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CONTRACT 4721 Bid Other CLOSEDAgreement No. 4721 Big West Construction Corporation City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) To the Mayor and City Council City of El Segundo 350 Main St. El Segundo, CA 90245 I declare, under penalty of perjury, that I have carefully examined, become familiar with, and understand all of the requirements of the Contract Documents and conditions under which the Work must be performed, including the City of El Segundo's current Municipal Code, and am fully informed as to all conditions and matters which can in any way affect the Work or its cost, and agree to the following: To perform all Work in strict conformity with the requirements of the Contract Documents for Project Number RSI 14-26 "Residential Sound Insulation Program—Group 68" at the f6flowing luny) sum rice: RSI ID Pro ert Address Bid Price 68.01 720 East Imperial Avenue, Unit 1 $ (6 r7 8 S 68.02 720 East Imperial Avenue, Unit 2 $ 1 (0 90 s 68.03 720 East Imperial Avenue, Unit 3 $ r10 5 68.04 720 East Imperial Avenue,Unit 4 $ 10 68.05 720 East Imperial Avenue, Unit 5 $ r7 Q 5 1111 68.06 720 East Imperial Avenue, Unit 6 $ 9 68.07 722 East Imperial Avenue, Unit 1 $ I ID 68.08 722 East Imperial Avenue, Unit 2 $ 68.09 722 East Imperial Avenue, Unit 3 $ (o O 68.10 722 East Imperial Avenue, Unit 4 $ 68,11 722 East Imperial Avenue, Unit 5 $ (p 7 b 68.12 722 East Imperial Avenue,Unit 6 $ (� 105 68.13 227 East Oak Avenue, Unit 101 $ O 5716 0 68.14 227 East Oak Avenue, Unit 201 $ 1-7 10 68.15 227 East Oak Avenue, Unit 301 $ I(o 910 68.16 227 East Oak Avenue, Unit 102 $ a 1 o 10 Bidding Form Appendix B-0 Last Modified:August 14,2014 Bidder's Proposal and Statement it: ,qT� t City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) 68.17 227 East Oak Avenue, Unit 202 $ Q-761 (() 68.18 227 East Oak Avenue, Unit 302 $ 68.19 227 East Oak Avenue, Unit 103 $ �'� in 68.20 227 East Oak Avenue, Unit 203 $ ► 68.21 227 East Oak Avenue, Unit 303 $ 71vovr� Total Bid (Contract Sum) pp (words) $ r (figures) In case of discrepancy between the words and figures, the words must prevail Contractor Representative: 2- >A q Signature Date C AtOV Name(printed or typed) Title: � Contractor's State License Number: Name of Firm: Address: V;331 License Expiration Date: Telephone Number: f Type of Entity: ❑ Sole Proprietorship ❑ Partnership Corporation* ❑ Other * If Corporation, evidence of authority to sign must be attached Bidding r e Proo Proposal and Statement .�ppeiitit �, �� Last Modified:August 14,2014 p J; CORPORATION RESOLUTION Big West Construction Corporation January 4,2014 meeting of the of Directors was held on January 4, 2014 whereby a resolution was adopted naming . Carr, President and Margaret J. Carr, Vice-President/ Secretary. Both parties are authorized to execute contracts on behalf of Big West Construction Corporation. Stock as been redistributed as follows: Thomas . Carr 50% Margaret a C % r Thomas R. Carr, President i"+ ar garet J4 Care, icc:• r si�_ ! /m vain ',VYlI,VYP,'.P a drr M.a, r,�wte9dWY RWW+tlY Jq 4 i ta e of C tau l li fo rri ll a } w' State et I � „ r " Stu1N97uia"Ni°1"Nell o4r ('I n, tY irfiN,,rNPo 411 ioN ,,,N N w Al ocip wltte V lta�ans )oilirwestA Stock and Ag wmmwwm� � II VET wfillm¢ aww: WscN l ltwa � I 00. lir riu 11'this w5 ain tlmtnat�w�ww:�waww^tt� sellih ulnstIIIwt5tlwowtwhm N RllAiNN'...... READ NN S�"11RU IIINONI3 BEFORE t� I IIIuN VNIllI tw 11fl S i� ��i � ,� ,a,�"r "nay f State ,x�,o�,,��",a �awr tili� a:a�trm� Gw�w'mPoww �mlla wr�ru�u 4 C�C91lRII�4�RA t'IE NAW.::'; of the State of t fforinilam BIG W ES...F CONSTNZN.JCTiON COIItIPORA.N..ION i rll IIA CORPORATE II LAWBBt:R C2426905 ThIN Spn im Hawn y Usu,lust Oulll No C"hawma�e_. mtaterne. o (No t�p �Nlrabla .µ.: a¢dI r-��of record AS� N' C Box address 5aa�i r stru�cti aun1 sml a � ¢.. qme--s Nc wuwtaeuawuNP1lrwm x aurmlammnm]Nuwl tNrn Na m nNt tm, r AmVn wlll Secretary a,»ofSGata,olaasfatewnewtotullumtmrratiirwo ...,.,w.„ IIP' twas brmm^wm lww°amvmmammIflytwNamN 9'11niiia tunw.www mw,w^mw be,¢:uowwwlllwWetruwj u`wj wt a.wm�Nuf.�1°tr, I If there has been no change in any at the nratarmation contained Nln the last Staatdernent of infoirmatucaru flied r�vlUll� Ili ur t",wduN+rrrru.s ;°rt tllr u, of � V�au, a Gtu ulYm Jt t ar ara .raw�mlNe to A�IAr�Qq�^¢sses f the NalOowgw)my..tl:10 not abliai ewruraBe&ue name of the . c _. c Gy BtaUrrs 4 and p r. Ankt be P 0 Ill r on 1 ..1AllD h APAI —��¢ T\/ c�YS M II(rll Pa t .AFi 15331 NORMANDIE AVE- lRVIN AN° tlt a :rRrll` PCPtSuO-PRINCIPAI .� , l3USWESS+tl'd KA UN CAU IFORNIA II ANY CITY )gAN�JI atA�AVE., f A� W�A°tsQtl 4 t I I run �.I,alal .: a1 �'Apq qtq All. CORPORA d II¢ irl,III 0111 I I 0 Il IN I I A NAB q!G I M a'A �,rAaw. »�ol�I..rrlru� Names and I ..... � r.,h. Com1plete ..w..Ad..d.._I. .a.� .,.t q�rou t��r�c h ra Vctaa rr o rcN rt tl se 8hraa_n � rroficer may be added;however, b 01 r u'ttq r p;dapi auuu8..hnr Pitll1111 e f¢ou r r utrhn sp;;!'tc 7 CwXIru EXECgap+I .CwFmcERt THOMAS RICHARD CARR 15331 NWRMXW AVE,, V NNE CA 92604 & ECRF"ARY ADDRESS M WL � ....._ tom CAREIFJANECARR N5N3N N�RIMAvDI=AVN IRVNNN CAJ26t�. t OFFICER/ ADDRESS Cl ovMARGARET JANE 05331 NORMANDN AVE., lRVNNE, CA 92604 . �r�AWadpt u r,u a w^u �... ,® 1 Nalrnes and CZIDllete Addresses AN�AN N I11 il mm�ll.tr¢,u, MlraOwwNlwr Directors n a^ All Officers h �;.ru �n wll01r rinu�s�t,.h uv at least,t Yra dnrocter Attach additional pages,If rwe>a mws�aryy � 10 NAwvatll n�. AV III Gil !I e .. .... _ 15331NOFZZI AN.)tI AVE., IRVINE CA 92604 S �CN � .. 11. NAME _� r � q"A yllbl CRY h l l All 111 �m �nArE rANfM CARR r q1 hN(tONAAO�qu�uC AVE., VNNU c A0 e Dl�Uwtl P> NAME 13. NUMBER 0II VACANCIES�.N Irhwll BOARD all II)I1R ,r r.a fix .,I ralru =full �,"III atl �ou)AeS sFAgtY wr, a Agent for Service of IFliro(ass If the again us an nondividual IIh agent must reside Nn C'ailforwun a and &tairrn 'vI n msu 1,;;� . Inrn �Il�riastP with ;�C �) 1 RYax adrtress is not aecepleda,. If tduY: agent is aanothor cwporafioi¢, the agent rt��mi have. an Ne c I auntYrrquucu iuti ti.,l certificate� pwstn gcal to CaAlfornia i trr ar>u-akrr;pnr C odf),section 1505 and ItHiiu 15 nroust,Ilu��heft blalmh. �I v��utlr Iln �;,,uo6szlroiu.: ,t-,e.r� V-rry��;7fi xtl�ul¢. w P i NAPvkll FORSERVICII: �... ¢ F�C r- ��AS NA �NAl � IADaRuCtl A �NrFOR >r ;V.. i �. � _........ ' u I „ a . .1 IN CAn1153 At NORMANDF.:N AVII IRVINE, CA 9:16 4 .0 , rn 7u rx:,la1 f 1WWCgh I e I 9 yi F 0 13m15IC�df � a rt�fr� C Po�u� ugn-�� a 6.Dw� II I dl ¢_.4TII kY"� GENERAL CO� 17. BY SUBMITTING ]HIS STAf� INFORMATION&„rnY RAVGNYA 1 ”`d,U &f: bC7NTAldErHFFB"IV,fid ,dA q I tgld� �adg1A:J t1 CRN.m4 P) CU I' 11V01/'912014 CO � A c 1�1 �6JN ( 6tit A m¢ I � 1�tlAtl �»s1NNN NN DArE N�°B'FAf°1tr�q gdAwwlF K5I lyd gw��aAMO d rh U'A C gqNt,m CaPtm +au�7rwlw ✓uwmbu✓w I q A!t .... ... ...... �wauPo SW NA p q wwauuwa .ww�rurmu�wv �tio�,,��u�r Paget d.Uf"� tiiM..t r"P111l11 ()VI! II)BY SECI"ET ARY O a i A TE \ � \ � \ G 2 23\ / \ y % \\« 9 . \\\ \ \ 9 \ / 9 g cc 6 S m 3 Q A VAX, LLi 00 0"i 4t kwk AO wum Aw"w, VW fl6 PI �IINIMW,,,, 00 rAl irl PAI P. of aj LL rd Q City of El Segundo Residmial Sound Insulation Prtt rare WS 14-26 (Group 68) Bidder's Bond (Not necessary when cashier's check accompanies[bidder's Proposal and Statement) as principal ("Principal")and North American S ecialt Insurance Com any — ,a corporation incorporated tiftdr the laws of' the State o!' New mClmmrzrr-rslAirc. and licensed by the fate of 1� California to execute bonds and uride'd8 irtgs aS sctic wrrrCty„ as urcty (;""la(€rety`"), our heirs, executors, administrators,successors, and assigns. are jointly and severally bound to the City of 1''l Segundo, a general law city and municipal corporation existing under the laws of California, in the surxr of NOT TO EXCEED he TO CXC 1 L�NINA r�N1N1 tITHOUSAND ANAND oo/loo w dollars a $99,()()0,00 to _y _o be paid and forfeited to said City, its successors and assigns, if the Bid of the undersigned I?rincipal with respect to RS1 14-26, Residential Sound In.sulatian Program — Cironp 68. ("P ()feet"), 3S specifically set forth in the Contract Documents, is accepted and the proposcd Contract is awarded to said Principal, and said Principal fails or refuses to execute the Residential Sound Insulation Program Contract goveming the Project in accordance with such Bid as accepted and the Contract Docurncn s. SIGNED AND SF;ALED this „ 10th day of November _ 20 14 Big West Construction orporatk)n North American Specialty'Insuralice Company � �'un "t"'.�d"�ttilllict� l riltoipal s President %iretyr s 1 rc„sid�itt g Attorney-in-Fact Prin s at.li's Secretary 'Surety's Secretary Now, A11, signatures inust be acknowledged by a notary Public. 11rincipal's Mailing Address Surety's Mailing Address Bi West Construction Corporation Crrr°dlr rraeA au,arr i I eraiar rrra Caanr,any _ ,., ..m ._L„„,.., 15331 Normandre Ave. r'1"Iunon Centre ttr°ire Suite 850 Irvine, CAy„92604 Santa Ana CA 92707 Ridding Form 13°0? Last Moditi�cl;letauary 23,2014 Bidder's Bond CALIFORNIA ACKNOWLEDGMENT STATE OF CALIFORNIA County of ORANGE On NOVEMBER lU,2 14 before ms JENNIl t tt t ANAYA,NOTARY PUBLIC Date lava tn�aa 9avma aA l'uilia gar RNw�a r�dl qua personally appeared YUNG T.MULLICK .. ....., who proved to me on the basis of satisfactory evidence to be the person( whose narnoM Ware Subscribed to the within instrument and acknowled tent to me that helshePthey executed the same in his authorized ca,pacity(ies), and that by his/ ( I�*signatureiq on the instrument the JE lf„ER C.ANAYA personal, awr the entity upon behalf of which the person(. acted, esreouted the ins ument, HNC,A y bg l d6gtt lit I certify under PEN A i OF `Ef-'IJLiRY under the laws of 'OUNTY 20 the State of CailforN. that t' foregoing paragraph oin is true t�tY 'Ctd•taltf° " tlf6 and correct. Witness my h rp and I M s,e 1. Signature Place Notary Seal Above Public OPTIONAL Though the information below is not required by law, it may grove valuable to persons relying on the document. and could prevent fraudulent removal and reattachment of this Ponta to another document. Description of Attached Document Title or Type of Document: Document Date:m .. ._ ._.. . ._ _ .._.. .. _ Number of Pages: Signer(s) Other Than Named Above; Caacity(les)Claimed by Signer(s) Signer's Narne. r,.. ,..w.... wro.. ,...mmw..e. Signer's Name.w.v.._.. Corporate Officer 1 El Individual E] Individual El corporate Otiioer�--- '°itte(s)'e_a.e . _. ,.m._ .w_ , w..., v� �1tle(s)..w ❑Partner—[I Limited Eleeneral [j Partner—El Limited ]general �]Attorney in Fact 0 Attorney in Fact Trustee EJ Trustee Guardian or Conservator Top of thumb here CIGuardian or Conservator "thumb Other;_ Other: Signer Is Representing; E Signer Is Representing: NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois,each does hereby make,constitute and appoint: JENNIFER C.ANAYA,JAMES W.MOILANEN and YUNG T.MULLICK JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9d'of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." ..........._._ utaty SEAL c r® Steven P.Anderson,Senior Vice President of Washington International Insurance Company SEAL ` m 1973 tlr� .. &Senior Vice President of North American Specialty Insurance Company , BY .�...... _.. _-e,........... �� 71/�yI�flllllptYl�� Day id M.Layman,Vice t tMtllde of W,ishmgton lnternational lnsm•anee Company MOO &Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this26th day of June 2012 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 26th day of ....... June 2012 .before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. "OFFICIAL SEAL' r, f I JNNA D�SKLENS ......... Not Ary Ntitie,State of Illinois Donna D.Sklens,Notary Public M Cortuuission Expires 101020 15 g y _wry_,,,,,,,,wwwww, ,wwwwwwwwwwwwot'North American Specialty Insurance Company and Washington L Jeffrey Goldber the duly elected Assistant Secreta International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,1 have set my hand and affixed the seals of the Companies this 10 day of NOVEMBER ,20 14 leffiey Craldbe,g,Vice President&Assisnal Secrelan of ...... Washington Imematmal hir—we.Company&North Ainerican specialty Insurance Company CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 State of California County of On _ -h i ..�_, ` before me, rr " .�Bbl1i Gpt tl'dt��")ttl�'JGLT ; �A., pfgtlF3 d1U personally appeared #N3(u)W uqnis 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 E person(s), or the entity upon behalf of which the COi3YI J Ci1R- NI person(s) acted, executed the instrument. Commission#� 1939133 „ Notary Public-County California I certify under PENALTY OF PERJURY under the Orange County , M Comm. x Tres Jun 26,,2015 laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature,, Place Notary Seal Above uro N Wt y Public $ OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document tl and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: ------ ----------_-------._.-__.. _...._...._,,, ......... ft Document Date:, _ Number of Pages: Signer(s) Other Than Named Above: ...... ........ .— - ____................ Capacity(ies) Claimed by Signer(s) Signer's Name: . - .....- -- ----- Signer's Name _ .... ...... f ❑ Corporate Officer — Title(s): .... ❑Corporate Officer — Title(s): ❑ Individual ❑ Individual r " ❑ Partner— ❑Limited ❑General Top of thumb here ❑ Partner — ❑ Limited ❑General Top of thumb here ❑ Attorney in Fact ❑Attorney in Fact ; ❑ Trustee ❑Trustee ❑ Guardian or Conservator ❑Guardian or Conservator Ll Other: , F Ll Other: -- --- Signer Is Representing: Signer Is Representing: .. ©2010 National Notary Association•NationalNotary.org•1-800-US NOTARY(1-800-876-6827) Item#5907 City of El Segundo 0 Residential Sound Insulation Program RSI 14-26 (Group 68) Non-Collusion Affidavit The undersigned, being first duly sworn, deposes and says that he or she is authorized to represent the party ("Bidder") making the foregoing Bid; that the Bidder has not directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with such contract; that the Bid is genuine and not collusion or sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put a false or sham Bid, or that anyone must 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 are true; and, further, that the Bidder has not, directly or indirectly, submitted its bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham Bid. I declare under penalty of perjury in accordance with the laws of California that the foregoing is true and correct. Name of Firm: Big West Construction Corporation Address: 15331 Normandie Ave. Irvine, CA 92604 Telephone Number: 949-795-2219 Contractor Representative: Thomas R. Carr Title: President Signature: * Must be subscribed and sworn before a Notary Public and Jurat notarization must be attached Bidding Form Appendix B-03 Last Modified:January 23,2014 Non-Collusion Affidavit CALIFORNIA JURAT WITH AFFIANT STATEMENT i� . ✓ '°j�r ,? M k r , ' i,�� ;a 4' La,v�a," k � � ,m e,. „., �.° gym " Mr t 'a o�, ��a,., nati, e u .k rtl xa State of California Count �M y of mom.....:. _... Pee Attached Document (Notary to cross out lines 1-6 below) C_1 See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary) �a --�--- --- Signature of Document Signer No.1 - - b gnature-of C)ocu -- --------- - nroent tgner No.2('i any) Subscribed and sworn to (or affirmed) before me on this r' day of „W , by ....... �� _ d Date monin fie—ar ( �.. ° Narne of Si" ner L) ersonally known to me ROB t J.C RR-EBEL ❑ Proved to me on the basis of satisfactory evidence Co 8310n 0 1939133 to be the person who appeared before me Notary Public. California (and Orange County COM!M.Cx Ire aun 9,CC15 )......_ _.._ Name of,d,guvor ❑ Personally known to me ❑ Proved to me on the basis of satisfactory evidence to be the person who appeared before me.) d Sign#t re of Nlo my PufSk WW Place Notary Seal Above � OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent . MEMO fraudulent removal and reattachment of this form to another document. Top of thumb here Top of thumb here Further Description of Any Attached Document Title or Type of Document....___.......... Document Date: Number of Pages: Signer(s)Other Than Named Above ..._.. ....... WINOI ;,q*,uw ;"", `,r,*4;,;�W i,h�,� .. .,;a,f`�'.,%e k„' ,;fin yW;�uy�s;,� ^^'r;,�,w��.�.�02f(”""U,' a� �r,�.'1"'G±.;,Y' .�,i`��'r "�w"�'C,'�.:'+'r`""�a`�.:' "".,'#,�'r,?.� ""w, bh. tir''`, r" ,a� ,m"�f✓.^"., ?of o d _ �.e 02004 National Notary Association•9350 De Soto Ave.,P.O,Box 2402•Chatsworth,CA 91313-2402•www.NationalNotary.org Item#5910 Reorder:Call Toll-Free 1-800-876-6827 City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) Bidder's Statement of Past Contract Disqualifications Please state all instances of being disqualified,removed, or otherwise prevented from bidding on, or completing, a federal, state, or local government project due to a violation of a law or safety regulation. Have you ever been disqualified from any government contract? ❑ Yes [R No If yes, explain the circumstances: Bidding Form Appendix B-04 Last Modified:January 23,2014 Statement of Past Contract Disqualifications City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) Bidder's Statement on Previous Contracts subiect to EEO Clause The Bidder has participated ❑ has not participated in a previous contract subject to the equal opportunity clause prescribed by Executive Order 11246, as amended, of September 24, 1965. The Bidder K has submitted ❑ has not submitted all compliance reports in connection with any such contract due under the applicable filing requirements; and that representations indicating submission of required compliance reports signed by proposed subcontractors will be obtained prior to award of subcontracts. If the Bidder has participated in a previous contract subject to the equal opportunity clause and has not submitted compliance reports due under applicable filing requirements, the Bidder must submit a compliance report on Standard Form 100, "Employee Information Report EEO-I"prior to award of the contract. Note: Failure to complete the blanks may be grounds for rejecting the bid. I declare under penalty of perjury that the foregoing is true and correct. Name of Firm: Big West Construction Corporation Address: 15331 Normandie Ave. Irvine, CA 92604 Telephone Number: 949-795-2219 Contractor Representative: Thomas R. Carr_ .... .... Title: President Signature Dated this l°l day of 2014. Bidding Form B-05 Last Modified:January 23,2014 Bidder's Statement on Previous Contracts Subject to EEO Clause City of El Segundo 0 Residential Sound Insulation Program RSI 14-26 (Group 68) Certification of Non-Segregated Facilities (Contractors/Subcontractors) (A certificate of Non-segregated Facilities must be submitted prior to award of a contract or subcontract exceeding$10,000 which is not exempt from the provisions of Equal Opportunity Clauses) The Federally assisted construction contractor certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments, and that it does not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it will not permit any of its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any waiting room, work areas, rest rooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas,transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race,color,religion, sex or national origin, because of habit, local custom, or any other reason. The Federally assisted construction contractor agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause,and that it will retain such certification in its files. Certification—The information above is true and complete to the best of my knowledge and belief. Name of Firm: Big West Construction Corporation Address: 15331 Normandie Ave. Irvine, CA 92604 Telephone Number: 949-795-2219 Contractor Representative: Thomas R. Carr Title: President Signature: .. .__._.. Dated this day of,�V wM$,,, 2014. Note: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001. Bidding Form Appendix B-06 Last Modified:January 23,2014 Certification of Non-Segregated Facilities City of E1 Segundo Residential Sound Insulation Program RSI 14-26(Group 68) Certification of Non-Segregated Facilities (Contractors/ Subcontractors) (A certificate of Non-segregated Facilities must be submitted prior to award of a contract or subcontract exceeding$10,000 which is not exempt from the provisions of Equal Opportunity Clauses) The Federally assisted construction contractor certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments,and that it does not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it will not permit any of its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification, the tern "segregated facilities" means any waiting room, work areas, rest rooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains,recreation or entertainment areas,transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race,color,religion,sex or national origin, because of habit, local custom, or any other reason. The Federally assisted construction contractor agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause, and that it will retain such certification in its files. Certification—The information above is true and complete to the best of my knowledge and belief. Name of Finn: " sip /NC Address: 12o C© C. �... � . tea / lW Telephone Number: S`kz % Contractor Representative: Title: Signature; Dated this day of 1&bA1Z7�A_R- „2014. Note: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001. Bidding Form Appendix B-06 Last Modified:January 23,2014 Certification of Non-Segregated Facilities Nov, 18. 2014 11 : 28AM Mil Bard Windows No, 50x96 P. 4 City of Fl Segundo Residential Sound Insulation Program RS1 14-26(Group 68) Certification of Non-Segregated Facilities (Contractors/Subcontractors) (A certificate of Non-segregated Facilities must be submitted prior to award of a contract or subcontract exceeding$10,000 which is not exempt from the provisions of Equal Opportunity Clauses) The Federally assisted construction contractor certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments,and that it does not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it will not permit any of its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any waiting room, work areas, rest rooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas,transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race,color,religion,sex or national origin, because of habit, local custom, or any othor reason. The Federally assisted construction contractor agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause,and that it will retain such certification in its flea. Certification—The information above is true and complete to the best of my knowledge and belief, Name of Firm: , Address: W 6; eA S-V, �� Telephone Number: �.� f— C//R7 _ Contractor Representative: e. Z�.,'_q Title: MIA Signature: Dated this day of 6C,,e ,2014. Note: The penalty for matting false statements in offers is prescribed in 18 U.S.C. 1001. Bidding Form Appendix B-06 Last Modified:January 23,2014 Certification of Non-Segregated Facilities City of El Segundo Residential Sound Insulation Pro rata m RSI 14-26 (Group 68) Certification of Non-Segregated Facilities (Contractors/Subcontractors) (A certificate of Non-segregated Facilities must be submitted prior to award of a contract or subcontract exceeding$10,000 which is not exempt from the provisions of Equal Opportunity Clauses) The Federally assisted construction contractor certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments,and that it does not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it will not permit any of its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any waiting room, work areas, rest rooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains,recreation or entertainment areas,transportation,and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race,color,religion, sex or national origin, because of habit, local custom, or any other reason. The Federally assisted construction contractor agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause,and that it will retain such certification in its files. Certification—The information above is true and complete to the best of my knowledge and belief. Name of Firm: Discount Exteriors Address: 17612 Beach Blvd. #13B Huntington Beach, CA 92647 Telephone Number: 714-596-6766 Contractor Representative: Robert T. Davis Title: President G Signature: Dated this 14th day of November ,2014. Note: The penalty for making false statements in offers is prescribed in 18 U.S.C.1001. Bidding Form Appendix B-06 Last Modified:January 23,2014 Certification of Non-Segregated Facilities City of El Segundo Residential Sound Insulation Progrant RSI 14-26(Group 68) Certification of Non-Segregated Facilities (Contractors/Subcontractors) (A certificate of Non-segregated Facilities must be submitted prior to award of a contract or subcontract exceeding$10,000 which is not exempt from the provisions of Equal Opportunity Clauses) The Federally assisted construction contractor certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments, and that it does not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it will not permit any of its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification, the term "segregated facilities"means any waiting room, work areas, rest rooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas,transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race,color,religion, sex or national origin, because of habit, local custom, or any other reason. The Federally assisted construction contractor agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause,and that it will retain such certification in its files. Certification—The information above is true and complete to the best of my knowledge and belief. Name of Firm: H.K. ELECTRI CAL INC. Address: 17428 LAHEY ST GRANADA HILLS, CA 91344 Telephone Number: 818-831-8800 Contractor Representative: HAT ELI ZA K CHERIAN ....... __. . ... . ... _... ... .._. ....... .