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HomeMy WebLinkAbout2018-06-12 - AGENDA REPORTS - SOLEDAD CYN RD AND RUETHER AVENUE MEDIAN MOD PROJ (2)Agenda Item: 12 CITY OF SANTA CLARITA AGENDA REPORT CONSENT CALENDAR CITY MANAGER APPROVAL: �1 , DATE: June 12, 2018 SUBJECT: SOLEDAD CANYON ROAD AND RUETHER AVENUE MEDIAN MODIFICATION, PROJECT C3017 - AWARD CONSTRUCTION CONTRACT DEPARTMENT: Public Works PRESENTER: Damon Letz RECOMMENDED ACTION City Council: 1. Approve the plans and specifications for the Soledad Canyon Road and Ruether Avenue Median Modification, Project C3017. 2. Award the construction contract to All American Asphalt, in the amount of $167,766, and authorize a contingency in the amount of $16,776, for a total contract amount not to exceed $184,542. 3. Appropriate funding in the amount of $126,000 from the Transportation Development Act (TDA) Article 8 Fund balance into expenditure account C3017233-5161.001. 4. Authorize the City Manager or designee to execute all documents, subject to City Attorney approval. BACKGROUND This project will modify the existing landscape median on Soledad Canyon Road to install an additional westbound left -turn lane for motorists and increase the overall intersection capacity. The intersection of Soledad Canyon Road and Ruether Avenue does not have enough westbound left -turn capacity for motorists to turn onto southbound Ruether Avenue. Often vehicles in line to turn left are backed up in the through lanes of traffic, impeding the westbound flow of traffic. Modifications to the existing median include removal and installation of curb and gutter, decorative stamp concrete, asphalt, signing, and striping. This project supports the Santa Clarita 2020 theme of Sustaining Public Infrastructure. Page 1 Packet Pg. 195 An invitation to bid was prepared and published three times: March 13, March 17, and March 20, 2018, and was posted on the City of Santa Clarita's (City) website. Five bids were submitted to the City and opened by Purchasing on April 10, 2018. The results are shown below. Company All American Asphalt PALP (dba Excel Paving) TORO Enterprises, Inc. R.C. Becker & Son Dekan Construction Corp Location Amount Corona, CA $167,766.00 Long Beach, CA $175,722.50 Oxnard, CA $185,517.75 Santa Clarita, CA $215,300.22 Valencia, CA $216,385.25 Staff recommends the project be awarded to All American Asphalt, the lowest responsive bidder. All American Asphalt possesses a valid 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. The current project budget of $123,924 and the request for appropriation of funds in the amount of $126,000 will create a total budget of $249,924, to provide for the construction contract, project management, public works inspection, material testing, labor compliance, and other project administrative costs. The requested construction contingency will cover costs due to unforeseen site conditions, change order requests made by the contractor, and change orders for additional work ordered by the City. ALTERNATIVE ACTION Other action as determined by the City Council. FISCAL IMPACT Upon approval of the recommended action, the total Fiscal Year 2017-18 budget for this project will be $249,924. The funds will be available in expenditure accounts C3017233-5161.001 (TDA Article 8), C3017357-5161.001 (Land Maintenance District), and C3017601-5161.001 (General Fund- Capital). ATTACHMENTS Location Map Bid Proposal for All American Asphalt (available in the City Clerk's reading file) Page 2 Packet Pg. 196 NOI VOLllaOW Nvia3W 3nN3A`d N3H13m / aVON NOANVO aVa3-10S) deW uoi;eoo-1 :;uamloel;d r -- cla. r fy 12 eQ c e o c N o m4 k _1 p•?b. cu r F- c 0 i A o _ 1 0 t a w v a 0 cu AV (U ailow F5� S QTR ♦ .r P .y, e F r VJ ll.1L11 flr�.. W Iy _ III t '.ns l' o O Q Ate+ o � e a: � 0 o ? nAlik.t&'aer IJ 4r s� r; cy N S ` aGANV _ _ ... > D A` XMVAI N21 nj �— 7 J o : <Z - J Q . r . -'— p L � Q RAILROAD v jU- �1 � U) p IHE �p IJ 4r s� r; cy N S ` aGANV _ _ ... > D �— J o : <Z - J Q . r . -'— RAILROAD i= eD IHE F^ l SECTION C: PROPOSAL FOR SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODIFICATION BID No. ENG -17-18-C3017 PROJECT NO. C3017 City of Santa Clarita, California 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: All American Asphalt Company Address: P.O. Box 2229 Corona, CA 92879 By Edward J. Carlson Print Name Title: Vice Preside' n Signature: Date. c% �/ BID SCHEDULE SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. ENG -17-18-C3017 ITEM ITEM DESCRIPTION UNITS QYT. UNIT TOTAL COST CO MOBILIZATION/DEMOBILIZATION, BONDS, I INSURANCE LS I WATER POLLUTION CONTROL AND 2 IMPLEMENT BEST MANAGEMENT PRACTICES LS 1 BMPs TRAFFIC HANDLING AND CONSTRUCTION 3 AREA SIGNS LS 1 4A CHANNELIZING LINE CALTRANS DETAIL 38 (PAINT) LF 268 CHANNELIZING LINE CALTRANS DETAIL 38A 413 LF 268 (PAINT) 4C LANELINE CALTRANS DETAIL 12 (PAINT) LF 1,960 4D LEFT EDGELINE CALTRANSDETAIL 24 (PAINT) LF 755 LANELINE EXTENSION CALTRANS DETAIL 40 4E LF 100 PAINT MEDIAN ISLAND LINE CALTRANS DETAIL 29 4F (PAINT) LF 11 PAVEMENT ARROW MARKING TYPE IV 4C'EA 6 PAINT) LANELINE CALTRANS DETAIL 12 4H (THERMOPLASTIC)LF 3,110 NO PASSING ZONE LINE CALTRANS DETAIL 4I 21 (THERMOPLASTIC LF 380 4J LEFT EDGELINE CALTRANS DETAIL 24 LF 900 (THERMOPLASTIC) LANELINE LANELINE CALTRANS DETAIL 38 4K (THERMOPLASTIC) 550 LANELINE CALTRANS DETAIL 38A 4L LF 570 (THERMOPLASTIC) 4M PAVEMENT ARROW MARKING TYPE IV EA 7 (THERMOPLASTIC) 4N REMOVE AND REPLACE SIGN ON MAST ARM EA I 5A SAWCUT EXISTING ASPHALT PAVEMENT LF 785 513 REMOVE EXISTING ASPHALT PAVEMENT SF 1,190 5C REMOVE EXISTING CONCRETE CURB AND GUTTER LF 775 5D REMOVING EXISTING STAMPED CONCRETE SF 1,565 MEDIAN 5E REMOVE EXISTING THERMOPLASTIC EA 3 PAVEMENT MARKING Soledad Canyon Road / Ruether Avenue Median Modification C-2 Project No. 03017 5F REMOVE EXISTING RAISED PAVEMENT MARKERS LF 2,215 5G REMOVE PAINT PAVEMENT MARKING (AFTER MEDIAN CONSTRUCTION IS COMPLETE LF 3,570 6 EARTHWORK — TRANSPORT, PLACEMENT, COMPACTION, SCARIFICATION CY 100 7 6" BURRIED CONCRETE CURB LF 755 8 9" ASPHALT CONCRETE PAVEMENT TON 104 9 10" AGGREGATE BASE TON 108 10 4" COLORED & STAMPED MEDIAN CONCRETE SF 725 11 LANDSCAPING MULCH SF 100 12 MOISTURE/ ROOT BARRIER LF 80 13A COLD PLANE ASPHALT CONCRETE (2" MIN.) SF 5,315 13B ASPHALT CONCRETE OVERLAY (2" MIN.) TON 64 TOTAL BASE BID IN FIGURES: TOTAL AMOUNT OF BASE BID IN WORDS: If the numbers entered on this form conflicts with what is entered on Planetbids, the number entered on Planetbids shall govern. Soledad Canyon