HomeMy WebLinkAbout2026-05-26 - AGENDA REPORTS - 2025-26 OVERLAY C AND SLURRY SEAL PROJ M0164O
Agenda Item: 9
CITY OF SANTA CLARITA
.` AGENDA REPORT
CONSENT CALENDAR
CITY MANAGER APPROVAL:
DATE: May 26, 2026
SUBJECT: 2025-26 OVERLAY AND SLURRY SEAL PROGRAM, OVERLAY C
AND SLURRY SEAL, PROJECT M0164 - PLANS,
SPECIFICATIONS, AND CONSTRUCTION CONTRACTS
DEPARTMENT: Public Works
PRESENTER: Shannon Pickett
RECOMMENDED ACTION
City Council:
1. Approve the plans and specifications for the 2025-26 Overlay and Slurry Seal Program —
Overlay C, Project MO164.
2. Approve the plans and specifications for the 2025-26 Overlay and Slurry Seal Program —
Slurry Seal, Project MO164.
3. Award the construction contract to Toro Enterprises, Inc., for the 2025-26 Overlay and Slurry
Seal Program — Overlay C project in the amount of $1,984,334 and authorize a contingency
in the amount of $396,867, for a total contract amount not to exceed $2,381,201.
4. Award the construction contract to Union Pavement Services, Inc., for the 2025-26 Overlay
and Slurry Seal Program — Slurry Seal project in the amount of $448,160 and authorize a
contingency in the amount of $89,632, for a total contract amount not to exceed $537,792.
5. Authorize the City Manager or designee to execute all documents, subject to City Attorney
review.
BACKGROUND
The annual overlay and slurry seal projects are an integral part of the City of Santa Clarita's
(City) Overlay and Slurry Seal Program. Each year, streets are evaluated and identified for the
need for pavement preservation and rehabilitation treatments. The 2025-26 Overlay and Slurry
Seal Program is divided into four projects: Overlay A, Overlay B, Overlay C, and Slurry Seal to
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resurface streets, seal cracks, and coat the surface of streets in various areas of the City. These
treatments will provide a smoother ride for vehicles and reconstruct or extend the life of the
roadway, depending on the type of treatment applied. If approved and awarded, staff anticipates
that construction of the Overlay C and Slurry Seal projects will begin in June and be completed
by November. A list of streets included in the Overlay C and Slurry Seal projects is shown on the
attached Project Street List. The Overlay A and Overlay B projects were presented to the City
Council and awarded on March 24. These projects support the Sustainable Public Infrastructure
theme of the City of Santa Clarita's strategic plan, Santa Clarita Pathway Forward.
The California Environmental Quality Act (CEQA) requirements were previously completed
when, at its regular meeting on March 24, 2026, the City Council found the 2025-26 Overlay and
Slurry Seal Program (project number M0164), State Clearinghouse 92026031071, categorically
exempt from review under CEQA, pursuant to Title 14 of the California Code of Regulations,
Article 19, Section 15301, which exempts maintenance and repair work on existing public
facilities, including existing streets and bicycle trails, involving negligible or no expansion of
existing or former use.
Solicitation Process - Overlay C Construction Contract
An invitation to bid was published and circulated via the City's e-procurement system, BidNet,
on March 27, 2026. The City transmitted the solicitation to 2,270 vendors on BidNet, of which
62 vendors downloaded materials. A total of four bids were submitted and opened on April 27,
2026. Each of the bids included a base bid and an alternate bid. The basis for award was the base
bid only. The results of the base bids are shown below.
Company
Location
Bid Amount
Toro Enterprises, Inc.
Oxnard, CA
$1,244,989
Sully -Miller Contracting Co.
Brea, CA
$1,815,265
All American Asphalt
Corona, CA
$1,998,554
Granite Construction Company
Lancaster, CA
$2,136,536
Staff recommends the project be awarded to Toro Enterprises, Inc., the lowest responsive and
responsible bidder in the amount of $1,244,989 for the base bid. While the bid alternate was not
included in the basis of award, staff recommends its inclusion at a cost of $739,345, as it
provides additional improvements within the available project budget, bringing the total contract
amount to $1,984,334. This contractor possesses a valid 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 was found to be complete. The bid
proposal adheres to the project's plans and specifications and is available in the City Clerk's
Reading File.
Solicitation Process - Slurry Seal Construction Contract
An invitation to bid was published and circulated via the City's e-procurement system, BidNet,
on February 19, 2026. The City transmitted the solicitation to 2,350 vendors on BidNet, of which
85 vendors downloaded materials. A total of four bids were submitted and opened on March 19,
2026. The results of the bids are shown below.
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Company Location Bid Amount
Union Pavement Services, Inc. Jurupa Valley, CA $448,160
American Asphalt South, Inc. Riverside, CA $448,770
Pavement Coatings Co. Jurupa Valley, CA $479,993
All American Asphalt Corona, CA $493,181
Staff recommends the project be awarded to Union Pavement Services, Inc., the lowest
responsive and responsible bidder. This contractor possesses a valid 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 was found to be complete. The bid
proposal adheres to the project's plans and specifications and is available in the City Clerk's
Reading File.
The requested contingencies will cover the cost of unforeseen site conditions such as potential
utility conflicts and fees, abandoned utilities not shown in record drawings that are often
discovered during construction, field adjustments, and additional work requested by the City or
other permitting agencies. Additional streets from the City's pre -designed inventory and streets
that may need treatment due to unforeseen weather conditions will be added to the project if
funds are available after construction of the original scope of work.
The City Council appropriated $17,000,000 for this project upon adoption of the Fiscal Year
2025-26 budget. The project budget is $17,000,000, representing $14,256,410 for construction,
$2,402,920 for professional services, and $340,670 for administrative costs. Project
administrative costs include staff time, project management, public works inspections,
environmental inspections and support, utility fees, and labor compliance monitoring.
ALTERNATIVE ACTION
Other action as determined by the City Council.
FISCAL IMPACT
The amount of $17,000,000 is available in project expenditure accounts M0164260-516101
(Prop C LR), M0164264-516101 (Measure R LR), M0164265-516101 (Prop C Grant),
M0164266-516101 (Measure M LR), and M0164267-516101 (Senate Bill 1) to support the
recommended action and associated project costs.
ATTACHMENTS
Project Street List
Bid Proposal for Toro Enterprises, Inc. (available in the City Clerk's Reading File)
Bid Proposal for Union Pavement Services, Inc. (available in the City Clerk's Reading File)
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Project Street List 9•a
2025-26 Overlay and Slurry Seal Program - Overlay C and Slurry Seal
OVERLAY C - Base Bid
IrStreet Narne'qrBeg-iffffffRJTMffi
on End Location
JARTERIALI
SIERRA HWY
I NEWHALL AVE CITY LIMIT (SOUTH)
OVERLAY C - Alternate
N13
OAK CIRCLE
WEST END
OAKRIVER LN
N13
OAK FOREST
OAKHURST DR
SOUTH END
N13
OAK RIVER
OAK LEAF CANYON
SOUTH END
N13
OAKHURST DR
DOCKWEILER DR
OAK RIVER LN
N13
OAKLEAF
SOUTH END
OAKHURST DR
N13
OAKVIEW LN
NORTH END
OAKLEAF CANYON DR
N13
RED OAK
NORTH END
OAK RIVER
SLURRY SEAL
�
V1N
AZURITE PL
WINDROSE PL
SOUTH END
V1 N
BERYLWOOD PL
LOBELIA LN
S/E END
V1 N
CALEX DR
LOBELIA LN
COPPERHILL DR
V1 N
CAMAS CT
LOBELIA LN
SOUTH END
V1 N
GENTIAN CT
LOBELIA LN
WEST END
V1 N
GRANITE CT
CALEX DR
WEST END
V1 N
LOBELIA LN
MAYFAIR DR
MEDLAR DR
V1N
MEDLAR DR
COPPER HILL RD
MAYFAIR LN
V1 N
VALE CT
AZURITE PL
WEST END
V1 N
WINDROSE PL
CALEX DR
EAST END
N4
SHEFFIELD LN
VIA PRINCESSA
OXFORD LN
N4
SHEFFIELD LN
OXFORD LN
DERBY PL
N4
SHEFFIELD LN
DERBY PL
NORTH END
N4
DERBY PL
WEST END
SHEFFIELD LN
N4
OXFORD LN
SHEFFIELD LN
CARDIFF DR
N4
OXFORD LN
CARDIFF DR
DEVONSHIRE CT
N4
OXFORD LN
DEVONSHIRE CT
PEMBROOK PL
N4
OXFORD LN
PEMBROOK PL
NEWCASTLE CT
N4
OXFORD LN
NEWCASTLE CT
CORNWALL PL
N4
OXFORD LN
CORNWALL PL
NORFOLK PL
N4
OXFORD LN
NORFOLK PL
STRATFORD DR
N4
OXFORD LN
STRATFORD DR
CARDIFF DR
N4
OXFORD LN
CARDIFF DR
E END
N4
DEVONSHIRE CT
WEST END
OXFORD LN
N4
PEMBROOK PL
OXFORD LN
NORTH END
N4
NEWCASTLE CT
OXFORD LN
NORTH END
N4
CARDIFF DR
OXFORD LN
BIRMINGHAM PL
N4
CARDIFF DR
BIRMINGHAM PL
OXFORD LN
N4
BIRMINGHAM PL
CARDIFF DR
EAST END
N4
CORNWALL PL
OXFORD LN
NORTH END
N4
NORFORK PL
OXFORD LN
NORTH END
N4
STRATFORD DR
CLAIBOURNE LN
OXFORD LN
N4
CLAIBOURNE LN
VIA PRINCESSA
HAMPTON PL
N4
CLAIBOURNE LN
HAMPTON PL
MANCHESTER WY
N4
CLAIBOURNE LN
MANCHESTER WY
STRATFORD DR
N4
CLAIBOURNE LN
STRATFORD DR
EAST END
N4
MANCHESTER WY
CLAIBOURNE LN
NORTH END
N4
HAMPTON PL
CLAIBOURNE LN
NORTH END
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PROPOSAL FORM
Bid #CIP-25-26-M0164C
2025-26 Overlay C Project
City Project No. M0164
City of Santa Clarita, California
TO THE CITY OF SANTA CLARITA, AS CITY:
In accordance with CITY'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 CITY 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 CITY 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 CITY 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 price(s) bid include all appurtenant expenses, taxes, royalties, and fees for the project's duration. In 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 CITY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become
the property of the CITY and this bid and the acceptance hereof may, at the CITY's option, be considered null and void.
