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2017-01-10 - AGENDA REPORTS - NRR BRIDGE WIDENING PROJ S1039 (2)
Agenda Item: 4 CITY OF SANTA CLARITA AGENDA REPORT CONSENT CALENDAR CITY MANAGER APPROVAL: fill DATE: January 10, 2017 SUBJECT: NEWHALL RANCH ROAD BRIDGE WIDENING OVER THE SAN FRANCISQUITO CREEK, PROJECT S1039 - AWARD CONSTRUCTION CONTRACT DEPARTMENT: Public Works PRESENTER: Damon Letz RECOMMENDED ACTION City Council: Approve the plans and specifications for the Newhall Ranch Road Bridge Widening over the San Francisquito Creek, Project S1039. 2. Award the construction contract to Security Paving Company, Inc., in the amount of $11,372,275, and authorize a contingency in the amount of $1,137,228, for a total contract amount not to exceed $12,509,503. 3. Award professional services for construction support contracts totaling $1,870,896 to the following: • Award professional services contract for construction support to T.Y. Lin International in the amount of $226,720 for design support services. • Award professional services contract for construction support to Impact Science in the amount of $352,292 for monitoring biological activities. • Award professional services contract for construction support to Twining, Inc., in the amount of $385,000, for soils testing, source inspection, materials inspection, and testing services. • Award professional services contract for construction support to MNS Engineers, Inc., in the amount of $890,384, for survey, construction inspection, and environmental consulting services. • Award professional services contract for construction support to Pacific Coast Land Design, Inc., in the amount of $16,500 for the landscape architect support services. Page 1 Packet Pg. 31 O 4. Authorize the following transactions to fund the Newhall Ranch Road Bridge Widening over San Francisquito Creek, Project S1039: • Increase Miscellaneous Federal Grants (Highway Bridge Replacement) revenue account 229-4424.009 by $11,852,800 and appropriate to expenditure account S 1039229-5161.001. • Appropriate $530,000 from the Landscape Maintenance District (LMD) Zone 2008-1 Major Medians (357) fund balance to expenditure account 51039357-5161.001. 5. Adopt a resolution approving a loan from the General Fund to the Valencia Bridge & Thoroughfare District for $3,500,000 and appropriate to expenditure account 51039303- 5161.001. 6. Authorize the City Manager or designee to execute the Memorandum of Understanding with Los Angeles County for their contribution of Bridge & Thoroughfare fees and all necessary documents, subject to the approval of the City Attorney. BACKGROUND The existing Newhall Ranch Road Bridge over San Francisquito Creek is a six -span, precast/pre- stressed I -girder bridge built in 1996. The bridge is on the Federal Eligible Bridge list and is eligible for federal funding under the Surface Transportation Program (STP) of the Moving Ahead with Progress in the 21 st Century (MAP-21) Act. Federal funds are available for design and construction of this bridge -widening project. Newhall Ranch Road is part of the Cross Valley Connector, which is intended to enhance connectivity and capacity of east -west traffic across the Santa Clarita Valley. Providing a direct connection between State Route 14 and Interstate 5, Newhall Ranch Road is designated in the City of Santa Clarita's (City) General Plan as eight travel lanes and a Class I bike path adjacent to the roadway. This project is consistent with the City's General Plan and Circulation Element and supports the Building and Creating Community theme of the City's strategic plan, Santa Clarita 2020. Newhall Ranch Road between Avenue Tibbitts and McBean Parkway narrows from eight lanes to six. Therefore, the existing bridge lane capacity is inadequate and requires widening to meet the City's growing infrastructure needs. The proposed bridge widening will resolve the traffic "bottleneck" in this area and will include a multi -use path to connect the existing trails along Newhall Ranch Road, provide a connection for the San Francisquito Creek Trail under the bridge, and add lighting on both sides of the bridge and new landscaped medians. Based on the Highway Bridge Program guidelines, all structural deficiencies are to be rehabilitated by the project. This includes, but is not limited to, sealing the existing bridge deck, replacing the joint seals, adding approach slabs, and other work. The proposed bridge includes a solid concrete barrier to separate pedestrian and bicycle traffic from vehicular traffic. It is designed in accordance with the California Department of Transportation (Caltrans) bridge design manuals and the American Association of State Highway and Transportation Officials' Load and Resistance Factor Design specifications with California amendments, including the latest Seismic Design Criteria. Page 2 Packet Pg. 32 O An invitation to bid was published three times: August 16, 20, and 24, 2016, and was noticed on the City's website. Plans and specifications were uploaded on the City's website. Nine bids were submitted to the City and opened by Purchasing on September 15, 2016. The results are shown below: Ranking Company Location Bid Amount 1. Security Paving Company, Inc. Sylmar, CA $11,372,275 2. C. A. Rasmussen, Inc. Valencia, CA $11,531,877 3. Pulice Construction, Inc. San Diego, CA $11,985,227 4. Ortiz Enterprises, Inc. Irvine, CA $12,403,008 5. Los Angeles Engineering, Inc. Covina, CA $12,702,317 6. OHL USA, Inc. Irvine, CA $12,770,972 7. Griffith Company Brea, CA $13,015,798 8. Flatiron West, Inc. San Marcos, CA $13,830,720 9. Myers & Sons Construction, LP Sacramento, CA $14,166,374 Staff recommends the project be awarded to Security Paving Company, Inc., the lowest responsive bidder. This contractor possesses a valid state contractor's license and is in good standing with the Contractors State License Board. The contractor's bid was reviewed for accuracy and conformance to the contract documents and found to be complete. The construction contingency requested would be used to respond to any unforeseen conditions discovered during construction. 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 State Public Contract Code with regard to public works project procurement. In these types of procurement, the Public Contract Code does not permit a City to utilize a "Support of Local Businesses" policy and instead requires the contract to be awarded to the "lowest responsive bidder." Staff solicited a Request for Proposal (RFP) for various consultants qualified to provide construction support. Staff received seven proposals for materials inspection and testing, four proposals for construction survey, three proposals for biological monitoring services, and one proposal for landscaping, meeting federal requirements. Staff recommends the contracts be awarded to the consultants listed below with the final negotiated price for the service. These consultants were rated as most qualified through the selection process. The design engineer, T.Y. Lin International, was selected during the design RFP process, based on the overall qualification, to provide the design and construction phase services. The construction support contracts total $1,870,896. Consultant Location Responsible for Contract Amount T.Y. Lin International San Diego, CA Bridge, Civil, and Traffic Engineering $226,720 Twining, Inc. Ventura, CA Geotechnical, Materials Inspection, and Testing $385,000 MNS Engineers, Inc. Westlake, CA Survey, Construction Inspection, and Environmental $890,384 Impact Science Camarillo, CA Monitoring Biological Activities $352,292 Pacific Coast Land Design Ventura, CA Landscape Architect $16,500 Page 3 Packet Pg. 33 O California Government Code 4526 prescribes selection of architectural and engineering services to be based on demonstrated competence and professional qualification necessary for the satisfactory performance of the services required and does not authorize the selection of professional architectural and engineering services based on costs. In addition, federally funded projects, such as this, require the City to follow the strict federal guidelines in the Caltrans Local Assistance Procedures Manual (LAPM). The cost proposal for the most qualified consultant will be opened and used to begin negotiations. The Consultant Selection section of the LAPM clearly states, "Each consultant's cost proposal must remain sealed until negotiations commence with that particular consultant." At the completion