CALTRANS 11 STATE OF CALIFORNIA DEPARTMENT · PDF filecaltrans state of california department...

CALTRANSSTATE OF CALIFORNIA

DEPARTMENT OF TRANSPORTATIONBID FOR

CONSTRUCTION ON STATE HIGHWAY INSAN DIEGO COUNTY IN SAN DIEGO FROM 0.3 MILE SOUTH OF FIESTA ISLAND ROADOVERCROSSING TO 0.5 MILE NORTH OF TECOLOTE CREEK BRIDGEIn District 11 on Route 5

UNDER

Notice to Bidders and Special Provisions dated August 24, 2015Project plans approved June 22, 2015Standard Specifications dated 2010Standard Plans dated 2010

Identified by

Contract No. 11-002714

II-SD-5-R20.3jR21.4

Project ID 1113000115

FEDERAL-AID PROJECTACSTPI-005-1(631)E

11

Bids open Thursday, September 24, 2015 Dated August 24, 2015

AADD


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 11-002714 Project ID: 1113000115Bidder Name: PAL General Engineering Inc Bidder ID:VC1200006128BID TO THE DEPARTMENT OF TRANSPORTATIONDES-OE-0102.1

Name of Bidder PAL General Engineering IncBusiness Street Address 5374 Eastgate Mall(Include even if P.O. Box is used)Business P.O. BoxCity, State, Zip San Diego, CA, 92121Telephone No: AREA CODE 8586387100Fax No: AREA CODE 8586387102Contractor License No. 916931Public Works Contractor Registration No. 1000004820Checksum 793D870F

1. Bidder agrees, if this bid is accepted, to enter into a contract with theDepartment, in the form included in the Standard Specifications, to performthe work provided in the Contract under the terms of the Contract for theprice or prices bid.

For a lump sum or unit price based bid, Bidder additionally agrees toperform the work within the number of working days shown on the Noticeto Bidders.

For a cost plus time based bid on a contract without a plant establishmentperiod, Bidder additionally agrees to perform the work within the number

of working days bid.

For a cost plus time based bid on a contract with a plant establishmentperiod, Bidder add~tionally agrees to perform the non+p1ant establishmentwork within the number of working days bid for non+plant establishment

work.2. Bidder has and acknowledges the following addenda: 1

09-11-15 Revise Project Plans, Notice to Bidders and Special Provisions, Bid

3. Bidder submits this bid with one of the following forms of bidder's securityequal to at least 10 percent of the bid: Bidder's Bond

4. Bidder's signature is an affirmation of the included certifications. Bidderis cautioned that making a false certification may result in one or more ofthe following:

4.1 Criminal prosecution4.2 Rejection of the bid4.3 Rescission of the award4.4 Termination of the Contract

PRINTED NAME:MARLA JAHSHAN ANDTITLE OF PERSON SIGNING:PRESIDENT

BY (Authorized signature) DATE SIGNED ( Do not type)

Contract No. 11-002714c

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STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 11-002714 Project ID: 1113000115Bidder Name:PAL General Engineering Inc Bidder ID:VC1200006128

