HomeMy WebLinkAboutDowntown SB-821 Sidewalk Bid
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
SECTION B
INSTRUCTIONS TO BIDDERS
B-1
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
INSTRUCTIONS TO BIDDERS
A. QUALIFICATION OF BIDDERS
1. Competency of Bidders
The Bidder shall be thoroughly competent and capable of satisfactorily performing
the Work covered by the Bid. As specified in the Bid Documents, the Bidder shall
furnish statements of previous experience on similar work. When requested, the
Bidder shall also furnish the plan of procedure proposed; the organization,
machinery, plant and other equipment available for the Work; evidence of its
financial condition and resources; and any other such documentation as may be
required by the City to determine if the Bidder is responsible.
2. Contractor's License
At the time of submitting the Bid, the Bidder shall be licensed as a contractor in
accordance with the provisions of Chapter 9, Division 3, of the California Business
and Professions Code. The required prime contractor license class for the Work is
shown in the project Notice Inviting Bids. However, the City reserves the right to
award the Contract to a contractor with another class if the City determines that the
license is proper for the Work.
3. Contractor Registration
In compliance with SB 854, in order to bid on or enter into a contract for public
work, all contractor and subcontractors must possess and maintain registration with
the Department of Industrial Relations (DIR) at https://efiling.dir.ca.gov/PWCR/.
Bidder and all designated subcontractors shall be registered with the Department of
Industrial Relations at the time of submitting the bid pursuant to Labor Code
Section 1725.5. This is a separate requirement from the Contractors State License
Board licensing requirements. Bids failing to meet this requirement will be deemed
nonresponsive.
B. BIDDER RESPONSIBILITY
A responsible Bidder is a Bidder who has demonstrated the attribute of trustworthiness,
as well as ability, fitness, capacity and experience to satisfactorily perform the work.
Bidders are notified that, in accordance these Contract Documents, the City Council
may determine whether the Bidder is responsible based upon a review of the Bidder's
performance on other contracts, both within the City of Lake Elsinore and other public
agencies for which the contractor has performed similar work.
If, based on the provisions and criteria in these Contract Documents, the City Engineer
proposes not to recommend the award of contract to the apparent low bidder, the
Director shall notify the Bidder in writing of the Director’s intention to recommend to the
City Council that the Council award the contract to the second lowest responsible
bidder. If the Bidder presents evidence in rebuttal to the recommendation, the Director
shall evaluate the merits of such evidence, and based on that evaluation, make a
recommendation to the City Council.
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CITY OF LAKE ELSINORE
CIP Project NO. Z10081
C. ADDENDA TO THE CONTRACT DOCUMENTS
The City may issue Addenda for any reason during the advertising period. The Bidder
shall acknowledge the receipt of any Addendum in its Bid. Failure of the Bidder to do
so may result in the rejection of its Bid.
D. PREPARATION OF THE BID
1. Examination of Project Site, Plans and Specifications
Prior to submitting a Bid, the Bidder shall examine the Project Improvement Plans
and the site of proposed contract work, carefully read the Specifications and
Special Provisions, and satisfy himself or herself that he or she has the abilities
and resources to complete the Work. The Bidder agrees that if he or she is
awarded the Contract, no claim will be made against the City based on ignorance
or misunderstanding of the provisions of the Contract Documents, the nature and
amount of the work, and the physical and climatic conditions of the work sites.
2. Estimated Quantities
The quantities shown in the Bid Schedule are approximate only. The Contractor
will be paid for the actual quantities of work installed based on field measurements.
The City reserves the right to increase or decrease the amount of any item or
portion of work to be performed or materials furnished, or to delete any item, in
accordance with the specifications.
Should the actual quantity of an item of work covered by a Contract Unit Price and
constructed in conformance with the Plans and Specifications be less than 75
percent or more than 125% of the Bid quantity, no adjustment to the Contract Unit
Price, shall be made therefor.
3. Interpretation of the Documents
Discrepancies in and omissions from the Special Provisions, the project Plans or
other Contract documents, or questions as to their meaning shall, at once, be
brought to the attention of the City. Any interpretation of the documents will be
made only by Addenda dully issued, and a copy of such Addenda will be mailed or
delivered to each person or firm who is listed by the City as having received a set
of such documents. The City will not be responsible for any other explanations or
interpretations. No oral agreement or conversation with any officers, employees,
or agents of the City, either before or after execution of the Contract, shall affect
or modify any of the terms of obligations contained in any of the documents
comprising said Contract.