Road / Ruether Avenue Median Modification C-3 Project No. 03017 REFERENCES SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. ENG -17-18-C3017 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: I. Town of Apple Valley, 14955 Dale Evans Pkwy Apple Valley, CA 92307 Name and Address of Owner / Agency Rich Berger 760-240-7000 Ext 7530 _ Name and Telephone Number of Person Familiar with Project $849,182.00 Road Rehabilitation 11/2017 Contract Amount Type of Work Date Completed 2, City of Victorville, 14343 Civic Dr. Victorville, CA Q2322 Name and Address of Owner 1 Agency Carlos Seanez 760-955-5162 Name and Telephone Number of Person Familiar with Project _$251,008.00 Contract Amount Type of Work Date Completed 3. City of Newport Beach 100 Civic Center Drive, Neater, CA 92660 Name and Address of Owner 1 Agency Alfred Castanon 949-544-3340 Name and Telephone Number of Person Familiar with Project $497,497.00 Entry Improvements 512016 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER Surety intends to procure insurance bonds: Fidelity and Deposit Company of Maryland, 777 S Figueroa St #3900 Los Angeles, CA 90017 213-270-0600 Agent Owen M. Brown Insurance Millennium Cor orate Solutio 5530 Trabuca Rd,1 is ne c:A 92620 949-857-4500 All American Asphalt Contractors Name TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. ENG -17-18-03017 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. NIA 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. Soledad Canyon Road / Reether Avenue Median Modification C-8 Project No. 03017 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 HID No. ENG -17-1$-03017 This bidder All American Asphalt , 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 lie 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: All American Asphalt By: 14 Title: Edward Edward J. Carlson, Vice President Date: V nl I �,— Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (4) 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 north in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $ 10,0 00 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 wllo 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(6)(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. Soledad Canyon Road / Ruetber Avenue Median Modification C-4 Project No. C3017 ., ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES T 951-736-7600 F 95I-739-4671 ALL AME RI CAN P.O. BOX 2229, CORONA, CA 92578-2229 --"-ASPHALT-- CONTRACTORS LICENSE #267073 A.C12 AN EQUAL OPPORTUNITY EMPLOYER 1]IR#1000001051 EEO -EEO -AFFIRMATIVE ACTION -PROGRAM - BASIC POLICY TO ALL AMERICAN ASPHALT PERSONNEL: IY IS THE STATED POLICY OF ALL AMERICAN ASPHALT THAT ALL EMPLOYEES AND APPLICANTS SHALL RECEIVE EQUAL CONSIDERATION AND TREATMENT, ALL RECRUITMENT, WIRING, PLACEMENT, TRANSFER AND PROMOTIONS WILL BE ON THE BASIS OF QUALIFICATIONS OF THE INDIVIDUAL FOR THE POSITION BEING FILLED WITHOUT REGARD TO RACE, RELIGION, COLOR, NATIONAL ORIGIN, AGE. SEX OR PHYSICAL HANDICAP, ALL OTHER PERSONNEL ACTIONS, SUCH AS COMPENSATION. BENEFITS, LAYOFFS, RETURN F ROM'LAYOFF, TERMINATION'S, TRAINING AND SOCIAL AND RECREATIONAL PROGRAMS ARE ADMINISTERED WITHOUT REGARD TO RACE, RELIGION, COLOR, NATIONAL ORIGIN, AGE, SEX,SEXUAL ORIENTATION, MARITAL STATUS, NATIONAL ORIGIN, ANCESTRY, DISABILITY (MENTAL AND PHYSICAL, INCLUDING HIV AND AIDS) MFDICAI coNnITION (r ANIrF.R ANn GENETIC CHARACTERISTICS), AND/OR AGE (40 AND OVER). EQUAL OPPORTUNITY 1S A CONTINUING EFFORT AND REQUIRES THE FULL SUPPORT OF ALL OF US TO ENSURE THE DEVELOPMENT OF OUR MINORITY AND FEMALE EMPLOYEES. EACH POSSIBILITY TO HIRE OR PROMOTE SHOULD BE VIEWED AS AN OPPORTUNITY TOWARD OUR GOAL OF A FULLER UTILIZATION OF OUR MINORITY AND FEMALE EMPLOYEES. EACH MANAGER WILL COMMUNICATE TO EMPLOYEES THAT OUR COMMITMENT TO AN AFFIRMATIVE ACTION PROGRAM IS REAL, IS SUPPORTED BY OUR COMPANY, AND HAS A HI GH PRIORITY. WE ENCOURAGE ALL OF OUR EMPLYEES TO PARTICIPATE IN THIS EFFORT BY ENCOURAGING MINORITIES AND FEMALES TO APPLY FOR EMPLOYMENT AND TO SEEK PROMOTIONS, FOR ASSISTANCE IN THE EQUAL OPPORTUNITY PROGRAM, MANAGERS AND EMPLOYEES SHOULD CONTACT MARK LUER, EEO COORDINATOR, HE HAS THE SPECIFIC RESPONSIBILITIES TO MONITOR AND ASSESS THE PROGRESS FOR OUR EQUAL EMPLOYMENT OPPORTUNITY AND AFFIRMATIVE ACTION PROGRAMS. MARK LUER President February 13, 2015 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. AFFll2MATIVE 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: All American Asphalt Business Address: 400 East Sixth Street, Corona, CA 92879 Telephone No.: 951-736-7600 State CONTRACTOWs License No. & Class: 267073 A, C-12 Original Date: 5/26/1969 Expiration Date: 1/31/2020 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: Mark Luer, President Edward J. Carlson, Vice Presid Michael Farkas, Secretary 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: NIA Soledad Canyon Road / Ruether Avenue Median Modification C-10 Project No. C3017 All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows: N/A IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals of all aforementioned principals this q day of 2018 . BIDDER: Signature Edward J. Carlson, Vice President Name and Title of Signatory All American Asphalt Legal Name of Bidder 400 East Sixth Street, Corona, CA 92879 Address 951-736-7600 Telephone Number 95-2595043 Federal Tax I.D. No. SIGNATURES MUST BE MADE AND NOTARY ACKNOWLEDGMENTS OF EXECUTION OF BIDDER MUST BE ATTACHED *Pl�e&oelllfQOhadl GalI MID) Ju1-4 Subscribed and sworn to this day of 20 Notary Public (SEAL) Soledad Canyon Road / Ruether Avenue Median Modification C-1 1 Project No. C30 17 CALIFORNIA JURAT GOV CODE § 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached. and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this 9th day of April 2018 Date Month By (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) CHAPAS ' Notary Public - California z a Riverside Couniy n Commission # 2172984 My Comm. Expires Nov 20, 2020• (2) (and Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me.) Signature "Cu� Place Notary Seal Abovo Signakute of Vary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document Title or Type of Document: Bidder's Information and Certification Document Date: 4-9-2418 Number of Pages: 2 Signer(s) Other Than Named Above: None BIDDER'S QUESTIONNAIRE SOLEDAD CANYON [LOAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BYD No. ENG -17-18-C3017 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 bylclward J. Carlson, Vice President Telephone: 951-736-7600 Principal Office Address: _ 400 East Sixth Street Corona CA 92879 2. Type of Firm: Corporation Corporate: All American Asphalt Other: N/A Individual: N/A 3a. Partnership: N/A If a corporation, answer these questions: Date of Incorporation: 5/26/69 President's Name: Mark Luer Vice -President's Name: Edward J. Carlson Secretary or Clerk's Name: Michael Farkas Treasurer's Name: Michael Farkas State of Incorporation 3b. If a partnership, answer these questions Date of organization: 4. 