HomeMy WebLinkAbout2013-05-28 - AGENDA REPORTS - PROJ T0039 SAFE ROUTES (2)CONSENT CALENDAR
DATE:
SUBJECT:
DEPARTMENT:
Agenda Item: 7
CITY OF SANTA CLARITA
AGENDA REPORT
City Manager Approval:
Item to be presented by:
May 28, 2013
SAFE ROUTES TO SCHOOL, PROJECT T0039 - APPROVE
PLANS AND SPECIFICATIONS AND AWARD CONSTRUCTION
CONTRACT
Public Works
RECOMMENDED ACTION
City Council:
1. Approve the plans and specifications for the Safe Routes to School (SRTS), Project T0039.
2. Award the construction contract to R.C. Becker and Son, Inc., in the amount of $229,588,
and authorize a contingency in the amount of $45,917, for a total contract amount not to
exceed $275,505.
Increase grant revenues in account 259-4621.001 by $264,419 and appropriate $264,419 to
Expenditure Account T0039259-5161.001; appropriate $35,348 in Gas Tax Funds to
Expenditure Account No. T0039230-5161.001 for construction match.
4. Increase grant revenues in account 259-4621.001 by $13,600 and appropriate $13,600 to
SRTS account 14407-5161.001; appropriate $10,400 in Gas Tax Funds to account
14401-5161.001 for the non -infrastructure component of the grant.
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.
APPRONED
BACKGROUND
The Safe Routes to School construction effort consists of physical improvements at crossings
near Plum Canyon Elementary School, Mountainview Elementary School, and Fair Oaks Ranch
Community School. The project will enhance student safety by reducing the speed of vehicles
near school grounds and increasing the visibility of school crossings. The improvements will also
allow students to safely walk and bike to school. This project received support from the selected
schools and school districts.
Work under this project includes restriping crosswalks, replacing existing school signage with
oversized and more visible signs, improving sidewalks, constructing access ramps, and
constructing bulb -outs at select school crossings. Bulb -outs are traffic -calming features that
narrow the street by widening the sidewalk at crossings, thereby reducing traffic speeds and
shortening the crossing distance for pedestrians.
This is the City's sixth round of improvements, having completed similar projects at 15 other
school locations throughout the City.
Staff successfully secured a State Safe Routes to School grant for design, construction, and a
non -infrastructure educational component. On September 26, 2012, the City received
authorization from the California Department of Transportation to proceed with design and
construction. Design has been completed and the project is ready to proceed with construction.
An invitation to bid was published three times: April 6, April 8, and April 10, 2013, and was
noticed on the City's website. Plans and specifications were also sent to area plan rooms. Seven
bids were submitted to the City and opened by Purchasing on May 7. The results are shown
below.
Company
R.C. Becker and Son, Inc.
F.S. Construction
Berry General Engineering
Toro Enterprises, Inc.
PTM General Engineering
Accucon Corporation
G2K Construction, Inc.
Location
Bid Amount
Santa Clarita, CA
$229,588
Sylmar, CA
$255,400
Ventura, CA
$282,388
Oxnard, CA
$284,720
Riverside, CA
$298,899
La Canada, CA
$348,777
Encino, CA
$386,777
Staff recommends the project be awarded to R.C. Becker and Son, Inc., the lowest responsive
bidder. The contractor possesses a valid state contractor's license and is in good standing with the
Contractors State License Board. The contractor's bid has been reviewed for accuracy and
conformance to the contract documents and found to be complete.
9
The construction contingency amount requested will cover costs for unforeseen site conditions,
associated with lowering the street surface to accomodate positive drainage, and may require the
removal and replacement of the existing pavement and base sections.
Expenditures in the amount of $65,000 are estimated for labor compliance services, staff
oversight, construction engineering, survey, quality assurance inspection, and miscellaneous
project administration costs.
The non -infrastructure component of the Safe Routes to School grant is funded at $24,000 and
consists of educational programs to encourage bicycling to school and will be implemented after
construction is complete. City staff will attend assemblies and help organize contests to engage
students and help school staff develop ongoing programs that schools will be responsible for
continuing.
ALTERNATIVE ACTIONS
Other action as determined by the City Council.