Company Name: TORO ENTERPRISES, INC.
Company Address: 2101 E VENTURA BLVD,
OXNARD, CA 93036
Phone: 805-483-4515
Email: ESTIMATING@TOROENTERPRISES.COM
By:
TRENT ROYLE
Print Name
Title:
PRESIDENT
Signature:
4
Date:
NOTICE TO BIDDERS REGARDING CONTRACTUAL REQUIREMENTS
Bid #CIP-25-26-M0164C
2025-26 Overlay C Project
City Project No. M0164
City of Santa Clarita, California
SUMMARY OF INDEMNITY AND INSURANCE REQUIREMENTS
1. These are the Indemnity and Insurance Requirements for Contractors providing services or supplies to
City of Santa Clarita (City). By agreeing to perform the work or submitting a proposal, you verify that you
comply with and agree to be bound by these requirements. If any additional Contract documents are
executed, the actual Indemnity language and Insurance Requirements may include additional provisions
as deemed appropriate by City's Purchasing Agent.
The City reserves the sole right to accept or reject any requests for modifications to these terms.
2. You should check with your Insurance advisors to verify compliance and determine if additional
coverage or limits may be needed to adequately insure your obligations under this agreement. These are
the minimum required and do not in any way represent or imply that such coverage is sufficient to
adequately cover the Contractor's liability under this agreement. The full coverage and limits afforded
under Contractor's policies of Insurance shall be available to Buyer and these Insurance Requirements
shall not in any way act to reduce coverage that is broader or includes higher limits than those required.
The Insurance obligations under this agreement shall be: 1—all the Insurance coverage and limits carried
by or available to the Contractor; or 2—the minimum Insurance requirements shown in this agreement,
whichever is greater. Any insurance proceeds in excess of the specified minimum limits and coverage
required, which are applicable to a given loss, shall be available to City.
3. Contractor shall furnish the City with original Certificates of Insurance including all required amendatory
endorsements and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy
endorsements to City before work begins. City reserves the right to require full -certified copies of all
Insurance coverage and endorsements.
I. INDEMNIFICATION:
City and its respective elected and appointed boards, officials, officers, agents, employees, and volunteers
(individually and collectively, "Indemnitees") shall have no liability to CONTRACTOR or any other person
for, and CONTRACTOR shall indemnify, defend, protect, and hold harmless Indemnitees from and against,
any and all liabilities, claims, actions, causes of action, proceedings, suits, damages, judgments, liens,
levies, costs, and expenses of whatever nature, including reasonable attorney's fees and disbursements
(collectively, "Claims"), which Indemnitees may suffer or incur or to which Indemnitees may become
subject by reason of or arising out of any injury to or death of any person(s), damage to property, loss of
use of property, economic loss, or otherwise occurring as a result of or allegedly caused by the
CONTRACTOR'S performance of or failure to perform any services under this Agreement, or by the
negligent or willful acts or omissions of CONTRACTOR, its agents, officers, directors, or employees,
committed in performing any of the services under this Agreement.
If any action or proceeding is brought against Indemnitees by reason of any of the matters against which
CONTRACTOR has agreed to indemnify Indemnitees as provided above, CONTRACTOR, upon notice from
City, shall defend Indemnitees at its expense by counsel acceptable to City, such acceptance not to be
unreasonably withheld. Indemnitees need not have first paid for any of the matters to which Indemnitees
are entitled to indemnification in order to be so indemnified. The limits of the insurance required to be
maintained by CONTRACTOR in this Agreement shall not limit the liability of CONTRACTOR hereunder. The
provisions of this section shall survive the expiration or earlier termination of this agreement.
The provisions of this section do not apply to Claims occurring as a result of the City's active negligence or
acts of omission.
II. INSURANCE
CONTRACTOR shall maintain and submit certificates of all applicable insurance including, but not limited
to, the following and as otherwise required by law. The terms of the insurance policy or policies issued to
provide the above insurance coverage shall provide that said insurance may not be amended or canceled
by the carrier, for non-payment of premiums or otherwise, without thirty (30) days prior written notice
of amendment or cancellation to the CITY. In the event the said insurance is canceled, the CONTRACTOR
shall, prior to the cancellation date, submit to the City Clerk new evidence of insurance in the amounts
established.
Liability Insurance
During the entire term of this Agreement, the CONTRACTOR agrees to procure and maintain General
Liability insurance at its sole expense to protect against loss from liability imposed by law for damages on
account of bodily injury, including death therefrom, suffered or alleged to be suffered by any person or
persons whomsoever, resulting directly or indirectly from any act or activities, errors or omissions, of the
CITY, or CONTRACTOR or any person acting for the CITY, or under its control or direction, and also to
protect against loss from liability imposed by law for damages to any property of any person caused
directly or indirectly by or from acts or activities of the CITY, or CONTRACTOR or any person acting for the
CITY, or under its control or direction. Such public liability and property damage insurance shall also
provide for and protect the CITY against incurring any legal cost in defending claims for alleged loss. Such
General, Public and Professional liability and property damage insurance shall be maintained in full force
and effect throughout the term of the Agreement and any extension thereof in the amount indicated
above or the following minimum limits:
Commercial General Liability Insurance, including coverage for Premises and Operations, Contractual
Liability, Personal Injury Liability, Products/Completed Operations Liability, and Independent Contractors'
Liability (if applicable), in an amount of not less than two million dollars ($2,000,000.00) per occurrence,
four million dollars ($4,000,000.00) annual aggregate, written on an occurrence form.
Products/Completed Operations coverage shall extend a minimum of three (3) years after project
completion. Coverage shall be included on behalf of the CONTRACTOR for covered claims arising out of
the actions of independent contractors. If the CONTRACTOR is using subcontractors, the policy must
include work performed "by or on behalf" of the CONTRACTOR. Policy shall contain no language that
would invalidate or remove the CONTRACTOR'S duty to defend or indemnify for claims or suits expressly
excluded from coverage. Policy shall specifically provide for a duty to defend on the part of the
CONTRACTOR.
Worker's Compensation Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, Worker's Compensation Insurance in
the amount of $1,000,000 per occurrence or in such amount as will fully comply with the laws of the State
of California and which shall indemnify, insure and provide legal defense for both the CONTRACTOR and
the CITY against any loss, claim or damage arising from any injuries or occupational diseases happening
to any worker employed by the CONTRACTOR in the course of carrying out the work within the
Agreement. Such insurance shall also contain a waiver of subrogation naming the City of Santa Clarita.
Automotive Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, throughout the term of this Agreement,
and any extension thereof, public liability and property damage insurance coverage for automotive
equipment with coverage limits of not less than $1,000,000 combined single limit for each accident. All
such insurance shall be primary insurance and shall name the City of Santa Clarita as an additional insured.
Waiver of Subrogation
All insurance coverage maintained or procured pursuant to this Agreement shall be endorsed to waive
subrogation against the CITY, its elected or appointed officers, agents, officials, employees and volunteers
or shall specifically allow CONTRACTOR or others providing insurance evidence in compliance with these
specifications to waive their right of recovery prior to a loss. CONTRACTOR hereby waives its own right of
recovery against the CITY, and shall require similar written express waivers and insurance clauses from
each of its subconsultants.
Separation of Insureds
A severability of interests provision must apply for all additional insureds ensuring that CONTRACTOR'S
insurance shall apply separately to each insured against whom claim is made or suit is brought, except
with respect to the insurer's limits of liability. The policy(ies) shall not contain any cross -liability exclusions.
Pass Through Clause
CONTRACTOR agrees to ensure that its subconsultants, subcontractors, and any other party involved with
the project who is brought onto or involved in the project by CONTRACTOR, provide the same minimum
insurance coverage and endorsements required of CONTRACTOR. CONTRACTOR agrees to monitor and
review all such coverage and assumes all responsibility for ensuring that such coverage is provided in
conformity with the requirements of this section. CONTRACTOR agrees that upon request, all Agreements
with consultants, subcontractors, and others engaged in the project will be submitted to the CITY for
review.
Self -Insured Retentions
Any self -insured retentions must be declared to and approved by the CITY. The CITY reserves the right to
require that self -insured retentions be eliminated, lowered, or replaced by a deductible. Self-insurance
will not be considered to comply with these specifications unless approved by the CITY.
Primary and Additional Insured
All of such insurance shall be primary and shall name the City of Santa Clarita as additional insured. A
Certificate of Insurance and an additional insured endorsement (for general and automobile liability),
evidencing the above insurance coverage with a company acceptable to the City's Purchasing Agent shall
be submitted to the CITY prior to execution of this Agreement on behalf of the CITY.
Requirements
Should CONTRACTOR, for any reason, fail to obtain and maintain the insurance required by this
Agreement, CITY may obtain coverage at CONTRACTOR'S expense and deduct the cost of such insurance
from payments due to CONTRACTOR under this Agreement or terminate. In the alternative, should
CONTRACTOR fail to meet any of the insurance requirements under this Agreement, CITY may cancel the
Agreement immediately with no penalty.
Should CONTRACTOR'S insurance required by this Agreement be canceled at any point prior to expiration
of the policy, CONTRACTOR must notify CITY within 24 hours of receipt of notice of cancelation.
Furthermore, CONTRACTOR must obtain replacement coverage that meets all contractual requirements
within 10 days of the prior insurer's issuance of notice of cancelation. CONTRACTOR must ensure that
there is no lapse in coverage.
If the operation under this Agreement results in an increased or decreased risk in the opinion of the City's
Purchasing Agent, then the CONTRACTOR agrees that the minimum limits herein above designated shall
be changed accordingly upon request by the City's Purchasing Agent.