BID ITEM LIST+--------------------------------------------------------------- --------------+I Estimated 1 1I Item Item Item I Quantityl Unit Price Item Total 1I No. Code Description IUnit of I II Measure I I+-------------------------------- ------------------------------ --------------+I 1070030 LEAD COMPLIANCE I I11 IPLAN LUMP SUM I LUMP SUM 1,200.001I I LS 1 1+-------------------------------- ------------------------------ --------------+I 1120090 CONSTRUCTION I I12 1AREA SIGNS LUMP SUM I LUMPSUM 4,364.251I I LS I I+-------------------------------- ------------------------------ --------------+I 1120100 TRAFFIC CONTROL I I13 ISYSTEM LUMP SUM I LUMP SUM 128,450.00 II I LS I I+-------------------------------- ------------------------------ --------------+1 1128651 PORTABLE 1 I14 ICHANGEABLE MESSAGE SIGN 2.0 4,500.00 9,000.00 II I (EA) lEA I+---------------------------------------------- ---------------- --------------+I 1130100 JOB SITE 1 115 IMANAGEMENT I LUMP SUM LUMP SUM 75,000.00 I[I I LS I+---------------------------------------------- ---------------- -------~------+I 1130300 PREPARE STORM I I16 IWATER POLLUTION [LUMP SUM LUMP SUM 1,534.001I IPREVENTION PLAN I LS I+---------------------------------------------- ---------------- --------------+I 1130310 RAIN EVENT I I17 IACTION PLAN I 8.0 500.00 4,000.001I 1 lEA I+---------------------------------------------- ---------------- --------------+1 1130320 STORM WATER I18 [SAMPLING AND ANALYSIS 4.01 302.00 1,208.001I IDAY IEA I I+--------------------------------------------------------------- --------------+I 1130330 STORM WATER I I I19 IANNUAL REPORT I 4.01 2,000.00 8,000.001I I lEA I I+--------------------------------------------------------------- --------------+I 1130520 TEMPORARY I I110 IHYDRAULIC MULCH 9,300.01 0.451 4,185.001I 1 ISQYD I 1 I+------------------------------------------------------------------------------+I 1130620 TEMPORARY I 1 1111 IDRAINAGE INLET 8.01 190.001 1,520.001I 1PROTECTION IEA I I 1+------------------------------------------------------------------------------+I [130640 TEMPORARY FIBER I 1 I I112 IROLL I 3,510.01 2.251 7,897.501I I ILF 1 I I+------------------------------------------------------------------------------+



BID ITEM LIST+-------------------------------------------~----------------------------------+I Estimated I I I

Item Item Item I Quantityl Unit Price I' Item Total INo. Code Description IUni t of I I I

I IMeasure I I I+------------------------------------------------------------------------------+1 1130710 TEMPORARY I I I I113 ICONSTRUCTION ENTRANCE I 4.01 3,200.001 12,800.001I I lEA I I I+------------------------------------------------------------------------------+1 1130730' STREET SWEEPING I I I I114 I I LUMP SUM I LUMP SUM I 25,000.001I I I LS I I I+------------------------------------------------------------------------------+I 1141000 TEMPORARY FENCE I' 1 I I115 I (TYPE ESA) I 150.01 3.361 504.001I I ILF I 1 I+------------------------------------------------------------------------------+I 1150608 REMOVE CHAIN II I 1116 ILINK FENCE I 10.01 100.001 1,000.0011 I LF I I I+-------------------------------- ---------------------------------------------+I 1150685 REMOVE • I I I117 IIRRIGATION FACILITY LUMP SUM I LUMP SUM I 20,000.001I I LS I I I+-------------------------------- ---------------------------------------------+I 1200002 ROADSIDE I I I118 ICLEARING LUMP SUM I LUMP SUM I 15,000.00 I1 I LS I I I+-------------------------------- ---------------------------------------------+I 1200052 PRUNE EXISTING I I I119 IPLANTS LUMP SUM I LUMP SUM I 6,500.00 II I LS I 1 I+-------------------------------- ---------------------------------------------+I 1200122 WEED GERMINATION I I 1 I/20 1 I 12,400.0 0.551 6,820.001I I I SQYD I I+-----------~---------------------------------- -------------------------------+I 1202038 PACKETI121 IFERTILIZER 8,390.0 0.40 3,356.001I I lEA I+---------------------------------------------- ---------------- --------------+I 1204035 PLANT (GROUP A) I122 I 7,500.0 20.00 150,000.001I I lEA I+---------------------------------------------- ---------------- --------------+I 1204036 PLANT (GROUP B) I123 I 140.0 50.00 7,000.001I I lEA I+---------------------------------------------- ---------------- --------------+I 1204038 PLANT (GROUP U) I I I124 I I 130.0 125.001 16,250.001I I lEA I I+---------------------------------------------- -------------------------------+



