HomeMy WebLinkAbout1000075-14_Southland Roofing Co.BID FORMS
All bid forms must be completed and submitted with your bid. Failure to submit these
forms and required bid guaranty (bid bond, cashier's check, or certified check) may be
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:
1. materials
2. labor
to complete allthe required work satisfactorily in compliance with
3. plans
4. specifications
5. special provisions
for the prices set forth in the bid item list:
BID ITEM LIST FOR 879 MORRO ROOF REPLACEMENT 2OOOO75.1O
BID FORMS
A
Total
(in fiqures)
$2,500
$5,000
$6,500
$11,000
$1,200
$2,500
$3,060
$95,000
Item Price
(in fiqures)
$?,_q-00
$5000
$6,500
$5.50
$o
$50
$12
$47.50
Estimated
Quantity
1
1
1
2,000
200
50
180
2,000
Unit of
Measure
LS
LS
LS
SQFT
SQFT
LF
SQFT
SQFT
Item
Description
Comply w/ applicable OSHA
provisions throughout duration of
the project.
Disconnect / Unmount MEP
conduits, ducts, equipment from
roof surface, store on site for
reinstallation, and dispose of
debris.
Disconnect, unmount, remove,
and dispose existing photovoltaic
array (48 panels), incl. all
components and substructure.
Remove and dispose existing
multi-layer bitum inous roofi no.
Partially remove, replace, and
dispose water-damaged plywood
per plan S -1 Allowance.
Partially remove, replace, and
dispose water-damaged roof 2xB
rafters per plan S-1 Allowance.
Remove and dispose existing
polycarbonate glazing and
gaskets, clean and store aluminum
glass stop profiles on site for
reinstall.
Prepare surface for, deliver and
install new roofing system incl. all
materials
SSrrr
14
99
14
99
99
99
99
99
Item
No.
1
2
3
4
5*
6*
7
8
BID FORMS
(1) refers to section in the Standard Specification s, with modifications in the Special Provisions, that describe required
work.* Bid item exempt from Section 9-1 .068 & 9-1 .06C of the Standard Specifications. The unit price will not be adjusted
regardless of the final bid item quantity.
BID FORMS
B
Total
(in fioures)
$14,500
$1,800
$6,800
1,500
$16,000
$6,000
$1,000
$20,000
$ 195,560.00
Gompany Name: Southland Roofing lnc.
Item Price
(in fiqures)
$ae
Estimated
Quantitv
180
4
1
1
180
1
1
1
Bid Total
Unit of
Measure
SQFT
EA
LS
LS
LF
EA
LS
LS
Item
Description
lnstall new polycarbonate glazing
and gaskets in existing skylight
structure.
Deliver and install new scuppers
and connect to existing
downspouts
Rei nstall/attach/con nect M EP
conduits, ducts, equipment.
Replace exhaust fan per plan M-1
lnstall parapet roof membrane,
flashing, and metalcoping detail
Deliver and install ladder cage
Health and Safety Plan (HSP)
Asbestos Removal by California
Certified Asbestos Abater
SSrl
99
99
99
99
99
99
14
14
Item
No.
9
10
1 1
12
13
14
15
16
BID FORMS
LIST OF SUBCONTRACTORS
Pursuant to Section 4100 of the Public Contract Code and section2-1.33C of the standard
specifications, the Bidder is required to furnish the following information for each
Subcontractor performing more than 112 percent (0.5%) of the total base bid. Do not list
alternative subcontractors for the same work. Subcontracting must not total more than
fifty percent (50%) of the submitted bid except as allowed in section 5-1 .1 3 of the standard
specifications.
For Streets & Highways projects, subcontractors performing less than ten thousand dollars
($tO,OOO; worth of work need not be mentioned. Subcontractors must be registered with
the Department of lndustrial Relations pursuant to Labor Gode section 1725.5 to be
listed.
NOTE: lf there are no subcontractors, write "NONE" and submit with bid.