The CONTRACTOR agrees that provisions of this paragraph as to maintenance of insurance shall not be
construed as limiting in any way the extent to which the CONTRACTOR may be held responsible for the
payment of damages to persons or property resulting from the CONTRACTOR'S activities or the activities
of any person or persons for which the CONTRACTOR is otherwise responsible.
I have read and understand the above requirements and agree to be bound by them for any work
performed for the City.
Authorized Signature:
Printed Name: TRENT ROYLE, PRESIDENT
Date: I 6
ALTERNATE BID SCHEDULE
Bid #CIP-25-26-M0164C
2025-26 Overlay C Project
City Project No. M0164
City of Santa Clarita, California
Do NOT include this pricing in the total base bid amount. Fill out this form completely and upload it with
your bid. In the event any mathematical discrepancies are found in the pricing forms submitted, the unit
price shall govern. Do NOT enter this pricing on BidNet.
ITEM
NO.
DESCRIPTION
CITY
UNIT
UNIT PRICE
TOTAL
1
Mobilization, Bonds & Insurance
1
Lump-
$Z
$
Sum
I�
2
Traffic Control
1
LSum
$;1 ®
$-;7,/
3
3
Storm Water Pollution Control
Program
1
_
Lump-
$2I00lo.,
"—
$ /
m
IL'o,9,
4
HMA 1/2" Type A PG 64-28PM
2,852
Ton
$����3
5
HMA 3/8" Type A PG 64-10 SP50
818
Ton
$ ��
$
6
4" Remove and Replace HMA
3,402
Square
^
$
t
$
Foot/Feet
7
Keycut Al
14,277
Linear
$ I�{
�J
$ 26y ql ` ev
Foot/Feet
V v
•
8
Keycut B1
31
Linear
$ � p
�i
$ /7 7 6-5
Foot/Feet
.
9
Install Blue RPM @Fire Hydrant
12
Each
$ 3 Q
$
10
Lower Manhole Covers to Finish Grade
37
Each
$
$ JC_
��
11
Lower Water Valve Covers to Finish
Grade
21
Each
$ 2 '
s s
U
12
Adjust Manhole Covers to Finish Grade
37
Each
$ ;�� `�
$2 % J
r
/
13
Adjust Water Valve Covers to Finish
21
Each
$ Z '
�-
$
Grade
-6-
14
"STOP" Legend (Thermo)
1
Each
$ 2 3 _ (
$ 230.
15
Striping Detail #21
168
Linear
$�
$IH
Foot/Feet
TOTAL ALTERNATE BID AMOUNT:
J%�T
TOTAL BID AMOUNT IN WORDS: �✓ ��, .� ��y ® -�jf L%e,�; i���,�
The award of contract, if made, will be to the lowest responsive BIDDER determined solely by the
AGENCY.
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.
All bids, including all pricing, shall be effective/valid for a minimum period of 120 calendar days after the
date of bid closing. In the event a final contract has not been awarded within this period, the City reserves
the right to negotiate extensions to this period.
The BIDDER agrees to hold all unit prices in this Alternate Bid Schedule constant throughout the
duration of the project up to the last contract working day.
BIDDER'S INFORMATION AND CERTIFICATION
Bid #CIP-25-26-M0164C
2025-26 Overlay C Project
City Project No. M0164
City of Santa Clarita, CA
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 CITY, 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.
CERTIFICATION REGARDING DIR CONTRACTOR/SUBCONTRACTOR REGISTRATION
By my signature hereunder, as the Contractor, I certify that Contractor, and all Subcontractors listed on the
Subcontractor Designations form are the subject of current and active contractor registrations pursuant to
Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor's
registration number is indicated below. Subcontractors' registration numbers are indicated on the
Subcontractor Designations form.
Bidder's Name: TORO ENTERPRISES, INC.
Business Address: 2101 E VENTURA BLVD, OXNARD, CA 93036
Telephone No.: 805-483-4515
State CONTRACTOR's License No. & Class: 710580
DIR No.: 1000002410
Original Date: 11/03/2014
A, C-31
Expiration Date: 06/30/2028
The following are the names, titles, addresses, and phone numbers of all individuals, firm members,
partners, joint ventures, and/or corporate officers having a principal interest in this proposal:
SEAN CASTILLO, CEO 2101 E VENTURA BLVD, OXNARD, CA 93036 805-483-4515
805-483-4515
TRENT ROYLE, PRESIDENT 2101 E VENTURA BLVD, OXNARD, CA 93036
805-483-4515
JERRY HANNIGAN, SECRETARY 2101 E VENTURA BLVD, OXNARD, CA 93036
The dates of any voluntary or involuntary bankruptcy judgments against any principal having an interest in
this proposal, or any firm, corporation, partnership orjoint 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:
NONE
IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals
of all aforementioned principals this_ day of APRIL 2026 .
BIDDER:
Signature
TRENT ROYLE, PRESIDENT
Name and Title of Signatory
TORO ENTERPRISES, INC.
Legal Name of Bidder
2101 E VENTURA BLVD, OXNARD, CA 93036
Address
805-483-4515 77-0396663
Telephone Number Federal Tax I.D. No.
BIDDER'S QUESTIONNAIRE
Bid #CIP-25-26-M0164C
2025-26 Overlay C Project
City Project No. M0164
City of Santa Clarita, California
1. Submitted by: TORO ENTERPRISES, INC. Telephone: 805-483-4515
Principal Office Address: 2101 E VENTURA BLVD, OXNARD, CA 93036
2. Type of Firm:
C Corporation
❑ S Corporation
❑ Individual/Sole Proprietor or Single —Member LLC
❑ Partnership
❑ Limited Liability Company "C" C-Corp
❑ Limited Liability Company "S" S-Corp
❑ Limited Liability Company "P" Partnership
❑ Other
3a. If a corporation, answer these questions:
Date of Incorporation: 12/22/1994 State of Incorporation: CALIFORNIA
President's Name: TRENT ROYLE
XXXXXX ttXName: SEAN CASTILLO
Secretary or Clerk's Name: JERRY HANNIGAN
Treasurer's Name: JERRY HANNIGAN
3b. If a partnership, answer these questions:
Date of organization: N/A State Organized in: N/A
Name of all partners holding more than a 10% interest: N/A
N/A
Designate which are General or Managing Partners.
4.
BIDDER'S QUESTIONNAIRE (cont'd)
Bid #CIP-25-26-M0164C
2025-26 Overlay C Project
City Project No. M0164
City of Santa Clarita, California
Name of person holding CONTRACTOR'S license: SEAN CASTILLO & CARLO DIAZ
License number: 710580 C(ass: A, C-31 Expiration Date: 08/31/2027
D.I.R. Registration # W006701 q 11)
5. CONTRACTOR's Representative:
Title: PRESIDENT
TRENT ROYLE
Alternate: SEAN CASTILLO
Title: CEO
6. List the major construction projects your organization has in progress as of this date:
A.
Owner: CITY OF VENTURA
Project Location
VENTURA, CA
Type of Project: OLIVAS PARK DRIVE ROADWAY EXTENSION AND LEVEE
B.
Owner: CALTRANS
Project Location: OXNARD, CA
Type of Project: 07-346804 - COLD PLANE AND OVERLAY WITH HMA AND RHMA
C.
owner: CITY OF MONTEBELLO
Project Location: MONTEBELLO, CA
Type of Project: PAVING THE WAY PROGRAM - MONTEBELLO BLVD
DESIGNATION OF SUBCONTRACTORS
Bid # CIP-25-26-MO164C
2025-26 Overlay C Project
City Project No. M0164
City of Santa Clarita, California
Listed below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or render
service in excess of Y: of 1 percent, or $10,000 (whichever is greater) of the prime contractor's total bid. If no Subcontractors will be used fill out the form
with NA. Add addt. sheets if needed.
Subcontractor d ,
I'' M
DIR Registration No.*
Dollar Value of Work
Location and Place of Business
Bid Schedule Item No's:
Description of Work
License No.
Exp. Date: / /
Phone ( )
Subcontractor
DIR Registration No.*
Dollar Value of Work
Location and Place of Business
Bid Schedule Item No's:
Description of Work
License No.
Exp. Date: / /
Phone ( )
Subcontractor
DIR Registration No.*
Dollar Value of Work
Location and Place of Business
Bid Schedule Item No's:
Description of Work
License No.
Exp. Date: / /
Phone ( )
NOTE: A BIDDER 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 BIDDER 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 BIDDER is registered to perform public work pursuant to Section 1725.5 of the Labor Code at the time the contract is
awarded. *Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code.
REFERENCES
Bid #CIP-25-26-M0164C
2025-26 Overlay C Project
City Project No. M0164
City of Santa Clarita, California
The following are the names, addresses, and telephone numbers of three public agencies for which bidder
has performed and completed work of a similar scope and size within the past 3 years. If the scope of
work/specifications requests references different than instructions above, the scope of work/specifications
shall govern:
1. CITY OF SANTA FE SPRINGS - 11710 Telegraph Road Santa Fe Springs, CA 90670
Name and Address of Owner / Agency
Alex Flores - 562-332-4240
Name and Telephone Number of Person Familiar with Project
RESIDENTIAL STREET
$6,615,744.70 IMPROVEMENTS
12/2025
Contract Amount Type of Work
Date Completed
2. CITY OF SANTA BARBARA - 735 ANACAPA ST., SANTA
BARBARA, CA 93101
Name and Address of Owner / Agency
Adam Ziets; 805-897-1981
Name and Telephone Number of Person Familiar with Project
GRIND AND
$5,098,1391.00 OVERLAY PROJECT
04/2023
Contract Amount Type of Work
Date Completed
3. City of Glendale, 633 East Broadway, Room 205, Glendale, CA 91206
Name and Address of Owner / Agency
Viktoriya Pakhanyan; 818-548-3945
Name and Telephone Number of Person Familiar with Project
$8,402,026.88 STREET IMPROVEMENTS
04/2024
Contract Amount Type of Work
Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from whom
bidder intends to procure insurance bonds:
ETHAN SPECTOR, 777 SOUTH FIGUEROA STREET # TRAVELERS CASUALTY AND SURETY COMPANY - ROBERT TORRES,
5200, LOS ANGELES, CA 90017 (213) 655-9727 21688 GATEWAY CENTER DRIVE, DIAMOND BAR, CA (213)630-1326
IRAN CONTRACTING ACT CERTIFICATION
(Public Contract Code Sections 2200 et seq.)