BID ITEM LIST+------------------------------------------------------------------------------+I Estimated I I II Item Item Item I Quantity Unit Price I Item Total II No. Code Description IUni t of I II IMeasure I I+---------------------------------------------- -------------------------------+I 1204096 MAINTAIN I I I125 IEXISTING PLANTED AREAS I LUMP SUM LUMP SUM I 25,000.001I 1 I LS I 1+---------------------------------------------- ---------------------------"----+I 1204099 PLANT I I I126 IESTABLISHMENT WORK I LUMP SUM LUMP SUM I 62,500.001I I I LS I I+---------------------------------------------- -------------------------------+I 1205035 WOOD MULCH I I I127 I I 1,150.0 40.001 46,000.001I I ICY I I+---------------------------------------------- -------------------------------+I 1206400 CHECK AND TEST I I128 IEXISTING IRRIGATION LUMP SUM LUMP SUM I 15,000.001I IFACILITIES LS 1 I I+------------------------------------------------------------------------------+I 1206402 OPERATE EXISTING I 1 I129 IIRRIGATION FACILITIES I LUMP SUM I LUMP SUM 35,000.001I I I LS I I+--------------------------------------------------------------- --------------+I 1206560 CONTROL AND I I I130 INEUTRAL CONDUCTORS I LUMP SUM I LUMP SUM 8,000.001I I I LS I I+--------------------------------------------------------------- --------------+I 1206562 I" REMOTE I [ I131 ICONTROL VALVE I 10.0 217.00 2,170.001I I lEA I+---------------------------------------------- ---------------- --------------+I 1206564 11/2" REMOTE I I/32 ICONTROL VALVE I 30.0 233.00 6,990.001I I lEA I+---------------------------------------------- ---------------- --------------+I 1206567 3" REMOTE I133 ICONTROL VALVE 1.0 550.00 550.001I I lEA I+---------------------------------------------- ---------------- --------------+I 1029507 2-32 STATION 1 I134 ISATELLITE IRRIGATION I 1.01 5,000.00 5,000.001I ICONTROLLERS IN DOUBLE I I II ICABINET IEA 1 I+--------------------------------------------------------------- --------------+I 1208416 CERTIFY EXISTING I I I135 IBACKFLOW PREVENTERS I LUMP SUM I LUMP SUM 200.00[I I I LS I I+--------------------------------------------------------------- --------------+



BID ITEM LIST+----------------~--------------~----------------------------------------------+I Estimated I I II Item Item Item I Quantityl Unit Price 1 Item Total II No. Code Description IUnit of I 1 II IMeasure I I I+---------------------------------------------------------------~--------------+1 1208442 FLOW SENSOR I I I136 I 1.01 823.001 823.001I I lEA 1 I I+------------------------------------------------------------------------------+I 1208445 TREE WELL 1 I 1 I137 ISPRINKLER ASSEMBLY I 170.01 40.001 6,800.0011 I lEA I I I+-------------------------------------------------------~----------------------+I 1208446 RISER SPRINKLER I I I I138 IASSEMBLY (GEAR DRIVEN) I 150.01 25.001 3,750.001I I lEA I I 1+-----------------------------------------~------------------------------------+1 1208447 POP-UP SPRINKLER I I 1139 IASSEMBLY (GEAR DRIVEN) I 170.01 36.00 6,120.001I I lEA I I+--------------------------------------------------------------- --------------+I 1208565 REPLACE VALVE 1 I

