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Home My WebLink AboutNon-Awarded - West Coast Arborists, Inc.C� low— O Cr 0 MN CL m O A r+ �..1 co 1 m 9 w rF m A m T (D 3 O 7 r+ C� D ko W O I-, P-.wWwMm f away juawnaap buiddip }aasul ► 9999go illl .11 % wm1N0 a�- 10066 1H91NO3A0 AlINOINd dOPll BYW (p - pH! LU ssaid- ru-% 1w r VdRS 11M 96Z109be 9w Et X11, [' A III III Mill Hill I 1111111111111111111111111 ImOd1 :d38 OOiL-I8L(S09) 6K6 YO OdSIBO Slnl NYS iS WWd 666 odSIAO Slnl NYS do Allo 33Idd0 NOI1Ya1SINIWOY SAONI mend of NBOg Tg 90828 VOWN" 1S NO lHn8 VA '9 006Z Ouvi3 degmti (lVO 'ONi 'SISI)l08WIv V tlIlSYD 8l OS 0 :10mlOv W3d U2lVM'-311 dM 0081-188 (W) wlnj�0f NIENO co _BID FORMS ATTACH BIDDER'S BOND TO ACCOMPANY BID Know all men by these presents: That we WEST COAST ARBORISTS, INC. , AS PRINCIPAL, and CONTRACTORS BONDING AND INSURANCE COMPANY f AS SURETY, are held and firmly bound unto the City of San Luis Obispo in the sum of: TEN PERCENT OF THE AMT. 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 WEST COAST ARBORISTS, INC. to construct JOB ORDER CONTRACT 2018 - TREE MAINTENANCE (insert name of street and limits to be improved or project) dated MARCH 7, 2019 _- is accepted by the City of San Luis Obispo, and If the above bounden —WEST COAST ARBORISTS, 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, WEST COAST ARBORISTS, INC. _. has received notice by and from the said City of San Luis Obispo that said contract is ready for execution, then this obligation shall become null and void; otherwise, it shall be and remain in full force and virtue. IN WITNESS WHEREOF, we hereunto set our hands and seals this 6th day of MARCH, 20 19 . Bidder Principal: WEST COAST ARBORISTS, INC. 6/19 Lure Date Richard Maho e , Secretary Surety: CONTRACTORS BONDING AND INSURANCE COMPA .-P.- - __ ( V r� MIC AEI, D. STONG, ATTORNEY-IN-.F� 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 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 } On ar6h (o, Q 19 before me, Arh?nP AUCI 1312CAM, NoTetry Pu bhoc , Date �7 �, �4 Here Insert Name and Title of the fficer personally appeared PL1cha r j►� I� h o n e -Q Name(' of Sign who proved to me on the basis of satisfactory evidence to be the person whose named lane s scribed to the within Instrume t and acknowl ged to me that 1 hey y executed the same in is erftlleir authorized capacFty , and #hat by haK41heir signatur�j on the instrument the persor�K,, the entity upon behalf of which the person(s) acted, executed the instrument. ARLENE ANNA 91SCAM COMM. #2139731 s Notary Public • California o = Orange County Gomm. Ex Tres Jan. 9.-2112 j I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS y ha9d a d fficial seal. Signature Signa ure o 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 Cl 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 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 Riverside _ ] r) On CPOi before me, R. Nappi "Notary Public" , Date Here Insert Name and Title of the Officer personally appeared .MICHAEL D. STONG Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(O whose name(s) is/ale subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/hoer/their authorized capacity(i4e), and that by his/hmr/their signature(s) on the instrument the person(sr), or the entity upon behalf of which the person(x) 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. R "rr z COMM. q 2152652 � � two?y NOTARY PUBLIC•CALIFOI z Signature, f1�,arC11 � RIVERSIDE COUNTY0�/ N!y Comm. Exp. June 7, 2020 Signal e f 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: 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 POWER OF ATTORNEY RLI Insurance Company Contractors Bonding and Insurance Company 9025 N. Lindbergh Dr. Peoria, IL 61615 Phone: 800-645-2402 Know All Men by These Presents: That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired. That RLI Insurance Company and/or Contractors Bonding and Insurance Company, each an Illinois corporation, (separately and together, the "Company") do hereby make, constitute and appoint: Jeremy