� Title: CEO Signature: .—...... ��.,__. _ _ ._. ._. . ... �...... y NOM , Dated this 18T 1�a of NOVEMBER 2014.-„ _ _ Note: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001. Bidding Form Appendix B-06 Last Modified:January 23,2014 Certification of Non-Segregated Facilities City of El Segundo Residential Sound Insulation Pm on RSI 1426(Group 68) Certification of Non-Segregated Facilities (Contractors/Subcontractors) (A certificate of Non-wgregotedl facilities must be submitted prior to award of a contract or subcontract os eWirrg$10,000 which is not oxempt from the provisions of Equal Opportunity Clauses) The Federally assisted construction contractor certifies that it does not maintain or provide for its ploy ^s any a grqmed llhic^s ar any of its 'aebiisbrtrrrets,and that it does not permit its employees to perform their services at any location,umdar its control,where segregated facilities are maintained. "fbo.Federally assisted construction cornnau for cerfliks firrtlaoa that It will not maintain or provide for its employees any segregated facilities at any of its establishments,ad that It will not permit any of its employees to perform their services at any location,under its control,when segregated facilities are maintained. The Federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract As used in this certification,the term "segregated facilities"means any waiting mom,work areas,rest rooms and washrooms,resmartouus and other eating area, time clocks,locker rooms and other storage or dressing an-us,ding lots,dsir 3ng fountains,recreation or entertainment areas,transportation,and housing„fl cidities provided for employees which are segregated by explicit directive or ary In fiact sct vpwd or%the basis of race,color.religion,sex or national origin, because of habit local custom, or any other reason. The Federally assisted construction contractor agrees that(except where it has obtained identical certifications from proposed snbcoutunctors for spooilk time periods) it will obtains idenrtioai oortrficationn from proposed sarlacontracrors prior to the award of subormtmcu exceeding S10,000 which are not exempt from the previsions of the.Equal Opportunity clause,and that it will tclaiu such r cttidiration in its files. Certification—The information above is true and complete to the bast of my knowledge and belief. Name of Finn: AbooNM•AbeWWAM•Osmo' •Avo Address: 444 Fe SprinwCA Telephone Number Contractor Representative. Title: >� Signature: Dated this t ay of Lvl,,,2014. Note: The penalty for making false statements in offer,is prescribed in 18 U.S.C.M. Bidding Form Appendix B-06 Last Modifietk January 23,2014 Certification of Non-Segregated Facilities City of El Segundo Residential Sound Insulation Prograin RSI 14-26(Group 68) Certification of Non-Segregated Facilities (Contractors/Subcontractors) (A certificate of Non-segregated Facilities must be submitted prior to award of a contract or subcontract exceeding$10,000 which is not exempt from the provisions of Equal Opportunity Clauses) The Federally assisted construction contractor certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments, and that it does not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it will not permit any of its employees to perform their services at any location, under its control, where segregated facilities are maintained. The Federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any waiting room, work areas, rest rooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains,recreation or entertainment areas,transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race,color,religion,sex or national origin, because of habit, local custom, or any other reason. The Federally assisted construction contractor agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause,and that it will retain such certification in its files. Certification—The information above is true and complete to the best of my knowledge and belief. Name of Firm: � A� f�� /z(x Address: : (If Telephone Number: 07 Telephone w Contractor Representative: C, Title; Signature: Datedthis4 day of AIC'71,�A ,2014, Note: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001. Bidding Form .......... . ��..... ,,,,,Appendix -06 ,.. �.. �,.. .� .�.�.�...Last Mo.. ....._.....................___....._.�...-...... ._ .. ._. ......._ diced:January 23,2014 Certification of Non-Segregated Facilities City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) Trade Restriction Clauses to be Included in all Solicitations, Contracts, and Subcontracts The Contractor or Subcontractor, by submission of an offer and/or execution of contract, certifies that it: A. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative(USTR); B. has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or a national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; C. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract must be awarded to a contractor or subcontractor who is unable to certify to the above. If the contractor knowingly procures or subcontracts for the supply of any product or services of a foreign country on the said list for use on the project, the Federal Aviation Administration may direct, through the City, cancellation of the contract at no cost to the government. Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The contractor may rely on the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor must provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the City, cancellation of the contract or subcontract for default at no cost to the government. Nothing contained in the foregoing must be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United States of Bidding Form Appendix B-07 Last Modified:January 23,2014 Trade Restriction Clauses Pagel of 2 City of El Segundo 0 Residential Sound Insulation Program RSI 14-26 (Group 68) America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code, Section 1001. Name of Firm: Big West Construction Corporation Address: 15331 Normandie Ave. Irvine, CA 92604 Telephone Number: 949-795-2219 Contractor Representative: Thomas R. Carr mm Title: President Signature: Dated this q day of .....L 'd U P►�-��1Z , 2014. Bidding Form Appendix B-07 Last Modified:January 23,2014 Trade Restriction Clauses Page 2 of 2 0 I. City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) Trade Restriction Clauses to be Included in all Solicitations, Contracts, and Subcontracts The Contractor or Subcontractor, by submission of an offer and/or execution of contract, certifies that it: A. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative(USTR); B. has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or a national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; C. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract must be awarded to a contractor or subcontractor who is unable to certify to the above. If the contractor knowingly procures or subcontracts for the supply of any product or services of a foreign country on the said list for use on the project, the Federal Aviation Administration may direct, through the City, cancellation of the contract at no cost to the government. Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The contractor may rely on the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor must provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the City, cancellation of the contract or subcontract for default at no cost to the government. Nothing contained in the foregoing must be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United States of Bidding Form Appendix B-07 Last Modified:January 23,2014 Trade Restriction Clauses Pagel of 2 City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18,United States Code, Section 1001. Name of Firm: F Address: Telephone Nrunber: &. —741,2_ � ' Contractor Representative: ciL Title: JF�T /`�i94gCK Signature: Dated this�7 day of ,2014. Bidding Form Appendix B-07 Last Modified:January 23,2014 Trade Restriction Clauses Page 2 of 2 Nov, 18, 2014 11 ; 28AM Mdga,rd Windows Na, 5016 P, 5 City of El Segundo IV Residential Sound Insulation program RSI 14-26 ((Troup 68) Trade Restriction Clauses to be Included in all Solicitations, Contracts, and Subcontracts The Contractor or Subcontractor, by submission of an offer and/or execution of contract, certifies that it: A. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative(USTR); B, has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or a national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; C, has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are warred by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract must be awarded to a contractor or subcontractor who is unable to certify to the above. If the contractor knowingly procures or subcontracts for the supply of any product or services of a foreign country on the said list for use on the project, the Federal Aviation Administration may direct, through the City, cancellation of the contract at no cost to the government, Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The contractor may rely on the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor must provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the City, cancellation of the contract or subcontract for default at no cost to the government. Nothing contained in the foregoing must be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United States of Bidding Form Appendix B-07 last Modified:January 23,2014 Trade Restriction Clauses Page I of Nov, 18s 2014 11 : 99AM Mdga,rd Windows No, 8096 PO 6 City of El Segundo UP—% Residential Sound Insulation program RSI 14-26(Group 68) America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18,United States Code, Section 1001 Name of Firm: ✓ Address: Telephone Number: .......... ��... Contractor Representative: Title: OA 4(1)Aa Signature /xI Dated this/7 day of 2014. ......................... Bidding form Appendix B-07 Last Modified:ranuM 23,2014 Trade Restriction Clauses page 2 of 2 City of El Segundo Residential Sound Insulation Program RSI 14-26(Group 68) Trade Restriction Clauses to be Included in all Solicitations, Contracts, and Subcontracts The Contractor or Subcontractor, by submission of an offer and/or execution of contract, certifies that it: A. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative(USTR); B. has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or a national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; C. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract must be awarded to a contractor or subcontractor who is unable to certify to the above. If the contractor knowingly procures or subcontracts for the supply of any product or services of a-foreign country on the said list for use on the project, the Federal Aviation Administration may direct, through the City, cancellation of the contract at no cost to the government. Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The contractor may rely on the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor must provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it learns that its certification was erroneous by reason of changed circumstan ces. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct,through the City,cancellation of the contract or subcontract for default at no cost to the government. Nothing contained in the foregoing must be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United States of Bidding Form Appendix B-07 Last Modified:January 23,2014 Trade Restriction Clauses Pagel of 2 City of El Segundo Residential Sound Insulation Pro apt. .:m. RSI 14-26(Group 68) America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18,United States Code, Section 1001. Name of Firm: Discount Exteriors Address: 17612 Beach Blvd. #13B Huntin on Beach,, CA 92647 Telephone Number: 714-596-6766 Contractor Representative: Robert T. Davis Title: President Signature: V1/ ` oe_� Dated this 14th day of November ,2014. Bidding Form Appendix B-07 Last Modified:January 23,2014 Trade Restriction Clauses Page 2 of 2 City of El Segundo Residential Sound Insulation Program. RSI 14-26 (Group 68) Trade Restriction Clauses to be Included in all Solicitations, Contracts, and Subcontracts The Contractor or Subcontractor, by submission of an offer and/or execution of contract, certifies that it: A. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative(USTR); B. has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or a national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; C. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract must be awarded to a contractor or subcontractor who is unable to certify to the above. If the contractor knowingly procures or subcontracts for the supply of any product or services of a-foreign country on the said list for use on the project, the Federal Aviation Administration may direct, through the City, cancellation of the contract at no cost to the government. Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The contractor may rely on the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor must provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct,through the City, cancellation of the contract or subcontract for default at no cost to the government. Nothing contained in the foregoing must be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United States of Bidding Form Appendix B-07 Last Modified:January 23,2014 Trade Restriction Clauses Pagel of 2 City of El Segundo 0 1tesidemial Sound lnsoWion ram RSI 14-26(Croup 68) America and the making of a false,fictitious,or fraudulent ca6fication MAY render the maker subject to prosecution under Title 18,United States Coda,Section 1001. AMWu*Ab@Wo*A a DO- NameofFirm: ""t hO4 AVe 90870 Address: Telephone Number �.....� - . ComrsciorRepresentedve: Ck 6 _ .... ., Title: _ _LoC.J111" �.. . �II .....�......._ Detedthie�dayof ;7l .2014. Bidding Form Appm,d a,B-07 Lau Modified:Jammmy 23,0144 Trade Restrictlon Clauses City of El Segundo Residential Sound Insulation Program RS1.14-26(Group 68) Trade Restriction Clauses to be Included in all Solicitations, Contracts, and Subcontracts The Contractor or Subcontractor, by submission of an offer and/or execution of contract, certifies that it: A. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative(USTR); B. has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or a national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; C. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30,17, no contract must be awarded to a contractor or subcontractor who is unable to certify to the above. if the contractor knowingly procures or subcontracts for the supply of any product or services of a foreign country on the said list for use on the project, the Federal Aviation Administration may direct, through the City, cancellation of the contract at no cost to the government. Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The contractor may rely on the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor must provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the City, cancellation of the contract or subcontract for default at no cost to the government. Nothing contained in the foregoing must be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United States of Bidding Form Appendix B-07 Last Modified:January 23,2014 Trade Restriction Clauses Page 1 of 2 City of El Segundo Residential Sound Insulation Program RSI 14-26(Group 68) America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code, Section 1001. Name of Firm: H.K. ELECTRICAL INC. Address: 17428 LAHEY ST GRANADA HILLS, CA 91344 Telephone Number: 1 - 1 0 0 Contractor Representative: ELIZA KHATCHERIAN Title: CEO Signature: ..W,_ __.,.._ w.......... Dated this 18THday of NOVEMBER 2014. Bidding Form Appendix B-07 Cast Modified:January 23,2014 Trade Restriction Clauses Page 2 of 2 City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) Trade Restriction uses to be Included in all Solicitations, Contracts, and Subcontracts The Contractor or Subcontractor, by submission of an offer and/or execution of contract, certifies that it: A. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative(USTR); B. has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or a national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; C. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract must be awarded to a contractor or subcontractor who is unable to certify to the above. If the contractor knowingly procures or subcontracts for the supply of any product or services of a foreign country on the said list for use on the project, the Federal Aviation Administration may direct, through the City, cancellation of the contract at no cost to the government. Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The contractor may rely on the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor must provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the City, cancellation of the contract or subcontract for default at no cost to the government. Nothing contained in the foregoing must be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United States of Bidding Form ......... _.... , _.m... . ..... Appendix -07 _.....v Last Modified:January 23,2014 Trade Restriction Clauses Page 1 of 2 City of El Segundo Residential Sound Insulation Program RSI 14-26(Group 68) America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18,United States Code, Section 1001. Name of Finn: Address: Telephone Number: Contractor Representative: r Title: Signature: ........------------------ -- Dated this day of ..a�^"" ....... ._,2014. _...._ mm.....-....-. ........m_.. . _.�... ..m. _.. ..._ - ......� _._.. �.........—..� fl ...-._.... --- -0- -- id � Form Appendix -07 Last Modified:January 23,2-0-1-4- 014 Trade Restriction Clauses Page 2 of 2 11/13/2014 00 :23 FAX 19499556507 C @NON 1&005/007 City of El Segundo Residential Sound Insulation Progratn RSI 142 26(Group 68) Trade Restriction Clauses to be Included in all Solicitations, Contracts, and Subcontracts The Contractor or Subcontractor, by submission of an offer and/or execution of contract, certifies that it: A. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative(USTR); B. has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or a national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign count ,on said list; C, has not procured any product nor subcontracted for the supply of any prod et for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation n accordance with 49 CFR 30.17, no Contract must be awarded to a contractor or subcontractor, oho is unable to certify to the above. If the contractor knowingly procures or subcontracts for the supply of any product or services of a foreign country on the said list for use on the project, the Federal Aviation Administration may direct, through the City, cancellation of the contracl at no cost to the government. Further, the contractor agrees that, if awarded a contract resulting from this solic:tatolt, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts, The contractor may rely on the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor must provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or, has become erroneous by Treason of changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making,the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct,through the City, cancellation of the contract or subcontract for default at no cost to the government, Nothing contained in the foregoing must be construed to require establishment o a system of records in order to render, in good faith, the certification required by this pr vision. The knowledge and information of a contractor is not required to exceed that whic is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United States of Bidding Form Appendix B-07 Last Modified:January 23,2014 Trade Restriction Clauses Page I of 2 11113/2014 00:23 FAX 19498556507 C @NON fa004/007 City of El Segundo Residential Sound Insulation Program RSI 147 (Group 68) America and the making of a false, fictitious, or fraudulent certification may ren er the maker subject to prosecution under Title 18,United States Code, Section 1001. Name of Firm: ZM I r' 0 Address: 1 1 g2l,2,-t Telephone Number: IV 02_2 Contractor Representative: m Title: Signature: U`7 Dated this 1 Z day of -el 2014. Bidding form Appendix B-07 Last Modified:J nuary 23,2014 Trade Restriction Clauses page 2 of 2 City of El Segundo Residential Sound Insulation Program RS1 14-26 (Group 68) Designation of Manufacturers and Suppliers Manufacturer Supplier(if Applicable) Contract Value ..§i�ctioj�-W-�40(F ...... Primary Hinged 18000 Entry Doors ........... Section 08 32 110 li r-imum y Sliding H $ '141593 Glass Doors Section 08 53 00 Vinyl Windows M f Ar" $ 49,4CO -Section 08 7100 ................ ... ...... .......................... Latching and G Locking $ rlqtg Hardware Section 10 32 00 Chimney $ 14/4 Dampers Section 10 32 00 Fireplace Glass I !nll VIA Is N/A Doors Section 22 2100 Condensate $ Pumps Section 23 09 00 Thermostats $ Section 23 34 00 Ventilators $ Section 23 54 00 Furnaces $ ........... Section ................................ Bidding Form Appendix B-08 Last Modified:January 23,2014 Designation of Manufacturers and Suppliers City of El Segundo Residential Sound Insulation Prograin RSI 14-26(Group 68) Designation of Manufacturers and Suppliers �.�.... .. .._ _aro. . — --- Manufacturer Supplier(if Applicable) Contract Value ction 08 i466 Primary Hinged $ Entry Doors Section 08 32 OQ Primary Sliding $ Glass Doors Section 08...53 00 _,�..... _ ... Vinyl Windows $ Section08 7100 ........................��.....................�.........._. ...��...�.................... ..�......_�..�._._..........................�..............._..��..�..�.....�. ��. Latching and Locking $ Hardware Section 1'-0 32 00 Chimney Dampers $ Section 10 32 00 Fireplace Glass $ Doors Section 22 2100 Condensate Pumps Thermostats coon 209 00 ..., � 3_._ ��.--l�---.- 1- � .--.. ....... -....... __ _ ....... � . ..... .. � � .. � � .. Section 23 4 00 Ventilators Section 23 54 00 - � Furnaces 1 0 $ .w.ue ecti on am- ........... _ ................� S u. ......................� ...�..�.---—.-----------------_ Bidding orm mm ._ .. Appendix B-Q8mmmmm mm Last Modified: g pp January 23,2014 Designation of Manufacturers and Suppliers City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) Buy American — Steel and Manufactured Products for Construction Contracts The Contractor agrees that only domestic steel and manufactured products will be used by the Contractor, Subcontractors, materialmen, and suppliers in the performance of this Contract, as defined in A. below. A. The following terms apply to this clause: 1. Steel and manufactured products. As used in this clause, steel and manufactured products include: a.) those products produced in the United States or b.) a manufactured product produced in the United States, if the cost of its components mined, produced or manufactured in the United States exceeds sixty percent (60%) of the cost of all its components and final assembly has taken place in the United States. 1 Components. As used in this clause, components means those articles, materials, and supplies incorporated directly into steel and manufactured products. 3. Cost of Components. This means the costs for production of the components, exclusive of final assembly labor costs. Name of Firm: Big West Construction Corporation Address: 15331 Normandie Ave. Irvine, CA 92604 Telephone Number: 9 49-7 9 5-221.9 Contractor Representative: Thomas R. Carr Title: President Signature: �, `-t ��- .............__................_... .........................._. Dated this 19 day of_IT_ V V �,2014. Bidding Form Appendix B-09 Last Modified:January 23,2014 Buy American Clause City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) Buy American — Steel and Manufactured Products for Construction Contracts The Contractor agrees that only domestic steel and manufactured products will be used by the Contractor, Subcontractors, materialmen, and suppliers in the performance of this Contract, as defined in A.below. A. The following terms apply to this clause: 1. Steel and manufactured products. As used in this clause, steel and manufactured products include: a.) those products produced in the United States or b.) a manufactured product produced in the United States, if the cost of its components mined, produced or manufactured in the United States exceeds sixty percent (60%) of the cost of all its components and final assembly has taken place in the United States. 2. Components. As used in this clause, components means those articles, materials, and supplies incorporated directly into steel and manufactured products. 3. Cost of Components. This means the costs for production of the components, exclusive of final assembly labor costs. Name of Firm: Address: /,z-040 ef" 'e44 !,f;,, � a� Telephone Number: �� Contractor Representative: , ! Title: PA ; Z- r" ._ ..._ Signature: _~ Dated this-a day of d-K^;W&C-X ,.._..�2014. Bidding Form Appendix B-09 Last Modified:January 23,2014 Buy American Clause Nov, 10. 2014 11 : 29AM Vga,rd Windows (boo 5096 P. 7 City of El Segundo Residential Sound Insulation program IT RSl 14-26(Group 68) Buy American — Steel and Manufactured Products for Construction Contracts The Contractor agrees that only domestic steel and manufactured products will be used by the Contractor, Subcontractors, materialmen, and suppliers in the performance of this Contract, as defined in A. below. A. The following terms apply to this clause: I. Steel and manufactured products. As used in this clause, steel and manufactured products include: a.) those products produced in the United States or b.) a manufactured product produced in the United States, if the cost of its components mined, produced or manufactured in the United States exceeds sixty percent (60%) of the cost of all its components and final assembly has taken place in the United States. 