HomeMy WebLinkAbout2013-05-28 - AGENDA REPORTS - PRJ M0095 METROLINK STN REPAIR (2)CONSENT CALENDAR
DATE:
SUBJECT:
DEPARTMENT:
CITY OF SANTA CLARITI
AGENDA REPORT
City Manager Approval:
Item to be presented by:
May 28, 2013
Agenda Item: 6
JAN HEIDT AND VIA PRINCESSA METROLINK STATION
PLATFORM CONCRETE AND TILE REPAIR, PROJECT M0095,
FTA PROJECT NUMBER CA -90-Y276 - AWARD
CONSTRUCTION CONTRACT
Public Works
RECOMMENDED ACTION
City Council:
Approve the plans and specifications for the Jan Heidt and Via Princessa Metrolink Platform
Concrete and Tile Repair, Project M0095, FTA Project Number CA -90-Y276.
2. Reject the nonresponsive bid from New Vision Construction.
Award the construction contract to R.C. Becker and Son, Inc., in the amount of $114,493 and
authorize a fifteen percent contingency of $17,174 for a total contract amount not to exceed
$131,667.
4. Increase Grant Revenue Account 700-4424.009 by $82,000 and appropriate $82,000 in
Federal Transit Administration grant funds to expenditure account M0095700-5161.001;
decrease revenues in TDA Article 8 account 233-4421.002 by $22,000, and decrease TDA
Article 8 funds in expenditure account M0095233-5161.001 by $22,000.
5. Authorize the City Manager or designee to modify all documents to contract with the next
lowest and/or qualified bidder/proposer in the event the awardee is unable to fulfill its
obligations or perform, subject to City Attorney final document approval, contingent upon the
appropriation of funds by the City Council in the annual budget for such fiscal year.
BACKGROUND
The City of Santa Clarita (City) has identified federal funds for the improvement of the City's
Metrolink stations. All Metrolink stations within the City are owned and operated by the City. It
is the City's responsibility to maintain the stations. As part of an overall improvement program,
the City initiated this project to replace deteriorated detectable warning tile and make needed
repairs to the concrete platform.
The Jan Heidt and Via Princessa Metrolink Platform Concrete and Tile Repair, Project M0095,
FTA Project Number CA -90-Y276 will replace the old deteriorated detectable warning tile with
new warning tile at both facilities, and repair the concrete platform edge at the Jan Heidt
Metrolink Station, to eliminate any tripping hazards throughout the platforms.
An invitation to bid was prepared and published three times: March 20, March 23, and
March 24, 2013, and was noticed on the City's website. Plans and specifications were also sent to
area plan rooms. Two bids were submitted to the City and opened by Purchasing on
April 23, 2013. The results of the bids are shown below:
Company Location Bid Amount
New Vision Construction Valencia, CA $112,724.83
R.C. Becker and Son, Inc. Santa Clarita, CA $114,492.50
After reviewing the submitted bids, City staff determined the bid from the apparent low bidder,
New Vision Construction, to be nonresponsive due to a mistake by New Vision Construction in
filling out the bid. Bid Item 2 is for the removal and replacement of detectable warning tile, with
a quantity of 655 lineal feet. The unit price submitted by New Vision Construction for this item
was $173.20, with an extended price of $28,362.13. However, with the correct calculation, the
extended price would be $113,446.00 (quantity times unit price), which would increase the New
Vision Construction price to $197,808.70 making the New Vision Construction bid higher than
R.C. Becker and Son, Inc. The irregularity in New Vision Construction's proposal is a material
irregularity because it impacts the amount of the bid. Such arithmetical errors in filling out a bid
may not be waived by the City, and therefore, the New Vision Construction bid should be
rejected as nonresponsive.
The City sent a letter to New Vision Construction on May 1 in which the City stated staff would
recommend City Council find the New Vision Construction bid to be nonresponsive as stated
above. No response has been received from New Vision Construction.
Staff recommends the City Council reject the New Vision Construction bid as nonresponsive and
award the construction contract to R.C. Becker and Son, Inc., the second lowest responsive
bidder, in the amount of $114,493 and authorize a contingency in the amount of $17,174 for a
total contract amount not to exceed $131,667. R.C. Becker and Son, Inc., possesses a valid state
contractor's license and is in good standing with the Contractors State License Board. The
contractor's bid was reviewed for accuracy and conformance to the contract documents and found
to be complete.
The construction contingency amount requested will cover costs for unforeseen site conditions,
such as removal of additional platform concrete that might be required above the anticipated
quantity and additional costs associated with removal of the existing detectable warning tile.
It is also recommended to reduce the budgeted TDA Article 8 funds, as the project is 100 -percent
grant -funded.
IN
Project funds in the amount of $38,333 will be available for construction management, quality
assurance, labor compliance, staff oversight, and miscellaneous project administration costs.
ALTERNATIVE ACTIONS
Other action as determined by the City Council.
FISCAL IMPACT
No general funds will be used for this project. The requested actions will create a total project
budget of $170,000. This will adequately provide for the construction contract of $131,667,
which includes contingency. The residual funds of $38,333 will adequately provide for all
remaining project costs, including labor compliance services, staff oversight, construction
engineering, quality assurance inspection services, and project administration costs.
ATTACHMENTS
Location Map
New Vision Letter
R.C. Becker and Son, Inc. Contract available in the City Clerk's Reading File
R.C. Becker and Son, Inc. Bid Package available in the City Clerk's Reading File
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City of
SANTA CLARITA
23920 Valencia Boulevard • Suite 300 • Santo Clarita, California 91355-21%
Phone; (661) 259-2489 • FAB: (661) 259-8125
un mama-cladta.=
May 1, 2013
SENT VIA EMAIL to constructiondave@att.net
AND US MAIL
David Bader
New Vision Construction
_ 23435 Abbey Glen-- .....,..:_-. _ _
Valencia, CA 91954
Re: Jan Heidt/Via Princessa Metrolink Station Platform
Dear Mr, Bader:
City staff has reviewed the bid submitted by New Vision Construction and found that the bid is
not responsive to the requirements of the bid documents for two reasons, First, there is a math
error on Item No. 2 which has Unit of 655 Lineal Feet (LF) and the New Vision bid Schedule
(copy enclosed) lists the Unit Price at $173,20, but the Total extended price is $28,362.13.
However, 655 multiplied by $173.20 is actually $113,446. Second, New Vision failed to execute
and return the.Certifreation requirement for procurement of steel, iron or manufactured projects
(Page B721 of bid documents).
Therefore, City staff intends to recommend that the City Council reject the New Vision bid as
not responsive and award the contract for the Project to the next lowest bidder. The City Council
will consider this recommendation from City staff at its meeting on May 28, 2013, at 6:00 p.m.,
which will be held at the Santa Clarita City Hall Council Chambers located at 23920 Valencia
Blvd„ Santa Clarita, CA 91355, If New Vision wishes to submit a written response to this letter,
please address that response to my attention by 12:00 p.m., May 17, 2013, so that we may
include that response in the Agenda packet which is distributed to City Council and/or you may
appear at the City Council meeting.
Thank you for your cooperation and for submitting a bid to the City on this project.