Bid #CIP-25-26-M0164C
2025-26 Overlay C Project
City Project No. M0164
City of Santa Clarita, California
As required by California Public Contract Code section 2204, Proposer certifies that the option checked below
relating to Proposer's status in regard to the Iran Contracting Act of 2010 (Public Contract Code sections 2200
et seq.) is true and correct:
❑ Proposer is not:
(i) identified on the current list of persons and entities engaging in investment activities in Iran
prepared by the California Department of General Services in accordance with subdivision (b)
of Public Contract Code section 2203; or
(ii) a financial institution that extends, for 45 days or more, credit in the amount of $20,000,000
or more to any other person or entity identified on the current list of persons and entities
engaging in investment activities in Iran prepared by the California Department of General
Services in accordance with subdivision (b) of Public Contract Code section 2203, if that
person or entity uses or will use the credit to provide goods or services in the energy sector
in Iran.
❑ Los Angeles County has exempted Proposer from the requirements of the Iran Contracting Act of 2010
after making a public finding that, absent the exemption, Los Angeles County will be unable to obtain
the goods and/or services to be provided pursuant to the Contract.
❑ The amount of the Contract payable to Proposer for the Project is less than $1,000,000.
CERTIFICATION
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY, that I am duly authorized to legally bind the
Proposer to the above selected option. This certification is made under the laws of the State of California.
Contractor
TORO ENTERPRISES, INC.
Firm Signed
TRENT ROYLE, PRESIDENT
Date Name/Title
Note: In accordance with Public Contract Code section 2205, false certification of this form shall be reported
to the California Attorney General and may result in civil penalties equal to the greater of $250,000 or twice
the Contract amount, termination of the Contract and/or ineligibility to bid on contracts for three years.
END OF DOCUMENT
NON -COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106)
Bid #CIP-25-26-M0164C
2025-26 Overlay C Project
City Project No. M0164
City of Santa Clarita, California
To the CITY OF SANTA CLARITA:
In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106, the
Bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person,
partnership, company, association, organization, or corporation; that the bid is genuine and not
collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other bidder
to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed
with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that
the Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or
conference with anyone to fix the bid price of the Bidder or any other bidder, or to fix any overhead,
profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage
against the public body awarding the contract of anyone interested in the proposed contract; that all
statements contained in the bid are true; and, further, that the Bidder has not, directly or indirectly,
submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged
information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership,
company association, organization, bid depository, or to any member or agent thereof to effectuate
a collusive or sham bid.
THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE "BIDDER'S CERTIFICATION" SHALL
ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH FORM A
PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATION MAY
SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION.
NON -COLLUSION AFFIDAVIT
Bid #CIP-25-26-M0164C
2025-26 Overlay C Project
City Project No. M0164
City of Santa Clarita, California
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA )
COUNTY OF LOS ANGELES )
TRENT ROYLE being first duly sworn deposes and says that he/she is
the PRESIDENT (sole owner, a partner, president, etc.) of
TORO ENTERPRISES, 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 its 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 CITY 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 CITY
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 TRENT ROYLE, PRESIDENT
Addendum No. 1
April 13, 2026
Addendum No. 1
BID # CIP-25-26-MO164C
2025-26 Overlay C Project
City of Santa Clarita, California
This addendum must be acknowledged via BidNet and should be included with the bid response.
The purpose of this addendum is to address the following for this bid:
I. UPDATES TO PARTS 3 AND 4 OF SPECIAL PROVISIONS
Please note updated documents for parts 3 and 4 of the Special Provisions section of the bid package.
END OF ADDENDUM
This addendum must be acknowledged via BidNet and should be included with the response.
Contractor's Representative Date
TRENT ROYLE, PRESIDENT
TORO ENTERPRISES, INC.
Company Name
BID # CIP-25-26-MO164C
Addendum No. 2
April 22, 2026
Addendum No. 2
BID # CIP-25-26-MO164C
2025-26 Overlay C Project
City of Santa Clarita, California
This addendum must be acknowledged via BidNet and should be included with the bid response.
The purpose of this addendum is to address the following for this bid:
I. UPDATES TO BASE BID SCHEDULE
Please note items No. 27 and No. 28 have been updated to a '0' quantity in the base bid schedule.
Quantities for items No. 4 and No. 5 have been revised.
END OF ADDENDUM
This addendum must be acknowledged via BidNet and should be included with the response.
c�
ContraCW' Regresentat`ive
1 oro� r
Company Name
`F -Z ! -
Date
BID # CIP-25-26-MO164C
2025-26 Overlay C Project
Estimated Contract Value ($2000000)
Total Awarded Value $ 0.00
Project 1
Code
Description
UOM
1
Mobilization, Bonds & Insurance
Lump -Sum
2
Traffic Control
Lump -Sum
3
Storm Water Pollution Control
Lump -Sum
Program
4
TMO
Ton
5
Stabilization Allowance
Square Foot/Feet
6
Keycut Al
Linear Foot/Feet
7
Keycut B1
Linear Foot/Feet
8
Lower Manhole Covers to Finish
Each
Grade
9
Lower Gas Covers to Finish Grade
Each
10 Lower Water Valve Covers to Finish Each
Grade
11
Adjust Manhole Covers to Finish
Each
Grade
12
Adjust Gas Covers to Finish Grade
Each
13
Adjust Water Valve Covers to Finish
Each
Grade
14
Install Blue RPM's @ Fire Hydrant
Each
15
12" White Crosswalk/Limit Line
Linear Foot/Feet
(Thermo)
16
Striping Detail #12 (Thermo &
Linear Foot/Feet
Markers)
17
Striping Detail #21 (Markers)
Linear Foot/Feet
18
Striping Detail #22 (Thermo &
Linear Foot/Feet
Markers)
19
Striping Detail #25 (Thermo &
Linear Foot/Feet
Markers)
20
Striping Detail #27B (Markers)
Linear Foot/Feet
21
Striping Detail #29 (Thermo)
Linear Foot/Feet
22
Striping Detail #38 (Thermo &
Linear Foot/Feet
Markers)
23
Striping Detail #39A (Thermo)
Linear Foot/Feet
24
Striping Detail #40 (Thermo)
Linear Foot/Feet
25
Arrow Type I (Thermo)
Each
26
Arrow Type IV (L/R) (Thermo)
Each
29
Install Shoulder Backing
Linear Foot/Feet
Project 1
Code
Quantity
Price Total Cost Bid Rank
1
1
30000
30000
1
2
1
83000
83000
1
3
1
5600
5600
2
4
6003
142
852426
1
5
60978
0.7
42684.6
1
6
18430
2.9
53447
1
7
215
11
2365
1
8
41
385
15785
2
9
12
285
3420
2
10
32
215
6880
2
11
41
760
31160
1
12
12
285
3420
1
13
32
320
10240
2
14
16
15
240
3
15
475
5.25
2493.75
4
16
18163
0.62
11261.06
2
17
771
1.6
1233.6
4
18
544
2.4
1305.6
4
19
7772
1.05
8160.6
4
20
12886
1.07
13788.02
4
21
4300
3.1
13330
4
22
4443
1.55
6886.65
4
23
600
0.65
390
2
24
1325
0.7
927.5
1
25
3
230
690
4
26
26
148
3848
3
29
11113
3.6
40006.8
3
Group
Total : $ 1244989.18
Project Total : $ 1244989.18
PROPOSAL FORM
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
TO THE CITY OF SANTA CLARITA, AS CITY:
In accordance with CITY'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 CITY 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 CITY 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 CITY 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 price(s) bid include all appurtenant expenses, taxes, royalties, and fees for the project's duration. In 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 CITY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become
the property of the CITY and this bid and the acceptance hereof may, at the CITY's option, be considered null and void.
Company Name: Union Pavement Services, Inc.
Company Address: 2904 Rubidoux Blvd
Jurupa Valley, CA 92509
Phone; (951) 410-4858
Email; estimating@unionpavement.com
By;
Doug Ford
Print Name
Title:
Vic resident
Signature:
Date:
03/19/2026
NOTICE TO BIDDERS REGARDING CONTRACTUAL REQUIREMENTS
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarlta, California
SUMMARY OF INDEMNITY AND INSURANCE REQUIREMENTS
1. These are the Indemnity and Insurance Requirements for Contractors providing services or supplies to
City of Santa Clarita (City). By agreeing to perform the work or submitting a proposal, you verify that you
comply with and agree to be bound by these requirements. If any additional Contract documents are
executed, the actual Indemnity language and Insurance Requirements may include additional provisions
as deemed appropriate by City's Purchasing Agent.
The City reserves the sole right to accept or reject any requests for modifications to these terms.
2. You should check with your Insurance advisors to verify compliance and determine if additional
coverage or limits may be needed to adequately insure your obligations under this agreement. These are
the minimum required and do not in any way represent or imply that such coverage is sufficient to
adequately cover the Contractor's liability under this agreement. The full coverage and limits afforded
under Contractor's policies of Insurance shall be available to Buyer and these Insurance Requirements
shall not in any way act to reduce coverage that is broader or includes higher limits than those required.
The Insurance obligations under this agreement shall be: 1--all the Insurance coverage and limits carried
by or available to the Contractor; or 2—the minimum Insurance requirements shown in this agreement,
whichever is greater. Any insurance proceeds in excess of the specified minimum limits and coverage
required, which are applicable to a given loss, shall be available to City.
3. Contractor shall furnish the City with original Certificates of Insurance including all required amendatory
endorsements and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy
endorsements to City before work begins. City reserves the right to require full -certified copies of all
Insurance coverage and endorsements.
