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2016-04-12 - AGENDA REPORTS - ACCESS RAMP ADA PROJ (2)
Agenda Item: 5 CITY OF SANTA CLARITA AGENDA REPORT CONSENT CALENDAR CITY MANAGER APPROVAL: fA 14 4113 DATE: April 12, 2016 SUBJECT: SAN FRANCISQUITO CREEK TRAIL ACCESS RAMP ADA UPGRADE PROJECT - AWARD CONSTRUCTION CONTRACT DEPARTMENT: Public Works PRESENTER: Damon Letz RECOMMENDED ACTION City Council: 1. Approve the plans and specifications for the San Francisquito Creek Trail ADA Ramp Upgrade, Project T1016. 2. Award the construction contract to Toro Enterprises, Inc., in the amount of $318,693 and authorize a contingency in the amount of $31,869, for a total contract amount not to exceed $350,562. 3. Transfer Valencia Bridge and Thoroughfare (Fund 303) project savings in the amount of $180,000 from McBean Parkway Bridge Widening expenditure account S1037303-5161.001 into the San Francisquito Creek Trail ADA Ramp Upgrade expenditure account T1016303- 5161.001. 4. Authorize the City Manager or designee to execute all contracts and associated documents, subject to City Attorney approval. BACKGROUND The existing access ramp between eastbound Newhall Ranch Road and the west side of the San Francisquito Creek Trail provides trail access for pedestrians and bicyclists. This ramp is also used as part of the Santa Clarita Marathon route along the San Francisquito Creek Trail. This ramp currently does not comply with the requirements of the Americans with Disabilities Act (ADA) or the California Building Code due to its relatively short length and steep slope. Upgrading this ramp to meet ADA requirements will be a significant improvement for trail users and will provide code -compliant access from Newhall Ranch Road to the trail. Page 1 Packet Pg. 24 O An invitation to bid was prepared and published three times, January 30, February 10, and February 19, 2016, and was posted on the City of Santa Clarita's (City) website. Six bids were submitted to the City and opened on March 9, 2016. The results of the bids are shown below: Company Toro Enterprises, Inc. R.C. Becker & Son Leonida Builders Excel Paving Company Union Engineering Company, Inc. Access Pacific Location Bid Amount Oxnard, CA $318,693 Santa Clarita, CA $337,022 Glendora, CA $369,185 Long Beach, CA $389,743 Ventura, CA $413,442 Pasadena, CA $489,140 Staff recommends awarding the bid to Toro Enterprises, Inc., the lowest responsive bidder. This contractor possesses the required state contractor's license and is in good standing with the Contractors State License Board. The contractor's bid has been reviewed for accuracy and conformance to the contract documents and was found to be complete. Upon approval of the requested transfer of $180,000, the total expenditure budget for the project will be $604,038. On November 10, 2015, the City Council approved the purchase of a portion of the Southern California Gas Company property needed to construct the ramp. The total estimated cost associated with the purchase of the property is $158,000, which includes a sale price of $135,936 and an additional $11,000 for escrow fees, title fees, appraisal fees, and due diligence costs; and $11,064 in engineering and right-of-way acquisition process costs. The remaining funds of $446,038 are identified for construction -related costs for the trail access ramp, including the construction contract in the amount of $350,562 inclusive of contingency, plus an additional $95,476 for related design and construction costs, including labor compliance services, staff oversight, construction engineering, inspection, and project management. While the City maintains a Support of Local Businesses policy that can be utilized by the City Council when warranted, the City is governed by the California Public Contract Code with regard to public works project procurement. In these types of procurements, the California Public Contract Code does not permit a city to utilize a Support of Local Businesses policy and instead requires the contract be awarded to the lowest responsive bidder. This project supports the Santa Clarita 2020 strategic plan in the area of Sustaining Public Infrastructure. ALTERNATIVE ACTION Other action as determined by the City Council. FISCAL IMPACT Funds in the amount of $424,038 are currently appropriated in the San Francisquito Creek Trail ADA Ramp Upgrade, Project T1016 expenditure accounts as follows: General funds (60 1) of $24,038 in account T1016601-5161.001; Valencia Bridge and Thoroughfare (3 03) funds of Page 2 Packet Pg. 26 $158,000 in T1016303-5201.004 (Land Account), and $242,000 in T1016303-5161.001 (Contractual Services). The requested transfer of $180,000 in Valencia Bridge and Thoroughfare funds (303) project savings from 51037303-5161.001 to T1016303-5161.001 creates a total project budget of $604,038. This amount will adequately provide for all anticipated project expenditures, including property acquisition and related costs, award of the construction contract, construction support, geotechnical inspection, construction inspection, project administration, labor compliance, and miscellaneous project costs. ATTACHMENTS Location Map Project Plans and Specifications (available in the City Clerk's Reading File) Bid Proposal for Toro Enterprises, Inc. (available in the City Clerk's Reading File) O Page 3 Packet Pg. 26 3aVUE)dn VaV dWVN SS300V IIVal M33N3 oiinoSIaNVN=l NVS : 6££6) dept uol;e3o-j:;uewyoe:nV �4a Lu _ 'I � '%0..1 F � .