finished EA 1 $3,300.00 $3,300.00 5 77,78 Grade Clean and Coat existing SS EA 1 $25,000.00 6 77 Manhole 9, 39, Speed Hump Removal and LS 1 __ $21,000.00 7 77 Install AC Ca Curb Ramp 1 — Buchon St/Toro LS 1 _- $42,000.00 8 73 St — West Corner Curb Ramp 2 — Buchon Strroro LS 1 ___ $42,000.00 9 73 St — South Corner 10 9,73 Cross Gutter Per Eng. Std. 4310 LS 1 __ $22,300.00 11 9,73 Traffic Circle LS 1 __ $18,000.00 *12 39,73 Concrete Base Repair SQFT 50 $70.00 $3,500.00 Allowance per Detail C, Sheet 6 *13 73 Sidewalk Allowance SQFT 50 $30.00 $1.500.00 BID FORMS A BID FORMS Item No. SS(,) Item Description Unit of Measure Estimated Quantity Item Price in figures) Total in figures) *14 73 Curb & Gutter Allowance LF 15 $80.00 $1,200.00 15 82 R1-1 Stop Sign EA 2 $650.00 $1,300.00 16 82 New Street Name Sign EA 2 $620.00 $1,240.00 17 j 82 W2-6 Sign EA 2 $620.00 $1,240.00 18 82 W11-2 Sign EA 8 $620.00 $4,960.00 19 82 W16-7P (L or R) EA 8 $600.00 $4,800.00 20 82 Punch Post (SLO Std Plan 7210) EA 6 $500.00 $3,000.00 21 37.84 Fog Seal LS 1 __ $4,500.00 22 84 Striping and Markings LS 1 __$19,000.00 23 84 Non-Retroreflective White Raised Pavement Markers LS 1 _ $650.00 24 82 OM Type Q Flex Post EA 1 $600.00 $600.00 25 Replace Hydrant Reflectors SLO Sid Plan 7920) EA 2 $35.00 $70.00 26 84 Paint Curb -Red LF 190 $10.00 Bid Total (or Base Bid) $ ,46 ' (1) refers to section in the Standard Specifications, with modifications in the Special Provisions, that describe required work. * Bid item exempt from Section 9-1.06B and 9-1.06C of the Standard Specifications. The unit price will not be adjusted regardless Of the final bid item quantity BID FORMS B 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 SANCON TECHNOLOGIES, INC #774055 #1000008879 5841 ENGINEER DR ITEM #6 4% HUNTINGTON BEACH, CA 92649 CLEAN & COAT SS MANHOLE CHRISP COMPANY #374600 #1000000306 43650 OSGOOD RD ITEMS# 01,02,15 14% 16,1718 FREMONT, CA 94539 23.24,,19,20,22 3,24,25 ,26 TRAFFIC MARKINGS, SIGNS Attach additional sheets as needed. BID FORMS C 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 V 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 V 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 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 V 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 BID FORMS NON -COLLUSION DECLARATION I, _ Robert E. Burke , declare that I am President or R. Burke Corporation 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 , 20 'L � , in S A O L-01 S o S 1L Qo L c.4- I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. (SEAL) , President(Signature and Title of Declarant) Subscribed and sworn to before me this day of , 20 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 1st day of August 2023 , by Robert E. Burke proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. HELENA ELAINE QUINTANAR COMM. A �2426177WITNESS MY HAND AND OFFICIAL SEAL. NOTARYPUDLIC ALIFORNIASAN LUIS OBISCOUNTY _ Coatm. Ex . NOV.11, 2026 Signature of Notary Public Helena E Quintanar, NP (Notary Seal) OPTIONAL INFORMATION The 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 notary public, including electronic means, whereby the signer did not personally appear before the notmy public, even if the signer is known by the notary public. The seal and signature cannot be affixed to a document without the correct notarial wording. As an additional option an afant can produce an affidavit on the same document as the notarial certificate wording to eliminate the use of additional documentation. DESCRIPTION OF ATTACHED DOCUMENT Bid Documents (Title of document) Number of Pages 2 (Including jurat) Document Date 08/1/2023 Noncollusion Declaration (Additional Information) CAPACITY CLAIMED BY THE SIGNER Individual Corporate Officer Partner _ Attomey-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, including the notice to bidders, plans, specifications, special provisions, and addendum number(s) U o w , . (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. 264193 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 aA�_ S 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 MCorporation List Partners/Corporate officers: Robert E. Burke. President Name Title Joanne Burke, Vice President/Secretary Name Title Kathy Burke, Treasurer Name Title Business Address P.O. Box 957 Street Address San Luis Obispo, CA 93406 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 08/01 /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 San Luis Obispo - Bobby Browning Telephone & Email 805-783-7710 bbrownini Project Name (Site Address): Roadway Sealing 2022, Spec No. 1000560 uoes ims protect mcivae Koaaway uescnoe ine services proviaea ana now finis protect is similar to Pavingyvithin the Public Right of Way? that which is being bid: Yes t� No ❑ ADA Curb Ramps Paving Was this contract for a public agency? Bike Ramps Traffic Striping & Yes �f No ❑ Traffic Circles Pavement Markings Date project completed: y�2Z Reference Number 2 Customer Name & Contact Individual City of San Luis Obispo - Bobby Browning Telephone & Email 805-783-7710 - bbrowning@slocity.org Project Name (Site Address): Monterey & Broad Streets in