HomeMy WebLinkAboutID# 14-621 Highland Construction, Inc. Construction Agreement SB Decelaration Lane Improv I-15 Railroad Canyon Rd CIP Project 4432CITY OF
LADELSII IOFZE
�� [�arnnn LXnunae.
REPORT TO CITY COUNCIL
TO: HONORABLE MAYOR
AND MEMBERS OF THE CITY COUNCIL
FROM: GRANT M. YATES
CITY MANAGER
DATE: JUNE 9, 2015
SUBJECT: AWARD CONSTRUCTION CONTRACT TO HIGHLAND
CONSTRUCTION, INC. FOR SOUTHBOUND DECELERATION
LANE IMPROVEMENT ON INTERSTATE 15 AT RAILROAD
CANYON ROAD - CIP PROJECT No. 4432
Recommendations
1. Award the Agreement for Public Works Construction to the lowest
responsive and responsible bidder, Highland Construction, Inc., in the
amount of $858,554.50 for the Southbound Deceleration Lane
Improvement on Interstate 15 at Railroad Canyon Road.
2. Authorize the City Manager to execute the Agreement in the final form
approved by the City Attorney.
3. Authorize the City Manager to execute contract change orders not to
exceed 15% of the contract pursuant to requirements set forth in the
construction agreement.
4. Authorize the Director of Public Works to record the Notice of
Completion once it is determined the work is complete and the
improvements are accepted.
Background
Southbound Interstate 15 at Railroad Canyon Road will remain open during
construction of the project. The existing roadway includes a single lane. The
roadway must be widened to provide additional traffic capacity. Caltrans has
agreed to provide $500,000 through SHOPP Funds for the project. The project is
expected to commence in July 2015 and be completed in 70 working days.
The proposed project improvements will add a deceleration lane for Interstate 15
southbound at the Railroad Canyon Road off -ramp. The work includes
SB Deceleration Lane Improvement on 1 -15 at Railroad Canyon Road
June 9, 2015
Page 2 of 3
installation of temporary K -rail, temporary restriping of 1 -15 southbound through
lanes and off ramp, removal of existing Portland Cement Concrete (PCC) paved
shoulder, earthwork, drainage improvements, construction of a new Jointed
Plane Concrete Pavement (JPCP) deceleration lane, asphalt concrete paved
shoulder, new freeway overhead sign, signing and striping, and related
construction associated with the Project.
Construction of the deceleration lane at the southbound exit ramp will provide
additional capacity in advance of the ultimate 1 -15 /Railroad Canyon Interchange.
Discussion
Contractor bids were opened publicly on June 1, 2015, at 2:00 p.m. The City
received four (4) bids ranging from the low bid by Highland Construction to the
high bid by All American Asphalt. The bid results are summarized below:
Contractor (Bidder) Location Bid Amount
1. Highland Construction, Inc. Orange, CA $ 858,554.50
2. Riverside Construction Co, Inc. Riverside, CA $ 938,322.00
3. Powell Constructors, Inc. Fontana, CA $ 943,367.40
4. All American Asphalt Corona, CA $1,035,918.10
The bids were evaluated based upon competitive pricing, understanding of
scope, direct experience with similar projects, ability to provide manpower and
equipment to timely complete the work, and qualifications. The 70 working day
contract will begin once all documents have been executed and a notice to
proceed has been issued.
After reference checks and review of recent similar construction projects that
were successfully completed with other agencies, it was determined that the City
Council should accept the Highland bid.
The materials available for inspection are adequate for City staff to support a
recommendation that the bid is responsive in the context of completing the
project as specified.
SB Deceleration Lane Improvement on 1 -15 at Railroad Canyon Road
June 9, 2015
Page 3 of 3
Fiscal Impact
Sufficient funds have been allocated in the approved Fiscal Year 2014/2015
Capital Improvement Plan budget for the 1 -15 /Railroad Canyon Road
Southbound Exit Ramp Deceleration Lane Project. The project will be funded by
T.R.I.P Program revenue and SHOPP grant funds.
Prepared by: Deepak Solanki
Consultant Project Manager
Approved by: Jim Smith, P.E.
Interim Director of Public Works
Approved by: Jason Simpson
Director Administrative Services Department
Approved by: Grant Yates, City Manager
Attachments: Agreement for Public Works Construction
AGREEMENT FOR PUBLIC WORKS CONSTRUCTION
Highland Construction, Inc.
Southbound Deceleration Lane Improvement 1 -15 at Railroad Canyon Road
This Agreement for Public Works Construction ( "Agreement') is made and entered into
as of June 09, 2015, by and between the City of Lake Elsinore, a municipal corporation ( "City ")
and Highland Construction, Inc., ( "Contractor ").
The City and Contractor, in consideration of the mutual promises and covenants set forth
herein, agree as follows:
1. The Project and Project Documents. Contractor agrees to construct the following
public improvements ( "work ") identified as:
Southbound Deceleration Lane Improvement 1 -15 at Railroad Canyon Road
(the "Project')
The City- approved plans for the construction of the Project, which are incorporated
herein and are identified as:
Southbound Deceleration Lane Improvement 1 -15 at Railroad Canyon Road
The Project Documents include this Agreement and all of the following: (1) the Notice
Inviting Bids, Instructions to Bidders, Bid Documents including Bidder's Proposal as submitted
by the Contractor, Contract Documents, General Specifications, Special Provisions, and all
attachments and appendices; (2) everything referenced in such documents, such as
specifications, details, standard plans or drawings and appendices, including all applicable State
and Federal requirements; (3) all required bonds, insurance certificates, permits, notices, and
affidavits; and (4) any and all addenda or supplemental agreements clarifying, amending or
extending the work contemplated as may be required to insure completion in an acceptable
manner. All of the provisions of the above - listed documents are made a part of this Agreement
as though fully set forth herein.
Compensation.
For and in consideration of the payments and agreements to be made and
performed by City, Contractor agrees to construct the Project, including
furnishing all materials and performing all work required for the Project, and to
fulfill all other obligations as set forth in the Bidder's Proposal, such contract price
being EIGHT HUNDRED FIFTY EIGHT THOUSAND FIVE HUNDRED FIFTY
FOUR DOLLARS AND FIFTY CENTS ($858,554.50).
b. 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 set forth, and hereby contracts to
pay the same at the time, in the manner, and upon the conditions set forth in the Project
Documents.
Southbound Deceleration Lane hoprovement I -15 at Rai do ad Canyon Road 2015
C. Contractor agrees to receive and accept the prices set forth in the
Bidder's Proposal as full compensation for furnishing all materials, performing all work, and
fulfilling all obligations hereunder. Such compensation shall cover all expenses, losses,
damages, and consequences arising out of the nature of 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 Project 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.
3. Completion of Work.
a. Contractor shall perform and complete all work within Seventy (70)
working days from the date of commencement specified in the Notice to Proceed, and shall
provide, furnish and pay for all the labor, materials, necessary tools, expendable equipment,
and all taxes, utility and transportation services required for construction of the Project.
b. All work shall be performed and completed in a good workmanlike
manner in strict accordance with the drawings, specifications and all provisions of this
Agreement as hereinabove defined and in accordance with applicable laws, codes, regulations,
ordinances and any other legal requirements governing the Project.