Sincerely,
Curtis Nay
8n\CITVNA =IPNWNGCMV Q095 I. NAdl.V4 Pdm.m PdUTIImd k A, -,&s TERTONew VISION CONSTRUCTION
Enclosure
cc: Robert Newman, Director of Public Works
Joseph Montes, City Attorney
BID SCHEDULE
,...�► JAN HEEDTNIA PRINC A ESME BOGINK STATION PLATFORM
CONCRXPAIR
Project No. M0095
Sid No. ENG12.13"MO095
City of Santa Clarila, California
01"
ITEM
DESCRIPTION
UNIT
QTY,
UNIT PRICE
TOTAL
NO.
1
MobiliZatlDn&Demobilization
1
LS
0
66�
$ 6 96270
2
Removal -and -Replacement -of Deteetable -
"A"
Warnin Tlie As r Exhibit
3
emova and Replacement ofPortan Cement
110
LF
$
Concrete Platlorm SeotIon As r SK•OPRD01
Removal and Replacement of 4" Wlde Yellow
550
LF
$ )! 81
$ 6 S Oo
4
Sete Strl
5
Removal and Replacement 1" Wide Contrast
550
LF
$
$ 6-S Q O
SM
Removal and Replacement e HHigh Yellow 51Dck
15
EA
$ 33 3?
$ 5 QO
t3
Letters Sentence
7
MetroilnkPlagging—Allowance
3D
DAY
$ 1,200.00
$ 36,000.00
8
SORRA Form No 6—Allowance
1
LS
$ 2,500.00
$ 2,500.0D
9
Traftfc Control I Pedestrian Protaotlon
1
LS
$ 3 boo
$ v
t0
Implementation of Best Management Practices
1
LS
$ptp
$ �jspU
TOTAL:
$
fANHEEIT- VIA PRINCESSA MEIROUNR PLATFORM REPAIRS
CITY OF SANTA CLARITA
C-2
NO
Certification requirement for procurement of steel, Iron, or manufactured products.
Cerriflcate of Compliance with 49 U. 53230)(1)
The bidder or offeror hereby certifies that It will meet the requirements of 49 U.S.C, 53230)(1) and the
applicable regulations in 49 CPR Part 661.
Sign
Company Name R.C. Becker and Son, Inc
Tide Vice President
C
5.21
CAPITAL IMPROVEMENT PROJECT AGREEMENT
Contract 1 )-00165
Jan HeidtlVia Princessa Metrolink Station Platform
Concrete & Tile Repair
Project No.: M0095
FTA No.: CA -90-1'276
This AGREEMENT is made and entered into for the above -stated project this day of
20, BY AND BETWEEN the CITY OF SANTA CLARITA, as CITY. and
R.C. Becker & Son. Inc., as CONTRACTOR.
CITY and CONTRACTOR have mutually agreed as follows:
ARTICLE I
That contract documents for the aforesaid project shall consist of the Notice Inviting Bids,
Instructions to Bidders, Proposal, General Specifications, Standard Specifications, Special
Provisions, Plans, and all referenced specifications, details, standard drawings, special drawings,
appendices, and City's Labor Compliance Program; together with this AGREEMENT and all
required bonds, insurance certificates, permits. notices, and affidavits: and also including any and
all addenda or supplemental agreements clarifying or extending the work contemplated as may
be required to insure its completion in an acceptable manner. All of the provisions of said
AGREEMENT documents are made a part hereof as though fully set forth herein.
ARTICLE II
For and in consideration of the payments and agreements to be made and performed by CITY,
CONTRACTOR agrees to furnish all materials and perform all work required for the above -
stated project, and to fulfill all other obligations as set forth in the aforesaid contract documents.
ARTICLE III
CONTRACTOR agrees to receive and accept the prices set forth in the Proposal as full
compensation for furnishing all materials, performing all work, and fulfilling all obligations
hereunder. Said compensation shall cover all expenses, losses, damages, and consequences
arising out of the nature of the work during its progress or prior to its acceptance including those
for well and faithfully completing the work and the whole thereof in the manner and time
specified in the aforesaid contract documents; and also including those arising from actions of
the elements, unforeseen difficulties or obstructions encountered in the prosecution of the work,
suspension or discontinuance of the work, and all other unknowns or risks of any description
connected with the work.
Revised 1/2012 Page 1 of
ARTICLE IV
CITY hereby promises and agrees to employ, and does hereby employ, CONTRACTOR to
provide the materials, do the work, and fulfill the obligations according to the terms and
conditions herein contained and referred to, for the prices aforesaid, and hereby contracts to pay
the same at the time, in the manner, and upon the conditions set forth in the contract documents.
ARTICLE V
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.
ARTICLE VI
CONTRACTOR affirms that the signatures set forth hereinafter in execution of this
AGREEMENT represent all individuals, firm members, partners, joint venturers, or corporate
officers having principal interest herein.
ARTICLE VII
Nature of Relationship
CONTRACTOR shall not be subject to day-to-day supervision and control by CITY employees
or officials. CONTRACTOR shall perform services in accordance with the rules, regulations
Revised 1/2012 Page 2 of 7
and policies of CITY respecting such services, and in accordance with appropriate standards of
professional conduct, if any, applicable to the services provided. CITY shall not be responsible
for withholding any payroll or other taxes on behalf of CONTRACTOR. It is understood and
agreed that the CONTRACTOR is, and at all times shall be, an independentCONTRACTOR
and nothing contained herein shall be construed as making the CONTRACTOR, or any
individual whose compensation for services is paid by the CONTRACTOR, an agent or
employee of the CITY, or authorizing the CONTRACTOR to create or assume any obligation of
liability for or on behalf of the CITY.
ARTICLE VIII
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:
A combined single limit liability policy in the amount of $2,000,000 or a commercial general
liability policy with a $2,000,000 occurrence limit and a $4,000,000 aggregate limit will be
considered equivalent to the required minimum limits.
All of such insurance shall be primary insurance 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 Risk Manager shall be submitted to City prior to execution of this Agreement on
behalf of the City.
Revised 1/2012 Page 3 of 7
Should CONTRACTOR for anv reason fail to obtain and maintain the insurance required by
this Agreement City may obtain coverage at CONTARCTOR'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 cancelled at any point prior to
expiration of the policy. CONTRACTOR must notify City within 24 hours of receipt of notice of
cancellation. Furthermore CONTRACTOR must obtain replacement coverage that meets all
contractual requirements within 10 days of the prior insurer's issuance of notice of cancellation.
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 Manager, then the CONTRACTOR agrees that the minimum limits herein above
designated shall be changed accordingly upon request by the City Manager.
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.
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, inure 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. All such insurance shall be primary insurance and shall name the City of Santa
Clarita as an additional insured.
Fire and Extended Coverage Insurance (Services involving real property only)
CONTRACTOR also agrees to procure and maintain, at its sole expense, during the term of this
Agreement, and any extension thereof, a policy of fire, extended coverage and vandalism
insurance.
Revised 1/2012 Page 4 of 7
ARTICLE IX
Pursuant to Senate Bill 542, chaptered in 1999, the Employment Development Department
(EDD) of the State of California requires that a W-9 Form be filed by all vendors for all
AGREEMENTS entered into with the City. CONTRACTOR agrees to complete all required
forms necessary to comply with EDD regulations.
