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Home My WebLink About2017-10-24 - AGENDA REPORTS - MEDIAN TURF REMOVAL, PROJ B1015 (2)0 Agenda Item: 9 CITY OF SANTA CLARITA Q:° AGENDA REPORT CONSENT CALENDAR 7, CITY MANAGER APPROVAL: 1 j4 _ " DATE: October 24, 2017 SUBJECT: ORCHARD VILLAGE MEDIAN TURF REMOVAL, PROJECT B1015 - AWARD CONSTRUCTION CONTRACT DEPARTMENT: Public Works PRESENTER: Damon Letz RECOMMENDED ACTION City Council: 1. Approve the plans and specifications for the Orchard Village Road Median Turf Removal, Project B1015. 2. Award the construction contract to Jeff Tracey, Inc., dba Land Forms Landscape Construction, in the amount of $1,360,575 and authorize a contingency in the amount of $204,086, for a total contract amount not to exceed $1,564,661. 3. Authorize an increased expenditure in an amount not to exceed $71,916 to the existing professional services contract with Pacific Coast Land Design for construction support to be provided by the project landscape architect and civil engineer, including material testing. 4. Authorize the City Manager or designee to execute all documents, subject to City Attorney approval. BACKGROUND The proposed Orchard Village Road Median Turf Removal, Project B1015, will remove three acres of existing median turf and replace it with plant material that requires significantly less water, replace the aging spray -head irrigation system with more durable and efficient irrigation systems, make provisions to use recycled water when it becomes available, and install concrete unit pavers for maintenance strips. This project is part of the multi-year Citywide Major Thoroughfare Median Turf Removal Program and supports the Community Beautification theme in the City of Santa Clarita's (City) five-year strategic plan, Santa Clarita 2020. This project also follows the City's current design standards for median landscaping. Page 1 PacketPg. 40 This project exemplifies the City's commitment to maintain the high quality of life enjoyed by our residents. Investing in high-quality landscape projects within the public right-of-way helps maintain higher property values and keeps the City on the cutting edge of water management. This project is one facet of an overall program to improve our water management infrastructure, while keeping the City's public areas well -landscaped. Orchard Village Road was constructed in 1970 by the developer of the adjacent master -planned community of Valencia Maintained by the City's Landscape Maintenance District (LMD) since 1997, the three -acre landscaped median consists primarily of turf, shrubs, and trees with the associated irrigation. The LMD provides a local funding source that is dedicated to the construction and maintenance of landscaped medians within the City. A large portion of the median is located within Southern California Edison (Edison) right-of-way beneath high voltage electric lines, which serve a major portion of Southern California. A Consent Agreement has been obtained from Edison to perform construction within their right-of-way. Each year, the median becomes a prime viewing area for the community's annual Fourth of July parade. The parade route begins in Old Town Newhall, traveling west on Lyons Avenue onto Orchard Village Road and finishing at 16th Street. The parade has been a long-standing tradition in the Santa Clarita Valley since it began in 1932. The design of this median has been previously reviewed by the City Council and takes this use into consideration by providing an area adjacent to the street to ensure ample space will be available to view the parade. Construction for the segment of medians on Orchard Village Road which are utilized for the Fourth of July parade route will be completed prior to the 2018 parade. An invitation to bid was published three times, September 9, 14, and 19, 2017, and was advertised on the City's website. The project plans and specification were also uploaded onto PlanetBids. There were a total of seven bids submitted to the City and opened by Purchasing on October 9, 2017. The bid results are shown below: Companv Land Forms Landscape Const. C. S. Legacy, Inc. R. C. Becker & Son, Inc Pub Construction, Inc. Clean Cut Landscape Environmental Construction, Inc. Los Angeles Engineering, Inc. Location Base Bid Base + Alternate Irvine, CA $1,321,385 $1,360,575 Pomona, CA $2,120,582 $2,202,237 Santa Clarita, CA $2,135,275 $2,254,271 Palomino, CA $2,265,530 $2,447,999 Fresno, CA $2,385,339 $2,492,916 Woodland Hills, CA $2,519,440 $2,638,216 Covina, CA $2,776,412 $3,043,427 Staff recommends awarding the base bid plus bid alternate to Land Forms Landscape Construction (Land Forms), the lowest responsive bidder. This recommendation does not change the order of the low bidder. Land Forms remains the low bidder for this project. The bid alternate will be added to the construction contract for curb repairs and boring. Land Forms, possesses a Page 2 Packet Pg. 41 valid state contractor's license and is in good standing with the Contractors State License Board. 