G. Contractor shall not be excused with respect to the failure to so comply by
any act or omission of the City, the Director of Public Works, the City Engineer, a City inspector,
or a representative of any of them, unless such act or omission actually prevents the Contractor
from fully complying with the requirements of the Project Documents, and unless the Contractor
protests at the time of such alleged prevention that the act or omission is preventing the
Contractor from fully complying with the Project Documents. Such protest shall not be effective
unless reduced to writing and filed with the City within three (3) working days of the date of
occurrence of the act or omission preventing the Contractor from fully complying with the Project
Documents.
d. City and Contractor recognize that time is of the essence in the
performance of this Agreement and further agree that if the work called for under the Agreement
is not completed within the time hereinabove specified, damages will be sustained by the City
and that, it is and will be impracticable or extremely difficult to ascertain and determine the
actual amount of damages the City will sustain in the event of, and by reason of, such delay. It
is, therefore, agreed that such damages shall be presumed to be in the amount of Nineteen
Hundred dollars ($1900.00) per calendar day, and that the Contractor will pay to the City, or
City may retain from amounts otherwise payable to Contractor, such amount for each calendar
day by which the Contractor fails to complete the work, including corrective items of work, under
this Agreement within the time hereinabove specified and as adjusted by any changes to the
work.
4. Changes to Work. City and Contractor agree that the City may make changes to
the work, or suspend the work, and no matter how many changes, such changes or
suspensions are within the contemplation of the Contractor and City and will not be a basis for a
compensable delay claim against the City nor be the basis for a liquidated damages claims
against the Contractor.
Page 2
5. Any change to the work shall be by way of a written instrument ('change order ")
signed by the City and the Contractor, stating their agreement to the following:
a. The scope of the change in the work;
b. The amount of the adjustment to the contract price; and
c. The extent of the adjustment to the Schedule of Performance.
The Director of Public Works is authorized to sign any change order provided that
sufficient contingency funds are available in the City's approved budget for the Project. All
change in the work authorized by the change order shall be performed under the applicable
conditions of the Project Documents. City and Contractor shall negotiate in good faith and as
expeditiously as possible the appropriate adjustments for such changes.
6. Bonds. Contractor shall provide, before commencing work, a Faithful
Performance Bond and a Labor and Material Bond, each for one - hundred percent (100 %) of the
contract price in the form that complies with the Project Documents and is satisfactory to the
City Attorney.
7. Non - Assignability. Neither this Agreement nor any rights, title, interest, duties or
obligations under this Agreement may be assigned, transferred, conveyed or otherwise
disposed of by Contractor without the prior written consent of City.
8. Licenses. Contractor represents and warrants to City that it holds the
contractor's license or licenses set forth in the Project Documents, is registered with the
Department of Industrial Relations pursuant to Labor Code Section 1725.5, and holds such
other licenses, permits, qualifications, insurance and approvals of whatsoever nature which are
legally required of Contractor. Contractor represents and warrants to City that Contractor shall,
at its sole cost and expense, keep in effect or obtain at all times during the term of this
Agreement, any licenses, permits, insurance and approvals which are legally required of
Contractor to practice its profession. Contractor shall maintain a City of Lake Elsinore business
license.
9. Indemnity. Contractor shall indemnify, defend, and hold harmless the City and its
officials, officers, employees, agents, and volunteers from and against any and all losses,
liability, claims, suits, actions, damages, and causes of action arising out of any personal injury,
bodily injury, loss of life, or damage to property, or any violation of any federal, state, or
municipal law or ordinance, to the extent caused, in whole or in part, by the willful misconduct or
negligent acts or omissions of Contractor or its employees, subcontractors, or agents, by acts
for which they could be held strictly liable, or by the quality or character of their work. The
foregoing obligation of Contractor shall not apply when (1) the injury, loss of life, damage to
property, or violation of law arises from the sole negligence or willful misconduct of the City or its
officers, employees, agents, or volunteers and (2) the actions of Contractor or its employees,
subcontractor, or agents have contributed in no part to the injury, loss of life, damage to
property, or violation of law. It is understood that the duty of Contractor to indemnify and hold
harmless includes the duty to defend as set forth in Section 2778 of the California Civil Code.
Acceptance by City of insurance certificates and endorsements required under this Agreement
does not relieve Contractor from liability under this indemnification and hold harmless clause.
This indemnification and hold harmless clause shall apply to any damages or claims for
damages whether or not such insurance policies shall have been determined to apply. By
Page 3
execution of this Agreement, Contractor acknowledges and agrees to the provisions of this
Section and that it is a material element of consideration.
10. Insurance Requirements.
a. Insurance. Contractor, at Contractor's own cost and expense, shall
procure and maintain, for the duration of the Agreement, unless modified by the City's Risk
Manager, the following insurance policies.
i. Workers' Compensation Coverage. Contractor shall maintain
Workers' Compensation Insurance and Employer's Liability Insurance for his /her
employees in accordance with the laws of the State of California. In addition, Contractor
shall require each subcontractor to similarly maintain Workers' Compensation Insurance
and Employer's Liability Insurance in accordance with the laws of the State of California
for all of the subcontractor's employees. Any notice of cancellation or non - renewal of all
Workers' Compensation policies must be received by the City at least thirty (30) days
prior to such change. The insurer shall agree to waive all rights of subrogation against
City, its officers, agents, employees and volunteers for losses arising from work
performed by Contractor for City. In the event that Contractor is exempt from Worker's
Compensation Insurance and Employer's Liability Insurance for his /her employees in
accordance with the laws of the State of California, Contractor shall submit to the City a
Certificate of Exemption from Workers Compensation Insurance in a form approved by
the City Attorney.
ii. Commercial General Liability Coverage. Contractor shall maintain
commercial general liability insurance in an amount not less than one million dollars
($1,000,000) per occurrence for bodily injury, personal injury and property damage. If a
commercial general liability insurance form or other form with a general aggregate limit is
used, either the general aggregate limit shall apply separately to the work to be
performed under this Agreement or the general aggregate limit shall be at least twice the
required occurrence limit. Required commercial general liability coverage shall be at
least as broad as Insurance Services Office Commercial General Liability occurrence
form CG 0001 (ed. 11/88) or Insurance Services Office form number GL 0002 (ed. 1/73)
covering comprehensive General Liability and Insurance Services Office form number
GL 0404 covering Broad Form Comprehensive General Liability. No endorsement may
be attached limiting the coverage.
iii. Automobile Liability Coverage. Contractor shall maintain
automobile liability insurance covering bodily injury and property damage for all activities
of the Contractor arising out of or in connection with the work to be performed under this
Agreement, including coverage for owned, hired and non -owned vehicles, in an amount
of not less than one million dollars ($1,000,000) combined single limit for each
occurrence. Automobile liability coverage must be at least as broad as Insurance
Services Office Automobile Liability form CA 0001 (ed. 12/90) Code 1 ( "any auto "). No
endorsement may be attached limiting the coverage.
V. Builder's Risk Coverage. Prior to the commencement of any
construction of the Project, Contractor shall obtain (or cause to be obtained) and keep in
force during the term of any construction, builder's risk insurance insuring for all risks of
physical loss of or damage (excluding the perils of earthquake and flood).