ARTICLE X
Term
This AGREEMENT shall be effective for a period beginning on the date shown in the Notice to
Proceed, and ending on 35 days after the date of recordation of the Notice of Completion unless
sooner terminated.
M odifi cation/Terminati on
No modification, amendment or other change in this AGREEMENT or any provision hereof
shall be effective for any purpose unless specifically set forth in writing and signed by duly
authorized representatives of the panics hereto. This AGREEMENT may be terminated with or
without cause by CITY giving CONTRACTOR thirty (30) days advance written notice. Any
reduction of services shall require thirty (30) days advance written notice unless otherwise
agreed in writing between CONTRACTOR and CITY. In the event of termination.
CONTRACTOR shall be entitled to compensation for all satisfactory services completed and
materials provided to the date of the notice of termination.
Conflict of Interest
CONTRACTOR will comply with all conflict of interest laws and regulations including, without
limitation, CITY's conflict of interest regulations.
Non -Effect Waiver
CONTRACTOR's or CITY's failure to insist upon the performance of any or all of the terms,
covenants, or conditions of this Agreement, or failure to exercise any rights or remedies
hereunder, shall not be construed as a waiver or relinquishment of the future performance of any
such terms, covenants, or conditions, or of future exercise of such rights or remedies, unless
otherwise provided for herein.
Severability
In the event that any one or more of the provisions contained in this AGREEMENT shall for any
reason be held to be unenforceable in any respect by a court of competent jurisdiction, such
holding shall not affect any other provisions of this AGREEMENT, and the AGREEMENT shall
then be construed as if such unenforceable provisions are not a part hereof.
Governing Law
Revived 1/2012 Page 5 of 7
This AGREEMENT shall be construed and interpreted and the legal relations created thereby
shall be determined in accordance with the laws of the State of California.
Compliance with Law
CONTRACTOR shall comply with all applicable laws, ordinances, codes, and regulations of the
federal, state, and local government, including City's Labor Compliance Program.
CONTRACTOR shall comply with all aspects of the National Pollutant Discharge Elimination
System (NPDES) in order to prevent pollution to local waterways. Failure to implement NPDES
Requirements shall result in project delays through City issued Stop Work Notices and/or fines
levied against the CONTRACTOR.
Prevailine Wages
If required by applicable state law including, without limitation Labor Code §§ 1720 (as
amended by AB 975 (2001)), 1771, 1774, 1775, and 1776, CONTRACTOR must pay its
workers prevailing wages. It is CONTRACTOR's responsibility to interpret and implement any
prevailing wage requirements and CONTRACTOR agrees to pay any penalty or civil damages
resulting from a violation of the prevailing wage laws. In accordance with Labor Code § 1773.2,
copies of the prevailing rate of per diem wages are available upon request from CITY'S
Engineering Division or the website for State of California prevailing wage determination at
www.dir.ca.gov/DLSR/PWD. A copy of the prevailing rate of per diem wages must be posted at
the job site.
This contract is subject to state prevailing wage requirements of the Califomia Labor Code
including Sections 1770 and 1773, and the City's California Department of Industrial Relations
(DIR) approved Labor Compliance Program. All covered work classifications required in
performance of this contract wilt be subject to prevailing wage provisions. The Contractors and
its subcontractors shall pay not less than the state wage rates. Contractor shall further adhere to
the requirements contained in the City of Santa Clarita's Labor Compliance Program. A copy of
the Labor Compliance Program is available for review upon request at the Office of the City
Clerk. All pertinent state statues and regulations, including, but not limited to those referred to
in this contract and in the City's Labor Compliance Program, are incorporated herein as though
set forth in their entirety. Additionally, the Contractor is responsible for obtaining a current
edition of all applicable state statues and regulations and adhering to the latest editions of such.
Protection of Resident Workers
The City of Santa Clarita actively supports the Immigration and Nationality Act (INA) which
includes provisions addressing employment eligibility, employment verification, and
nondiscrimination. Under the INA, employers may hire only persons who may legally work in
the United States (i.e., citizens and nationals of the U.S.) and aliens authorized to work in the
U.S. The employer must verify the identity and employment eligibility of anyone to be hired,
which includes completing the Employment Eligibility Verification Form (I-9). The Contractor
shall establish appropriate procedures and controls so no services or products under the Contract
Revised 112012 Page 6 of 7
Documents will be performed or manufactured by any worker who is not legally eligible to
perform such services or employment.
The parties hereto for themselves. their heirs. executors. administrators, successors, and assigns do
hereby agree to the full performance of the covenants herein contained and have caused this
AGREEMENT to be executed in duplicate by setting hereunto their names and titles this
day of 20_.
CONTRACTOR: CONTRACTOR Name:
Address:
Phone & Fax No.
ALL SIGNATURES MUST BE Signed By:
WITNESSED BY NOTARY
CITY:
Attest:
Approved as to Form:
Print Name &
CONTRACTOR's License No.
Class
Date:
Mayor/City Manager of the City of Santa Clarita
Date:
City Clerk of the City of Santa Clarita
Date:
City Attorney of the City of Santa Clarita
Revised 1/2012
Pa -e 7 of 7
SECTION C:
PROPOSAL
JAN REEI)TIVIA PRINCESS.A METROLINK STATION PLATFORM
CONCRETE S TILE REPAIR
Project No. M0095
Bid No. ENG-12-13-MOO95
TO THE CITY OF SANTA CLARITA, AS AGENCY:
In accordance with AGENCY's NOTICE INVITING BIDS, the undersigned BIDDER hereby proposes to
furnish all materials, equipment, tools, labor, and incidentals required for the above -stated project as set forth
in the plans, specifications, and contract documents therefore, and to perform all work in the manner and
time prescribed therein.
BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications,
INSTRUCTIONS TO BIDDERS, and all other contract documents. If this proposal is accepted for award,
-BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the
following BID SCHEDULE. BIDDER understands that failure to enter into a contract in the manner and time
prescribed will result in forfeiture to AGENCY of the proposal guarantee accompanying this proposal.
BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in BID
SCHEDULE are solely for the purpose of comparing bids, and that final compensation under the contract will
be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE
RIGHT TO INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND TO DELETE
ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all
appurtenant expenses, taxes, royalties, and fees. In the case of discrepancies in the amounts bid, unit prices
shall govern over extended amounts, and words shall govern over figures.
If awarded the contract, the undersigned further agrees that in the event of the Bidder's default in executing
the required contract and filing the necessary bonds and insurance certificates within ten working days after
the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security
accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof
may, at the AGENCY's option, be considered null and void.
Company Name:
R.C. Becker and Son. Inc
Company Address:
28355 Kelly Johnson Parkway
Santa Clarim CA 91355
By:
John Becker
Print Name
Title:
Vice President C
Signature:
Date:
�j
4-23-6'
JAN HEIDT- VIA PRINCESSA METROLINK PLATFORM REPAIRS
CITY OF SANTA CLARITA
C-1
BID SCHEDULE
JAN HEIDTNIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG72-13-M0095
City of Santa Clarita, California
ITEM
DESCRIPTION
UNIT
QTY.
UNIT PRICE
TOTAL
NO.