Name Under Which
Subcontractor is Licensed
Su perior Environmental
DIR Public
Works
Registration
Number
Address and Phone
Number of Office, Mill or
Shop
Specific
Description of
SubcontractLicense Number
975961
o/o of
Total
Base
Bid
JJ&S 975044
1000035531 SS5 Edna pt Asbestos 8To
Covina, CA91723
10000834731 925 Poinsettia Ave Asbestos 8%
Vista CA 92081
BID FORMS
c
Attach additional sheets as needed.
BID FORMS
LABOR CODE SECTION 1725.5 STATEMENTS
The bidder has delinquent liability to an employee orthe 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
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 are 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.
BID FORMS
D
X
X
BID FORMS
NONCOLLUSION DECLARATION
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
The undersigned declares:
I am the President ltitlel of Southland Roofing lnc
[business name], the party making the foregoing bid
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership,
company, association, organization, or corporation. The bid is genuine and not collusive or
sham. The bidder has not directly or indirectly induced or solicited any other bidder to put
in a false or sham bid. The bidder has not directly or indirectly colluded, conspired,
connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from
bidding. 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. All statements contained in the bid are true. 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, to any corporation, partnership, company, association,
organization, bid depository, or to any member or agent thereof, to effectuate a collusive or
sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation,
partnership, joint venture, limited liability company, limited liability partnership, or any other
entity, hereby represents that he or she has full power to execute, and does execute, this
declaration on behalf of the bidder.
I declare under penalty of perjury under the laws of the State of California that the
is true and correct and that this declaration is executed on o2tost2o26
Los [ciM, cA lstate]
Name [print]
BID FORMS
E
foregoing
[date], at
s/
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)0 (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 ten 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 propefi of the City of San Luis Obispo.
Licensed in accordan ce with an act providing for the registration of contractors, License ruo.K9 Expiration
Dale 0210512026
The above statement is made under penalty of perjury, and any bid not containing this information may be
considered non-responsive and may be rejected by the City.
Signature of Bidder
Pier Pjerin Prenga ( President )
(Print Name and Title of Bidder)
DIR- Public Works
Registration No:
Business Name (DBA):nla
Owner/Legal Name:Pier Pjerin Prenga
1 000648643
lndicate One: ESole-proprietor
List Partners/Corporate OffiCerS: Pier Pjerin Prenga
Name
Name
Name
Business Address 9127 S Western Ave
street Address same as above
Mailing Address same as above
City, State, Zip Code Los Angeles, CA, 90047
, 818-667-7768Pnone Number
Fax Number
Email Addre5s pier@southlandroofinginc.com
BID FORMS
F
tr Partnership XCorporation
President
Title
Title
Title
Date O21O512026
BID FORMS
QUALIFICATIONS
Failure to furnish complete reference information ON THIS FORM, as specified in this
project's Notice to Bidders and indicated below, may be cause to reject the bid. Additional
information may be attached but is not a substitute for this form.
Reference Number 1
Customer Name & Contact lndividual
Toyota Arena Roof Repairs - Adan Lopez
Telephone & Email
909-244-5519 alopez@toyota-arena.com
Project Name (Site Address):
4000 E Ontario Center Parkway, Ontario, CA91764
Describe the services provided and how this project is
similar to that which is being bid:
Fullyreinforced roof retrofit and AC ducting sealant
with Tremco system
Date project completed: 2024_1 1 _Og
ls this similar to the project being bid and did
this project include building construction or
roofing installation or roofing replacement for
commercial or industrial buildings?
YesX Noa
Was this contract for a public agency?Yesr *oX
Reference Number 2
Reference Number 3
BID FORMS
G
Customer Name & Contact lndividual
Franklin Elementarv - Roofinq Amv Drummond
Telephone & Email
909-748-6718 - Amy_Drummond@redlands.k12.ca.us
Project Name (Site Address):
850 E Colton Ave., Redlands, CA 92374
Describe the services provided and how this project is
similar to that which is being bid:
Tremco Liquid Applied Roofing
Date project completed:
2025-09-24
ls this similar to the project being bid or did
this project include building construction or
roofing installation or roofing replacement for
commercial or industrial buildings?YesX No r
Was this contract for a public agency?