1. INDEMNIFICATION:
City and its respective elected and appointed boards, officials, officers, agents, employees, and volunteers
(individually and collectively, "Indemnitees") shall have no liability to CONTRACTOR or any other person
for, and CONTRACTOR shall indemnify, defend, protect, and hold harmless Indemnitees from and against,
any and all liabilities, claims, actions, causes of action, proceedings, suits, damages, judgments, liens,
levies, costs, and expenses of whatever nature, including reasonable attorney's fees and disbursements
(collectively, "Claims"), which Indemnitees may suffer or incur or to which Indemnitees may become
subject by reason of or arising out of any injury to or death of any person(s), damage to property, loss of
use of property, economic loss, or otherwise occurring as a result of or allegedly caused by the
CONTRACTOR'S performance of or failure to perform any services under this Agreement, or by the
negligent or willful acts or omissions of CONTRACTOR, its agents, officers, directors, or employees,
committed in performing any of the services under this Agreement.
If any action or proceeding is brought against Indemnitees by reason of any of the matters against which
CONTRACTOR has agreed to indemnify Indemnitees as provided above, CONTRACTOR, upon notice from
City, shall defend Indemnitees at its expense by counsel acceptable to City, such acceptance not to be
unreasonably withheld. Indemnitees need not have first paid for any of the matters to which Indemnitees
are entitled to indemnification in order to be so indemnified. The limits of the insurance required to be
maintained by CONTRACTOR in this Agreement shall not limit the liability of CONTRACTOR hereunder. The
provisions of this section shall survive the expiration or earlier termination of this agreement.
The provisions of this section do not apply to Claims occurring as a result of the City's active negligence or
acts of omission.
II. INSURANCE
CONTRACTOR shall maintain and submit certificates of all applicable insurance including, but not limited
to, the following and as otherwise required by law. The terms of the insurance policy or policies issued to
provide the above insurance coverage shall provide that said insurance may not be amended or canceled
by the carrier, for non-payment of premiums or otherwise, without thirty (30) days prior written notice
of amendment or cancellation to the CITY. In the event the said insurance is canceled, the CONTRACTOR
shall, prior to the cancellation date, submit to the City Clerk new evidence of insurance in the amounts
established.
Liability Insurance
During the entire term of this Agreement, the CONTRACTOR agrees to procure and maintain General
Liability insurance at its sole expense to protect against loss from liability imposed by law for damages on
account of bodily injury, including death therefrom, suffered or alleged to be suffered by any person or
persons whomsoever, resulting directly or indirectly from any act or activities, errors or omissions, of the
CITY, or CONTRACTOR or any person acting for the CITY, or under its control or direction, and also to
protect against loss from liability imposed by law for damages to any property of any person caused
directly or indirectly by or from acts or activities of the CITY, or CONTRACTOR or any person acting for the
CITY, or under its control or direction. Such public liability and property damage insurance shall also
provide for and protect the CITY against incurring any legal cost in defending claims for alleged loss. Such
General, Public and Professional liability and property damage insurance shall be maintained in full force
and effect throughout the term of the Agreement and any extension thereof in the amount indicated
above or the following minimum limits:
Commercial General Liability Insurance, including coverage for Premises and Operations, Contractual
Liability, Personal Injury Liability, Products/Completed Operations Liability, and Independent Contractors'
Liability (if applicable), in an amount of not less than two million dollars ($2,000,000.00) per occurrence,
four million dollars ($4,000,000.00) annual aggregate, written on an occurrence form.
Products/Completed Operations coverage shall extend a minimum of three (3) years after project
completion. Coverage shall be included on behalf of the CONTRACTOR for covered claims arising out of
the actions of independent contractors. If the CONTRACTOR is using subcontractors, the policy must
include work performed "by or on behalf" of the CONTRACTOR. Policy shall contain no language that
would invalidate or remove the CONTRACTOR'S duty to defend or indemnify for claims or suits expressly
excluded from coverage. Policy shall specifically provide for a duty to defend on the part of the
CONTRACTOR.
Worker's Compensation Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, Worker's Compensation Insurance in
the amount of $1,000,000 per occurrence or in such amount as will fully comply with the laws of the State
of California and which shall indemnify, insure and provide legal defense for both the CONTRACTOR and
the CITY against any loss, claim or damage arising from any injuries or occupational diseases happening
to any worker employed by the CONTRACTOR in the course of carrying out the work within the
Agreement. Such insurance shall also contain a waiver of subrogation naming the City of Santa Clarita.
Automotive Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, throughout the term of this Agreement,
and any extension thereof, public liability and property damage insurance coverage for automotive
equipment with coverage limits of not less than $1,000,000 combined single limit for each accident. All
such insurance shall be primary insurance and shall name the City of Santa Clarita as an additional insured.
Waiver of Subrogation
All insurance coverage maintained or procured pursuant to this Agreement shall be endorsed to waive
subrogation against the CITY, its elected or appointed officers, agents, officials, employees and volunteers
or shall specifically allow CONTRACTOR or others providing insurance evidence in compliance with these
specifications to waive their right of recovery prior to a loss. CONTRACTOR hereby waives its own right of
recovery against the CITY, and shall require similar written express waivers and insurance clauses from
each of its subconsultants.
Separation of Insureds
A severability of interests provision must apply for all additional insureds ensuring that CONTRACTOR'S
insurance shall apply separately to each insured against whom claim is made or suit is brought, except
with respectto the insurer's limits of liability. The policy(ies) shall not contain any cross -liability exclusions.
Pass Through Clause
CONTRACTOR agrees to ensure that its subconsultants, subcontractors, and any other party involved with
the project who is brought onto or involved in the project by CONTRACTOR, provide the same minimum
insurance coverage and endorsements required of CONTRACTOR. CONTRACTOR agrees to monitor and
review all such coverage and assumes all responsibility for ensuring that such coverage is provided in
conformity with the requirements of this section. CONTRACTOR agrees that upon request, all Agreements
with consultants, subcontractors, and others engaged in the project will be submitted to the CITY for
review.
Self -Insured Retentions
Any self -insured retentions must be declared to and approved by the CITY. The CITY reserves the right to
require that self -insured retentions be eliminated, lowered, or replaced by a deductible. Self-insurance
will not be considered to comply with these specifications unless approved by the CITY.
Primary and Additional Insured
All of such insurance shall be primary and shall name the City of Santa Clarita as additional insured. A
Certificate of Insurance and an additional insured endorsement (for general and automobile liability),
evidencing the above insurance coverage with a company acceptable to the City's Purchasing Agent shall
be submitted to the CITY prior to execution of this Agreement on behalf of the CITY.
Requirements
Should CONTRACTOR, for any reason, fail to obtain and maintain the insurance required by this
Agreement, CITY may obtain coverage at CONTRACTOR'S expense and deduct the cost of such insurance
from payments due to CONTRACTOR under this Agreement or terminate. In the alternative, should
CONTRACTOR fail to meet any of the insurance requirements under this Agreement, CITY may cancel the
Agreement immediately with no penalty.
Should CONTRACTOR'S insurance required by this Agreement be canceled at any point prior to expiration
of the policy, CONTRACTOR most notify CITY within 24 hours of receipt of notice of cancelation.
Furthermore, CONTRACTOR must obtain replacement coverage that meets all contractual requirements
within ld days of the prior insurer's issuance of notice of cancelation. CONTRACTOR must ensure that
there is no lapse in coverage.
If the operation under this Agreement results in an increased or decreased risk in the opinion of the City's
Purchasing Agent, then the CONTRACTOR agrees that the minimum limits herein above designated shall
be changed accordingly upon request by the City's Purchasing Agent.
The CONTRACTOR agrees that provisions of this paragraph as to maintenance of insurance shall not be
construed as limiting in any way the extent to which the CONTRACTOR may be held responsible for the
payment of damages to persons or property resulting from the CONTRACTOR'S activities or the activities
of any person or persons for which the CONTRACTOR is otherwise responsible.
have read and understand the above requirements and agree to be bound by them for any work
performed for the City.
Authorized Signature: Date: 03/19/2026
Printed Name: Doug Ford - Vice President
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BIDDER'S INFORMATION AND CERTIFICATION
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, CA
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 CITY, 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.
CERTIFICATION REGARDING DIR CONTRACTOR/SUBCONTRACTOR REGISTRATION
By my signature hereunder, as the Contractor, I certify that Contractor, and all Subcontractors listed on the
Subcontractor Designations form are the subject of current and active contractor registrations pursuant to
Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor's
registration number is indicated below. Subcontractors' registration numbers are indicated on the
Subcontractor Designations form.
Bidder's Name: Union Pavement Services, Inc.
Business Address: 2904 Rubidoux Blvd., Suite A, Jurupa Valley, CA 92509 _
Telephone No.: (951) 410-4858
State CONTRACTOR's License No. & Class: #1131864 - Class A, B, C12, C21, C32
DIR No.: 2000008321
Original Date: 01/17/2025
Expiration Date: 01/31/2027
The following are the names, titles, addresses, and phone numbers of all individuals, firm members,
partners, joint ventures, and/or corporate officers having a principal interest in this proposal:
Doug Ford - Vice President 2904 Rubidoux Blvd., Suite A Jurupa Valley, CA 92509 951 586-9047
The dates of any voluntary or involuntary bankruptcy judgments against any principal having an interest in
this proposal, or any firm, corporation, partnership or joint venture of which any principal having an interest
in this proposal was an owner, corporate officer, partner or joint venture are as follows:
NIA
All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this
proposal are as follows:
NIA
IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals
of all aforementioned principals. t day of ?.larch 2026 .
BIDDER: C.
Signature
Doug Ford - Vice President
Name and Title of Signatory
Union Pavement Services, Inc.
Legal Name of Bidder
2904 Rubidoux Blvd., Suite A, Jurupa Valley, CA 92509
Address
(951) 410-4858 88-4223744
Telephone Number Federal Tax I.D. No.