1
Mobilization & Demobilization
1
LS
$ 7,850.00
$ 7.850.00
2
Removal and Replacement of Detectable
655
LF
$ 64.00
$ 41.920.00
Warnin Tile As per Exhibit "A"
3 I
Removal and Replacement of Portland Cement
110
LF
$ 180.00
$ 19.800.00
Concrete Platform Section As per SK-CPR001
^
4
Removal and Replacement of 4" Wide Yellow
550
LF
$ 4,35
$ 2,392.50
SafetV Stripe
5
Removal and Replacement 1" Wide Contrast
550
LF
$ 3.10
$ 1,705.00
Stripe
Removal and Replacement 4" High Yellow Block
15
EA
$ 15.00
$ 225.00
6
Letters Sentence
7
Metrolink Flagging — Allowance
30
DAY
$ 1,200.00
$ 36,000.00
8
SCRRA Form No 6 — Allowance
1
LS
$ 2,500.00
$ 2,500.00
9
Traffic Control / Pedestrian Protection
1
LS
$ 2,000.00
$ 2.000.00
10
Implementation of Best Management Practices
1
LS
$ 100.00
$ 100.00
TOTAL:
$ 114,492.50
Total Base Bid in Words:
one hundred fourteen thousand. four hundred ninety-two dollars and fifty cents.
JAN HEIDT- VIA PRINCESSA METROLINK PLATFORM REPAIRS
CITY OF SANTA CLARITA
C-2
DESIGNATION OF SUBCONTRACTORS
JAN HEIDT/VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG -12-13-M0095
City of Santa C/arifa, 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 1/2of 1 percent, or $10,000
(whichever is greater) of the prime contractor's total bid.
Subcontractor
DBE STATUS: NONE
Dollar Value of Work 54.075.00
Chrisp Company
Description of Work
License No.
Age of firm: nia
Certifying Agency: nia
Annual Gross Receipts: n/a
Location and Place of Business
2280 South Lilac Ave Bloomington. CA 92316
Bid Schedule Item Nos:
Decription of Work
4,5,6
Remove and Replace Striping
License No.
Exp, Date: 0>/ 31 / 13
Phone ( ) 909-746-0356
374600
Subcontractor DBE STATUS:
Age of firm: Certifying A enc :
Dollar Value of Work
Annual Gross Receipts:
Location and Place of Business
Bid Schedule Item Nos:
Description of Work
License No.
Exp. Date: / !
Phone ( )
Subcontractor DBE STATUS:
Age of firm: Certifying A enc :
Dollar Value of Work
Annual Gross Receipts:
Location and Place of Business
Bid Schedule Item Nos:
Decription of Work
License No.
Exp. Date:
Phone ( )
JAN HEIDT- VIA PRINCESSA METROLINK PLATFORM REPAIRS
CITY OF SANTA CLARITA
C-3
DESIGNATION OF SUBCONTRACTORS
JAN HEIDT/VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG -12-13-M0095
City of Santa Clarita, California
Subcontractor
Age of firm:
DBE STATUS:
Certifying Agency:
Dollar Value of Work
Annual Gross Receipts:
Location and Place of Business
Bid Schedule Item Nos:
Description of Work
Description of Work
License No.
Exp. Date: / /
Phone ( )
Subcontractor
Age of firm:
DBE STATUS:
Certifying Agency:
Dollar Value of Work
Annual Gross Receipts:
Location and Place of Business
Bid Schedule Item Nos:
Bid Schedule Item Nos:
Description of Work
License No.
License No.
Exp. Date: / !
=Phone(
)
Subcontractor
Age of firm:
DBE STATUS:
Certifying Agency:
Dollar Value of Work
Annual Gross Recei ts:
Location and Place of Business
Bid Schedule Item Nos:
Description of Work
License No.
Exp. Date:
JAN HEIDT- VIA PRINCESSA METROLINK PLATFORM REPAIRS
CITY OF SANTA CLARITA
CA
DESIGNATION OF SUBCONTRACTORS
JAN HE1DT/VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG -12-13-M0095
City of Santa C/anta, California
Subcontractor
Age of firm:
DBE STATUS:
Certifying A enc
Dollar Value of Work
Annual Gross Receipts:
Location and Place of Business
Description of Work
Bid Schedule Item Nos:
Bid Schedule Item Nos:
Description of Work
I
License No.
Exp. Date:
Phone ( )
Subcontractor
A e of firm:
DBE STATUS:
Ce fif in A enc :
Dollar Value of Work
Annual Gross Recei ts:
Location and Place of Business
Description of Work
Bid Schedule Item Nos:
Description of Work
Phone ( )
License No.
Exp. Date: / /
Phone ( )
Subcontractor DBE STATUS:
A e of firm: Certif in A enc :
Dollar Value of Work
Annual Gross Recei ts:
Location and Place of Business
Bid Schedule Item Nos:
Description of Work
License No.
Exp. Date:
Phone ( )
JAN HEIDT- VIA PRINCESSA METROLINK PLATFORM REPAIRS
CITY OF SANTA CLARITA
C-5
JAN HEIDT/VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG -12-13•M0095
City of Santa Clarita, California
REFERENCES
The following are the names, addresses, and telephone numbers of three public agencies
for which BIDDER has performed similar work within the past 3 years:
1 City of Lancaster 615 W. Ave H, Lancaster. CA 93534
Name and Address of Owner / Agency
Vikic Margadonna 661-945-6865
Name and Telephone Number of Person Familiar with Project
$141637.00 Pedestrian Bus Stop Improvements 11/2011
Contract Amount Type of Work Date Completed
2. LACMTA One Gateway Plaza, Los Angeles, CA 90012
Name and Address of Owner / Agency
Joseph Lemon 213-922-3980
Name and Telephone Number of Person Familiar with Project
$249,000.00 Harbor Transitway Bus Station Improvements 10/2012
Contract Amount Type of Work Date Completed
3. City of Santa Clarita 23920 Valencia Blvd. Santa Clarita, CA 91355
Name and Address of Owner/ Agency
Hoon Hahn 661-255-4953
Name and Telephone Number of Person Familiar with Project
$583,769.22 Metrolink Parking Expansion 08/2011
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:
Millennium Corporate Solutions Inc 550 N. Brand k 1100 Glendale, CA 91203 949-679-7144
The Guarantee Company of North America USA 1800 Sutter Street Suite 735. Concord, CA 94520 925-566-4060
R.C. Becker and Son, Inc
Contrac rs Name
cam'
C-6
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29
DEBARMENT AND SUSPENSION CERTIFICATION
JAN HEIDT/VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG -12.13-M0095
City of Santa Clarita, California
The bidder under penalty of perjury, certified that except as noted below, he/she or any person
associated therewith in the capacity of owner, partner, director, office manager:
is not currently under suspension, debarment, voluntary exclusion or determination of ineligibility by
any federal AGENCY;
has not been suspended, debarred, voluntarily. excluded, or determined ineligible by any federal
AGENCY within past three years;
does not have a proposed debarment pending; and
has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent
jurisdiction in any matter involving fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following space,
NONE
Exceptions will not necessarily result in denial of award, but will be considered in determining bidders'
responsibility. For any exception noted above, indicate below to whom it applies, initialing AGENCY, and
dates of action.