FISCAL IMPACT
In addition to the previously appropriated budget of $100,800, the requested appropriations of
$264,419 and $35,348 into accounts T0039259-5161.001 and T0039230-5161.001 will create a
total project budget of $400,567, of which $60,062 was expended on design. The remaining
available budget of $340,505 will adequately provide for the maximum construction contract of
$275,505 and anticipated costs of $65,000 for labor compliance services, staff oversight,
construction engineering, survey, quality assurance inspection, and miscellaneous project
administration costs.
Additionally, the requested appropriations totaling $24,000 into the Traffic & Transportation
Planning operational accounts will provide for all anticipated costs associated with the
non -infrastructure component of the Safe Routes to School Grant.
ATTACHMENTS
Location Map
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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CAPITAL IMPROVEMENT PROJECT AGREEMENT
Contract 13-00172
SAFE ROUTES TO SCHOOL INFRASTRUCTURE
BID NO. ENG -12-13-T0039
PROJECT NO. T0039
STATE -AID PROJECT NO. SR2SL-5450(077)
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
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 I 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 Relationshit)
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 independent CONTRACTOR
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 Pace 3 of 7
Should CONTRACTOR for any reason, fail to obtain and maintain the insurance required by
this Agreement Ciiv 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 Puge 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.
Modification/Termination
No modification, amendment or other change in this AGREEMENT or any provision hereof
shall be effective for an), purpose unless specifically set forth in writing and signed by duly
authorized representatives of the parties 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 tens,
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
Revised 112012 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.
Prevailing 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?,
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.du.ca.gov/DLSR/PWD. A copy of the prevailing rate of per diem wages must be posted at
thei.ob site.
This contract is subject to state prevailing wage requirements of the California 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 will 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 Chtrita 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 (1-9). The Contractor
shall establish appropriate procedures and controls so no services or products under the Contract
Revised 1/1012 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 R Fax No.
ALL SIGNATURES MUSTBE Signed By:
WITNFSSED BY NOTARY
CITY:
Attest:
Approved as to Form:
Print Name R
CONTRACTOR's License No.
Class
Mayor/City Manager of the City of Santa Clarita
City Clerk of the City of Santa Clarita
City Attorney of the City of Santa Clarita
Date:
Date:
Date:
Revised 1/2012 Paye 7 of 7
SECTION C: PROPOSAL
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL-5450(077)
City of Santa Clarita, California
TO THE CITY OF SANTA CLARITA, AS AGENCY:
In accordance with AGENCY's NOTICE INVITING BIDS, the undersigned BIDDER hereby proposes to furnish all
materials, equipment, tools, labor, and incidentals required for the above -stated project as set forth in the plans,
specifications, and contract documents therefore, and to perform all work in the manner and time prescribed therein.
BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications,
INSTRUCTIONS TO BIDDERS, and all other contract documents. If this proposal is accepted for award, BIDDER
agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following BID
SCHEDULE. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in
forfeiture to AGENCY of the proposal guarantee accompanying this proposal.
BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in BID
SCHEDULE are solely for the purpose of comparing bids, and that final compensation under the contract will be
based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO
INCREASE OR DECREASE THE AMOUNT. OF ANY QUANTITY SHOWN AND TO DELETE ANY ITEM FROM
THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes,
royalties, and fees. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts,
and words shall govern over figures.
If awarded the contract, the undersigned further agrees that in the event of the Bidder's default in executing the
required contract and filing the necessary bonds and insurance certificates within ten working days after the date of
the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall
become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be
considered null and void.
Company Name:
Company Address:
la
R.C. Becker and Son, Inc
25355 Kelly Johnson Parkway
Santa Clarita, CA 91355
John Becker
rint Name
Title: Vice President
Signature:
Date: 5nm
Safe Routes to School Infrastructure C-1
Project No. T0039
......... .... .
BID SCHEDULE
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
ITEM
ITEM DESCRIPTION UNITS
I "' QTY
UNIT'
TOTAL COST J
_::
COST`
_ _
MOBILIZATION, INCLUDING; BONDS, INSURANCES (NOT TO LS
1
$2,230.00
$2,230.00
1
EXCEED 3% OF TOTAL BID)
2
LS
1
$1,250.00
$1,250.0
DEMOBILIZATION (NOT LESS THAN 0.5% OF TOTAL BID)
3
I CLEARING AND GRUBBING LS
1
$1,000.00
$1,000.00 _111
_
WATER POLLUTION CONTROL AND IMPLEMENT BEST LS
1
$500.00
$500.00 i
4
MANAGEMENT PRACTICES (BMPs)
5
TRAFFIC CONTROL �LS
1
$2,000.00
$2,000.00 I
6
REMOVE AC PAVEMENT SF
12,000
$1.08
$1.2,960.00
7
REMOVE CONCRETE CURB & GUTTER 1 LF
500
$5.19
$2,5-95.00
6
REMOVE CONCRETE SIDEWALK/CURB RAMPS SF.