2. Components. As used in this clause, components means those articles, materials, and supplies incorporated directly into steel and manufactured products. 3. Cost of Components. This means the costs for production of the components, exclusive of final assembly labor costs. Name of Firm: Address: Telephone Number: Contractor Representative: zn pa)e- Title: ` ✓ Signature: Dated this 1/ day of 2014, Bidding Form Appendix B-09 Cast Modified:January 23,2014 Buy American Clause City of El Segundo Residential Sound Insulation Program RSI 14-26(Group 68) Buy American— Steel and Manufactured Products for Construction Contracts The Contractor agrees that only domestic steel and manufactured products will be used by the Contractor, Subcontractors, materialmen, and suppliers in the performance of this Contract, as defined in A.below. A. The following terms apply to this clause: 1. Steel and manufactured products. As used in this clause, steel and manufactured products include: a.) those products produced in the United States or b.) a manufactured product produced in the United States, if the cost of its components mined, produced or manufactured in the United States exceeds sixty percent (60%) of the cost of all its components and final assembly has taken place in the United States. 2. Components. As used in this clause, components means those articles, materials, and supplies incorporated directly into steel and manufactured products. 3. Cost of Components. This means the costs for production of the components, exclusive of final assembly labor costs. Name of Firm: Discount Exteriors Address: 17612 Beach Blvd. #13B, Huntin on Beach, CA 92647 Telephone Number: 714-596-6766 Contractor Representative: Robert T. Davis Title: President Signature: W —Z� Dated this 14th day of November____,2014. Bidding Form Appendix B-09 Last Modified:January 23,2014 Buy American Clause City of El Segundo Residential Sound Insulation Program RSI 14-26(Group 68) Buy American — Steel and Manufactured Products for Construction Contracts The Contractor agrees that only domestic steel and manufactured products will be used by the Contractor, Subcontractors, materialmen, and suppliers in the performance of this Contract, as defined in A. below. A. The following terms apply to this clause: I. Steel and manufactured products. As used in this clause, steel and manufactured products include: a.) those products produced in the United States or b.) a manufactured product produced in the United States, if the cost of its components mined, produced or manufactured in the United States exceeds sixty percent (60%) of the cost of all its components and final assembly has taken place in the United States. 2. Components. As used in this clause, components means those articles, materials, and supplies incorporated directly into steel and manufactured products. I Cost of Components. This means the costs for production of the components, exclusive of final assembly labor costs. Name of Firm: H.K. ELECTRICAL INC. Address: 17428 LAHEY ST GRANADA HILLS, CA 91344 Telephone Number: 818-831-8800 Contractor Representative: ZA KHATCHERIAN ...�_ ........_. ......_ Title: CEO Signature: ... 1 y Dated this 8THda of NOVEMBER 2414._— .... .. �.e.,..�_x Bidding Form Appendix B-09 Last Modified:January 23,2014 Buy American Clause City of El Segundo " Residential Sound Insulation Program RSI 14-26 (Group 68) Buy American — Steel and Manufactured Products for Construction Contracts The Contractor agrees that only domestic steel and manufactured products will be used by the Contractor, Subcontractors, materialmen, and suppliers in the performance of this Contract, as defined in A. below. A. The following terms apply to this clause: 1. Steel and manufactured products. As used in this clause, steel and manufactured products include: a.) those products produced in the United States or b.) a manufactured product produced in the United States, if the cost of its components mined, produced or manufactured in the United States exceeds sixty percent (60%) of the cost of all its components and final assembly has taken place in the United States. 2. Components. As used in this clause, components means those articles, materials, and supplies incorporated directly into steel and manufactured products. 3. Cost of Components. This means the costs for production of the components, exclusive of final assembly labor costs. Name of Firm: Address: . p Tele hone Number: pm , Contractor Representative: r Title: ° .... Signature: Dated this day of . ,2014. Bidding Form . .. __...... ._....Appendix B-09 .......... Bidding Modified:Jan.�ary2...,2..14 ..... i u 3, 014 Buy American Clause City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) Bidder's Assurance of Compliance with Title 49 CFR Part 26 relating to Disadvantaged Business Enterprise Participation The Bidder hereby gives assurance pursuant to the requirements of Title 49 CFR part 26 that Bidder has made a reasonable effort to meet goals for Disadvantaged Business Enterprise participation specified for the Contract for which this proposal is submitted and that the Bidder, if the contract is awarded to Bidder, will have a DBE participation of ` -W Q A � yt-T 4 `r1 �percent(��3 %) of the amount of this Bid. Bidder further gives assurance that Bidder will submit the documentation required by said regulations and the Contract Documents, including the Listing of Disadvantaged Business Enterprises with which the Bidder will subcontract if the Contract is awarded and if Bidder is unable to meet the contract goals for DBE participation, of the steps Bidder has taken to obtain DBE participation. Name of Firm: Big West Construction Corporation Address: 15331 Normandie Ave. Irvine, CA 92604 Telephone Number: 949-795-2219 Contractor Representative: Thomas R. Carr Title: President Signature; Dated this day of NOV-&444- ,2014. Bidding Form Appendix B-10 Last Modified:January 23,2014 Assurance of DBE Participation City of El Segundo 0 Residential Sound Insulation Program RSI 14-26 (Group 68) Suspension and Debarment Requirements for all Contracts over $25,000 (49 CFR Part 29) The Bidder certifies, by submission of this proposal or acceptance of this Contract,that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the Bidder/offerer/contractor or any lower tier participant is unable to certify to this statement, it must attach an explanation to this solicitation/proposal. Name of Firm: Big West Construction Corporation Address: 15331 Normandie Ave. Irvine, CA 92604 Telephone Number: 949-795-2219 Contractor Representative: Thomas R. Carr Title: President Signature: IT___IT Dated this day of mmwD,,,,, P1�1� (Z ,2014. Bidding Form Appendix B-11 Last Modified:January 23,2014 Suspension and Debarment Requirements City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) Suspension and Debarment Requirements for all Contracts over $25,000 (49 CFR Part 29) The Bidder certifies,by submission of this proposal or acceptance of this Contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the Bidder/offerer/contractor or any lower tier participant is unable to certify to this statement,it must attach an explanation to this solicitation/proposal. Name of Firm: � �. ✓. i Address: �4 " Telephone Number: ww �-�" Contractor Representative: = A'' Title Signature: Dated this day of..... ,2014. Bidding Form Appendix B-11 bast Modified:January 23,2014 Suspension and Debarment Requirements Nov, 10, 2014 11 : 28AM I dgard Wicidows No, 096 P. 3 City of El Segundo Residential Sound Insulation Program RS1 14-26(Group 68) Suspension and Debarlmeot Requirements for all Contracts over $25,000 (49 CPR part 29) The Bidder certifies, by submission of this proposal or acceptance of this Contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the Bidder/offerer/contractor or any lower tier participant is unable to certify to this statement, it must attach an explanation to this solicitation/proposal. Name of Firm; . Address: Telephone Number: Contractor Representative: Oe-' %j Title: Signature: la94-4 Dated this�day of AC-e ,2014. Bidding Form Appendix B-11 Last Modified:January 23,2014 Suspension and Debarment Requirements 19City of El Segundo Residential Sound Insulation Program , RSI 14-26 (Group 68) Suspension and Debarment Requirements for all Contracts over $25,000 (49 CFR Part 29) The Bidder certifies,by submission of this proposal or acceptance of this Contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the Bidder/offerer/contractor or any lower tier participant is unable to certify to this statement,it must attach an explanation to this solicitation/proposal. Name of Firm: Discount Exteriors Address: 17612 Beach Blvd. #13B, Huntington Beach, CA 92647 Telephone Number: 714-596-6766 Contractor Representative: Robert T. Davis Title: President Signature: Dated this 14th day of November 2014. Bidding Form Appendix B-11 Last Modified:January 23,2014 Suspension and Debarment Requirements City of El Segundo Residential Sound Insulation Program. RSI 14-26 (Group 68) Suspension and Debarment Requirements for all Contracts over $25,000 (49 CFR Part 29) The Bidder certifies, by submission of this proposal or acceptance of this Contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the Bidder/offerer/contractor or any lower tier participant is unable to certify to this statement, it must attach an explanation to this solicitation/proposal. Name of Firm: H.K. ELECTRICAL INC Address: 17428 LAHEY ST GRANADA HILLS, CA 91344 Telephone Number: 818-831-8800 .. Contractor Representative: LIZA KHATCHERIAN Title: CEO Signature: Dated this 18THday of NOVEMBER w '2014. Bidding Form Appendix B-11 Last Modified:January 23,2014 Suspension and Debarment Requirements City of El Segundo Residential Sound insulation l*co n RSI I"(Group 68) Suspension and Debarment Requirements for all Contracts over$25,000 (49 CPR Fart 9) "l'he Bidder certifies,by submission of this proposal or ac+cceptataco of'titis Cootract,that neither it nor its principals is family debarred,suspended,proposed for debarment,declared ineligible, or voluntarily excluded from pastic palion in this nsm"otion by any Federal doWnteat or agency. It further agtoes by submitting this proposal that it will hwhtde this clause wrritltout modification in all lower tier trratsactions,sol'ieitatious,proposals„conttatttsv and subconoatcts. witesro tlto l3iddcr/offerer contractor or any lower ties pa nicipant is unable r;ll certify to this statement,it must attach an explanation to this solicitation/proposal. Abel uft Abaetarmt+M A Demo $03 CMtte Are Name Of Firm: Address: Telephone,Number: " r Contractor Representative: .- Title: signature: Dated this dayof (4000fh�✓ .2014. Bidding Form acndix SB-I I last Modified:January 23.2014 Suspension and Debarment Requirements City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) Suspension and e r ent Requirements for all Contracts over $25,000 (49 CFR Part 29) The Bidder certifies, by submission of this proposal or acceptance of this Contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the Bidder/offerer/contractor or any lower tier participant is unable to certify to this statement, it must attach an explanation to this solicitation/proposal. Name of Firm: Address: is _ _. ..._ .. �o Telephone Number: r Contractor Representative: mi7 Title: F .p.. Signature: Dated this day of � .m m „z_ 2014. Bidding Form Appendix B-11 Last Modifiedre January 14 ..............._.�w_www��ww --. -..-.... ... ...__ January 23,2014 Suspension and Debarment Requirements M � 405 7so O Q,`.`..o 0 a p t O a� Q, bn ° o ed Cs= N :' 3 •� 4� no=o I�1 Con -0 N cd o o o Ell �, �• O � `� O n Cd s, 0 j U U. U. 3 ° O O o bo o M � o v �,'on.., U Oo r ° a� o �, U 0 0 0 wl M bb mow, ; � o a 7 o � o a Cd C/1 a, 0 4-4 � .fl coo E Cd W Cd cd 'oq ° ^a �` 10, 0 Q� , �Ip 0 0 za 914 u o +�' bA o b o O :a vOi cam, U U 'C w O 4 y bD r. O cd O o cd C O c- 'C �"" s. i-s ice. a ^O U i"� O Cd >,cr-4 O bO�A V] A C's � ^>1 v O Sf U W4 0 4-� N + ° 3 O u C4, 0 En 0 0 O one rs ° ;•o Ed � o o o a"aa, v �4c as � ov 3uZ GQQ 00 cq 110 14-4 C� 0 0 C#4) 0 0 0 0 0 0 1- 12 � "2 � 2 - �2 �2 -- .2 Cd A I u u u u .............................. ............................ th �U T rn o . ..................... L 7� 0 Ln 10 cX 0 or- on City of El Segundo Residential Sound Insulation Program References (Required of Bidders and any Subcontractors performing more than 10% of Work) Name of Bidder or Subcontractor: Please list similar projects on which you performed ork similar to the Work you would perform on this Project. This information is to be included with the Bid, and will be used by the City in assessing your capabilities and qualifications for perfo ing the Work. You are hereby advised that this project is complex and requires experienced Contractors and Subcontractors. Bids may be considered non-responsive if the information provided is untrue or is insufficient to allow the City to adequately assess capabilities and qualifications. 