of successful cost negotiations, all remaining sealed envelopes shall be returned to consultants. The California Environmental Quality Act requirements for this project were satisfied by a combination of the Natural River Management Plan (NRMP), a joint Environmental Impact Report/Environmental Impact Statement (EIR/EIS), and an Initial Study/Mitigated Negative Declaration (IS/MND). The IS/MND was accepted by the City on July 27, 2015. The National Environmental Policy Act (NEPA) requirements were satisfied by the EWEIS and a Categorical Exclusion was approved by Caltrans on September 2, 2015. All project compensatory mitigation requirements required by the NRMP will be completed near the project area through habitat restoration. This project is mostly funded with Caltrans Federal Highway Bridge Program (HBP) grant funds. In July 2016, the City received Authorization to Proceed with Construction from Caltrans securing $9,863,975 of HBP Local Advance Construction funds. After the bids were opened, the City requested additional HBP funds from Caltrans and received a commitment to increase the total HBP construction grant funds to $11,852,800. The bridge lies within the City; however, traffic studies indicate approximately 16.5 percent of the traffic using this road is generated from residents living outside the City in the unincorporated area of the County of Los Angeles (County). The County has committed to contribute $3.5 million to the cost of the project over an eight -year period. The City's General Fund will loan the Valencia Bridge & Thoroughfare District $3.5 million in the interim, and it will be repaid in eight years with interest. City staff is working with the County to prepare a Memorandum of Understanding (MOU) between the two agencies. The requested appropriations of $15,882,800 create a current budget of $16,253,237. This amount includes $370,437, as reflected below, in design grant funds for pending design costs: Existing Budget Source Account Number Amount HBP Grant S 1039229-5161.001 $336,801 Gas Tax S 1039230-5161.001 $33,636 Total Current Design Budget: $370,437 Requested Appropriations HBP Grant I 51039229-5161.001 $11,852,800 Valencia B&T (GF Loan) I S 1039303-5161.001 $3,500,000 Page 4 Packet Pg. 34 O LMD 2008-1 1 51039357-5161.001 $530,000 Total New Appropriations $15,882,800 Total Budget: 1 $16,253,237 This amount will adequately provide for award of the construction contract and all anticipated project construction, support, and administration costs. ALTERNATIVE ACTION Other action as determined by the City Council. FISCAL IMPACT Adequate funds will be available for the Newhall Ranch Road Bridge Widening over the San Francisquito Creek, Project S 1039, upon approval of the recommended action. The amounts reflected in the budget table above will adequately provide for award of the construction contract in the amount of $12,509,503, professional services for construction support contracts totaling $1,870,896. The balance of $1,872,838 will provide for all other costs, including construction support, construction management, inspection, labor compliance, permits, utility costs, project administration, and post construction environmental mitigation costs for a total budget of $16,253,237. ATTACHMENTS Resolution Bid Proposal from Security Paving Company, Inc. (available in the City Clerk's Reading File) Page 5 Packet Pg. 35 4.a RESOLUTION NO. 17- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SANTA CLARITA, CALIFORNIA, APPROVING A LOAN FROM THE GENERAL FUND TO THE VALENCIA BRIDGE & THROUGHFARE DISTRICT IN THE AMOUNT OF $3,500,000 WHEREAS, there are sufficient funds in the City of Santa Clarita's (City) General Fund to make a loan in the amount of $3,500,000 to the Valencia Bridge and Thoroughfare District; and WHEREAS, the funds will be used for the widening of the Newhall Ranch Road Bridge over the San Francisquito Creek from six to eight travel lanes. NOW, THEREFORE, the City Council of the City of Santa Clarita does hereby resolve as follows: SECTION 1. It is agreed that $3,500,000 from the General Fund will be loaned to the Valencia Bridge and Thoroughfare District. SECTION 2. The Los Angeles County Westside Bridge and Thoroughfare District will reimburse the City $3,500,000 towards the construction of the Newhall Ranch Road Bridge over the San Francisquito Creek, Project 51039, payable in separate installments over an eight -year period: January 2017 $439,934 June 2017 $368,724 June 2018 $368,724 June 2019 $368,724 June 2020 $368,724 June 2021 $368,724 June 2022 $368,724 June 2023 $368,724 June 2024 $368,724 June 2025 $110,274 SECTION 3. The amount of the loan will be paid back upon receipt of installment payments from Los Angeles County. SECTION 4. The loan will be paid back at an interest rate equivalent to the yield of the average monthly investment portfolio. SECTION 5. Interest payments on the loan will be paid from the Valencia Bridge & Thoroughfare District's available funds. Packet Pg. 36 4.a SECTION 6. Prepayment penalty shall not apply if the loan balance is prepaid in whole (100 percent) or in part. SECTION 7. The City Clerk shall certify to the adoption of this Resolution. PASSED, APPROVED, AND ADOPTED this day of , 2017. MAYOR ATTEST: CITY CLERK DATE: STATE OF CALIFORNIA ) COUNTY OF LOS ANGELES ) ss. CITY OF SANTA CLARITA ) I, Mary Cusick, City Clerk of the City of Santa Clarita, do hereby certify that the foregoing Resolution was duly adopted by the City Council of the City of Santa Clarita at a regular meeting thereof, held on the day of , 2017, by the following vote: AYES: COUNCILMEMBERS: NOES: COUNCILMEMBERS: ABSENT: COUNCILMEMBERS: CITY CLERK Packet Pg. 37 SECTION C: PROPOSAL FOR BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-S1039 Project No. S1039 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: SECURITY PAVING COMPANY, INC. Company Address: 13170 TELFAIR AVENUE SYLMAR. CA 91342 By: _JOSE_PH_ F_ERNDINO Print Name Title: VICE fRESIDENT Signature: I __ XA', Date: 9[ 1 1[ i 6 C-1 Newhall Ranch Road Midge Widening Project Projecl N. S100), WILS-5451)(092) Addendum 2 BID SCHEDULER°" Revision) BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-S1039 Project No. S1039 ITEM NO. SPEC BID ITEMS SECTION UNIT QTY UNIT PRICE TOTAL ROADWAY 25 066- yszi0cvi I MOBILIZATIONMEMOBILIZATION LS 1 $ $ CALTRAIVS 2 7-1.m LEAD COMPLIANCE PLAN LS 1 - $12049 3 �G1-2 TRAFFIC CONTROL LS 1 s / f $ 114 i� w 4 GI-10 REMOVE FENCE LF 1,305 $ 8 - $ c6o 5 IGI-11 REMOVE GATE EA 1 s zl f r $ 6S 6 G1-12 REMOVE GUARDRAIL LF 215 $ v $ q �S REMOVE EXISTING STRIPING, PAVEMENT MARKER, AND 38'j 7 G1-43 PAVEMENT MARKING LS 1 ,��' �qp' $ 3W I ��117 S �' Z� '71-5 7y4 — 8 G REMOVE EXISTING ASPHALT CONCRETE PAVEMENT SF 56,995 V $ 9 ' 1-23 ADJUST UTILITY COVER TO GRADE EA 19 $ s GI-6 SO 37 S 10 REMOVE CONCRETE DRIVEWAY SF 1,935 Is 7 16 ?s �1-7 %s 11 REMOVE CONCRETE SIDEWALK SF 4,295 $ J 12 cI-a REMOVE CONCRETE CURB AND GUTTER LF 1,220 $ $ �d Q 3s 13 GI-22 COLD PLANE ASPHALT CONCRETE PAVEMENT SF 62,800 $ $ G O -71100 14 44 CLEARING AND GRUBBING LS 1 4 7t, $11^ ' rtJ 4 dG 15 .G1-15 UNCLASSIFIED EXCAVATION CV 5,135 $ 23 G� 72 47*7 Zs 16 GI-14 UNCLASSIFIED FILL CY 4,365 $16 17 G1-16 CRUSHED AGGREGATE BASE CY 1,935 18 .G1-17 CEMENT TREATED BASE (ROAD -MIXED, CLASS A) CY 54 !GI-21 zz to5z 19 ASPHALT CONCRETE TON 2,620 $ 20 GI-24 MINOR CONCRETE (BUS BAY) CY 70 ov $37a 2 Z 300 21 G1-24 MINOR CONCRETE (CURB AND GUTTER) LF 1 6,065 $ �oy $ /S / 610 G� 22 GI-24 MINOR CONCRETE (DRIVEWAY APPROACH) SF 2,805 $ 750 $ d / 037 SO 'Gi-24 23 MINOR CONCRETE (SIDEWALK) SF 11,155 $ C-2 Newhall Ranch Road Bridge Widening Project Project No S IOJ9, BHLS-5450(082) Addendum 2 ITEM I SPEC NO. ISECTION BID ITEMS UNIT QTV UNIT PRICEE TOTAL 7p f 2 q W �- 24 C1-24 MINOR CONCRETE (CONCRETE DITCH) LF 420 $ % IV 25 .I-zs MINOR CONCRETE (CURB OUTLET) EA 2 $ 70 26 GI-13 HEADER BOARD LF 1,110 27 �, MINOR CONCRETE (9" BIKE TRAIL) SF 2,300 C1-2a 7 76 5 I I��� �� (al L� 28 1-47 LIGHTING (CITY STREET) LS 1 29 �,1-43 FURNISH, INSTALL, REMOVE, AND RELOCATE SIGNS LS 1 $ Jr�%d0s r' /Oo INSTALL VARIOUS STRIPING, PAVEMENT MARKERS, AND 30 '1-43 PAVEMENT MARKINGS LS I _ %Oa10 _ 31 I 1-42 ALTERNATIVE CRASH CUSHION (QUADGUARD) EA 2 pq) rp UOG 32 �A-40 TEMPORARY FENCING (TYPE ESA) LF 2,040 $ e 2 33 �CALTRANS ECTION 9 DEWATERING LS 1 $ OOO 34 CI-13 METAL HAND RAILING (TYPE B) LF 615 $ y� $ 4-51 %-56 140 0[� rQ� 35 ;1-24 MINOR CONCRETE (BUS PAD) SF 840 $ 36 I-24 MINOR CONCRETE CURB RAMP) EA 4 $ 5 500 �7 0W 37 C1-24 MINOR CONCRETE (LOCAL DEPRESSION) CY 11 s Q s � �ONCRETE $ 50 1z4i 38 1.44 UNIT PAVERS SF 16,599 2 BRIDGE ALTRANS 'ECTION �J`�O U00 39 9 BRIDGE REMOVAL (PORTION) LS 1 5 DUD 40 ALTRANS SECTION 9 STRUCTURE EXCAVATION (BRIDGE) (F) CY 392 Go — ZO 30 dZ -^� 3�O / 5 130 g° 41 %N ECTION9 STRUCTURE EXCAVATION (TYPE D) (F) CY 2,673 $ { CLTRANS 27C ^ s'(� S - 42 SECTION9 STRUCTURE EXCAVATION (RETAINING WALL) (F) CY 561 $ ALTRANS f.