NONE
NOTE: Providing false information may result in criminal prosecution or administrative sanctions.
The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof
shall also constitute signature of this Certification.
C-7
,
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
* * * (Must be filled out by the Bidder and ALL subcontractors over $10,000) * * *
JAN HEIDT/VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG•12-13-M0095
City of Santa Clarita, California
This bidder R.C. Becker and Son, Inc , proposed subcontractor (s) , hereby certifies
that he has xx , has not , participated in a previous contract or subcontract subject to the
equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he has
xx , has not , filed with the Joint Reporting Committee, and Director of Office of Federal
Contract Compliance, a Federal Government contracting or administering AGENCY, or the former
President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing
requirements.
Company: R.C. Becker and Son, Inc
By:
John Becker
Title: Vice President
Date:
4-23-2013
Note: The above certification is required by the Equal Employment Opportunity of the Secretary of
Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in
connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth
in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.)
Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their
implementing regulations.
Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or
subcontract subject to the Executive Orders and have not filed the required reports should note that 41
CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits
a report covering the delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor.
C-8
BIDDER'S INFORMATION AND CERTIFICATION
Bidder certifies that the representations of the bid are true and correct and made under penalty of perjury.
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE
Bidder certifies that in all previous contracts or subcontracts, all reports which may have been due under
the requirements of any AGENCY, State, or Federal equal employment opportunity orders have been
satisfactorily filed, and that no such reports are currently outstanding.
AFFIRMATIVE ACTION CERTIFICATION
Bidder certifies that affirmative action has been taken to seek out and consider minority business
enterprises for those portions of the work to be subcontracted, and that such affirmative actions have
been fully documented, that said documentation is open to inspection, and that said affirmative action will
remain in effect for the life of any contract awarded hereunder. Furthermore, Bidder certifies that
affirmative action will be taken to meet all equal employment opportunity requirements of the contract
documents.
Bidder's Name: R.C. Becker and Son. Inc
Business Address: 28355 Kelly Johnson Parkway. Santa Clarita, CA 91355
Telephone No.:
State CONTRACTOR's License No. & Class: 258762 Class A. C-12
Original Date: 7122/1969
Expiration Date: 6%30!2013
The following are the names, titles, addresses, and phone numbers of all individuals, firm members,
partners, joint venturers, and/or corporate officers having a principal interest in this proposal:
Michael Becker, President 23955 Wildwood Canvon, Newhall. CA 91321 661-259-4845
John Becker, Vice President 23262 W. Lea Court, Valencia, CA 91354 661-259-4845
The dates of any voluntary or involuntary bankruptcy judgments against any principal having an interest in
this proposal, or any firm, corporation, partnership or joint venture of which any principal having an
interest in this proposal was an owner, corporate officer, partner or joint venture are as follows:
NONE
Wr
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 23rd day of April 2013.
BIDDER:
SignaWFe
John Becker. Vice President
Jame and Title of Signatory
R.C. Becker and Son. Inc
Legal Name of Bidder
28355 telly Johnson Parkway, Santa Clarita. CA 91355
Address
661-259-4845 95-2567499
Telephone Number Federal Tax I.D. No.
SIGNATURES MUST BE MADE AND NOTARY ACKNOWLEDGMENTS OF EXECUTION OF BIDDER
MUST BE ATTACHED
Subscribed and sworn to this day of , 2013.
Notary Public ��1rt o Di * (SEAL)
C-10
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE y 8202
VSee Attached Document (Notary to cross out lines 1-6 below)
See Statement Below (Lines 1-6 to be completed only by document signer]s], not Notary)
Sipnewrn of Docamenf 6eern No. 1
State of California
County of Los Angeles
-------------------
LISA 0. MERTZM
commotion f IM174
LoLoss he" OoIMr
Place W., Seel AUrne
Sgnafure of Docameie Signer No. 2111 xnyi
Subscribed and swom to (or affirmed) before me
on this 23rd day of April 20 33,
Dale mown Yea,
by
(1) John Becker
Nemo 01 Sgnef
proved to me on the basis of satisfactory evidence
to be the person who appeared before me (.) H
Name of Signor
proved to me on the basis of satisfactory evidence
to be the person who appeared before me.)
Signature '-%0— D.
S,ynafine M Notary P0 c
OPTIONAL
7-nOua6 IIA: fnfp:malirr!! brdnw IS not regi urs-t'I)y iilw. In kit, f.ROV2 ruityOfe 1 iuV n(Ihump Iw_.= frm If thofnp erne
to persons refyk:'; on fire tlOcurrlenf 3nri c:ouki pro. venf Ira; rcfutent removal
ar,6 m ltlachnlenf of this Inrm to anotoct document.
Further Description of Any Attached Document
Tine or Type of Documenn Bidder's Information & Certification
Document Dale: 4/23l13._-___ Number, of Pages:, ._ 2....._
Y
Signer(s) Other Than Named Above. ___ .NOne
® ZU+o Neannre NOW, Assoua:wn • NafnneaJUlary. ort; • I M) US NOTARY ILaOU-9I6 ua2]1 pem .5»U
BID SECURITY FORMS FOR CHECK OR BOND TO ACCOMPANY BID
NOTE: The following form shall be used in case check accompanies bid.
Accompanying. this Proposal is a 'certified/cashier's check payable to the order of the City of Santa
Clarita for: dollars ($ ), this amount
being not less than ten percent (10%) of the total amount of the bid. The proceeds of this check shall
become the property of said AGENCY provided this Proposal shall be accepted by said AGENCY through
action of its legally constituted contracting authorities, and the undersigned shall fail to execute a contract
and furnish the required bonds within the stipulated time; otherwise, the check shall be returned to the
undersigned.
Project Name: JAN HEIDTIVIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG-12-13-MG095
City of Santa Clarita, California
Bidder's Signature
**NOT APPLICABLE"
CONTRACTOR
Address
City, State, Zip Code
Delete the inapplicable work.
NOTE: If the bidder desires to use a bond instead of a check, the following form shall be executed.
The sum of this bond shall be not less than ten percent (10%) of the total amount of the bid.
C-11
PROPOSAL GUARANTEE
BID BOND
JAN HEIDTNIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG -12.13-M0095
City of Santa Clarita, California
KNOW ALL MEN BY THESE PRESENTS that R.C. Becker and Son. Inc. , as BIDDER,
and The Guarantee Company of North America USA as SURETY, are held and
firmly bound unto the City of Santa Clarita, as AGENCY, in the penal sum
of Ten Percent of Amount Bid dollars ($ 10% 1, which is ten percent
(10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of
which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid
to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and the contract
is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be
null and void, otherwise it shall remain in full force and effect in favor of AGENCY.
IN WITNESS WHEREAS, the parties hereto have set their names, titles, hands, and seals, this
8th
BIDDER:
Day of April , 2013.
R C Rnckar end Ann me
SURETY`: The Guarantee Company of North America USA
550 N. Brand Blvd., Suite 10, lendale, CA 91203 Telephone: 626.27 3
Subscribed and sworn to this day of
NOTARY PUBLIC: 01 rc r P,p J
'Provide BIDDER and SURETY name, address, and telephone number and the name, title, address, and
telephone number for authorized representative.