� � i �t� •f ` m 17 :' 10 D CP' v • , s o9 �'/�/ �-( OWL - 110 �. �� *+... • .. � - '� �. � d OP's,: �_C �n /<coRA y F o _ ILR J S RO � •f � `,•1 Oy pD U t M N = P P p P v P N t N N 11111i 110 111P jjjj p HIP, 41 I'll III M 141, 11 oi-I M gIR $� 114ai x 111 11 all :� ` PX Allhl r q era - a _g."- € ]XI IR' a RII � xj�j�F5 F 1g$ IN 4 3 R a �R a R a 1 A R A �� 4 y rij R8 @ �€ RR ARS iR 51 ill _ a oil _ 1i TA Telt � 0 ^NRgIRIE€! ............._ R z� RIIRA Jill € vagi mrq Rillv R c g aR�hassa83eaap�an;;�aa� Y� 3� � a3xilix, 1 11 S a gR ��1155 r A OW fl 1 I (i ill Ail aR a $ $ pgf u� a AR a .R A Asr Ar A� aM rmobA r Ms Y.re ANv a ✓ N, �oe-i � M er. 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Portions of the Contract not specifically mentioned in this Addendum remain in force. All trades affected shall be fully advised of these changes, deletions, and additions. All bidders shall sign this Addendum and submit with Bid Proposal, PLANS 1. Sheet 1 Revised sheet is attached. 2. Sheet 2 — Revised sheet is attached. SPECIFICATIONS 3. Page A-1, NOTICE INVITING BIDS — Bid Opening date has been extended to Thursday, March 3, 2016 at 11:00 a.m. 4. Page C-2, BID SCHEDULE — Revised Bid Schedule is attached. 5. Page C-9, BID SECURITY FORMS FOR CHECK OR BOND TO ACCOMPANY BID — Revised page is attached. 6. Page E-12, TIME OF COMPLETION — Revise "25 working days" to "30 working days." 7. Page F-2, TIME OF COMPLETION — Revise "twenty five (25)" to "thirty (30)." 8. Page F-24, SECTION 301-13 PAYMENT — Revise "95 percent relative compaction" to "90 percent relative compaction." 9. Page F-29, CONCRETE STRUCTURES — Add the following: High early strength concrete shall be used in the construction of the retaining wall. The Contractor shall provide concrete mix designs for high early strength concrete. The proposed mix Page 1 of 3 rp designs and aggregate gradations shall be submitted per Section 2-5.3 of the SSPWC. The following requirements apply to high early strength in 4000 psi compressive strength concrete: (a) The concrete shall attain a seven-day strength such that the average of any three consecutive compressive strength tests shall be equal to or greater than 4000 psi, and not more than 10 percent of the tests shall be less than 4000 psi. No test shall be less than 85 percent of 4000 psi. (b) The concrete shall include a minimum of 610 pounds to a maximum of 750 pounds of Type I or 11 cement per cubic yard and a City -approved water -reducing admixture. Cement for concrete structures shall be Type I or II. The minimum concrete compressive strength at 7 days shall be 4000psi. Shotcretc shall not be used as an alternative construction method for reinforced concrete members unless otherwise specified. QUESTIONS Question: General Structural Note 6 of the retaining wall calls for continuous inspection by an engineer. Is the City providing the engineering service? Answer: Yes. The City will utilize the geotechnical of record, RT Frankian and Associates to provide continuous inspection during grading and retaining wall installation. Question: Does the Earthwork and Rough Grading quantity include mass excavation and remedial excavation? Answer: Yes. The quantity of 1,721 CY is the sum of the mass excavation fill quantity plus the remedial excavation. Question: Please clarify discrepancy between the specs and the geotechnical report regarding unsuitable excavation. Answer: Please use the recommendation beginning on page 4 of the soils report. Question: What is the color and texture of the CMU block? Answer: The color and texture shall be gray Oldcastle concrete block. Question: Does the City want the new asphalt installed in one - 3 inch lift or two — 1.5 inch lift? Answer: The new asphalt shall be installed in one -- 3 inch lift. Page 2 of 3 Question: What happens to the path north ofsawcut note 10 along the existing trail? Answer: This area is part of the future road and bridge widening and not a part of this scope of work. Question: Is the Contractor responsible for a temporary fence for the property owner? Answer: The Contractor shall protect the gas property at all times during construction. The permanent fence, bid item 16, eliminates the need for a temporary fencing. Question: There is a discrepancy between the plans and the soils report for the retaining wall drainage. Answer: This question will be addressed via Addendum 2 to be issued by 1/29/16. Question: Is the City supplying a designated borrow/disposal site for the project? Answer: No, The City is not supplying a designated borrow/disposal site for this project. Robert G. Newman, Director of Public Works City of Santa Clarita BIDDER'S CERTIFICATE I acknowledge receipt of this Addendum 1 and accel sh few -C411, 2016 Date Bidder's Signature Jenyl CAAs S'/%, R esu fi THIS DOCUMENT TO BE SUBMITTED WITH BID Page 3 of 3 r ADDENDUM 2 SAN FRANCISQUITO CREEK TRAIL ADA RAMP UPGRADE City Bid No ENG -15-16-T1016 City Project T1016 City of Santa Clarita; California March 2, 2016 This Addendum is a part of the Contract Documents for the above -identified project and modifies the original Speciftcations and Contract Documents, as noted below. Portions of the