✓ 60 !� 7UU 43 ECTION 9 STRUCTURE BACKFILL (BRIDGE) (F) CY 195 �N 44 ECTION9 STRUCTURE BACKFILL (RETAINING WALL) (F) CY 166 $ $ ICALTRANS 45 SECTION 9 LEAN CONCRETE BACKFILL (F) CY 39 W is w_ 7 S� N9 C ) 46 F,CTIO 0" CAST -IN -DRILLED -HOLE CONCRETE PILING LF 7,568 s �AITRANS 78 / 3, 8-F! 47 ECTION 9 STRUCTURAL CONCRETE, BRIDGE FOOTING (F) CY 496 48 SECT ON 9 STRUCTURAL CONCRETE, BRIDGE F) CY 2,634s,519 Y 515/ 32 `' ALTRANS ` G 49 ECTION9 TRUCTURAL CONCRETE. RETAINING WALL (F) CY 294 $ 3�� -- ALTRANS d� 596 tW / COL/ 50 ECT109 TRUCTURAL CONCRETE, APPROACH SLAB (TYPE N) (F) CV 214 $ LOW CTION 51 �EN9 STRUCTURAL CONCRETE, APPROACH SLAB (TYPE R) CY 294 805°� 234f 670 C-3 Newhall Ranch Road 11 idge Widening Project Project No S1039, BHLS-5450(082) Addendum 2 ITEM O. I SPEC SECTION BID ITEMS UNIT QTV UNIT PRICE TOTAL CALTRANS 52 $Ecr[ON9 DRILL AND BOND DOWEL LF 700 W 3 — 9 ✓ $ CALTRANS FURNISH PRECAST PRESTRESSED CONCRETE GIRDER J 4J0fI) 53 SECTION (100'-I10') (P) EA 54 $23,IM 1$ 2 ' CALTRANS 54 SECTION 9 ERECT PRECAST PRESTRESSED CONCRETE GIRDER (F) EA 54 965 $ 44,110 CALTRANS J .. 55 SECTION JOINT SEAL (MR 2") (P) LF 333 $ 3 ( 6 CALTRANS 56 $ECTION9 BAR REINFORCING STEEL (BRIDGE) (P-F) LB 751,726 ,i ((P $ C t < ' CALTRANS % 6 O II'' p(9 7S; " 57 SECTION9 BAR REINFORCING STEEL (RETAINING WALL) P-F) LB 23,934 $ AB �cALTNANS !SECTION JVL 3� �+ 58 9 16" WELDED STEEL PIPE CASING (BRIDGE) (P) LF 492 (JY 59 1-24 MINOR CONCRETE (CURB) LF 1,215 P� $ 2 ' p .26, ? 36 0' II ALTRANS / !/'' 19 60 SECTION MISCELLANEOUS METAL (BRIDGE) (P-F) LB 1,602 s $ (p22 ,,'ALTRANS � �j Z 61 SECTION 9 PIPE HANDRAILING (P-F) LF 2470 4 62 SECTION 9 CONCRETE BARRIER (TYPE 732 MODIFIED) (F) LF 1,285 U (O / 63 CALTRANS N9 CONCRETE BARRIER LF 1285 S �?J5 S 3 c17S f.� ' 64 LGI-46 LIGHTING (BRIDGE) (P) LS 1 DRAINAGE 65 GI-3 STORM WATER POLLUTION CONTROL MEASURES LS 1 4o Ui*d $ Mao �:[-2a v / q0 !30 66 REMOVE PIPE LF 3$ $ 67 G1-29 REMOVE INLET EA 1 $ pGb' Boa 68 GI-49 12" HDPE PIPE LF 120 $U LQD 69 c1-49 12" HDPE FLARED END SECTION EA 1 $ 70 C1-48 18" HDPE PIPE LF 30 1 r $ 2, '7X 71 :C1-49 18" HDPE FLARED END SECTION EA 4 s 7S0 ` $ 34- 72 C1-25 MINOR CONCRETE (SINGLE GRATE CATCH BASIN) EA 2 $ 3 wo oOli 73 %1-31 INFILTRATION TRENCH SF 6050 15&-� 9e% %SD w 74 i I-25 MINOR CONCRETE (CURB OPENING CATCH BASIN) EA 3 $ .Vo $ a xv 75 GI45 MINOR CONCRETE (MANHOLE) EA 3 $Via) .23/ 201) 76 c4A 0 77 GI-30 18" REINFORCED CONCRETE PIPE LF 53 231rt` s 78 GI-30 2411 REINFORCED CONCRETE PIPE LF 81 $ �Z$ /0 /2 S" 79 �G1-32 ROCK SLOPE PROTECTION (NO. 3, METHOD B) CY 30 17-1 w $ 51 Z SO C-4 Newhall Rench Road Bridge Widening Project Project No S1039, BHLS-5450(082) Addendum 2 qv ITEM NO. SPEC SECTION BID ITEMS I UNIT I TY UNIT PRICE TOTAL ROADWAY NON -PARTICIPATING REMOVE EXISTING ASPHALT CONCRETE PAVEMENT NON- PARTCIPATING) 2 S 80 p1-5 SF 8,925 s $ 'Qf 81 t 1-9 REMOVE CONCRETE CHANNEL (NON -PARTICIPATING) SF 10,000 Z 60 82 �;1-24 MINOR CONCRETE (9" BIKE TRAIL) (NON -PARTICIPATING) SF 7,850 $ �7 Is /m me ICA LTRANS " 2S0 k' 7 Sa 83 jSECTJON 9 LEAN CONCRETE BACKFILL F) (NON -PARTICIPATING) CY 15 $ 'GI-13 84 CHAIN LINK FENCE (TYPE CL-6) (NON -PARTICIPATING) LF 845 $ 85 c1-13 ' CHAIN LINK GATE (TYPE CL-6) (NON -PARTICIPATING) EA 4 3,540 0 Z.7 440 v STRUCTURAL CONCRETE (OUTLET STRUCTURE) (NON- v (ri 86 PI-26 PARTICIPATING) LS I $ I ALTRANS TRUCTURAL CONCRETE (RETAINING WALL) (F) (NON- �y 87 SECTION 9 PARTICIPATING) CY 261 $ ; $ 115, 362 CALTRANS BAR REINFORCING STEEL (RETAINING WALL) (F) (NON- D O r 88 ; ECTION 9 PARTICIPATING) LB 27,910 $ s 'CAUFRANS STRUCTURE EXCAVATION (RETAINING WALL) (F) (NON- dv 89 MECPION 9 PARTICIPATING) CY 440 $ D $ �WxRANS STRUCTURE BACKFILL (RETAINING WALL) (F) (NON- G �, 90 kCTION9 PARTICIPATING) CY 460 $ 'LOPE �5 S� L ri- % 2s 91 �GI-41 PAVING NON -PARTICIPATING) SF 5,150 $ O IEALTRANS "/ i 92 HSECT[ON 9 RETAINING WALL NO.3 (F) (NON -PARTICIPATING) SF 740 $ /✓ v ALTRANS 'iECTION �� 93 9 RETAINING WALL NO.4 (F) (NON -PARTICIPATING SF 560 $ ILODGEPOLE 36,84,&zs- 94 1-13 FENCE LF 1,305 $205 $ ELECTRICAL NON -PARTICIPATING �A-45 JrRAFFIC $ 95 SIGNAL MODIFICATION (NON -PARTICIPATING) LS 1 INTERCONNECT NON -PARTICIPATING FURNISH AND INSTALL NEW 3" RIGID STEEL. CONDUIT a� OU 96C.1-4s NON -PARTICIPATING) LF 600 ILA t �� '1-45 FURNISH AND INSTALL NEW 3" PVC CONDUIT (NON- ` �' c s O LAC),O PC) '— LAC),98 97 PARTICIPATING) LF 2,920 $ FURNISH AND INSTALL No. 6 PULL BOX WITH EXTENSION IU - fI-45 NON -PARTICIPATING) EA 7 I lZ FURNISH AND INSTALL 12 SMFO CABLE (NON- C 1^7p, _ � 99 ti-45 PARTICIPATING) LF 491 :)'�� $ ! I•� i G1-45 FURNISH AND INSTALL 96 SMFO CABLE (NON- 111.C) 90 100 PARTICIPATING) LF 3,160 $ FURNISH AND INSTALL 12 PAIR #19 SIC (NON- 101I-4s PARTICIPATING) LF 1,570 FURNISH AND INSTALL 119 PULL BOX (NON- 3CS 7 3vv — 102 �145 PARTICIPATING) EA 2 $ �1-45 FURNISH AND INSTALL C48 PULL BOX (NON- a cl ot°4`i 103 PARTICIPATING) EA 1 $ I RELOCATE EXISTING SPLICE ENCLOSURE (NON- trpq(* (V9 �10 — 104 LI-45 PARTICIPATING) EA 1 C-5 Newhall Ranch Road Bridge Widening Project Project No S1039, BHLS-5450(082) Addendum 2 ITEM NO. SPEC SECTION BID ITEMS UNIT QTY UNIT PRICE TOTAL LANDSCAPING NON -PARTICIPATING 105 :1-44 IRRIGATION (NON -PARTICIPATING) LS 1 $ N7, $ 1(47, y00 106 1-44 PLANTING (NON -PARTICIPATING) LS 1 $) q3/6CF $ / w� Total Base Bid Amount: $� 1 y .1 ©� ( (F J l' 2T_-Vz0 CaA-VS The award of contract, if made, will be to the lowest responsible BIDDER determined solely by the AGENCY as follows: The basis for award of contract shall be the Contractor's Base Bid The AGENCY also reserves the right to add/delete the quantities to the existing bid items, or delete the entire bid item if they are found not required by the Agency during the course of the construction, or add new bid items or scope of work by Contract Change Order at any time during the project up to the last contract working day. The BIDDER agrees to hold all unit prices in this bid schedule constant throughout the duration of the project up to the last contract working day. Newhall Ranch Road Bridge Widening Project Project No S1039, BHLS-5450(082) Addendum 2 DESIGNATION OF SUBCONTRACTORS BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-SIO39 Project No. S1039 Bidders shall fill out the Subcontractor's List in its entirety, for each Subcontractor who will perform work or render service in excess of of I percent, or $10,000 (whichever is greater) of the prime contractor's total bid in compliance with Section 2-3 "Subcontracts" of The "Greenbook". Subcontractor � � STATUS: � Dollar Value of Work Age of firm: Certifying A en y: Annual Gross Receipts: Location and Place of Business Cost Schedule Item Nos: Description of Work License No, Exp. Date: Phone Subcontractor DBE STATUS: Dollar Value of Work Age of firm: Certifying Agency: Annual Gross Receipts: Location and Place of Business Cost Schedule Item Nos: Description of Work License No. Exp. Date. Phone Subcontractor DBE STATUS: Dollar Value of Work Annual Gross Receipts: Age of firm: Certifying Agency: Location and Place of Business Cost Schedule Item Nos: Description of Work License No. Exp. Date: Phone Newhall Ranch Road Bridge Widening Project Project No. S1039, BIILS-5d50(082) C-7 Addendum 2 DESIGNATION OF SUBCONTRACTORS BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-15-16-SIO39 Project No. S1039 Subcontractor DBE STATUS: Dollar Value of Work kA t44A FWJ YES 411 Age of firm: Certi 'tying Agency: Annual Gross Receipts: 31 c Ns y 000, 000. Location and Place of Business Cost Schedule Item Nos. Description of Work 4L, C)DH PI(-F License No. I.-M513 Exp. Date: G hi / le Phone 2/D 6 6 6 Z�aZ1 Subcontractor DBE STATUS: Dollar Value of Work AM N O Lt 141 600. Age of firm: Certifying Agency Annual Gross Receipts: J?0 lb, aao, 000.