5,000
$0.99
j $4,950.00
9
_
4.5" AC (1.5" C2PG 64-10 & 3" BPG 64-10) OVER 6" CAB SF
11,000
$5.08
$55,880.00
10
CONCRETE CURB RAMP INCLUDING DETECTABLE WARNING
PANELS EA
12
$640.44
f $71685.28
—8—
11 I
4" PCC SIDEWALK SF
,600
$4.17
$35,862.00
12
6" CURB @ BACK OF RAMP LF
I 125
$33.88
$4,235.00
13
6" CONCRETE CURB & GUTTER LF
700
$33.88
$23,716.00
14
ADJUST WATER METER TO GRADE I EA
6
$150.00
$900.00 j
15
ADJUST WATER VALVE TO GRADE EA
3 I
$75.00
$225.00
16 I
ADJUST SCE VAULT/PULLBOX TO GRADE I EA
_ 2
$250.00
$500.00
17
REMOVE AND REPLACE 4" CURB DRAIN PIPE EA
3
$100.00
$300.00
18
ADJUST MANHOLE FRAME AND COVER TO GRADE— EA
1
$100.00
$100.00 I
19
SIGNING & STRIPING PER PLANS LS
1
$19,367.15
$19,367.1.15
FURNISH AND INSTALL SPEED FEEDBACK SIGN AND TYPE--,"-�— EA
4 I
$13,333.17
$53,332.68
20
B POLE I
—�
— TOTAL BASE BID IN FIGURES $ l
I
$229,588.11 j
TOTAL AMOUNT OF BASE BID IN WORDS:
two hundred twenty nine thousand five hundred eighty eight dollars and eleven cents
Safe Routes to School lgfrastruclure C-2
Project No. T0039
DESIGNATION OF SUBCONTRACTORS
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
Listed below are the names and locations of the places of business of each subcontractor, supplier, and vendor
who will perform work or labor or render service in excess of '/z of 1 percent, or $10,000 (whichever is greater) of
the prime contractor's total bid: DBE status, age of firm and annual gross receipts are required if sub contractor is
participating as a DBE.
Subcontractor B C Traffic
DBE STATUS: None
Dollar Value of Work
Specialist
Description of Work
License No.
Age of firm: n/a
Certifying Agency: na/
Annual Gross Receipts: n/a
Location and Place of Business
PO Box 3416
638 W. Southern Ave, Orange, CA 92865
Ventura, CA 93005
Bid Schedule Item Nos:
Description of Work
19
A
Signing and Striping
20
License No.
Exp. Date: 05/ 31 114
Phone ( )
877686
714-974-1190
Subcontractor
DBE STATUS: NUNL
Dollar Value of Work $43,140.00
Taft Electric Company
Description of Work
License No.
Age of firm: n/a
Certifying Agency: his
Annual Gross Receipts: n/a
Location and Place of Business
PO Box 3416
Ventura, CA 93005
Bid Schedule Item Nos:
Description of Work
20
Speed Feedback Sign
License No.
Exp. Date: 12/ 31 /13
Phone ( ) 805-642-0121
772245
Subcontractor DBE STATUS:
Age of Firm: Certifying Agency:
Dollar Value of Work
Annual Gross Receipts:
Location and Place of Business
Bid Schedule Item Nos:
Description of Work
License No.
Exp. Date: / /
Phone ( )
Note: Bidders shall fill out the Subcontractor's List in its entirety. The total dollar value of work to be
perfanned by Subcontractors shall be in confonncmce with Section 2-3 "Subcontracts" of General Provisions
in these contract documents.
Safe Routes to School Infrastructure C-3
Project No. T0039
DESIGNATION OF SUBCONTRACTORS
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
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
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:
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:
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:
Description of Work
License No.
Exp. Date: / /
Phone ( )
Note: Bidders shall fill out the Subcontractor's List in its entirety. The total dollar value of work to be
performed by Subcontractors shall be in conformance with Section 2-3 "Subcontracts " of General Provisions in
these contract documents.