IMPORTANT - Surety Companies executing Bonds must appear on the Treasury Department's most
current list (Circular 570, as amended) and be authorized to transact business in the State where the
project is located.
C-12
STATE OF CALIFORNIA
County of Los Angeles
On April 8, 2013 before me, Corinne L HemandezNotary Public
Dale Here Insert anre ar, nine o1 the 01
personalty appeared William Syrkin
Name(s) of Signers)
CORINNE L. HER RNANOEZ
, Commission ,e 79G5285
W 1�'\:
a -!-a g'r-tk, Notary Public - California z
z e _ : ti.. y
Los Anceles County
.•"=.. My Comm. Fxclles Ser, "d. 2014 J
who proved to me on the basis of satisfactory evidence to
be the persons) whose name(s) isMm subscribed to the
within instrument and acknowledged to me that hellshelthey
executed the same in hisAiefkheir authorized capacity(+es),
and that by hislAerftheir signatureW on the instrument the
person(s), or the entity upon behalf of which the persons)
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true
and correct.
Witn=Zg�
Sign
Place Notary Seal Above
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of
Document
Signer(s) Other Than Named
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate ON icer —Title(s):—
Partner —
itle(s):_Partner— ❑ Limited ❑ General
Q Attorney in Fad
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
The Guarantee Company
of North America USA
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer —Title(s)_
❑ Partner—❑Limited❑General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
rev
02W7 Neeaal Notary Associatbn , 9350 De solo Ave., P.O. aon 2402 - Chels ,lh, CA 91010-2402 • ww WiOnalNotary.ory Item #5907 Reenkr Cell Toll-free t-606876-6927
THE GUARANTEE COMPANY OF NORTH AMERICA USA
Southfield. Michigan
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS: That THE GUARANTEE COMPANY OF NORTH AMERICA USA, a corporation organized and existing under the
laws of the State of Michigan. having its principal office in Southfield, Michigan, does hereby constitute and appoint
11111lam Sorkin, Sergio D. Bechara, Rebecca Ann Haas -Bates. Patricia Ann Bauer, Richard Leroy Adair
blillennlum Corporate Solutions, Inc.
its true and lawful altorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of
indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law. statute, rule, regulation, contract
or otherwise,
The execution of such instrument(s) in pursuance of these presents, shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA
USA as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at the
principal office.
The Power o1 Attorney is executed and may be certified so, and may be revoked pursuant to and by authority of Article IX, Section 9.03 of the By -Laws
adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 31' day of December, 2003.
The President, or any Vice President, acting with any Secretary or Assistant Secretary, shall have power and authority:
1. To appoint Attorney(s)-in-fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto. bonds
and undertakings. contracts of indemnity and other writings obligatory in the nature thereof. and
2. To revoke, at any time, any such Attomey-in-tact and revoke the authority given, except as provided below
3. In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given
to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and
construction contracts required by the State of Florida Department of Transportation. II is fully understood that consenting to the State of
Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety
company of any of its obligations under its bond.
4. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to
the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been oiven to the Commissioner —
Department of Highways of the Commonwealth of Kentucky at least thirty (3D) days prior to the modification or revocation.
Further, this Power of Attorney is signed and seated by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting
duly called and held on the 6th day of December 2D 11, of which the following is a true excerpt:
RESOLVED that the signature of any authorized officer and the seal of the Company maybe affixed by facsimile to any Power of Attorney or certification
thereof authorizing the execution and delivery of any bond. undertaking. contracts of indemnity and other writings obligatory in the nature thereof, and
such signature and seal when so used shall have the same force and effect as though manually affixed.
.WTM+r� IN WITNESS WHEREOF, THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and
N its corporate seal to be affixed by its authorized officer. this 23rd day of February, 2012.
4 � THE GUARANTEE COMPANY OF NORTH AMERICA USA
`-�
STATE OF MICHIGAN Stephen C. Ruschak, Vice President Randall Musselman, Secretary
County of Oakland
On this 23rd day of February, 2012 before me came the individuals who executed the preceding instrument, to me personally known, and being by me
duly sworn, said that each is the herein described and authorized officer of The Guarantee Company of North America USA: that the seal affixed to said
instrument is the Corporate Seal of said Company: that the Corporate Seat and earn signature were duly affixed by order of the Board of Directors of
IN WITNESS WHEREOF, I have hereunto set my hand at The Guarantee
Company of North America USA offices the day and year above written.
I, Randall Musselman, Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify that the above and foregoing is a true
and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA. which m stili in full force and effect.
,xvru IN WITNESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 8 th day ofApiil. 2013
�'� Randall Musselman, Secretary
Cynthia A. Takai
Notary Public, State of Michigan
County or Oakland
V" 7
My Commission Expires February 27, 2018
'
Acting m Oakland County
IN WITNESS WHEREOF, I have hereunto set my hand at The Guarantee
Company of North America USA offices the day and year above written.
I, Randall Musselman, Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify that the above and foregoing is a true
and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA. which m stili in full force and effect.
,xvru IN WITNESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 8 th day ofApiil. 2013
�'� Randall Musselman, Secretary
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California l
County of Los Angeles Jy
On 4/23/13 before me, Lisa O. Hertzing, Notary Public
Det. Here Iruert Name and Tale of Ne OMcer
personally appeared John Becker
A .t
CaraWbin 11ttSl171
1 loft • Comm
LA AMP" C410
Place Netary S.ai Aowa
who proved to me on the basis of satisfactory evidence to
be the person(&) whose name(&) is/are subscribed to the
within instrument and acknowledged to me that
heh+t&AI ey executed the same in his/i7oAh& authorized
capacityfiee), and that by his/heA449 f signature(&} on the
instrument the person(*, or the entity upon behalf of
which the person(*} acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
Signature 4:-4-y2&
S,grlaNre of Notary P k
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date: 4/8/13
Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name: John Becker
❑ Individual
CorporateOfficer —Title(s): V.P.
Partner — tel Limited ❑ General
Attorney in Fact
❑ Trustee
Guardian or Conservator
❑ Other:
Signer Is Representing:
R C Becker & Son Inc
RIGHT S104ERRRJT
OF 4WJER
I
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
F7� Partner — ❑ Limited Eli General
'❑ Attorney in Fact
u Trustee
Guardian or Conservator
❑ Other:
Signer Is Representing:
RIGHT THUMaPRRIT
OF SIGNER
02007 Nav,n $ Notary Assooatim• 93 Da solo A. _P..O.f 2402-tI M, GA 913132&02• www. NalwaWolaryag Item.59n7 Remd.r.C.HTciIFr.I601 V&6827
NON -COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106)
JAN HEIDT/VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG -12.13-M0095
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 c
ontract of anyone interested in the proposed contract; that all statements contained in the bid are true;
and, further, that the Bidder has not, directly or indirectly, submitted his or her bid price or any
breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid,
and will not pay, any fee to any corporation, partnership, company association, organization, bid
depository, or to any member or agent thereof to effectuate a collusive or sham bid.
THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE "BIDDER'S CERTIFICATION"
SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS
WHICH FORMA PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE
CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION.