Page 4
V. Professional Liability Coverage [if applicablel. Contractor shall
maintain professional errors and omissions liability insurance appropriate for
Contractor's profession for protection against claims alleging negligent acts, errors or
omissions which may arise from Contractor's services under this Agreement, whether
such services are provided by the Contractor or by its employees, subcontractors, or sub
consultants. The amount of this insurance shall not be less than one million dollars
($1,000,000) on a claims -made annual aggregate basis, or a combined single limit per
occurrence basis.
b. Endorsements. Each general commercial liability and automobile liability
insurance policy shall be with insurers possessing a Best's rating of no less than A:VII
and shall be endorsed with the following specific language:
i. The City, its elected or appointed officers, officials, employees,
agents and volunteers are to be covered as additional insured with respect to liability
arising out of work performed by or on behalf of the Contractor, including materials, parts
or equipment furnished in connection with such work or operations.
ii. This policy shall be considered primary insurance as respects the
City, its elected or appointed officers, officials, employees, agents and volunteers.
Any insurance maintained by the City, including any self- insured retention the City may
have, shall be considered excess insurance only and shall not contribute with it.
iii. This insurance shall act for each insured and additional insured as
though a separate policy had been written for each, except with respect to the limits of
liability of the insuring company.
iv. The insurer waives all rights of subrogation against the City, its
elected or appointed officers, officials, employees or agents.
V. Any failure to comply with reporting provisions of the policies shall
not affect coverage provided to the City, its elected or appointed officers, officials,
employees, agents or volunteers.
vi. The insurance provided by this Policy shall not be suspended,
voided, canceled, or reduced in coverage or in limits except after thirty (30) days written
notice has been received by the City.
C. Deductibles and Self- Insured Retentions. Any deductibles or self- insured
retentions must be declared to and approved by the City. At the City's option, Contractor shall
demonstrate financial capability for payment of such deductibles or self- insured retentions.
d. Certificates of Insurance. Contractor shall provide certificates of
insurance with original endorsements to City as evidence of the insurance coverage required
herein. Certificates of such insurance shall be filed with the City on or before commencement of
performance of this Agreement. Current certification of insurance shall be kept on file with the
City at all times during the term of this Agreement.
11. Notices. Any notice required to be given under this Agreement shall be in writing
and either served personally or sent prepaid, first class mail. Any such notice shall be
Page 5
addressed to the other party at the address set forth below. Notice shall be deemed
communicated within 48 hours from the time of mailing if mailed as provided in this section.
If to City: City of Lake Elsinore
Attn: City Manager
130 South Main Street
Lake Elsinore, CA 92530
With a copy to: City of Lake Elsinore
Attn: City Clerk
130 South Main Street
Lake Elsinore, CA 92530
If to Contractor: Highland Construction, Inc.
133 N. Pixley Street
Orange, CA 92868
12. Entire Agreement. This Agreement constitutes the complete and exclusive
statement of agreement between the City and Contractor. All prior written and oral
communications, including correspondence, drafts, memoranda, and representations, are
superseded in total by this Agreement.
13, Amendments. This Agreement may be modified or amended only by a written
document executed by both Contractor and City and approved as to form by the City Attorney,
14. Assignment and Subcontracting. Contractor shall be fully responsible to City for
all acts or omissions of any subcontractors. Assignments of any or all rights, duties or
obligations of the Contractor under this Agreement will be permitted only with the express
consent of the City. Nothing in this Agreement shall create any contractual relationship between
City and any subcontractor nor shall it create any obligation on the part of the City to pay or to
see to the payment of any monies due to any such subcontractor other than as otherwise is
required by law.
15. Waiver. Waiver of a breach or default under this Agreement shall not constitute
a continuing waiver of a subsequent breach of the same or any other provision under this
Agreement.
16. Severability. If any term or portion of this Agreement is held to be invalid, illegal,
or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions of this
Agreement shall continue in full force and effect.
17. Controlling Law Venue. This Agreement and all matters relating to it shall be
governed by the laws of the State of California and any action brought relating to this
Agreement shall be held exclusively in a state court in the County of Riverside.
18, Litigation Expenses and Attorneys' Fees. If either party to this Agreement
commences any legal action against the other party arising out of this Agreement, the prevailing
party shall be entitled to recover its reasonable litigation expenses, including court costs, expert
witness fees, discovery expenses, and attorneys' fees.
Page 6
19. Mediation. The parties agree to make a good faith attempt to resolve any
disputes arising out of this Agreement through mediation prior to commencing litigation. The
parties shall mutually agree upon the mediator and share the costs of mediation equally. If the
parties are unable to agree upon a mediator, the dispute shall be submitted to JAMS or its
successor in interest. JAMS shall provide the parties with the names of five qualified mediators.
Each party shall have the option to strike two of the five mediators selected by JAMS and
thereafter the mediator remaining shall hear the dispute. If the dispute remains unresolved after
mediation, either party may commence litigation.
20. Authority to Enter Agreement and Administration. Contractor has all requisite
power and authority to conduct its business and to execute, deliver, and perform the
Agreement. Each party warrants that the individuals who have signed this Agreement have the
legal power, right, and authority to make this Agreement and to bind each respective party. The
City Manager is authorized to enter into an amendment or otherwise take action on behalf of the
City to make the following modifications to the Agreement: (a) a name change; (b) grant
extensions of time; (c) non - monetary changes in the scope of services; and /or (d) suspend or
terminate the Agreement. The Director of Public Works shall act as the Project administrator on
behalf of the City.
21. Prohibited Interests. Contractor maintains and warrants that it has not employed
nor retained any company or person, other than a bona fide employee working solely for
Contractor, to solicit or secure this Agreement. Further, Contractor warrants that it has not paid
nor has it agreed to pay any company or person, other than a bona fide employee working
solely for Contractor, any fee, commission, percentage, brokerage fee, gift or other
consideration contingent upon or resulting from the award or making of this Agreement. For
breach or violation of this warranty, City shall have the right to rescind this Agreement without
liability. For the term of this Agreement, no member, officer or employee of City, during the term
of his or her service with City, shall have any direct interest in this Agreement, or obtain any
present or anticipated material benefit arising therefrom.
22. Equal Opportunity Employment. Contractor represents that it is an equal
opportunity employer and it shall not discriminate against any subcontractor, employee or
applicant for employment because of race, religion, color, national origin, handicap, ancestry,
sex or age. Such non - discrimination shall include, but not be limited to, all activities related to
initial employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff
or termination.
23. Prevailing Wages.
a. Contractor and all subcontractors shall adhere to the general prevailing
rate of per diem wages as determined and as published by the State Director of the Department
of Industrial Relations pursuant to Labor Code Sections 1770, 1773, and 1773.2. Copies of
these rates and the latest revisions thereto are on file in the office of the City Clerk of the City of
Lake Elsinore and are available for review upon request.
b. Contractor's attention is directed to the provisions of Labor Code Sections
1774, 1775, 1776, 1777.5 and 1777.6. Contractor shall comply with the provisions of these
Sections. The statutory provisions for penalties for failure to comply with the State's wage and
the hours laws will be enforced.