5. N/A California 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: All American Asphalt License number: 267073 Class: A, C-12 _Expiration Date: CONTRACTOR's Representative: Title. Vice President Alternate: Michael Farkas Title: Vice President Edward J. Carlson 1/31/2020 List the major construction projects your organization has in progress as of this date: Owner: (A) City of Yucaipa (g) Project Location Type of Project: Yucaipa Street Improvements City of Coachella Coachella Valley Paving,Grinding, Concrete Soledad Canyon Road / Ruether Avenue Median Modification C-16 Project No. C3017 E � 3 I I pp h n - - tl TZ �'+I 1; ti•7 n E TZ Qy�i''4L' rS rte`- AnyC� "'a ' `a -- - - -�- _ -T- -- is isa a V SB�M1a�F:nN��YSoC"ddg�o�QmuS g�YCB��S�BSgSSffi88.S�CvmmmmSan� _ _ — �3 xxxa x n�aN�A=S�SSS a�x xxx m4dgoo�$oo�nS��n x ryt` E Is Al1 ----- '3 3� 3 333 � 3 3 3 3'� r3 3„a3z E¢ss E Al yy} FF Y." 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CERTIFICATION OF NON -SEGREGATED FACILITIES SOLEDAD CANYON ROAD 1 RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. ENG -17-18-C3017 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. All American Asphalt 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). Soledad Canyon Road / Ruether Avenue Median Modification C-17 Project No. 03617 ADDENDUM #1 For City of Santa Clarita Invitation to Bid ENG -17-18-C3017 Soledad Canyon Road J Ruether Avenue Median Modification April 3, 2018 This addendum must be acknowledged via PlanetBids and should be included with the bid response. Please replace instructions 1-3 in Section B: Instruction to Bidders with the wording below: 1. PROPOSAL FORMS a) The bid response must be ELECTRONICALLY submitted on this form and include the notice, Request for Bid Schedule, and all forms or information included in or required by Section C, Specifications, (attachments accepted) b) All documentation of unit pricing or other cost breakdowns as outlined in this bid must be submitted to support the total bid price. c) Proposals/corrections received after the closing time will not be accepted. The City will not be responsible for bids not properly or timely, uploaded. Upon award, all submissions become a matter of public record. 2. PROPOSAL GUARANTEE BID BOND: When deemed necessary by the City, bid bonds shall be furnished by all bidders in the amount of at least 10% of the total value of the bid or 10 % of the value of the 1st year of service for service bids, to guarantee that bidders will enter into contract to furnish goods or services at prices stated. The bonding company must be listed on Treasury Circular 570 and licensed to operate in the state of California. Likewise, a Performance Bond and/or Material and Labor bonds shall be required of the successful bidder when stated in the specification (cash deposit, certified or cashier's check or money order may be substituted in lieu of either bond). Original Bond or Cashier's Check MUST be received AT CITY HALL, 23920 Valencia Blvd., Santa Clarita, CA 91355, ATTENTION SUITE 120 and marked with the words "BID BOND FOR" and the bid #, "NO LATER THAN the bid due date and time, for the vendor to be considered responsive. 3. DELIVERY OF PROPOSAL An original, notarized NON -COLLUSION AFFIDAVIT must be received AT CITY HALL, 23920 Valencia Blvd., Santa Clarita, CA 91355, ATTENTION SUITE 120 and marked with the words "NON -COLLUSION AFFIDAVIT FOR" and the bid #, NO LATER THAN the electronic bid due date and time, for the vendor to be considered responsive. This form can be included with your proposal bond package. The envelope must be clearly marked that it contains both documents. Cont actor's rej6e5entative Date Edward J. Carlson, Vice President All American Asphalt Company Name Bid # ENG -17-18-C3017 DESIGNATION OF SUBCONTRACTORS SOLEDAD CANTON ROAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. ENG -17-18-C3017 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 I 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 sub contractor is participating as a DBE. DBE IS NOT REQUIRED ON THIS PROJECT. Subcontractor DIR Registration No. Dollar Value of Work •tom ne) err: J 6'k'n ��� C)O c') ' O � Age of firm: DBE: NG Annual Gross Receipts: J% y@ e.rs i +fl Agert6y / S Il P o n y a2 a, I �/ ocation and Place of Business i^' Bid Schedule Item No's: Description of Work & q N License No. Exp. ate: ` r Phone( ) �p Dollar Value of Work 12-1, �� 17 Subcontractor DIR Registration No. Stc�Jr.`z�r Taa'a-lrQ%rr / �G�e'c� l `/ �r Age of firm: �1--Y�,s --r:e Annual Gr ss Receipts: y��, s tea`+,-rifi�iay � ,�L.-- , % •-��,, . L ..Q17 -t-0 Location and Place of Business �� 12- C pYe rs-s c y pt, "S s Bid Schedule Item No's: 41 Description of Work /`'% h 5 A- , r -f 1'� �F , 5 F - �� ✓Gr) �Li ti -i vtl� �` Is License No. Exp. ate: Phone ( ) Subcontractor // ,, DIR Registration No. q Dollar Value of Work �t f Vj A.n tet,• a.#'i-' G l D DU v !( ! J 2�, to D- Z) Age of irm: DBE; Yds 9 Annual Gross Receipts: Location and Place of Business n� _ tit lya 3 l2 • ­t_ by CA -i--7 Bid Schedule Item No's: Description of Work License No. Exp. Date: 1 1 Phone( ) .5'r 151" 90 �_- '�' -51 r Sr & 9 s- 3--, d � 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. C-4 DESIGNATION OF SUBCONTRACTORS SOLEDAD CANYON ROAD I RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. ENG -17-1$-03017 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. DBE IS NOT REQUIRED ON THIS PROJECT. Subcontractor C L s v rr.�-� ,.,, DIR Registration No. pa dvd7 40 Ce Dollar Value of Work Age of firm: ®BE: Yes No Annual Gross Receipts: Location and Place of Business a 101 (9 7 7 19g - Bid Schedule Item No's: ,,! 6 2j Description of Work s ✓.may, `Z1- License No, Exp. Date: 1 Phone ( ) p Subcontractor DIR Registration No. Dollar Value of Work Age of firm: QBE. Yes No Cer�+f�iag-Ageasl+� Annual Gross Receipts: Location and Place of Business Bid Schedule Item No's; Description of Work License No. Exp. Date: / Phone ( ) Subcontractor 1 DIR Registration No. Dollar Value of Work Age of firm: BBE: yes p!e Annual Gross Receipts: Gertifyi ng-a9enisy` Location and Place of Business Bid Schedule Item No's: Description of Work License No. Exp. Date: 1 ! 