Contract not specifically mentioned in this Addendum remain in force. All trades affected shall be fully advised of these changes, deletions, and additions. All bidders shall sign all Addenda and submit with Bid Proposal. PLANS 1. Revised set of plans is attached. SPECIFICATIONS 2. Page A-1, NOTICE INVITING BIDS — Bid Opening date has been extended to Wednesday, March 9, 2016 at 11:00 a.m. 3. Page C-2, BID SCHEDULE — Revised Bid Schedule dated 3/2/16 is attached. QUESTIONS Question: Is the Contractor responsible for providing and paying for the testing of import soil? Answer: Yes. The Contractor is responsible to test the import soil and pay for the associated costs. Ito rt G. Newman, Director of Public Works City of Santa Clarita BIDDER'S CERTIFICATE I acknowledge receipt of this Addendum 2 and accept the afo _Jlpla)"-A _,2016 Date Bidder's THIS DOCUMENT TO BE SUBMITTED WITH BID Page 1 of 1 SECTION C: PROPOSAL San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 TO THE CITY OF SANTA CLARITA, AS AGENCY: In accordance with AGENCY's NOTICE INVITING BIDS, the undersigned BIDDER hereby proposes to furnish all materials, equipment, tools, labor, and incidentals required for the above -stated project as set forth in the plans, specifications, and contract documents therefore, and to perform all work in the manner and time prescribed therein. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, INSTRUCTIONS TO BIDDERS, and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following BID SCHEDULE. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the proposal guarantee accompanying this proposal, BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in BID SCHEDULE are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, and fees. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the contract, the undersigned further agrees that in the event of the Bidder's default in executing the required contract and filing the necessary bonds and insurance certificates within ten working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. Company Name: _O1(Q 6ses, Cyt[ Company Address: U01 E- Ve4LfUlrlti- rJ-,l1 d. OxAaA�dl, CA- —R3o3 to By: Title: Signature Date: SFC Trail ADA Ramp Upgrade C-1 Project T1016 REVISED BID SCHEDULE (3/2/16) San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 yP� It� LS 1 �,1 60 S j -4-O0 1 MOBILIZATION/DEMOBILIZATION (NOT TO EXCEED 3% OF TOTAL BID) WATER POLLUTION CONTROL & IMPLEMENT 2 LS 1 BEST MANAGEMENT PRACTICES 3 CONSTRUCTION SURVEY & STAKING LS 1 I ZI ( Z 4 VEHICLE AND PEDESTRIAN TRAFFIC CONTROL LS 1 2 3 y 5 2 3 y S Maintain Existing Trail Open during Construction) M 5 SITE PREPARATION, CLEARING & GRUBBING LS 1 S, 0 Z 5 S) 0'2.S 6 SAWCUT, REMOVE AND DISPOSE OF EXISTING SF 2,350 �Z.,C) y 7 oo -- AC PAVEMENT AND BASE MATERIAL 7 REMOVE EXISTING CHAINLINK FENCE LF 200 10.00 00 "- 8 EARTHWORK AND ROUGH GRADING CY 1,721 11. 00 2-4 2-5 7 9 IMPORT MATERIAL CY 780 (S)10 RETAINING WALL SF 2,619 S(6. 00 (S1,, 101 11 SUBGRADE PREPARATION AND FINE GRADING SF 5,605 0. 5 0 2 i 8 0 2. 5 D 12 3" WIDE CONCRETE SWALE LF 250 29 . 5 0 -J, 315 - 13 3" ASPHALT CONCRETE PAVEMENT TON 101 14 5" CRUSHED AGGREGATE BASE TON 150 Li 8.50 1, 2 -7'5- 7S15 15 5' CHAIN LINK FENCE (ATOP RETAINING WALL) LF 310 y 16 5' CHAIN LINK FENCE (AT GRADE) LF 315 3y 17, 2165 - 17 FLOOD CONTROAL ACCESS GATE (Modified SPPWC Std 600-3 w/4' walking gate and 18' drive EA 1 51) (oa S1 (o gate) _ 18 REMOVE, SALVAGE AND RESTORE EXISTING LS 1 1 �� y q867 GUARDRAIL 19 REMOVE EXISTING PCC CURB & GUTTER LF 93 20 SIGNING & STRIPING LS 1 3� 3{ (� 3/3 y y 21 EROSION CONTROL (JUTE NETTING AND SF 6,370 0. -11� T3 -?-50 HYDROSEED ON DISTURBED AREAS 22 REDWOOD HEADER LF 58 (J 63 8 Total Bid Amount: $ 318, � 5 3.00 Total Bid Amount in Words: T��� YfjUUS�Ni% � SIX f-�vNi�>2Ed� IUIN�i% T�fzE� b��r,A�S SFC Troll ADA Ramp Upgrade C-2 Projed T1016 DESIGNATION OF SUBCONTRACTORS San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 Listed below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or render service in excess of %: of 1 percent, or $10,000 (whichever is greater) of the prime contractor's total bid: DBE status, age of firm and annual gross receipts are required if subcontractor is participating as a DBE. Subcontractor M�1�1"f LArOO(AP DBE STATUS: - rJ0i� Dollar Value of Work �I 3 is — Age of firm: t ertifying Agency: Annual Gross Receipts: o0 0� Goo 20 �P5 Certifying Agency: 20� Location and Place of Business c� 376-7 WQWe:' L'D 1 2 8 6 8 • �TaDt;,J 67f►3�, 0��Nq 6 Cost Schedule Item Nos: 21 f Description of Work 20 tC)� HyD�2() s&CDJOC7 s u� yw� License No. z S(-2- Exp. Date: .13 °J_-« Phone ►- Cf3 CL - 0 0 Subcontractor DBE STATUS: Dollar Value of Work /�1,C0IZ>v �6NGE.CO fv0A)E 3�/, 2-3— Age of firm: Certifying Agency: Annual Gross Receipts: -7� � C �()-S N 22 0001 000 _ Location and Place of Business 9 o 1 Gr (-C AJ a 19- r -S V Cost Schedule Item Nos; Description of Work l S r� r�lgP r-CAJCfn/C1 License No. Exp. Date; Pho e Subcontractor DBE STATUS: Dollar Value of Work Q (TFkftl- WC. ,Vo/v 3, q 2,8. 