Pendereast. Rosemary Nanni. Michael D. StOnQ, iointly or severally in the City of Riverside . State of California its true and lawful Agent(s) and Attorney(s) in Fact, with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, in general, any and all bonds and undertakings in an amount not to exceed Twenty F_i% Million Dollars (_$25.000.000.00 ) for any single obligation. The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon the Company as if such bond had been executed and acknowledged by the regularly elected officers of the Company. RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have each further certified that the following is a true and exact copy of a Resolution adopted by the Board of Directors of each such corporation, and is now in force, to -wit: "All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." IN WITNESS WHEREOF, the RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have caused these presents to be executed by its respective Vice President with its corporate seal affixed this 11th day of October 2018 RLI Insurance Company H.trrui"rnry� ,ryutdSrruHnrp� nkapys ,apPRt EC6 Contractors Bonding and Insurance Company 4. {moi. GO f4'�= =� �• G{yRPOgq�'�y' =- SEAL By: `� P . SEAL •= - Barton W. Davis Vice President oma• •F�; _ State of Illinois l „',�;'kQ g,• w,� L I H O, } SS County of Peoria JJJ CERTIFICATE On this 11th day of October , 2018 before me, a Notary Public, I, the undersigned officer of RLI Insurance Company and/or personally appeared Barton W. Davis , who being by me duly sworn, Contractors Bonding and Insurance Company, do hereby certify acknowledged that he signed the above Power of Attorney as the aforesaid that the attached Power of Attorney is in full force and effect and is officer of the RLI Insurance Company and/or Contractors Bonding and irrevocable; and furthermore, that the Resolution of the Company as Insurance Company and acknowledged said instrument to be the voluntary set forth in the Power of Attorney, is now in force. In testimony act and deed of said corporation. whereof, I have hereunto set my hand and the seal of the RLI Insurance Ca y and/or tractor I3andi insurance fr �f Company this day of By t mu t 4, Gretchen L. Johnigk I Notary Public t. rr rrrrrrrr rr*rrr r.r..� GRETCHEN LJOHNIGK 'OFFICIAL SEAL" My COMMIsslon ims SAA ,' AAAAAIA!■!!!!AA ■AAFA4 AA� RLI Insurance Company Contractors Bonding and Insurance Company By: � . 4��- Jean M 0 tephcnson V Corporate Secretary 0475572020212 A0058817 Tree Care Professionals Serving Communities Who Care About Trees March 6, 2019 City of San Luis Obispo Attn: Public Works Administration Office 919 Palm Street Fremont, CA 93401 RE: RFB: Job Order Contract 2018- Tree Maintenance Specification No. 1000003 Due: Thursday, March 7, 2019 at 2:OOPM To whom it may concern; www.WCAINC.com Thank you for allowing West Coast Arborists, Inc. (WCA) with the opportunity to submit a proposal for tree maintenance services for the City of San Luis Obispo. WCA is a family-owned and operated company employing over 850 full-time employees providing various tasks to achieve one goal: serving communities who care about trees and landscape. We have reviewed, understand, and agree to the terms and conditions described in this RFP. We also hereby acknowledge that we meet the minimum requirements and responded to each of these requirements to the best of our ability. WCA's corporate values include listening to customers and employees that will help to improve services offered. By establishing clear goals and expectations for the organization, supporting its diverse teams, and exchanging frequent feedback from customers and employees. WCA's top management team has created a culture where employees become accountable for actions and results. WCA has a 46 -year track record of working for more than 250 California and Arizona municipalities as well as other various agencies. Our company has been in business since 1972 and is licensed by the California State Contractors License Boards under license #366764. We have held this license