C-13
NON -COLLUSION AFFIDAVIT
JAN HEIDT/VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG -12-13-M0095
City of Santa Clarita, California
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA )
COUNTY OF LOS ANGELES )) §
John Becker
being first duly sworn deposes and says that he is
the Vice President (sole owner, a partner, president, etc.) of
R.C. Becker and Son, Inc the party making the foregoing bid; that
such bid is not made in the interest of or behalf of any undisclosed person, partnership, company,
association, organization or corporation, that such bid is genuine and not collusive or sham, that said
BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid,
or that anyone shall refrain from bidding, that said BIDDER has not in any manner, directly or indirectly
sought by agreements, communication or conference with anyone to fix the bid price of said BIDDER or
of any other BIDDER, or to fix the overhead, profit, or cost element of such bid price, or of that of any
other BIDDER, or to secure any advantage against the public body awarding the Contract or anyone
interested in the proposed Contract; that all statements contained in such bid are true, and further, that
said BIDDER has not, directly or indirectly, submitted his bid price, or any breakdown thereof, or the
contents thereof, or divulged information or date relative thereto, or paid and will not pay any fee in
connection, therewith to any corporation, partnership, company, association, organization, bid depository,
or to any member or AGENCY thereof, or to any other individual information or date relative thereto, or
paid and will not pay any fee in connection, therewith to any corporation, partnership, company
association, organization, bid depository, or to any member or AGENCY thereof, or to any other
individual, except to such person or persons as have a partnership or other financial interest with said
BIDDER in his general business.
/ 7
Signed:
Title VicePreSWnt
Subscribed and sworn to and before me this day of 2013.
"*see attached"
Seal of Notary
C-14
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 6202
,/See Attached Document (Notary to cross out lines 1-6 below)
See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary)
Slgnawee of Document Signer No I
State of California
County of Los Angeles
Place Nonny Seal nbova
Signawre of Document Signer Nn. 2 HI any)
Subscribed and sworn to (or affirmed) before me
on this 23rd day of April 20-13
Dale
by Memh Year
(1)_ John Becker
Name nl S.Onel
proved to me on the basis of satisfactory evidence
to be the person who appeared before me (.)
Eat
Name of Signe,
proved to me on the basis of satisfactory evidence
to be the person who appeared before me.)
Signature 6�O
Slynew,e of Notary P P
OPTIONAL
rh0bQll fhe d'tlo/n;aliwl be!OW Iti n01 reposed by IAN', a Olay prove vahiab/P. lora N thumb hnre i.r
-P Of ihumli hy0
to persons relying on the oocwnupt jr7a toted provenf (rauduieru removal
1107 rOatMChmCnt Of Ihrs r0on to anofher da-umenl.
Further Description of Any Attached Document
Title or TYPP. of Document Non -Collusion Affidavit
Dmumenl Date: .__4/23/13_____.,___`____,__ Number of Pages:._.
Signer(e) Chhe, Than Named Above. __ None
9 2010 Nalronal Notary Aysooanon • NauonalNotary. org • I.800 -US NOTARY f I See 876 59271 tlem 15910
BIDDER'S QUESTIONNAIRE
JAN HEIDT/VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG-12-13-MD095
City of Santa Clarita, California
If the bidder has answered the questionnaire within the past year and there are no significant changes in
the information requested, then the bidder need not file a new questionnaire. If there are changes,
indicate those changes. Should the space provided not be adequate, so indicate and complete
information on a separate page(s) and attach hereto.
Submitted by: John Becker Telephone: 661-259-4845
Principal Office Address: 28355 Kelly .lohnson Parkway. Santa Clarita, CA 91355
2. Type of Firm: General Engineering Contractor
Corporate: xX Other:
Individual:
3a. It a corporation, answer these questions:
Date of Incorporation: 12-18-1968 State of Incorporation: California
President's Name: Michael Becker
Vice -President's Name: John Becker
Secretary or Clerk's Name: Daniel Schackan
Treasurer's Name: Daniel Schackan
3b. It a partnership, answer these questions:
Date of organization: State Organized in:
Name of all partners holding more than a 10% interest:
Designate which are General or Managing Partners.
i
4. Name of person holding CONTRACTOR's license: John Becker
License number: 258762 Class: A. C-12 Expiration Date: -2013
C-15
11
BIDDER'S QUESTIONNAIRE
(cont'd)
JAN HEIDTIVIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG -12-13-M0095
City of Santa Clarita, California
CONTRACTOR's Representative.
Title: Vice President
Alternate: Vince Tellez
Title: Chief Estimator
John Becker
6. List the major construction projects your organization has in progress as of this date:
Owner: (A) .Agoura Business Center
Project Location: _Agoura. CA
Type of Project: street improvements
C-16
(B) Newhall Land and Farming Co
Santa Clarity CA
Median Improvements
CERTIFICATION OF NON -SEGREGATED FACILITIES
JAN HEIDT/VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG -12.13-M0095
City of Santa Clarita, California
The CONTRACTOR certifies that he does not maintain or provide for his employees any segregated
facilities at any of his establishments, and that he does not permit his employees to perform their
services at any location, under his control, where segregated facilities are maintained. The
CONTRACTOR certifies further that he will not maintain or provide for his employees any segregated
facilities at any of his establishments, and that he will not permit his employees to perform their services
at any location, under his control, where segregated facilities are maintained. The CONTRACTOR
agrees that a breach of this certification is a violation of the Equal Opportunity clause in this Contract.
As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, rest
rooms, and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other
storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas,
transportation, and housing facilities provided for employees which are segregated by explicit directive
or are in fact segregated on the basis of race, creed, color, or national origin, because of habit, local
custom, or otherwise. The CONTRACTOR agrees that (except where he has obtained identical
certifications from proposed subcontractors for specific time periods) he will obtain identical
certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which
are not exempt from the provisions of the Equal Opportunity clause, and that he will retain such
certifications in his files.
-� R.C. Becker and Son, Inc
John Becker
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).
C-17
NON -LOBBYING CERTIFICATION FOR FEDERAL -AID CONTRACTS
JAN HEIDT/VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
Project No. M0095
Bid No. ENG -12-13-M0095
City of Santa Clarita, California
The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge
and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of
any Federal agency, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with the awarding of any Federal contract,
the making of any Federal grant, the making of any Federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification
of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any Federal agency,
a Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying
Activities," in conformance with its instructions.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making or
entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to
file the required certification shall be subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such failure.
The prospective participant also agrees by submitting his or her bid or proposal that he or she shall
require that the language of this certification be included in all lower tier subcontracts, which exceed
$100,000 and that all such sub -recipients shall certify and disclose accordingly.
THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE 'BIDDER'S CERTIFICATION"
SHALL ALSO CONSTITUTE AN ENDORSEMENT AND 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.