BIDDER'S QUESTIONNAIRE
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
1. Submitted by: Union Pavement Services, Inc. Telephone: (951) 410-4858
Principal Office Address: 2904 Rubidoux Blvd., Suite A Juru a Valley, CA 92509
2. Type of Firm:
O C Corporation
❑ S Corporation
❑ Individual/Sole Proprietor or Single —Member LLC
❑ Partnership
❑ Limited Liability Company "C" C-Carp
❑ Limited Liability Company 'YS-Corp
❑ Limited Liability Company "P" Partnership
❑ Other
3a. If a corporation, answer these questions:
Date of Incorporation: 10/24/2022 State of Incorporation: California
President's Name: Margaret Reed
Vice- President's Name: Doug Ford
Secretary or Clerk's Name: Melissa Ailshie
Treasurer's Name: Luke de Ga
rtnership, answer these questions:
Date of organiz
Organized in:
Name of all partners holding more tha interest:
Designate which are General or Managing Partners.
BIDDER'S QUESTIONNAIRE (cont'd)
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
4. Name of person holding CONTRACTOR'S license: Margaret Reed
License number: 1131864 Class: a,e,c12.021,c31gxpiration Date: 01/31/2027
D.I.R. Registration # 2000008321
5, CONTRACTOR's Representative: Doug Ford
Title: Vice President
Alternate: Melissa Ailshie
Title: Secreta
6. List the major construction projects your organization has in progress as of this date:
A.
Owner: City of Brawley
Project Location: In the City of Brawley
Type of Project: Type II & Type III Slurry Seal
B.
Owner: City of Riverside
Project Location: Arterial and Minor Streets in Riverside
Type of Project: Type II Slurry Seal
C.
Owner: City of Banning
Project Location: Ramsey Street in Banning
Type of Project: Type 11 Slurry Seal
CERTIFICATION OF NON -SEGREGATED FACILITIES
Bid UCIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
The BIDDER certifies that it does not maintain or provide for its employees any segregated facilities at any
of its establishments, and that it does not permit its employees to perform their services at any location,
under its control, where segregated facilities are maintained. The BIDDER certifies further that it will not
maintain or provide for its employees any segregated facilities at any of its establishments, and that it will
not permit its employees to perform their services at any location, under its control, where segregated
facilities are maintained. The BIDDER 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 BIDDER agrees that (except where it has obtained identical
certifications from proposed subcontractors for specific time periods) it 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 it will retain such certifications in its files.
Union Pavement Services, Inc.
BIDDER Doug Ford, Vice President
Required by the May 19, 1967 order on Elimination of Segregated Facilities, by the Secretary of Labor —
32 F. R. 7439, May 19, 1967 (F.R. Vol. 33, No. 33 — Friday, February 16, 1968 — p. 3065).
DESIGNATION OF SUBCONTRACTORS
Bid # CIP-25-26-MO164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarito, California
Listed below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or render
service in excess of/: of 1 percent, or $10,000 (whichever is greater) ofthe prime contractor's total bid. If no Subcontractors will be used fill out the form
with NA. Add addt. sheets if needed.
Subcontractor
DIR Registration No.*
Dollar Value of Work
Chrisp Company
1000000306
$7,418.70
Location and Place of Business
2280 South Lilac Ave., Bloomington, CA 92316
Bid Schedule Item No's:
Description of Work
2(p), 6, 9, 10, 11, 12, 13, 14
Install & Remoe RPMS, Markings & Striping
License No.
Exp. Date: / /
Phone ( )
374600 Class A, C-13, C-32
05/31 /2027
(951) 538-6085
Subcontractor
DIR Registration No.*
Dollar Value of Work
Onyx Paving Company, Inc.
1000004798
$37,000.00
Location and Place of Business
22707 La Palma Ave., Yorba Linda, CA 92887
Bid Schedule Item No's:
Description of Work
1(p), 2(p), 5
4" HMA Remove and Replace
License No.
Exp. Date: / /
Phone ( )
630360 Class A,C-12
10/31 /2027
�(909) 479-4903
Subcontractor
DIR Registration No.*
Dollar Value of Work
Riverside Slurry Seal, Inc.
1001137927
�$46,724.00
Location and Place of Business
2395 Mary Street, Riverside, CA 92506
Bid Schedule Item No's:
Description of Work
1(p), 2(p), 4(p)
Crack Seal
License No.
Exp. Date: / /
Phone ( )
1115560 Class A, C-32
01 /31 /2028
(909) 346-2895
NOTE: A BIDDER or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 ofthe
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 ofthe Labor Code. It is not a violation ofthis section for an unregistered BIDDER 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 BIDDER is registered to perform public work pursuant to Section 1725.5 ofthe Labor Code at the time the contract is
awarded. *Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) ofthe California Labor Code.
DESIGNATION OF SUBCONTRACTORS
Bid # CIP-25-26-MO164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarito, California
Listed below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or render
service in excess of/: of 1 percent, or $10,000 (whichever is greater) ofthe prime contractor's total bid. If no Subcontractors will be used fill out the form
with NA. Add addt. sheets if needed.
Subcontractor
Vance Corporation �1000008103
DIR Registration No.*
�$12,000.00
Dollar Value of Work
Location and Place of Business
459 Egan Ave., Beaumont, CA 92223
Bid Schedule Item No's:
7 8
Description of Work
Adjust & Lower Manhole Covers to Finish Grade
License No,
414567 Class A, C-31
Exp. Date: / /
11 /30/2027
Phone ( )
(909) 355-4333
Subcontractor
DIR Registration No.*
Dollar Value of Work
Location and Place of Business
Bid Schedule Item No's:
Description of Work
License No.
Exp. Date: / /
Phone ( )
Subcontractor
DIR Registration No.*
Dollar Value of Work
Location and Place of Business
Bid Schedule Item No's:
Description of Work
License No.
Exp. Date: / /
Phone ( )
NOTE: A BIDDER or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 ofthe
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 ofthe Labor Code. It is not a violation ofthis section for an unregistered BIDDER 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 BIDDER is registered to perform public work pursuant to Section 1725.5 ofthe Labor Code at the time the contract is
awarded. *Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) ofthe California Labor Code.
REFERENCES
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
The following are the names, addresses, and telephone numbers of three public agencies for which bidder
has performed and completed work of a similar scope and size within the past 3 years. If the scope of
work/specifications requests references different than instructions above, the scope of work/specifications
shall govern:
1, CA State Parks - 5172 Ha 78 #10, Borrego Springs, CA 92004
Name and Address of Owner / Agency
Raquel Gonzalez 760 767-7001
Dame and Telephone Number of Person Familiar with Project
$51,291.00 Type II Slurry Seal 08/28/2025
Contract Amount Type of Work Date Completed
Cathedral City - 68700 Avenida Lalo Guerrero, Cathedral City, CA 92234
Name and Address of Owner / Agency
Andrew Lee 760) 770-0319
Name and Telephone Number of Person Familiar with Project
$266,396.94 Type II REAS 10/27/2025
Contract Amount Type of Work Date Completed
3, City of Santa Ana - 20 Civic Center Plaza, Santa Ana, CA 92701
Name and Address of Owner / Agency
Augustine De Los Reyes (619) 799-6063
Name and Telephone Number of Person Familiar with Project
$711 000.00 Type 11 REAS 10/0212025 _
Contract Amount Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from whom
bidder intends to procure insurance bonds:
Insurance:
W 5 9 Ple s v e vd e 2 se ' 7 Kathleen111
Bonds:
Woodruff -Sawyer & Co., 50 California Street, Floor 12, San Francisco, CA 94111 Susan Lane 415-402-6627
NON -COLLUSION AFFIDAVIT
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA )
COUNTY OF LOS ANGELES )
Doug Ford being first duly sworn deposes and says that he/she is
the Vice President (sole owner, a partner, president, etc.) of
Union Pavement Services, 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 its 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 CITY 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 CITY
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 Doug Ford - Vice President
CALIFORNIA dl1RAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202
i I See Attached Document (Notary to cross out lines 1-6 below)
I I See Statement Below (Lines 1-6 to be completed only by document signer[s), not Notary)
Signature of Docum gner No. 1 Signature of Document Signer No. 2 (if any)
otary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Riverside
°. hF MEUSSAAIISNIE
Y �_ = Notary Public • California
k
Riverside County >
iiCommission # 2400831
a=' My Comm. Expires Apr 14. 2026 '
Subscribed and sworn to (or affirmed) before me
on this 19th day of March 2026
by Date Month Year
(1) Doug Ford
(and (2) ),
Name(51j of Signer(,?9
proved to me on the basis of satisfactory evidence
to be the person($) who appeared before me.
Signature _ , 4L�
Signature of 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: Non -Collusion Affidavit Document Date: 03/19/2026
Number of Pages: 1 Signer(s) Other Than Named Above:
:G r 4 GcGc Lc�cL 1c £c i c 4cGc 4K:4c c c4c4 Oct Gc'Gz ice{ t{ ct c lc t V 4�G � G i s i c Ci�(c4g GcL cC t4Y
02014 National Notary Association - www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5910
PROPOSAL FORM
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
TO THE CITY OF SANTA CLARITA, AS CITY:
In accordance with CITY'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 CITY 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 CITY 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 CITY 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 price(s) bid include all appurtenant expenses, taxes, royalties, and fees for the project's duration. In 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 CITY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become
the property of the CITY and this bid and the acceptance hereof may, at the CITY's option, be considered null and void.
Company Name: Union Pavement Services, Inc.
Company Address: 2904 Rubidoux Blvd
Jurupa Valley, CA 92509
Phone; (951) 410-4858
Email; estimating@unionpavement.com
By;
Doug Ford
Print Name
Title:
Vic resident
Signature:
Date:
03/19/2026
NOTICE TO BIDDERS REGARDING CONTRACTUAL REQUIREMENTS
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarlta, California
SUMMARY OF INDEMNITY AND INSURANCE REQUIREMENTS
1. These are the Indemnity and Insurance Requirements for Contractors providing services or supplies to
City of Santa Clarita (City). By agreeing to perform the work or submitting a proposal, you verify that you
comply with and agree to be bound by these requirements. If any additional Contract documents are
executed, the actual Indemnity language and Insurance Requirements may include additional provisions
as deemed appropriate by City's Purchasing Agent.