4. Bid Instructions and Submissions
The Bid shall be submitted on the Bid Proposal forms included with the
Specifications. All Bid Documents must be completed, executed and submitted
with the Bid by the Bidder. It is the sole responsibility of the bidder to ensure that the
bid is received in proper time through PlanetBids by the date and time hereinabove
set forth.
The electronic bid management system will not accept late bids.
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CITY OF LAKE ELSINORE
CIP Project NO. Z10081
Required eight (8) Bid Proposal Documents:
1) Bidder's Proposal
2) Addenda Acknowledgment
3) Contractor's Affidavit
4) Bid Bond (10%)
5) List of Subcontractors
6) References (2 pages) – Will be contacted
7) Violations of Federal or State Law
8) Disqualification or Debarment
All prices submitted will be considered as including any and all sales or use taxes.
In the case of discrepancy between unit bid price and total bid, the unit prices shall
prevail.
E. BID BOND
The Bid must be accompanied by either cash, a certified or cashier's check or a surety
bond (bid bond) payable to the City of Lake Elsinore. Bids must be submitted on the
proposal forms furnished with these specifications. The Bid Guaranty shall be in an
amount equivalent to at least 10% of the Total Contract Bid Price including any
additive bid.
F. NONRESPONSIVE BIDS AND BID REJECTION
1. A Bid in which the required eight (8) proposal documents are not completed,
executed and submitted may be considered non-responsive and be rejected.
2. A Bid in which the Contract Unit Prices are unbalanced, which is incomplete, or
which shows alteration of form or irregularities of any kind, or which contains any
additions or conditional or alternate Bids that are not called for, may be considered
non-responsive and be rejected.
G. LIMITED NOTICE TO PROCEED WITH CONSTRUCTION
Upon completion of the evaluation of Bids received (including references verified for
responsiveness) and determination of lowest responsive Bidder (Contractor), the City
Engineer will issue a “Limited Notice to Proceed” to Contractor with the council
action of approval of intention to award. The intent of “Limited Notice to Proceed” is to
allow the Contractor time to order long lead items. Upon receipt of said Notice,
Contractor shall submit the items listed below in full compliance with the requirements
of these specifications, within five (5) calendar days of the date of said Notice:
1) Agreement for Public Works Construction executed by Contractor
2) Faithful Performance Bond (100% of Bid)
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CITY OF LAKE ELSINORE
CIP Project NO. Z10081
3) Labor and Material Bond (100% of Bid)
4) Verification of Insurance Coverage (Certificates and Endorsements)
5) Construction or Service Contract Endorsement
6) Workers' Compensation Insurance Certificate
7) Construction-Excavation Permit Application Form (No fee is assessed for
public works projects)
8) Proof of a City of Lake Elsinore Business License
Should the City Council not award a contract to Contractor, Contractor shall be entitled
to reimbursement for the premiums of said insurances and bonds plus a 10%
administrative fee on said premiums, the payment of which by City to Contractor shall
constitute full compensation for Contractor’s compliance with this section.
H. AWARD OF CONTRACT
The City reserves the right to reject any and all bids received and to re-advertise for
bids. Further, the City Council reserves the right to take all bids under advisement for
a period not-to-exceed sixty (60) days after date of opening thereof, to waive any
informality or irregularity in the Bid, and to be the sole judge of the merits of material
included in the respective bids received.
I. Termination.
City may cancel this Agreement at any time upon seven (7) days written notice to
Contractor. Contractor agrees to cease all work under this Agreement on or before the
effective date of such notice.
In the event of termination or cancellation of this Agreement by City, due to no fault or
failure of performance by Contractor, Contractor shall be paid full compensation for all
services performed by Contractor, in an amount to be determined as follows: For work
done in accordance with all of the terms and provisions of this Agreement, Contractor
shall be paid an amount equal to the amount of services performed prior to the effective
date of termination or cancellation; provided, in no event shall the amount of money paid
under the foregoing provisions of this paragraph exceed the amount which would be paid
Contractor for the full performance of the services required by this Agreement.