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 this type of procurement, 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. The requested construction contingency will cover the cost for any unforeseen site conditions uncovered during the median excavation, resolving conflicts with unknown utilities, potential removal of unsuitable soil, or import of plant soil if necessary, and potential additional costs to accelerate the construction schedule in the event of a long rainy season, in order to achieve completion prior to the 2018 Fourth of July parade. Construction support for landscape architect services and materials testing will be provided by Pacific Coast Landscape Design, Inc. (PCLD), in the amount of $65,378 with a contingency to cover unforeseen site conditions and additional material testing in the amount of $6,538 for a total contract amount not to exceed $71,916. PCLD has successfully aided the City on many construction projects, as well as completing the concept design and construction plans and specifications for this project. A Request For Proposal for design of construction plans and specifications was issued in December 2016. PCLD was the only firm to submit a proposal. The contract was awarded to PCLD at the March 14, 2017, City Council meeting, based on their design experience and the completeness of their proposal. Their expertise and experience combined with their knowledge of this project will ensure efficiency, which is critical for the accelerated construction schedule. Staff negotiated a final contract at a fair and reasonable price for the services requested. The current project budget of $4,239,336 allows for awarding the construction and construction support contracts, staff time for project management, public works inspection, LMD inspection, environmental monitoring, labor compliance, and miscellaneous project administrative costs. ALTERNATIVE ACTION Other action as determined by the City Council. FISCAL IMPACT LMD Zone 2008-1 (Fund 357) funds in the amount of $4,239,336 were appropriated as part of the Fiscal Year 2017-18 budget in expenditure account B1015357-5161.001. This amount will adequately provide for the award of the construction and construction support contracts, staff time for project management, public works inspection, LMD inspection, environmental monitoring, labor compliance, and miscellaneous project administrative costs. ATTACHMENTS Location Map Bid Proposal for Land Forms Landscape Construction (available in the Clerk's Reading File) Page 3 Packet Pg. 42 Bid Proposal for Pacific Coast Landscape Design (available in the Clerk's Reading File) 0 Page 4 Packet Pg. 43 LOCATION MAP 9.a 3 WA i 3 � n • a*d � v 25 Packet Pg. 44 CL m O m u O r-� i N t c �yolfiYfW .�'sr "11- � �gw Xl � Avy, cnt4wH 4 g a % PH N,pd awq .; as 1 • r v O O _ t 0 k � - ve,onWy�� -JAI- 4k. s °�� ✓� �'3u y nT or u yk def O r �c",n r. N 'Ef,0c1 dad a n x D <_ n s 3 �b6 N A r 1• ahC1-• ��$ '4 � Cl 3 WA i 3 � n • a*d � v 25 Packet Pg. 44 CL m O m u O r-� i N t c SECTION C - BID PROPOSAL ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG -17-18-B1015 PROJECT NO. B1015 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: Jeff Tracy, Inc. dba: Land Forms Landscape Construction Company Address: 15375 Barranca Pkwy., # A110 Irvine, CA 92618 By: Jeff Tracy Print Name Title: Chief Executive Officer Signature: Date: Bid Proposal Orchard Village Road Median Turf Removal Project, B1015 September 2017 Page C- 1 BIDSCHEDULE ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG -17-18-111015 PROJECT No. B1015 Item No. I Item Description GENERAL Mobilization/Demobilization, Bonds & Insurance, Traffic Control Phasing, Utility Coordination & 1 Adjustments Water Pollution Control and Implement Best 2 Management Practices 3 Surveying and Construction Staking (ALLOWANCE) Repair of Damaged Planting and 4 Irrigation Equipment TRAFFIC ITEMS Traffic Handling & Construction Area Signs & 5 1 Electronic Changeable Messa a Signs 6A Remove existing sign(s) and post(s) _ 6B Remove and reinstall existing sign(s) and post(s) DEMOLITION AND EARTHWORK 7 Clearing, Grubbing & Removals 8 Removal of Existing Trees 9 Stump Removal 10 SEE BID ALTERNATE Sawcut & Remove Existing Concrete (stamped and 11 non -stamped concrete 12 SEE BID ALTERNATE 13 SEE BID ALTERNATE Earthwork - Grading Operations Including 14A Unclassified Excavation & Unclassified Fill Earthwork - Transport of Clean Import Topsoil to 14B Medians Phase 1 Medians 1-5 Earthwork - Soil Excavation & Removal, Transport, 14C and Disposal of excess soil (Phase 2 Medians 6-9) Cost LS 4V2i,# 1 $ ��Z. T`T LS 1 $ Ids °I25 . o0 LS 1 $ 00 LS $20.000 1 $20.000 LS 8�laso. oc 1 $ EA15 EA 315. o0 26 SF • %o 138,309 13,$30 .yo EA \am me> 13 Z,'SCPR . ao EA 11 SF 3'O0 2,405 LS wo 000 -DO 1 bo, 000. 00 LS Zp)1C+(o.o0 1 LS C31a41•� 1 13to41. oc Orchard Village Road Median Turf Removal Project, B1015 SUBSURFACE DRAINAGE 15 Existin Catch Basin Adjustments EA 4011 •ca 4 1►cli 88 • oo 16 Bioretention Soil Media BSM Rain Garden CY aVv.Ccl 233 2'L 34e • o0 17 CALTRANS Class 2 Permeable Material (Rain Garden CY (s.00 117 '11121 5 G. Co 18 Geotextile Filter Fabric Sy 3 -V 2,231 7•, 6 3U. 0 19 Observation Well EA 11'1 ,00 13 1 541 o0 20 Rain Garden Informational Sign & Installation EAcbS.= 4 31 140.00 21 30 mL Polyethylene Liner SY So•oo 32 k. (oft' • o0 ROADWAY CONSTRUCTION 22 SEE BID ALTERNATE HARDSCAPE & AMENITIES 23 Tree Grates EA • 0 51 i3 r1 1-1' 00 _(S)24 Concrete Unit Pavers atop sand (including com acted base SF 1'p0 31,010 �•1� r o-10. eo 25 Integral Color Concrete Header LF � C>' o0 4,020 A , ?