The City reserves the sole right to accept or reject any requests for modifications to these terms.
2. You should check with your Insurance advisors to verify compliance and determine if additional
coverage or limits may be needed to adequately insure your obligations under this agreement. These are
the minimum required and do not in any way represent or imply that such coverage is sufficient to
adequately cover the Contractor's liability under this agreement. The full coverage and limits afforded
under Contractor's policies of Insurance shall be available to Buyer and these Insurance Requirements
shall not in any way act to reduce coverage that is broader or includes higher limits than those required.
The Insurance obligations under this agreement shall be: 1--all the Insurance coverage and limits carried
by or available to the Contractor; or 2—the minimum Insurance requirements shown in this agreement,
whichever is greater. Any insurance proceeds in excess of the specified minimum limits and coverage
required, which are applicable to a given loss, shall be available to City.
3. Contractor shall furnish the City with original Certificates of Insurance including all required amendatory
endorsements and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy
endorsements to City before work begins. City reserves the right to require full -certified copies of all
Insurance coverage and endorsements.
1. INDEMNIFICATION:
City and its respective elected and appointed boards, officials, officers, agents, employees, and volunteers
(individually and collectively, "Indemnitees") shall have no liability to CONTRACTOR or any other person
for, and CONTRACTOR shall indemnify, defend, protect, and hold harmless Indemnitees from and against,
any and all liabilities, claims, actions, causes of action, proceedings, suits, damages, judgments, liens,
levies, costs, and expenses of whatever nature, including reasonable attorney's fees and disbursements
(collectively, "Claims"), which Indemnitees may suffer or incur or to which Indemnitees may become
subject by reason of or arising out of any injury to or death of any person(s), damage to property, loss of
use of property, economic loss, or otherwise occurring as a result of or allegedly caused by the
CONTRACTOR'S performance of or failure to perform any services under this Agreement, or by the
negligent or willful acts or omissions of CONTRACTOR, its agents, officers, directors, or employees,
committed in performing any of the services under this Agreement.
If any action or proceeding is brought against Indemnitees by reason of any of the matters against which
CONTRACTOR has agreed to indemnify Indemnitees as provided above, CONTRACTOR, upon notice from
City, shall defend Indemnitees at its expense by counsel acceptable to City, such acceptance not to be
unreasonably withheld. Indemnitees need not have first paid for any of the matters to which Indemnitees
are entitled to indemnification in order to be so indemnified. The limits of the insurance required to be
maintained by CONTRACTOR in this Agreement shall not limit the liability of CONTRACTOR hereunder. The
provisions of this section shall survive the expiration or earlier termination of this agreement.
The provisions of this section do not apply to Claims occurring as a result of the City's active negligence or
acts of omission.
II. INSURANCE
CONTRACTOR shall maintain and submit certificates of all applicable insurance including, but not limited
to, the following and as otherwise required by law. The terms of the insurance policy or policies issued to
provide the above insurance coverage shall provide that said insurance may not be amended or canceled
by the carrier, for non-payment of premiums or otherwise, without thirty (30) days prior written notice
of amendment or cancellation to the CITY. In the event the said insurance is canceled, the CONTRACTOR
shall, prior to the cancellation date, submit to the City Clerk new evidence of insurance in the amounts
established.
Liability Insurance
During the entire term of this Agreement, the CONTRACTOR agrees to procure and maintain General
Liability insurance at its sole expense to protect against loss from liability imposed by law for damages on
account of bodily injury, including death therefrom, suffered or alleged to be suffered by any person or
persons whomsoever, resulting directly or indirectly from any act or activities, errors or omissions, of the
CITY, or CONTRACTOR or any person acting for the CITY, or under its control or direction, and also to
protect against loss from liability imposed by law for damages to any property of any person caused
directly or indirectly by or from acts or activities of the CITY, or CONTRACTOR or any person acting for the
CITY, or under its control or direction. Such public liability and property damage insurance shall also
provide for and protect the CITY against incurring any legal cost in defending claims for alleged loss. Such
General, Public and Professional liability and property damage insurance shall be maintained in full force
and effect throughout the term of the Agreement and any extension thereof in the amount indicated
above or the following minimum limits:
Commercial General Liability Insurance, including coverage for Premises and Operations, Contractual
Liability, Personal Injury Liability, Products/Completed Operations Liability, and Independent Contractors'
Liability (if applicable), in an amount of not less than two million dollars ($2,000,000.00) per occurrence,
four million dollars ($4,000,000.00) annual aggregate, written on an occurrence form.
Products/Completed Operations coverage shall extend a minimum of three (3) years after project
completion. Coverage shall be included on behalf of the CONTRACTOR for covered claims arising out of
the actions of independent contractors. If the CONTRACTOR is using subcontractors, the policy must
include work performed "by or on behalf" of the CONTRACTOR. Policy shall contain no language that
would invalidate or remove the CONTRACTOR'S duty to defend or indemnify for claims or suits expressly
excluded from coverage. Policy shall specifically provide for a duty to defend on the part of the
CONTRACTOR.
Worker's Compensation Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, Worker's Compensation Insurance in
the amount of $1,000,000 per occurrence or in such amount as will fully comply with the laws of the State
of California and which shall indemnify, insure and provide legal defense for both the CONTRACTOR and
the CITY against any loss, claim or damage arising from any injuries or occupational diseases happening
to any worker employed by the CONTRACTOR in the course of carrying out the work within the
Agreement. Such insurance shall also contain a waiver of subrogation naming the City of Santa Clarita.
Automotive Insurance
The CONTRACTOR shall procure and maintain, at its sole expense, throughout the term of this Agreement,
and any extension thereof, public liability and property damage insurance coverage for automotive
equipment with coverage limits of not less than $1,000,000 combined single limit for each accident. All
such insurance shall be primary insurance and shall name the City of Santa Clarita as an additional insured.
Waiver of Subrogation
All insurance coverage maintained or procured pursuant to this Agreement shall be endorsed to waive
subrogation against the CITY, its elected or appointed officers, agents, officials, employees and volunteers
or shall specifically allow CONTRACTOR or others providing insurance evidence in compliance with these
specifications to waive their right of recovery prior to a loss. CONTRACTOR hereby waives its own right of
recovery against the CITY, and shall require similar written express waivers and insurance clauses from
each of its subconsultants.
Separation of Insureds
A severability of interests provision must apply for all additional insureds ensuring that CONTRACTOR'S
insurance shall apply separately to each insured against whom claim is made or suit is brought, except
with respectto the insurer's limits of liability. The policy(ies) shall not contain any cross -liability exclusions.
Pass Through Clause
CONTRACTOR agrees to ensure that its subconsultants, subcontractors, and any other party involved with
the project who is brought onto or involved in the project by CONTRACTOR, provide the same minimum
insurance coverage and endorsements required of CONTRACTOR. CONTRACTOR agrees to monitor and
review all such coverage and assumes all responsibility for ensuring that such coverage is provided in
conformity with the requirements of this section. CONTRACTOR agrees that upon request, all Agreements
with consultants, subcontractors, and others engaged in the project will be submitted to the CITY for
review.
Self -Insured Retentions
Any self -insured retentions must be declared to and approved by the CITY. The CITY reserves the right to
require that self -insured retentions be eliminated, lowered, or replaced by a deductible. Self-insurance
will not be considered to comply with these specifications unless approved by the CITY.
Primary and Additional Insured
All of such insurance shall be primary and shall name the City of Santa Clarita as additional insured. A
Certificate of Insurance and an additional insured endorsement (for general and automobile liability),
evidencing the above insurance coverage with a company acceptable to the City's Purchasing Agent shall
be submitted to the CITY prior to execution of this Agreement on behalf of the CITY.
Requirements
Should CONTRACTOR, for any reason, fail to obtain and maintain the insurance required by this
Agreement, CITY may obtain coverage at CONTRACTOR'S expense and deduct the cost of such insurance
from payments due to CONTRACTOR under this Agreement or terminate. In the alternative, should
CONTRACTOR fail to meet any of the insurance requirements under this Agreement, CITY may cancel the
Agreement immediately with no penalty.
Should CONTRACTOR'S insurance required by this Agreement be canceled at any point prior to expiration
of the policy, CONTRACTOR most notify CITY within 24 hours of receipt of notice of cancelation.
Furthermore, CONTRACTOR must obtain replacement coverage that meets all contractual requirements
within ld days of the prior insurer's issuance of notice of cancelation. CONTRACTOR must ensure that
there is no lapse in coverage.
If the operation under this Agreement results in an increased or decreased risk in the opinion of the City's
Purchasing Agent, then the CONTRACTOR agrees that the minimum limits herein above designated shall
be changed accordingly upon request by the City's Purchasing Agent.
The CONTRACTOR agrees that provisions of this paragraph as to maintenance of insurance shall not be
construed as limiting in any way the extent to which the CONTRACTOR may be held responsible for the
payment of damages to persons or property resulting from the CONTRACTOR'S activities or the activities
of any person or persons for which the CONTRACTOR is otherwise responsible.
have read and understand the above requirements and agree to be bound by them for any work
performed for the City.
Authorized Signature: Date: 03/19/2026
Printed Name: Doug Ford - Vice President
BIDDER'S INFORMATION AND CERTIFICATION
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, CA
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 CITY, 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.
CERTIFICATION REGARDING DIR CONTRACTOR/SUBCONTRACTOR REGISTRATION
By my signature hereunder, as the Contractor, I certify that Contractor, and all Subcontractors listed on the
Subcontractor Designations form are the subject of current and active contractor registrations pursuant to
Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code. Contractor's
registration number is indicated below. Subcontractors' registration numbers are indicated on the
Subcontractor Designations form.
Bidder's Name: Union Pavement Services, Inc.