1. Project Na e Project P4 " u . - Contact m Agency Dollar Value m Person .,�u ..�` �".. ,;w Tel. NoF 1 Des ription of Project r nw.e., _...�.,......�..,....mm.....�......,. aa,.. .. y ..,.....m. ✓pfi.�.._�are ..... anew-..._.. _=A1. �"......e��...,.......,.�.... .. ., ...m .s _.-...--_.... 2. Project Name, . _ ... Project .. .. � ° 1 w � V �. Agency„ ” . " Dollar Value Contact Pers( �df Tel. � � '..... ` No . . Description of Project fl u a J j �;.. ' ,., _K Dollar Value �� Agency, �. `_ . ... ........ Project ° b lr �. `.�� _ ..m. ... Contact Person � .__. Te l. No i r csct ptiotl t1,Pro1 ec .� , . .. Name ... �.Uw Project No 4. Pro ect AgJ 3 ) �, i Dollar Value m.. i1 r k � , Contact l c s �n " '� '`�n� a 'R Tel. N'o� , Description of 1111roj eot r io Bidding o �.__.�.�.��.�._..�.,.___... .. .__.._.._Appendix�l3_.._.._�..�..--.,�Last_..-.w.....,......._ .._.� m._.._ .._�.�..� Modified: January 23,2014 References City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) References (Required of Bidders and any Subcontractors performing more than 10%of Work) Name of Bidder or Subcontractor: Glare & Associat s,___Inc. Please list similar projects on which you performed Work similar to the Work you would perform on this Project. This information is to be included with the Bid, and will be used by the City in assessing your capabilities and qualifications for performing the Work. You are hereby advised that this project is complex and requires experienced Contractors and Subcontractors. Bids may be considered non-responsive if the information provided is untrue or is insufficient to allow the City to adequately assess capabilities and qualifications. 1. Project Name El Segundo RSIP Project No. 37 Agoicy'C u„t v of El Se ndo Dollar Value $58, 710 . 00 Contact Person James O'Neill Tel.No. 310 . 524 .2. 385 Description of Project supili Acoustic ,.Doors frames and hardware. 2. Project Name El Segundo RSIP Project No. 38 Agency City of—ET Segundo Dollar Value $55, 800 . 00 Contact Person James O'Neill Tel.No. 310 .5 2 4 .2 3 8 5 ➢ „ Supply Acoustic Doors, frames, Description of l :�o t.ct and hardware. 3. Project Name El Segundo RSIP Project No. 39 Agency City of El Segundo � Dollar Value $77, 450 . 00 Contact Person James O'Neill Tel.No. 316—.524 .2385 Description of Project_ Supply Acoustic Doors frames, and hardware. 4. Project Name El Segundo RSIP Project No. 41 AgeiacK City of E1 Segundo Dollar Value $86, 225 . 00 Contact Person James "Neill. Tel.No. 31-0 2q_._279_5_ Description ofl'roJect_ Supply Acoustic Doors, frames, and hardware. Bidding Form Appendix B-13 Last Modified:January 23,2014 References City of El Segundo Residential Sound Insulation Program RSI 14-26(Group 68) References (Required of Bidders and any Subcontractors performing more than 10%of Work) Name of Bidder or Subcontractor: Discount Exteriors Please list similar projects on which you performed Work similar to the Work you would perform on this Project. This information is to be included with the Bid, and will be used by the City in assessing your capabilities and qualifications for performing the Work. You are hereby advised that this project is complex and requires experienced Contractors and Subcontractors. Bids may be considered non-responsive if the information provided is untrue or is insufficient to allow the City to adequately assess capabilities and qualifications. 1. Project Name In lewood RSIP Project No. Various Agency Dollar Value Contact Person Anthony Barbarin Tel.No. 310-412-5289 Description of Project Bmi&wial Sound 2. Project Name LAWA RSIP Project No. Various Agency Dollar Value Contact Person Tel.No. 424-646-7441 Description of Project Resi'denfi'al Sound Insulation Pro am 3. Project Name Burbank RSIP Project No. Various .Agency 1 g Labs Dollar Value Contact Person Dan Btl&y Tel.No. Description of Project 4. Project Name Project No. Agency Dollar Value Contact Person Tel.No. Description of Project Bidding Form Appendix B-13 Last Modified:January 23,2014 References City of El Segundo Residential Sound Insulation Pro r<ar , EL SEGUNDO RS.. IP 14-26 GROUP 68 References (Required of Bidders and any Subcontractors performing more than 10%of Work) Name of&iddcr or Subcontractor: R. . ELEc,rRI t;AI, 'L C Please list similar projects on which you performed Work similar to the Work you would perform on this ProjecL This information is to be included with the Bid,and will be used by the City in assessing your capabilities and qualifications For performing e Work, You art hereby advised that this project is complex and requires experienced Contractors and Subcontractors. Bids may be considered non-responsive if the information provided is untrue or is insufficient to allow the City to adequately assess capabilities and qualifications. I. Project Name, INGLEWOOD tea I 8.14 Project No, P11 5 Gtr. 14 Agency...._ l,r Off" I GL EWO ,.� Dollar Value $85, 000-00 ®....._..� 310,.......... -. Contact I�crson �. 1� "rci. No. Description ofPropcct ALL ELECTRI C L SCOPE or . . .... . . . i4 6-k �SCR BF-D-1i_ �ii � 2, ro,jca Name INGL _ D.........RS...I....,,,,. w 12. �_.. PrcSjsct T+Ic�. H R 1,2 - - - _w. ..ww. a OO Dollar Val $194, 000.00 � erne; - GAI i�' OR It'�G��Lq�. ..�_��_��.....�F . ..n.,,. Contact Pcrsc�n T-HO' I23 TeL Nom 330-41e2-5 ' � Description of Prt� eat ALL ELECTRICAL v,m. SCOPE OF WORK DESCRIBED IN THE ORIGTNAL S Pr,("TFl CATIONS l �., l e - .. . Project Name _IN LE OOD RSI 8. 17 _ Project Teo PH 8 OR 17 ,ent y 1.x,T�..... 't I GLE OOD Dollar Value $83, 000 00 ._.. �e....�.n... _.... .,_ Contact Persotl ;.'d 4T tON Rai IN Tel. No, 310-4:12-5280 Description of of I'rcaact _. L ELECTRICAL.M 50 R� TN .., ,[Q1,JgA1s 4, Projcct t.e_a_cnt 1� -G.1 r..1-EW OD RS f 9.5 Project No,— PH 9 GR Agency C171 r OF tN�tt W�M Dollar Value K 9�M00 00 coe Ile rson t LtON B RIN Tel, N . 3101 412 5200 Description ALL ELECTRICAL SCOPE oF i46 PO 1 N TrI 6L2IGI i 4 X L OPr"C IF"T,.,e T 1 S Bidding Form aAppendix B-13...� ,......Last Modified:Janu 21,2014 References I E City of El Residential lrisulation Program RS114-26(Croup 68) References (Required of Bidders and any Subcontractors mor than 10;,of Woric) I Name of Bidder or Subcontractor: 46SOd A'" - vo + 1N"r'o Please list similar projects on which you performed Work similar to the tVork you would perform on this Project. This information is to be included with the Bid,and t,ill be used by the City in assessing your capabilities and qualifications for performing the Wor-You are hereby advised that this project is complex and requires experienced Contractors ar d Subcontractors. Bids may be considered non-responsive if the information provided is untrue c r is insufficient to allow the City to - ' ` assess capabilities and qualifications. 1.. Project Narne --1--p G(o up qz Project No ( y Agcnoy6 I Dollar V glue Contact Per- 725 ew� f" Tel Nra L" : D e prior[ofProj °a 2. Project Name � ftrd:�� r Projock No Agency 6(4"? e art= ems`Cb Dollar rliar V lue J� , twonxact Parson 3 ern l" i"e1.Nca j d l r Description of`Pro 1 Project Name (7 600 l'rojuct No. r Agency(_OMM, �'� .C rtit,yl Lf{ GJ Dollar Value �?r Contact Person 6 M�D Tel,l'tr�� <j � +� D pr 0,Of'T �= ta_ u2 -.:W 4 ....................._ ., ,......_. 4. Project Name iy 5 �� C G G(� Prolact No J rr ,w A en1i7"C19ara1 Vrrhst .� "� g Cy(A(MiM Contac[Person.. B W� D of Pµ Biddin Form A endix B-13 Lwt lama_ ,...14 g PP January 23,2014 City of El Segundo Residential Sound Insulation Program RSI 14-26 (Group 68) References (Required of Bidders and any Subcontractors performing more than 10% of Work) Name of Bidder or Subcontractor: Please list similar projects on which you performed Work similar to the Work you would perform on this Project. This information is to be included with the Bid, and will be used by the City in assessing your capabilities and qualifications for performing the Work. You are hereby advised that this project is complex and requires experienced Contractors and Subcontractors. Bids may be considered non-responsive if the information provided is untrue or is insufficient to allow the City to adequately assess capabilities and qualifications. 1. Project Nauru w„� ,.m.. m . ®. Project No ... c P� . � Dollar Value 1,.�nc y 1, t Descry ttion ofrl � • Tel.�o.. P'01 al p � u 2. Agency.... Name _ .... . 1. � t Project No y ...t . � .. . . Dollar Value a Contact Person , Tel No , r � tl.,.._ 1Dcstrr°r rtirr�r of Projuut i . I •� .....�e,...�.�� .M �... s. r 3. Project Name / Project No. iu" .. D 1 jar Value Agency l No. , g Y, s Contact 1 ersorr J cl, No. (J", Description of l r(r p jc1 e. . °, .e._ a j: ��n s._m., m..... . 4. Project Narrrc aw• Project NoUC getrr Dollar Value � " � � Contact 1 +. r 1 W�..� ... Tel. No, Ekscrrptioll of l l rttj cl ...... ....... ...................... .._. . ... . .e_-.... w„ _.. .. .. .........._._.. _ .. ._. .. Biddin g Form Appendix B-13 Last Modified:January 23,2014 References 1111312014 00:23 FAX 19499556507 C @NON 1@0071007 City of El Segundo Residential Sound Insulation Prograir RSI 14-2 (Group 6$) References (Required of Bidders and any Subcontractors performing more than 10% of Work) Name of Bidder or Subcontractor Please list similar projects on which you performed Work similar to the Work you would perform an this Project. This information is to be included with the Bid, and will b,, used by the City in assessing your capabilities and qualifications for performing the Work. You are hereby advised that this project is complex and requires experienced Contractors and Su contractors. Bids may be considered non-responsive if the information provided is untrue or is insufficient to allow the City to adequately assess capabilities and qualifications. a �. �'�' , Project No. 1, Project Warne �I �'' � Agency Dollar Value Contact-Person/ Tel.No,- � � Description of Pr oj at ,,.�� .. �-•«� �� 2. project Name CD C �r j t'roject No, p _c gecy Dollar Value Contact Person 4 Tel.No, Description of Project 3. Project Name— O.D , . 2 ...,.. Project No. Z44--al - C 00 � CV Agency ... Tel. Na_�� Contact Persor��, Dollar Va ue� 1783 Description of lProject ti 4. Project Name CiPro}ect No, Agency _ .- Dollar Value Contact person Tel. No. Description of Project Bidding Farm, /appendix 'B-13 Last Modified, January 23,2014 References City of El Segundo 9 Residential Sound Insulation Prograni 0 nr� i RSI 14-26(Group 68) k' Acknowledtement of Receipt of Addenda Bidder acknowledges receipt of the following addenda, has become familiar with their contents, and has accounted for all such changes in the Bidder's Proposal and Statement. Addendum Number Date: 0 !U 1Y Addendum Number ..... Date: U , 4_.. ` . Jq Addendum Number Date: Addendum Number Date: Addendum Number Date: Addendum Number Date: Addendum Number Date: Addendum Number Date: Addendum Number Date: Addendum Number Date:. Contractor Representative: ct,— III 20 Signatwe Dific Thomas R. Carr Name(printed or typed) Bidding Form B-14 Last Modified:January 23,2014 Acknowledgement of Receipt of Addenda City of El Segundo Residential Sound Insulation Program ADDENDUM NUMBER 1 Date: October 15, 2014 Project: City of El Segundo RSI 14-26 (Residential Sound Insulation Program—Group 68) To: Prospective Bidders This addendum forms a part of the Contract Documents and modifies the original Bidding Documents. Portions of the Bidding and Contract Documents not altered by this addendum remain in full force. Bidders must acknowledge receipt of this addendum as part of their Bid. Failure to do so may subject the Bidder to disqualification. Item 1 The date and time of the Pre-Bid meeting is hereby revised to be Thursday, October 30, 2014 at 10:00 a.m. End of Addendum Addendum#1 RSI 14-26(Group 68) City of El Segundo Residential Sound Insulation Program , ADDENDUM NUMBER 2 Date: November 14, 2014 Project: City of El Segundo RSI 14-26 (Residential Sound Insulation Program—Group 68) To: Prospective Bidders This addendum forms a part of the Contract Documents and modifies the original Bidding Documents. Portions of the Bidding and Contract Documents not altered by this addendum remain in full force. Bidders must acknowledge receipt of this addendum as part of their Bid. Failure to do so may subject the Bidder to disqualification. Item 1 The Bid deadline is hereby revised to be Wednesday, November 19, 2014 at 11:30 a.m. Item 2 The Contract Documents, including Section 07 30 00 (Roofing), are hereby revised to delete the requirement that roofing work is only performed by individuals working C39 Specialty License Item 3 Replace Appendix A-02 (Preliminary Construction Schedule) with the attached Appendix A-02 marked "Addendum#2 (November 14, 2014)" Item 4 Replace Appendix A-03 (Davis Bacon Prevailing Wage General Decision) with the attached Appendix A-03 marked"Addendum#2 (11-14-2014)" Item 5 Replace Section 01 13 00 (Worker Conduct) with the attached Section 01 13 00 Item 6 The attached Insurance Form(CG 20 10 04 13) is an acceptable alternate to the insurance form required by the Contract Documents as long as all other insurance requirements of the Contract Documents are met, including insuring that "the City, its officers, employees, agents and volunteers" are covered for your work and your ongoing operations. Item 7 California Legislation SB 407: Neither the Contractor, nor its subcontractors, will be responsible for providing, nor installing, low-flow toilets, shower heads, or other plumbing fixtures as part of the scope of work for the project. Any such requirements related to SB 407 are not expected to impact the construction schedule, and therefore no additional costs related to SB 407 are to be incorporated into Bids. Addendum#2 RSI 14-26(Group 68) City of El Segundo Residential Sound Insulation Program Item 8 Response to pre-bid RFI: For all plans that have a plumbing note to "Disconnect gas line supplying existing furnace and reconnect to new furnace at same location" and "Install a new gas line (1" in diameter) to supply new furnace, Bidders/Contractors are to install a new gas line (1" in diameter) to supply the new furnace and connect existing gas lines supplying existing appliances to new (1" in diameter) gas line. Item 9 Response to pre-bid RFI: Unless the plans for a home specifies otherwise, bidders may use any of the types of attic insulation that meet the specification requirements to achieve a specified R-value. End of Addendum Addendum#2 RSI 14-26(Group 68) �,a,"'Wi.9�➢W�W�'WWW�wO eSW�VW�Wl ....MU.3NllWI�'.. W � "'r�d'�Y&iNu�l'. � S. tll �... Iuq d ur„u Ned } ua' G u uu fug q^ � � I �- Y` _,,. 