Yes )( No r
Customer Name & Contact lndividual
Charter Oak Unified School District - Sofia Corona
Telephone & Email
626-967-0000 - sco rona@cousd.net
Project Name (Site Address):
1115 E Puente St., Govina, Los Angeles, CA91724
Describe the services provided and how this project is
similar to that which is being bid:
WeatherWeld Roof Restoration
Date project completed: 2025_04_03
ls this similar to the project being bid or did
this project include building construction or
roofing installation or roofing replacement for
commercial or industrial buildings?
Yes Non
Was this contract for a public agency?Yesf, No n
BID FORMS
ATTACH BIDDER'S BOND TO ACCOMPANY BID
Know all men by these presents
Thatwe Southland Roofing Inc. , AS pRtNCtpAL, and
. . o14 Republic Surety companv , AS suRETy, are herd 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 attomey, its successors and assigns; for which payment, well and truly to be made, we
bind ourselves, our heirs,
these presents:
executors and administrators, successors or assigns, jointly and severally, firmly by
THE CONDITION OF THIS OBLIGATION lS SUCH, that if the certain bid of the above
bounden Southland Roofing Inc.
to construct CiW of San Luis Obispo - 879 Morro Roof Replacement
(insert name of street and limits to be improved or project)
dated February 12, 2026 is accepted by the City of San Luis Obispo, and if the above
bounden Southland Roofing 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,
Southland Roofinq 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 fullforce and virtue.
IN WTNESS hereuntosetourhandsandsealsthis 6thdayof Feb. . 2026 .
Bidder Prin Roofing Inc.
DateoLlc7 lrou
Surety:
Old Republic Surety Company
Andrew Sysvn, Attornev-in-Fact
Bidde/s signature is not required to be notarized. Surety's signature must be notarized.
Equivalent form may be substituted
(Rev. *3O-14)
BID FORMS
H
CALIFORNIA ALL.PURPOSE ACKNOWLEDGMENT CIVIL CODE S 1189
\a.T#4.{ivr|.da46,{ri.1&i4iL>.&.ztl:Ffs*&
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 Orauge
o" FEB 0 6 202t berore me,
Date
h4aria Sysyn, Notary Public
Here lnsert Name and Title of the Officer
personally appeared Andrerv Joseph Sysyn
Name(s) of Signe(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/herltheir 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 laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal./lG' I'IARIASYSYN
Affii *"?,10J'.;:llti""''
W^.,;H'ilil.1i1'#1il,,Signature
Signature of Notary Public
Place Notary SealAbove
OPTIONAL
Though this secflon 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:
Signe(s) Other Than Named Above:
Gapacity(ies) Claimed by Signer(s)
Signer's Name Signer's Name:
I Corporate Officer - Title(s):I Corporate Officer - Title(s)
I Partner - [ Limited ! General
tr lndividual ! Attorney in Fact
tr Trustee ! Guardian or Conservator
D Other:
Signer ls Representing:Signer ls Representing
I Partner - n Limited n General
I lndividual I Attorney in Fact
I Trustee I Guardian or Conservator
- Other:
O2016 National Notary Association . www.NationalNotary.org . 1-800-US NOTARY (1-800-876-6827) ltem #5907
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4i4ail ht-.i.- iiieU ef t*7"8f. PRe9trNTS.lhat ALD REPUBLZC SURCTY COI\APANY, a Vdisconsin stock tnsurance corporalian. dces niake, cotlstilute ard
;:t:i.:t)I\i.
