The URL can be used to link to this page

4715 BidCity of El Segundo Residential Sound Insulation RSI 14 -23 (Group 65) 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 -23 "Residential Sound Insulation Program — Group 65" at the Followiti g lurn . sum rice: RSI ID Proper Address Bid Price 65.01 723 West Pine Avenue $ 31,650.00 65.02 529 Richmond Street $ 36,000.00 65.03 135 West Palm Avenue, Unit 1 $ 58,950.00 65.04 65.05 135 West Palm Avenue, Unit 2 135 West Palm Avenue, Unit 3 $ 30,150.00 $ 30,150.00 65.06 135 West Palm Avenue, Unit 4 $ 31,350.00 65.07 540 Sheldon Street $ 35,100.00 65.08 510 East Mariposa Avenue $ 32,300.00 65.09 65.10 1 527 East Mariposa Avenue, Unit 1 527 East Mariposa Avenue, Unit 2 $ 27,800.00 $ 27,600.00 65,11 610 East Mariposa Avenue $ 46,100.00 65.12 719 Center Street $ 34,500.00 65.13 728 Indiana Court, Unit 1 $ 26,450.00 65.14 65.15 728 Indiana Court, Unit 2 728 Indiana Court, Unit 3 $ 26,150.00 $ 27,800.00 65.16 728 Indiana Court, Unit 4 $ 28,500.00 Bidding Form Appendix B -01 Last Modified: August 14, 2014 Bidder's Proposal and Statement City of El Segundo Residential Sound Insulation RSI 14 -23 (Group 65) 65.17 727 Indiana Court, Unit 1 $ 26,350.00 65.18 727 Indiana Court, Unit 2 $ 26,750.00 65.19 727 Indiana Court, Unit 3 $ 29,950.00 65.20 727 Indiana Court, Unit 4 $ 28,600.00 65.21 726 Indiana Court, Unit 1 $ 26,700.00 65.22 726 Indiana Court, Unit 2 $ 26,800.00 65.23 726 Indiana Court, Unit 3 $ 29,050.00 65.24 726 Indiana Court, Unit 4 $ 28,600.00 Total Bid (Contract Sum) Seven - Hundred & Fifty-Three Thousand, Three - Hundred & Fift (words) 753-350.00 (figures) In case of discrepancy between the words and figures, the words must prevail Contractor Representative: asen DeLaFosse Name (printed or typed) Title: Vice President Name of Firm: Spec Construction Co., Inc. Address: 1870 S. Carlos Ave. Ontario CA 91761 Telephone Number: 909 - 947 -4601 10/27/2014 Date Contractor's State License Number: 419626 License Expiration Date: 08/31/2014 Type of Entity: ❑ Sole Proprietorship ❑ Partnership ® Corporation* ❑ Other * If Corporation, evidence of authority to sign must be attached Bidding Form Appendix B -01 Last Modified: August 14, 2014 Bidder's Proposal and Statement I A SECRETARY OF STATE 1, Kevin Shelley, Secretary of Stale of the State of California, hereby certify.- IN WITNESS ' WHEREOF, I execute this certificate and affix the Great Sea] of the State of California this day of Secretary of State MINUTES OF ANNUAL MEETING OF BOARD OF DIRECTORS AND SHAREHOLDERS OF SPEC CONSTRUCTION CO., INC. December 31, 2008 The Annual Meeting of the board of directors and shareholders of Spec Construction Co., Inc. was held on December 31, 2008 at 10:00a.m. at 408 West Second Street, San Dimas, California 91773. The Chairperson, EMMETT ALLEN DE LA FOSSE, chaired the meeting and the Secretary, CHAZ DE LA FOSSE, served as Secretary for the meeting. The Secretary reported that notice of the meeting has been properly waived by each Director and Shareholder in accordance with the bylaws of the corporation. The following Directors and shareholders were present and accounted for 100 percent of the ownership and a quorum of the directors: EMMETT ALLEN DE LA FOSSE JASEN DE LA FOSSE CHAZ DE LA FOSSE The meeting was called to order by the Chairperson and by motion made, seconded and 1 carried unanimously, the reading of the minutes of the preceding meeting of directors and shareholders was dispensed with and the minutes approved without reading. By motion made seconded and carried the following individuals were again nominated and elected to their respective director positions as follows: EMMETT ALLEN DE LA FOSSE: Chairperson CHAZ DE LA FOSSE JASEN DE LA FOSSE By motion made seconded and carried the following individuals were again nominated and elected to their respective officer positions as follows: EMMETT ALLEN DE LA FOSSE: President CHAZ DE LA FOSSE: Secretary JASEN DE LA FOSSE: Chief Financial Officer/Vice- President Each officer so elected being present, accepted his or her respective office. Whereupon EMMETT ALLEN DE LA FOSSE presented, read and moved the adoption of the following resolution: RESOLVED, that the President, Secretary and the Chief Financial Officer of this corporation be, and they hereby are, authorized and directed to pay the daily expenses of the corporation and are authorized on behalf of the corporation to enter into agreements and contracts on behalf of the corporation with regard to its normal business operations and all such agreements shall be.thereafter binding on the corporation. RESOLVED FURTHER, that all purchases contracts, compensation, acts, proceedings, elections and appointments by the directors and the officers of the corporation since the last 2 annual meeting be, and the same are approved, ratified and confirmed. The resolutions were seconded by JASEN DE LA FOSSE and were duly carried by unanimous vote. Whereupon said resolutions'were duly adopted. There being no further business to come before the meeting, upon motion duly made, seconded and unanimously carried, the meeting was adjourned. ATTEST: Secretary 3 President and Chairman MINUTES OF THE ANNUAL MEETING OF THE BOARD OF DIRECTORS OF SPEC CONSTRUCTION CO., INC. A California Corporation A regular meeting of the board of directors of SPEC CONSTRUCTION CO., INC., a California corporation, was held at 10:30 AM on December 31, 2012, at 9037 Arrow Rte. #180, Rancho Cucamonga, CA 91730. The following directors were present at the meeting: Jasen De La Fosse Chaz De La Fosse No director was absent from the meeting. 1. Chairman and Secretary The President of the Corporation, Chaz De La Fosse served as the Chairman and Secretary at the meeting. 2. Waiver of Notice and Consent The President called the meeting to order and announced that all directors were present, and waived notice of the meeting. 3. Minutes of Last Meeting It was then moved, seconded, and unanimously resolved to dispense with the reading of the Minutes from the last meeting. 4. Financial Report of the Corporation 4.1 The board reviewed the performance of the corporation for year ending December 2012. 4.2 The board reviewed the finances of the corporation for the past year and found them to be in order, subject to any later review and analysis by the board and /or the corporation's accountants. The board ratified all acts of the corporation for the past year except for outside accounting which is subject to any later review and analysis by the board. (150432-%l 5. Election of Officers The Chairman stated that the election of officers was in order. The following nominations were made and seconded: Office Name President Chaz De La Fosse Vice President Jasen De La Fosse Secretary Chaz De La Fosse Chief Financial Officer Jasen De La Fosse No further nominations were made, and the persons named above were duly elected to the offices set forth opposite their respective names, to serve for the coming year. 6. Employee Benefit Prozrams The Chairperson announced that the corporation had reviewed its insurance coverage and there is no change. RESOLVED, that the above mentioned proposals, as set forth, are approved. 7. Adjournment There being no further business, and on motion duly made, seconded, and carried, the meeting was adjourned. Date: December ,U, 2012 (150432 %1 ) 2 MINUTES OF THE ANNUAL MEETING OF THE SHAREHOLDERS OF SPEC CONSTRUCTION CO., INC. A California Corporation A regular meeting of the shareholders of SPEC CONSTRUCTION CO., INC., a California corporation, was held at 10:00 AM on December 31, 2012, at 9037 Arrow Rte. #180, Rancho Cucamonga, CA 91730. The following shareholders were present at the meeting, in person, representing shares indicated: Jasen De La Fosse 50,000 shares Chaz De La Fosse 50,000 shares Chaz De La Fosse served as Chairman and as Secretary at the meeting. By signature below, the shareholders waive notice of this meeting. It having been determined that 100% of the issued and outstanding shares were represented at the meeting, a quorum was present, and the Chairman called the Shareholders' Meeting to order. It was then moved, seconded, and unanimously resolved to dispense with the reading of the Minutes of the last meeting. The shareholders proceeded to elect the director of the corporation, to serve until the next annual meeting of shareholders, and until a successor to the director has been duly elected and qualified. Nominations were made and seconded. By unanimous vote, the shareholders elected the following persons as directors: Chaz De La Fosse Jasen De La Fosse The persons elected are to serve as Directors of the Corporation for the following term or until a successor is duly elected under the Bylaws. There being no further business to come before the meeting, and on motion duly made, seconded, and adopted, the meeting was adjourned. (150418 -%] ) Date: December l., 2012 Date: December)J, 2012 ( 1504 1 8-/o I ) Jasen De Sharchol(rer of the Corporation JUN -22 -2010 11:36 IRS 10 e Department of the Treasury Internal Revenue Service Ogden, UT 84201 SPEC CONSTRUCTION CO INC SPEC BUILDERS 408 W 2ND ST SAN DIMAS CA 91773 -2030 080 Taxpayer Identification Number: 20- 2587947 Form(s): Dear Taxpayer: 8016205711 P.02 In reply refer to: 0442946869 Jun 22, 2010 LTR 147C 20- 2587947 This letter is in response to your telephone inquiry of June 22nd, 2010. Your Employer Identification Number (EIN) is 20- 2587947. Please keep this number in your permanent records. You should enter your name and your EIN, exactly as shown above, on all business federal tax forms that require its use, and on any related correspondence documents. If you have any questions regarding this letter, please call our Customer Service Department at 1- 800 -829 -0115 between the hours of 7:00 AM and 10:00 PM. If you prefer, you may write to us at the address shown at the top of the first page of this letter. When you write, please include a telephone number where you may be reached and the best time to call. Sincerely, ffIllm Mrs. Riddle 0144799 customer Service Department at 1 -80( TOTAL P.02 IQmU.4 " 11111111111110 7"w�lflminlllfl�' ml�Hl,wwmllll�l� nouuuiimuo nwllll I„ PPNNflflnnnl ��pnnuuuumm1flw w,l, wuaPPfl�l.. uuuuuuuuutl' noummumflln �aPanuauu%Pw flflnwwu° "�IUUauP m�nnnll ouull nmllllllllllll� �gwnflPPflwq�' �nnouu nnnn�oi�pf °PPwwflnollllllllllllllllllll� qumum�luuuuuPPNfl wwaflfl�dm �nll�u awarrnlww�" aaa %Pflnfl� �q�%uuuuaca�h^ �flp' % %PNNNfltln�u wwlllllllllmlll. �mllllllllllllwl�l. uuuuuuuum" �oouum� m� �Bnouuuuuuu�l 1 % %Pflflflwl n�uuuuaPNNfltl Ifll 4 I uPN mV'' '4 1,11111 "Nflflnm�umouuuumV�. flolmm P �wnfl� "�uouuouuuu�� u PPaa% pw1 -11,1 %%am& nnmumo il, 0-%0 of ,IU,ll�lullml�l �Iluglll ul nuu lmi um QNnrvnol�, . d ar�jflaflwouDJ^ _ 4,�ummrcrcttarca, ��allnlaadp � O V��luul�uumuno�" GIs �Ilulllalllwl umlll�lll,l,vw�a ?� � Illlmlll� 0�wuuum�' ',�a�ylmumnik pIIIIINIIIV�w n��MN�mua, O U 1, 3u1l. U w 41wllllm Q �;; � A U) v�wnvrmm..,,,.4 uuwmrlbrcrmmll�h vryanumol� ggqgqqqg1;p1\\y.. od N a 0 U O O U r+r O� N O� U � N � �a caU ^ O N � O U � N rn IX U ca U3 ca to cd U 1� U m cd cn O Lv U � o H t4.4 a v o� N 'Q -f� H .b cu N to A My ��alll,lal� � % %flNNPK ummumml� ON& 10010nw , 1111Pum llo!ulmuuOl mU ,�uvuatuu�v quulV�luluulluu�' � umumuu��` �p �mmumm1m ^-0�1fl %uueru�f�' pIII 140 ¶�VNNNNflAj $.o fl�wllwwp� oluoouuuuwuwuwr� R� "wV➢'Nkrt1NNO �ul,aduuA� ��IVlulovurt�..m,�, 'IIIaPRNNVI1MNNlIMd�R �alu�rvra�pN�° dka!wamuu�� wNPmumml� 'mrcmapeNflnnnmuumµ k��'aN��NNNtlII C (Q N (D LO 0 N t U a) U N N ^qa L 0 L c m C C (O 2 O� N Ci _ 0 4" W Q ran Z U BidSync: The State of California: SPEC CONSTRUCTION CO INC O,G'Ov N;heIrcul ent of General'Services "BPIBfsVtd'6f" "'RPV`Vwtl 1, 1,VYo-VIark ^"fq,'E E r11 VV,1IRK.P G.,'n79.k1 °'7 SPEC CONSTRUCTION CO INC - #1770708 ,r od r� 606 ,, Legal Business Name SPEC CONSTRUCTION CO INC Doing. Business As SPEC CONSTRUCTION CO INC Address 9037 Arrow Rte #180 Phone (909) 987 -3847 RANCHO CUCAMONGA, CA 91730 FAX (909) 484 -7341 Email Soec91773 ftahoo.com Business Types Construction Service Areas Los Angeles, Orange, Riverside, San Bernardino, Keywords concrete, plumbing, rough carpentry, roofing glazing, plumbing, electrical, foudation, grading, curb and gutter, ada improvenmets, site work, school work, public works, CGBD funds, RDA, renovation, remodeling Construction License Types A - General Engineering C -04 - Boiler, Hot water, Steam Fitting C -10 - Electrical (general) C -15 - Flooring and Floor Covering C -17 - Glazing C -20 - Warm air heat, ventilating, Air Conditioning C -33 - Painting and Decorating C -36 - Plumbing C -39 - Roofing Classifications 301115 - Concrete and mortars 301315 - Blocks 301316 - Bricks 301317 - Tiles and flagstones 721110- Single family dwelling construction services 721111 - Multiple unit dwelling construction services 721210 - New industrial building and warehouse construction services 721414 - Detention facility construction and repair services 721511 - Plumbing construction services 721519 - Masonry and stonework services 721523 - Carpentry services 721526- Roofing and siding and sheet metal services 721527 - Concrete installation and repair services 721529 - Structural steel erection services 721530- Glass and glazing services 721532 - Coating and caulking and weather water and fireproofing services 721536 - Interior finishing and furnishing and remodeling services 721539 - Building site preparation services 951219 - Educational and research buildings and structures Active Certifications SB (Micro) ° Approved May 21, 2012 May 31, 2016 Certification Histo SB Denied Jan 7, 2009 _ Jan 7, 2009 BidSync The State of California SPEC CONSTRUCTION CO INC.html[5 /16/2014 11:34:06 AM] State OfCa ornfs %g.