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Q Re: Group 68 Invitation to Bid Page 1 of 1 From: bigwestconst<bigwestconst @aol.com> To: bigwestconst<bigwestconst @aol.com>; mdinsul <mdinsul @sbcglobal.net>; pratt2glore <pratt2glore @yahoo.com>;VIC <VIC @ZODIACHVAC.COM>;joedupuy<joedupuy @milgard.com>; discountx<discountx @g mail.com>; hkelectricaleliza<hkelectricaleliza @gmail.com>; chuck <chuck @absoluteabatement.net>; mikec<mikec @specialtydoor.net>; gnichols <gnichols @trueairinc.com>;jp<j p@westchesterelectrical.net>; rameyroofing <rameyroofing @aol.com>; shulsey<shulsey @grahamwindows.com>;yasamifar<yasamifar @sbcglobal.net>;thomas <thomas @azhomeinc.com>; pgj_enviro<pgj_enviro @yahoo.com>;valli<valli @rbhinsulation.com> Subject: Re: Group 68 Invitation to Bid Date: Mon, Nov 10,2014 5:54 pm Attachments: Group_68_lnvitation_to_Bid.pdf(5912K) Please see the attached information Attachment's include: Invitation to Bid Notice inviting Sealed bids Certificate of Non Segregated Facilities-Completed and Returned Trade Restriction Clauses and form-Completed and Returned Suspension and Debarment Requirements-Completed and Returned References-Completed and Returned Insurance Requirements There is no Construction schedule provided by the city yet for Group 68 Please supply your price for this project broken out per the schedule of values in the bid documents. If applicable: A certificate of Disadvantaged Business Enterprise must be submitted with your bid. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. Tom Carr Big West Construction (949) 795-2219 https://mail.aol.com/3 8848-916/aol-6/en-us/mail/PrintMessage.aspx 11/17/2014 0O111!11""'I I 10MON �- Ci01j ILI'�"I dIR.��j1011lp",,,,� tteFlti:upu Pros2ective Bidder i.;ontpa'ny: , aX: Pi..pC9ne" Project: RESIDENTIAL SOUND INSULATION PROGRAM Group 8 Bid Date: 11/14/2014 VARIOUS LOCATIONS Address: Time' '00 E,arlly Qnuotc.a are alw.,ays welcome& City, St., Zip El Segundo, CA always confid¢ntiaap Please mark the apap:aropuriate box pw.rud return. Yes, P wuuu..M like to bid Pius^ pr oj. ;.:,.ct Need Plans: Yes r,,.), not at this tiiuuue Yes, Already haavc puiauus Slia pnpzimu,g Nu.urrauber'a Spec Secfion(s)� Estimators Muune: Phone Nurriiner� P-0*.....rnaii addre , `1C"lluariks in advance for your tnTie on t u s pruJect and .:bhot.uid yuuuu need anything while looking at this Project feel free to contact our office and ask iou°: "P'oln Parr (949) 795-2 219 Fax (919) 253 9019 15331 1 u rl'vi i'Wie a a. �u vmm"e CIA 912604 * ( dd)795 2219 �u �� id� p" 1506 i.irv"eII`°p"rv'e#81,20185 Piau °P"p"MV&estc IIn"!pi@ww;D1 III IIVi Notice Inviting Sealed Bids CITY OF EL SEGUNDO RESIDENTIAL SOUND INSULATION PROGRAM RSI 14-26 (Group 68) The City of El Segundo is accepting scaled Bids for Projects RSI 14-26 (Group 68 of the Residential Sound Insulation Program) in the City Clerk's office, 350 Main Street, El Segundo, California 90245, until 11:00 a.m. on Tuesday, November 18,2014 at which time they will be publicly opened. Bids will not be accepted after that time. Bidders are required to attend the pre-bid meeting scheduled for Thursday, October 23, 2014 at 10:00 a.m. in City Hall's West Conference Room located at 350 Main Street, El Segundo, California 90245 if they did not attend at least one of the pre-bid meetings for the Group 55-67 projects. Bidders are strongly encouraged to arrive early as the meeting is expected to start promptly. Any bidder who arrives after the start of the meeting will not be considered in attendance. Bidders are strongly encouraged to purchase Contract Documents and review them prior to the pre-bid meeting to afford themselves the opportunity to have requirements that may be unclear to them clarified by the City during the meeting. Bids will be received for Groups 68 ("Project") of the Residential Sound Insulation Program, which consists of sound insulation improvements and related work at twenty-one (21) homes in the City of El Segundo, including installation of acoustically rated windows and doors, heating and ventilation modifications, associated electrical work, attic insulation and associated abatement of asbestos containing materials and lead-based painted surfaces. Work on the Project must be performed in strict conformity with the Contract Documents. Contract Documents for each project may be obtained by contacting the City of El Segundo. The terms and conditions for bidding on the Project are described in the Instructions to Bidders in the Contract Documents. This Project requires payment of State prevailing rates of wages for Los Angeles County. The Contractor must post copies of the prevailing schedule at each job site. Copies of these rates of wages are available from the State of California Department of Industrial Relations Prevailing Wage Unit, Telephone No. (415) 703-4774. The website for this agency is currently located at www.d' The Contractor to who the Contract is awarded must assist in locating, qualifying, hiring and increasing the skills of minority group employees and applicants for employment, as set forth in Executive Order 11246 and It 375. Bidders must submit a Bid Security (or "bid guarantee") with their Bid, in an amount not less than ten percent(10%) of the Total Bid (Contract Sum), as a guarantee that Bidder will fulfill its obligation to enter into a Contract with the City in accordance with the Contract Documents. Five percent (5%) will be deducted from each progress payment and retained by the City. The remainder less the amount of all previous payments will be paid to the Contractor. Pursuant to Public Contracts Code ("PCC") § 22300, the Contractor may substitute securities for retention monies held by the City or request that the City place such monies into an escrow account. The Contractor is notified that, pursuant to PCC § 22300, any such election will be at the Contractor own expense and will include costs incurred by the City to accommodate the Contractor's request. FEDERAL REQUIREMENTS: The proposed contract is under and subject to Executive Order 11246, as amended, of September 24, 1965, and, to the Equal Employment Opportunity (EEO)and Federal Labor Provisions. All Labor on the project must be paid no less than the minimum wage rates established by the U.S. Secretary of Labor. Bidders must supply all the information required by the Contract Documents, The EEO requirements, labor provisions and wage rates are included in the Contract Documents and are available for inspection at the Residential Sound Insulation (RSI) offices, 333 Main Street, Unit A, El Segundo, California 90245. Davis-Bacon prevailing wage information may be obtained directly frorn the Government Printing Office via the internet at Awy .access. , o.goy/da_visbac0m or call toll-free at 1-888-293-6498 or fax your request to 1-202- 512-1262. Bidders must complete, sign and furnish, the "Bidder's Statement on Previous Contracts Subject to EEO Clause," a "Certification, of Nonsegregated Facilities." and the "Assurance of Disadvantaged Business Enterprise Participation." A Contractor having fifty (50) or more employees and his Subcontractors having fifty (50) or more employees and who may be awarded a contract of $50,000 or more will be required to maintain an affirmative action program, the standards for which are contained in the Contract Documents. To be eligible for award, Bidders must comply with their affirmative action requirements. Disadvantaged business enterprises (DBEs) as defined in 49 CFR Part 23 must have the maxim um opportunity to participate in the performance of contracts financed in whole or in part with Federal funds under this agreement. Consequently, the DBE requirements of 49 CFR Part 23 apply to this agreement. All solicitations, contracts, and subcontracts resulting from projects funded under the AIP must contain the foreign trade restriction required by 49 CFR Part 30, Denial of Public Works Contracts to Suppliers of Goods and Services of Countries That Deny Procurement Market Access to U.S. Contractors. The Aviation Safety and Capacity Expansion Act of 1990 provides that preference be given to steel and manufactured products produced in the United States when funds are expended pursuant to a grant issued under the Airport Improvement Program. Certification of Disadvantaged Business Enterprises (DBE) Contractors and Subcontractors by Caltrans must be submitted for each DBE and must be submitted within forty eight (48) hours after the opening of bids. Dated this 16th day of October, 2014 City of El Segundo, Califs is Tracy Weaver, City Clerk City of El Segundo Residential Sound Insulation Program lR.S➢ 14 26 (Grosuujp 68) a. References (Required of Bidders and any Sunbcoritractors performing more than 10%of Work) ?slaws of Bidder or Subcontractor: Please list similar proJects on which you performed Work similar to the Work you would perform on this Project. This information is to be included with the Bud, and wall be used by the City in assessing your capabilities and qualifications for p erfonnpng the Work. You are hereby advised that this project is complex. and requires experienced nced Co ntractors and Subcontractors, Bids may be considered non-responsive of the information provided as untrue or is insufficient ciennt to allow the City to adequately assess capabilities and qualifications.. 1. Project Name Project No,.,,, Agency.. ..- _ Dollar Valuue. Description oflProject ..... .. 1 Project Name, Project No A'g'ency.... Dollar Value, Contact Person- Tel..No. Description of l'no.n� ��t_..,.... Project]�na Agency Dollar Value_....._._ Contact Person Tel. No.- Description of Prc,mIcct 4. Project Name - - ]Project No._ Agency ... �a tiw. ..... .... _...._, Dollar �. Contact Person Tel.No. Description of Project——... Bidding Form Appendix B-13 Last Modified-,January 23,20114 References City of EI Segundo ' Residential Sound Insulation p:qr ogram RS1 14-26 (Group 68) p Suspension and Debarment .Require is for all Contracts over (4 (.,:IEtt Part 29) The ]udder certifies, by submission of this proposal or acceptance of Contract,that neither it nor its principals is presently debarred, suspended, proposed for debarniennt, declared ineligible, or voluntarily excluded from participation atiororn to this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the Bidder/offerer/contractor or any lower tier participant nt is unable to certify to this statement, it must attach an explanation to this solicitation/proposal. Address Co ntrdctor t2 eparesernta.f ire- 'Title: Signature: Dated this day ooh ..w� 2014. Bidding Form Appendix penndix B-l l Last Mondttae&January 23,2014 Suspension and Debarment Requirements City of El Segundo Residential Sound Insulation Prograni 1RSp 1426 (Group Cr ) Trade Restriction b s s to all Solicitations, Contracts, and Subcontracts The Contractor or Subcontractor, by submission of an offer and/or execution of contract, certifies that it: A. is not owned or controlled by one or unnerve citizens or nationals of a foreign country included in the .list of countries that, discriminate against U.S. firms published by the Office of the United States Trade Representative(USTR); 13. has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or a national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; C. has not procured any product nor subcontracted for the supply of any product for use on the prrgject that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Tran•nsp ortatio n in accordance with 49 CFR 30.17, no contract must be awarded to a contractor or subcontractor who is unable to certify to the above. If the contractor knowingly procures or Subcontracts for the supply of any product or services of a foreign country on the said list for use on the prospect, the Federal Aviation Administration may direct, through the City, cancellation of the contract at no cost for the government. Further, the contractor agrees that, if awarded a contract resulting :fr(.runn this solicitation, it will incorporate this provision for certiffication without modification in each. contract and in. all lower tier snubco tract,& The contractor may rely on the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor must provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of pact upon which reliance was placed when. making the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the City, cancellation of the contract or subcontract for default at no asst to the government. Nothing contained in the foregoing must be construed to require establishment of a system. of records in under to render, in good faith, the certification required by this provision.. The knowledge arnd information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a ratter within. the jurisdiction tif am agency of the United States of Bidding Form Appendix 13.07 Last Modffle&January 23,2014 Trade Restriction Clauses Page i of 2 City of El Segundo Residential Sound Insulation lln•nbgniau BSI 14-26(Group 6 ) America and the melon.g of a false, fictitious, or fraudulent certification may render the maker subject.to prosecution under Title 18, United States Code, Sachsen 100 L Name of Finn: Contractor epirese ntative Title: Signature: Dated this___dad of ._...._......e_....... �... 