Andrew Sysyn ofSan Juan Capistrano, CA
t'..1 it'ir.: ditr lp1i.7isl fitt.J7nsrii.$j-i1-Faci, wilh tu\l pawer ane, euthafily fcr and on behalf of the company as swet'/, lo execule and
ir:th*r tlzan bail hands, benk depasitsry bands, rnartEage deficiency bands, mortgage guaranty bands, guarantees a{ instaltrnent paper and nate
Vu;tranty ttands, sel{-ltzsurance warkers cotnpensatian bands guaranteeing payment of benefits, asbestos abatetnent cantract bands, waste
rtar,zgqrrtvnt h*nr!s, lzazardaus vna$te remediation bands or htack lung bonds), as follows:
A!.!- WRITTEN INSTRUMENTS
:.itr.i irs rsina *LD nE?U*LlC SUnfTY CAM?ANY thereby. and a1l of the acts of said Attorneys-in-Fact, pursua,rl io these presents. are ralified anC canlirrnea.
i'tii\ appainlmerAig maCe uncer and by auihatiry at the baa.d of directors ai a special meeiing held on February 18, 1982.
|.7.?ii*Lla 9UnfTY CAM?A\|Y cn Fe?sruary 18 1982.
Dr;-:: i";: :^^1 ti"'J?esi*enl. any vite-president or assistant vice presideni. in conjunction with the secrelary or any assistant secretary, rnay app*in+.
.zei ir,,. znd deliuer an* ztfiy r.?e seat oI ?,!,1e campany l-o bands, undertakings, recognizances, and suretyship abligatians ai atrl kutds; and said affcers nay
iz.t71aL.VltD f UnT?|fR, thal atl:l bcnC. undertaking, recognizance, or sure?yship obligation shall be valid and bindinE upan the Ccnpany
i;:crei.zr1. rr
:r:qi.:r:*a) ?'7 a tzsly authrtitzeC a&"arney-in-laci ot agenl. at
t:',tiuertce't bV l_?:e ?al^tu oi All,*rrizrJ issue,J by the campany to such person or pei"sons.
l;:i:1|:LV;' fiJ7."TH?-71 1.nai'the signalu(e al any autharized affzcer andlhe seal of the company may be affixedby facsimileto any Power at Allaney ar
't,i- i:,.': ?.' : s.z ?:. '..r:en s,J titr:,J s?ta2l hz'te lhe sa{r',e tarce and eflecl as though manualty at{txed.
t"tt .iliTl];gs (ltt7deAF , CLt n;?iJBLlC SUREIY COM?ANY has caused these presents to be signed by its praper afi.cer. and its corporate sea|
""u
be
atn;.:i'tiy.r:fr iirig day af 2024
ii,t hTf *7 WISCA\#I?.I, tAUltTy CF WNJK:SFA- SS
Qlit
ALW NTTUALIC SURETY CQMP&NV
Presideflt
Llan [3cttlir
February
Ad"ober , 2A2A . personally came before me,
SSAL
lis
l:.'.:.',t3 de\l ai
lzl ti.i
t/-.-^.. 1u^4^-.-r'\d;c -: l lattttet to me known to be the individuals and officers af ?he OLD RePUtsLtC SURETY CAI{IPAI4'I
'.tii,ti E\e.Ll',ittj i-he abave itlslrumeni. and lhey each ackna\Nledged the execution of the same, and being by me duly svtarn. drd severally depose and say: 1"hai
1,:t,.1 ate tne tzi.J Dfn.e,g cf ine ca,pcraf.aan afareszid, and 1?ai ihe seal affrxed ta ihe above instrument is the seal at Ihe corporation. and thal. said carporale seel
?rt..:i ,i.,;ir Ei,Grlalute:s at such cf,icers were duly al.fixeC and subscribed to the said insirument by the authority af lhe board af di?eclars of said carpafttian.
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Natait P\biic
My Commtssian Expter. Senternber 2&. 2fJZz1..,i:::l:t.Ttl:1.:i:'.T;*. {Cxpirotion olnata*g"seamr*issiandaes*etinval2da2etki.sins2r,arsen2j
/jt"'t.t-ilili),./ . %e na\il in f crte.:'' ';"c
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l'.r,t;.t/:*Tt &nrning & lng **rvims LLC
S,gned andsealed at the Clly ot Brookfietc, wt tr,ls 6th cay or
Assis
2026