I40 IBOX COVER 11. 0 I 33 . 92 373 . 12 II I lEA 1 .1+--------------------------------------------------------------- --------------+I 1208575 2" GATE VALVE 1 I I141 I I 13.01 340.00 4,420.001I I lEA 1 I+--------------------------------------------------------------- --------------+1 1208588 3" GATE VALVE I I I142 I I 9.01 650.001 5,850.001I I lEA [ I 1+---------------------------------------------- -------------------------------+I 1208595 1" PLASTIC PIPE I I 1143 (F) 1 (SCHEDULE 40) (SUPPLY 1 8,600.0 2.731 23,478.00 II ILINE) ILF I I+---------------------------------------------- -------------------------------+I 1208596 1 1/4" PLASTIC I I144(F) IPIPE (SCHEDULE 40) 5,380.0 3.221 17,323.601I I (SUPPLY LINE) ILF I I+---------------------------------------------- -------------------------------+I 1208597 1 1/2" PLASTIC I I I145(F) IPIPE (SCHEDULE 40) I 1,705.0 3.64[ 6,206.2011 1 (SUPPLY LINE) ILF I I+---------------------------------------------- -------------------------------+I 1208598 2" PLASTIC PIPE . I I146(F) I (SCHEDULE 40) (SUPPLY 1,765.01 4.091 7,218.851I ILINE) ILF I I I+---------------------------------------------------------------------~--------+I 1208606 2 1/2" PLASTIC I I I I147(F) IPIPE (CLASS 315) (SUPPLY I 2,040.01 4.631 9,445.201I ILINE) ILF I I I+------------------------------------------------------------------------------+



BID ITEM LIST+------------------------------------------------------------------------------+I Estimated I I II Item Item Item I Quantityl Unit Price I Item Total II No. Code Description IUnit of I I II IMeasure I 1 I+------------------------------------------------------------------------------+I 1208607 3" PLASTIC PIPE I I I I148(F) I (CLASS 315) (SUPPLY I 4,740.01 4.861 23,036.401I ILINE) ILF I I I+------------------------------------------------------------------------------+I 1210010 MOVE-IN/MOVE-OUTI I I 1149 I (EROSION CONTROL) I 1.01 1,000.001 1,000.001I I lEA I I I+------------------------------------------------------------------------------+I 1029508 COMPOST (EROSION I I I I150 1CONTROL) I 110,000.01 0.181 19,800.001I I I SQFT I I I+------------------------------------------------------------------------------+11210350 FIBER ROLLS I I 1 I151 I I 5,300.01 3.011 15,953.001I 1 ILF I I I+------------------------------------------------------------------------------+I IBLANK I I I152 I LUMP SUM I LUMP SUM I 0.001I I LS I I I+---------------------------'-----------~---------------------------------------+I 1802501 4' CHAIN LINK I I I153 IGATE (TYPE CL-6) 3.0 15.401 46.2011 I lEA I I+---------------------------------------------- -------------------------------+I 1860090 MAINTAINING I I154 IEXISTING TRAFFIC LUMP SUM LUMP SUM I 10, 000. 00 II IMANAGEMENTSYSTEM LS I II 1ELEMENTS DURING LS I II ICONSTRUCTION LS I I+---------------------------------------------- ----------------,---------------+I 1860797 ELECTRIC SERVICE I I I155 1 (IRRIGATION) I LUMP SUM LUMP SUM I 30,000.001I 1 I LS I I+---------------------------------------------- -------------------------------+I IBLANK I I r156 I I LUMP SUM LUMP SUM I 0.001I IlLS I I+---------------------------------------------~ -------------------------------+1 1800360 CHAIN LINK FENCE I 1 I157 I (TYPE CL-6) I 10.0 1,500.001 15,000.001I I ILF I I+---------------------------------------------- -------------------------------+I 1999990 MOBILIZATION I I158 I LUMP SUM LUMP SUM I 75,000.001I I LS I I+---------------------------------------------- -------------------------------+



BID ITEM LIST+------------------------------------------------------------------------------+I I I I Estimated I II Item I Item I Item I Quantity I Unit Price I Item TotalI No. I Code I Description IUnit of I II I I IMeasure I I I+-------------------------------------------------.----------------------------+I I I II I Total Bid I $998,642.32 I+------------------------------------------------------------------------------+