Safe Routes to School Infrastructure C-4
Project No. T0039
DESIGNATION OF SUBCONTRACTORS
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
Subcontractor DBE STATUS:
Age of firm: Certifying Agency:
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 Agency:
Dollar Value of Work
Annual Gross Receipts:
Location and Place of Business
Bid Schedule Item Nos:
Description of Work
License No.
Exp. Date:
Phone ( )
contractor
of firm:
DBE STATUS:
Certi in A enc
Dollar Value of Work'
Annual Gross Receipts:
ation and Place of Business
[Bid
Schedule Item Nos:
Description of Work
nse No.
Exp. Date: / /
Phone( )
uiuu�" mmn ilu wt u,c ouucuntracior s List in its entirety. r ne total aouar value or work to be performed by
Subcontractors shall be in conformance with Section 2-3 "Subcontracts" of General Provisions in these contract documents.
Safe Routes to School Infrastructure C-5
Project No. T0039
REFERENCES
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
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:
City of Santa Clarita 23920 Valencia Blvd Santa Clarita, CA 91355
Name and Address of Owner / Agency
Tara Concepcion 661-255-4342
Name and Telephone Number of Person Familiar with Project
$147,777.00 Safe Routes to School Infrastructure 08/2012
Contract Amount Type of Work Date Completed
2 Kern County Roads 2700M Street Suite 400 Bakersfield, CA 93301
Name and Address of Owner / Agency
Sam Lux 661-706-2064
Name and Telephone Number of Person Familiar with Project
$569,158.00 Street Improvements 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
$583,769.00
2/2012
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 #1100, Glendale, CA 91203 949-679-7144
The Guarantee Company of North America USA, 1800 Sutter Street, Ste 735, Concord, CA 94520 925-566-6040
Safe Routes to Sclwol Infrastructure C-6
Project No. T0039
R.C. Becker and Son, Inc
Contractors -Name.
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29
DEBARMENT AND SUSPENSION CERTIFICATION
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
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
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
This bidder R.C. Becker and Son, Inc proposed subcontractor W 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
, 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: 5n1I3
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.: (661)259-4845
State CONTRACTOR's License No. & Class: 258762 Class A, C-12
Original Date:
7/22/1969
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 Canyon, Newhall, CA 91321 661-2594845
John Becker, Vice President 23262 W. Lea Ct, 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
C-9
All current and prior DBAs, alias, and/or fictitious business names for any principalhaving 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 7 day of 5 20 13
BIDDER:
John Becker, Vice President
Name and Title of Signatory
R.C. Becker and Son, Inc
Legal Name of Bidder
28355 Kelly 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 —,20—.
Notary Public �� o 11�rGfPv 01
(SEAL)
C-10
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE y 8202
X 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)
---------------------------------------------------------
2
3
4
5
Signature of Document Signer No, 1
State of California 1 I
County of S An /
] LISA C. ' NG
i Commission n ArN 19 1959174
�� Notary Public - California i
Los Angeles County
M Comm. E res Nor 4.201 S
Place Notary Seal Above
Signature of Document Signer No. 2 (it any)
Subscribed and swom to (or affirmed) before me
on this - day of M0, q 2013-
Date
013.Date M6nffi year
by
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me
(a4d
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me.)
Signatur
Signature of Notary Public
OPTIONAL
RIGHrTHUMEPRINT RIGHF' 1PRMr
-OF SIGNER p1 - -OF SIGNER7t2
Though the information below is not required by law, it may prove valuable
to persons retying on the document and could prevent fraudulent removal
and reattachment of this form to another document.
Further Description of Any Attached DIo'cfumenit
Title or Type of Document: '91 dde�ri 02rl cA'h Ol--
Document Date: 5I7 ([ 3 Number of Pages:
Signer(s) Other Than Named Above:
cv ry ivanonai Nmery AaseeIauon • NaaonaiNmary.arg • I.6UU-Ub NU IAHY (1-600-6]6662]) Item #5910
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: Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid No. SR2SL-5450(077)
"NOT APPLICABLE"
Bidder's Signature
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
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
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 ($ ), 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
23rd da,
BIDDER:
Name and Title of Signatory
R.C. Becker and Son, Inc.