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 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 tune the contract is awarded. C-5 DESIGNATION OF SUBCONTRACTORS SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. ENG -17-18-C3017 Subcontractor DIR Registration No. Dollar Value of Work Age of firm: 139E: Yes PJe �ng Annual Gross Receipts: Location and Place of Business Bid Schedule Item No's: Description of Work License No. Exp. Date: 1 1 Phone ( } Subcontractor DIR Registration No. Dollar Value of Work Age of firm: DBE: YeG No Ge�if�ir�g•-Age�►cy: Annual Gross Receipts: Location and Place of Business Bid Schedule Item No's: Description of Work License No. Exp. Date: C t Phone ( j Subcontractor DIR Registration No. Dollar Value of Work Age of firm: GBE-YesJ0 Annual Gross Receipts: Geg4fy+ag-Ageas11: Location and Place of Business Bid Schedule Item No's: Description of Work License No. Exp. Date: 1 1 Phone ( ) NOTE: A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the Note: Bidders shall fill out the Subcontractor's List in its entirety, The total dollar value of work to be performed by Subcontractors shall be in conformance with Section 2-3 "Subcontracts" of General Provisions in these contract documents. C -b 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 Clarity for: Ririder'a Rogd dollars ($ 10a� ), 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: SOL,EDAD CANYON ROAD/ RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT 03017 BID No. ENG -17-18-C3017 Bidder's Si All Americal3 Asphalt CONTRACTOR 400 East Sixth Street Address Corona, CA 92879 City, State, Zip Code J. Carlson, Vice President * 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. Soledad Canyon Road / Ruether Avenue Median Modification C-12 Project No. C3017 Bond No. 08597423 Bid Date: 04/1012018 PROPOSAL GUARANTEE BID BOND SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C30t7 BID No. ENG -17-18-C3017 City of Santa Clariita, California KNOW ALL MEN BY THESE PRESENTS that All American Asphalt , as BIDDER, and Fidelity and Deposit Company of Maryland as SURETY, are held and Firmly bound unto the City of Santa Ciarita, as AGENCY, in the penal sum of Tan Percent cif Talal Amount B d-- dollars ($ , ), 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. ' 10% of bid 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 9th day of April ,20 18 All American Asphalt BIDDER: Signature i / �rsttaa,-d Af i ea—t�r s oIr_vti Narne and Title of Signatory 400 East Sixth Street, Corona CA 92879 - Phone (951) 736-7600 Address SURETY* Fidelity and Deposit Company of Maryland 777 S. Figueroa Street, Suite 3900, Los Angeles, CA 90017 David Wei (213) 270-0600 Rebecca Haas -Bates, Attorney -in -Fact Subscribed and sworn to this "'Please See Attached" NOTARY PUBLIC day of 20 (SEAL) *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 (CirCLllar 570, as amended) and be authorized to transact business in the State where the project is located. Soledad Canyon Road / Ruether Avenue Median Modification C-13 Project No. C3017 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT 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 1,his certificate is attached. and not the truth fit Iness_ accuracy or validity of that document. State of California County of Riverside On April 9, 2018 before me, _ Courtney Chapas, Notary Public , Dale Here Insert name and Title of the Officer personally appeared Edward J. Carlson Names} of Signers) who proved to me on the basis of satisfactory evidence to be the persons) whose names) is/ar-e subscribed to the within instrument and acknowledged to me that he/s4e44ey executed the same in .0 ; his/her/ authorized capacity(+es), and that by his/#erFtheir �- COURTNEY CMAPAS.� signatures) on the instrument the person(s), or the entity upon behalf / i Notary Public - Californiaalia.G .�� of which the persons) acted, executed the instrument. Riverside County :._,� z Commission # 2172991 A o I certify under PENALTY OF PERJURY under the laws of the State of MY Comm. Expires Nov 20, 2020 ��•",..� California that the forgoing paragraph is true and correct. WITNESS my hand and official seal Si�nahire Place Notary Seal Above Si ura of Vary Public OPTIONAL n Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bid Bond Document Date: April 9, 2018 Number of Pages Signers) Other Than Named Above: None Capacity(+es) Claimed by Signers) Signer's Name: Edward J. Carlson Sigr 's Name: ❑ Individual ❑ Indivi al X Corporate Officer—Title(s): Vice President o Corporat fficer—Title(s): ❑ Partner L u Limited ❑ General ❑ Partner CI ❑ L ited o General RIGHT THUMBPRINT RIGHT THUMBPRINT OF SIGNER ❑ Attorney in Fact ❑ Attorney in Fact Top of thumb here ❑ Trustee Top of thumb here ❑ Trustee iiOther: c Other: Signer is Representing: I I Signer is Representing: 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 04/09/2018 Date before me, A. MacFarlane, Notary Public personally appeared Rebecca Haas -Bates Here Insert Name and Title of the Officer NameKof SignerN who proved to me on the basis of satisfactory evidence to be the personN whose name(4 is/are subscribed to the within instrument and acknowledged to me that fWshe/they executed the same in Ns/herMiei,r authorized capacity(*, and that by hiWherAtmir signature. on the instrument the person(, or the entity upon behalf of which the person(sl acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph Is true and correct. WITNESS my hand and official seal. ,1. MACFARLkNE 45�__ x�," NotaryPublic- California r Signature Commission 4 2183592 S gnature of Notary Public My Comm. Expires Mar 27, 2021 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: Bid Bond Number of Pages: O1e (1) Signer(s) Document Date: 04/09/2018 Other Than Named Above: All American Asphalt Capaciiity(ies) Claimed by Signer(s) Signer's Name: Rebecca Haas -Bates ❑ Corporate Officer — Title(s): EJ Partner — ❑ Limited ❑ General El Individual la Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Fidelity and Deposit Company of Maryland Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 002014 National Notary Association • www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Fact, The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Sea] of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day