- _ Location and Place of Business 1'•O. DN '12/368 SYt.,.4A CA 9of2 , Cost Schedule Item Nos: Description of Work 35-77,0, 62 All h+al2 CAN License No. y` L 850 I:xp. Date: 1/10/2017 Phone fit :?6z 9.300 Subcontractor DBE STATUS: Dollar Value of Work a s L*o &Imwame No I , 1 +6, &0o .' Age of firm: 211 Certifying A envy: Annual Gross Receipts: 15, D ID-00 Location and Place of Business 150 w • PI,&"PA1A A -YE, 1°+ 2�5 , cA '7Z S,,X1 Cost Schedule Item Nos: Description of Work 53, 5y P 15T (aulnl9gZ-3 License No. 1 Exp. Date: `'3b / (� Phone IJ NOTE: A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract is awarded. (Use additional sheets as needed) Newhall lunch Road B,idge Widening M' Iect Project No S 1039, 11111. S-5450(082) C-8 Addendum 2 DESIGNATION OF SUBCONTRACTORS BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-15-16-S1039 Project No. S1039 Subcontractor DBE STATUS: Dollar Value of Work 15En n. a YE5 'ZrL{, M Y Age of firm: Certifying Agency: Annual Gross Receipts: �b O17LAr4 169 O OOJ 000 ,^- Location and Place of Business PO 6bx C4143 Al2CAVIA CA, 9)6k4 Cost Schedule Item Nos: Description of Work ifS, /0(o LAAi License No. IS( 3Q Exp. Date: a /3o /iv r qq:p 's ? Subcontractor DBE STATUS: Dollar Value of Work `DES 1 e0j000; Age of firm: Certifying Agency: Annual Gross Receipts: c 2-614N Location and Place of Business -724 G t�Noe Los Pv-6,-cc— , C/g Cost Schedule Item Nos: �1 34 (ol atl, Descri lion of -Work S y G..vrnapglL License No, q r 6 (OST7 Exp. Date; 9 /70l Phone z2 323 ON - Subcontractor DBE STATUS: Dollar Value of Work cam. teLt- b A-W(- N O I a H, 2 n, --- Age of firm: �d Certifying Agency: ')(1 Annual Gross Receipts: 5 OOfl, Location and Place of Business 11(861 %At--voan &T, 5oN vmLr-1, CA 9i!? -L Cost Schedule Item Nos: Description of Work �- Zq ► 30 511LIK A wv MAR k"S A Sl 4 License No. y21 B23 Exp. Date: 1 130 /, t Phone b Q34 $1-99 NOTE: A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract is awarded. (Use additional sheets as needed) Nmhull Ranch Road Midge Widening Pruieul Project No S 1039, 13111.S-5450(082) C-8 Addondum 2 DESIGNATION OF SUBCONTRACTORS BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-15-16-S1039 Project No. S1039 Subcontractor DBE STATUS: Dollar Value of Work 4El-'DAV NO I/ ZZ11 Syq,- Age of firm: Certifying Agency: Annual Gross Receipts: 60 1 ,x I )S , ono, 0a0.-- Location and Place of Business -78810 t-VU4F CAN YotJ RA , 9ANID)6�. o 1 CO 9Z In Cost Schedule Item Nos: Description of Work zgzr, 2�. So,SI sb�b4�s'I, t:2, 6 , }N, 01, 44o, 611,q t,RZj9'3,W RC,,Nt=vxcllNti s7m 1, License No. � Exp. DateR/3a/, Subcontractor DBE STATUS: Dollar Value of Work "Pr &Gvomv- Nb 5 K00 305.3� Age of firm: Certifying Agency: Annual Gross Receipts: So I x s, a as , ouo.r Location and Place of Business Pb 31-f 16 1�Er►cur�A� G(� , qa0" Cost Schedule Item Nos: Description of Work ?41 (0q, g 119b 94, It, 94?1 lob, too, 1e2 /63 16`I FiLC'CT�CA-`. License No. -7 47- Z y 5 Exp. Date: 5/71 /Zo I tB I Phone ebs Subcontractor DBE STATUS: Dollar Value of Work Age of firm: Certifying Agency: Annual Gross Receipts: and Place of Business LLocation hedule Item Nos: Description of Work No. Exp. Date: Phone NOTE: A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract is awarded. (Use additional sheets as needed) NowhO Ranch Road Bridge Widening Pr,iiecl Project No S 1030, 13111 S-5450(082) C-8 Addendum 2 DESIGNATION OF SUBCONTRACTORS BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-15-16-S1039 Project No. S1039 Subcontractor DBE STATUS: Dollar Value of Work Age of firm: Certifying Agency: Annual Gross Receipts: Location and Place of Business Cost Schedule Item Nos: Description of Work License No. Exp. Date: Phone Subcontractor DBE STATUS: Dollar Value of Work Age of firm: Certifying Agency: Annual Gross Receipts: Location and Place of Business -�-_ Cost Schedule Item Nos: Description of Work License No. Exp. Date: Phone Subcontractor DBE STATUS: Dollar Value of Work Age of firm: Certifying Agency: Annual Gross Receipts: Location and Place of Business Cost Schedule Item Nos, Description of Work I License No. Exp. Date: Phone NOTE: A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract is awarded. (Use additional sheets as needed) Newhull Mauch Road Midge Widening Project Pruject No S 1012 13111.,5.5dgi1(OH4) C-8 Addendum 2 Local Assistance Procedures Manual EXHIBIT 12-G Bidder's List of Subcontractors (DBE and Non -DBE) BIDDER'S LIST OF SUBCONTRACTORS (DBE and NON -DBE)- PART I The bidder shall list all subcontractors (both DBE and non -DBE) in accordance with Section 2-1.054 of the Standard Specifications and per Title 49, Section 26.11 of the Code of Federal Regulations. This listing is required in addition to listing DBE Subcontractors elsewhere in the proposal. Photocopy this form for additional firms. Firm Name/ Address/ City, State, LIP Phone/ Fax Annual Cross Receipts Description of Portion of Work to be Performed r Name Phone "ff<$1 million YES NO If YES list DBE #: ❑ < $5 million Address < $10 million Fax ❑ < $15 million Age of Firm (Yrs.) Ciry State ZIP > $15 million Name Phone <$1 million YES NO list DBE #: El < $5 million Address ❑ < $10 million Fax ❑ < $15 million City State ZIP ❑> $15 million Age of Firm(Yrs.) Name Phone ❑<$1 million -- }S list DBE #: ❑ < $5 million Address < $10 million Fax ❑ < $15 million City State ZIP ❑> $15 million Age ofFirm rs. Name Phone <$1 million YES NO ❑ <$5 million Address ❑ < $10 million If YES list DBE #: Fax ❑ < $15 million City State ZIP ❑ > $15 million Age of Firm (Ym) Distribution: 1) Original - Local Agency File Page 12-111 LPP 06-06 November 14, 2006 C-9 Newhall Ranch Road Bridge Widening Project Project No. S1039, BHLS-5450(082) DESIGNATION OF SUBCONTRACTORS BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-15-16-S1039 Project No. S1039 Subcontractor DBE STATUS: Dollar Value of Work Age of firm: Certifying Agency: Annual Gross Rec pts: Location and Place of Business Cost Schedule Item Nos: Description of Work License No. Exp. Date: PI ne Subcontractor DBE STATUS: Dollar Value of Work Age of firm: Certifying Agency: Annual Gross Receipts: Location and Place of Business Cost Schedule Item Nos: Description of Wo License No. Exp, Date: Phone Subcontractor DBE STA,1 US: Dollar Value of Work Age of firm: Certifying Agency: Annual Gross Receipts: Location and Place of Business Cost Schedule Item Nos: Description of Work License No. Exp. Date: Phone NOTE: Aeon ors contractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Publi Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registe d and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. It is not a violation of this section for it unr gistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 0103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 of a Labor Code at the time the contract is awarded. (Use additional sheets as needed) C-8 Newhall Ranch Road Bridge Widening Project Project No. 8 1039, BHLS-5450(032) EXHIBIT 12-G Local Assistance Procedures Manual Bidder's List of Subcontractors (DBE and Non -DBE) BIDDER'S LIST OF SUBCONTRACTORS (DBE and NON -DBE)- PART 11 The bidder shall list all subcontractors who provided a quote or bid but were not selected to participate as a subcontractor on this project. This is required for compliance with Title 49. Sectinn 26 of the Code of Federal Reanlatinns_ Phntncnnv this form for additional firms. Firth Name/ Address/ City, State, 'LIP Pbone/ Fax Annual Gross Receipts Description of Portion of Work to be Performed '- ! W, Name Phone "ff<$1 million YES NO ❑ < $5 million Address ❑ < $10 million If YES list DBE #: Age of Firm (Ym) Fax ❑ < $15 million City State ZIP ❑ > $15 million Name Phone <$1 million YES NO kAS list DBE #: ❑ < $5 million Address < $10 million Fax < $ 15 million City State ZIP > $15 million Age of Firm (Ym) Name Phone <$1 million YES NO #f ➢,-S list DBE #: ❑ <$5 million Address < $10 million Fax In <$15 million City State ZIP El > $15 million Age of Film (Ym) Name Phone El <$1 million YES _ NO - ❑<$5million Address ❑ < $10 million y-YES list DBE #: Fax ❑ < $15 million Age of Firm (Yrs.) City State ZIP ❑> $15 million Distribution: 1) Original — Local Agency File Page 12-112 November 14, 2006 C-10 Newhall Ranch Road Bridge Widening Project Project No. S1039, BHLS-5450(082) BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG16-17-S1039 Project No. S1039 City of Santa Clarita, California The following are the names, addresses, and telephone numbers of three public agencies including Caltrans experience for which BIDDER has performed similar work within the past 3 years: The Contractor is also recommended to list the projects performed in both public agencies and Caltrans on separate sheets. CITY OF SANTA CLARITA 23920 VALENCIA BLVD, SANTA CLARITA, CA 91355 Name and Address of Owner / Agency/Caltrans and