=-.CONTRACTORS STATE LICENSE BOARD ARmn .. 418626 �- CORP e--.. SPEC CONSTRUCTION CO INC b B C15 C36 C10 A C39 C33 CA C20 C17 C -8 ..��. 08/31/2015 www.cslb.ca.gov ° Vusm '� l y .µ,,Vi EPA Renovator Certification 1 I -` ' Course Date: 8112/2010 Exp. Date: 8/1212015 Certificate # R -i- 1894210 -10449 English Jasen DeLaFosse 355 Freedom Avenue Upland, CA 91766 { National Econ Corporation 1899 S. Santa Cruz St. Anaheim, CA 92805 Ph. (714) 978 -6320 Fax (714) 979323 www.nationalecon.com r EPA Renovator Certification NAT 10 -NAL CCON Course Date:8M2R010 I . " . Exp. Dale: 811212015 En Certificate # R4- 1094210 -10450 English Chaz DeLaFosse 9612 Highland Avenue Rancho Cucamonga, CA 91737 ri > w/ /iii National Econ Corporation 1899 S. Santa Cruz St. Anaheim, CA 92805 Ph. (714) 978-6320 Fax (714) 979 -6323 www.nationalecon.corn Spec Construction Co., Inc. , as principal ( "Principal ") and North American x chi ^ Insurance Company , a corporation incorporated under the laws of the State of New Hampshire and licensed by the State of California to execute bonds and undertakings as sole surety, as surety ( "Surety "), our heirs, executors, administrators, successors, and assigns, are jointly and severally bound to the City of El Segundo, a general law city and municipal corporation existing under the laws of California, ( "City "), in the sum of Ten Percent of the Total Amount Bid dollars $ 10% of the Bid to be paid and forfeited to said City, its successors and assigns, if the Bid of the undersigned Principal with respect to RSI 14 -23, Residential Sound Insulation Program — Group 65, ( "Project"), as specifically set forth in the Contract Documents, is accepted and the proposed Contract is awarded to said Principal, and said Principal fails or refuses to execute the Residential Sound Insulation Program Contract governing the Project in accordance with such Bid as accepted and the Contract Documents. SIGNED AND SEALED this 16th Spec Construction Co., Inc. 0 Secretary 2014 , North American Specialty Insurance Company Surety's President �o" s. Suret�P s Secreta Matthew R. DoT yns, Attorney -1¢t -fact Note: ALL signatures must be acknowledged by a notary public. Principal's Mailing Address 1870 S. Carlos Avenue Ontario, CA 91761 Surety's Mailing Address 6 Hutton Centre Drive, Suite 850 Santa Ana, CA 92707 Bidding Form 13-02 Las(Modirted: January 23, 2014 Bidder's Bond NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY fflmpr 1� t 1 OFIV N E119611 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: RANDY SPOIIN and MATTHEW R. DOBYNS JOINTLY OR SEVERALLY Its true and lawful Attorney(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 9a` 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." tarn . By N � SEAL Steven P. Anderson, Senior Vice President of Washington International insurance Company t"rSt�ticEpwr�rAi�d t . uI473 &Senior Vice President of North American Specialty insurance Com p an y rrlrmllolK�I By David M. Layman, Vice Prrsid4al or Washington Intern ational Insurance Company & 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. FFI SEtri,L � NNA D. SBLENS Im h Public, Sift of Alincis Donna D. Sklens, Notary Public iron Ex ims IOAV2015 I, Jeffrey Goldberg , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington 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, I have set my hand and affixed the seals of the Companies this 16th day of October 20 14 Jeffrey Goldheig, Vice President & Assistant Secrelary of Washington international insurance Company & North American Specialty Insurance Company CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of CALIFORNIA County f RAN 'E On V, before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS who proved to me on the basis of satisfactory evidence to be the person(s) whose names} is /afe subscribed to the within instrument and acknowledged to me that he /sire /they executed the same in his /#ef/t#ei* authorized capacity (ies), and that by his /hef/tlieif signatureH on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m b nd and official seal. ry Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED R ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN /CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT City of El Segundo Residential Sound Insulation Prograin RSI 14 -23 (Group 65) 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. i Name o Firm: Spwec wonstruct'on Co., Inc. m mmmmmm, Address: 1870 S. Carlos Ave., Ontario, CA 91761 Telephone Number: 909 - 947 -4601 Contractor Representative: ]asen DeLaFosse Title: Vice President Signature: * Must be subscribed and sworn before a Notary Public and Jurat notarization must be attached Bidding Form Non - Collusion Affidavit Appendix B -03 Last Modified: January 23, 2014 City of El Segundo Residential Sound Insulation RSI 14 -23 (Group 65) 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 ❑ No If yes, explain the circumstances: N/A 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 -23 (Group 65) Bidder's Statement on Previous Contracts subject to EEO Clause The Bidder X❑ 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 X❑ 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: Address: Telephone Number: Contractor Representative: Title: Construction Co., Inc. 1870 S. Carlos Ave., Ontario, CA 91761 909 - 947 - 4601 Jasen DeLaFosse Vice President Signature:_ .... Dated this 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 Residential Sound Insulation 11 RSI 14 -23 (Group 65) 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: Spec Construction Co, Inc. Address: 1870 S. Carlos Ave.. Onta ro CA 91761 Telephone Number: .._9,0,9....,- ...9.4 7 - 4601 _ Contractor Representative: Jasen DeLaFosse Title: Vice President Signature: Dated this day of _ f 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 RSI 14 -23 (Group 65) 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 -23 (Group 65) 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: Spec Construction Co.,, Inc. Address: 1870 S. Carlos Ave., Ontario, CA 91761 Telephone Number: 909 - 947 - 4601 Contractor Representative: Jasen DeLaFosse Title: Vice President Signature: Dated this day of 1 ................ 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 -23 (Group 65) Designation of Manufacturers and Suppliers Manufacturer Supplier (if Applicable) Contract ..m._._ Value _ .. ........ ............ � Section 08 14 00 ....�...._ ..... Primary Hinged Vancouver Doors Specialty Door Co, $ 53,000.00 Entry Doors Section 08 32 00 Primary Sliding Mon -Ray Specialty Door Co. $ 11,300.00 Glass Doors Section 08 53 00 Milgard Windows Vinyl Windows Milgard Windows Discount Exteriors $ 125,125.00 Section 08 7100 Latching and Locking Schlage Hardware Specialty Door Co. $ 11,800.00 Hardware Section 10 32 00 Chimney RMR Products RMR Products $ 300.00 Dampers Section 10 32 00 .......... . _......._ ... ........� Fireplace Glass Portland Willamette Portland Willamette $ N/A Doors Section 22 2100 Condensate Hortel Pumps Sigler Wholesale $ 350.00 Pumps Section 23 _09400 Thermostats Carrier Sigler Wholesale $ 1,750.00 Section 23 34 00 Ventilators American Aldes American Aldes $ 6,720.00 Section 23 54 00 .......... _ ......... ........ . .... ........_._._..... Furnaces Carrier Sigler Wholesale $ 8,250.00 _._.._ Section .............. $ N/A Bidding Form Appendix B -08 Last Modified: January 23, 2014 Designation of Manufacturers and Suppliers City of El Segundo Residential Sound Insulation Program RSI 14 -23 (Group 65) 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: --Spec .o structiou Q.,.Inc. ......... m... ... Address: 1870 S. Carlos Ave., Ontario, CA 91761 Telephone Number: --909-----9.47 - 4601 Contractor Representative: Jasen DeLaFosse Signature: Title: Vice President Dated this 2- ? day of , 2014. Bidding Form Appendix B -09 Last Modified: January 23, 2014 Buy American Clause City of El Segundo Residential Sound Insulation RSI 14 -23 (Group 65) 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 P. percent (5 %) 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. _p Inc. Name o Firm: Sec Construction Com�mm w w�W u Address: 1870 S. Carlos Ave., Ontario, CA 91761 Telephone Number: 909 - 947 - 4601 Contractor Representative: lasen DeLaFosse Title: Vice President Signature: Dated this Z07 day of 2014. Bidding Form Appendix B -10 Last Modified: January 23, 2014 Assurance of DBE Participation City of El Segundo Residential Sound Insulation 1' RSI 14 -23 (Group 65) 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: ion „Cg_ Inc. $pec C,nstruct,,,, ........ - -. Address: 1870 S Carlos Ave Ontario CA 91761 Telephone Number: 909 - 947-7, 4601„ Contractor Representative: Jasen.DeLaFosse Signature: Title: Vice President Dated this.-Z--'7__ day of , 2014. Bidding Form Appendix B -11 Last Modified: January 23, 2014 Suspension and Debarment Requirements O O O � ..O � O O O W � 4-� N U �W zo zo ��••••�� ., as ° �. —.. U U U v vl V ^ y o N O y ^ p all Ln Ln o � z� N J� O L'. N CQ O �x� C, r. cl ,:�w 9U0 Q o U a obon P N W O� pQ O 00 � 0 0 p� o d O Ci U, a d' +yam ,b N cd v O � N O ri '~ N y bp 03 a ti 'L7 'O as >C "O O N E O w 71 t3 ii a-, O U 0 0 U O 4-a 0 O N M, a� O L >, O D O C� > O y YU O. y O O U ^ v v O C p i bA rte+ M O O cd M U Ua 3W`*-' rn C• N 2 -0 bOn Cz 'O cd O O � O U � �� m �� U U .'" w O O cC �, U N p N U Ga U O O p Cd N to Cd p O p vii U O N c".,." +�- a ul � 0 � O N - O Cd O N O U O =, O-, ci.� M j U z 4-4 p U C) O O �, O sr �_ as U cd �' bb 'US N O O b JD bA W o . on O a� A o L) U ai N O O U cd sU � N V � rte"-+ C� � r�"-' r'�•••' bA 4' � O > sue., � O Ln 0 -0 0 2 O s` O y N O ¢' Q U cd c� p 7s CA N-0 L. -p O E B O O 4-4 p 7a f 0 i x r� N r� c� 4- U oa a�4,•�-a o � � cn v O �W zo zo ��••••�� ., as ° �. —.. U U U v vl V ^ y o N O y ^ p all Ln Ln o � z� N J� O L'. N CQ O �x� C, r. cl ,:�w 9U0 Q o U a obon P N W O� pQ O 00 � 0 0 p� o d O Ci U, a d' +yam ,b N cd v O � N O ri '~ N y bp 03 a ti 'L7 'O as >C "O O N E O w 71 t3 ii a-, O U 0 0 U O 4-a 0 O N M, a� C� > O O O O O O ^ v v O O p p i iri rte+ M M U Ua rn C• O � N O ri '~ N y bp 03 a ti 'L7 'O as >C "O O N E O w 71 t3 ii a-, O U 0 0 U O 4-a 0 O N M, �O O M N Ed 14 0 O 'C pip O W 4--i N O .0 N U ......... _ ......_. p p O \O llO O Lr ) N o o Z o Z o Z o Z o z o Z o Z o u u u u u u u Ln ON rq �o 0 rq Ln da' `o N u d O *k �I 7d u C� v m p O U >C W O' b x 'd u�� Ln U 'y G .ter � N N ~ ~ N Q x _ .......... ..... ....... .. ............ .. d N ................ .. ............ ......................... ........................... ................................. _..... ........ � ... c N o N M N op N cd u O cd U Cd C., � 3 0 x boo 4-i N O riCd N N N c� •o w~ Cd a N k 'd N d O Cd O U 0 O O 0 W O to a� O M N :L O O O b�A � cd O .O ;�' y 1 � N N � ,, M N N �' bA c� �a ti b a> w~ 0 a N >C N 0 w on .. O O U 0 0 on a� City of El Segundo Residential Sound Insulation RSI 14 -23 (Group 65) References (Required of Bidders and any Subcontractors performing more than 10% of Work) Name of Bidder or Subcontractor: Sec Construction Co., 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. Project Name Inglewood 9.6 -C Project No. ....... mm9m.6Cmmmm ....._w.......�____..._ $1 087.,728.61 -m... Agency_ of Inglewood Dollar Value „_m dd�. �w._.. ...� 0- 412 -5434 Contact Person Anthony Barbarin Tel. No. 31 mmm . . . Description of Project Residential Sound Insulatio,u Project (34- Units) 2. Pro j ect Name CDC 90 Project No. 90 , Agency C.D.C. of L.A. Dollar Value $937,675.50 Contact Person Chen Kao Tel. No. 626- 437 -3967 p Sound Insulation Project (49- Units) Description of Project Chen S ......................�e.� 3. Project Name CDC 84 Project No. 84 Agency_ C.D.C. of£ L.A. .,...,,. Dollar Value $721,209.00 mmmm Contact Person Chen Kao Tel. , No. mm„ mm626 - 437-39 67 Descri p tion of Project Residential Sound Insulation Pro we29 -Units „ 4. Project Name CDC 82 Project No. 82 Agency C.D. C,mofL.'A ............... Dollar Value $998,98400 Contact Person of Kao Tel. No. 626 - 437 -3967 Description of Project ResidentialmSound Insulation Project (46- Units) Bidding Form Appendix B -13 Last Modified: January 23, 2014 References References Reference ....... Contact .. ................... Address Phone# .... C ..... ............... ity of Anaheim 200 S. Anaheim Blvd., Suite 276 Dept. Public Works Richard Aguirre Anaheim, CA 92805 (714) 765-5052 4800 E. Cesar E. Chavez Ave. C.D.C. of L.A. Ralph Ortiz Los Angeles, CA 90044 (3 23) 854 -2569 18305 Sherman Way, Suite #22 CRA/LA "LD" Rodriguez Reseda, CA 91335 (818) 708-5889 _ City of Fontana/ - . ...................... .... . . . . ... .... . . . ... .......................... .................. ____ 16689 Foothill Blvd., Suite #103 Parsons Brinkerhoff George Harvilla Fontana, CA 92335 (909) 615-6716 4800 E. Cesar E. Chavez C.D.C. of L.A. Eric Chow Los Angeles, CA 90044 (323) 260-3426 City Hall, 505 S. Garey Ave. City of Pomona Roger A. Rocha Box 660, Pomona, CA 91769 (909) 620-4567 ........ . . . ............. 4800 E. Cesar E. Chavez Ave. ............................. C.D.C. of L.A. Chen-Chung Kao Los Angeles, CA 90022 (323) 260-3420 5201 Gage Ave. R&R Construction Roy R. Moorefield Bell, CA 90201 (323) 773-3008 . .............. 111 West Ocean Blvd., 21" Flr, Studio One Eleven Brad Williams Long Beach, CA 90802 (562) 901-1500 OTPerr i ... 