J. NOTICE TO PROCEED WITH CONSTRUCTION
Within fifteen (15) calendar days of award of the contract by the City Council, the City
shall schedule a mandatory pre-construction meeting. During this meeting a date of
the start of work will be established. This date will take into account the expected
delivery date of long lead items, if any. A Notice to Proceed with Construction will then
be issued directing the Contractor to commence contract work. Contractor must
complete all work within forty (40) Working Days from the date of commencement
of work specified in the Notice to Proceed and shall complete all contract items.
Contractor shall order the long lead items immediately upon award of Contract.
K. APPRENTICESHIP EMPLOYMENT STANDARDS
The Contractor is directed to the provisions in Sections 1776, 1777.5 and 1777.6 of the
California Labor Code concerning the employment of apprentices by the contractor or
any subcontractor under them.
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CITY OF LAKE ELSINORE
CIP Project NO. Z10081
L. PERMITS AND LICENSES
The Contractor shall procure and execute all required permits, licenses, pay all charges
and fees, and give all notices necessary and incidental to the completion of the Work.
No fee is charged for a Construction-Excavation Permit issued by the City of Lake
Elsinore for a public works project. The Contractor shall pay for and obtain a City of Lake
Elsinore Business License.
M. INSURANCE
The Contractor shall maintain Automobile Liability, General Liability, and Workers’
Compensation Insurance as specified in the Agreement for Public Works Construction,
included in the Project Specifications.
N. PRE-BID INQUIRIES
All questions technical, commercial, or contractual in nature shall be directed to
the Q&A section on the e-Procurement System PlanetBids. No Phone Calls.
Contacting the City of Lake Elsinore personnel directly regarding this bid is
prohibited and may be grounds for elimination from the selection process. All
questions regarding this bid must be put in writing and submitted through the e-
Procurement system PlanetBids no later than 3:00 pm, May 16, 2023.
B-6
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
SECTION C
BID DOCUMENTS
C-1
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
BIDDER’S PROPOSAL
DOWNTOWN SB-821 CURB, GUTTER AND SIDEWALK AND SUMNER AVENUE SIGNING AND
STRIPING PROJECT
CIP PROJECT NO. Z10081
Company: _________________________________________________
Honorable Mayor, Members of the Council:
In accordance with the Notice Inviting Bids pertaining to the receiving of bid proposals by 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: Forty (40) Working Days from Issuance of Notice to Proceed (NTP) by
City to Contractor.
BID SCHEDULE A-CURB, GUTTER AND SIDEWALK
ITEM
NO.