of May, 1990. RESOLVED. "'Chat the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I'I�STIMON WII'f -OF', 1 have h No subscribed my name and affixed the corporate seals of the said Companies, this day of , 20�. INS BEALy Michael Bond, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg, IL. 60196-1056 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by DAVID MCVICKIER, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Latus of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint William SYRKIN, Rebecca HAAS -BATES, Sergio D. BECHARA and Richard ADAIR, all of Irvine, California, EACH its true and lawful agent and Attomey-in-Fact, to make, execute, sea] and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland_, and the regularly elected officers of the FIDELITY AND DIEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, arid FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 1001 day of July, A.D. 20I7. ATTEST: By. Assistant Secretary Dawn E. Br•otvn ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF hIARYLAND �Ll T«a 9Lrps� r �.r1 lN$(s�'4 ri .4r wy 5 1, a : �.,� IUGR j��ri i f t Nce President David McYicker State of Maryland County of Baltimore On INS 14111 day of July, A.D. 2017, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, DAVID MCVICKER, Vice President, and DAMIN E. 13RONNrti', Assistant Secretary, of the Companies, to me personatly known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of sante, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that (lie seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and clic signature as such officer were duly affixed and subscribed to [lie said instrument by the authority acid direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Sea] the day and year first above written. `941411F11„,�,, ;f F/I��FV 915911�ti��1``1F Constance A. Dunn, Notary Public My Commission Expires_ July 9, 2019 POA -F 412-0033D No. 4662 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAN YMNCISCO &ne ded Certificate of Authority THIS IS TO CEMFY, ?'heel, pursuar¢ to flee hisariorice Corte of rho Stara of California, Fidelity acrd llcpofit Company of Muryfurid ff BOMPlicre, Rfaryland, orgarued widsrMe lmru of Maryland, sullject fa IrrArticles gflercorporallon ar otherfwtd-r—oal organizational documeius; is herrbyaufltorlZed to tranrad lvithirt thir.State, subject to all provisions oftlus Certificate, rhefounruirS classes oj[ria-urmr,c�• Are, MwiAe, Suraty, Plate Glass, Liabiltfy, Workers' Compansadort, Corruaox Carrier LtaM(y, Bouer and tdaeldnery, Burglary, Critdlif, Sprinkler, reoitt attd Yeldcle, Arttoniobile, Aira?V, acid Miscellaneous as sudi classes ara rwtiv or may heregfrer be defFned In fire Insurance. Lmvs of rhe Stare of Cal(fornia. THJS CERTIFICATE is expressly corulitiotred upon the holder hereof /tow wid hereafter being In full cowhanec with all. and riot In violation ofatiy, ofr0e applicable laws and lawful regalrrmeras made 4mde)- awhor?ty ofrlre la; vs of lire Stale of CWVOrr.2naz tartg ars seeeb laws or t-equ,rementr are in effect and applicable, evict to surli laws and requLientdnis aoly are, or may hereafter Ge charred or amended. IN WITNESS WR8P,6017, effective as of the 291h day offaruwry, IgaS, I have hareatuo set my hawl and caused trty offlcial seal to be armed this 291h clay uflamary, 1985. Fm $50.00 Bruce Sunnier Hm No. $4314 Filed 1213184 By Victoria S. Sidbury C�rif7ca Tian 1, the urrderslgnrd rrcrirra rbV Carrrsihuknar of tha Siate of Califonzia, do hereby cerro) that I have c0mP0r•ed rhe irbova ropy of Cartlficwe of Auilrorlty w10r the duphcalg of original now air fire in my office, rid that fire nmre is a fine; care, acrd cvn,eat kmimipi thereof, and of the iphole afsald a�gilrcnre, mol rand Certificate afAnthorily is "Ov ltf full force and ejfear IN WI-EKESS WWm-F0F, I have hsreunto ser my hangf and cauyad my of OJal seal to be affixed thts 3rd -clay of rtugirst. 2400. J. Clark Keiso Paisline Il'Andrea NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. EMG -17-18-C3017 City of Santa Clarita, California 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 77 -IE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATJON MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION. Soledad Canyon Road / Ruether Avenue Median Modification C_14 Project No. C3017 NON -COLLUSION AFFIDAVIT SOLEDAD CANYON ROAD 1 RUETHER AVENUE MEDIAN MODIFICATION CI'T'Y PROJECT C3017 BID No. ENG -17-18-C3017 City of Santa Clarita, California TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT STATE OF CALIFORNIA ) RIVERSIDE ) § COUNTY OF LU3 ANULLL3 ) Edward J. Carlson being first duly sworn deposes and says that he is the Vice President (sole owner, a partner, president, etc.) of All Amerian Asphalt 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, organic tion 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 or 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 dale 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 fec 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. Bidder: ,..- Signatur Title Edward J. Carlson, Vice President *P 16m &0 4bklpq� W an w jwi Subscribed and sworn to and before me thlrv,,,day of , ZO_ otary 5oledad Canyon Road 1 Ruether Avenue Median Modification C -t5 Project No. C3017 CALIFORNIA JURAT GOV CODE § 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this 9th day of April 2D18 Date Monter Ey (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) (2) (arid Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me.) Signature 6k-4- Place Notary Seal Above Signa. of No ry Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document Title or Type of Document: Non -Collusion Affidavit Document Date: 4-9-2018 Number of Pages: 1 Signer(s) OtherThanNamed Above: None COURTNEY CHAPAS r Notary Public - California I� ¢IffI=.m; Z 1:y Riverside County z C Commission # 2172954 r My Comm. Expires Nov 20, 2020 Subscribed and sworn to (or affirmed) before me on this 9th day of April 2D18 Date Monter Ey (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) (2) (arid Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me.) Signature 6k-4- Place Notary Seal Above Signa. of No ry Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document Title or Type of Document: Non -Collusion Affidavit Document Date: 4-9-2018 Number of Pages: 1 Signer(s) OtherThanNamed Above: None a Lei General Bid Requirements Validity of Bids City requires that all Bids be valid for at least 