's .............. 135 North D Str eet ....... Dept. Public Works Anthony Hurley Perris, CA 92570 (951) 443-1029 - -------------- 595 Evelyn Place California Properties Robert Navi Beverly Hills, CA 90210 (323) 277-7500 City of La Puente/ 15900 E. Main st. .......... City of Monterey Miguel Ramirez La Puente, CA 91744 (626) 855-1500 ounty of Orange 1152 E. Fruit st., Bldg. 41 R.D.M.D. Doug Giltner Santa Ana, CA 92701 (714) 567-6501 County of Orange 888 N. Main st. S.S.A. Ronald Harper Santa Ana, CA 92701 (714) 541-7700 1870 S. Carlos Ave, Ontedo, CA 91761 Office: (e' 09) 94741601 - Fax: (909) 947-4602 - small: sp&917734"hoo.com JOBS COMPLETED Entity Name C.D.C. of L.A . .................. RSIP 64 (37 Units) C.D.C. of L.A. RSIP 68 (25 Units) Purpose of Contract Residential Sound In ... s' u, -1a t ion, —Doors . ................... . Windows, Electrical, HVAC, Hazmat . .. . ............ Residential --- -sid e-ntiaI Sound Insulation, Doors, Windows, Electrical, HVAC, Hazmat Total Cost —$555,555—.00"' ............................ $425,547.87 Staring Date 01/06/2011 "- 07/11/2011 Ending Date 05/18/2011 10/12/2011 C.D.C. - of - L A. Residential Sound Insulation, Doors, $1,036,000.00 02/17/2012 07/08/2012 RSIP 74 (49 Units) Windows, Electrical, HVAC, Hazmat C.D.C. of L.A. ........ ......................... . ......... .. Residential Sound In's' uI a t'i'on, Doors, . . . .............. $323,180.00 . ..... . ..... 011/1512012 ... . ....................... . . . . . . . — . 12/23/2012 RSIP 79 (18 Units) Windows, Electrical, HVAC, Hazmat ...... .............. ........... C.D.C. of L.A. ........... .... Residential Sound Insulation, Doors, $209,101.00 09/24/2012 11/03/2012 RSIP 80 (12 Units) Windows, Electrical, HVAC, Hazmat C.D.C. of L.A. Residential Sound Insulation, Doors, $721,209.00 04/15/2013 07/01/2013 RSIP 84 (29 Units) Windows, Electrical, HVAC, Hazmat C.D.C. of L.A. Residential Sound Insulation, Doors, $996 4.00 05/15/2013 08/15/2013 RSIP 82 (46 Units) Windows, Electrical, HVAC, Hazmat C.D.C. of L.A. Residential Sound a'Insulation, - Doors, $937,675.50 08/12/2013 12/13/2013 RSIP 90 (49 Units) Windows, Electrical, HVAC, Hazmat City �fln6iewo6d'- Residential Sound Insulation, Doors, $1,087,728.61 10/07/2013 02/26/2014 RSI 9.6-C (34 Units) Windows, Electrical, HVAC, Hazmat -6 ity of Ontario ..... ............. .. ... .. ... ............. Residential Sound Insulation, Doors, $1,667,696.00 06/2014 10/1812014 RSIP 10.2 (67 Units) Windows, Electrical, HVAC, Hazmat 1870 S. Carlos Ave, Ontario, CA 91M Office: (909) 9474M - Far. (909) 947-W2 " email: spec917730yah000com City of El Segundo Residential Sound Insulation Program RSI 14 -23 (Group 65) Acknowledgement 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 Addendum Number Addendum Number Addendum Number Addendum Number Addendum Number Addendum Number Addendum Number Date: Date: Date:. Date: Date: Date: Date: Date: Addendum Number Date: Addendum Number Date: Contractor Representative: tb�r asen DeLaFosse Name (printed or typed) 10/27/2014 Date Bidding Form B -14 Last Modified: January 23, 2014 Acknowledgement of Receipt of Addenda ZODIAC Heating & Air Conditioning Inc. Residential & Commercial Heating Ventilation & Air Conditioning License 4722952 818 -785 -3699 Proposal October 2, 2014 EL SEGUNDO SOUND INSULATION PROGRAM Job location: EL SEGUNDO RESIDENTIAL SOUND INSULATION GROUP 65 INSTALLATION OF NEW SPLIT SYSTEM HEATING AND VENTILATION SYSTEM. Gas fired furnace 92% efficiency Fresh air intakes. Ventilation Units Description of work • Installation of all of new fresh air intake per plan • Installation of necessary supply air and return air ducts per plan • Permits necessary to perform work. (Paid by Contractor) • Thermostats per plan. • Installation of new air handler or furnaces where indicated. • Air Balancing per specifications. • reconnection of gas lines for new furnaces. • Condensation drain lines and pits as necessary Zodiac will provide necessary labor, material and parts to complete mechanical portion of work for this project per mechanical plans. All work will be done in accordance to mechanical plan. All equipment used on this project will be in accordance to mechanical specs. All warranties will be in accordance to City specs. Contractor must treat mechanical equipment closet as required in plans. Contractor must provide for patching of all ceilings and walls where necessary for installation of furnace, blended ventilation units and gas lines. Contractor must provide for fresh air intake vent openings and framing. Contractor must provide for all concealment of mechanical units and ducts. Contractor must provide for all necessary city permits. Contractor must provide for all necessary abatement and ceiling and wall cuts for new havoc supply and return vents. Contractor must provide attic access hatches where required. Contractor must provide for necessary attic access openings. (if required) Electrician must provide all necessary electrical work needed for all new mechanical units. Contractor must provide mechanical equipment enclosures where required. Any work not described above will be additional charge. All Roof Penetrations must be sealed by licensed roofer. Electrical Contractor must provide all electrical work required for all new mechanical equipment. This proposal must be incorporated in contract signed by both Zodiac and GC. This quote shall supersede contractor's contract documents unless agreed to and signed by both GC and Zodiac HVAC Inc on the new changes to be incorporated in new contract documents. 65.01 $3,400.00 65.02 $3,200.00 65.03 $3,200.00 65.04 $3,300.00 65.05 $3,300.00 65.06 $3,300.00 65.07 $3,600.00 65.08 $3,000.00 65.09 $3,000.00 65,10 $3,000.00 65.11 $700.00 65.12 $3,200.00 65.13 $2,100.00 65.14 $2,100.00 65.15 $2,100.00 65.16 $2,100.00 65.17 $2,100.00 65.18 $2,100.00 65.19 $2,100.00 65,20 $2,100.00 65.21 $2,100.00 65.22 $2,100.00 65.23 $2,100.00 65.24 $2,100.00 Total $61,400.00 All furnaces Installed will be manufactured by Carrier Sigler 7615 N. San Fernando Rd. Sun Valley, CA 91505 (818)252 -3351 Air Balancing and duct testing by Rapid Duct Testing PO BOX 10021 Burbank CA 91510 (818)567 -2044 City of El Segundo Residential Sound Insulation Program RSI 14 -23 (Group 65) 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 [] 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 14-23 (Group 65) Bidder's Statement on Previous Contracts subiect to EEO Clause The BiddcrX has participated ❑ has not participated in a previous contract subject to the equal opportunity cruse prescribed by Executive Order 11246, as amended, of September 24, 1965. The Bidder has submitted ❑ has not submitted all compliance reports in connection with any such can tact 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. Dated this �_ 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 Residential Sound Insulation RSI 14 -23 (Group 65) 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. Signature: Dated this day of , 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 RSI 14 -23 (Group 65) 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 Pro,sr tt ' RSI 14 -23 (Group 65) 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. s Name of Firm: ". ��• Address: _ � &/ Telephone Number: �� Contractor Representative: Signature: Title: Dated tiis day of � _ �..�. �' r � ...._, 2014, Bidding Form Appendix B -07 Last Modified: January 23, 2014 Trade Restriction Clauses Page 2 of 2 of El Segundo Residential Sound Insulation Program 0City 1% RSI 14-23 (Group 65) Designation of Manufacturers and Suppliers Manufacturer Supplier (if Applicable) Contract Value Section 08 14 00 Primary Hinged $ Entry Doors Section08_32 __ 00 b........ -� ,� -------- .. �,,.�_ w �.._ ......�.._.......... � _uWW Primary Sliding $ Glass Doors Section 08 53 00 Vinyl Windows $ Section 08 7100 Latching and Locking $ Hardware Section 10 32 00 ....... .._.._.... . .......... _..... _... Chimney $ Dampers Section 10 32 00 Fireplace Glass $ Doors Section 22 2100 Condensate ......... Ark ........ _. .__. $ Pumps Section. 2_........ 3 09 "_._ 00 Thermostats - $ ection 23 4 00 Ventilators Section 23 54 00 Furnaces , $ ZO Section $ Bidding Form Appendix B -08 Last Modified: January 23, 2014 Designation of Manufacturers and Suppliers City of El Segundo Residential Sound Insulation RSI 14 -23 (Group 65) 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. Signature: D ated tltis A day of � . ' .__ -.,2014. Bidding Form Appendix B -09 Last Modified: January 23, 2014 Buy American Clause City of El Segundo Residential Sound Insulation Program RSI 14 -23 (Group 65) 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 percent( %) 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: Address: Telephone Number: Contractor Representative: Title: Signature: Dated this day of ,, 2014. Bidding Form Appendix B -10 Last Modified: January 23, 2014 Assurance of DBE Participation City of El Segundo Residential Sound Insulation Program RSI 14-23 (Group 65) •a 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. u Name of Firm: Address: .. � •,,�. ___ Dated this day of _ 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 -23 (Group 65) 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 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. OA 3. Project Name Project No. Agency_jC, Dollar Value Contact Pen � V A, TeL N(). � Description of Prdjectm ww Project Name � ,„„„ Project No. Agency Dollar Value 0) 6)' Contact Person Tel. No. ' oject Description of 1 t�.�..�.�.....� W� o: �. _. �. ... ._.,� ... Project Name A _. Project No. A,gen'cy._.� _... �.._m�... Dollar Value Tel. No. Description Contact f Project._ 4. Project Na �ww... Dollar Val Contact Person _ Tel. No. Description of Project, "° n Bidding Form Appendix B -13 Last Modified; January 23, 2014 References City of El Segundo Residential Sound Insulation RSI 14 -23 (Group 65) 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: Addendum Number Date: 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 Repre ctlaat, �ra�iwcr Date /it Zlra ze�=, I utdY�e (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 RSI 14 -23 (Group 65) 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. 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 GOVERNMENT CODE § 8202 'See Attached Document (Notary to cross out lines 1-6 below) 0 See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) State of California County o� No. 1 Signature of Document Signer No. 2 (if any) Subscribed and sworn to (or affirmed) � before me on this V2 day of ir'!' , 20-Li�/ by Date Month Year (1) _.�. I Name(s) of Signer(s) proved to me on the basis of satisfactory evidence LIANA GUKASYAW to be the person(s) who appeared before me. Commission # 197381 „m,.... Notary Angeles - California _ Signature , . _ ._ Los An ales County 1 mm. fires �1,e 311,2216 _.._ ....._ W Signature,of Notaq Pub lic JF OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document r. Title or Type of Document: Document Date: . ..... �._ ... Number of Pages: Signer(s) Other Than Named Above: 0 2013 National Notary Association • www.NationalNotary.org • 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5910 Oct, 27, 2014 1:01PM Specialty Door INC No, 5792 P. 1/2 �t ' :91 o: October 28, 2014 Project: El Segundo RSP, Residential Sound insulation, Bid Group 65 Owner: City of El Segundo Scope; Wood Doors, (section. 08100), Wood Frames (section 06200), Finish Hardware (section 08713) of the RSP Project. We have reviewed addendum #1. The purpose of the following is to clarify our scope and allow a fair comparison of bids. VV ODD )RS,__ (by Vancouver Door), WOOD JAMBS FINISH HARDWARE & SECONDARY SLIDING GLASS DOORS /STORM DOORS (by Mon-Ray): 1) ALL PRODUCT SUBMITTALS & DOCUMENTS ARE TO CONFORM TO DIVISION #1 REQ UIREMENTS A ND SECTIONS 06200, 08100 & 08713. 2) IMPORTANT NOTE, Please snake sure that other door quotes are based on STC -40 at 9.21bs 1Sq.Ft. The 7.71bs/Sq. Ft STS' -40 door is not warranted for exterior use. A deduct can be provided if we can use STC -40 @a 7.71bs/Sq. Ft doers. 3) Where indicated on plans, our quote includes hardware for existing doors. 4) All doors to be factory sized, beveled & prepped for butts, lockset & deadbolt. 5) Our bid includes Doug Fir jambs for painted and solid Oak for stained doors, for wall thickness up to 5 -1/4 ". 6) Our quote includes the Kerfed and rigid weatherstripping. 7) Locks and deadbolts are to be keyed alike for individual residences. Masterkey as required. 