DESCRIPTION UNIT QUANTITY UNIT
COST
TOTAL
COST
1 Mobilization And Project Information Sign LS 1
2 Traffic Control Plan & Implementation LS 1
3 Construction Survey And Staking LS 1
4 Storm/Non Storm Water Pollution Control And
Implementation
LS 1
5 Clearing & Grubbing LS 1
6 Minor/Grading Excavation LS 1
7 Sawcut And Remove Existing A.C. Pavement (8140 Sf) LF 3,766
8 Remove PCC Sidewalk SF 3,862
9 Remove AC Sidewalk SF 3,850
10 Relocate Sign EA 21
11 Relocate Mailbox EA 20
12 Relocate Chainlink Fence LF 60
13 Remove Tree Completely EA 10
14 Remove And Replace Existing 32' - CMP Storm Drain
Pipe With City Provided Pipe, Connect To Existing
Catch Basins
LS 1
15 Sawcut & Remove Portion Of Existing Curb & Construct
Gravel Pad, 3'x3' Min, W/#3 Backing
LS 1
16 Construct Curb & Gutter (Type 6) 18" Wide LF 2,650
17 Construct Curb & Gutter (Type 6) 24" Wide LF 137
18 Construct Curb & Gutter (Type 6) 48" Wide LF 27
19 Construct Curb (Type 6a) And Per Plan LF 146
20 Construct Variable Height Curb 0" To 8" LF 24
21 Construct PCC Driveway Approach Per County Of
Riverside Std. No. 207
SF 4,911
22 Construct Sidewalk Std. No. 210 & 213 SF 19,868
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CITY OF LAKE ELSINORE
CIP Project NO. Z10081
23 Construct Access Ramp And Truncated Domes Per Std.
No. 214A
EA 2
24 Reconstruct Access Ramp And Truncated Domes Per
Std. No. 214a, Existing Curb To Remain
EA 3
25 Construct Access Ramp And Truncated Domes Per
County Of Riverside Std. No. 403
EA 5
26 Construct Access Ramp No. 7 Per Sheet 7 And 12 Of
Plans
LS 1
27 Construct Cross Gutter Per County Of Riverside Std.
No. 209 (6' Wide)
SF 452
28 Construct HMA Transition & Dike Per Caltrans Std. No.
A87b Type E, Case F
LF 58
29 Sawcut, Remove And Replace Portion Of PCC
Driveway
SF 1,775
30 Sawcut, Remove And Replace Portion Of AC Driveway SF 398
31 Remove And Replace PCC Walkway In Kind SF 65
32 Construct 4" Asphalt Concrete (8,790 Sf) TONS 205
33 Construct 6" Agg. Base Class Ii (8,790 Sf) CY 326
34 Adjust To Grade Sewer Cleanout EA 4
35 Adjust To Grade Water Valve EA 6
36 Adjust To Grade Communication Box EA 4
37 Adjust To Grade Gas Valve EA 1
38 Adjust To Grade Electrical Riser EA 2
39 Adjust To Grade Fire Hydrant EA 3
40 Adjust To Grade Water Meter EA 6
41 Adjust To Grade Air Vac. EA 1
42 Remove Existing Wall, And Construct Garden Wall
From Salvage Blocks
LF 8
Schedule A Bid Price
Total Bid for Bid Schedule A:
(Figures*)
Total Bid for Bid Schedule A:
(words*)
C-3
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
BID SCHEDULE B- SUMNER AVENUE SIGNING AND STRIPING
ITEM
NO.
DESCRIPTION UNIT QUANTITY UNIT
COST
TOTAL
COST
1 Mobilization And Project Information Sign LS 1
2 Traffic Control Plan & Implementation LS 1
3 Furnish And Install Sign And Post (R4-11) EA 14
4 Furnish And Install 2 Signs And Post (R81 And
R81A/R81B)
EA 7
5 Install 6" Solid White Thermoplastic Striping Per
Caltrans Detail 39
LF 4,135
6 Install 6" White Thermoplastic Intersection Striping Per
Caltrans Detail 39A
LF 700
7 Install Thermoplastic Bike Lane And Arrow Per MUTCD
Figure 9C-3-C
EA 8
8 Install Thermoplastic Shared Bike Lane And Arrow Per
Caltrans Standard Plan A24C
EA 24
Schedule B Bid Price
Total Bid for Bid Schedule B:
(Figures*)
Total Bid for Bid Schedule B:
(words*)
TOTAL BID PRICE:
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. All work described on the plans and in the specifications and other incidentals
necessary to complete the project shall be paid under items above. No additional payments will be allowed.
*BID MAY BE REJECTED IF TOTAL IS NOT SHOWN FOR BOTH FIGURES AND WORDS.
TOTAL BID PRICE BASED ON BID SCHEDULES TOTAL OF UNIT PRICES FOR
DOWNTOWN SB-821 CURB, GUTTER AND SIDEWALK AND SUMNER AVENUE
SIGNING AND STRIPING PROJECT
$
Total Bid Price in Numbers
$
Total Bid Price in Written Form
In case of discrepancy between the written price and the numerical price, the written price
shall prevail.
C-4
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
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.
Contractor
Date: _______________________________ By: ___________________________________
Contractor’s State License No.: _______________________________
Class: ___________________________________________________
Department of Industrial Relations Registration No: ___________________________________
Registration Date: _________________________ Expiration Date: ______________________
Address: ____________________________________________________________________
Phone:
FAX:
C-5
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
ACKNOWLEDGMENT OF ADDENDA RECEIVED
DOWNTOWN SB-821 CURB, GUTTER AND SIDEWALK AND SUMNER AVENUE SIGNING
AND STRIPING PROJECT
CIP PROJECT NO. Z10081
The Bidder shall acknowledge the receipt of addenda by placing an "X" by each addendum
received.
Addendum No. 1
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.