District JOHN SPALLIONE (661)810-0058 PROJECT #S1037 Name and Telephone Number of person Familiar with Project $6,728,472. MCBEAN PARKWAY BRIDGE WIDENING 3/10/15 Contract Amount Type of Work Date Completed SAN BERNARDINO ASSOCIATED GOVERNMENTS 2. (SANBAG) 1170 W. 3rd ST, 2ND FLOOR, SAN BERNARDINO, CA 92410 Name and Address of Owner / Agency/Caltrans and District GARRY COHOE (909)884-8276 PROJECT # C13001 Name and Telephone Number of Person Familiar with Project $31,729,256 I-15 RANCHERO ROAD INTERCHANGE 2/10/16 Contract Amount Type of Work Date Completed 3. TOWN OF APPLE VALLEY 14955 DALE EVANS PKWY, APPLE VALLEY, CA 92307 Name -and Address -of Owner -/-Agency/Caltrans-and-District - - PAULA PERREIRA, PUBLIC WORKS (760)240-7000 x7130 project #2013-04 Name and Telephone Number of Person Familiar with Project $37,241,579. YUCCA LOMA BRIDGE OVER THE MOJAVE RIVER AND YATES ROAD IMPROVEMENTS Contract Amount Type of Work Date Completed JULY 2016 The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance bonds: CONTINENTAL CASUALTY COMPANY (CNA) CONTACT: JIM SOMMERVILLE 333 S WABASH AVENUE 1455 FRAZEE RD. SUITE 801 CHICAGO, IL 60604 SAN DIEGO, CA 92108 BROKER: VENRROOK INSURANCE (619)682-3507 CONTACT: LARRY COGDILL SECURITY PAVING COMPANY, INC. CELL: (619) 987-9848 Contractors Name C-11 Newhall Ranch Road Bridge Widening Project Project No. S 1039, BHLS-5450(082) TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-S1039 Project No. S1039 City of Santa Clarita, California The bidder under penalty of perjury, certified that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, office manager: is not currently under suspension, debarment, voluntary exclusion or determination of ineligibility by any federal AGENCY; has not been suspended, debarred, voluntarily excluded, or determined ineligible by any federal AGENCY within past three years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. *** N 0 N E *** 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. C-12 Newhall Ranch Road Bridge Widening Project Project No. S 1039, BHLS-5450(082) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * (Must be filled out by the Bidder and ALL subcontractors over $10,000) * * * BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-S1039 Project No. S1039 City of Santa Clarita, California SECURITY PAVING This bidder COMpANY , INC. , 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 r , has not , tiled 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: SECURITY PAVING COMPANY, INC. By: Title: JO PH FERNDINO VICE PRESIDENT Date: 9/ 15/ 16 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Note: This form must be received by the AGENCY from all subcontractors no later than 4:00 PM on the 4th business day after the bid opening. Prime contractor is to submit certificate at bid opening. C-13 Newhall Ranch Road Bridge Widening Project Project No. S 1039, BHLS-5450(082) CALIFORNIA JURAT WITH AFFIANIT STATEMENT GOVERNMENT CODE § 8202 [j See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 Fes_ Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES MICHELE J. THOMAS Commission # 2060034 Notary Public - California Los Angeles County > MY Comm. Expires Apr 1, 2018 Seal Place Notary Seal Above Subscribed and sworn to (or affirmed) before me on this 1Y4e, day of 6� , 20. j.L , by Date `Month Year (and (2) ), Name(s) of Signer(s) proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature Signatu of Notary Public MICHELE J. THOKAS, NOTARY 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: Document Date: Number of Pages: Signer(s) Other Than Named Above: ©2014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY (1 -800-876-682 7) Item #5910 VALLEY BASE MATERIALS IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals of all aforementioned principals this 15th day of SEPT2016 BIDDER: Signature JOSEPH FERNDINO, VICE-PRESIDENT Name and Title of Signatory SECURITY PAVING COMPANY, INC. Legal Name of Bidder 13170 TELFAIR AVENUE, SYLMAR, CA 91342 Address (818)362-9200 Telephone Number 95-1615343 Federal Tax I.D. No. SIGNATURES MUST BE MADE AND NOTARY ACKNOWLEDGMENTS OF EXECUTION OF BIDDER MUST BE ATTACHED *** PLEASE SEE ATTACHED CALIFORNIA JURAT FORM *** Subscribed and sworn to this Notary Public Newhall Ranch Road Bridge Widening Project Project No. S (439, BB CS-5450(092) day of , 20_ C-15 (SEAL) 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: SECURITY PAVING COMPANY, INC. Business Address: 13170 TELFAIR AVENUE. SYLMAR. CA 91342 Telephone No.: (818) 362-9200 State CONTRACTOR's License No. & Class: 116307 A C12 Original Date: 12 / 24 / 1949 Expiration Date: 3 / 31 / 18 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: MICHAEL MATTIVI. PRESIDENT JOSEPH—FERNDINO.-VICE—PRESIDENT ANTHONY J. MATTIVI. VICE PRESIDENT MICHELE J. THOMAS. 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: ***NONE*** All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows: C-14 Newhall Ranch Road Bridge Widening Project Project No. 51039, BHIS-5450(082) PROPOSAL GUARANTEE BID BOND III-1 1,S-545U(082) NEWIIALL RANCII ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-S1039 Project No, S1039 City of Santa Clarita, California BID DATE: SEPTEMBER 15, 2016 KNOW ALL MEN BY THESE PRESENTS that _ Security Paving Company, Inc. _ as till)D R, and Continental Casualty Company tws SURETY, we held and fintlly bound unto the City of Santa Clarita, as AGENCY, in the penal sunl orTen Percent of the total amount bid dollars �6 10% ofthetotal amount bidj, which is tcn percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sutra, BIDDFR and SURETY agree to he bound, jointly and severally, firmly by these presents. THE CONDITIONS OF T141S OBLIGATION ARE SUCH that, whereas KIDDER is about to submit a bid to AGENCY for the above -stated project, it said bid is rejected, or if said bid is accepted and the contract is awarded and entered into by BIDDER in the inartncr 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 7th day of September 2016 BIDDER: Security Paving Company, Inc. JOSEPIr FERNDINO VICE PRESIDENT_ twain and 'Title of Signatory 13170 Telfair Avenue, Sylmar, CA 91342; Telephone No: 818-362-9200 Address 333 S. Wabash Avenue, Chicago, IL 60604 n tol ualty Company Telephon No.: 619-682-3507 BY: Venbrook Insurance Company Glad gers, rney-i-n- a i 11512 El Camino I�eal_uife 120 San Diego, CA 92130 See Attached required Jurat Wording Srtbs,;ribcd and sworn to this --, --_day of - 20—. NO'4'ARV PUBLIC _ (SEAL) *Provide BIDDER and SURLTY name, address, and telephone number and the name, title, address, and telephone number for authorized representative. 1\1110RTANT - Surety Companies executing Bonds must appear on the Treasury Depar[ments most cwaront list (Circular 570, as aniended) and be authorized to transact business In the Slate where the project is located. C-17 N'awhAl Ranih RuaJ Uu�igu K'iJrwng I'rej cif F'rojcclNu 51039, UILLS-7:S�iU771 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 k] See Attached Document (Notary to cross out lines 1-6 below) O See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES ,�, MICHELE J. THOMAS Commission # 2060034 i . o Notary Public - California z z ' .� Los Angeles County My Comm. Expires Apr 1, 2018 Subscribed and sworn to (or affirmed) before me on this day of 20 11O , by Date Month Year (,) Ja , Fer��l!,i-1a (and Name(s) of Signer(s) proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature ),&�L Signa e of Notary Public MICHELE J. THOMAS, NOTARY PUBLIC Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Signer(s) Other Than Named Above: Document Date: ©2014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Diego Subscribed and sworn to (or affirmed) before me on this 7tb day of September , 20 16 , by Gladys Rogers proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. B. LAFRENI Commission # 2014382 a -- Notary Public • California f rr r. San Diego County a --My Comm. Ex Tres Mar 24, 2017 (Seal) Signature /5f POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Brooke Lafrenz, Larry D Cogdill, Michael W Thomas, Gladys Rogers, Audrey Rodriguez, Individually of Del Mar, CA, their true and lawful Attorneys) -in -Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 1 st day of July, 2015. QW0Maz � ►�� Continental Casualty Company National Fire Insurance Company of Hartford American Cas lty Company of Reading, Pennsylvania I. Paul T. Bruflat F Vice President State of South Dakota, County of Minnehaha, ss: On this 1 st day of July, 2015, before me personally came Paul T. Bruflat to me known, who, being by me duly swom, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. �NIMAYNMI4•NMM-- - - - r S. EICH iaoun+ Mo�n►er t�uooa� f i►►wtk..a�r�wti�����►�r�� My Commission Expires February 12, 2021 S. Eich otary Public CERTIFICATE I, D. Bult, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 7th dayofSeptember 2016 cAsCOPPORATe tM�r� Fd * JULY 71. SFJU. `r � t� 24 ta97 hlAlftf • Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania Form F6853-4/2012 D. Bult Assistant Secretary Authorizing By -Laws and Resolutions ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company at a meeting held on May 12, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of Continental Casualty Company. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25's day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory instruments of Ike nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, `Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of National fire Insurance Company of Hartford. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25'" day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively,_ "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided That the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of American Casualty Company of Reading, Pennsylvania. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25th day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers') to execute various policies, bonds, undertakings and other obligatory instruments of lice nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to beirg provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Noes therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." PROPOSAL GUARANTEE BID BOND BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-S1039 Project No. S1039 City of Santa Clarita, California KNOW ALL MEN BY THESE PRESENTS that , as BIDDER, and as SURETY, are held and firmly bound unto the City of Santa Clarita, as AGENCY, in the penal sum of dollars f$ ), 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 day of ,20 BIDDER: Signature Name and Title of Signatory Address SURETY* Subscribed and sworn to this day of 20! NOTARY PUBLIC (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 (Circular 570, as amended) and be authorized to transact business in the State where the project is located. C-17 Newhall Ranch Road Bridge Widening Project Project No, S 1039, BHLS-5450(082) 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: NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK City Project S1039 Federal -Aid No. BHLS-5450(082) Bidder's Signature CONTRACTOR Address City, State, Zip Code * Delete the inapplicable work. NOTE —Ifthe-bidder-desires-to-use-a-bond instead -of -a check,-the-foHawir g ormshail-be-executed. The sum of - this bond shall be not less than ten percent (10%) of the total amount of the bid. C-16 Newhall Ranch Road Bridge Widening Project Project No. S 1039, BHLS-5450(032) NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-S1039 Project No. S1039 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 'BIDDERS CERTIFICATION" SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH FORM A PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CER TIFICA TION MA Y SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION. C-18 Newhall Ranch Road Bridge Widening Project Project No. S1039, BHLS-5450(082) NON -COLLUSION AFFIDAVIT BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-S1039 Project No. S1039 City of Santa Clarita, California TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT STATE OF CALIFORNIA ) COUNTY OF LOS ANGELES ) JOSEPH FERNDINO being first duly sworn deposes and says that he is the VICE PRESIDENT (sole owner, a partner, president, etc.) of SECURITY PAVING COMPANY, INC. 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. Bidder: 'Signature Title Jos PEHLRNDINO, VICE PRESIDENT *** PLEASE SEE ATTACHED CALIFORNIA JURAT *** Subscribed and sworn to and before me this day of , 20_ Seal of Notary C-19 Newhall Ranch Road Bridge Widening Project Project No S1039, BH1S-5450(032) w v-c ,. , a "t x +"+r ■ I 0LLi%MI 1 f • L i4r 1 1 � 1-� 1 lip CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 k] See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) y Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document, State of California County of LOS ANGELES MICHELE J. THOMAS y�F ¢'l=o Commission # 2060034 Notary Public - California n Los Angeles County My Comm. Expires Apr 1. 2018 Seal Place Notary Seal Above Subscribed and sworn to (or affirmed) before me on this day of , 20-KOL, by Date Month Year (1) �IdseAff'�ttytl� (and (2) _ ), Name(s) of Signer(s) proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature 96�� SignatuVof Notary Public MICHELE J. THOMAS, NOTARY 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: Number of Pages: Signer(s) Other Than Named Above: Document Date: 02014 National Notary Association o www.NationalNotary.org ° 1-800-US NOTARY (1-800-876-6827) Item #5910 BIDDER'S QUESTIONNAIRE BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-51039, Project No. S1039 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. Submitted by: SECURITY PAVING CO. INC .Telephone: (818) 362-9200 Principal Office Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342 Type of Firm: _ Corporate:_ Partnership: XX Other: 3a. If a corporation, answer these questions: Date of Incorporation: 11 / 1 / 1949 State of Incorporation: CA President's Name: MICHAEL MATTIVI Vice -President's Name: JOSEPH FERNDINO , ANTHONY J. MATTIVI Secretary or Clerk's Name: MICHELE J . THOMAS Treasurer's Name: MICHAEL MATTIVI ( CFO ) 3b 4. 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: MICHAEL 14ATTIVI License number: 116307 Class: A C12 Expiration Date: 3/31/18 CONTRACTOR's Representative: JOSEPH FERNDINO Title: VICE PRESIDENT Alternate: MICHAEL MATTIVI Title: PRESIDENT List the major construction projects your organization has in progress as of this date: Owner: (A) (B) Project Location: Type of Project: C-20 Newhall Ranch Road Bridge Widening Project Project No. S 1039, BHLS-5450(032) *** PLEASE SEE ATTACHED *** CERTIFICATION OF NON -SEGREGATED FACILITIES BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG16-17-51039 Project No. S1039 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. _ JOSEPH FERNDII VICE RESIWIECURITY PAVING COMPANY, Required by the May 19, 1967 order on Elimination of Segregated Facilities, by the Secretary of Labor — 32 F.R. INC. 7439, May 19, 1967 (F.R. Vol. 33, No. 33 — Friday, February 16, 1968 — p. 3065). C-21 Newhall Ranch Road Bridge Widening Project Project No, S 1039, BHLS-5450(082) NONLOBBYING CERTIFICATION FOR FEDERAL -AID CONTRACTS BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-S1039 Project No. S1039 City of Santa Clarita, California The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub -recipients shall certify and disclose accordingly. THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE `BIDDER'S CERTIFICATION" SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EIAECUTION OF THOSE CERTIFICATIONS WHICH FORM A PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATIONMAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION. C-22 Newhall Ranch Road Bridge Widening Project Project NO. S1039. BHIS-5450(082) *** N 0 N E *** DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: F1 a. contract b. grant c. cooperative agreement d. loan e. loan guarantee f, loan insurance 2. Status of Federal Action: a. bid/offer/application b. initial award c. post -award 4. Name and Address of Reporting Entity Prime Subawardee Tier , if known Congressional District, if known 6. Federal Department/Agency: 8. Federal Action Number, if known: 10. a. Name and Address of Lobby Entity (If individual, last name, first name, MI) 3. Report Type: a. initial b. material change For Material Change Only: year quarter date of last report 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime: Congressional District, if known 7. Federal Program Name/Description: CFDA Number, if applicable 9. Award Amount, if known: b. Individuals Performing Services (including address if different from No. I Oa) (last name, first name, MI) (attach Continuation Sheet(s) if necessary) 11. Amount of Payment (check all that apply) 13. $ ❑ actual ❑ planned 12. For of Payment (check all that apply): a, cash— — b. in -kind; specify: nature value Type of Payment (check all that apply) a. retainer b. one-time fee c. commission d. contingent fee e deferred f. other, specify 14. Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for Payment Indicated in Item 11: (attach Continuation Sheet(s) if necessary) 15. Continuation Sheet(s) attached: Yes 0 No 191 16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying reliance was Signature: placed by the tier above when his transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. print Name: J{)S }� FERNDII+TO 1352. This information will be reported to Congress semiannually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to Title: VICJ PRESIDENT a civil penalty of not less than $10,000 and not more than (818) 362-9200 $100,000 for each such failure. Telephone No.: Date: 9/15/16 Authorized for Local Reproduction Federal Use C-23 Newhall Ranch Road Bridge Widening Project Project No. S1039, BHLS-5450(082) Standard Form - LLL INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in -kind contribution, specify the nature and value of the in -kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. SF-LLL-Instructions Rev.06-04-90<<ENDIF» C-24 Newhall Ranch Road Bridge Widening Project Project No. S1039, BHLS-5450(082) EXHIBIT 15-G LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: CITY OF SANTA CLARITA LOCATION: SANTA CLARITA, L.A. COUNTY PROJECT DESCRIPTION: NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK TOTAL CONTRACT AMOUNT: $ BID DATE: 9/ 15/ 16 BIDDER!SNAME: SECURITY PAVING COMPANY, INC. CONTRACT DBE GOAL: CONTRACT ITEM NO. ITEM OF WORK AND DESCRIPTION OR SERVICES TO BE SUBCONTRACTED OR MATERIALS O BE PROVIDED (or contracted if the bidder is a DBE) DBE CERT NO. AND EXPIRATION DATE NAME OF EACH DBE (Must be certified on the date bids are opened - include DBE address and phone number) DOLLAR AMOUNT DBE For Local Agency to Complet Local Agency Contract Number: _ Federal -aid. Project Number; . Federal Share: Total Claimed DBE Participation Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. (Area Code) Telephone Number: Signatu er JO H FERNDINO, VICE PRESIDENT 9/15/ 6 (818)362-9200 Date (Area Code) Tel. No. JOSEPH FERNDINO, CONTACT Local Agency Bidder DBE Commitment (Construction Contracts) Distribution: (1) Copy —Fax or scan a copy to the Caltrans District Local Assistance Engineer (DLAE) within 30 days of contract execution. Failure to send a copy to the DLAE within 30 days of contract execution may result in de -obligation of funds for this project. (2) Copy — Include in award package to Caltrans District Local Assistance (3) Original — Local agency files C-25 Newhall Ranch Road Bridge Widening Project Project No. S t039, BHtS-5450(082) EXHIBIT 17-F Final Report -Utilization of Disadvantaged Business Enterprises (DBE), First -Tier Subcontractors STATE OF CALIFORNIA - DEPARTMENT OF TRANSPORTATION FINAL REPORT -UTILIZATION OF DISADVANTAGED BUSINESS ENTERPRISES ADA Notice (DBE), FIRST -TIER SUBCONTRACTORS For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654-3880 or write Records and Forms Management, 1120 N Street, MS- 89, Sacramento, CA 95814 CEM-2402F (REV 02/2008) CONTRACT NUMBER COUNTY I ROUTE POST MILES FEDERAL AID PROJECT NO. ADMINISTERING AGENCY CONTRACT COMPLETION DATE PRIME CONTRACTOR BUSINESS ADDRESS ESTIMATED CONTRACT AMOUNT ITE M NO. DESCRIPTION OF WORK PERFORMED AND MATERIAL PROVIDED COMPANY NAME AND BUSINESS ADDRESS DBE CERT. NUMBER CONTRACT PAYMENTS NON -DBE DBE DATE WORK COMPLETE DATE OF FINAL PAYMENT $ $ $ $ $ $ $ $ $ $ $ $ $ 1 $ $ $ ORIGINAL COMMITMENT $ TOTAL S $ DBE List all First -Tier Subcontractors, vantaged Business Enterprises (DBEs) regardless of tier, whether or not the firms were originally listed for goal credit. If actual DBE utilization (or item Disad of work) was different than thaid at time of award. provide comments on back of form. List actual amount paid to each entity. 1 CERTIFY THAT THE ABOVE INFORMATION Is COMPLETE AND CORRECT CONTRACTOR REPRESENTATIVE'S SIGNATURE BUSINESS PHONE NUMBER DATE TO THE BEST OF MY INFORMATION AND BELIEF, THE ABOVE INFORMATION IS COMPLETE AND CORRECT RESIDENT ENGINEER'S SIGNATURE BUSINESS PHONE NUMBER DATE Copy Distribution-Caltrans contracts: Copy Distribution -Local Agency contracts: Original- District Construction Copy- Business Enterprise Program Original - District Local Assistance Engineer Copy- District Local Assistance Engineer (submitted with the Report of Expenditure C-30 Newhall Ranch Road Bridge Widening Project Project No. S 1039, BHLS-5450(082) Copy -Contractor Copy Resident Engineer Copy- Local Agency file EXHIBIT 17-F Local Assistance Procedures Manual Final Report -utilization of Disadvantaged Business Enterprises (DBE), First -Tier Subcontractors FINAL REPORT — UTILIZATION OF DISADVANTAGED BUSINESS ENTERPRISES (DBE), FIRST -TIER SUBCONTRACTORS CEM 2402(F) (Rev. 02!2008) The form requires specific information regarding the construction project: Contract Number, County, Route, Post Miles, Federal -aid Project No., the Administering Agency, the Contract Completion Date and the Estimated Contract Amount. It requires the prime contractor name and business address. The focus of the form is to describe who did what by contract item number and descriptions, asking for specific dollar values of item work completed broken down by subcontractors who performed the work both DBE and non -DBE work forces. DBE prime contractors are required to show the date of work performed by their own forces along with the corresponding dollar value of work. The form has a column to enter the Contract Item No. (or Item No's) and description of work performed or materials provided, as well as a column for the subcontractor name and business address. For those firms who are DBE, there is a column to enter their DBE Certification Number. The DBE should provide their certification number to the contractor and notify the contractor in writing with the date of the decertification if their status should change during the course of the project. The form has six columns for the dollar value to be entered for the item work performed by the subcontractor. The Non -DBE column is used to enter the dollar value of work performed for firms who are not certified DBE. The decision of which column to be used for entering the DBE dollar value is based on what program(s) status the firm is certified. This program status is determined by the California Unified Certification Program by ethnicity, gender, ownership, and control issues at time of certification. To confirm the certification status and program status, access the Department of Transportation Civil Rights web site at: http:/;'www.dot,ca.goviha/bep or by calling (916) 324-1700 or the toll free number at (888) 810-6346. Based on this DBE Program status, the following table depicts which column to be used: DBE Program Status Column to be used If program status shows DBE only with no other programs listed DBE If a contractor performing work as a DBE on the project becomes decertified and still performs work after their decertification date, enter the total dollar value performed by this contractor under the appropriate DBE identification column. If a contractor performing work as a non -DBE on the project becomes certified as a DBE, enter the dollar value of all work performed after certification as a DBE under the appropriate identification column. Enter the total of each of the six columns in Form CEM-2402(F). Any changes to DBE certification must also be submitted on Form-CEM 2403(F). Enter the Date Work Completed as well as the Date of Final Payment (the date when the prime contractor made the "final payment" to the subcontractor for the portion of work listed as being completed). The contractor and the resident engineer sign and date the form indicating that the information provided is complete and correct. C-31 Newhall Ranch Road Bridge Widening Project Project No. S 1039, BHLS-5450(082) STATE OF CALIFORNIA — DEPARTMENT OF TRANSPORTATION DISADVANTAGED BUSINESS ENTERPRISES (DBE) CERTIFICATION STATUS CHANGE CP-CEM-2403(F) (New. 10/99) CONTACT NUMBER ICOUNTY I ROUTE I POST MILES ADMINISTERING AGENCY CONTRACT COMPETION DATE PRIME CONTRACTOR BUSINESS ADDRESS ESTIMATED Prime Contractor. List all DBEs with changes in certification status (certified/decertified) while in your employ, whether or not firms were originally listed for good credit. Attach DBE certification/Decertification letter in accordance with the Special Provisions CONTRACT ITEM NO. SUBCONTRACT NAME AND BUSINESS ADDRESS BUSINESS