= ' Do (S 26 Concrete Unit Pavers atop concrete includin mortar and concrete base SF IS �� 6,637 dig ,555, o0 (S)27 Vehicular Concrete Unit Pavers atop concrete (includingmortar and concrete base SF 115•� 320 { Sao. no (S)28 120V Receptacle on Metal Post EA 1,00 1 '1 a8. 00 IRRIGATION 29 Controller Wire LS // 1 t� 2 ,/ 4o V 30 Controllers 'A' and 'B' - Pour new concrete pad, re- set existing controllers and provide new electrical feed from existing meter pedestal to controller LS Z,,(�y,,o� 1 2►Co3i . o0 31 Backflow Enclosure - New Stainless Steel Enclosure installed at backflow 'A' and 'B' on existing concrete2 ad. EA 1�►5'1Z.a� 91 \ 44 . o0 32 SEE BID ALTERNATE - -- 33 2" Remote Control Valve EA 2$3.Co 1 Z•$�' o0 34 1 1/2" Remote control valve EA �3•� 24 51�3Z,ao 35 1 1/4" Remote control valve EA Z�Z' 18 3 t $14 00 36 1" Remote control valve EA 20 314$o . 00 37 1" Remote control Low Flow valve EA k 3 ,cc 4 from oc 38 Master Valve(New),EA -MAw 3 4Is ' o0 39 Flow Sensor (New) EA c7y(.•00 3 ISI S.00 40 Gate Valve EA k*t(- •00 11 Z t 15 (C.0- 141 Quick Coupler EA 1M'C1C> 51 1 loo ' o0 Orchard Village Road Median Turf Removal Project, 81015 42 Flush Valve EA 14 •CK::, 207 'LI$R$'60 43 Pull Box EA \( • cep 17 1"1 O .coo 44 2" Mainline Sch. 40 PVC LF `' `3 6,700 1-A o0 45 2" Lateral line Sch. 40 PVC LF 4'3Z 291 11251lZ 46 1 1/2" Lateral line Sch. 40 PVC) LF • J0 2,039 a 136.3%'9t> 47 1 1/4" Lateral line Sch. 40 PVC LF 3 • 3,496 1319\4. o$ 48 1" Lateral line Sch. 40 PVC) LF $ Ab3 5,827 2'Z13\"1 .4 \ 49 3/4" Lateral line Sch. 40 PVC LF 3 4eq 17,481 (' A' S C4 . w1 50 Class 315 Pie Sleeve for Mainline (4") LF 1�' �C 1,150 11 1-1-14.. oo 51 Class 315 Pipe Sleeve for Control Wires (3") Class 315 Pipe Sleeve for Laterals 1(2") Rotator on Riser LF 8'(e`d 1,150 q lcm—� 52 53 LF 1'35 730 5,3`5.'50 EA EA 1 `• �i S•3� 81 664 �• 1.41 54 Tree Bubblers 3154�i . -l4 55 Shrub Bubblers including stream bubblers EA 1•�d 2,473 k1%15.10 PLANTING 56 Root/Moisture Barrier LF 1.29 8,450 (tet `oo . g o 57 Planting Area Soil Preparation & Amendments (includingtestingof import soil SF ' \� 100,732 �br o'13 ' 2.0 58 36" Box Trees EA �1'S 3.0b 24 59 24" Box Trees EA 3'\1. 60 166 (4 Ick bra. . cc:. 60 Shrubs- 15 Gallon EA 11. 17 349 -*Z' 141 .-'3 511 -tot .01 61 Shrubs- 5 Gallon EA 1V •3� 3 171 62 Shrubs- 1 Gallon EA $•4S 2,292 \q, 3ir1.40 63 Protection of Existing Trees to remain (including watering of those trees) EA \0'� 154 �1y4n'=0 64 Planting Area Fine Grading SF 100,732. 65 2" O anic Mulch(Planting Areas CY 3'i3.53 933 35194+a . 44l 66 First 90 days of Plant Maintenance and Establishment Period (Day 1 to D2y 90 SF `034 100,732 67 Second 90 days of Plant Maintenance and Establishment Period Da 91 to Da 180 SF '� 100,732 3 ALAI Vol 1 BASE BID TOTAL IN FIGURES: $ / 3/¢ X27 5O BASE BID TOTAL IN WORDS 14VArj1/W u/L'TT►r,.! '%��!'; ,�;i,v� Foul U Orchard Village Road Median Turf Removal Project, B1015 BID ALTERNATE: 10 Potholing of Utilities using hand excavation and/or vacuum method EA LF �« • 4io.00 20 205 S11;2.0• oy 12 Sawcut and Remove Existing Concrete Curb and Gutter 13 Sawcut and Remove Existing Concrete Header LF 3,00 33 gel ob 22 Concrete Curb LF S'J • cd 230 13111O.00 32 Directional Bore for new sleeve LF 20 • oo 550 VC) ea , coo 50 Class 315 Pipe Sleeve for Mainline 4" LF '3 •"1ot 500 51 Class 315 Pipe Sleeve for Control Wires 3 LF Z' 43 550 BID ALTERNATE AMOUNT: $ 391 192.51 Orchard Village Road Median Turf Removal Project, 131015 DESIGNATION OF SUBCONTRACTORS ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG -17-18-B1015 Project No. B1015 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. DBE IS NOT REQUIRED ON THIS PROJECT. Subcontractor DIR Registration No. Dollar Value of Work k-%4 Wowr%9T FZMXu5 GO, aa�o . o0 Age of firm: ❑'oB& Yes P!o Annual Gross Receipts: Location and Place of Business sA ot'33 czA"kp " r�.�l ► ut? , tS�vt 1�.� , c.A.. \ 3�z.1 Bid Schedule Item No's: Description of Work �� 1 12,13 1�l1.r OFA SII. i G�►.l�CZ2T�, ANU A -C - License No. Exp. Date: Phone ( ) (441> zs9 - z155 Subcontractor DIR Registration No. Dollar Value of Work Me'- Sf (rIA�L�R S'v�9° -f 15; UOD. OJ Age of firm: DBE: es Pae Annual Gross Receipts: Location and Place of Business l,"S- //. N,4fftSY4W.sP' A4090,am� C4- 9z,go'I Bid Schedule Item No's: Description of Work 7-? gfy J3-- t4g16, -Tio,/ Alfr 1I9c- S1,6,6166- License No. Exp. Date: / / Phone ( ) 7i¢ , y9z- z q2u Subcontractor DIR Registration No. Dollar Value of Work A(MMOL ►ny X01 . , Z C, evo, oo Age of firm: DBE: Yes Pte GeFtifying Annual Gross Receipts: Location and Place of Business Bid Schedule Item No's: Description of Work L6- Z6 2-1 CoUC9(tM License No, &- Exp. Date: / / Phone ( J C,j 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. Bid Proposal Orchard Village Road Median Turf Removal Project, 131015 September 2017 Page C- 5 DESIGNATION OF SUBCONTRACTORS ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG -17-18-131015 Project No. B1015 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 $10,000 (whichever is greater) of the prime contractor's total bid: DBE status, age of firm and annual gross receipts are required if subcontractor is participating as a DBE. DBE IS NOT REQUIRED ON THIS PROJECT. Subcontractor AX14MAY G06/- DIR Registration No. Dollar Value of Work 4' l2 S, Ooo . �v _ Age of firm: DRF=- Yps NO Certifying AgenGY: Annual Gross Receipts: Location and Place of Business 137 0,0000 Yr, SJAI VAIII-9 Y, C* 13s� Bid Schedule I�k Item No's: Description of Workk/j� 27 , y - 11, Ava XL4t imt License No. Exp. Date: / 1 Phone ( ) yid 7 Subcontractor DIR Registration No, Dollar Value of Work Age of firm: DRvvF=- Y2$ N9 Annual Gross Receipts: GeFtifyiRg Ag8RG : Location and Place of Business Bid Schedule Item No's: Description of Work License No. Exp. Date: / / Phone ( ) Subcontractor DIR Registration No_ Dollar Value of Work Age of firm: DBE: des No GeFtifying A9epey� Annual Gross Receipts: Location and Place of Business Bid Schedule Item No's: License No, Description of Work Exp. Date: / / one( ) 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. Bid Proposal Orchard Village Road Median Turf Removal Project, 81015 September 2017 Page C- 6 REFERENCES ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG-17-18-BI015 Project No. B1015 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 including pavers installation experience on at least 3 projects with similar scope and amount: l 1776 Adolfo Lopez Drive, Seal Beach, CA 90740 Name and Address of Owner / Agency Luis Estevez, 562-431-2527 ext 1433 Name and Telephone Number of Person Familiar with Project $580,340 Median & Parkway Landscape/Hardscape 10/2014 Contract Amount Type of Work Date Completed 2. City of Costa Mesa, 77 Fair Drive, PO Box 1200, Costa Mesa, CA 92628-1200 Name and Address of Owner / Agency Bart Mejia, (714) 754-5291 Name and Telephone Number of Person Familiar with Project $628,785 Median & Parkway Landscape/Hardscape 10/2014 Contract Amount Type of Work Date Completed City of Oceanside, 300 North Coast Highway, Oceanside, CA 92054 Name and Address of Owner / Agency Gabor Pakozdi, (760) 435-5080 Name and Telephone Number of Person Familiar with Project $1,625,028 Coastal Trail 03/2013 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: Pinnacle Surety and Insurance Services 151 Kalmus Dr., Ste. A201, Costa Mesa, CA 92626 (714) 546-5100 United Fire Group PO Box 73909, Cedar Rapids, IA 83501 (800) 655-7942 Jeff Tracy, Inc. dba; Land Forms Landscape Construction Contractors Name Bid Proposal Orchard Village Road Median Turf Removal Project, B1015 September 2017 Page C- 7 TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG -17-18-B1015 Project No. B1015 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 nnany exceptions to this certification, insert the exceptions in the following space. Nil t IT 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. Bid Proposal Orchard Village Road Median Turf Removal Project, 81015 September 2017 Page C- 8 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG -17-18-111015 Project No. B1015 Jeff Tracy, Inc. dba: Land Forms Landscape J This bidder Construction proposed subcontractor 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 , fled 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: Jeff Tracy, Inc. dba: Land Forms Landscape Construction By: Jeff Trac Title: Chief Executive i r Date: 10/5/2017 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. Bid Proposal Orchard Village Road Median Turf Removal Project, 81015 September 2017 Page C- 9 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: Jeff Tracy, Inc. dba: Land Forms Landscape Construction Business Address: 15375 Barranca Pkwy., #A110, Irvine, CA 92618 Telephone No.: 949-582-0877 State CONTRACTOR's License No. & Class: 712339/ C-27 Original Date: 09/08/1995 Expiration Date: 09/30/2019 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: Chief Executive Officer -4 Arado, Rancho Santa Margarita, CA 92688 (714) 606-4002 Jon Gilmer- President- 12362 Baja Panarama, Santa Ana, CA 92705 (949) 795-2127 Snady Wallace -Chief Financial Officer- 24328 Val Verde Ct. , Laguna Hills, CA 92653 (949) 842-1780 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: Bid Proposal Orchard Village Road Median Turf Removal Project, B1015 September 2017 Page C- 10 All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows: Jeff Tracy, Inc. dba: Land Forms Construction IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals of all aforementioned principals this 54`" day of Oct 2017 . BIDDER: S Jeff Tracy,'FAief Executive Officer Name and Title of Signatory Jeff Tracy, Inc. dba: Land Forms Landscape Construction Legal Name of Bidder 15375 Barranca Pkwy., #A110, Irvine, CA 92618 Address 949-582-0877 Telephone Number 33-0585507 Federal Tax I.D. No. SIGNATURES MUST BE MADE AND NOTARY ACKNOWLEDGMENTS OF EXECUTION OF BIDDER MUST BE ATTACHED ( $-e- -e- oj-4m cS, -e-A-) Subscribed and sworn to this Notary Public Bid Proposal September 2017 day of , 20_ Orchard Village Road Median Turf Removal Project, B1015 Page C- 11 (SEAL) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 sY��rasffee.C,�tca4i�,ra�cs�c•— — �x��.c� ,X�c. , - ' 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 Orange - ) On 10/5/17 _ --_ before me, Sandra Denice Wallace Date Here Insert Name and Tit/e of the Officer personally appeared Jeff Tracy, Chief Executive Officer Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. -°a `, Ci7FnMl5Sls7N2GE3��42 ��. ;�- bk:larp 17ut:ifti, • C:,IifArflia cot)[4) Y r+ :s. My Grinrnl�xt�rn f:xlNraa "' S+::P1'�14tE7�t{ J7, �C118 Place Notary Seal Above 