8) Our quote includes Mon -Ray Sec. SGD (net Add), which meets SECTION 083220 -1.3- B. Other bidders may include 1/411 tempered glass with NO STC rating & does NOT meet this section including title 24, Nk`RC, Air and Water infiltration tests. Supply of Wood Doors: $64,800,00 *Installation: $18,800.00 * (Wood Doors only, no Sec. SGD installation) under separate contract between GC and Allied Builders Net Add: Provide Mon -Ray Secondary Sliding Glass doors: $11,300.00 Net Add: Provide Storm Doors: $1,500.00, when shipped with Sec. SGD. We have worked on majority of the El Segundo RSP projects and are looking forward to performing on these challenging Noise insulation Projects. Should you have any questions, please call me at the office or cell phone: 415- 971 -9071 Sincerely; SPECIALTY DOOR COMPANY, INC. .e4WI? Aw-W Michael R. Ghezavat, AHC /CS1 VP Oct,27, 2014 1:01PM Specialty Door INC City of E1 Segundo Residential Sound Insulation Program, No, 5792 P. 2/2 RS114-23 (Croup 65) 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 w 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. I 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: 140 f 0 Telephone Number: Contractor Representative: Signature: Title: V- Dated this _ Y/day of 2014- Bidding Form Appendix B -09 Last Modified: January 23, 2014 Buy American Clause 10/27/2014 14:01 FAX 19498556507 C @NON la 0011006 Allied B u i l d e rs Group, I n C. Lic. # 650903 October 21, 2014 RE : RSIP El Segundo Group 65 (Door and hardware Installation quote) Dear Bidder (G/Q: I am pleased to propose our price to installation and complete: door frame, door and finish hardware on above mentioned project as: install and complete of (49) leaves of STC wood door and( 2) leaf of secondry storm door for 16,225,00 this quote is based on Pre- machined and factory prepped doors and frames. included: field measurement verification, order and inventory, insurances and license fees. Excluded: Rough frameing,paint, demolitionand dump,giazin&storage,forklift for unload the matls and trash -bin 24155 Big Timber st. Lake Forest CA 92630. phone: (7111) 396 -0888 Fax:(949) 855 -5507 1 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) 'rile Pedorally assisted construction contractor certifies t1lar it does j)ot njailltain or provide for it to perform their and that it does not p�ermit its employees e1nPlQYcc5 anY Segregated faeflhies at any Of its establishments, N .services at any location, under its control, Where Segregated facilities rare maintained, The Federally assisTed construction contractor certjrjijs , 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 emPIOYeeS to Perform their services at any location, under, its control, where Segregated facilities are Tnaintaine& The Federally asilsted construction contractor agrees that a breach of this Certification is a violation of the Equal OpportuTlity clause in this his contract. As used in this cerlifiCation, the Term qegregaied facilities,, 1,nearts any' waiting room, work areas, rest rooms and washrooms, restaiArants and other eating areas, time clocks. locker VOOmS and Other VOJAge or dressing areas, parking logs, driuking foontaipS, recreation or entertainment areas, transportation, and 1100sing facilities provided for employees wbich are Segregated by explicit directive or are In fact segregated on the basis of'race, color, religion, sex construction contractor agrees t I I &5s le or national origin, because of habit, local cusloin, or any other reason. Tie Federally is d that (except where it Ila$ obtained identical certifications from proposed subcontractors, for specific time periods) it will obtain, identical certifications from Proposed subcontractors prior to the award Of $mbcontracts exceeding $10,000 which re xe P f 0 h provisions of (Ile Equal opporruniw i h a note mt �rnle . clause, and that it will retain Such Certification in its files, Certification The inforTnatiem above is True and complete to the best of my knowledge and belief, Bidding Form Certification of Non-Segregated Facilities Appendix B-06 Lag Modified; January 23, 2014 Trade Restriction Clauses to be Included 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 more citizens Or nationals of a foreign country included in the list of countries that discriminate against U.S. funs published by the Office of the United States Trade Representative (USTIt'); 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 C. directly or indirectly by one or more citizens or nationals of a foreign country on said list; has not procured any product not 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 tite government. Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification witbout 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 rnust 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 Oircurnstances. 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 e,eed 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 endl -0 Trade Restriction Clauses pp Last Modified: January 23, 2014 Page I of 2 1012712014 14:01 FAX 18498556507 MON City of El Segundo Residential Sound Insulation 16004/006 RS) 14-23 (Group 65) 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: 1 �afel�i !"r9fs�o Telephone Number: Contractor Representative: Title: , Signature: IL Dated this day of 2014. Bidding Form Appendix B -07 Trade Restriction Clauses 1P Last lbiadified: Jenaary 23, 2014 Page 2 of 2 10/27/2014 14:01 FAX 19486556507 C @NON City of El Segundo Residential Sound Insulation la 046/406 RSI 14 -23 (Group 65) Suspension and Debarment Requirements fO r all Contracts over $25,000 (49 CFR fart 29) The Bidder certifies, by submission of this proposal or acceptance of this Contract, that neither it. nor its principals is presently debarmd, suspended, ,proposed for debarment, declared ineligible, or voluntarily excluded from Participation in this transaction by any Federal department or agency.. It further agrees by submitting proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the Bidder/offerer/contractor or any lower titer participant is unable to certify to tins statement, it must ,attach an explanation to this solicitation/proposal, Signature: Dated this day of 2014, Ridding Form Appendix B -1 ] Suspension and Debarment Requirements Lass Modified; January 23, 2p l4 References (Required of Bidders and any Subcontractors perforirting more than 10% of Work) Name of Bidder or Subcontractor: Please list similar projects On which you performed Work similar to the Work you would perform On this Protect, This information is to be included with the B,id, and will be Used by the City in assessing Your capabilities and qualifications for performing the work, You are hereby advised that this proicet is c0n'PJcX and requires experienced Contractors and Subcontractors, Bids clay be considered non-responsive if the information provided. is untrue or is insufficient to allow the City to adequately assess capabilities and qualifications, Project Name __g$_LP Pro eel No..P,,5 .16f AgenQy J QL_ Dollar Value Conmez Person _Mr, 7n�a_ gj;�z, Tel. No Dosr,riptiori of ?j'cJect.__jD 2. ProjeGi Name._&. P """__14 In 'Co 'F*J ect No, Agency Pro) af Lie Contact Person Do] lar V, _K. Description of Project 3. Project Namc J j PI 'Ojo(;L No,. _4Lq0o A' Agency._,. rA Dollar Value Description of Prq.)eCT__,_ 4. Projeci Name, V. j$C.Project No. ;enc% Dollar Valise. ' )n Contact No Description of ?I-oj,e(;L qh I �' icl —di W77 n —"' - Rof'erenf;es 0 x Last 23,2014 P.G. & J. Environmental, Inc. Asbestos /Lead (Pb) /Mold Abatement & Demolition PROPOSAL 1702AH 27 OCT 14 Mr. Jasen De La Fosse Spec Construction, Inc. 1870 S. Carlos Ave,, Ontario CA 91761 Re: Removal and Disposal of Hazardous Materials for project; City of El Segundo — RSI 14 -23 — Group 65 P.G. & J. Environmental, Inc. (PG &J; Contractor) is pleased to present this proposal for the removal and disposal of hazardous materials for the above referenced project. Proposal based on visual inspection of the job site. Work will be performed in accordance with the currently applicable Federal, State and local regulatory guidelines, by trained and certified workers who have been screened for legal employment eligibility by the Federal E- Verify System. Scope of Work; _ ........... ......_. ➢ Provide Labor, materials and equipment for the removal and disposal of hazardous and non hazardous materials. ➢ Submit required notifications to all local, state and federal regulatory agencies, as required by law. ➢ Disposal of all hazardous waste at an approved EPA Landfill, disposal of all non hazardous waste at an approved disposal facility„ Price Per Unit ..... _$1,400.00 Work Hours: The work hours for this job are approximately 4 hours per unit, start time TBD by General Contractor, Inclusions: 1. Prevailing Wages 2. Disposal of waste removed under this scope. Exclusions: 1. Consulting fees, testing, or analytical services. 2. Weekend or extended hours or shifts. 3. Replacement of removed materials is not included in this proposal, 4. Removal of materials not specified in this proposal. Client / Owner Responsibilities: 1. Provide a "Third Party" consulting firm to perform inspections and /or clearances if required, at no cost to P.G. & J. 2. City permits or other building permits 3. Provide water and power as needed for the duration of the work on site 4. Provide sanitary facilities for use by work crew for duration of our scheduled work on site 5. Cap -off all water, power and gas utilities at property line prior to our mobilization if applicable. 271 E. Imperial Hwy., Suite 660 Fullerton, CA 92835 (714) 525 — 2548 Office / (714) 494 — 8017 Fax CSLB # 969005 — B, C21, DOSH 1053, DHS 11111, EPA RRP NAT 122899 -1 Page 1 of 7 P.G. & J. Environmental, Inc. Asbestos /Lead (Pb) /Mold Abatement & Demolition PROPOSAL 1702AH 27 OCT 14 TERMS & CONDITIONS CONTRACTUAL 1. Mobilization and Materials fees: P.G. & J. requires a mobilization fee prior to the job start for the purchase of equipments and materials used in the execution of the referenced work at a rate of 10% of the contract value or $1,000.00, whichever is less. 2. Balance upon completion of work: The balance of payment due is required at the completion of the project. Upon satisfactory payment by Client being made for any portion of the work performed by Contractor, the Contractor shall, prior to any further payment being made, furnish to the Owner /Client a full and unconditional release from any claim or mechanic's lien pursuant to Section 3114 of the California Civil Code, for that portion of the work for which payment has been made. If any payment is not paid on time, the Contractor may bill the maximum annual interest rate allowable by California law. 3. Retention: No retention shall be withheld for this project. 4. Bonding: The Owner /Client has the right to require the Contractor to furnish a performance or payment bond. The cost of each bond will be passed on to the Owner /Client at a rate of three - percent (3 %) of the contract value per bond. 5. Delays: The Contractor agrees to start and diligently pursue work through completion but shall not be responsible for delays for any of the following reasons: failure of the issuance of any necessary building permits within a reasonable length of time, acts of neglect or omission of Owner /Client or Owner /Client's employees or Owner /Client's agents, acts of God, stormy or inclement weather, strikes, lockouts, boycotts, or other labor union activities, other Contractors, extra work ordered by Owner /Client, acts of public enemy, riots or civil commotion, inability to secure material through regularly recognized channels, imposition of government priority or allocation of materials, failure of Owner /Client to make payments when due, or delays caused by consultants, inspectors, inspection or changes ordered by the inspectors of authorized government bodies, or other causes beyond Contractor's reasonable control. 6. Remobilization: The Contractor reserves the right to bill for additional mobilizations if remobilization is required and the total duration of work is extended, by no fault of the Contractor. A cost of $995.00 will be charged per added mobilization. 7. Owner /Client Information: By signing this document, you authorize P. G. & J. to verify any and all credit worthiness of you and/or the organization you represent. Furthermore, any misrepresentation you make as to your identity and /or identity of the organization you represent will be considered an act of fraud. 8. Attorney's Fees: P. G. & J. shall be entitled to attorney fees in any action or proceeding arising out of this agreement and/or any action or adversarial proceeding to enforce a judgment based on a cause of action arising out of this agreement. a. In the event of litigation or collection, the Client agrees to pay all attorney fees, court costs, and pre - judgment interest at the maximum rate allowable by California State Law. b. The Client agrees to pay all attorneys fees and costs in the event that this account and/or contract is subject to a dispute. c. The Client agrees to pay all attorney fees and costs incurred to enforce this contract. d. Any arbitration, proceedings, or filings will be made in the County of Orange, in the State of California. 2. Invalid Void or Unenforceable Terms: If any of the provisions of this agreement are held by a Court of jurisdiction to be invalid, void or unenforceable, the remaining provisions shall nonetheless continue in full force and effect without being impaired or invalidated in any way. 3. Limit of Liability: The Contractor's total liability shall be limited to the proposed total contract value of this proposal. 4. Acceptance of Work: The Owner /Client duly authorized representative is responsible for being present if requested, during the last day of work and signing a "Notice of Completion" and providing final payment. 271 E. Imperial Hwy., Suite 660 Fullerton, CA 92835 (714) 525 — 2548 Office / (714) 494 — 8017 Fax CSLB # 969005 — B, C21, DOSH 1053, DHS 11111, EPA RRP NAT 122899 -1 Page 2 of 7 P.G. & J. Environmental, Inc. Asbestos /Lead (Pb) /Mold Abatement & Demolition PROPOSAL 1702AH 27 OCT 14 5. Access: The Owner /Client agrees to allow and provide the Contractor access to the property including keys. The keys shall be returned to Owner /Client within 14 calendar days upon completion of work to be performed, If the Owner /Client does not furnish keys, Owner /Client will take the responsibility to open and close the site for the Contractor; the Owner /Client must show up promptly. If the Owner /Client is late, he/she agrees to pay additional charges at a rate of $65.00 /man -hour (a maximum of two man hours per laborer) for the period while the job is idle. In addition, if the Owner /Client takes responsibility to open and close the site for the Contractor, the Contractor shall not be responsible for any overnight theft or vandalism to property. 