PHONE CERTIFICATION NUMBER AMOUNT PAID WHILE CERTIFIED CERTIFICATION/ DECERTIFICATION DATE Letter attached $ $ Comments: I CERTIFY THAT THE ABOVE INFORMATION IS COMPLETE AND CORRECT CONTRACTOR REPRESENTATIVE SIGNATURE TITLE BUSINESS PHONE NUMBER DATE TO THE BEST OF MY KNOWLEDGE, THE ABOVE INFORMATION IS COMPLETE AND CORRECT RESIDENT ENGINEER BUSINESS PHONE NUMBER DATE DISTRIBUTION Original copy -DLAE Copy -I) Business Enterprise Program 2) Prime Contactor 3) Local Agency 4) Resident Engineer Monthly DBE Trucking Verification C-32 Newhall Ranch Road Bridge Widening Project Project No. SI039, BHLS-5450(032) STATE OF CALIFORNIA- DEPARTMENT OF TRANSPORTATION MONTHLY DBE TRUCKING VERIFICATION cP- CEM-2404(F) (NEW 12199) CONTRACT NO. MONTH YEAR Commission Lease Truck Owner DBE Company . Truck No California Hwy Or Date Arrangement Cert. No. Name and Address PatmlCA No. Amount Paid' Paid -1 if applicable) Lease Agreement 1 $ with Non -DBE with DBE D Lease Agreement $ wHhNon-DBE wHhDBE D Lease Agreement $ wHh Non -DBE with DBE D Lease Agreement S with Non -DBE with DBE D Lease Agreement $ wlih Non -DBE wHhDBE Lease Agreement E $ with Non -DBE r- with DBE D Lease Agreement I S with Non -DBE I wHhDBE D Lease Agreement $ with Non -DBE L) with DBE D TOTAL AMOUNT PAID $ PRIME CONTRACTOR BUSINESS ADDRESS BUSINESS PHONE NO. * Upon request all Lease Agreements shall be made available, in accordance with the Special Provisions. I CERflFY THAT THE ABOVE INFORMAflON IS COMPLETE AND CORRECT CONTRACTOR REPRESENTATIVE'S SIGNATURE TITLE ' DATE CEM-2404F(NEW 12/99) LPP 04-07 Newhall Ranch Road Bridge Widening Project Project No. Sl039, BHLS-5450(082) COPY DISTRIBUTION: ORIGINAL - RESIDENT ENGINEER C-33 Page 16-117 August 12, 2004 EXHIBIT 16-Z Monthly DBE Trucldng Verification Form CP-CEM 2404 (F)(NEW 12/99) MONTHLY DBE TRUCKING VERIFFICATION Local Assistance Procedures Manual The top of Form CEM-2404(F) contains boxes to put in the Contract Number, the Month of the reporting period and the Year of the reporting period. The Form CEM-2404(F) has a column to enter the name of the Truck Owner, the DBE Cert. No. (if DBE certified) and the Name and Address of the trucking company. The Form CEM-2404(F) also requires the Truck No. and the California Highway Patrol CA No. Form CEM-2404(F) is to be submitted prior to the 151h of each month and must show the dollar amount paid to the DBE trucking company(s) for trucking work performed by DBE certified trucks and for any fees or commissions of nonDBE trucks utilized each month on the project. The amount paid to each trucking company is to be entered in the column called "Commission or Amount Paid," in accordance with the Special Provisions Section 5-1.X. Payment information is derived using the following: 1.) 100% for the trucking services provided by the DBE using trucks it owns, operates and insures. 2.) 100% for the trucking services provided by the trucks leased from other DBE firms. 3.) The fee or commission paid to nonDBEs for the lease of trucks. The Prime does not receive 100% credit for these services because they are not provided by a DBE company. The total dollar figure of this column is to be placed in the box labeled "Total Amount Paid." The column "Date Paid" requires a date that each trucking company is paid for services rendered. The next column contains information that must be completed if a lease arrangement is applicable. Located at the bottom of the form is a space to put the name of the "Prime Contractor," their "Business Address" and their "Business Phone No." At the bottom of the form there is a space for the Contractor or designee "Contractor Representative's Signature, Title and Date" certifying that the information provided on the form is complete and correct. Page 16-118 August 12, 2004 C-34 Newhall Ranch Road Bridge Widening Project Project No. S 1039, BHLS-5450(082) LPP 04-07 BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-S1039 Project No. 51039 City of Santa Clarita, California 2. BUY AMERICA REQUIREMENTS 49 U.S.C. 53230) 49 CFR Part 661 Applicability to Contracts The Buy America requirements apply to the following types of contracts: Construction Contracts and Acquisition of Goods or Rolling Stock (valued at more than $100,000). Flow Down The Buy America requirements flow down from Federally funded recipients and subrecipients to first tier contractors, who are responsible for ensuring that lower tier contractors and subcontractors are in compliance. The $100,000 threshold applies only to the grantee contract, subcontracts under that amount are subject to Buy America. Mandatory Clause/Language The Buy America regulation, at 49 CFR 661.13, requires notification of the Buy America requirements in FHWA-funded contracts, but does not specify the language to be used. The following language has been developed by FHWA. Buy America - The contractor agrees to comply with 49 U.S.C. 53230) and 49 C.F.R. Part 661, which provide that Federal funds may not be obligated unless steel, iron, and manufactured products used in FHWA-funded projects are produced in the United States, unless a waiver has been granted by FHWA or the product is subject to a general waiver. General waivers are listed in 49 C.F.R. 661.7, and include final assembly in the United States for 15 passenger vans and 15 passenger wagons produced by Chrysler Corporation, and microcomputer equipment and software. Separate requirements for rolling stock are set out at 49 U.S.C. 53230)(2)(C) and 49 C.F.R. 661.11. Rolling stock must be assembled in the United States and have a 60 percent domestic content. A bidder or offeror must submit to the FHWA recipient the appropriate Buy America certification (below) with all bids or offers on FHWA-funded contracts, except those subject to a general waiver. Bids or offers that are not accompanied by a completed Buy America certification must be rejected as nonresponsive. This requirement does not apply to lower tier subcontractors. Certification requirement for procurement of steel, iron, or manufactured products. C-35 Newhall Ranch Road Bridge Widening Project Project No. 51039, BHLS-5450(082) Certificate of Compliance with 49 U.S C. 53230)(1) The bidder or offeror hereby certifies that it will meet the requirements of 49 U.S.C. 53230)(1) and the applicable regulations in 49 C.F.R. Part 661.5. Date 9/15/16 Signature Company Name SECURITY PAVING COMPANY, INC. Title JOSEPH FERNDINO, VICE PRESIDENT Certificate ofNon- Compliance with 49 U.S.C. 53236)(1) The bidder or offeror hereby certifies that it cannot comply with the requirements of 49 U.S.C. 53236)(1) and 49 C.F.R. 661.5, but it may qualify for an exception pursuant to 49 U.S.C. 53236)(2)(A), 53230)(2XB), or 53230)(2)(D), and 49 C.F.R. 661.7. Date Signature Company Name Title Certification requirement for procurement of BRIDGE MATERIALS and associated parts. Certificate of Compliance with 49 U.S.C. 53236)(2)(C). The bidder or offeror hereby certifies that it will comply with the requirements of 49 U.S.C. 53236)(2)(C) and the regulations at 49 C.F.R. Part 661.11. Date 9/15/16 Signature Company Name SECURITY PAVING COMPANY, INC. Title JOSEPH FEBNUTHO, VICE PRESIDENT Certificate of Non -Compliance with 49 U.S.C. 53236)(2)(C) The bidder or offeror hereby certifies that it cannot comply with the requirements of 49 U.S.C. 53230)(2)(C) and 49 C.F.R. 661.11, but may qualify for an exception pursuant to 49 U.S.C. 53230)(2XA), 53236)(2)(B), or 53230)(2)(D), and 49 CFR 661.7. Date Signature Company Name Title C-36 Newhall Ranch Road Bridge Widening Project ProjectNo. S1039, BHLS-5450(082) NEWHALL RANCH ROAD BRIDGE WIDENING OVER SAN FRANCISQUITO CREEK BID # ENG-16-17-S1039 Project No. S1039, BHLS-5450(082) City of Santa Clarita, California SECTION - D Capital Improvement Project Agreement BIDDER'S CERTIFICATE 1, JOSEPHFERNDI acknowledge receipt of this Addendum No. 1 and accept the aforementioned conditions. Date: SEPTEMBER 15 , 2016 idder's Signature JOSEPH FERNDINO, VICE PRESIDENT OF SECURITY PAVING COMPANY, INC. THIS DOCUMENT, TO BE SUBMI.TT:ED:WITH BID NRR BRIDGE. WIDENTNG Project S I039, BHLS — 5450(082) August 31, 2016 Page 6 Addendum I BIDDER'S CERTIFICATE I, JOSEPH FERNDINO acknowledge receipt of this Addendum No. 2 and accept the aforementioned conditions. Date: SEPTEMBER 15 , 2016 dder's Signature JOSEPH FERNDINO, VICE PRESIDENT, SECURITY PAVING COMPANY, INC. THIS DOCUMENT TO BE SUBMITTED WITH BID NRR BRIDGE WIDENING Project S 1039, BliLS — 5450(082) September 8, 2016 Page 5 Addendum 2