Page 7
C. Labor Code Sections 1774 and 1775 require the Contractor and all
subcontractors to pay not less than the prevailing wage rates to all workmen employed in the
execution of the contract and specify forfeitures and penalties for failure to do so. The minimum
wages to be paid are those determined by the State Director of the Department of Industrial
Relations, Labor Code Section 1776 requires the Contractor and all subcontractors to keep
accurate payroll records, specifies the contents thereof, their inspection and duplication
procedures and certain notices required of the Contractor pertaining to their location. The
statutory penalties for failure to pay prevailing wages will be enforced. If the Project has been
awarded to Contractor on or after April 1, 2015, Contractor and its subcontractors must furnish
electronic certified payroll records to the Labor Commissioner. Beginning January 1, 2016,
Contractor and its subcontractors must furnish electronic certified payroll records to the Labor
Commissioner without regard to when the Project was awarded to Contractor.
d. Labor Code Section 1777.5 requires Contractor or subcontractor
employing tradesmen in any apprenticeable occupation to apply to the Joint Apprenticeship
Committee nearest the site of the public works project, which administers the apprenticeship
program in that trade for a certificate of approval. The certificate will also fix the ratio of
apprentices to journeymen to be used in the performance of the Agreement. The Contractor is
required to make contributions to funds established for the administration of apprenticeship
programs if the Contractor employs registered apprentices or journeymen in any apprenticeable
trade and if other contractors on the public works site are making such contributions.
Information relative to apprenticeship standards, contributions, wage schedules and other
requirements may be obtained from the State Director of Industrial Relations or from the
Division of Apprenticeship Standards. Labor Code Section 1777.6 provides that it shall be
unlawful to refuse to accept otherwise qualified employees as registered apprentices solely on
the grounds of race, religious creed, color, national origin, ancestry, sex, or age.
e. Eight hours labor constitutes a legal day's work, as set forth in Labor
Code Section 1810.
24. Execution, This Agreement may be executed in several counterparts, each of
which shall constitute one and the same instrument and shall become binding upon the parties
when at least one copy hereof shall have been signed by both parties hereto. In approving this
Agreement, it shall not be necessary to produce or account for more than one such counterpart.
[Signatures on next page]
Page 8
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed on
the date first written above.
"CITY"
CITY OF LAKE ELSINORE, a municipal
corporation
"CONTRACTOR"
HIGHLAND CONSTRUCTION, INC., a
(Private Corporation)
Grant Yates, City Manager By:
Its:
ATTEST:
City Clerk
APPROVED AS TO FORM:
City Attorney
By:
Its:
Page 9
CITY OF LAKE ELSINORE
CIP Project No. 4432
SECTION C - BID DOCUMENTS
C -1
CITY OF LAKE ELSINORE
CIP Project No. 4432
BIDDER'S PROPOSAL
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. (CIP PROJECT NO. 4432)
Company: Highland Construction, Inc.
Honorable Mayor Members of the Council:
In accordance with the Notice Inviting Bids pertaining to the receiving of sealed proposals by the
City Clerk of the City of Lake Elsinore for the above titled improvement, the undersigned hereby
proposes to furnish all Work to be performed in accordance with the Specifications, Standard
Drawings, and the Contract Documents, for the unit price or lump sum set forth in the following
schedule:
Time of Completion: Fifty (50) Working Days from Issuance of Notice to Proceed (NTP)
by City to Contractor.
Installation of Overhead Sign Structure and Lighting within
Seventy (70) Working Days from Issuance of Notice to Proceed
(NTP) by City to Contractor.
BID SCHEDULE A
C -2
ITEMS
UNIT
ESTIMATED
QUAN TITY
UNIT
PRICE
AMOUNT
tITEM
*DESCRIPTION
LS
1
17Oi_CE
PLAN (STRIPE
LS
1
I Soo
EE, o �
EMENT
LS
1
15 vu
15 c�c"�
4
130300
PREPARE STORM WATER
POLLUTION PREVENTION PLAN
LS
1/
5
130330
STORM WATER ANNUAL REPORT
LS
1ba2�
�OOC7
6
130560
TEMPORARY SOIL BINDER
LS
1
7
130620
TEMPORARY DRAINGE INLET
PROTECTION
EA
3
w o
1 sc:3
8
130640
TEMPORARY FIBER ROLL
LF
200
14
gU0
9
130610
TEMPORARY CHECK DAM
LF
120
10
130680
TEMPORARY SILT FENCE
LF
2,000
710
TEMPORARY CONSTRUCTION
ENTRANCE
EA
1
900
TEMPORARY CONCRETE
WASHOUT
EA
1
T14120100
000
TEMPORARY FENCE (TYPE ESA)
LS
1
I po
1 1 0 0
TRAFFIC CONTROL SYSTEM
(INCLUDING CONSTRUCTION AREA
SIGNSab
LS
1
0 l r
.30 r5 E�
C -2
CITY OF LAKE ELSINORE
CIP Project No. 4432
ITEM
ESTIMATED
UNIT
ITEM CODE
DESCRIPTION OF ITEMS
UNIT
QUANTITY
PRICE
AMOUNT
TEMPORARY TRAFFIC STRIPE
LF
7,600
PAINT AND PAVEMENT MARKERS
120165
CHANNELIZERS (SURFACE
EA
13
[NO.
MOUNTED
120300
TEMPOARY PAVEMENT MARKERS
EA
160
128650
PORTABLE CHANGEABLE
LS
2
�(5vu
Joc�a
MESSAGE SIGN
19
129000
TEMPORARY RAILING (TYPE K)
LF
1,760
20
150662
(F)
REMOVE METAL BEAM GUARD
LF
62.5
21
150711
REMOVE TRAFFIC STRIPE AND
LF
15,200
0, qs
PAVEMENT MARKERS
REMOVE BASE AND SURFACING
22
150860
(F)
(INCLUDING EDGE DRAINS, VENTS,
CY
1,230
&OUTLETS
23
152387
O F
RELOCATE ROADSIDE SIGN (TWO
EA
1
y
�J�
DSO
POST)1
24
160102
CLEARING AND GRUBBING
LS
1
) d0
i
[ `200 j
25
170101
DEVELOP WATER SUPPLY
LS
1
01310
i
el i ' I O
26
190101
ROADWAY EXCAVATION -
CY
590
62-
3 (,590
27
203015A
EROSION CONTROL TYPE 2 (BFM)
SF
11,530
eD, lig
5O
28
203027
EROSION CONTROL TYPE I(BFM)
SF
11,490
29
203033
SF
11,530
p. %rj
g�417,'°
PRODUCT(BLANNKEONTROL
30
204096
MAINTAIN EXISTING PLANTED
LS
1
�5v�
,�a5o 0
AREAS
31
220101
FINISHING ROADWAY
LS
1
GO
32
260203
(F)
CLASS 2 AGGREGATE BASE
CY
420
)'73ba
33
350200
BASE BOND BREAKER
SO
YD
2,140
34
280000
(F)
LEAN CONCRETE BASE
CY
250
1
35
390129
HOT MIX ASPHALT - TYPE A
TON
290.0
1041
3'b 1(, O
36
395000
LIQUID ASPHALT (PRIME COAT)
TON
3.5
1500
5�)-5U
37
401050
JOINTED PLAIN CONCRETE
CY
890
a,35
PAVEMENT
,�oq'So
38
404093
SEAL ISOLATION JOINT
LF
1,372
/ O
137,2D
39
414241
JOINT SEAL (SILICONE)
LF
1,404
7
I$L8
40
420201
GRIND EXISTING CONCRETE
SO
1,830
�{
ILI
(C' ;Z,O
PAVEMENT
YD
-5
41
510502
MINOR CONCRETE (MINOR
CY
2.0
O
027bo0
STRUCTURE
42
560218
(F)
FURNISH SIGN STRUCTURE
LB
23,45035
gry3gs
TRUSS
43
560219
(F)
INSTALL SIGN STRUCTURE
LB
23,450
�'N�
(TRUSS)
C -3
CITY OF LAKE ELSINORE
CIP Project No. 4432
TEM
ESTIMATED
UNIT
NO.