in good standing since 1978. The license specializes in Class C61 (Tree Service) as well as Class C27 (Landscaping). We currently employ over 80 Certified Arborists and over 110 Certified Tree workers, as recognized by the Western Chapter of the International Society of Arboriculture. WCA is also registered with the Department of Industrial Relations (DIR) for Public Works projects, our registration number is 1000000956. Should we be awarded this project, we shall use full-time, in-house employees; no subcontractors will be used. Our employees will operate from one of our seven California Offices: Anaheim (Corporate HQ), Fresno, Riverside, San Diego, San Jose, Stockton, and Ventura. For questions related to this proposal and who has the authority to negotiate/present please contact Victor Gonzalez, V.P. Marketing, at (714) 991- 1900 or at yeonzalez@wcainc.com. Lorenzo Perez, Area Manager, will be assigned to this project should WCA be awarded a contract. He can be reached at (714) 681-3428 or I erez wcainc.com. Sinceref , Victor Gonzalez, Vice President BID FORMS All bid forms must be completed and submitted with your bid. Failure to submit these forms and required bid bond is cause to reject the bid as nonresponsive. Staple all bid forms together. THE UNDERSIGNED, agrees that they have carefully examined: 1. the location of the proposed work 2. the plans and specifications 3. read the accompanying instructions to bidders and propose to fumish 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 JOB ORDER CONTRACT 2018 — TREE MAINTENANCE SPECIFICATION NO. 1000003 Item Item Unit of Estimated Item Price Total No. SSoj Description Measure Quantity in figures) (in figured 1 20 Pruning — Broad Leaf and Conifer EA 10 Trees Q to 6 inches DSH) $50.00 500.00 2 20 Pruning — Broad Leaf and Conifer Trees 6 to 12 inches DSH) EA 140 $80.00 $11,200.00 3 20 Pruning — Broad Leaf and Conifer EA 190 ' Trees 12 to 24 inches DSH $180.00 1$34,200.00 4 20 Pruning — Broad Leaf and Conifer Trees 24 to 36 inches DSH EA 150 ` $320.00 I $48,000.00 5 20 Pruning — Broad Leaf and Conifer EA 100 Trees J36 to 42 inches DSH EA 20 141.0.00 $530.00 $41,000.00 $10,600.00 6 _ 20 _ 20 20 1 Pruning — Broad Leaf and Conifer Trees Cover42 inches DSH 7 Pruning —Palm Tree Tree Removal (12 to 24 inches EA 60 $315.00 _$18,900.00 1$4,47 8 EA 5 DSH) Tree Removal (24 to 36 inches $895.00 9 20 EA 5 I $6,250.00 DSH $1,250.00 10 20 Tree Removal (36 to 42 inches DSH_ Tree Removal (over 42 inches DSH) Stump Grinding Emergency Call Out EA 5 $1,950.00 $9,750.00 $2,950.00_1$14,750.00 11 20 EA 5 12 20 DI 5000 114.00 $70,000.00 13 20 EA ' 30 1 $243.00 7,290.00 BID FORMS A BID FORMS Item No. SS i Item Description Remove Fallen Limb (3 to 6 inches diameter) Unit of Measure Estimated Quantity 10 Item Price i Total (in figures) in fi ures) $345.00 $3,450.00 14 20 EA 15 20 Fallen Limb (6 to 12 inches diameter Remove Fallen Limb (12 to 24 inches diameter ! 10 345.00 $690.00 $3,450.00 $6,210.00 J17Remove 16 20 —]-EA EA 9 20 Remove Fallen Limb (24 to 36 inches diameter EA 1 $1,035.00 $1,035.00 18 20 Creek Tree Area Removal (12 to 24 inches DSHj EA 5 $1,415.00 $7,075.00 19 20 Creek Tree Area Removal (24 to 36 inches DSH EA 4 $2,415.00 $9,660.00 20 20 Creek Tree Area Removal (36 to 42 inches DSH_) _ Creek Tree Area Removal (over 42 inches DSH) EA 3 $3,415.00__ $4,415.00 $10,245.00 21 20 EA 2 $8,830.00 22 20 Furnish and Plant (15 gallon) EA 5 $180.00 $900.00 23 20 Furnish and Plant (24" box) EA $310.00 $1,550.00 24 20 Furnish and Plant (36" box) EA 5 $795.00 $3,975.00 25 12 Traffic Control - Eng. Std. 7310 - Fig A HR 8 $150.00 $1,200.00 26 12 Traffic Control - Eng. Std. 7310 - Fig B HR 8 1150.00 $1,200.00 27 12 12 Traffic Control - Eng. Std. 7310 - Fig C Traffic Control - Eng. Std. 7310 - Fig D HR 8 $150.00 150.00 _$1,200.00 $1,200.00 28 HR 8 29 12 Traffic Control - Eng. Std. 7310 — Fig E HR 8 $150.00 $1,200.00 30 12 Traffic Control - Eng. Std. 7310 — Fig F HR 8 $150.00 $1,200.00 31 12 Traffic Control - Eng. Std. 7310 — Fig G HR 8 $150.00 $1,200.00 32 12 Traffic