120 days. Submissions not valid for at least 120 days will be considered non-responsive. Bidder agrees that the its bid response is valid for a period of 120 days. Edward J. Carlson, Vice President I (Signature required) Title Date Certification of Understanding City assumes no responsibility for any understanding or representation made by any of its officers or agents during or before the execution of any Contract resulting from this IFB unless: 1. Such understanding or representations are expressly stated in the Contract; and 2. Contract expressly provides that the City therefore assumes the responsibility. Representations made but not expressly stated and for which liability is not expressly assumed by the City in the Contract shall be deemed only for the information of the Bidder. By signing below, Bidder certifies that such understanding has been considered in this response. G� (Signa re requi d) Edward J. Carlson, Vice President Conflict of Interest Disclose any financial, business or other relationship with the Chino City Council or other entity that the City Council governs, which may have an impact, effect or influence on the outcome of the services you propose to provide. Provide a list of current clients, employees, principals or shareholders (including family members) who may have a financial interest in the outcome of services you proposed to provide. Disclose any financial, business or other relationship within the last three (3) years with any firm or member of any firm who may have a financial interest in the outcome of the work. If you believe that no conflict of interest exists or would exist, sign below. (Signa re required) Edward J. Carlson, Vice President D. Statement of Compliance OR A statement of compliance with all parts of this IFB or a listing of exceptions and suggested changes must be submitted in response to this IFB. Bidder must certify either a or b by signing below: a. This Bid is in strict compliance with said IFB, including the terms and conditions set forth in the Model Contract, including Attachments, and no exceptions thereto are proposed. (Signature rewired) Edward J. Carlson, Vice President b. This Bid is in strict compliance with said IFB, including the terms and conditions set forth in the Model Contract and its Attachments, except for those proposed exceptions listed in a separate attachment hereto. (Signature required) The attachment for each proposed exception must include the following: 1. Complete provision Bidder is taking exception to 2. IFB page number and section of the provision Bidder is taking exception to 3. Bidder's suggested rewording by way of track changes 4. Reason(s) for submitting the proposed exception 5. Any impact the proposed exception may have on cost, scheduling, or other areas DESIGNATION OF SUBCONTRACTORS SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT 03017 BID No. ENG -17-18-C3017 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 '!3 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 sub contractor is participating as a DBE. DBE IS NOT REQUIRED ON THIS PROJECT. Subcontractor DIR Registration No. Dollar Value of Work r_l / pocrr3 /6-Ro 0 � Age of firm: OSE, - Y -es ---Ne Annual Gross Receipts: % jl Sa r� re.+ is � d / � -Ywx i 0 A Y P y Location and Place of Business i29 L'a- � > ,�, �- I f -? ( / Bid Schedule Item Nos: Description of Work License No,P--X--P. ate: �f 1 Phone( ) j�2 4o Subcontractor DIR Registration No. Dollar Value of Work Age of firm: Annual Gross Receipts: 1-7 /e-*- s Ger#+f +ng-Ageas �•��'� /+�,,� • �f,' a.� L -e��j Location and Place of Business 67D 12- C p✓e S -s S v.� Cypr BidSchedu a Item No's: Description of Work 41A- 4-1A4 _, 5 �®t. ✓L r71 License No. Exp. Date: I ! ane ) Subcontractor,DIR Registration No. Dollar Value of Work M"e-ef leDUv 11349 _i -,? Ca a-0 , Age of firm: DIS a Annual Gross Receipts: Location and Place a Business �+ d _7 4".4 Bid Schedule Item No's; ❑escription of Work License No, Exp. ate: 1 1 Phone Sll�a 60 1�_ -,p r , / Sr- & 4 Sr s- / 0 Y 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. C-4 DESIGNATION OF SUBCONTRACTORS SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. ENG -17-18-C3017 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 I 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 DBS. DBE IS NOT REQUIRED ON THIS PROJECT. Subcontractor OL_ �S �i r r +4 •r• DIR Registration No. 149 p eeol / iv ce Dollar Value of Work 16( y -d o 0 . c.)1) Age of firm' DBE:Yes No --- Annual Gross Receipts: O yo.— - Location and Place of Business Bidchedu a ItemNo's: Description of Work License No. L-.5 is -3 Exp. Date: ! 1 / 3/ ? Phone( ) p Subcontractor DIR Registration No. Dollar Value of Work Age of firm: OBE =Yes Ne GaW�Og-,AganGyl Annual Gross Receipts: Location and Place of Business Bid Schedule Item No's: Description of Work License No. Exp. Date: l Phone ( ) Subcontractor DIR Registration No. Dollar Value of Work Age of firm: DBE. Yes _NG OeFtiy�ing-AgenGy. Annual Gross Receipts: Location and Place of Business Bid Schedule Item No's: Description of Work License No. Exp. Date: 1 1 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 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. C-5 DESIGNATION OF SUBCONTRACTORS SOLEDAD CANYON ROAD / RU ETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. ENG -17-18-03017 Subcontractor DIR Registration No. Dollar Value of Work Age of firm: na�Yes---Aka Annual Gross Receipts: Location and Place of Business Bid Schedule Item No's: Description of Work License o. Exp. Date: I i Phone ( ) Subcontractor DIR Registration No. Dollar Value of Work Age of firm: QR`, Yps No Ge�i#�ingAge� Annual Gross Receipts: Location and Place of Business Bid Schedule Item No's: Description of Work License No. Exp. Gate: 1 / Phone ( ) Subcontractor DIR Registration No. Dollar Value of Work Age of firm: L -BES-- P9 N G Qe;tifyir g-Agenojl Annual Gross Receipts: Location and Place of Business Bid Schedule Item No's: Description of Work License No. Exp. Date: 1 ! Phone ( ) NOTE: A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the Note: Bidders shall fill out the Subcontractor's List in its entirety. The total dollar value of work to be performed by Subcontractors shall be in conformance with Section 2-3 "Subcontracts" of General Provisions in these contract documents. C-6 REFERENCES SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. ENG -17-18-C3017 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: I . Town of Apple Valley, 