0 S '_ Age of firm: Certifying Agency: Annual Gross Receipts: nn t, �l o ✓ 10 YA,; �iD00/ 000 Location and Place of Business 1004 eNf- PLtC,E C� f Cost Schedule Item Nos: P Description of Work /0 gAvTl (� a4FP(T-( Cd 0f &)C7 License No. 221 7q Exp. Date: �o i Pho �2( 3 5/ ' Z? NOTE: A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 17255 of the Labor Code at the time the contract is awarded. (Use additional sheets as needed) SFC Trall ADA Ramp Upgrade C-3 Projecl T1016 DESIGNATION OF SUBCONTRACTORS San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 Listed below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or render service in excess of '/z of 1 percent, or $10,000 (whichever is greater) of the prime contractor's total bid: DBE status, age of firm and annual gross receipts are required if subcontractor is participating as a DBE. Subcontractor DBE STATUS: Dollar Value of Work U I S 'I q- Storu L° No/\/ 6 27/ 2 �7 — Age of firm:Certifying Agency: Annual Gross Receipts: '2-0-y9_5 , �, () () U, GC)o Location and Place of Business 33/ vi. uuilS ( Cost Schedule Item Nos: Description of Work /0 P1 (2 E311) fZ License No. 2 Tile Exp. Date: Phone$o� 5 (I 8 Subcontractor DBE STATUS: Dollar Value of Work 5T e 9&) 0 f -f L jA)C . Ivo /L/C 31 0 52 — Age of firm: Certifying Agency: Annual Gross Receipts: /S'r p2-5 /a/ 000/ 000 . Location and Place of Business l l a� I 6Q AtiFb P D S. CA� Cost Schedule Item Nos: Description of Work 2U /U(NC7 Slt21f )x.1C7 License Not 8 23 Exp. Date /�Q / I Phoned Subcontractor DBE STATUS: Dollar Value of Work V,cy( ok) i3O(- n)ON C q0/ �d0 Age of firm: -5 Certifying Agency. Annual Gross Receipts: 5_10001 K6 YR -)ao Location and Place of Business 17�S (,C&"ton1 VJ00i-) firti1A PRvL,h- CA 93046 Cost Schedule Item Nos: to Description of Work /1' r'0 N Po a -rt 6 ti o f 12 . �nJ . License No. 3� 3 Exp. Date: C(?a (� Phone ���-) _X25 ` 525(P NOTE: A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract is awarded (Use additional sheets as needed) SFC Trail ADA Ramp Upgrade C-3 P'gml I 1 u16 DESIGNATION OF SUBCONTRACTORS San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 Listed below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or render service in excess of 1/2 of 1 percent, or $10,000 (whichever is greater) of the prime contractor's total bid: DBE status, age of firm and annual gross receipts are required if subcontractor is participating as a DBE. Subcontractor DBE STATUS: Dollar Value of Work Age of firm: Certifying Agency: Annual Gross Receipts: Location and Place of Business Cost Schedule Item Nos Description of Work License No. Exp. Date: Phone Subcontractor DBE STATUS: a Dollar Value of Work Age of firm: Certifying Agency, Annual Gross Receipts: Location and Place of Business Cost Schedule Item Nos: Description of Work License No, Exp, Date: Phone NOTE: A contractor or subcontractor shall not be qualified to bid on, be listed In a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7028.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract is awarded. (Use additional sheets as needed) efC Trail ADA Ramp Upgrade C-3 Project T1015 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * (Must be filled out by the Bidder and ALL subcontractors over $10,000) * " * San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 City of Santa Clarita, Califomia This bidder proposed subcontractor Reycon Construction, Inc., hereby certifies that he has X has not , participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he has X , has not , filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: Reycon Construction, Inc. By: Jonathan Reyes Title: Project Manager Date: 03/09/16 Note. The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt_) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specked by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Note: This form must be received by the AGENCY from all subcontractors no later than 4:00 PM on the 5"' business day after the bid opening. Prime contractor is to submit certificate at bid opening. SF C Tml AOA Ramp Upgrade C-6 ProjeG 'T 1016 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION "' (Must be filled out by the Bidder and ALL subcontractors over $10,000) • " " San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 City of Santa Clarita, California This bidder X , proposed subcontractor X , hereby certifies that he has X has not , participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he has X , has not , filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: ALCORN FENCE nCOMPANY By: Title: EEO OFFICER Date: 03/01/16 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors. only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Note: This forth must be received by the AGENCY from all subcontractors no later than 4:00 PM on the 51h business day after the bid opening. Prime contractor is to submit certificate at bid opening. SFC Trail ADA Ramp Upg a* C-6 Nopd T1016 EgUAf; illlt?L4Y{14LI�1TC)t�f'C)f�'1llNl'fYCi~f� ilIt:AT1C�N' N'm;t bo filicd outt,y tho Bidder aitd At_(.. stti)contr;tctors ovor, 10,0=00) 4an f`rahcisgtlito.;Creek Triil. Ab'A Rmilp Upgrzcic. `` f�rojcf T1fl1G Uid No; ENG-95-16-T101G CRY nf•Santa 0Iarita, Califolilia �' els liic ci F5' Contractors,. lata 7a Foci �ut> 4nfrc�ctat %4 _i_1(11(0�YCert ies. thal txc Ila ; ,lips .ttgt '�"""Si7zr ilor}�ated rri. }iravrUt.i� cot�tId rsr suht^oritfL( sul jert to the equ t; nti t�rt'rtltiCiyy` ciaillr',,..