Bidder’s Signature Date
____________________________________ ____________________
Print Name Title
C-9
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
LIST OF SUBCONTRACTORS
DOWNTOWN SB-821 CURB, GUTTER AND SIDEWALK AND SUMNER AVENUE SIGNING
AND STRIPING PROJECT
CIP PROJECT NO. Z10081
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: ______________________________________
____________________________________________________________________________
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 ____________________________
____________________________________________________________________________
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. Z10081
REFERENCES
DOWNTOWN SB-821 CURB, GUTTER AND SIDEWALK AND SUMNER AVENUE
SIGNING AND STRIPING PROJECT
CIP PROJECT NO. Z10081
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 two (2) years, provide the following required information:
1. Name (Firm/Agency) ________________________________________________
Address __________________________________________________________
Project Title ________________________________________________________
Project Location_____________________________________________________
Type of Work ______________________________________________________
Project Manager Contact ____________________ Phone____________________
Dated Completed _______________ Contract Amount ____________________
2. Name (Firm/Agency) ________________________________________________
Address __________________________________________________________
Project Title ________________________________________________________
Project Location_____________________________________________________
Type of Work ______________________________________________________
Project Manager Contact ____________________ Phone____________________
Dated Completed _______________ Contract Amount ____________________
3. Name (Firm/Agency) ________________________________________________
Address __________________________________________________________
Project Title ________________________________________________________
Project Location_____________________________________________________
Type of Work ______________________________________________________
Project Manager Contact ____________________ Phone____________________
Dated Completed _______________ Contract Amount ____________________
C-11
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
List any other projects (private, older than three (3) years, etc.) that may represent qualifying or
similar experience:
4. Name (Firm/Agency) ________________________________________________
Address __________________________________________________________
Project Title ________________________________________________________
Project Location_____________________________________________________
Type of Work ______________________________________________________
Project Manager Contact ____________________ Phone____________________
Dated Completed _______________ Contract Amount _____________________
5. Name (Firm/Agency) ________________________________________________
Address __________________________________________________________
Project Title ________________________________________________________
Project Location_____________________________________________________
Type of Work ______________________________________________________
Project Manager Contact ____________________ Phone____________________
Dated Completed _______________ Contract Amount ____________________
6. Name (Firm/Agency) ________________________________________________
Address __________________________________________________________
Project Title ________________________________________________________
Project Location_____________________________________________________
Type of Work ______________________________________________________
Project Manager Contact ____________________ Phone____________________
Dated Completed _______________ Contract Amount ____________________
C-12
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
CONTRACTOR INFORMATION
DOWNTOWN SB-821 CURB, GUTTER AND SIDEWALK AND SUMNER AVENUE SIGNING
AND STRIPING PROJECT
CIP PROJECT NO. Z10081
Contractor’s License No.: ______________________ Class: _____________________
a. Date first obtained: __________________________ Expiration _____________
b. Has Bidder’s License ever been suspended or revoked? ________________
If yes, describe when and why: _____________________________________________
c. Any current claims against License or Bond? _________________
If yes, describe claims: ___________________________________________________
Principals in Company (List all – attach additional sheets if necessary):
NAME TITLE LICENSE NO.
(If Applicable)
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
VIOLATIONS OF FEDERAL, STATE OR LOCAL LAWS
DOWNTOWN SB-821 CURB, GUTTER AND SIDEWALK AND SUMNER AVENUE
SIGNING AND STRIPING PROJECT
CIP PROJECT NO. Z10081
1. 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 / NO (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 / NO (circle one)
Code/Laws:
Section/Article:
If “yes,” identify and describe, (including agency and status): ____
___
3. Has Bidder been “default terminated” by an owner (other than for convenience), or has
a Surety completed a contract for Bidder within the last five (5) years?
YES / NO (circle one)
If “yes,” please explain: ______________________________
__________
4. Has Bidder been cited more than twice for failure to pay prevailing wages in the last
five (5) years?
YES / NO (circle one)
If “yes,” please explain:
_____________________________
__________
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
Notes: 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.
Signature Date
Print Name Title
__________________________________________________________
Contractor Name
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
DISQUALIFICATION OR DEBARMENT
DOWNTOWN SB-821 CURB, GUTTER AND SIDEWALK AND SUMNER AVENUE
SIGNING AND STRIPING PROJECT
CIP PROJECT NO. Z10081
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 / NO (circle one)
If yes, provide the following information (if more than once, use separate sheets):
Date: _______________ Entity:
Location:
Reason:
Provide Status and any Supplemental Statement: ____
Has your firm been reinstated by this entity?