Business Address: 2904 Rubidoux Blvd., Suite A, Jurupa Valley, CA 92509 _
Telephone No.: (951) 410-4858
State CONTRACTOR's License No. & Class: #1131864 - Class A, B, C12, C21, C32
DIR No.: 2000008321
Original Date: 01/17/2025
Expiration Date: 01/31/2027
The following are the names, titles, addresses, and phone numbers of all individuals, firm members,
partners, joint ventures, and/or corporate officers having a principal interest in this proposal:
Doug Ford - Vice President 2904 Rubidoux Blvd., Suite A Jurupa Valley, CA 92509 951 586-9047
The dates of any voluntary or involuntary bankruptcy judgments against any principal having an interest in
this proposal, or any firm, corporation, partnership or joint venture of which any principal having an interest
in this proposal was an owner, corporate officer, partner or joint venture are as follows:
NIA
All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this
proposal are as follows:
NIA
IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals
of all aforementioned principals. t day of ?.larch 2026 .
BIDDER: C.
Signature
Doug Ford - Vice President
Name and Title of Signatory
Union Pavement Services, Inc.
Legal Name of Bidder
2904 Rubidoux Blvd., Suite A, Jurupa Valley, CA 92509
Address
(951) 410-4858 88-4223744
Telephone Number Federal Tax I.D. No.
BIDDER'S QUESTIONNAIRE
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
1. Submitted by: Union Pavement Services, Inc. Telephone: (951) 410-4858
Principal Office Address: 2904 Rubidoux Blvd., Suite A Juru a Valley, CA 92509
2. Type of Firm:
O C Corporation
❑ S Corporation
❑ Individual/Sole Proprietor or Single —Member LLC
❑ Partnership
❑ Limited Liability Company "C" C-Carp
❑ Limited Liability Company 'YS-Corp
❑ Limited Liability Company "P" Partnership
❑ Other
3a. If a corporation, answer these questions:
Date of Incorporation: 10/24/2022 State of Incorporation: California
President's Name: Margaret Reed
Vice- President's Name: Doug Ford
Secretary or Clerk's Name: Melissa Ailshie
Treasurer's Name: Luke de Ga
rtnership, answer these questions:
Date of organiz
Organized in:
Name of all partners holding more tha interest:
Designate which are General or Managing Partners.
BIDDER'S QUESTIONNAIRE (cont'd)
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
4. Name of person holding CONTRACTOR'S license: Margaret Reed
License number: 1131864 Class: a,e,c12.021,c31gxpiration Date: 01/31/2027
D.I.R. Registration # 2000008321
5, CONTRACTOR's Representative: Doug Ford
Title: Vice President
Alternate: Melissa Ailshie
Title: Secreta
6. List the major construction projects your organization has in progress as of this date:
A.
Owner: City of Brawley
Project Location: In the City of Brawley
Type of Project: Type II & Type III Slurry Seal
B.
Owner: City of Riverside
Project Location: Arterial and Minor Streets in Riverside
Type of Project: Type II Slurry Seal
C.
Owner: City of Banning
Project Location: Ramsey Street in Banning
Type of Project: Type 11 Slurry Seal
CERTIFICATION OF NON -SEGREGATED FACILITIES
Bid UCIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
The BIDDER certifies that it does not maintain or provide for its employees any segregated facilities at any
of its establishments, and that it does not permit its employees to perform their services at any location,
under its control, where segregated facilities are maintained. The BIDDER certifies further that it will not
maintain or provide for its employees any segregated facilities at any of its establishments, and that it will
not permit its employees to perform their services at any location, under its control, where segregated
facilities are maintained. The BIDDER 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 BIDDER agrees that (except where it has obtained identical
certifications from proposed subcontractors for specific time periods) it 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 it will retain such certifications in its files.
Union Pavement Services, Inc.
BIDDER Doug Ford, Vice President
Required by the May 19, 1967 order on Elimination of Segregated Facilities, by the Secretary of Labor —
32 F. R. 7439, May 19, 1967 (F.R. Vol. 33, No. 33 — Friday, February 16, 1968 — p. 3065).
DESIGNATION OF SUBCONTRACTORS
Bid # CIP-25-26-MO164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarito, California
Listed below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or render
service in excess of/: of 1 percent, or $10,000 (whichever is greater) ofthe prime contractor's total bid. If no Subcontractors will be used fill out the form
with NA. Add addt. sheets if needed.
Subcontractor
DIR Registration No.*
Dollar Value of Work
Chrisp Company
1000000306
$7,418.70
Location and Place of Business
2280 South Lilac Ave., Bloomington, CA 92316
Bid Schedule Item No's:
Description of Work
2(p), 6, 9, 10, 11, 12, 13, 14
Install & Remoe RPMS, Markings & Striping
License No.
Exp. Date: / /
Phone ( )
374600 Class A, C-13, C-32
05/31 /2027
(951) 538-6085
Subcontractor
DIR Registration No.*
Dollar Value of Work
Onyx Paving Company, Inc.
1000004798
$37,000.00
Location and Place of Business
22707 La Palma Ave., Yorba Linda, CA 92887
Bid Schedule Item No's:
Description of Work
1(p), 2(p), 5
4" HMA Remove and Replace
License No.
Exp. Date: / /
Phone ( )
630360 Class A,C-12
10/31 /2027
�(909) 479-4903
Subcontractor
DIR Registration No.*
Dollar Value of Work
Riverside Slurry Seal, Inc.
1001137927
�$46,724.00
Location and Place of Business
2395 Mary Street, Riverside, CA 92506
Bid Schedule Item No's:
Description of Work
1(p), 2(p), 4(p)
Crack Seal
License No.
Exp. Date: / /
Phone ( )
1115560 Class A, C-32
01 /31 /2028
(909) 346-2895
NOTE: A BIDDER or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 ofthe
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 ofthe Labor Code. It is not a violation ofthis section for an unregistered BIDDER 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 BIDDER is registered to perform public work pursuant to Section 1725.5 ofthe Labor Code at the time the contract is
awarded. *Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) ofthe California Labor Code.
DESIGNATION OF SUBCONTRACTORS
Bid # CIP-25-26-MO164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarito, California
Listed below are the names and locations of the places of business of each subcontractor, supplier, and vendor who will perform work or labor or render
service in excess of/: of 1 percent, or $10,000 (whichever is greater) ofthe prime contractor's total bid. If no Subcontractors will be used fill out the form
with NA. Add addt. sheets if needed.
Subcontractor
Vance Corporation �1000008103
DIR Registration No.*
�$12,000.00
Dollar Value of Work
Location and Place of Business
459 Egan Ave., Beaumont, CA 92223
Bid Schedule Item No's:
7 8
Description of Work
Adjust & Lower Manhole Covers to Finish Grade
License No,
414567 Class A, C-31
Exp. Date: / /
11 /30/2027
Phone ( )
(909) 355-4333
Subcontractor
DIR Registration No.*
Dollar Value of Work
Location and Place of Business
Bid Schedule Item No's:
Description of Work
License No.
Exp. Date: / /
Phone ( )
Subcontractor
DIR Registration No.*
Dollar Value of Work
Location and Place of Business
Bid Schedule Item No's:
Description of Work
License No.
Exp. Date: / /
Phone ( )
NOTE: A BIDDER or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 ofthe
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 ofthe Labor Code. It is not a violation ofthis section for an unregistered BIDDER 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 BIDDER is registered to perform public work pursuant to Section 1725.5 ofthe Labor Code at the time the contract is
awarded. *Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) ofthe California Labor Code.
REFERENCES
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
The following are the names, addresses, and telephone numbers of three public agencies for which bidder
has performed and completed work of a similar scope and size within the past 3 years. If the scope of
work/specifications requests references different than instructions above, the scope of work/specifications
shall govern:
1, CA State Parks - 5172 Ha 78 #10, Borrego Springs, CA 92004
Name and Address of Owner / Agency
Raquel Gonzalez 760 767-7001
Dame and Telephone Number of Person Familiar with Project
$51,291.00 Type II Slurry Seal 08/28/2025
Contract Amount Type of Work Date Completed
Cathedral City - 68700 Avenida Lalo Guerrero, Cathedral City, CA 92234
Name and Address of Owner / Agency
Andrew Lee 760) 770-0319
Name and Telephone Number of Person Familiar with Project
$266,396.94 Type II REAS 10/27/2025
Contract Amount Type of Work Date Completed
3, City of Santa Ana - 20 Civic Center Plaza, Santa Ana, CA 92701
Name and Address of Owner / Agency
Augustine De Los Reyes (619) 799-6063
Name and Telephone Number of Person Familiar with Project
$711 000.00 Type 11 REAS 10/0212025 _
Contract Amount Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from whom
bidder intends to procure insurance bonds:
Insurance:
W 5 9 Ple s v e vd e 2 se ' 7 Kathleen111
Bonds:
Woodruff -Sawyer & Co., 50 California Street, Floor 12, San Francisco, CA 94111 Susan Lane 415-402-6627
NON -COLLUSION AFFIDAVIT
Bid #CIP-25-26-M0164SS
2025-26 Overlay Slurry Seal Project
City Project No. M0164SS
City of Santa Clarita, California
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA )
COUNTY OF LOS ANGELES )
Doug Ford being first duly sworn deposes and says that he/she is
the Vice President (sole owner, a partner, president, etc.) of
Union Pavement Services, 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 its 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 CITY 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 CITY
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 Doug Ford - Vice President
CALIFORNIA dl1RAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202
i I See Attached Document (Notary to cross out lines 1-6 below)
I I See Statement Below (Lines 1-6 to be completed only by document signer[s), not Notary)
Signature of Docum gner No. 1 Signature of Document Signer No. 2 (if any)
otary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Riverside
°. hF MEUSSAAIISNIE
Y �_ = Notary Public • California
k
Riverside County >
iiCommission # 2400831
a=' My Comm. Expires Apr 14. 2026 '
Subscribed and sworn to (or affirmed) before me
on this 19th day of March 2026
by Date Month Year
(1) Doug Ford
(and (2) ),
Name(51j of Signer(,?9
proved to me on the basis of satisfactory evidence
to be the person($) who appeared before me.
Signature _ , 4L�
Signature of 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: Non -Collusion Affidavit Document Date: 03/19/2026
Number of Pages: 1 Signer(s) Other Than Named Above:
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02014 National Notary Association - www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5910