[44
ITEM CODE
DESCRIPTION OF ITEMS
UNIT
QUANTITY
PRICE
AMOUNT
560244
(F)
_ _
FURNISH LAMINATED PANEL SIGN
"
SO
350
_j2
ff��9v
1 -TYPEA
FT
_
60" CAST -IN- DRILLED -HOLE
45
561016
(F)
CONCRETE PILE (SIGN
LF
25
FOUNDATION
46
566012
ROADWAY SIGNS (TWO POST)
EA
2
(pio
i,22Cs
47
665006
8" CSP (0.079" THICK) IRRIGATION
LF
28
CROSSOVER
48
680283
3" PLASTIC PIPE UNDERDRAIN
LF
35
MINOR CONCRETE
49
731502
(MISCELLANEOUS
CY
3.90
.L'C(S
/ 1
CONSTRUCTION
I _3a °.Sv
50
832007
(F)
MIDWEST GUARDRAIL SYSTEM
LF
125.0
/'
(WOOD POST)
Y
.]
51
839581
(F)
END ANCHOR ASSEMBLY (TYPE
EA
1
f]oq
SFT
50c>
52
839584
(F)
ALTERNATIVE IN -LINE TERMINAL
EA
2
H
SYSTEM
50 n
-vo
53
839541
(F)
TRANSITION RAILING (TYPE WB)
EA
1
� �-
.�� 75
S9 1S
54
840501
THERMOPLASTIC PAVEMENT
STRIPE
LF
1,740
is
THERMOPLASTIC TRAFFIC STRIPE
LF
8,650
q, nYABLE
5i qD
E55840560
PAVEMENTS MARKER (NOW
EA
352
j/D
3z
REFLECTIVE
3,
_
PAVEMENTS MARKER
(RETROREFLECTIVE )
EA
276
5t7
IDZI`Z.
58
860401
TRAFFIC COUNT STATION
LS
1
Ili
59
860551
LIGHTING AND SIGN ILLUMINATION
LS
1
D7&;Oo
60
999990
MOBILIZATION (A./-5%)
LS
1
?�rj <9pobGo
Total Bid Price
$
(Based on estimated quantities of Items 1 through 60)
Note: Estimated quantities are for the purpose of Bid comparison only payments will be made on the
basis of actual measurement of Work completed, except for lump sum (LS) and final pay (F) quantities.
(S) denotes a specialty item. The Bid Price shall include, but not be limited to, sales tax and all other
applicable taxes and fees.
�a �JC7
SCHEDULE A Total Bid: 81 sr //4 _
(Figures *)
SCHEDULE A Total Bid:
F) �'1,,T NUonet:p It
- - -) - - - -� — i�,tlr 7 �-Jov�� �'I �G- Hvt�nrcD ��C��l' -�vrz
(Words *) J -- -
- ��Lwa22
*BID MAY BE REJECTED IF TOTAL IS NOT SHOWN FOR BOTH FIGURES AND WORDS.
C -4
CITY OF LAKE ELSINORE
CIP Project No. 4432
Project construction is funded with Caltrans State Highway Operation and Protection
Plan (SHOPP) funds and City Transportation Road Improvement Program (T.R.I.P) funds,
which require conformance with State Requirements including Caltrans Encroachment
Permit conditions.
The undersigned agrees to enter into and execute a contract, with necessary bonds, at the unit
prices set forth herein and in case of default in executing such contract, with necessary bonds,
the check or bond accompanying this bid and the money payable thereon shall be forfeited
thereby to and remain the property of the City of Lake Elsinore.
The above unit prices include all work appurtenant to the various items as outlined in the
Specifications and all work or expense required for the satisfactory completion of said items. In
case of discrepancies between unit prices and totals, the unit prices shall govern.
The undersigned declares that it has carefully examined the Plans, Specifications, and Contract
Documents, and has investigated the site of the work and is familiar with the conditions thereon.
HighLand Construction, Inc.
Contractor
r r
Date: B � / /y y; M. Ahtnadi, Pres i.dC�j�
Contractors State License No.: 743775
Class: A
Address: 133 N. Pixley Street
Orange, CA 92869
Phone: 714 -538 -51.56
PAX: 714 - 538-5157
C -5
CITY OF LAKE ELSINORE
CIP Project No. 4432
ACKNOWLEDGMENT OF ADDENDA RECEIVED
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. - (CIP PROJECT NO. 4432)
The Bidder shall acknowledge the receipt of addenda by placing an "X" by each addendum
received.
Addendum No. 1 X
Addendum No. 2
Addendum No.3
Addendum No.4
If an addendum or addenda have been issued by the City and not noted above as being
received by the Bidder, the Bid Proposal may be rejected.
C -6
Date
CITY OF LAKE ELSINORE
CIP Project No. 4432
NON - COLLUSION AFFIDAVIT
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. (CIP PROJECT NO. 4432)
STATE OF CALIFORNIA )
) SS
COUNTY OF orange )
(NAME) M. Ahmadi
affiant being first duly sworn, deposes and says:
That he or She Is President
(sole owner, partner or other proper title)
of
Hi.ghLand Construction, Inc. the party making the foregoing
Bid, 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 associations,
organization, bid depository, or to any member or agent thereof to effectuate a collusive or
sham Bid. (Public Contract Code Section 7106)
Address: 133 N. Pixley Street, Orange, CA 92868
TE
Pr
Si!
714- 53fl -51.5h
Title: President Date: iLL
SIGNING INSTRUCTIONS TO THE CONTRACTOR
Non - Collusion Affidavit must be accompanied by notary certificates for signature. Note
the description of the document on the notary certificate. Attach notary certificate
immediately following this page.
If the Bidder fails to properly sign or omits the required signature, the bid will be
considered non - responsive and will be rejected.
C -7
A notary public or other officer completing this certificate verl5es only the
identity of the insi ldual v ✓ho signed the document to which this certificate
Is attached, and not the truthfulness, accuracy, or validity of that document
State of California
County of �� )
CALIFORNIA JURAT
Subscribed and sworn to (or affirmed) before me on this � s� day
of ._ pT�Ao e-
1 20 J , by. t • P Y\ M Al
proved to me on the basis of satisfactory evidence to be the person(s)
who appeared before me.
Slgnatu i
OPTIONAL INFORMATION
ERIN M. M: RICHARDSON
Commission # 1942309
_ :P Notary public • California z
Orange County >
My Comm. Expires Jul 22, 2015 y
+.���.�
(Seal)
Although the information in this section Is not required bylaw, it could prevent fraudulent removal and reattachment of this
jurat to an unauthorized document and may prove useful to persons relying on the attached document.