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. Sig natur Signatur�oNotary Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: _- ----. -- --- DomjmAnt nntA' Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: -__Jeff Tri__. CE® M Corporate Officer — Title(s): Partner — D Limited D General Individual D Attorney in Fact Trustee ❑ Guardian or Conservator Other: Signer Is Representing: Signer's Name: i11 Corporate Officer — Title(s): Partner — Limited D General D Individual D Attorney in Fact O 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 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 the City of Santa Clarita for: dollars ($ ), this amount being not less than ten percent (10%) of the total amount of the bid. The proceeds of this check shall become the property of said AGENCY provided this Proposal shall be accepted by said AGENCY through action of its legally constituted contracting authorities, and the undersigned shall fail to execute a contract and furnish the required bonds within the stipulated time; otherwise, the check shall be returned to the undersigned. Project Name: ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL Bid No. ENG -17-18-B1015 Project No. B1015 Bidder's Si stt .e Jeff Tracy, Inc. dba: Land Forms Landscape Construction CONTRACTOR 15375 Barranca Pkwy., #A110 Address Irvine, CA 92618 City, State, Zip Code * Delete the 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. Bid Proposal Orchard Village Road Median Turf Removal Project, 81015 September 2017 Page C- 12 PROPOSAL GUARANTEE BID BOND ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG -17-18-B1015 Project No. B1015 KNOW ALL MEN BY THESE PRESENTS that Jeff Tracy, Inc. dba Land Forms Landscape Construction as BIDDER, and United Fire & Casualty Company as SURETY, are held and firmly bound unto the City of Santa Clarita, as AGENCY, in the penal sum of Ten percent of the bid dollars 610% 10% of bid h 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 force and effect in favor of AGENCY. IN WITNESS WHEREAS, the parties hereto have set their names, titles, hands, and seals, this 4th day of October 120 17 BIDDER Jeff Tracy, Inc. dba Land Forms Landscape Construction 15375 Barranca Pkwy Ste A-110, Irvine, CA 92618, (949)582-0877 SURETY* Unitebi�re & Casualty Company 73909, Cedar Rapids, IA 52�, (3_ 9)399-5700 Vanessa Cape! nd, Attorney -in -Fact, 151 Kalmus Drive, Ste. A201, Costa Mesa, CA 92626 (714)546-5100 Subscribed and sworn to this day of See attached .20 . NOTARY PUBLIC *Provide BIDDER and SURETY name, address, and telephone number and the name, title, address, and telephone number for authorized representative, 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. Bid Proposal Orchard Village Road Median Turf Removal Project, B1015 September 2017 Page C-13 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL, CODE 1189 r+v :"f.�trth nlrnhAnnr WZeir1%�Ah:I�Af�l.n .inn/YilynM1i�nhit i��/1 �yAtinn nn�n� nvi\n�A�hln//�i��nnv'i�.i,`�v�"v .`.n :..:��-iin`%in"n 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 Orange ) On before me, B. Copeland Notary Public, personally appeared Vanessa Copeland Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s-) is/are subscribed to the within instrument and acknowledged to me that he/she/they- executed the same in his/her/th6r authorized capacity(ies), and that by his/her/their signature(s) on the instrument the personO, or the entity upon behalf of which the person(s) acted, executed the instrument. B. COPELAND Notary Public - California Orange County commission # 2187550 My Comm. Expires Apr 19. 2021 Place Notary Seal Above 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. Signature: ignalure of Notary Public ---------------- OPTIONAL-»»----�-- �- -- --- Though the information below is not required by law, it may prove valuable to persons relying on the document and could present fraudulent and reattachment of this form to another document. Description of Attached Document Type or Title of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Number of Pages: Capacity(ies) Claimed by Signer(s) Signer's Name: Vanessa Copeland Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer — Title(s):_ ❑ Partner: ❑Limited ❑ General ® Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ❑ Corporate Officer — Title(s): ❑ Partner: ❑Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: :�nRn.ti M1+.nn`n nti"rrh.ii.n'.inn,inn.'^'.rY.n�r`.ri`ir`�ri'r,.nn`ri:rn r4n`�n'�h`n'n�r'�..E�.n`r�,n..nn�ii`n`rn nor n`4trnr n`n 'i.' n`r^.'n`i.'''n n'^n rrnv�w� whv�.�w mm�M1 Rev. 1-15 UNITED FIRE &:CASUALTY COMPANY, CEDAR RAPIDS, IA UNITED FIRE & I.NDEMNITY COMPANY, WEBSTER, TN Inquiries: Surety Department U191M FINANCIAL PACIFICANSURANCE COMPANY, ROCKUIN, CA 118 Second Ave SE CERTIFIED COPY OF•POWER OF ATTORNEY Cedar=Rapids, IA 52401 (original on file at home Office of Company - See Certification) KNOW ALL PERSONS BY THESE PRESENTS, That: UNITEDTIRE.