28355 Kelly Johnson Parkway, Santa Clarita, CA 91355 - Phone: 661-259-4845
Address
SURETY' The Guarantee Company of North America USA
1800 Sutter Street, Suite 880, Concord, CA 94520 Phone: 925-566-6040
550 North Brand Blvd.Suite 1800, Glendale, CA 91203 Phone: 626-275-3000
,
Subscribed and sworn to this day of 20_
NOTARY PUBLIC %= Ri+c,Lho A (SEAL)
'Provide BIDDER and SURETY name, address, and telephone number and the name, title, address, and
telephone number for authorized representative.
IMPORTANT - Surety Companies executing Bonds must appear on the Treasury Department's most
current list (Circular 570, as amended) and be authorized to transact business in the State where the
project is located.
C -t2
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of Los Angeles
On April 23, 2013 before me, Corinne L. Hernandez, Notary Public
Dale Here Insert Name and Title of the Officer
personally appeared Mam Syrkin
Names) of Signer(s)
e. CORINNE L. HERNANDEZ
Commission # 1905285 L
Notary Public - California
z fru,/ Los Angeles County
IAy Comm. Expires Sep 24, 2014
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(q) is/are subscribed to the
within instrument and acknowledged to me that helsheHhey
executed the same in his/heFltheir authorized capacity(ies),
and that by hislheFAhelf signature(s) on the instrument the
person(, 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.
Witness9y<aDjI and officials I.
Signatur-7 � rJ
Place Notary Seal Above Signature of Notary Public
OPTIONAL
Though the information below is not required by taw, 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: Number of
Signer(s) Other Than Named
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s):
❑ Partner -0 Limited ❑ General
Q Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
Top of thumb here
❑ Other:
Signer Is Representing:
The Guarantee Company
of North America USA
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s):
❑ Partner —❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02007 Naiionel Notary Assoclation • 9350 De Sato Ave., P.O. Box 2402 • Chatsworth, CA 913132402 • vnrv.NationalNolary.org Item #5907 Reorder.. Call Toll -Free 1-800876-6827
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
. 14 ifflnrr Sprkin, Sergio D. Bechara, Rebecca Ann Haas -Bales, Patricia Arm Bauer, Richard Leroy Adair
Millennium Corporate Solution, Inc
its true and lawful attorneyis)-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 of 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 Atlomey(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 Attorney-in-fact 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 andlor final estimates on engineerinc and
construction contracts required by the State of Florida Department of Transportation. It 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 given to the Commissioner —
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
Further, this Power of Attorney is signed and sealed 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 2011, of which the following is a true excerpt:
RESOLVED that the signature of any authorized officer and the seal of the Company may be 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.
o"- r�t4rx IN WITNESS WHEREOF, THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and
its corporate seal to be affixed by its authorized officer, this 23rd day of February, 2012.
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 swom, 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 each signature were duly affixed by order of the Board of Directors of
.q ra-;+r'.
Cynthia A. Takai
Notary Public, State of Michigan
County of Oakland
-aT+gaW
r. �„ c
My Commission Expires February 27, 2018
Acting in 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.
a. 7a-41�
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 is still in full force and effect.
IN WITNESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 23 day of April, 20.13
"" Randall Musselman, Secretary
CALIFORNIA ALL.PURPOSE ACKNOWLEDGMENT
w' vysa s>...nL' •r oLon:� �°G" c3_atC',. oL. a4. s'w=v. cL0 �C- �v.�aC'avaYv'. caL a
State of California
County of Los Angeles
On 5/7/13 before me, Lisa O. Hertzing, NotaryPublic
Date Here Insert Nafne and Thle of the Officer
personally appeared John Becker
LISA C. ISR ANG
Commission 1959171
IMotsry PSDNc • COMM
Los Anpefes Cotegp
Canm. @ s IIDv 4
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person(e) whose name(€r� is/a*e subscribed to the
within instrument and acknowledged to me that
he/shefHjay executed the same in his/host' # authorized
capacity(ies), and that by his/ke6l%hek signature(s� on the
instrument the person(,,, or the entity upon behalf of
which the person(s}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 '/ a_ cat
re of Nota ublic
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: cls trona
Document Date: 4/23/13 Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: John Becker
❑ Individual
_; Corporate Officer—Title(s): V.P.