14955 Dale Evans Pkwy, Apple Valle(, CA 92307 Name and Address of Owner 1 Agency Rich Berger 760-240.7000 Ext 7530 Name and Telephone Number of Person Familiar with Project $849,182.00 Road Rehabilitation 11/2017 Contract Amount Type of Work Date Completed 2. City of Victorville 14343 Civic Dr. Victorville CA 92392 Name and Address of Owner 1 Agency Carlos Seanez 760-955-5162 Name and Telephone Number of Person Familiar with Project _$251,008.00 612017 Contract Amount Type of Work Date Completed 3. City of Newport Beach, 100 Civic Center Drive Newport Beach, (;AgaF;F;n Name and Address of Owner / Agency Alfred Castanon 949-644-3340 Name and Telephone Number of Person Familiar with Project $497,497.00 Entry Improvements 5/2016 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER Surety intends to procure insurance bonds: Fidelity and Deposit Company of Maryland, 777 S Figueroa St ##3900. Los Angeles, CA 90017 213-270-0600 Agent Owen M. Brown Insurance Millennium Corporate Solutions, 5530 Trabuco RcL, Irvine—CA 89620 949-857-4500 All American Asphalt Contractors Name TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION SOLEDAD CANYON ROAD / RUETHER AVENUE MEDIAN MODWICATION CITY PROJECT C3017 BID No. ENG -17-18-03017 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. N/A 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. NIA 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. Soledad Canyon Road / Ruether Avenue Median Modification C -g Project No. 03017 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION SOLEDAD CANYON ROAD / RUETHER AVENU E MEDIAN MODIFICATION CITY PROJECT 03017 BID No. ENG -17-18-C3017 This bidder All American Asphalt , proposed subcontractor , hereby certifies that he has X, has not , participated in a previous contract or subcontract subject o the equal opportunity clause, as required by Executive Orders 10025.11 1 14, or 11246, and that Ise 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 filling requirements. Company: All American As halt By: Title: Edward J. Carlson, Vice President Date:- YZ ?' Z-2— 0.1 �— 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 Conti -act Compliance, U.S. Department of Labor. Soledad Canyon Road / Ruether Avenue Median Modification C-9 Project No. C3017 i ALL AMERICAN ASPHALT - AN LIZum OtTOILIUNITY LMI'LOYER ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES EEO ---AFFIRMATIVE ACTION -PROGRAM - BASIC POLICY TO ALL AMERICAN ASPHALT PERSONNEL: T 951-736-7600 F 951-739.9671 I'.U, BOX 2229, CORONA, CA 921378-2229 (CONTRACTORS LICENSE 0267073 A,C12 I )1 EE # 1000001051 IT IS THE STATED POLICY OF ALL AMERICAN ASPHALT THAT ALL EMPLOYEES AND APPLICANTS SHALL RECEIVE EQUAL CONSIDERATION AND TREATMENT. ALL RECRUITMENT, HIRING, PLACEMENT, TRANSFER AND PROMOTIONS WILL BE ON THE BASIS OF QUALIFICATIONS OF THE INDIVIDUAL FOR THE POSITION BEING FILLED WITHOUT REGARD T4 RACE, RELIGION, COLOR, NATIONAL ORIGIN, AGE, SEX OR PHYSICAL HANDICAP, ALL OTHER PERSONNEL ACTIONS, SUCH AS COMPENSATION. BENEFITS, LAYOFFS, RETURN FROMTAYOFF, TERMINATION'S, TRA%ING AND SOCIAL AND RECREATIONAL PROGRAMS ARE ADMINISTERED WITHOUT REGARD TO RACE, RELIGION, COLOR, NATIONAL ORIGIN, AGE, SEX,SEXUAL ORIENTATION, MARITAL STATUS, NATIONAL ORIGIN, ANCESTRY, DISABILITY (MENTAL AND PHYSICAL. INCLUDING; HIV AND AIDS) MFDICAI r oNnITInN rr.AN(-I`p ANn GENETIC CHARACTERISTICS), AND/OR AGE (40 AND OVER). EQUAL OPPORTUNITY IS A CONTINUING EFFORT AND REQUIRES THE FULL SUPPORT OF ALL OF US TO ENSURE THE DEVELOPMENT OF OUR MINORITY AND FEMALE EMPLOYEES, EACH POSSIBILITY TO HIRE OR PROMOTE SHOULD BE VIEWED AS AN OPPORTUNITY TOWARD OUR GOAL OF A FULLER UTILIZATION OF OUR MINORITY AND FEMALE EMPLOYEES, EACH MANAGER WILL COMMUNICATE TO EMPLOYEES THAT OUR COMMITMENT TO AN AFFIRMATIVE ACTION PROGRAM IS REAL, IS SUPPCRTED BY OUR COMPANY, AND HAS A HIGH PRIORITY, WE ENCOURAGE ALL OF OUR EMPLYEES TO PARTICIPATE IN THIS EFFORT BY ENCOURAGING MINORITIES AND FEMALES TO APPLY FOR EMPLOYMENT AND TO SEEK PROMOTIONS. FOR ASSISTANCE IN THE EQUAL OPPORTUNITY PROGRAM, MANAGERS AND EMPLOYEES SHOULD CONTACT MARK LUER, EEO COORDINATOR. HE HAS THE SPECIFIC RESPONSIBILITIES TO MONITOR AND ASSESS THE PROGRESS FOR OUR EQUAL EMPLOYMENT OPPORTUNITY AND AFFIRMATIVE ACTION PROGRAMS. MARK LUER President February 13, 2015 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: All American Asphalt Business Address: 400 East Sixth Street, Corona, CA 92879 Telephone No.: 951-736-7600 State CONTRACTOR's License No. & Class: 267073 A. C-12 Original Date: 5/26/1969 Expiration Date: 1/31/2020 The following are the names, tittles, addresses, and phone numbers of all individuals, firm members, partners, joint venturers, and/or corporate officers having a principal interest in this proposal: Mark Luer, President Edward J. Carlson, Vice President Michael Farkas, Secretar 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: NIA Sofcdad Canyon Road / Ruether Avenue Median Modificakion C-10 ProjectNo. C3017 All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows: NIA IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals of all aforementioned principals this q day of 201 a . BIDDER: Signature Edward J. Carlson, Vice President Name and Title of Signatory All American Asphalt Legal Name of Bidder 400 East Sixth Street, Corona, CA 92879 Address 951-736-7600 Telephone Number 95-2595043 Federal Tax LLQ, No. SIGNATURES MUST BE MADE AND NOTARY ACKNOWLEDGMENTS OF EXECUTION OF BIDDER MUST BE ATTACHED *fta oug — Moidhel) G01�rr0440 Subscribed and sworn to this day of 20 Notary Public (SEAL) Soledad Canyon Road / Ruether Avenue Median Modification C-1 I Project No. C3017 CALIFORNIA JURAT GOV CODE § 8202 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 or that document. State of California County of Riverside COURTNEY CHAPAS rYNotary Public - Calitornla Riverside County z t y Commission # 2172984 My Comm. Expires Nov 20, 2020 Subscribed and sworn to (or affirmed) before me on this 9th day of April 2018 Date Month By (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) (2) (and Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me.) Signature "Ku� Place Notary Seal Above Sign Ve of Nyary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document Title or Type of Document: Bidder's Information and Certification Document Date: 4-9-2018 Number of Pages: 2 Signer(s) Other Than Named Above: _None BIDDER'S QUESTIONNAIRE SOLEDAD CANYON ROAD I RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BID No. ENG -17-18-C3017 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 byEdward J. Carlson, Vice President Telephone 951-736-7600 Principal Office Address: 400 East Sixth k9treet Corona. CA 9287q 2. Type of Firm: Corporation Corporate: All American Asphalt Other: N/A Individual: NIA 3a. Partnership: NIA If a corporation, answer these questions: Date of Incorporation: 5126169 President's Name: Mark Luer Vice-Pre si dent's Name: Edward J. Carlson Secretary or Clerk's Name: Michael Farkas Treasurer's Name: Mirhael Farkas - State of Incorporation: California 3b. If a partnership, answer these questions: Date of organization: NIA State Organized in: Name of all partners holding more than a 10% interest: Designate which are General or Managing Partners. N f r holdin CONTRACTOR's license: All American Asphalt ame o pe son g License number: 267073 Class: A, C-12 Expiration Date: CONTRACTOR's Representative' Title: Vice President Alternate: Michael Farkas Title: Vice President Edward J. Carlson 1/31/2020 List the major construction projects your organization has in progress as of this date: Owner: (A) City of Yucaipa (g) Project Location Type of Project: Yucaipa Street Improvements City of Coachella Coachella Valley Paving Grinding Concrete Soledad Canyon Road 1 Ruether Avenue Median Modification C-16 Project No. 03017 y� �ig o y C• - - N ^i- - iV. 11 �' ^ � � � �' lE� ,:� � �r_ _ _ — � C- �I. _�-� � �' u,a r +els IS�F51 9 U 3 - - S RSmlo,�BSidMIS 6SR-� m inx aiSSoSS-gssszm69,8SSa2eapK8�a,R9 mope �Sl�S'� I I 4a8lda8tl�F gig g g 6- RMCIS. N I � '¢, � [ia a � �. � � a'' i��k<:RI RK !{a � tR1 � �' EE $IR *� rt yG i }4g � i :ice E 4P ❑A. R 'S �`I i Q � 1;��[ <:.EI G Ail W I 1! NAM 313 �i$3 3� 7 I^ 1 I;3 ^r�31 3 3 33 I3i31333i i 3. 3 � 3, 31 3 ij � +8 IaM$• SX 8S$ rIP1 R SS IaxR4."' 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I��',„yy���.6 al�p�a�,€ ��;� � SII k bti. $"L1g� 4 K 1- P, �`¢¢pV1N ba. �".� E'���,,. ��iYYll,• 5��,„� 6i'�,,�ylk Cy �U_ $ ti b I a`Sfiu 7� tit €�l�.g������I�I3`$�g������,�f$5��_j�,����j�,�I��il�i���i��l��;���� G�tYU � ¢la U.f ZuUU LU.0 I�i S ✓a Y �U�i St Jyyy■py ui �^j Y S'U f I 'i. i' ifi_. cli I UI, Ila U g' mmm $�Q I pp1 ._-Y .._ sj�$I 1�l,y l�`�-�L��LCg'�.i I i?iS`Sa,a „ ia�ss. �oa,� ��sia� �slx'elsl:a SI�alxe' Ixl s�axl I��I I���salg ;��a�ssaNg gISI-�. 7 ..�7 CERTIFICATION OF NON -SEGREGATED FACILITIES SOLEDAD CANYON ROAD I RUETHER AVENUE MEDIAN MODIFICATION CITY PROJECT C3017 BILI No. ENG -17-18-C3017 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. All American Asphalt 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). Soledad Canyon Road / Ruether Avenue Median Modification C-17 Project No. C3017 ADDENDUM #1 For City of Santa Clarita Invitation to Bid ENG -17-18-03017 Soledad Canyon Road / Ruether Avenue Median Modification April 3, 2018 This addendum must be acknowledged via PlanetBids and should be included with the bid response. Please replace instructions 1-3 in Section B: instruction to Bidders with the wording below: 1. PROPOSAL FORMS a) The bid response must be ELECTRONICALLY submitted on this form and include the notice, Request for Bid Schedule, and all forms or information included in or required by Section C, Specifications, (attachments accepted) b) All documentation of unit pricing or other cost breakdowns as outlined in this bid must be submitted to support the total bid price. c) Proposals/corrections received after the closing time will not be accepted. The City will not be responsible for bids not properly or timely, uploaded. Upon award, all submissions become a matter of public record. 2. PROPOSAL GUARANTEE BID BOND; When deemed necessary by the City, bid bonds shall be furnished by all bidders in the amount of at least 10% of the total value of the bid or 10 % of the value of the 15` year of service for service bids, to guarantee that bidders will enter into contract to furnish goods or services at prices stated. The bonding company must be listed on Treasury Circular 570 and licensed to operate in the state of California. Likewise, a Performance Bond and/or Material and Labor bonds shall be required of the successful bidder when stated in the specification (cash deposit, certified or cashier's check or money order may be substituted in lieu of either bond). Original Bond or Cashier's Check MUST be received AT CITY HALL, 23920 Valencia Blvd., Santa Clarita, CA 91355, ATTENTION SUITE 120 and marked with the words "BID BOND FOR" and the bid #, "NO LATER THAN the bid due date and time, for the vendor to be considered responsive. 3. DELIVERY OF PROPOSAL An original, notarized NON -COLLUSION AFFIDAVIT must be received AT CITY HALL, 239ZO Valencia Blvd., Santa Clarita, CA 91355, ATTENTION SUITE 120 and marked with the words "NON -COLLUSION AFFIDAVIT FOR" and the bid #, NO LATER THAN the electronic bid due date and time, for the vendor to be considered responsive. This form can be included with your proposal bond package. The envelope must be clearly marked that it contains both documents. f Cont actor's r resentative Date Edward J. Carlson, Vice President All American Asphalt Company Name Bid # ENG- 17-18-C3017 Page 1 of 2 Contractor's License Detail for License # 267073 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. Business Information ALL AMERICAN ASPHALT P O BOX 2229 CORONA, CA 92878 Business Phone Number:(951) 736-7600 his license is current and active. II information below should be reviewed. A - GENERAL ENGINEERING CONTRACTOR C12 - EARTHWORK AND PAVING Entity Corporation Issue Date 01/19/1971 Expire Date 01/31/2020 License Status Classifications Bonding Information Contractor's Bond This license filed a Contractor's Bond with FIDELITY AND DEPOSIT COMPANY OF MARYLAND. Bond Number: 08727441 Bond Amount: $15,000 Effective Date: 01/01/2016 IContractor's Bond History Bond of Qualifying Individual his license filed Bond of Qualifying Individual number LPM7627119 for MARK ALBERT LUER in the amount of $12,500 with FIDELITY AND DEPOSIT COMPANY OF MARYLAND. yEffective Date: 12/30/2011 9BQ1's Bond History Workers' Compensation This license has workers compensation insurance with the ZURICH AMERICAN INSURANCE COMPANY Policy Number:WC59320570 Effective Date: 08/01/2013 Expire Date: 08/01/2018 Workers' Compensation History Other https://www2.cslb.ca.gov/OnlineServi... 6:18:31 AM 4/12/2018 Page 2 of 2 Personnel listed on this license (current or disassociated) are listed on other licenses. https://www2.cslb.ca.gov/OnlineServi... 6:18:31 AM 4/12/2018