�Is tequuaci by 12 ; cifri�r,, Ordeals '10025.11 4, or 11 10 txnr! that lio jflu4`!'vr1{t tl�u:;Jclr�f';(etarir£it'10 C omlYjltt4L;'ia't�ti bit'CfGtor at !Jffrrct csf f rs�iut<�C" (yvritrct 'Conil�llnce a taderal Gavrrnrcnt.,coritractin0 or adt�rn�stenng Gt'NC ar Qtr ft�unt.r f'ri sictehi's C om�ztCt i G an T gliai' l nifilo)%tiii lit 0pporlytiify, all repolls that <irc� olid^r the applicable tiling d Date. IJotd; The a0ova. certificatlon is required by. tho Equal Employment Opportunity of. the ,.,ecfetary of i.ab6r (41 CFR' R 010- 7(0)(1)), .and must bo submitted by bidders end propose. i sutacvnlractUis only ill ct}nllS;ftiUt1 with 66iltracts and subcohtrocts:which sire stttiject to faith in Al CPR u0'-1 3, (Gt iieraiiy an(y contracts or sulkontr�3cts of $10 000 or6ider are (axempt:) Currently .'the Standbrd Foran 100 (1=L0-1) is tho only report MCtUired by the Fxocu0cue Orders or their miplemerittng tecjtaV6(t6ns. Prol cisod 0rihil- CONTRACTORS and subcontractors who Have p,aitidPatad in a previous contract or rubccantract;sut�ioel`to the ;:t XeGulive Orders and have'iiot filed the requfrc�d'MP� ,s..sh'ouid'nose tht�tvi9 C f-.R�:�t> pre-vents;ijje bwa'i�d of Cctr i!'acts:and suh.4oritracts ur7less such SC�NTRAGTOf-Subrttii'ii a report covering tht .delinquent herlod or su h other petl6d specified by the Fade ra! Nighwray l�dmlt7istratlolr or by the: Directovl`Office of Federal CaMract Coriip lailce, US. Deparit»erit of (_attar. No Tlif§:torn )?rust tat recelvad by the AC',rNCY,froirr :iii GUbcuntracfors no later thin '.00 pm ati the iiia' husmas> day :torr tho bld dponing. Prlrne coniractol' is to strlimit ccrtillc:�te at bid opening. SIWYrcil:/J1.1Rar.:pUf-0ed+ ��-� atom T+0$4 REFERENCES San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 City of Santa Clarita, California The following are the names, addresses, and telephone numbers of three public agencies for which BIDDER has performed similar work within the past 3 years: _ 2. ame and Address Name and Telephone Number of Person Familiar with Project Contract Amount Type of Work Date Completed Name and Address of Owner / Agency Name and Telephone Number of Person Familiar with Project Contract Amount Type of Work Date Completed 3. Name and Address of Owner / Agency Name and Telephone Number of Person Familiar with Project Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance bonds n SFC Tall ADA Ramp Upgrade C-4 Project T1016 E.. /sN-,r '/ 1 r77sirs /N!'. GENERAL ENGINEERING CONTRACTORS REFERENCE LIST CONCRETE PROJECTS Contract With: City of Simi Valley - 2929 Tapo Canyon Rd., Simi Valley, CA 93063 Contact: Sarah Sheshebor (805) 583-6792 Brief Description: R&R Sidewalks, Curbs, Gutters, Ramps per Spec Project: Madera Road Widening Owner: City of Simi Valley Contract Amount: $805,979.04 Completed: 6/15 Contract With: City of Santa Clarita - 23920 Valencia Blvd, Valencia, CA 91355 Contact: Monica Heredia (661) 259-2489 Brief Description: Replace Concrete Panels, Concrete Walkways, Pedestrian Ramps Project: J Russell Pedestrian Bridge Owner: City of Santa Clarita Contract Amount: $429,419 Completed: 10/15 Contract With: City of Lancaster - 44933 Fern Ave, Lancaster, CA 93534 Contact: Teresa Latever (661) 723-6000 Brief Description: Sawcut and Remove PCC C&G, Sidewalks, Driveways, Street Improvements Project: Infrastructure Improvements Owner: City of Lancaster Contract Amount: $1,334,879.86 Completed: 2/14 Contractors N me TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 City of Santa Clarita, California The bidder under penalty of perjury, certified that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, office manager: is not currently under suspension, debarment, voluntary exclusion or determination of ineligibility by any federal AGENCY; has not been suspended, debarred, voluntarily excluded, or determined ineligible by any federal AGENCY within past three years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidders' responsibility. For any exception noted above, indicate below to whom it applies, initialing AGENCY, and dates of action. NOTE: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. SFC TrailADA Ramp Upgrade C-5 Project T1016 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * (Must be filled out by the Bidder and ALL subcontractors over $10,000) * * * San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 City of Santa Clarita, California This bidder 2S proposed subcontractor hereby certifies that he has , has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he has has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal government contracting or administering AGENCY, or the former President's Committee on Equal ployment Opportunity, all reports that are under the applicable filing requirements. Company: 0, CAI By Title: Date: `4 t f I (a Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-13(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or. such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Note: This form must be received by the AGENCY from all subcontractors no later than 4:00 PM on the 51h business day after the bid opening. Prime contractor is to submit certificate at bid opening. SFC Trall ADA Ramp Upgrade C-6 Project T1016 BIDDER'S INFORMATION AND CERTIFICATION Bidder certifies that the representations of the bid are true and correct and made under penalty of perjury. EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE Bidder certifies that in all previous contracts or subcontracts, all reports which may have been due under the requirements of any AGENCY, State, or Federal equal employment opportunity orders have been satisfactorily filed, and that no such reports are currently outstanding. AFFIRMATIVE ACTION CERTIFICATION Bidder certifies that affirmative action has been taken to seek out and consider minority business enterprises for those portions of the work to be subcontracted, and that such affirmative actions have been fully documented, that said documentation is open to inspection, and that said affirmative action will remain in effect for the life of any contract awarded hereunder. Furthermore, Bidder certifies that affirmative action will be taken to meet all equal employment opportunity requirements of the contract documents. Bidder's Name: --- Business Address: UQ.+'1.4 U A (7 __a6A Telephone No.: State CONTRACTOR'S License No. & Class: -f"(� Sia G+!•�s� *- Original Original Date: Z { Expiration Date: g/51 -117w - The 3t /7 The following are the names, titles, addresses, and phone numbers of all individuals, firm members, partners, joint venturers, and/or corporate officers having a principal interest in this proposal: eL Keo. � yIg3- X15/, The dates of any voluntary or involuntary bankruptcy judgments against any principal having an interest in this proposal, or any firm, corporation, partnership or joint venture of which any principal having an interest in this proposal was an owner, corporate officer, partner or joint venture are as follows: SFG Trail ADA Ramp Upgrade Prolecl T5016 C-7 All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows: \ IN WITNESS WHEREOF, BIDD ecutes and submits this proposal with the names, title, hands, and seals of all aforementioned prin al this ST day of fi�A/ kk-lb . BIDDER: Signa, re Y Name and Title of Signatory 0 ro t�D ri � 5, � G. • ______ . Legal Name of Bidd r Address (?,6s) qg3- q51s ��" b�ke1� Telephone Number Federal Taxi D. No. SIGNATURES MUST BE MADE AND NOTARY ACKNOWLEDGMENTS OF EXECUTION OF BIDDER MUST BE ATTACHED J( -V sa a4�j Subscribed and sworn Notary Publ SFC Trail ADA Ramp Upgrade C-8 Project T1016 day of , 20_. (SEAL) 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, orvalidity of that document. State of California County of Ventura On March 1, 2016 before me, Renee Cruz, Notary Public Date Here Insert Name and Title of the Officer personally appeared Sean Castillo Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personv whose name( is/are. subscribed to the within instrument and acknowledged to me that he/shetftey executed the same in his/her heir authorized capacity(ies"nd tha( by his/her/their signature(A on the instrument the personO, or the entity upon behalf of which the personV) 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 han0ja9d official seal. RENEE CRUZ Commission # 2011344 Notary Public - California Signature Ventura County Signature of Notat Public Comm. _ 6.2017 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: Bidder's Information and Certification for San Francisauito Creek Trail Date: 3/1/16 ADA Ramp Upgrade; City of Santa Clarita Number of Pages:_1_ Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) igner's Name Sean Castillo Corporate Officer — Title(s): President ❑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: :i.Y.:<:t- :?.....:.� ..*?. ;�<r,<.;?�,.%<.c_tit V<;ts'�,+':�.',-'�F<h.t.L�_,t:?�.�c;vr:t:�.t:4�'t:x.f;c,�„t.'? `<„:<�.�c„z.''�`!'{.t'ti,Y'?:t �<•(;t�`+'i:t v't•tr%L�c%Cv:%CiG%L� ©2014 National Notary Association • www.NationaiNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 BID SECURITY FORMS FOR CHECK OR BOND TO ACCOMPANY BID NOTE: The following form shall be used in case check accompanies bid. Accompanying this Proposal is a "certified/cashier's check payable to the order of theC4 of Santa Clarita for: dollars ($ )_Kis amount being not less than ten percent (10%) of the total amount of the bid. The proceeds of t check shall become the property of said AGENCY provided this Proposal shall be accepted by said ENCY through action of its legally constituted contracting authorities, and the undersigned shall fail je4execute a contract and furnish the required bonds within the stipulated time; otherwise, the check shat a returned to the undersigned. Project Name: San Francisquito Creek Trail ADA RaipKUpdgrade City Bid No ENG -15-16-T1016; Ctiy roject T1016 Bidder's Signature CONTRACTOR Address City, State, Zip " Delete jKe inapplicable work. NOTE: If the bidder desires to use a bond instead of a check, the following form shall be executed. The sum of this bond shall be not less than ten percent (10%) of the total amount of the bid. SFG I rail AUA Ramp Upgrada C-9 Wapacl T1016 PROPOSAL GUARANTEE BID BOND San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 City of Santa Clarita, California KNOW ALL MEN BY THESE PRESENTS that TORO ENTERPRISES, INC. , as BIDDER, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA _as SURETY, are held and firmly bound unto the City of Santa Clarita, as AGENCY, in the penal sum of Ten Percent of Amount Bid dollars (wior of Amount Bid), which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and the contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full /ve nd effect in favor of