& CASUALTY COMPANY, a corporation duly.organized and existing under the laws• of the State of Iowa; UNITED -FIRE & INDEMNITY COMPANY, a corporation duly organized and existing under the laws of the State of Texas; and FINANCIAL PACIFIC INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State.of California (herein collectively called the Companiesd havingtheir 'co orate headquarters in Cedar Rapids, State of Iowa, doesmake, constitute and appoint JENNIFER GRENROOD, ERTC LOIN Al MARK RICHARDsON,'VANESSA COPELAND, SHAWN BLUME., KEVIN CATHCART, EACH INDIVIDUALLY of COSTA MESA CA their true and lawful Attorney(s)-in-Fact with power and authority hereby conferred to sign, seal and execute in its behalf all lawful bonds, undertakings and other obligatory instruments of siniiiar nature provided that no single obligation shall exceed $80,000,000.00 and to bind the Companies thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Companies and all of acts of said Attorney,.pursuant°to the.authority-hereby': given and hereby.ratified and confirmed. The Authority hereby granted is continuous -and snail remain in::full:force and effect until revoked by UNITED FIRE & CASUALTY COMPANY, UNITED FIRE & INDEMNITY COMPANY, ANDTINANCIAL PACIFIC INSURANCE. COMPANY. This Power of Attorney is made and -executed pursuant to and by authority of the following bylaw duly adopted;on May 15, 2013, by the Boards of . Directors of UNITED FIRE & CASUALTY COMPANY, UNITED FIRE & INDEMNITY COMPANY, and FINANCIAL PACIFIC INSURANCE COMPANY. "Article VI - Surety Bonds and Undertakings" Section 2, Appointment of Attorney -in -Fact. "The President or any Vice President, or any other officer of the Companies may, from time: to time, appoint by written certificates attorneys -in -fact to act in behalf of the Companies in the execution of policies of insurance, bonds, undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby, and the Corporate seal, may be affixed by facsimile to any power of attorney or special power of attorney or certification of either authorized hereby; suchesignature and seal, when. so used, being adopted by the Companies as the original signature of such officer and the original seal of the Companies,, to be valid and binding upon the Companies with the same force and effect as though manually affixed. Such attorneys -in -fact, subject to the limitations set forth in their respective certificates of authority shall have full power to bind the Companies by their signature and execution of any such instruments and to attach the seal of the Companies thereto. The President or any Vice President, the Board of Directors or any other officer of the Companies may at any time revoke all power and authority previously given to any attorney-in-fact. ,k "tAW1l+!l+mN IN WITNESS WHEREOF, the COMPANIES have each caused these presents to be signed by its `,+mss GfTfd��ry�Ir `1.LL+N Olriy f' ! 9 a '� �S" �O INS[r `+a enRrnxaTs =o a �3 Q�LORPOq�'T�'•in�� vice president and its corporate seal to be hereto affixed this 7th day of August , 2014 -� CORPORATE. s •a F'; UNITED FIRE & CASUALTY COMPANY { SEAL = _� SEAL UNITED FIRE & INDEMNITY COMPANY +y�� lrAran�a'` ��`Hyeasrrx+c+•y+�`� % '• 4e1FaP*`••' a FINANCIAL PACIFIC INSURANCE COMPANY +urn+�+ r, 111 n+++� a ' �+rrrr,ltnpllp++�` �I By: - State of I.owa, County of Linn, ss: Vice President On 7th day of August, 2014, before me personally came Dennis J. Richmann to me known, who being by me duly•:sworn, did depose and:say; that lie resides in Cedar Rapids, State.of Iowa; that he is:a Vice President of UNITES? FIRE' & CASUALTY COMPANY, a Vice President of UNITED FIRE & Ilv'DEMNFFY COMPANY, and a Vice President of FINANCIAL PACIFIC INSURANCE COMPANY the corporations described in and which executed [lie above instrument; that he knows the seal of said corporations; that the seal affixed .to the said instrument is. such corporate swl; that it was so•oflixed pursuant to authority given by the Board,of Directors of said corporations and that lie signed his name thereto.pursuant to like authority, and.acknowtedges sante to be the act anddeed of said corporations. of Judith A Davis f 1 Iglu Judith A savis •. Commission number 173041 Notary Public R My Commission Expires 04/2372018 My commission expires: 04/23/2018 1, David A. Lange, Secretary of UNITED FIRE & CASUALTY .COMPANY and Assistant Secretary of urf?D FIRE & INDEMNITY COMPANY. and Assistant Secretary of FINANCIAL PACIFIC INSURANCE COMPANY, do hereby certify that I. have compared the foregoing copy of the Power of Attorney and affidavit. and the copy of the Section of the -bylaws -and resolutions of said Corporations as set forth in said Power of Attorney, with the ORIGINALS ON FILE iN THE�HOME OFFICE OF SAID CORPORATIONS, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect In testi Ely ereof I ha v a eu s bscri fry name and affixed corporate: seal of the said Corporations this I` day of 1201 r ``�. �`r srrz+ •r �r +}�ti"+!n!1tulrrrib"�, +'"tib, 1N5�q'�or j Ct7RPGRATE ti a RP xnTE ° J �G7l �'. /�fj///( ON. ��q" 'B :> SEAL o SEAL ___ 3rd l9g5 tit y• .r •.; Il;7F�R�: �. 3 +f,RrAPA!'M�n'--a�`�nrrinn,ui"`a yin Secretary, Ill &C !°"`!"A Assistant Secretary, OF&FFPIC BPOA0049 0115 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 Orange On 014/17 before me, Date Sandra Denice Wallace Here Insert Name and Title of the Officer personally appeared Jeff Tracy, Chief Executive Officer Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Sk?�DR Mi,ICEWAi_CACE Cd?t��v1i"aa![?N 42Uff?.&�2 c�e N�tttry �u1�li [;fsh4Urnie im filly f; •r�:i.;,�iar�'r..iros 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. Signatu .e Qjyi� SignatureAfNotarqy PubliQ / n c!� C. 