Control - Eng. Std. 7310 — Fig H HR 8 $150.00 $1,200.00 33 12 Traffic Control - Eng. Std. 7310 — Fig I HR 10 $150.00 $1,200.00 34 12 Traffic Control - Eng. Std. 7310 - Fig J HR 10 $150,00 $1,200.00 35 12 Traffic Control - Eng. Std. 7310 - Fig K Traffic Control - Eng. Std. 7310 - Fig L Traffic Control - Eng. Std. 7310 - Fig M Traffic Control - Eng. Std. 7310 - Fig N HR 10 $150,00 $1,200.00 36 37 38 1 12 12 12 HR 10 $150.00 $150.00 $150.00 $1,200.00 HR 10 _$1,200.00 $1,200.00 HR10 39 12 Traffic Control - Eng. Std. 7310 —Fig O HR 10 $150.00 $1,200.00 40 12 Traffic Control - Eng. Std. 7310 — Fig P HR 10 $150.00 $1,200.00 41 12 Minor Traffic Control HR 1000 $50.00 $50,000.00 Bid Total 1 $ 404,895.00 Company Name: West Coast Arborists, Inc. (1) refers to section in the Standard Specifications, with modltiaattons 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. 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 None to be used. 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 ✓ 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 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 ✓ 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, Patrick Mahoney declare that am __ _ President of West Coast Arbori5tfi , Inc. 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 onmarch 6th, 2019 , in I declare under penalty of perjury L is true and correct. (SEAL) of to State �f California that the foregoing Patrick Mahon ey,PreSident (Signature and Title of Declarant) Subscribed and sworn to before me this _ day of , 20__ Notary Public Company Name: BID FORMS F 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 On ORANGE 3/6/19 before me, Amelia I. Menzel, Notary Public Date Here Insert Name and Title of the Officer personally appeared _ Patrick O. Mahoney Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be th erson(Wwhose nameof subscribed to the within instrumentand ackno edged to me tha h sheAhey executed the samd In r authorized capac14gie9j-,-and that b naturq(s)-6n the instrument the person,(sj, 6r the entity upon behalf of which the person acted, executed the instrument. AMELIA I. MENZEL Commission 2105517 z Notary Public - California z Orange County My Comm. Expires A r 2,2 D I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m(11d ffi all l s 1. Si9 nature 5ignatu f Mary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reatt achment of this form to an unintended document. Description of Attached Document Title or Type of Document: City of San Luis Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Pat[icK 0. Mahoney N Corporate Officer — Title(s): President ❑ Partner — ❑Limited El General ❑ Individual ❑Attorney in Fact ❑ Trustee ❑Guardian or Conserv ator ❑ Other: Signer Is Representing: WCA, Inc. Non -Collusion Declaration - JOC 2018: Tree Maintenance Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — El Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Trustee ❑Guardian or Conserv ator ❑ Other: Signer Is Representing: _ _ _ •Y:Z%G`4%S:'S%XV�7_[�,Y:S.'°i:%r.'S.%Ci.%C:`�ii7L%(:"MAXIM 02016 National Notary Association • www.NationalNotary .org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 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 numbers) NO ADDENDUMS . (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.36676, Expiration Date 12L0/2020 The above statement is made under considered non-responsive and will bE Signature of Bidder DIR— Public Works Registration No: 1000000956 mtaining this information "will be Patrick Mahoney. Nreslcient (Print Name and Title of Bidder) Business Name (DBA): West Coast Arborists,_Inc. Owner/Legal Name: Pafirick Mahoney, President Indicate One: OSole-proprietor O Partnership i )Corporation List Partners/Corporate Officers: Patrick Mahn-ej1 President Name Title Richard Mahoney Secretary Name Title Rose Epperson _ _ _ _ Treasurer Name Title Business Address Street Address Regional Office: 11405 Nardo Street, Ventura. CA 93004 Mailing Address Corporate_Qffjce� 22ME. Via Bu City, State, zip Code Anaheim-L-CA,2$06._ Phone Number 80 