2014,. Bidding Form Appendix B 07 Last Modifie&January 23,2014 Trade Restriction Clauses Page 2 of 2 City of El Segundo Residential Sound Insulation lrn orw-cun RSl 14-26 (Group 68) Certification of Non- . to nli s (Contractor-,/Subcontractors) (A certificate of°Nonn°segregated facilities must be submitted prior to award of a contract or subcontract exceeding$10,000 which is not exempt from the provisions of Equal Opportunity Clauses) The federally assisted construction contractor certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments, arid that it does not pe.nnit its employees to perform their services at any location, under its control, where segregated facilities are maintained. The ]Federally assisted construction contactor certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it will not pennit any of` its employees to perform their services at any location, under its control, where segregated facilities are maintained. "fhe federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract, As us W- in this certific:atiora, the teryn "segregated facilities" means any waiting room, work areas, .rest rooms and washrooms, restaurants and other eating areas, time clocks, locker roornns and other storage or dressing areas, parking lots, drinking fountains,recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race,color,religion„ seq. or national origin, because of habit, local custom, or any other reason. The federally assisted construction contractor agrees that (except where; it has obtained identical certifications from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10„000 which are not exempt from the provisions of the Equal Opportunity clause,and that it will retain such cer•tificadon in its files. Certification--The information above is true and complete to the best of may knowledge and belief., Name of firrm. Address: Telephone Number. �. _ .........---------------- -- —----------_.........._ Contractor.Representative: Title- Signature. _ __-------.. Dated this day of ............. �.�. W�20f4.. Dote: The penalty for making false statements in offers is prescribed in 18 U.&C. 1001. Bidding Form appendix -06 last Mordifne&January 23 2014 Certification of lion-Segregated Facilities City of El Segundo Residential Sound Insulation Program Section 00 73 16 — Insurance Requirements Part I General 1.01 Summary A, Work covered by this Section includes, without limitation: Procuring and maintaining insurance coverage which meets or exceeds the requirements of the Contract Documents 2. Requiring each Subcontractor, who is not covered by the insurance of the Contractor, to procure and maintain insurance coverage which meets or exceed the requirements of the Contract Documents 3. Providing tote City all documentation necessary to clearly shoe that all insurance requirements for the Project have been met B. Related Sections 1. Appendix C®02 Insurance Certificate Cancellation Clause (Sample) 2. Appendix C®03 Additional Insured — Owners, Lessees or Contractors(Form ) 1,02 References Part 2 Products Part 3 Execution 3.01 Contractor must procure and maintain for the duration of the contract the following insurance coverages and limits against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the Work covered by this Agreement by the Contractor, its agents, representatives, employees or Subcontractors: gowra..� er .. ....__ - S - ......... .. ��......�. Si _ cc rre ce r Combined S e Limit...._ or 8 $1 000,000 C o rehensive General I iabalaty GL_ 00 02 01 85. .... Business Auto CA 00 01 01 87 $1.,000,000 P .... ........... .. �� . u... . Workers' C om errsat�on Statcatory 3.02 Contractor will provide endorsements or other proof of coverage for contractual liability. 3.03 Combined single lirnit per occurrence will include coverage for bodily injury, personal injury, and property damage for each accident. 3,04 If Commercial General Liability Insurance or other form with a general aggregate limit is used, the policy will be endorsed such that the general aggregate limit will apply separately to this contract and a copy of the endorsement provided to the City, 3.05 Liability policies must contain, or be endorsed to contain the following provisions: A. General Liability and Automobile Liability 1, The City, its officers, officials, employees, agents, and volunteers will be covered as insureds as respects: liability arising out of activities Sectaon 00 73..w 16 ... _ .. . ...._. .._ _30 0 Last Modified:June 26,2014 Insurance Requirements 2015 Edition City of El Segundo Residential Sound Insulation Program performed by or on behalf of the Contractor,- products and completed operations of the Contractor; premises owned, occupied or used by the Contractor,- or automobiles owned, leased, hired or borrowed by the Conlractor. T'he coverage will contain no special limitations on the scope or protection afforded to the City, its officers, officials, employees, agents, or volunteers. 2. The Contractor's insurance coverage will be primary insurance as respects the City, its officers, officials, employees, agents, and volunteers. Any insurance or self-insurance maintained by the City, its officers, officials, employees; agents, and volunteers will be excess of the Contractor's insurance and will not contribute with it. 3. Any failure to comply with reporting provisions of the policies will not affect coverage provided to the City, its officers, officials, employees, agents and volunteers. 4. The Contractor's insurance will apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insurer's liability. B. Workers' Compensation 1. The insurer will agree to waive all rights of subrogation against the City, its officers, officials, employees and volunteers for losses arising from Work performed by the Contractor for the City, Cu All Coverages 1. Each insurance policy required by this subsection will be endorsed to state that coverage will not be suspended, voided, cancelled by either party, reduced in coverage or in limits except after thirty (30) days written notice by certified mail,return receipt requested,has been given to: CITY CLERK City of EI Segundo 350 Main Street El Segundo, CA 90245 2. Notwithstanding the foregoing, the endorsement may state that insurance may be cancelled upon ten (10) day notification for non-payment of premium, The Contractor will provide the City with updated proof of insurance should the Contract Time extend beyond the policy expiration date. 3. All liability insurance will be on an occurrence basis. Insurance oil a claims made basis will be rejected. Any deductibles or self-insured retentions will be declared to and approved by City. The insurer will provide an endorsement to City eliminating such deductibles or self-insured retentions as respects the City, its officials, employees, agents, and volunteers. 4. Except for Workers Compensation Insurance, Contractor will furnish to City certificates of insurance and endorsements on forms acceptable to the City's City Attorney, duly authenticated, giving evidence of the insurance coverages required in this contract and other evidence of coverage or copies of policies as may be reasonably required by City from time to _ii ..... �_.... . ... ..... ... .1 _H ....Last Modified:. m... .._ Section 00 73 16 June 26,2014 Insurance Requirements 2015 Edition City of El Segundo Residential Sound Insulation Program time. Certificate/endorsement for Workers Compensation Insurance will be furnished on State Comp Fund or other industry standard forrn, Except for Worker's compensation insurance, all insurance required herein will be placed with insurers with a Best's Rating of not less than ANII, Worker's compensation insurance policies will meet the requirements of California law. S. All Subcontractors employed on the Work referred to in this contract gust meet the insurance requirements set forth for Contractor. Contractor must furnish certificates of insurance and endorsements for each Subcontractor at least five days before the Subcontractor entering the job site, or Contractor will furnish City an endorsement including all Subcontractors as insureds under its policies. 6, Except as otherwise provided, the Contractor will save, keep and hold harmless the City, its officers, officials, employees, agents and volunteers from all damages, costs or expenses in law or equity that may at any time arise or be claimed because of damages to property, or personal injury received by reason of or in the course of performing Work, which may be caused by any willful or negligent act or omission by the Contractor or any of the Contractor's employees, or any Subcontractor. The City will not be liable for any accident, loss or damage to the Work before its completion and acceptance. 7. The cost of such insurance will be included in the various items of Work in the Contractor's bid and no additional compensation for purchasing insurance or additional coverages needed to meet these requirements will be allowed, 8, In the event that any required insurance is reduced in coverage, cancelled for any reason, voided or suspended, Contractor agrees that City may arrange for insurance coverage as specified, and Contractor further agrees that administrative and premium costs may be deducted from payments due to the Contractor. Contractor will not be allowed to Work until alternate coverage is arranged. End of Section 00 73 16 Section 00 73 16 32 Last Modified:June 26,2014 Insurance Requirements 2015 Edition Reproduction of Insurance Services Office, Inc. Form INSURER: ISO FORM CG 20 10 11 85: (MODIFIED) POLICY NUMBER-COMMERCIAL GENET L LIABILITY ENDORSEMENT WMBER:EXI-IMIT 1-A THIS ENDORSEMENT CHANGES THE POLICY,PLEASE READ ITCAREFULLY. ADDITIONAL INSURE,D—OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE The City, its officers, officials, employees, agents, and volunteers (If no entry appears above,the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section 11)is amended to include as an insured the person or organization shown in the Schedule,but only with respect to liability arising out of"your work" for that insured by or for you. fications to ISO form CG 20 10 1185-. 1. The insured scheduled above includes the Insured's officers, officials, employees and volunteers. 2. This insurance shall be primary as respects the insured shown in the schedule above, or if excess, shall stand in an unbroken chain of coverage excess of the Narned Insured's scheduled underlying primary coverage. In either event, any other insurance maintained by the Insured scheduled above shall be in excess of this insurance and shall not be called upon to contribute with it. 1 The insurance afforded by this policy shall not be canceled except after thirty days prior written notice by certified mail return receipt requested has been given to the Entity. 4. Covenage shall not extend to any hiderrinity coverage for the active negligence or the `Z additional insured in any case where an agreement to indemnify the additional insured would be i.nvalid udder S il)divisioii(l,)) section 2782 of the Civil Code. ........... Signature.-Authorized Representative ............... Address CG 20 10 11 85 insurance Services Office,Inc.Form(Modified) . m OUI�D N �}}C�'96'L�71C)N CkAZ'EThk E THE ISSUING N[S�.,�., " &RE niE BE CANCUIM.. e _10 DAYS�V y t �� dwNMM Emo REMP &sptiEV@