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: Teff 'Tracy N Corporate Officer — Title(s): CEO Partner — ❑ Limited ❑ General Individual ❑ Attorney in Fact Trustee ❑ Guardian or Conservator Other: Signer Is Representing: Signer's Name: 1-1 Corporate Officer — Title(s): Partner — Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator Other: Signer Is Representing: itStss '4s�'6 teat' M "siE' ^['�ss4wse gh^Cer�'cr rr xl[S ^e 4c'4v_> ; its z3G¢:c aTjs`31� V%f' '-:free>4FG�'u! 02014 National Notary Association • www.NationalNotary.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) ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG-17-18-BI015 Project No. B1015 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 FORMA PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION. Bid Proposal Orchard Village Road Median Turf Removal Project, B1015 September 2017 Page C- 14 NON -COLLUSION AFFIDAVIT ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG -17-18-B1015 Project No. B1015 TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT STATE OF CALIFORNIA ) COUNTY OF LOS ANGELES ) Jeff Tracy being first duly sworn deposes and says that he is the Chief Executive Officer (sole owner, a partner, president, etc.) of Jeff Tracy, Inc. dba: Land Forms Landscape Construction 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, partnership, company association, organization, bid depository, or to any member or AGENCY thereof, or to any other individual, except to such person or persons as have a partnership or other financial interest with said BIDDER in his general business. Signed: Title Chief Executi fficer Subscribed and sworn to and before me this day of Notary Bid Proposal Orchard Village Road Median Turf Removal Project, B1015 September 2017 Page C- 15 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 Orange ) On 10/5/17 before me, Sandra Denice Wallace Date Here Insert Name and Title of the Officer personally appeared Jeff Tracy, Chief Executive Offiver Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ;b br:i��;': Not'lry Puhdic 5 -C.a'iforr5ia AN( YA t Myr: c, r; IF; =iirl :k1 ;ire's ? Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my ha and official seal. Signat 1 __ 4� - Signature of Notary PublicA44�'-7?a6&C- - 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 p Si ner(s) Signer's Nar ne: —TQC 1r 7Lorporate Officer — Title(s): Partner — ❑ Limited ❑ General Individual ❑ Attorney in Fact Trustee ❑ Guardian or Conservator Other: _ Signer Is Representing: Signer's Name: _ C] Corporate Officer — Title(s): Partner — Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator Other: Signer Is Representing: __- ..'L.Q'��-`•;.'.'•:YreS�L6�'.'rx3CT•4tc-=?=*1;8�f,,^L+'G"�•�?�:�5'kscfS��.'C�+'{'Q.i."S:�SC,�Sc.sq�csrec'�G`�,'3."SsG'e 02014 National Notary Association - www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907 BIDDER'S QUESTIONNAIRE ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG -17-18-B1015 Project No. B1015 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. Jeff Tracy, Inc. dba: Land 1. Submitted by: Forms Landscape Construction Telephone: 949-5 _ Principal Office Address: 15375 Barranca Pkwy., #A110, Irvine, CA 92618 2. Type of Firm: Landscape Contractor 3a. Corporate:_ S Corporation Other: Individual: Partnership: If a corporation, answer these questions: Date of Incorporation: 08/23/1993 State of Incorporation: CA President's Name: Jeff Tracy, Chief Executive Officer Vice -President's Name: Jon Gilmer, President Secretary or Clerk's Name: Sandy Wallace Treasurer's Name: Sandv Wallace 3b. If a partnership, answer these questions: Date of organization: State Organized in: Name of all partners holding more than a 10% interest: Designate which are General or Managing Partners. Name of person holding CONTRACTOR'S license License number: 712339 Class: C27 Jeff Tracy Expiration Date: 09/30/2019 5. CONTRACTOR'S Representative: Jon Gilmer Title: _president Alternate: Sandy Wallace Title: Chief Financial Officer 6. List the major construction projects your organization has in progress as of this date: Owner: (A)DCO PACIFIC CITY LLC a DELAWARE Ltig) KSL Anaheim II, LP Project Location: PCH, Huntington Beach, CA 1731 W. Medical Ctr. Dr., Anaheim, CA 92801 Type of Project: Landscape/Irrigation Landscape/Irrigation Bid Proposal Orchard Village Road Median Turf Removal Project, B1015 September 2017 Page C- 16 CERTIFICATION OF NON -SEGREGATED FACILITIES ORCHARD VILLAGE ROAD MEDIAN TURF REMOVAL BID # ENG -17-18-B1015 Project No. B1015 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. Jeff Trac , Inc. a. Land Forms Landscape Construction Y P 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). Bid Proposal Orchard Village Road Median Turf Removal Project, 81015 September 2017 Page C- 17 ADDENDUM NO. 1 Orchard Village Road Median Turf Removal Bid No. ENG -17-18-B1015 Project No. B1015 City of Santa Clarita, California DATE October 2, 2017 This Addendum forms a part of the Contract Documents for the above -identified project and modifies the original Specifications and Contract Documents, as noted below. Portions of the Contract, not specifically mentioned in the Addendum, remain in force. All trades affected shall be fully advised of these changes, deletions, and additions. Jeff Tracy, Inc. dba: Land Forms Landscape Construction I, aforementioned. BIDDER'S CERTIFICATE acknowledge receipt of this Addendum No.l and accept the October 3 _'2017 Date B dd is Sign tore THIS PAGE OF THE DOCUMENT SHALL BE SUBMITTED WITH PROPOSAL B1015 Addendum 1, Page 5 TASK 7: DESIGN SERVICES DURING CONSTRUCTION (269 PCLD, INC. estimated hours listed) 7.1 Attend the pre -construction meeting; includes meeting preparation and follow-up documentation. 