❑ Partner — Q Limited ❑General
'D Attorney in Fact
D Trustee Top of thumb here
Guardian or Conservator
Other:
Signer Is Representing: _
R.C. Becker & Son Inc
Signer's Nar
❑ Individual
O Corporate Officer — Title(s):
❑ Partner — O Limited ❑ General
rl Attorney in Fact
❑ Trustee
Guardian or Conservator
O Other:
Signer Is Representing:
Top of thumb here
02007 National Notary Association -9350 Do Soto Am. P0. Box 24M-ChaLswrlh, CA 913132402• wew.NelieralNotaryorg Item 95907 Reorder: Call Toll -Free U900-8]66027
NON -COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106)
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
To the CITY OF SANTA CLARITA:
In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106, the
Bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person,
partnership, company, association, organization, or corporation; that the bid is genuine and. not
collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other bidder to
put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed
with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the
Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or
conference with anyone to fix the bid price of the Bidder or any other bidder, or to fix any overhead,
profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage
against the public body awarding the contract of anyone interested in the proposed contract; that all
statements contained in the bid are true; and, further, that the Bidder has not, directly or indirectly,
submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged
information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership,
company association, organization, bid depository, or to any member or agent thereof to effectuate a
collusive or sham bid.
THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE `BIDDER'S CERTIFICATION -
SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS
WHICH FORMA PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE
CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION.
C-13
NON -COLLUSION AFFIDAVIT
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT
STATE OF CALIFORNIA )
COUNTY OF LOS ANGELES 3
John Becker being first duly sworn deposes and says that he is
the Vice President (sole owner, a partner, president, etc.) of
R.C. Beckon, Inc the party making the foregoing bid; that
such bid is not made in the interest of or behalf of any undisclosed person, partnership, company,
association, organization or corporation, that such bid is genuine and not collusive or sham, that said
BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid,
or that anyone shall refrain from bidding, that said BIDDER has not in any manner, directly or indirectly
sought by agreements, communication or conference with anyone to fix the bid price of said BIDDER or
of any other BIDDER, or to fix the overhead, profit, or cost element of such bid price, or of that of any
other BIDDER, or to secure any advantage against the public body awarding the Contract or anyone
interested in the proposed Contract; that all statements contained in such bid are true, and further, that
said BIDDER has not, directly or indirectly, submitted his bid price, or any breakdown thereof, or the
contents thereof, or divulged information or date relative thereto, or paid and will not pay any fee in
connection, therewith to any corporation, partnership, company, association, organization, bid depository,
or to any member or AGENCY thereof, or to any other individual information or date relative thereto, or
paid and will not pay any fee in connection, therewith to any corporation, partnership, company
association, organization, bid depository, or to any member or AGENCY thereof, or to any other
individual, except to such person or persons as have a partnership or other financial interest with said
BIDDER in his general business.
Bidder:
Title Vice
Subscribed and sworn to and before me
C-14
day of
20
- -
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 6202
V 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)
--------------------------------------
4
5
Signature of Document Signer No. 1
State of California
County of b's Ah9 dp-s
LISA 0. HENTLNG
Commission # 1959174
'e Notary Public - Cal%orrds
Los Angeles County
Comm. E trot Nor 4.2015 +
Rare Notary Seal Above
Signature of Document Signer No. 2 (If any)
Subscribed and sworn to (or affirmed) before me
on this 74L day of ML14 20ja—,
Date onth Year
by
(1> .Tohh Becker ,
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me
fand
(2) Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me.)
Signature
Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable Top of thumb here Top of thumb here
to persons relying on the document and could prevent fraudulent removal
and reattachment of this form to another document.
Further Description ofAny Attached Document
Title or Type of Document: WD6 — Q�l U J ay;4
Document Date: 51-7/1 3 . / Number of Pages:
Signerts) Other Than Named Above: !✓on P.i
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Item #5910
BIDDER'S QUESTIONNAIRE
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
If the bidder has answered the questionnaire within the past year and there are no significant changes in
the information requested, then the bidder need not file a new questionnaire. If there are changes,
indicate those changes. Should the space provided not be adequate, so indicate and complete
information on a separate page(s) and attach hereto.
1. Submitted by: John Becker Telephone: 661-259-4845
Principal Office Address: 28355 Kelly Johnson Parkway, Santa Clarita CA 91355
2. Type of Firm: General Engineerin; Contractor
Corporate: xx Other:
Individual:
3a.
If a corporation, answer these questions:
Date of Incorporation: 12/18/1968 State of Incorporation:
President's Name: Michael Becker
Vice -President's Name: John Becker
Secretary or Clerk's Name: Daniel Schackart
Treasurers Name: Daniel Schackart
3b. If a partnership, answer these questions:
Date of organization:
California
State Organized in:
Name of all partners holding more than a 10% interest:
Designate which are General or Managing Partners.