Description of Attached Document
This certificate is attached to a document titled /for the purpose of
NUS- COIF -u��N (A- -
50QJV\-N Q(N(6 1 Cf�`d2f� OtJ V-d�
Pie, C-1
containing pages, and dated
Method of Affi ant Identification
Proved to me on the basis or satisfactory evidence:
Lo form(s) of identification Q credlblewitness(es)
Notarial event is detailed in notary journal on:
Page k Entry F
Notary contact:
.............
Other
] Affiant(s)Thumbprint(s) ❑ Describe
PYr 9 Y Y OSO). All Rights Reserved. Item Number 101884. Please contact your Authorized Roseller to purchase copier of this form.
OCO LMIaO)�]OlaNOtm RO[lr Inc. PO BOx 01400, De Atolnes�lA50311�
CITY OF LAKE ELSINORE
CIP Project No, 4432
BOND NO. 15 -A PREMIUM: NIL
BIDDER'S BOND
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. (CIP PROJECT NO. 4432)
ALL MEN OR WOMEN BY THESE PRESENTS:
we HIGHLAND CONSTRUCTION, INC. as
CIPAL,
hereinafter referred to as "Contractor", and THE GUARANTEE COMPANY OF NORTH AMERICA USA
a di ply authorized carporate as "Surety," are held and firmly bound unto the City of Lake Elsinore
in tee penal sum of TEN PERCENT (10 %) OF THE TOTAL AMOUNT OF THE BID of the
Contractor above named, submitted by said Contractor to the City of Lake Elsinore for the work
for paid project entitled above, for the payment of which sum in lawful money of the United
States, well and truly to be made, to the City of Lake Elsinore to which said bid was submitted,
we pind ourselves, our heirs, executors, administrators and successors, jointly and severally,
firmly by these presents. In no case shall the liability of the surety hereunder exceed the
amquntOf TEN PERCENT OF AMOUNT BID (10 7 )
TH4 CONDITION OF THIS OBLIGATION IS SUCH
Thai whereas the Contractor has submitted the above-mentioned Bid to the City of Lake
Eisifore as aforesaid for the work for said project entitled above.
NO , THEREFORE, if the aforesaid Contractor is awarded the Contract and, within the time
and . manner required under the Contract documents, after the prescribed forms are presented to
him I or her for signature, enters Into a written Agreement in the prescribed form and in
accordance with the Contract documents, and files two bonds with the City of Lake Elsinore,
one to guarantee faithful performance and the other to guarantee payment for labor and
mat rials, in accordance with said Contract documents, and as required by law, and files the
re, red insurance certificate(s) in accordance with said Contract documents, then this
obligation shall be null and void; otherwise, it shall be and remain in full force and effect until
exequtlon of the Agreement or forfeiture pursuant to the Provisions of Sections 20172 and
20114 of the Public Contract Code.
In the event suit is brought upon this bond by the City and judgment is recovered, the Surety
shall! pay all costs incurred by the City in such suit, including a reasonable attorney fee to be
fixer by the court,
(SIGNATURE PAGE FOLLOWS)
C -8
CITY OF LAKE ELSINORE
CIP Project No, 4432
BIDDER'S BOND SIGNATURE PAGE
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. (CIP PROJECT NO, 4432)
IN ITNESS WHEREOF, we have hereunto set our hands and seals on
Ihiq 27TH1ay of MAY 2015
CORPORATE SURETY:
HIGHLAND THE GUARANTEE COMPANY
r Name: CONSTRUCTION, INCA Company Name: OF NORTH AMERICA USA
133 NORTH PIXLEY STREET Address; 6303 OWENSMOUTH AVENUE, 10TH FLOOR
ucANUt, GA 9z668 WOODLAND HILLS, CA 91367
No.: 714- 538 -5156 Telephone No.: 818- 936 -2845
Name: M. Ahmadi Print Name: CHARLES L. FLAKE
Title President
Title: ATTORNEY -IN -FACT
Sig a - t
Signature;
Date: June 1 2015
--- Date: MAY 27, 2015
SIGNING INSTRUCTIONS TO THE CONTRACTOR
Bid t er'a Bond must be accompanied by notary certificates for EACH signature, Note the
description of the document on the notary certificate. Attach BOTH notary certificates
imnf distely following this page.
Cor lorate Seal may be affixed hereto.
Thettorney -in -fact for corporate surety must be registered, as such, in at least one
county In the State of California. Attach one original Power of Attorney Immediately
folloring the notary certificates,
If tht Bidder fails to properly sign or omits the required signatures, the bid will lye
cons Idered non - responsive and will be rejected,
C -9
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached,
and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
County of Orange
On 5 -27 -15 before me,
Lexie Sherwood Notary Public,
Hale
Insetl Name of Notary exactly as it appears on the official seal
personally appeared _Charles L. Flake
_
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is /are subscribed to the
within instrument and acknowledged to me that he /she /they
executed the same in his /her /their authorized capacity(ies),
and that by his /her /their signature(s) on the instrument the
, �, v
person(s), or the entity upon behalf of which the person(s)
LEXIE SHERWOOD
L [,E S
acted, executed the instrument.
GOMM. # 2031782
'E`'`'� NOTARY PUBLIC • CALIF ORNUI
-W-...
0 1 certify under PENALTY OF PERJURY under the laws of
ORANGE COUNTY
'{ GommComm. Exm 17
the State of California that the foregoing paragraph is true
4v�^vw
and correct.
Witness my hand and official seal.
Signature C4/ t 4Gv776C�
Place Notary Seal Above
Signature of ota Pubic Lexper Sherwood -
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 the form to another document.
Description of Attached Document
Title or Type of Document:
_
Document Date:
Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signers)
Signer's Name:
Signer's Name:
❑ Individual
❑ Individual
❑ Corporate Officer -- Title(s):
❑ Corporate Officer — Title(s):
❑ Partner ❑ Limited ❑ General
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Attorney in Fact
❑ Trustee •
❑ Trustee •
❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here
❑ Other:
❑ Other:
Signer is Representing:
Signer is Representing:
THE The Guarantee Company of North America USA
GUARANTEE" POWER OF ATTORNEY Southfield, Michigan
KNOW ALL EY 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 appolnt
David L. Culbertson, Charles L. Flake, Richard A. Coon, Spencer Flake
Culbertson Insurance Services, Inc.
its true and lawful atemey(s)- imfact to execute, seal and deliver for and on its behalf as surely, 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 instmmoril in pursuance of these presents, shall be as binding upon THE GUARANTEE COMPANY Or 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 Sy -Laws
adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting hold 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 appolnt 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 undenaldngs, 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 and/or final estimates on engineering 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 surely
company of any of its obligations under its bond.
A. 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 Attorney-in-Fect cannot be modified or revoked unless prior written personal notioe 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.
Furgier, 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 shell have the same force and effect as though manually affixed.
n IN WITNESS WHEREOF, THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and
he corporate seal to be aKxed by its authorized officer, this 23rd day of February, 2012.
THE GUARANTEE COMPANY OF NORTH AMERICA USA
STATE OF MICHIGAN Stephen C. Ruschak, President & COO Randall Musselman, Secretary
County of Oakland
On this 23rd day of February, 2D12 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 Seal and each signature were duly affixed by order of the Board of Directors of
Cynthia A. Taker
Notary Public, State of Michigan
County of Oakland
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.