7.2 Attend weekly to semi-weekly Project Construction Meetings and visit site to review the progress of the work (Estimate 24 total on-site meetings for Phases 1 & 2) 7.3 Compaction Testing - Perform field density tests on the soil subgrade and subsequently on the base course material underlying the pavers. It is assumed that Medians 1 and 3 will each be constructed in 2 separate stages and that Median 2 will be constructed in a single stage. Allowances for laboratory maximum density determinations of on-site soils and roadway base materials are included. Work includes field observation and testing, job discussions, office engineering, field reports and a laboratory maximum density test for both the soil and base course materials. (The work does not include the preparation of a formal project -wide comprehensive report presenting the results of the observations and testing.) 7.4 Review and respond to Request for Information (RFI) or Change Request (CR) from the City or Contractor within 3 working days from the time of notice. 7.5 Review/respond to Contractor product and shop drawing submittals for conformity with the plans & specs. PCLD will provide a list or required project submittals prior to job start. 7.6 Review design change request and prepare new design plans needed. 7.7 Maintain a log of all changes to approved plan set. Coordinate changes with City PM for inclusion in as -built drawings at project completion. 7.8 Assist City's Project Manager in review and making recommendations to Contract Change Order. Also, prepare a cost estimate for cost analysis of change order work. 7.9 Assist City Representative with the final job walk to develop a punch list for the contractor to complete. Include follow up walk with City Representative to confirm completion of punch list items. (Separate Job Walks will be performed for each of the two construction phases.) 7.10 Prepare As -Built Drawings upon completion of the project and acquire the Contractor's daily red lined plans from the Contractor and their subcontractors. Final Record Drawing will need to be both in electronic files (CAD and PDF) and mylars.) Assumptions: • Construction administration tasks listed above are estimated hourly services based on the expected number of 130 Contractor'Working Days'. • Mileage to and from site -The consultant will not bill for driving time but will charge a flat rate fee for the mileage to and from the site for each visit. • All construction phase services provided will be billed at the regular office rates not to exceed the lump sum total listed for Task 7. Should additional construction administration hourly services be required, they will first be authorized by the City project manager. TASK 7: DESIGN SERVICES DURING CONSTRUCTION Principal Proj Mgr Designer Admin fee TASK TASK DESCRIPTION $ 150 $ 130 $ 90 $ 75 71 Attend Pre-construction Meeting (includes agenda preparation and follow up documentation) 4 6 $ 1,380 7.1.2 Aral Engineer Kimley Horn: Civil (LUMP SUM) $ 1,070 Attend weekly to semi-weekly Project Construction Meetings 7.2 (24 total for Phases 1 & 2) 20 80 $ 13,40D Civil Engineer- AttendConstruction Meetings as requested by City 7.2.2 PM 6 total Kimley Hom: Civil (LUMP SUM) $ 7,704 Compaction Testing - Testing prepared soil subgrade surfaces prior to placement of horoscope base materials, testing of base materials after compaction as requested. Alowances for laboratory maximum 73 density determinations of onsite soils and roadway base materials are included. Testing By R.T. Frankan (Assumes 10, 4-hour Site Visits) (LUMP SUM NOT TO EXCEED) $ 7,276 7.4 Review and Respond to Contractor RFI's and Change Order Requests 1 1 6 24 $ 4,020 7.4.2 Aral Engineer Kimley Horn: Civil (LUMP SUM) $ 3,210 7.5 Review and respond to Contractor Submittals 3 24 1 1 $ 3,570 7.5.2 Aral Engineer Kimley Horn: Civil (LUMP SUM) $ 2,782 7.6 Review design change request and prepare new design plans as needed 4 12 12 $ 3,240 7.6.2 Aral Engineer Kimley Horn: Civil (LUMP SUM) $ 2,782 7.7 Maintain a log of all changes to approved plan set 6 $ 780 Change Order: Assist City PM in reviewing and making recommendations 7 B Ito Construction Change Order 10 $ 1,500 79 Perform Final Job Walk with punchlist and documentation Assume 1 punchlist per Phase 8 20 $ 3,80D 7.9.2 Aral Engineer Kimley Hom: Civil (LUMP SUM) $ 2,782 7.10 Prepare As-built Record Drawings 2 12 1 16 1 $ 330D 7.10.2 Aral Engineer Kimley Hom: Civil (LUMP SUM) $ 2,782 TASK 7: Total FCLD Hours 57 SUBTOTALDESIGN SERVICES 184 1 28 10 DURING 269 TOTAL ESTIMATED FEES PACIFIC COAST LAND DESIGN 34,990 TOTAL SUB-CONSULTANT FEES KIMLEY HORN 23,112 TOTAL SUB-CONSULTANT FEES R.T. FRANKIAN 7,276 Sub-Consultant fees include 79 adminatiaton charge for processing Reimbursable Expenses: Reproduction of all documents and postage and shipping charges requested by the City in addition to those listed above shall be paid shall be paid for at cost plus 15% for handling.