6. Additional Work: If additional asbestos - containing materials (ACM), lead, Lead -Based Paint (LBP), or microbial growth is encountered, that is not defined in the scope of work, during the execution of the work; the Contractor shall stop work and notify the Owner /Client. The removal of additional items or materials shall be performed as change order work (modification to contract) or work under a separate contract. 7. Changes in the Work: Should the Owner /Client direct any modification or addition not covered by this contract, the contract price shall be adjusted accordingly to compensate the Contractor for cost incurred, and overhead and profit on the cost. Modification or addition to the work shall be executed only when a Written Change Order has been accepted and signed by both the Owner /Client and the Contractor. 8. Subrogation: Contractor shall not be subject to any insurance subrogation and the Client will be fully responsible for any type of subrogation. 9. Right to Stop Work: Contractor shall have the right to stop work if: a. Any payment has not been made when due to Contractor, or if Contractor reasonably believes that payment shall not be made when due to Contractor under this agreement; Contractor may keep the job idle until all payments due are received. b. Access to work area(s) is impeded or limited in such a way as to hamper impact or prevent work from being performed efficiently. c. The Contractor is impacted or delayed by other trades, conditions, or occurrences. 10. Existing Hazards: P. G. & J. will not be responsible for any existing potential health hazards. Specifically, P.G. & J. will not be responsible for the cleaning of any human and/or animal excrement or urine. If excrement or urine is present on any surface to be worked on or present in the immediate area where work is to be performed (porch, balcony, walkway, or any other area within 6 feet of work area), the Owner /Client will be responsible for thoroughly cleaning such surfaces or areas prior to P.G.& J. commencement of work. If the Owner /Client does not clean such areas, P.G. & J. will not perform any work on those areas and not subtract any dollar amount from this contract. 11. Video /Audio Recording: At P. G. & J. discretion, P. G. & J. may videotape and record the existing conditions of the property, work in progress, and final completion or work. P. G. & J. will video /audio tape record any person at or in the vicinity of the project. The Client/Owner agrees to waive all rights to any video/audio/digital media contents or recordings. 12. Contract Dates: The latest or last version of any signed proposal, as indicated by date or transmission date shall be the only valid agreement and supersedes previous versions of proposals. 13. California Mechanic's Lien / Stop Notice Law: Any Contractor, subcontractor, laborer, supplier or other person or entity that helps to improve your property, but is not paid for his/her work or supplies, has a right to place a lien on your home, land, or property where the work was performed or to effect a Stop Notice. PG &J maintains its legal rights under California law to file a 20 -day California Preliminary Notice for each job that we contract to perform work. The preliminary filing is not a lien but is a legal notice that the legal requirements offered to PG &J under the law is in effect. Should PG &J not be paid in the execution of its work in a timely manner, PG &J will effect a Lien or Stop Notice to collect any monies owed. REGULATORY 271 E. Imperial Hwy., Suite 660 Fullerton, CA 92835 (714) 525 — 2548 Office I (714) 494 — 8017 Fax CSLB # 969005 — B, C21, DOSH 1053, DHS 11111, EPA RRP NAT 122899 -1 Page 3 of 7 P.G. & J. Environmental, Inc. Asbestos /Lead (Pb) /Mold Abatement & Demolition PROPOSAL 1702AH 27 OCT 14 1. Permits: P. G. & J. Environmental shall be responsible for acquiring required NESHAP permits to support the work previously detailed in this proposal /contract. However the Owner /Client will be solely responsible for any other work and/or permits that the City and/or any other jurisdiction may require relating to work other than specified in this agreement. 2. Regulated Work Area: In order to avoid contamination and/or injury, no party including the Owner /Client shall at any time enter any interior or exterior work area that is fully and/or partially contained. The only exception that will be made is for valid and proper government authorities (OSHA, Health Departments, etc.) but valid government authorities must first check in with the site supervisor and sign a release of liability in case they are injured and /or exposed to hazardous materials. 3. Other Contractors: Unless specified within this contract, the Owner /Client understands and agrees that no other Contractor, under any circumstances, shall visit premises or conduct work while P. G. & J. is performing work. No exceptions shall be made. 4. Architectural /Structural Components: Contractor is not responsible for the removal of architectural or structural items, members, or components not defined in the scope of work or that are discovered through remedial activities that are impacted or damaged and determined to be unsound or unusable. Should structural members be suspect of imminent failure or potential conditions of failure be identified, the Contractor is not responsible for temporary shoring, engineering, or for structural failure following identification. Stucco Back and vapor barriers are considered "structural" in nature due to the nature of their application. 5. Independent Consultant: The Owner /Client shall be responsible for selecting, hiring, and paying independent consultants for project monitoring or air sampling services. The Owner /Client will disclose the name, address, and phone number of any hired consultants no later than one (1) calendar day prior to the commencement of work to be performed. 6. Post Remedial Air Sampling: If the Owner /Client chooses to have final air clearances /post- remedial air sampling performed, the Owner /Client shall notify P.G. &J. in writing, no later than one calendar day, of the exact time a consultant will take air samples. If this is not done, P. G. & J. will not be responsible for removing plastic, duct tape or any other barriers left behind on the registers or any other part of the house. 7. Air Sampling Concentrations: Clearance or post remedial air sampling protocols, procedures, methods, must clearly be stated and the target level of clearance (regulatory) or levels of airborne particulates to be present following remedial activities must be described in writing prior to the submission of this proposal. Post - remedial air sampling airborne particulate targets, goals, or concentrations expressed by Owner /Client agents following the acceptance of this proposal will not be honored. For asbestos work, the standard industry analytical methodology is the NIOSH 7400 "A" Method utilizing PCM cassettes and PCM analysis. 8. Analytical Reports: The Owner /Client agrees to provide P. G. & J. with any and all consultant's reports within 24 hours of Owner /Client receiving any such reports. The Owner /Client authorizes P. G. & J. to obtain any reports or results directly from the consultant. 9. Regulated Waste: The facility Owner /Client is to sign and authorize all regulated waste shipping manifests or bill -of- ladings at the end of the project. The Owner /Client or Owner /Client agent will be responsible for making him or herself available at the time of waste pick -up. a. Manifesting Hazardous Waste: Hazardous waste (friable asbestos or regulated lead (Pb) waste) is to be shipped utilizing a hazardous waste manifest. The Contractor will provide appropriate manifests when required. It is the Owner's responsibility to inform the Contractor of the EPA Generator Number, legal name and address of the generator, the address of the facility and be available to sign manifests prior to the time of waste shipment pickup. b. Waste Stream Declaration: it is the Generators' (Owner's) responsibility to determine through analytical procedures; utilizing currently accepted EPA Solid Waste methodologies of collection and analysis, the waste 271 E. Imperial Hwy., Suite 660 Fullerton, CA 92835 (714) 525 — 2548 Office / (714) 494 — 8017 Fax CSLB # 969005 — B, C21, DOSH 1053, DHS 11111, EPA RRP NAT 122899 -1 Page 4 of 7 TECHNICAL P.G. & J. Environmental, Inc. Asbestos /Lead (Pb) /Mold Abatement & Demolition PROPOSAL 1702AH 27 OCT 14 stream of the materials described in the work outlined in this proposal /contract. If the Generator does not perform this required function, the Contractor will perform this procedure. Added costs will apply to this contract/proposal if waste stream determinations are not a part of this proposal /contract. 1. Utilities: The Owner /Client is responsible to supply safe and adequate electrical utilities, water, and restroom facilities to the worksite as required by the Contractor to operate required equipment, machinery, and to perform the referenced work. 2. Movable Objects: all movable objects located in the scope of work area shall be removed from the work area prior to Contractor mobilization and the commencement of work, at no cost to the Contractor. 3. Negative Air Exhaust: Windows may need to be removed to provide exhaust ports for the use of negative air machines dependent upon the type of operation being performed. It is the Owner /Clients responsibility to provide glaziers to remove and install windows, and to support the operation at no cost to the Contractor. (Not applicable to this S.O.W. 1/5/2003) 4. Site Security: The Contractor may erect temporary plywood barriers to limit access into area(s) or to effectively exhaust clean air generated from the use of negative air machines. By taking these reasonable steps to control ingress /egress at the work site and to provide temporary security for the duration of the operation, the Contractor is not responsible for illegal entry, loss, or vandalism at the worksite. 5. Accessibility: Inaccessible, buried, or otherwise trapped materials that is not specified in this proposal or defined in the specification are not included in the scope of work. 6. Existing Utilities /cabling: If P. G. & J. moves any type of gas line, water line, conduit, cable or phone jack in order to access or move an appliance, water heater and or building component, P. G. & J. will not be held liable for the integrity of the utility connection or leaks or failure of the connection following the work. a. The Owner /Client accepts full responsibility for testing and proving that any electrical device, cable, water line, gas line, conduit or fixture works prior to Contractor commencement. This includes but is not limited to any heater, air conditioner, appliance, light bulb, switch, outlet, timer or electronic apparatus. 7. Prior Damage and /or Contamination: P. G. & J. will not be responsible for any pre- existing conditions, contamination, or damage at the project including but not limited to building finishes, materials, components, machinery, lighting, etc. 8. Substrate Finishes: Unless otherwise specified in this contract, P. G. & J. will not be responsible for the finished look of any work where layers of ACM are removed. The Client understands that P. G. & J. shall not be responsible for the finished look of plaster or drywall materials beneath any acoustic ceiling materials. This includes blemishes, divots, scratches, gouges, cracks, or any other imperfections. 9. Damage to Finishes: By signing this document, Client understands that P. G. & J. may use masking tape, duct tape, spray - glue, staples, screws and plastic to erect critical barriers and to seal off work areas. When adhesives, staples and screws are removed, cosmetic damage to the finish surfaces may occur. P. G. & J. shall not be responsible to patch or fix any damaged surface or building material(s). 10. Damage due to Weather: For roof removal projects, where roof mastics are removed in the execution of work, or where the exterior components of a building or structure are manipulated or removed, the contractor shall not be responsible to protect the structure against weather, wind, rain, or other acts of God, unless agreed to and described in the project scope of work description or in the inclusions to this proposal /contract specifically. 