4. Name of person holding CONTRACTOR's license: John Becker
License number: 268762 Class: A, C-12 Expiration Date: 6-30-13
C-15
BIDDER'S QUESTIONNAIRE
(cont'd)
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
5. CONTRACTOR's Representative: John Becker
Title: Vice President
Alternate: Vince Tellez
Title: Chief Estimator
6. List the major construction projects your organization has in progress as of this date:
Owner: (A) Agoura Business Center (B) Newhall Land and Farming Cc
Project Location: Agoura Hills, CA Santa Clarita, CA
Type of Project: Street Improvements Street Improvements
5M
CERTIFICATION OF NON -SEGREGATED FACILITIES
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL No. 5450(077)
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.
John Becker
Vice President
R.C. Becker and Son, Inc
CONTRACTOR
Required by the May 19, 1967 order on Elimination of Segregated Facilities, by the Secretary of Labor — 32
F.R. 7439, May 19, 1967 (F.R. Vol. 33, No. 33 —Friday, February 16, 1968 —p. 3065).
C-17
ADDENDUM NO. 1
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL-5450(077)
City of Santa Clarita, California
May 2, 2013
This Addendum includes one (1) page as a part of the Contract Documents for the above -identified project and
modifies the original Specifications and Contract Documents, as noted below. Portions of the Contract, not
specifically mentioned in this Addendum, remain in force. All trades affected shall be fully advised of these
changes, deletions, and additions.
PA
3.
4.
Page F-12,6-7, TIME OF COMPLETION
Replace this paragraph in its entirety with the following:
6-7.1 General -. The CONTRACTOR shall begin work within ten (10) calendar days after date of the
Notice to Proceed and shall diligently prosecute the work to completion in every detail, within Thirty (30)
Working Days after the date in the Notice to Proceed with Work, exclusive of maintenance periods if any.
Page G-2, G1-1. LOCATION AND SCOPE OF WORK
Replace this paragraph in its entirety with the following:
The work to be performed includes construction of physical improvements near Plum Canyon Elementary
School, Mountainview Elementary School, and Fair Oaks Ranch Community School. The work includes:
Page G-18, G2-20, FURNISH AND INSTALL SPEED FEEDBACK SIGN AND TYPE 1-B POLE
Replace this paragraph in its entirety with the following:
A. Materials and Method
Work under this bid item shall include the furnishing and installation of a solar powered speed feedback
sign per manufacturer's specifications, and furnishing and installation of a 16 feet Type 1-8 pole per 2010
Calirans Standard Plans. Speed Feedback sign shall be VSC-1520F Gen III by Information Display
Company or equal as approved by engineer (Exhibit B).
June 4, 2013 before 11 0
Robert . Newm
Director of Public Works
City of Santa Clarita
The bid due date will remain Tuesday
BIDDER'S CERTIFICATE
I acknowledge receipt of this Addendum No.
�;/-7 ,2013
Date
and accept the aforementioned. 9,0, 9eCrL'c r , Sun, lric
A& john 132ckere
VIcc ejesicCnt
dder's Signature
THIS DOCUMENT TO BE SUBMITTED WITH BID
ADDENDUM NO. 2
Safe Routes to School Infrastructure
City Bid No. ENG -12-13-T0039
City Project No. T0039
State -Aid Project No. SR2SL-5450(077)
City of Santa Clarita, California
May 2, 2013
This Addendum includes one (1) page as a part of the Contract Documents for the above -identified project and
modifies the original Specifications and Contract Documents, as noted below. Portions of the Contract, not
specifically mentioned in this Addendum, remain in force. All trades affected shall be fully advised of these
changes, deletions, and additions.
1. Revise addendum No. 1 as follow
"The bid due date will remain Tuesday, May 7, 20�be�fore 11,00 a.m."
�C"V � r.i /l'I �Y �r 1z6J
Robert G. Newman
Director of Public Works
City of Santa Clarita
BIDDER'S CERTIFICATE Lkr �+Son,In�
I acknowledge receipt of Ihis Addendum No. 2 and accept the aforementione . t�C
FJ/ % , 2013
Date 1ders Signature
CTHIS DOCUMENT TO BE SUBMITTED WITH BID