I, Randall Musselman, Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify the( 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.
o wwr =rc� IN WITNESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 2 7th day of May 2015
� G a .dry- �.�•.-b�
a
Randall Musselman, Secretary
CALIFORNIA ALL- PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity
of the individual who signed the document to which this certificate is attached,
and not the truthfulness, accuracy, or validity of that document.
State of California }
County of%Ro�� }
On ('0 before me \C�1Pc�J�1 , `Vu \^\ bliet
-mere
ms�ler name an it e o I ee o seer
� A � � " "� � � •
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose
name(s) is /are subscribed to the within instrument and acknowledged to me that
he /she /they executed the same in his /her /their authorized capacity(ies), and that by
his /her /their signature(s) on the instrument the person(s), 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.
._ ERIN M RICHARDSON
WITNESS my hand and official seal. Commission # 1942309 z
-d Notary Public . California z
�- z x;,. Orange County x•
My Comm. Expiras Jul 22, 2015'
Not ry Public Si Lure (Notary Public Seal)
A INSTRUCTIONS FOR COWLETtNG TMS FORM
ADDITIONAL OPTIONAL INFORMATION Tbelinrncoaplresudrh currentCalifania statutes regardbngnotary wording and,
DESCRIPTION OF THE ATTACHED DOCUMENT ifnceded, sho ld be conrpletedaudalrached io thedocumem. Acknowledgments
frronr other states nmy be completed for documents being sent to Moisture so long
as California notary to vi tang
e
a[)
•
( document) ' rely where the document
Tide\ r description o (tache� d document County
^ ^� acknowledgment.
�/i en
d ggment.
personally appeared before e the n
lire ipublis
. ate os)
appeared
(Title or description of attached document con ued) g om personally which
must also be the same date the acknowledgment is completed.
t��� • 'the notary public must print his or her name as it appears within his or her
Number of Pages Document Date.(,rp�t� the follows() by a comma and men your title (notary public).
• Print the mme(s) of document signer(s) who personally appear at the time of
notarization.
CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect tomes (re
❑ Individual (S) beAlie/kheyr is lore) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
EP,'Corporate Officer • The notary seal impression most be clear and photographically reproducible.
^CI Impression must not cover text or lines. If seal impression smudges, ie -seal if a
tle) sufficient area pennits, otherwise complete a different acknowledgment form.
❑ Partner(s) • Signature of the notary public must match the signature on file with the office of
the county clerk.
❑ Attorney -in -Fact Additional information is not required but could help to ensure this
❑ Trustee(s) acknowledgment is not misused or attached to a different document.
❑ Other Indicate title or type of attached doeurnent, number of pages and dale.
Indicate the capacity claimed by the signer. If the claimed capacity is a
— corporate officer, indicate the tide (i e. (TO, (PO, Secretary).
2015 Version www.NotaryClasses.com 800- 873-0865 • Securely attach this documentto the signed docurnentwith a staple.
CITY OF LAKE ELSINORE
CIP Project No. 4432
LIST OF SUBCONTRACTORS
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. (CIP PROJECT NO, 4432)
The bidder is required to fill in the following blanks in accordance with the provisions of the
Subletting and Subcontracting Fair Practices Act (Chapter 2 of Division 5, Title 1 of the
Government Code of the State of California) and should familiarize itself with Sections 2 -3 of the
Standard Specifications.
Name Under Which Subcontractor is Licensed: LOIM(1cz�k;1 l vb 'e'06U Offo- L'
License Number. `70.5 1 q-
Address of Office, Mill or Shop:
Specific De
2'i"u
of
EMU=
and Bid Items of
Name Under Which Subcontractor is Licensed: EeU 17. l Q- k 1U+1 S'r�v GFIDt Cry, ( .
License Number:
Address of Office, Mill or Shop: C-�i r rj'O, C
Specific Description of Sub - Contract: and Bid Items of Work
:T_JEA45 :W - 9D,,5b- -53 /A 2-rrr>L�
Name Under Which Subcontractor is Licensed::_ J) EJLr'LH LPrVJSCAPE
License Number: ,5 ] q J 3 +
Address of Office, Mill or Shop:
Description of Sub - Contract: and Bid Items of
>SCP,O9. -fffomi s # (P, D'7. 2A .
r?-
Name Under Which Subcontractor is Licensed: Sq�2ek iA OQ WZtl2)yy*17- MGfUCIrI 1 X>
License Number:
Address of Office, Mill or Shop:
Specific Description of Sub -Cor
J— i�7ms
and Bid Items of Work:
Subcontractors listed in accordance with the provisions of Section 2 -3 must be properly licensed
under the laws of the State of California for the type of work that they are to perform. Do not list
alternate subcontractors for the same work.
C -10
CITY OF LAKE ELSINORE
CIP Project No. 4432
LIST OF SUBCONTRACTORS
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. (CIP PROJECT NO, 4432)
The bidder is required to fill in the following blanks in accordance with the provisions of the
Subletting and Subcontracting Fair Practices Act (Chapter 2 of Division 5, Title 1 of the
Government Code of the State of California) and should familiarize itself with Sections 2 -3 of the
Standard Specifications.
Name Under Which Subcontractor is Licensed: )2
License Number:
Address of Office, Mill or Shop:
Specific Description of Sub,- Contract: and Bid Items of Work: 7�_Ji2i rol
Name Under Which Subcontractor is Licensed:
License Number:
Address of Office, Mill or Shop: t--I'"Y
Specific Description of Sub - Contract: and Bid Items of Work
Name Under Which Subcontractor is Licensed:
License Number,
Address of Office, Mill or Shop'.
Specific Description of Sub - Contract: and Bid Items of Work:
Name Under Which Subcontractor is Licensed:
License Number.
Address of Office, Mill or Shop:
Specific Description of Sub - Contract: and Bid Items of Work:_
Subcontractors listed in accordance with the provisions of Section 2 -3 must be properly licensed
under the laws of the State of California for the type of work that they are to perform. Do not list
alternate subcontractors for the same work.
C -10
CITY OF LAKE ELSINORE
CIP Project No. 4432
LIST OF SUBCONTRACTORS
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. (CIP PROJECT NO. 4432)
The bidder is required to fill in the following blanks in accordance with the pro ions ions of the
Subletting and Subcontracting Fair Practices Act (Chapter 2 of Division 5, itle 1 of the
Government Code of the State of California) and should familiarize itself with ections 2 -3 of the
Standard Specifications.
Name Under Which Subcontractor is Licensed: _
License Number:
Address of Office, Mill of Shop:
Specific Description of Sub - Contract: and Bid Items of Wor _
Name Under Which Subcontractor is Licensed: /
/ I
License Number:
Address of Office, Mill or Shop: _
Specific Description of Sub - Contract: and id Items of Work _
Name Under Which Subcontractor' Licensed �T
License Number:
Address of Office, Mill or She/._
Specific Description of Sub- ontract: and Bid Items of Work:
Name Under Which /Sbcontractor is Licensed:
License Number.
Address of Offic , Mill or Shop: _
Specific Descrj4o n of Sub - Contract', and Bid Items of Work: _
Subcontr tors listed in accordance with the provisions of Section 2 -3 must be properly licensed
under th laws of the State of California for the type of work that they are to perform. Do not list
alternat� subcontractors for the same work,
C -10
CITY OF LAKE ELSINORE
CIP Project No. 4432
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. (CIP PROJECT NO. 4432)
Failure to demonstrate adequate experience may result in rejection of the bid.