11. Oversight: The Owner /Client and/or the Owner /Client's qualified agents will be given sufficient opportunity (excluding contained areas) to review the work performed. At most, this will be at the end of every workday but shall not occur during the course of the workday. Any deviation from this can and shall be considered grounds for the Contractor stopping all work without penalty 271 E. Imperial Hwy., Suite 660 Fullerton, CA 92835 (714) 525 — 2548 Office / (714) 494 — 8017 Fax CSLB # 969005 — B, C21, DOSH 1053, DHS 11111, EPA RRP NAT 122899 -1 Page 5 of 7 P.G. & J. Environmental, Inc. Asbestos /Lead (Pb) /Mold Abatement & Demolition PROPOSAL 1702AH 27 OCT 14 and entitle Contractor to additional compensation. The Contractor considers this to be a severe impediment to work and possibly harassment. Videotape or any other form of recording Contractor's work or workers is strictly prohibited. Unless specified in writing by the P. G. & J., no exceptions will be made. 12. Force Majeure: P. G. & J. views the acts of consultants whose specifications /work plans are not incorporated into bid documents or a specification used by the Contractor to estimate this proposal as Force Majeure, and as such, is not bound by their rulings, directives, opinions, recommendations, or instructions. 13. Supply of Materials: If the Owner /Client is to supply any material as part of this agreement, the Owner /Client shall be responsible for ordering, transporting, and ensuring that such material shall be the proper size and /or color. If not, the Contractor will charge additionally for any labor and material necessary to install such material properly at a rate of $65.00 per manhour. Furthermore, the Contractor will additionally charge for any transportation time incurred to select and /or order proper materials at the same rate. 14. Owner /Client's Tools: At no time is the Owner /Client to bring, mix, or leave behind his/her tools at the work site. P. G. & J. shall not be responsible for replacing such items that are claimed to be lost or are stolen from any work area. 15. Contractors Tools & Equipment: Tools and equipment supplied to the work area(s) is under the control and/or property of the Contractor. At no time is the Owner /Client to use or borrow Contractor's equipment without express written consent of the Contractor. The Contractor is not responsible for Client/Owner or Client/Owner agent accidents, damage or misuse for the unauthorized use of Contractor's equipments or tools. Should you have any questions regarding this proposal please feel free to contact me at your soonest convenience. Thank you for the opportunity to submit this proposal. My email address is afonso .pc ienviron ental.co or by cell at 714 - 853 -5200. Respectfully Submitted, Alfonso Hernandez President/Estimator P.G. & J. Environmental, Inc. cc:File 1645AH /GEH 271 E. Imperial Hwy., Suite 660 Fullerton, CA 92835 (714) 525 — 2548 Office I (714) 494 — 8017 Fax CSLB # 969005 — B, C21, DOSH 1053, DHS 11111, EPA RRP NAT 122899 -1 Page 6 of 7 P.G. & J. Environmental, Inc. Asbestos /Lead (Pb) /Mold Abatement & Demolition PROPOSAL 1702AH 27 OCT 14 You, the Owner /Client, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction, however if Owner /Client hereby declares an asbestos or environmental emergency, the Owner /Client waives the right to rescind. Contractors are required by law to be licensed and regulated by the Contractors State License Board that has jurisdiction to investigate complaints against Contractors if a complaint is filed. P. G. & J. Environmental, Ines. license number is # 969005 I have fully read, understand and agree to all terms and conditions contained in this agreement. Owner /Client and/or authorized representative to complete the following:. Individual accepting proposal (signature) Individual accepting proposal (printed) .............. Title Company /Representing Date EPA mGenerator # (if applicable) P.WJ. ENVIRONMENTAL, INC. Coi ny, Proposal y (signature) Alfonso Hernandez Proposal by (printed) Estimator Title Date 271 E. Imperial Hwy., Suite 660 Fullerton, CA 92835 (714) 525 — 2548 Office / (714) 494 — 8017 Fax CSLB # 969005 — B, C21, DOSH 1053, DHS 11111, EPA RRP NAT 122899 -1 Page 7 of 7 City of E1 Segundo Y Residential Sound Insulation Program RSI 14 -23 (Group 65) 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 ❑ 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 -23 (Group 65) Bidder's Statement on Previous Contracts subeect 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 ❑ 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: P. G. & J. Environmental, Inc. Address: 271 E. Imperial HWY Unit 660, Fullerton, CA 92835 Telephone Number: 714- 525-2548 Dated this 27 day of October , 2014.. Bidding Form B -05 Last Modified: January 23, 2014 Bidder's Statement on Previous Contracts Subject to EEO Clause City of El Segundo Residential Sound Insulation RSl 14 -23 (Group 65) 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 Finn: P. G. & J. Environmental, Inc. Address: 271 E. Imperial HWY Unit 660, Fullerton, CA 92835 Telephone Number: 714 -525 -2548 27 October Dated this day of , 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 Cl Segundo Residential Sound Insulation Prog,rain RSI 14 -23 (Group 65) 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); Bw 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] of 2 City of El Segundo Residential Sound Insulation Program RSI 14-23 (Group 65) 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: P. G. & J. Environmental, Inc. Address: 271 E. Imperial HWY Unit 660, Fullerton, CA 92835 Telephone Number: 714-525-2548 Contractor Representative: Gabrielle Hernandez Title: Office Assistant Signature: Dated this 27 day of October 2014. - .......... ..... . Bidding Form Appendix B-07 Last Modified: January 23, 2014 Trade Restriction Clauses Page 2 of 2 City of El Segundo q, Residential Sound Insulation ]'It RSI 14 -23 (Group 65) Designation of Manufacturers and Suppliers Manufacturer Supplier (if Applicable) Contract W� Value Section 08 14 00 ......�� .. _,,,,,,,............... ... __....... ._...� ........ ,,....... Primary Hinged Entry Doors $ �m..,.... ,.�. . ........... Section 08 32 00 ..............mw. .. ....... .� � -------- - ..e_�� . Primary Sliding Glass Doors $ -- 1-11— -_ Section 08 53 00 ._r. ..... . ..... . ............ ... . ...... Vinyl Windows $ Section 08 71 00 ....__... - -- . .. . ................. Latching and Locking $ Hardware Section 10 32 00 Chimney Dampers $ � . �__, ... Section 10 32 00 _ .... �...n. ................ —. �...........�.��......_ Fireplace Glass Doors $ Section.. 22 . �. 2 1 00 ...._ .. __a_.� _.._ ..... Condensate Pumps $ �Section 23 09 00 Thermostats $ Section 23 34 00 Ventilators $ Section 23 54 00 Furnaces $ �Seco►em�ti Section ..� _ .......... �.w...,_ .. �.�.. �.... ......... �__...�.m._. .... Bidding Form Appendix B -08 — Last Modified; January 23, 2014 Designation of Manufacturers and Suppliers City of El Segundo Residential Sound Insulation Program RSl 14 -23 (Group 65) 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 Firms P.G. J. Environmental, Inc. Address: 271 E. Imperial HWY Unit 660, Fullerton, CA 92835 Telephone Number: 714-525-2548 Contractor Representative: Gabrielle Hernandez Title: Office Assistant Signature: Dated this 27 day of October 2014. Bidding Form Appendix B -09 Last Modified: January 23, 2014 Buy American Clause City of El Segundo Residential Sound Insulation Program RSI 14 -23 (Group 65) 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: P. G. & J. Environmental, Inc. Address: 271 E. Imperial HWY Unit 660 Telephone Number: (714) 525 -2548 Bidding Form Appendix B -11 Last Modified: January 23, 2014 Suspension and Debarment Requirements City of El Segundo Residential Sound Insulation Program RSI 14 -23 (Group 65) References (Required of Bidders and any Subcontractors performing more than 10% of Work) Name of Bidder or Subcontractor: P. G. a J, Environmental, 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 CDC croup 90 Project No.- 13 -007 b y Los Angeles Dollar Value 31.850.00 A enc v CDC County of L..... � ,.,,, ,,_,_,,,,.., Contact Person Jason De La Fosse Tel. No. 909- 947-4601 Description of Ors�Ject Provide labor, materials and equipment for the removal of asbestos and lead containing materials, as well as, the disposal of waste to an approved EP facility, 2. Project Name 'CDC Group 62 Project No.,12-070 Agency county of Los Angeles Dollar Value 23 900.00 Contact Person Jason De La Fosse .r Tel. No. 909-947-4601 Description of Project Provide labor, materials and equipment for the removal of asbestos and lead containing aterials, as .s, g well as, the disposal of waste to an approved EP facility. 3. Project Name CDC Group 94 Project No. 12-090 g y 0 A enc cDC county or . Los Angeles Dollar Value 23 9 0 00 Contact Person Jason Do La Fosse Tel. No. 909- 947 -4601 tion of Pro e.... c� Description Project_ .. Provide labor, materials and equipment for the removal of asbestos and lead containing materials, as well as, the disposal of waste to an approved EP facility. 4. Project Name Rsl 9.6C Project No. Rsl 20o Ce 1216 111-1111111 .. ..... ... ........ Agency City of Inglewood Dollar Value 22 650.00 .......... ............................._. w Contact Person Jason De La Fosse Tel. No. 909 - 947 -4601 _.. Description of Project Provide labor,matenals and equipment for the removalm of m. ..... asbestos and lead containing materials, as well l as as, , the disposal of waste to an approved EP facility. Bidding Form Appendix B -13 Last Modified: January 23, 2014 References U) C M 0 (_ C D 2 M CD m M r q N M T C 1 Zp M O r N M � O c Z � 0 v ' � v N � c � 3 W m 0 m v a M A W AT AA 01 Ar cn An ch 'P on o rn An oA rn T An An Aarnw.. OA AA cm 01 oW on AfNJN �0 Oa '.,V OANAW N''.��0(O OD �, 0A 0011A W N.O -T gyp Ip 1C� ... p^�Jg r5A J. P QNf V ONi V V �:,a V WV -4 V N CD O V N W Ca V_ C7f c0 O t11 5LV V E,.�1 Ot A O .C+ (n (11 � Z< g �U t+1. m g "� in'a�>>>>> a n a W, M i.. fA G GU1 m O a �1 �A immm��W�� _ _ — IaaIaN I M 00,0000 0002 :11 „Cca.Cc,CCCCCICC >< c C _ _ 7 7 7 7 cD f! C C C C C C ,C C QWD N � Q M �� ---- ...�,-- ,� �N NEW SMOKE COMBO CO x cc XL d. (Dm N' (nM MMMMM4A4AMtofAfA61toM _ 61 IA 04AHfA wDETECTOR M o $ m 2. `� 3 AA OArnrnO}rnrng1107AArnrnrn WAnmrnm mlwOY � ni n S cn cn cry cn M cn v1 W cn cn M M M M M M cn in cn o cIM N y 6 WA 7 7 a C O N N W N N N W M� N N W _ N N W A ._ ... N ?J _ W N .... .. ....... W W W NEW SMOKE DETECTOR Iryry.. PO rn � M M MM M M 6. M M 1. (A M M(A M 4A ':M MM w M M M� 49 0A (n �11 N — 9 A G c0 w(nOoowwoocnoocn W (O cD C, W (d ' cD W f0 t0 w OD o0ocno '8 c0 W -l' W cncn W W 4n fA O O N 7 O A O O O .. o O 10 W . _ J REMOVE KNOB S TUBE C ,� o N ...... 46 4A fA f/9i fA _ M fA w w (A M 4A EA 69 M to _ 4A EA 4A AdA M 4H -M K! M 4A {ATTIC AREA ONLY) mA7 N N ''.. GN lx') CL =r c _ .......... a C Go goo o W� _ _ _ _ _ _ _ SERVICE RECEPTACLEITASK LIGHT 11Y (A M' M''M M fA M'69 fA 49 M M M M 4A fA 4A fA M'M M M M IM 's 7 CD CL z CO C pA 0 p A A A A A A' y A A A M ,-9 *� $ N NEW VENTILATION SYSTEM in W (A 0 M (A M M '0 EA fA, W M M fA M 4A, M M M M'..M M IA fA:: ' X 8 N (n (n cn W Cn cn 01 Cn M cn Qn (n IXn cn M cn V1 M (n cn cn v (n i n r n e. a . . . . . . Q O O O Q O O O O Q Q 0 0 ri (D M N {A A a O 0 0 0 0 0 0 0 'LA a 0 O in a (n (n cn w (n Lq (n NEW FAU y N M UI ',fA 4AMMM MfA fA'fA MMMM M',MMfAM69 N 00 i11 w W w W V WW W TkL C CD w w w M M M Ol 00 OG OD ''.. O 40 IA yl4 61 IX m 61r IDI� 4A NCP eft Aft W PA �I fill• MAIM 40 4A 4p 40 W a (Lp G 7 V N Combined 7 N Q Ao M O NN uar O la IIMA qwR V •*+fl O ^+1 4h ^wW °•�B (..Aa A ^MA 4p �,1 ^wd New W.I!% °•,V ^ 1 ,1Yw 11 m*d ^+W .11 tin ^w ^wW A A, �'R„9 4"b Hm8 0 w.,4 �U w PMA la7 `4 rw N Pww W" Ma. w w �µ d4� 2.� 8ati U) C M 0 (_ C D 2 M CD m M r q N M T C 1 Zp M O r N M � O c Z � 0 v ' � v N � c � 3 W m 0 m v a M A City of El Segundo n " Residential Sound Insulation Program RSI 14 -23 (Group 65) References (Required of Bidders and any Subcontractors performing more than 10% of Work) Name of Bidder or Subcontractor: Westchester Electrical 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. Project Name .r CDC Group 90 m e Project No. 90 Agency. L;aauo f l os t ales- f, lt: Dollar Value__ 93.800.00 Contact Person.Ral h Ortiz _ ___ Tel. No. X626 262 -4510 Description of Project Electrical scope of work for projectmm ____µµµµw 2. Project Name CDC Group 95 Project No., _ ,_ Agency Coun of Los An ales- CDC Dollar Value65 850, 00 _ Contact Person Ralph Ortiz Tel. No. (§;§),,262-4510 - Description of Project Electrical scope of w ork,, k for- proiect Project Name CDC Group 81 Project No. 81 Agency County of Los Angeles- CDC Dollar Value $81,700.00_° -- - - -..- Contact Person Ralph Ortiz Tel. No. 626 262 - 4510 Description of Project Electrical scope of work for project. 4. Project Name CDC Gro77 Project No. 77 Agency County of -Los Angeles- CDC Dollar Value $45,45„9.,00, Ralph Ortiz Tel. No. 626 262 -4510 Contact Person. Description of Project__ Electrical scope of work for project. Bidding Form Appendix B -13 Last Modified: January 23, 2014 References City of El Segundo Residential Sound Insulation Program RSI 14 -23 (Group 65) r 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 -23 (Group 65) , 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: Westchester Electrical, Inc. Address: 8726 S. Sepulveda Blvd. Suite D253, LA, CA, 90045 Telephone Number: 323 793 -7444 Contractor Representative: Julian Phel s P Signature: Title: President Dated this 26th day of October , 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 Pro rtatn RSI 14 -23 (Group 65) 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: Westchester Electrical lttc. Address: 8726 S._Sepulveda Blvd. Suite mmT 25w3, LA, CA, 90045 Telephone Number: (323),793,-7444 Contractor Representative: ulian PhelEs IT m_ ._ Title: President Signature: Dated this 26th day of,m,,.......... October _ 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 CALIFORNIA UNIFIED CERTIFICATION PROGRAM (CUCP) DEPARTMENT OF TRANSPORTATION OFFICE OF BUSINESS AND ECONOMIC OPPORTUNITY 1823 14" STREET, MS 79 SACRAMENTO, CA 95811 Phone: (916) 324 -1700 Toll Free (866) 810 -6346 Fax: (916) 324 -1862 TTY: 711 October 1, 2010 Mr. Julian Phelps Westchester Electrical Co 8706 Ramsgate Ave. #5 Los Angeles, CA 90045 Dear Mr. Phelps: File Number: 38951 We are pleased to advise you that after careful review of your application and supporting documentation, the California Department of Transportation (Department) has determined that your firm meets the eligibility standards to be certified as a Disadvantaged Business Enterprise (DBE), as required under the U. S. Department of Transportation (U.S. DOT), Code of Federal Regulation (CFR) 49, Part 26, as amended. The enclosed DBE certification will be honored by all U. S. DOT recipients in California, and your firm will continue to be listed in the California Unified Certification Program (CUCP) database of certified DBEs under the following specific areas of expertise: NAICS Categou, Cotl'es Nscri tlon .......... 