AGENCY, IN WITNESS WHEREAS, the parties eset their names, titles, hands, and seals, this 24th day of r 12016 TORO ENTERPRISES, C. BIDDER: Signature / V Name and Title of Signatory P.O. Box 6285, Oxnard, CA 93031 (805) 483-4515 Address SURETY" TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA One Tower Square, Hartford, CT 06183 (213) 630-3200 sworn to this Name/Title: Daravy Mady, _day of In -Fac 20 NOTARY PUBLIC SEE ATTACHED JURAT (SEAL) 'Provide BIDDER and SURETY name, address, and telephone number and the name, title, address, telephone number for authorized representative. i IMPORTANT - Surety Companies executing Bonds must appear on the Treasury Department's most current list (Circular 570, as amended) and be authorized to transact business in the State where the project is located. CPC Tmil AOA Ramp Upgrade C- 10 Project T1016 CALIFORNIA JURAT 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 Francisco Subscribed and sworn to (or affirmed) before me on this 24`h day of February, 2016 by Daravy Mady, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. (seal) Signature JAMESROSS COMM. #1984813 z M ~tis Notary Public - Califomia z a » LosAngelesCounty M Comm. ExpiresJuly 12,2016 James Ross, Notary Public WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER POWER OF ATTORNEY TRAVELERSJ Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attorney -In Fact No. 228903 Certificate No. 006558614 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company. St. Paul Mercury Insurance Company. Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint John T. Letticri, Tom Branigan, John Gilliland, James Ross, Nathan Varnold, and Daravy Mady of the City of State ofCalifornia , their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, rncognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 6th day of ...__.....January ___. 2016 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company L,.SV,��� �y�.irtYe, tin ��d O�M_.�NS�9 JP�. ,nSLa,� ayx7r aMp �Nnwr�rr ,yJ11Y1'40 ry �.�'� "t3� old � '��ay.r �y w�.......ryyt' °•i.':ads.. �e mat r.......��v �� AIM State of Connecticut City of Hartford ss. f By: _ Robert L. Raney, , enior Vice President On this the 6th day of January 2016 , before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. G T", In Witness Whereof, I hereunto set my hand and official seal. TAR My Commission expires the 30th day of June, 2016. PUBOO ri 58440-8-12 Printed in U.S.A. Marie C. Ietwault, Notary Puhh, WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 .•'<.�'t {;ft,s'ri ,f;C�.:'<�.t , a �n.::<'.� i;1.i:..i,<;i'i`c:i F;a..:.ti-.�C�t.�%\.1:4X,< _.v...-..^. ..c-;.,: :1. �;<''S�`,{;�`.C:C'1.`.C-SS:f:'i`6Zf:C.X'.l`: C:l:v.C�".G{•GC.C:!'.C:.C�.t 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, orvalidity of that document. State of California County of Ventura On March 1, 2016 before me, Renee Cruz, Notary Public Date Here Insert Name and Title of the Officer personally appeared Sean Castillo Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(b4) whose name( isfere subscribed to the within instrument and acknowledged to me that he/she/they—executed the same in his/her/their authorized capacity(aes} andthat by his/her{their signature(sl on the instrument the person(s'r or the entity upon behalf of which the person ) 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. RENEE CRUZ WITNESS my hand fand official seal. Commission # 2011344 Notary Public - California Ventura County Signature lbu P_� a/ Comm i r 6, 2017 Signature of Not4 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 fonn to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond for San Francisguito Creek Trail ADA Ramp Upgrade: City of Date: 2/24/16 Santa Clarita Number of Pages:_1_ Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name Sean Castillo Corporate Officer — Title(s): President ❑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: .<`u?t'<,<c,i4C,C:4't::{,cCIC%<(:tvC"<.C:C:(:<-XXYXC:<c:<,<4't%:R:t,`<:A,'c:�'C. CXC ",( t;-c-4<'4't:<.<;.<JS%C)C%4`t.%C>c:1:<�i.`<%aJt�<C.`G%L''c:t ©2014 National Notary Association - www.NationaiNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907 NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 To the CITY OF SANTA CLARITA: In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106, the Bidder declares 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 shall refrain 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. THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE "BIDDER'S CERTIFICATION" SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH FORM A PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION. SFC Trail ADA Ramp Upgrade C-1 1 Project T1015 NON -COLLUSION AFFIDAVIT San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 City of Santa Clarita, California TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT STATE OF CALIFORNIA ) COUNTY OF LOS ANGELES )) § t - S i l b being first duly sworn deposes and says that he is the eZ(sole owner, a partner, president, etc.) of bryraker rt5e5, enc. the party making the foregoing bid; that such bid is not made in the interest of or behalf of any undisclosed person, partnership, company, association, organization or corporation, that such bid is genuine and not collusive or sham, that said BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, or that anyone shall refrain from bidding, that said BIDDER has not in any manner, directly or indirectly sought by agreements, communication or conference with anyone to fix the bid price of said BIDDER or of any other BIDDER, or to fix the overhead, profit, or cost element of such bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the Contract or anyone interested in the proposed Contract; that all statements contained in such bid are true, and further, that said BIDDER has not, directly or indirectly, submitted his bid price, or any breakdown thereof, or the contents thereof, or divulged information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company, association, organization, bid depository, or to any member or AGENCY thereof, or to any other individual information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation,part rship, company association, organization, bid depository, or to any member or AGENCY thereof, or a other individual, except to such person or persons as have a partnership or other financial interest id BIDDER in his general business. Bidder: Signature " t Se vi C. -ill It o Title ( re's &P & Subscribed and sworn to and before`Me-this____ day of 20_. Seal of Notary SFC Trail ADA Ramo Upgrade C-12 Project T1016 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 xt rz rrrxzrz�srcra os cxx>c cc rrie es rarrrc e res er r r c c rcr c c : c c r-rcc u e s:r 'C<11c�>- XXIA each C.See Attached Document (Notary to cross out lines 1-6 below) LI See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) 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 Calif r Subscribed and sworn to (Gr- firmed) before me County of on this _� $� day of , 20 1 �, by Date 'Month Year Seal Place Notary Seal Above (and Name(s) of Signer(s) proved to me on the basis of satisfactory evidence to be the person(/ who appeared before me. Signature ignature of Nota 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 '` I I� Title or Type of Docum #:.� + n._t�1lV _jOVi ( _ Y J�G_�'t_ Doc itpent�Dat _... . nCiS b 'rety— fat � U�5 rr r Than Jawr t A ove: Number of Pages: _I Signer(ss)p 02014 National Notary Association • www. National Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5910 RENEF CRUZ e1 Commission # 2011344 :."V Notary Public . California 1 Ventura County My +;onrn. t an r s Apr 6 2017 Seal Place Notary Seal Above (and Name(s) of Signer(s) proved to me on the basis of satisfactory evidence to be the person(/ who appeared before me. Signature ignature of Nota 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 '` I I� Title or Type of Docum #:.� + n._t�1lV _jOVi ( _ Y J�G_�'t_ Doc itpent�Dat _... . nCiS b 'rety— fat � U�5 rr r Than Jawr t A ove: Number of Pages: _I Signer(ss)p 02014 National Notary Association • www. National Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5910 BIDDER'S QUESTIONNAIRE San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 City of Santa Clarita, California If the bidder has answered the questionnaire within the past year and there are no significant changes in the information requested, then the bidder need not file a new questionnaire. If there are changes, indicate those changes. Should the space provided not be adequate, so indicate and complete information on a separate page(s) and attach hereto. 1. Submitted by: (pC04'rb U Principal Office Address. 2. Type of Firm: r Corporate: Individual: Partnership: Other: 3a. If a corporation, answer these questions: �, n Date of Incorporation: t L fq� q State of Incorporation: _ eta rn 4 President's Name: et ,,s. 61t,> i110 Vice -President's Name: Secretary or Clerk's Name: Sefry �ars- Treasurer's Name: N1, -- 3b. If a partnership, answer these questions: Date of organization: _________State Organized in: 4. 5. 6. Name of all partners holding more than a 10% interest: Designate which are General or Managing Partners. Name of person holding CONTRACTOR'S license: �Expiration License number: X1015580 Class: i4 D e: V51 f CONTRAC�OR's Repre§entative: Title: _ Alternate: Title: List the ms Owner: (I Project Lc Type of P SFC Trail ADA Ramp Upgrade C-13 Project T1016 CERTIFICATION OF NON -SEGREGATED FACILITIES San Francisquito Creek Trail ADA Ramp Upgrade Project T1016 Bid No. ENG -15-16-T1016 City of Santa Clarita, California The CONTRACTOR certifies that he does not maintain or provide for his employees any segregated facilities at any of his establishments, and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The CONTRACTOR certifies further that he will not maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The CONTRACTOR agrees that a breach of this certification is a violation of the Equal Opportunity clause in this Contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, rest rooms, and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color, or national origin, because of habit, local custom, or otherwise. The CONTRACTOR agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause, and that he will retain such certifications in his files. CONTRACTOR Required by the May 19, 1967 order on Elimination of Segregated Facilities, by the Secretary of Labor — 32 F.R. 7439, May 19, 1967 (F.R. Vol. 33, No. 33 — Friday, February 16, 1968 — p. 3065). SFC Trail ADA Ramp Upgrade C- 14 Project T1016