For all public agency projects with a similar scope of work which you have worked on (or are
currently working on) in the past three (3) years, provide the following required information:
1. Name (Firm /Agency):
Department of Transportation
Address:
15700 Tustin Village Way, Tustin, CA 92780
Contact Person:
Hamid Matinpour, Resident Engineer
Telephone No.:
949- 279 -9603.
Title of Project:
Curb Ramp and Sidewalk Tmprovements #12- OL3804 (16 '1)
Project Location:
Orange County at Various Locations on Rte. 39
Date of Completion:
May, 2015
Contract Amount:
$2,108, 351.83
2, Name(Firm /Agency):
Department of Transportation
Address:
902 San Gabriel Blvd., Rosemead, CA 91770
Contact Person:
Ragy Samy, Resident Engineer
Telephone No.:
626 - 572 -6700 Ext. 204
Title of Project:
Replace Joint Seals 4f07- 1W2504 _(166)
Project Location:
Los Angeles County at Various Locations on Rtes. 10 & 60
Date of Completion:
May, 2014
Contract Amount:
$1,7,16,394.06
3. Name (Firm /Agency):
Department of Transportation ____ _ _
Address:
12975 W. Culver Blvd., Los Angeles, CA 90066
Contact Person:
Mahinda Ram, Resident Engineer.
Telephone No.:
310 -621 -1847 Ext. 231
Title of Project:
Replace Drainage System & Place Pipeliner #07- 1W4504 (165)
Project Location:
Los Angeles County at Various Locations on Rtes. 1.0 & 110
Date of Completion:
July, 2013
Contract Amount:
$251,402.23.
C -11
CITY OF LAKE ELSINORE
CIP Project No. 4432
4.
Narne(Firm /Agency):
Department of Transportation
Address:
18730 S. Wilmington Ave. #103,Rancho Dominguez, CA 90220
`
Contact Person:
Andy Scheili, Resident Engineer
Telephone NO.:
310 - 609 -0264 Ext. 224
Title of Project:
Replace Overhead Sign Panels 4J07- 1W2004 (163)
Project Location:
Los Angeles County at Various Lccaticns__on Rtes. 5,1.05,405
Date of Completion:
September, 2013
Contract Amount:
5611, 556.28
5.
Name (Firm /Agency):
Department of Transportation
Address:
17912 Crusader Ave., Cerritos, CA 90703
Contact Person:
Hassan Fayad, Resident Engineer
Telephone NO.:
562 -960 -3095 Ext. 107 _
Title of Project:
Construct Rock Blankets & Inlets 407- 2X9604 (164)
Project Location:
Long Beach on Rte. 710
Date of Completion:
June, 2013
Contract Amount:
5551, 251.10
6.
Name (Firm /Agency):
Department of Transportation
Address:
902 San Gabriel Blvd., Rosemead, CA 91770
Contact Person:
Ragy Samy
Telephone No.:
626 - 572 -6700 Ext. 204
Title of Project:
Reconstruct Failed Slope & Soldier Pile Wall #07- 3x3004 (162)
Project Location:
Los Angeles at the Rte. 10 /101 Separation
Date of Completion:
April, 2013
Contract Amount:
$247,724.51
7.
Name(Firm /Agency):
County of Los Angeles Department of Public Works
Address:
900 S. Fremont Ave., Alhambra, CA 91803
Contact Person:
Hector Hernandez
Telephone No.:
626- 458 -3144
Title of Project:
Turnbull Cyn. Retaining Wall RDC0015655 (161.)
Project Location:
Turnbull Cyn. at Mile Marker 3.0
Date of Completion:
March, 2013
Contract Amount:
$317,882.20
C -12
CITY OF LAKE ELSINORE
CIP Project No. 4432
List any other projects (private, older than three (3) years, etc.) that may represent qualifying
similar experience:
Name(Firm /Agency):
Department of Transportation
Address:
11229 S. Woodruff Ave.,
Downey, CA 90247.
Contact Person:
Reza Jahromi, Resident
Engineer
Telephone No.:
562 -401 -3333 Ext. 263
Date of Completion:
Title of Project:
Repair Bridge Columis
#07- 3Y5904 (159)
Project Location:
Lakewood and Cerritos
on Rtes. 91 & 605
Date of Completion:
December, 2011
Contract Amount:
$1,137,420.48
2. Name (Firm /Agency): city of Irvine
Address:
1 Civic Center Plaza Irvine CA 92623
Contact Person:
Darrell Hartman, Senior Engineer
Telephone No.:
949 - 724 -7556
Title of Project:
Culver Privacy Wall Improvements CIP #316280 (158)
Project Location:
on Rte. 5 at the Culver off -Ramp
Date of Completion:
April, 2011,
Contract Amount:
$870,089.41
3. Name (Firm /Agency). Orange County Department of Public Works
Address: 1152 E. Fruit St., Santa Ana, CA 92701
Contact Person: George Zaun, Resident Enaineer
Telephone No.: 714- 245 -4526
Title of Project: Black star Cyn. Rd. Bridges WO #ERO3676 (160)
Project Location: orange County in Black Star Canyon
Date of Completion: February, 2012
ContractAmount: $72
C -13
CITY OF LAKE ELSINORE
CIP Project No. 4432
CONTRACTOR INFORMATION
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. (CIP PROJECT NO, 4432)
Contractor's License NO.: 743775
a. Date first obtained: 12/7,997
b. Has License ever been suspended or revoked?
If yes, describe when and why:
c. Any current claims against License or Bond?
If yes, describe claims:
Class: A
Expiration 12/2015
No
No
Principals in Company (List all •- attach additional sheets if necessary):
NAME TITLE LICENSE NO.
(If Applicable)
M. Ahmadi
President
C -14
743775
CITY OF LAKE ELSINORE
CIP Project No. 4432
VIOLATIONS OF FEDERAL, STATE OR LOCAL LAWS
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. (CIP PROJECT NO. 4432)
Has your firm or its officers been assessed any penalties by an agency for
noncompliance or violations of Federal, State or Local labor laws and /or business or
licensing regulations within the past five (5) years relating to your construction projects?
YES e (circle one)
Federal / State / Local (circle one)
If "YES," identify and describe, (including agency and status):
Have the penalties been paid? YES / NO (circle one)
2. Does your firm or its officers have any ongoing investigations by any public agency
regarding violations of the State Labor Code, California Business and Professions Code
or State Licensing Laws?
YES I NO (circle one)
Code /Laws:
Section /Article:
If "yes," identify and describe, (including agency and status):
C -15
CITY OF LAKE ELSINORE
CIP Project No. 4432
DISQUALIFICATION OR DEBARMENT
SOUTHBOUND DECELERATION LANE IMPROVEMENT
INTERSTATE 15 AT RAILROAD CANYON ROAD
NIB NO. (CIP PROJECT NO. 4432)
Has your firm, any officer of your firm, or any employee who has a proprietary interest in your
firm ever been disqualified, removed, or otherwise prevented from bidding on, performing work
on, or completing a federal, state or local project because of a violation of law or a safety
regulation?
YES e (circle one)
If yes, provide the following information (if more than once, use separate sheets):
Date:
Location:
Reason:
Entity:
Provide Status and any Supplemental Statement:
Has your firm been reinstated by this entity?
YES / NO (circle one)
C -16