238210 Electrical Contractors Work Category Codes Descri tion C8903 Electrical Your DBE certification is good for five years from the date of this letter and applies only for the above codes. You may review your firm's information in the CUCP DBE Database, which can be accessed at the California Department of Transportation's website at www.dot.ca.goylR/bei3/�. Any additions and revisions must be submitted to the Department for review and approval. Near the five -year certification period, your entire file will be reviewed in order to ascertain continued DBE certification status. You will be notified of the pending DBE status review and any documentation updates necessary several weeks prior to the renewal due date. The Regulations also require annual updates during this five -year period. In order to assure continuing DBE status, you must submit annually a No Change Declaration form (which will be sent to you), along with supporting documentation. Based on your annual submission that no change in ownership and control has occurred, or if changes have occurred, they do not affect Westchester Electrical Co. October 1, 2010 Page 2 your firnt's DBE standing, the DBE certification of your firm will continue until the five —year certification period. Also, should any changes occur that could affect your certification status prier to receipt of the DBE Declaration, such as changes in your firm's name, business/mailing address, ownership, management or control, or failure to meet the applicable business size standards or personal net worth standard, please notify nee irrunediately. DBE certification is subject to review at any time. Failure to submit forms and/or change of information will be deerned as failure to cooperate under Section 26.109 of the Regulations. You should know that all U. S. DOT recipients in California will horror your DBE certification status if your frrrn is certified by an = one of the CUCP certifying agencies l sted below. • California Department of Transportation (Caltrans) • Central Contra Costa Transit Authority (CCCTA) • City of Fresno • City of Los Angeles • Los Angeles County Metropolitan Transportation Authority (METRO) • San Diego County Regional Airport Authority • San Francisco Bay Area Rapid Transit District (BART) • San Francisco International Airport • San Francisco Municipal Transportation Agency (SFMTA) • San Mateo County Transit District (Sam Trans) /Peninsula Corridor Joint Powers Board (JPB) • Santa Clara Valley Transportation Authority (VTA) • Yolo County Transportation District (Yolobus) Congratulations, and thank you for your continued interest in participating in DBE Program. I wish you every business success and look forward to hearing from you if I may be of any assistance to you in this regard. Sincerely, r JAiICE SALAIS Chief Certification Unit k I T en v R m 0 O_ W m W � V ox y �t � W o a e 0 Z � a a e u O W Q. *" U e (=1 w B a� A W �o a RS W L oo . ] s 0-, COD W e a W x a Al ONO +r W r3 e I� � � V p,i L'? ` ' E U E.. IS � 3 . a a ii E ,A adn Q cx O w A c w G v Fi W - � U � O � ' w O v ss d w eo " Z F F o Z V V1 W x s en PG � � M U o z a U uj C�� Search Returned 1 Records Query Crite13A FirmDBANance: westchester electrical Finn Type: DBE Firm ID 38951 Rrm/DBA Name WESTCHESTER ELECTRICAL INC. Address Unel 6706 RAMSGATE AVE #5 Address une2 M City LOS ANGELES State CA ap Cods1 90045 Zip Code2 Mailing Address Unef Mailing Address Une2 Mailing City Mailing State Mailing Zip Codei Mailing Zlp Code2 Certification Type DBE E?AaY weetelectricelQatt.net Contact Name JULIAN PHELPS Area Code ( 310 ) Phone Number 9660579 Fax Area Code ( 310 ) Fax Phone Number 425 -3226 Agency Name DEPARTMENT OF TRANSPORTATION Counties 19; 37; Districts 07; 11; DBE NAICS 238210: U47i 0,14:1_1 CK. Work Codes C8903 ELECTRICAL; Ucenses C10 Electrical Contractor, Trucks Gender M Ethnicity BLACK Rrm Type DBE Tue Sep 27 12:19:01 PDT 2011 TO: Spec Construction, Inc. FROM: Tyce Davis DATE: 10/27/14 # OF PAGES: 18 El Segundo Residential Sound Insulation Program Group 65 THIS BID AND ITS TERMS MUST BE A PART OF ANY CONTRACTUALL AGREEMENT. DISCOUNT RESERVES THE RIGHT TO WITHDRAW THIS BID AT ANY TIME BEFORE AN AGREED SIGNED CONTRACT IS IN PLACE. Materials included in this bid: Milgard vinyl windows, secondary skylight, and secondary vinyl (Quiet) windows. Materials. NOT included in this bid: Secondary sliding doors. Discount Exteriors will furnish items listed above and install, including primed wood interior and exterior finish per specifications to match existing at wood egress modified windows, measurement and ordering of all windows as per specifications. Includes the inspection and receiving of all windows and sliding glass doors. To be stored in area provide by the prime contractor. All manpower is at prevailing wages, weekly- certified payroll. Includes apprenticeship training, tools, equipment, required contractors licensing, workers compensation insurance, lumber, insulation, caulking, and miscellaneous materials. Clean up of our work includes hauling away and disposal of our non -toxic debris in a dumpster provide by the prime contractor. Does not include any security bar modification, re- installation of plantation shutters, new mini - blinds or window covering brackets, new alarm connections, abatement, drywall, plaster, patching, painting, or stucco. General Contractor Responsibilities: All secondary sliding doors, permits, any bonding cost, semi -truck accessible storage containers, dumpster for non -toxic debris located at storage facility. Abatement including demolition and disposal of any suspected hot items including but not limited to, lead or asbestos, new blinds, re- installation of plantation shutters, new security bars or security doors or modification of security bars, patching, painting, drywall, plaster or stucco work. Any other work not related to windows, glass, or sliding doors. Payment Terms: THESE TERMS MUST BE PART O_F ANY _CONTRACTUALL AGREEMENT Material billings are to be paid in full within 30 days of receipt of materials from the manufacturers. Monthly billings for our completed installation work are to be paid by the 30th day of the following month. Final billing for installation will allow for 5% retention of contract amount. Final and complete payment is to be paid within 45 days of our completion of work. Any other payments will have interest added at the amount of 2% per month on any outstanding balance. Acceptance of this bid, will assume consent for this document or its terms, to be included in any contractual agreement. Items Included in package priced below. Addendum #1 is also included in this bid. Milgard vinyl windows,. .................... ...... .., ............................... ................... $125,034 1 abode ..... .. . 9 ,. 65..6 Installation of acoustti..:'irocluct.It ...._._. TotalPackage ..................................... ............................... .......................... $224,690 This is a package price and no item will be done as a separate price. Only the entire package can be done at this pricing. Any questions, call me Q 714 -842 -8887. Tyce El Segundo Group 65 10/28114 Schedule of'Volues Breakdown Addendum #1 Cost erEach $74 34 57 721 6 so D# Address # Win # Doors Wdo.Matedals Wdo.Labor Door-Materials Door.Labor Milaard Torrance Total 1 723 W. Pine Avenue VW 9 0 666 3006 0 0 4914 0 $8,586 2 ;529 Richmond Street VW 9 3 666 3006 171 2163 4914 0 $10,920 3 135 W. Palm Avenue #1 VW 30 0 2220 10020 0 0 16380 0 $281620 4 135 W. Palm Avenue #2 VW 10 0 740 3340 0 0 5460 0 $9,540 5 1135 W. Palm Avenue #3 VW 10 0 740 3340 0 0 5460 0 $9,540 6 1135 W. Palm Avenue #4 VW 12 0 888 4008 0 0 6552 0 $11,448 7 540 Sheldnn Street VW 10 0 740 3340 0 0 5460 0 $9540 8 ',510 E. Avenue VW 7 0 518 2338 0 0 3822 0 $6,678 9 627 E. Avenue #A VW 8 1 592 2672 57 721 4368 0 $8,410 10 '527 E. MyqpgM Avenue #B VW 8 1 592 2672 57 721 4368 0 $8,410 11 610E.- Avenue VW 17 2 1258 5678 114 1442 9282 0 $17,774 12 1719 Center Street VW 10 1 740 3340 57 721 5460 0 $10,318 13 '728 Indiana Court#1 VW 6 0 444 2004 0 0 3276 0 ;5,724 14 1,728 Indiana Court #2 VW 6 0 444 2004 0 0 3276 0 $5,724 15 728 Indiana Court #3 VW 9 0 666 3006 0 0 4914 0 $8,586 16 M Indiana Court #4 VW 9 0 666 3006 0 0 4914 0 $8,586 17 727 Indiana Court #1 VW 6 0 444 2004 0 0 3276 0 $5,724 18 727 Indiana Court #2 VW 6 0 444 2004 0 0 3276 0 $5,724 19 727 Indiana Court #3 VW 9 0 666 3006 0 0 4914 0 $8,586 20 727 Indiana Court #4 VW 9 0 666 3006 0 0 4914 0 $8 586 21726 Indiana Court #1 VW 6 0 444 2004 0 0 3276 0 $5,724 22 7261ndiana Court #2 VW 6 0 444 2004 0 0 3276 0 $5,724 23 726 Indiana Court #3 VW 9 0 666 3006 0 0 4914 0 24 726 Indiana Court #4 VW 8 0 592 2672 0 0 4368 0 --$%586 $7,632 Totals 229 8 116,946 $76,486 $456 $5,768 $125,034 $0 $224,690 Windows Windows Doors Doors Windows Doors Other Materials Value of Install Other Materials Value of Install Primary, MaterialslPrimary Malarials Windows includes Milgard vinyl. Totaling 229 Units Doors includes installation ONLY of secondary sliding doors. Totaling 8 doors Oct.27. 2014 12:02PM Milgard Windows Clearly the best, To: Discount Exteriors Attn: Tyce 1 714 596 6746 1 714 655 0262 El Segundo Group 65 No. 4929 P. 1 AM Joe Dupuy Acoustical Products Lead Phone: 805 3913826 Fax: 805 5780380 Joedupuy @milgard.com 9 Including cover 10 -27 -2014 Bid for Milgard Quiet Une STC 40-44 and non-rated Tuscany Series STC 28 windows. "Included In the price: Freight to the job site warehouse, exterior vinyl snap on trim, interior Vinyl sticky trim and sales tax. "Not included In the price: Flashing, sealant, shims, fasteners, labor, storm doors, interior /exterior storm windows, patio storm doors, patio doors, raw 1/2" laminated glass and any other raw glass, Thank you, oe Dupuy Acoustical Products Lead Oct.21. 2014 12:02PM Milgard Windows No.4929 P. 3 El Segundo Group 65 Bid Opening October 28th, 2014 Quote for Milgard Quiet Line Series (STC 40-44) Non -rated Tuscany Series (STC 28) Bid with Suncoal max to meet or exceed new T -24 Oct. 27. 2014 12:03PM Mi Igard Windows No, 4929 P. 5 Agilikk City of EI Segundo Residential Sound insulation Pro ratio RSl 14 -23 (Group 65) 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 broach of this vertification 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: ie Address: 3� G� ��r�,s ��/A7 � �/ � ip� /a� 9i/0 Telephone Number: Contractor Representative: Note: The penalty for ranking false statements to offers is prescribed in 19 U.S.C, 1001, Bidding Form Appendix B -06 Last Modified: January 23, 2014 Certification of ikon- Segregated Facilities Oct,27. 2014 12:03PM Milgard Windows No.4929 P. 6 City of El Segundo Residential Sound insulation Pro ram RSI 14 -23 (Group 65) 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 county 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 [earn that its ccrtification 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 Norm Appendix Trade Restriction Clauses Lest Modified: Janomy 23, 2ur4 Page I of 2 Ocl.21. 2014 12:03PM Milgard Windows No.4929 P. 1 City of El Segundo IV Residential Sound Insulation Pro ram RSI 14 -23 (Group 65) 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: Join lore 4 01 p 1910114 Telephone Number:,Q�JF"P� Contractor Representative: Title: w Signature: Dated this Lf7" day of 120M Bidding Form Appendix B -07 Last Modified: January 23, 2014 Trade Restriction Clauses Page 2 of Oct.21. 2014 12:03PM Milgard Windows No. 4929 P. 8 City of El Segundo Residential Sound insulation Program RST 14 -23 (Group 65) 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: .,��1'0��1 1' Address: �''�' zz' / Telephone Number: Contractor Representative: Title: 1&'0406e 41&"ag Signature: Dated th' t day of , 2014. Bidding Form Appendix B -09 Last Modificd: January 23, 2014 Buy American Clause Oct.21. 