YES / NO (circle one)
Notes: 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.
Signature Date
Print Name Title
Contractor Name
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
If the Bidder fails to properly sign or omits the required signature, the bid will be
considered non-responsive and will be rejected.
UTILITY AGREEMENT
DOWNTOWN SB-821 CURB, GUTTER AND SIDEWALK AND SUMNER AVENUE
SIGNING AND STRIPING PROJECT
CIP PROJECT NO. Z10081
HONORABLE MAYOR AND CITY COUNCIL
CITY OF LAKE ELSINORE, CALIFORNIA
The undersigned hereby promises and agrees that in the performance of the work
specified in this contract for Project NO. Z10081, DOWNTOWN SB-821 CURB,
GUTTER AND SIDEWALK AND SUMNER AVENUE SIGNING AND STRIPING
PROJECT, (I) (we) (it) will employ and utilize only qualified persons, as hereinafter
defined, to work in proximity to any electrical secondary, primary or transmission
facilities. The term “Qualified person” is defined in Title 8, California Administrative code,
Section 2700, as follows:
Qualified Person: A person who by reason of experience or instruction, is
familiar with the operation to be performed and the
hazards involved.”
The undersigned also promises and agrees that all such work shall be performed in
accordance with all applicable electrical utility company’s requirements, Public Utility
Commission orders, and State of California Cal-OSHA requirements.
The undersigned further promises and agrees that the provisions herein shall be and
are binding upon any subcontractor or subcontractors that may be retained or employed
by the undersigned, and that the undersigned shall take steps as are necessary to
assure compliance by any said subcontractor or subcontractors with the requirements
contained herein.
Signature
By:
Name
Title
Contractor Name
CITY OF LAKE ELSINORE
CIP Project NO. Z10081
PUBLIC CONTRACT CODE
DOWNTOWN SB-821 CURB, GUTTER AND SIDEWALK AND SUMNER AVENUE
SIGNING AND STRIPING PROJECT
CIP PROJECT NO. Z10081
Public Contract Code Section 10285.1 Statement
In accordance with Public Contract Code Section 10285.1 (Chapter 376, State. 1985), the
bidder hereby declares under penalty of perjury under the laws of the State of California that
the bidder has __ , has not ________ been convicted within the
preceding three years of any offenses referred to in that section, including any charge of fraud,
bribery, collusion conspiracy, or any other act in violation of any state or Federal antitrust law in
connection with the bidding upon, award of, or performance of, any public works contract, as
defined in Public Contract Code Section 1101, with any public entity, as defined in Public
Contract Code Section 1100, including the Regents of the University of California or the
Trustees of the California State University. The term “bidder” is understood to include any
partner, member, officer, director, responsible managing officer, or responsible managing
employee thereof, as referred to in Section 10285.1.
Note: The bidder must place a check mark after “has” or “has not” in one of the blank
spaces provided. The above Statement is part of the Proposal. Signing this Proposal
on the signature portion thereof shall also constitute signature of this Statement. Bidders
are cautioned that making a false certification may subject the certifier to criminal
prosecution.
Public Contract Code Section 10162 Questionnaire
In accordance with Public Contract Code Section 10162, the Bidder shall complete, under
penalty of perjury, the following questionnaire:
Has the bidder, any officer of the bidder, or any employee of the bidder who has a proprietary
interest in the bidder, ever been disqualified, removed, or otherwise prevented from bidding on,
or completing a federal, state, or local government project because of a violation of law or a
safety regulation:
Yes No
If the answer is yes, explain the circumstances in the following space.
Public Contract Code 10232 Statement
In accordance with Public Contract Code Section 10232, the Contractor, hereby states under
penalty of perjury, that no more than one final unappealable finding of contempt of court by
a federal court has been issued against the Contractor within the immediate preceding two-
year period because of the Contractor’s failure to comply with an order of federal court which
orders the Contractor to comply with an order of the National Labor Relations Board.
Note: The above Statement and Questionnaire are part of the Proposal. Signing this Proposal on the
signature portion thereof shall also constitute signature of this Statement and Questionnaire.
Bidders are cautioned that making a false certification may subject the certifier to criminal
prosecution.
Signature Date
Print Name Title
Contractor Name