San Luis Obispo, CA Does this project include Curb Ramp Describe the services provided and how this project is similar to Construction within the Public Right of that which is being bid: Wa_v? Yes V No ❑ - Mission Style Sidewalk Was thJ's contract for a public agency? Curb Ramps Curb Paint Yes M No ❑ Date proiect completed: 08/2022 Reference Number 3 Customer Name & Contact Individual Cal Poly State University - Jeanette Paolucci Telephone &Email 805-756-2232 - jepaoluc@calpoly.edu Project Name (Site Address): MIN20-6298 Slack Street Improvements - Slack St San Luis Obispo, CA 93405 Does this project include Curb Ramp Describe the services provided and how this project is similar to Construction within the Public Right of Wav? Yes No that which is being bid: Curb & gutters ❑ Sidewalk Was t s contract for a public agency? Curb Ramps Yes No ❑ Date proiect completed: 04/2021 BID FORMS H BID FORMS ATTACH BIDDER'S BOND TO ACCOMPANY BID Know all men by these presents: That we 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 R. BURKE CORPORATION to construct Buchon Street Traffic Calming, Spec No. 2001015 (insert name of street and limits to be improved or project) dated AUGUST 1 ST,2023 is accepted by the City of San Luis Obispo, and if the above bounden R. BURKE CORPORATION 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, R. BURKE CORPORATION , 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 this28THday of JULY , 2023 Bidder Principal: R BURKE CORPORATION 0.4,� f s f-A ,%— Signat re Date Title: Robert E. Burke, President Surety: THE OHIO CASUALTY INSURANCE COMPANY BRITTON CHRISTIANSEN, 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 I O 4? C M 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. L,1 )ertV Liberty Mutual Insurance Company Mu$uaThe Ohio Casualty Insurance Company Certificate No 8201903-969577 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; Myma Smith; Philip E Vega; Kevin E all of the city of Covina state of California each individually if there be more than one named, its true and lawful attorney -in -fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, 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 15th day of August , 2019 . Liberty Mutual Insurance Company P� 1NSIJ. POSY INS&,p a 1NSUR4 The Ohio Casualty Insurance Company J G0 A°0 014 GoaPOj�� "9y `4P 4 19 Olt R4r 'y� West AnlellCan Insurance Company t ``O n 1912 0 19u 1991 Yd�1'faACNUb" .aa yOhAM°eD `�,P �M°IAN,dD� navel U rsre„ Aeaielnnl Cam"m State of PENNSYLVANIA County of MONTGOMERY U) fA C N On this 15th day of August , 2019 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance O 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 — N therein contained by signing on behalf of the corporations by himself as a duly authorized officer. c� Lu IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. / PAS mbor mi of p Qom,1Y°T rfl'� COMMONWEALTH OF PENNSYLVANIA w J 'fit y Notarial Seal OF Teresa Paslella, Notary Public Upper Merion Twp , Montgomery County By: '� @Q My Commission Expires March 28. 2021 YL'll`t IG M Penn As Wn Notaries a`) 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 Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV - OFFICERS: Section 12 Power of Attorney. 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 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 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 instruments shall be as binding as if signed by the President and attested to by the Secretary Any power or authority granted to any representafive or attorney -in -fact under the 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. 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 28TH day of JULY , 2023 P� 1N8IJ PO4 INS& a 1NSUO, J 3°°p°op��o'J3c°A°oq'Qgy� �GPc.ostpo r QC+ f F 1912 c 1919 s 31991 L W O Q By NAM a0= /s ��01AN� da; Renee C. Llewellyn, Assistant Secretary oc:> i O� (CU 1 co _N 0 crn c o4) a� m� >o a) 14- Y N Ib M C 00 8o oto LMS-12873 LMIC OCIC WAIC Multi Co 062019 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 LOS ANGELES On JUL 2 8 2023 Date personally appeared before me, Kevin Edward Vega, Notary Public Here Insert Name and Title of the Officer Britton Christiansen, Attorney -in -Fact Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personlq whose nameN is/aw subscribed to the within instrument and acknowledged to me that he/she/f lev executed the same in his/NWtheir authorized capacity(I'e5) and that by his/himAheix signature(s). on the instrument the personN, or the entity upon behalf of which the personal acted, executed the instrument. ••` °' ,. KEVIN EDWARD VEGA '�Y���,,,.� Notary Public •California = _`• -�% Los Angeles County > �` Commission X 23261a1 My Comm. Expires Apr 29, 2024 Place Notary Seal Above 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 officia a Signature Signatur 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) Other Than Named Above: Capacity(lies) 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: �cA�rs�^sic^sdsic.^s�cs�.�c^s>�^�asJt,^�^�•c�s�.ass;�^�,._�x^r;�.�.�cs�c^�ac�asd•!�. __ .� _.. __ _ ._ .-. _. ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907