2014 12:02PM Milgard Windows No.4929 P. 4 City of El Segundo qu Residential Sound Insulation PT rangy RSI 14 -23 (Group 65) Suspension and Debarment Requirements for all Contracts over $25,000 (49 CFR Part 29) The Bidder certifies, by submisslon 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: ec Bidding ):orm Appendix B -11 Cast Modified: January 23, 2014 Suspension and Debarment Requirements AgdSbk City of El Segundo ir Residential Sound Insulation Program RSI 1423 (Group 65) 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 ® No Discount Exteriors 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 RSI 14 -23 (Group 65) 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 ® 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: Address: Telephone Number: Contractor Representative: Signature: Title: Discount Exteriors 17612 Beach Blvd. #13B, Huntington Beach, CA 92647 714 -596 -6766 Robert T. Davis President Dated this 27th day of October f 2014. Bidding Form B -05 Last Modified: January 23, 2014 Bidder's Statement on Previous Contracts Subject to EEO Clause City of El Segundo Residential Sound Insulation RSI 14 -23 (Group 65) 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 Signature: Dated this 27th day of October 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 RSI 14 -23 (Group 65) 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 RSI 1423 (Group 65) 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: Discount Exteriors 17612 Beach Blvd. #13B, Huntington Beach, CA 92647 714 -596 -6766 Robert T. Davis Title: President Signature: Dated this 27th day of October, , 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 RSI 1423 (Group 65) 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 1/6) 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: Discount Exteriors 17612 Beach Blvd. #13B Huntin on Beach, CA 92647 714 -596 -6766 Contractor Representative: Robert T. Davis Tine: President Signature: Dated this 27th day of October 2014. Bidding Form Appendix B -09 Last Modified: January 23, 2014 Buy American Clause City of El Segundo Residential Sound Insulation RSI 14-23 (Group 65) 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 Bidding Form Appendix B -11 Last Modified: January 23, 2014 Suspension and Debarment Requirements City of El Segundo Residential Sound Insulation RSI 14 -23 (Group 65) 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 Inglewood RSIP Project No. Various Agency Dollar Value Contact Person Anthony Barbarin Tel. No. 310 - 412 -5289 Description of Project Residential Sound Insulation Pro. 2. Project Name LAWA RSIP Project No. Various Agency Dollar Value Contact Person eli lez Tel. No. 424 - 646 -7441 Description of Project Residential Sound Insulation Proaram 3. Project Name B Project No. Various Agency Wv1 Labs Dollar Value Contact Person Dan. Bels Tel. No. 818- 383 -9821 Description of Project 4. Project Name Agency Contact Person Description of Project Project No. Dollar Value, Tel. No. Bidding Form Appendix B -13 Last Modified: January 23, 2014 References City of El Segundo Residential Sound Insulation RSI 14-23 (Group 65) Acknowledgement 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 1 Date: 10 -23 -14 Addendum Number Date: 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: 10 -27 -14 signature Date Robert T. Davis Discount Exteriors Name (printed or typed) Bidding Form B -14 last Modified: January 23, 2014 Acknowledgement of Receipt of Addenda Jan 13 00 03;57a 11 p.1 %1712014 INSULATION COMPANY . Install R 30 BLOWN f1bra lass ATTIC CEILING EXCLUDE BAFFLES,VENTS, AND LI HTSOXES NON UNION PIEW. WAGES D1 $1 470.00 b13 $800,00 D2 EXCL 014 $800.00 D 4 �1C i TOTAL $18,435.00 For the total sum of PRICE GOOD 12130/2014 'ERMS: NO rRETEhTIO'N .�....'_ WE ARE NOW LICENSED TO INSTALL SOLAR PANELS ALSO Performance of work to be done in accordance with the best developed industry techniuques. The Company carries Workman's Compensation and Public liability and Property Damage Insurance. The bid is based on the current price of labor and material. if not accepted within _10 days from day hereof, the right is reserved to submit a new bid, ff the services of an attorney be employed for the enforcement of any of the obligations of the purchaser, or the right of seller, either by suit or otherwise, purchaser agrees to pay reasonable attorney fees. All orders accepted subryect to clearance by our credit department and subject to signature of an officer of the Company at our direction. All agreements contingent upon strikes, accidents, acts of God, or other delays beyond our control. NAME OF OWNER NAMEOFLENCER R.K. HAJEE ACCEPTED 'nTLE GATE By M. O. INSULA71ON COMPANY UCEdCE No. 623699 TITLE proposal. 2(2) Sheetl Page 1 �,UWjUKA I t VhFfCE LICENCE No_ 623669 J626) 679 -4649 626- 579 -1900 9702 KLINGERMAN STREET SO. EL MONTE, CA 91733. FAX: 626 -579 -3133 M. B. E. CERTIFIED S.B.E.CERTIFIED D.B. E. CERTIFIED 10/28/2014 ATTENTION: ALL BIDDERS 1012412014 CONTRACTOR JOB NAME: RSP EL SEGUNDO 65 ADDRESS: ADDRESS: _ ._ ._ CITY: CITY: EL SEGUNDO PHONE: EMAIL SPECS: sErrprv. 7210 under P Captioned Install R 30 BLOWN f1bra lass ATTIC CEILING EXCLUDE BAFFLES,VENTS, AND LI HTSOXES NON UNION PIEW. WAGES D1 $1 470.00 b13 $800,00 D2 EXCL 014 $800.00 D 4 �1C i TOTAL $18,435.00 For the total sum of PRICE GOOD 12130/2014 'ERMS: NO rRETEhTIO'N .�....'_ WE ARE NOW LICENSED TO INSTALL SOLAR PANELS ALSO Performance of work to be done in accordance with the best developed industry techniuques. The Company carries Workman's Compensation and Public liability and Property Damage Insurance. The bid is based on the current price of labor and material. if not accepted within _10 days from day hereof, the right is reserved to submit a new bid, ff the services of an attorney be employed for the enforcement of any of the obligations of the purchaser, or the right of seller, either by suit or otherwise, purchaser agrees to pay reasonable attorney fees. All orders accepted subryect to clearance by our credit department and subject to signature of an officer of the Company at our direction. All agreements contingent upon strikes, accidents, acts of God, or other delays beyond our control. NAME OF OWNER NAMEOFLENCER R.K. HAJEE ACCEPTED 'nTLE GATE By M. O. INSULA71ON COMPANY UCEdCE No. 623699 TITLE proposal. 2(2) Sheetl Page 1 City of El Segundo Residential Sound Insulation Program RSZ 14 -23 (Group 65) 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 7No ualified iron any government contract? El Yes If yes , explain the circumstances: N/A, Bidding Form Appendix B -04 Last Modified: January 23, 2014 Statement of Past Contract Disqualifications City of El Segundo Residential Sound. Insulation Program RSI 1423 (Group 65) s Statem en t on Previous Contracts__ ulal. et to WE 0 Cla 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 M/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: MD INSULATION CO. Address: 9702 Kl" Satoh El Monte, CA 91733.1729 Telephone Number: (626) 579- 4$49 Contractor Representative: ,.... Title: /1 �. Signature: Dated this 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 Residential Sound Insulation Program RS1 14 -23 (Group 65) 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 clacks, locker rooms and other storage or dressing areas, parking lots, drinking £oumtains, recreation or entertainment areas, traospoxtation, 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 grid complete to the best of my knowledge and belief. Name of Firm: M13 INSULATION ee. 9702 Klingerman Street Address: am-, GA 9 MS Telephone Number: (626)579-4649 Contractor ]representative: Title: % f Signature: Dated this V day of , 2014. Note: The penalty for making false statements in offers is prescribed in 1S 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 RSI 14 -23 (Group 65) 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 Seeretary.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 snaking 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 W Segundo Residential Sound Insulation Program RS1 14-23 (Group 65) America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title IS, United States Code, Section 1001. Name of Firm: B, INSULATION CO. tYi'� �1 ddress; 9702 th El Moot` I CA 91733�i 729 (f2 Telephone Number: Contractor Representative: Title: Signature: Dated this 7 day of Bidding Form Appendix B -07 Last Modified: January 23, 2014 Trade Restriction Clauses Page 2 of City of El Segundo Residential Sound Insulation RS1 14 -23 (Group 65) 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, niaterialmen,, and suppliers in the performance of this Contract, as defined in A. below. A. The following terms apply to this clause: 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, Components. As used in this clause, components means those articles, materials, and supplies incorporated directly into steel and manufactured products. Cost of Components. This means the costs for production of the components, exclusive of final assembly labor costs. Name of Firm: MD INSULArI IN Address: ww Klin erman Strut South El Monte, CA 91739-1729 Telephone Number: (626 ) 579- 4649 Dated this 7 day of Bidding Form Appendix B -09 Buy American Clause 2014. Last Modified: January 23, 2014 City of El Segundo Residential Sound Insulation Program ' RSl 14 -23 (Group 65) Suspension and Debarment Requirements for all Contracts over $25,000 (49 C1~ R Park 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: � MD INSULATION CO. Address: S= 91111awman street South I=1 Monte, CA 91733-1729 Telephone Number: 579- 4649 Contractor Representative: ritlE: fS� Signature: Dated this fl day of � ( , 2014. Bidding Form Appendix B -11 Last Ivlodifed: January 23, 2014 Suspension and Debarment Requirements City of ll Segundo Residential Sound] RS1 14 -23 (Group 65) References ( quired of Bidders and any Subcontractors performing more than 10% of Work) Name of Bidder or Subcontractor. Please list simUar 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 am herby advised that this project is complex and raquires expedeneed Colttracton and Subcontractors, Bids may be considered non - responsive if the iintmation provided is untrue or is insufficient to allow the City to adequately assess capabilities end qualifications, 1, Project Name � &-O -_ -L,� x ] . 0 2 Project No. Agency 4 �-,#t w o r 1- 1a ; q aYts Nllar Value Contact person S'r y S Tela #o. I" ' -i Description of Project s (; °. r -QS 2. Projsot ".Dame � � � W e " Project No. Agene PIs- vPi DollarValuel:`i� Contact Per on G Tel. No. t ► s V 3 Description of projc � � �� , c� � vim,, i ��.� S S'e S 3, project Dame 1 -,�o Project No. Agency a& ,s Dollar "alue CA, U~Ir.00 Contact Persota w u�, � �`��' � � `1'el No � dv� � Description of Pamjc 4. Project Narne� Agency 1 T Contact .P'Orsor Description of Project No Tel. No,.. LQ.-2- co Bidding Form Appendix B -1.3 Lst Modified, January 23, 2014 References p rte. �a b. w c eC 3 . m PsP. 5 e IFF 1p �m r C �a C� r ro R 7 C . rya � i e A M A m �a ; v zz z C3 rA o� r O b o y °z P 54 N O O S h1 Qt n� s� b n a C q' w . 2 w Gm 110 % A w y go 90 P-1 o D go a � to � g v w z C nb z� e �a m p K � ►� 00 A A rl z� z a Q d e,r m w ♦� ID to d 7C 0. m G N 0 lJ H Er' a q A 17 4 2 y ^ J ("N v V y I r CALIFORNIA UNIFIED` CERTIFICATION PROGRAM . (CUCP) DEPARTM M OF TRANSPORTATION CIV L RIGHTS 1823 -14" STREET, MS -79 SACRAMENTO, CA 95811 Phone: (916) 3 241700 Toll Fxee: (866) 810 -6346 Fax: (916) 324 -1862 TW: 711 Dear Business Owner; .Thank you for your continued interest in the Disadvantaged Business Enterprise (DBE} = Certification program: We- are-pleased ° -to- inform -you that your busi�ptess�has bee��ece�fie�-fflr the-ne�t-five- ...._. -- - .... - ±.. ° °• years from the issuance date on the enclosed DBE certificate. We wish you much success in your business endeavors. Sincerely, Chie.._.. Certification Unit Enclosure State of Catffamle • Departmri t of General 8enrims • Aniold S&— nWenogiar. GrNierrwr .J PROCUREMENT ti1�Vr1$-10-N Pow%s Owl" of saran 6wlnaes aM It/1/B! serwils" I 1k . ' fns Torun aimag, let Floor, Room 400 • PG awn tlsON2 WbWt Sarsramerno, CaI"Gn a iis79"D5Z 1800) 55ma2g SO APP 20090MI11021117 August 18, 2008 REF# 0055TIO MD INSULATION CO 1734 FLORADALE AVE SOUTH EL MONTE CA 91733.340e Dear Business Person: congratulations on your cortifled small business status with the State of California. Your certification entitles you to benefits under the state's Smell Business Part c ipotion Program within state contracting, including a five percent bidding preference and special provisions under the Prompt Payment Act Certi icotion period Your certification pedaQ eg .mom CtJ'NSt°I' UCTION JAnnual submission tl 1y To maintain your cirtiw (OSDS), proof of annual j Proof of Annual Re*ots j you mue ual bmit to the of Small Business and DVBE Services teas of em' nr and each of your affiliates (i( airy). Subnilt to OSDS, a oopy of your firm's and any aff Bale f m's ENTIRE federal tax return each year following your certification. Include ALL accompanying schedules, forms, statements, and any other support documents filed with that specific tax return: if you request a tax filing extension with the Internal Revenue Service, submit io oi tr alI lea s copy of the exteriMn form. When your tax retun's are filed,-submit a cupy of Me entire federal tau return Wour office. Proof of mplovees .b you have employees whose taxable wages are reported to &a California Employment Development Department (EDD) on a quarterly basis, you must annually submit to our office along with your proof df annual receipts, proof of employees for your fine and any affiliates. We will accept a copy of the EDD's "o'duanerly Wage and Withholding Report" (Fonn DEB) or other format accepted by the EOD- Your employee documents must cover the same four quarters as the tax return you submit for your proof of annual receipts. If you have out -of -state employees, submit the employee.documentation comparable-to EDD's "Quarterly Wage and Withholding Reporr for the same four - quarter period. Maintaining Your Online Ce7tlfled Firm Profile C'd ML-09"W 30NVA(IVC)Nd EELSLLGEZE TZ:ZZ 0002 /1Z /1S E0 30Gd