671-5092 Fax Number 8056715360 Email Address vgonzalez@waainc.com Date 3/6/19 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 Santa Maria; Jim Davis, Recreation Services Mgr. Telephone & Email J805) 925-4508, jdavis@ci.santa-maria.ca.us Project Name (Site Address): Tree Maintenance Services Did this project include tree maintenance work? Yes X No ❑ Was this contract for a public agency? Yes u No Describe the services provided and how this project is similar to that which is being bid: WCA provides complete urban forestry management for nearly 2,500 City -owned trees, including tree pruning, removals, planting and emergency services etc. Reference Number 2 Customer Name & Contact Individual City of Santa Clarita; Valerie Ferc_ ha_w, Telephone & Email com Urban Forestry 661 294-2569 vferchaw@santa-clarita.com Project Name (Site Address): Tree Maintenance Services rrent Did this project include treeDescribe the services provided and how this project is similar to maintenance work? Yes X No ❑ that which Is being bid: WCA performs various tree maintenance services Was this contract for a public agency? including but not limited to, pruning, removal, and Yes ❑ No )4 emergency response services. Date project completed: Since 2018 - Current Reference Number 3 Customer Name & Contact Individual _City of Santa Paula_; Brian Yan_ez, Telephone & Email L805) 933-4226, byanez@ci.santa- Project Name (Site Address): Tree Maintenance Services Did this project include tree maintenance work? Yes jai No ❑ Was this contract for a public agency? Yes ❑ No X City Manager aula.ca.us Describe the services provided and how this project is similar to thatwhich is being bid: WCA manages the City's 2500 city -owned trees by providing tree pruning, removals, planting, and emergency services for the Public Works, Watering and Parks Departments. Date project completed: Since 2006 - Current BID FORMS H Certificate of Insurance (THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLLDE ADDITIONAL SUBLIMIT/LJMITS NOT LISTER BELOW, This is to Certify that I WEST COAST ARBORISTS, INC EAST VIA BURTON NAME AND ANA Liberty Mutual. ANAHEIM CA 92806 ADDRESS OFINSURED I INSURANCE Lis,, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Liberty Mutual Insurance Group EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY w 9 ❑ POLICY TERM LOS Angeles / 0603 AUTHORIZED REPRESENTATIVE WORKERS COMPENSATION Statutory Limits 7/1/2019 WA7-66D-039499-078 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: All States Except: ND, OH, WA, Y W EMPLOYERS LIABILITY Bodily In'urybyAccident 1 000 00 Paeh Arcidenr Bodily Injury By Disease 213-443-0782 6/12/2018 OFFICE PHONE DATE ISSUED 1 000 000 Bodily Injury By Disease 1.000 000 COMMERCIAL GENERAL LIABILITY 7/1/2019 T62-661-039499-018 General Aggregate $2,000,000 til OCCURRENCE Products / Completed Operations Aggregate ElCLAIMS MADE $2,000,000 Each Occurrence $1,000.000 RLrittO DATE Personal & Advertising Injury $1,000,000 Per Person /Organization Other uolccr Damseta rem€ses rented to Medical Expense $5,000 AUTOMOBILE LIABILITY 7/1/2019 AS7-661-039499-038 Each Accident --Single Limit $2 000 000 B.I. And P_D. Combined El OWNED Each Person Each Accident or Occurrence mNON -OWNED 121 HIRED Each Accident or Occurrence OTHER 7/1/2018 - 7/1/2019 TH7-661-039499-048 $5,000,000 Per Occurrence/Aggregate Umbrella Excess Liability ADDITIONAL COMMENTS *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Liberty Mutual Insurance Group This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 42460140 1 LM 2819 1 7/16-7/19 - GL/2/1, AL/2, WC/1, U/5 I Donna Smitala 1 6/12/2019 12:05:13 PM (CDT) I Page 1 of 1 1-131 COI 268896 02 11 Evidence Only 2200 E Via Burton Elaine Ulan w 9 Anaheim CA 92806 LOS Angeles / 0603 AUTHORIZED REPRESENTATIVE z 818 W 7th Street, Suite 850 0564408 Los Angeles CA 90017 213-443-0782 6/12/2018 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 42460140 1 LM 2819 1 7/16-7/19 - GL/2/1, AL/2, WC/1, U/5 I Donna Smitala 1 6/12/2019 12:05:13 PM (CDT) I Page 1 of 1 1-131 COI 268896 02 11