DISCLOSURE OF LOBBYING ACTIVITIES
COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352
C-18
1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type:
❑ a. contract ❑ a. bid/offer/application ❑ a. initial
It. grant It. initial award b. material change
c. cooperative agreement C. post -award
d. loan For Material Change Only:
e. loan guarantee year_ quarter
I. loan insurance date of last report
4. Name and Address of Reporting Entity S. If Reporting Entity in No. 4 is Subawardee,
Enter Name and Address of Prime:
13 Prim Subawardee
Tier _ , if known
Congressional District, if known
6. Federal Department/Agency:
S. Federal Action Number, if known:
10, a. Name and Address of Lobby Entity
(If individual, last name, first name, MI)
Congressional District, if known
7. Federal Program Name/Description:
CFDA Number, if applicable
9. Award Amount, if known:
It. Individuals Performing Services (including
address if different from No. IOa)
(last name, first name, MI)
(attach Continuation Sheet(s) if necessary)
11. Amount of Payment (check all that apply) 13. Type of Payment (check all that apply)
$ Actual planned a. retainer
It. one-time fee
12. Form of Payment (check all that apply): c. commission
ea. cash - d. contingent fee
It. in-kind; specify: nature a deferred
value f. other, specify
14. Brief Description of Services Performed or to he performed and Date(s) of Service, including
officer(s), employee(s), or member(s) contacted, for Payment Indicated in Item 11:
(attach Continuation Sheet(s) if necessary)
15. Continuation Sheet(s) amehed: Yes 11 No El ' y
16. lnfe matim, requested through this Intuit is authomed by Tale
31 U.S.C. Section 1352. This disclosure of lobbying reliance Signature:
was placed by the tier above when his transaction was made
or entered into: This disclosure is required pursuant to 31 Print Name: 06hn Becker
U.S.C. 1352. This information will be reported to Congress
semiannually and will be available for public inspection, Any Vice President of R.C. Beaker and Son. Inc
person who fails m file the required disclosure shall be subject Title:
to a civil penalry of not less than $10,000 and not more than 661-259-4845 4/23/13
5100,000 for each such failure. Telephone No.: Dale:
Authorized for Local Reproduction
Standard Form - LLL
Rev
C-19
Certification requirement for procurement of steel, iron, or manufactured products.
Certificate of Compliance with 49 U.S.C. 5323(j)(1)
The bidder or offeror hereby certifies that it will meet the requirements of 49 U.S.C. 5323Q)(I) and the
applicable regulations in 49 CFR Part 661.
Date 4/23/13
Signature
Company Name R.C. Becker and Son. Inc
Tide Vice President
B- 21
INSTRUCTIONS FOR COMPLETION OF SF -LLL,
DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at
the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C.
section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity
for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer
or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action.
Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items
that apply for both the initial filing and material change report. Refer to the implementing guidance published by
the Office of Management and Budget for additional information.
I. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,
the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to
the information previously reported, enter the year and quarter in which the change occurred. Enter the date of
the last, previously submitted report by this reporting entity for this covered Federal action.
4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if
known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a
prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the
first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in Item 4 checks " Subawardee" then enter the full name, address, city, state
and zip code of the prime Federal recipient. Include Congressional District, if known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization
level below agency name, if known. For example. Department of Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full
Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan
commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identification in item I
(e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the
contract grant. or loan award number, the application/proposal control number assigned by the Federal agency).
Include prefixes, e.g., "RFP -DE -90-001."
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter
the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5.
10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity
identified in item 4 to influenced the covered Federal action.
(b) Enter the full names of the individual(s) performing services and include full address if different from 10
(a). Enter Last Name, First Name and Middle Initial (MI).
I LEnter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the
lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned).
Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or
planned to be made.
12.Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind
contribution, specify the nature and value of the in-kind payment.
13.Check the appropriate box(es). Check all boxes that apply. If other, specify nature.
14.Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to
perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent
in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s)
employee(s) or Member(s) of Congress that were contacted.
15. Check whether or not a continuation sheet(s) is attached.
16.The certifying official shall sign and date the form, print his/her name title and telephone number.
Public reporting burden for this collection of information is estimated to average 30 minutes per response,
including time for reviewing instruction, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. Send comments regarding the burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the
Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503.
C-20
ADDENDUM No. 1
JAN HEIDT / VIA PRINCESSA METROLINK STATION PLATFORM
CONCRETE & TILE REPAIR
PROJECT NO. M0095
Bid No. ENG -12-13-M0095
FTA Funded Project
FTA Project No. CA -90-Y276
City of Santa Clarita, California
April 8, 2013
This Addendum forms as a part of the Contract Documents for the above -identified project and modifies
the original Plans, Specifications. and Contract Documents, as noted below. Portions of the Contract, not
specifically mentioned in the Addendum, remain in force. All trades affected shall be fully advised of
these changes, deletions, and additions.
2.
NEW ATTACHMENT — Please add the following to the Contract Document
ATTACHMENTS, for your reference:
1. SITE LOCATION MAP
2. EXHIBIT "B" - Jan Heidt Location
3. EXHIBIT "C" - Via Princessa Location
4. APPENDIX "B" - Clear Copy of Exhibit "A" (Detectable Warning Tile)
(enclosed on this addendum)
CUNUMt I t MA J PVRM SECTION AS PER SK-CPROOI — Add rhe following.• Contractor
shall protect and clean any existing re -bar. Before concrete is placed the reinforcement shall be
free of mortar, oil, dirt, excessive mill scale and scabby rust and other coatings of any character
that would destroy or reduce the bond.
3. CDMMP FORM & RECYCLING PLAN — Appendix "D" shall be replaced with the revised
Recycling Plan and CDMMP Form enclosed in this addendum.
4. SECTION C - BID PROPOSAL — Delete Section C, and replace with the enclosed revised
Section C - BID PROPOSAL. Revised bid proposal includes updated DBE forms.
5. BIDDERS'
QUESTIONNAIRES AND REPONSES:
Question:
The existing platform surface is asphalt concrete not PCC with no tile! How
thick is the AC?
Answer:
Scope of work consists of removal & replacement of tile. Please refer to Exhibits
B & C enclosed on this addendum.
Question:
Is there a cement base below the AC if so how thick?... or is there a sub grade
material?
Answer:
Existing deteriorated tile shall be replaced with new tile. Please visit both Via
Princessa and Jan Heidt locations, and refer to Exhibits B & C. Detectable
warning the is only on PCC, and not AC.
Question:
is the new 105 lin.ft concrete repair (item 43) continuous or in several sections?
Answer:
Concrete removal & replacement may not be continuous, however, this work
only occurs on the Jan Heidt Metrolink Station west platform. The section of
concrete replacement will be marked by Public Works inspector prior the
removals. Please refer to Exhibits B & C, and visit the site.
Question:
How is the existing 4x wood ledger on platform face to be addressed?
Page 1 of 9
Answer: There are no 4x wood ledgers on limits of this work. Please visit the site, and
refer to Exhibits B & C.
Question: Will the new tiles be applied directly to the existing AC surface other than the
new cement?
Answer: No new installation of Detectable Warning Tile. This project scope consists of
removal and replacement of Tile. There are no locations with AC. See attached
Exhibits B d C.
Bidders shall acknowledge Addendum No. 1 by executing Addendum 1 and returning
with the bid.
Robert G. Newman, P.E., L.S.
Director of Public Works
City of Santa Clarita
BIDDER'S CERTIFICATE
I acknowledge receipt of this Addendum No. 1 and accept the aforementioned.
_gla5f 13 2013
Date er's Signature
THIS DOCUMENT TO BE SUBMITTED WITH BID
Page 2 of 3