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 11-002714 Project ID: 1113000115Bidder Name: PAL General Engineering Inc Bidder ID:VC1200006128DES-OE-0102.2C (REV 03/2015)

Bidding Firm: PAL General Engineering Inc

List this sub? Yes

State CA996577

Number 1000004092

1) Business Name ACE FENCE COMPANYLocation City 727 GLENDORA AVENUE, LA PUENTECalifornia Contractor License NumberPublic Works Contractor RegistrationPortion of Work Subcontracted:

Item %16 10053 10057 100

DescriptionREMOVE CHAIN LINK FENCE4' CHAIN LINK FENCE TYPE CL-6CHAIN LINNK FENCE TYPE CL-6

List this sub? Yes

5) Business Name Arrow SignsLocation City 42085 Vandamere Ct State CACalifornia Contractor License Number 898477Public Works Contractor Registration Number 1000015804Portion of Work Subcontracted:

Item %2 100 Construction Area Sign

Description

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 11-002714 Project ID: 1113000115Bidder Name: PAL General Engineering Inc Bidder ID:VC1200006128OPT OUT OF PAYMENT ADJUSTMENTS FOR PRICE INDEX FLUCTUATIONSDES-OE-0102.12A(REV. 8/2012)

To opt out of payment adjustments for price index fluctuations as specified,complete this form.

I opt out of the payment adjustments for price index fluctuations.

Enter Date and Name to opt out of payment adjustments for price indexfluctuations.

Date: Bidder's Name:

Signature : _


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 11-002714 Project ID: 1113000115Bidder Name:PAL General Engineering Inc Bidder ID:VC1200006128SMALL BUSINESS STATUSDES-OE-0102.4(REV 3/2008)

Are you certified as a "Small Business" by the Office of Small Businessand DVBE Services of the Department of General Services of the State ofCalifornia?:

YES/NO: No Certification number? :

Note: This small business questionnaire is included for statistical reportingonly.



CERTIFICATIONSFEDERAL-AID PROJECTS DISCLOSURE OF LOBBYING ACTIVITIES CERTIFICATIONBidder certifies, to the best of his or her knowledge and belief:1. No Federal appropriated funds have been paid or will be paid, by or on

behalf of the undersigned, to any person for influencing or attempting toinfluence an officer or employee of any Federal agency, a Member ofCongress, an officer or employee of Congress, or an employee of a Member ofCongress in connection with the awarding of any Federal contract, themaking of any Federal grant, the making of any Federal loan, the enteringinto of any cooperative agreement, and the extension, continuation, renewal,amendment, or modification of any Federal contract, grant, loan, orcooperative agreement.

2. If any funds other than Federal appropriated funds have been paid or willbe paid to any person for influencing or attempting to influence an officeror employee of any Federal agency, a Member of Congress, an officer oremployee of Congress, or an employee of a Member of Congress in connectionwith this Federal contract, grant, loan, or cooperative agreement, theundersigned shall complete and submit Standard Form LLL, "Disclosure ofLobbying Activities, II in conformance with its instructions.

This certification is a material representation of fact upon which reliance wasplaced when this transaction was made or entered into. Submission of thiscertification is a prerequisite for making or entering into this transactionimposed by 31 USC 1352. Any person who fails to file the required certificationshall be subject to a civil penalty of not less than $10,000 and not more than$100,000 for each such failure.

Bidder also agrees by submitting a bid that it must require the language ofthis certification be included in subcontracts over $100,000 and thesesubcontractors shall certify and disclose.



INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES

This disclosure form shall be completed by the reporting entity, whethersubawardee or prime Federal recipient, at the initiation or receipt of acovered Federal action, or a material change to a previous filing, pursuant totitle 31 U.S.C. section 1352. The filing of a form is required for eachpayment or agreement to make payment to any lobbying entity for influencing orattempting to influence an officer or employee of any agency, a Member ofCongress, an officer or employee of Congress, or an employee of a Member ofCongress in connection with a covered Federal action. Complete all items thatapply for both the initial filing and material change report. Refer to theimplementing guidance published by the Office of Management and Budget foradditional information.

1.Identify the type of covered Federal action for which lobbying activity isand/or has been secured to influence, the outcome of a covered Federal action.2.Identify the status of the covered Federal action.3.Identify the appropriate classification of this report. If this is a followupreport caused by a material change to the information previously reported,enter the year and quarter in which the change occurred. Enter the date ofthe last, previously submitted report by this reporting entity for thiscovered Federal action.4.Enter the full name, address, city, State, and zip code of the reportingentity. Include Congressional District if known. Check the appropriateclassification of the reporting entity that designates if it is, or expects tobe, a prime or subaward recipient. Identify the tier of the subawardee, e.g.,the first subawardee of the prime is the 1st tier. Subawards include but arenot limited to subcontracts, subgrants and contract awards under grants.5.If the organization filing the report in item 4 checks "Subawardee, " thenenter the full name, address, city, State and zip code of the prime Federalrecipient. Include Congressional District if known.6.Enter the name of the Federal agency making the award or loan commitment.Include at least one organizational level below agency name, if known. Forexample, Department of Transportation, United States Coast Guard.

7.Enter the Federal program name or description for the covered Federal action(item 1). If known, enter the full Catalog of Federal Domestic Assistance(CFDA) number for grants, cooperative agreements, loans and loan commitments.8.Enter the most appropriate Federal identifying number available for theFederal action identified in item 1 (e.g., Request for Proposal (RFP) number;Invitation for Bid (IFB) number; grant announcement number, the contract,grant, or loan award number; the application/proposal control number assignedby the Federal agency). Include prefixes,e.g., "RFP-DE-90-001."

9.For a covered Federal action where there has been an award or loancommitment by the Federal agency, enter the Federal amount of the award/loancommitments for the prime entity identified in item 4 or 5.10. (a)Enter the full name, address, city, State and zip code of the lobbyingregistrant under the Lobbying Disclosure Act of 1995 engaged by the reportingentity identified in item 4 to influence the covered Federal action.(b)Enter the full names of the individual(s) performing services and include

full address if different from 10(a). Enter Last Name, First Name, andMiddle Initial (MI).11.The certifying official shall sign and date the form, print his/her nametitle, and telephone number.



According to the Paperwork Reduction Act, as amended, no persons are requiredto respond to a collection of information unless it displays a valid OMBControl Number. The valid OMB control number for this information collection isOMB No. 0348-0046. Public reporting burden for this collection of informationis estimated to average 10 minutes per response, including time for reviewinginstructions, searching existing data sources, gathering and maintaining thedata needed, and completing and reviewing the collection of information. Sendcomments regarding the burden estimate or any other aspect of thiscollection of information, including suggestions for reducing this burden, tothe Office of Management and Budget, Paperwork Reduction Project (0348-0046),Washington, DC 20503.


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 11-002714 Project ID: 1113000115Bidder Name: PAL General Engineering IncDISCLOSURE OF LOBBYING ACTIVITIES

Bidder ID:VC1200006l28Approved by OMB 0348-0046

Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352No1. Type of Federal Action:2. Status of Federal Action:3. Report Type:

For Material Change Only:YearQuarterDate of last report

4. Name and Address of Reporting Entity:

Tier lif knownCongressional District, if known:

5. If Reporting Entity in NO.4 is Subawardee Enter Name and Address of Prime:

Congressional District, if known:6. Federal Department/Agency:

7. Federal Program Name/Description:

CFDA Number, if applicable8. Federal Action Number, if known:9. Award amount, if known ($):10. a. Name and Address of Lobby Registrant (if individual, last name, first

name, MI):

b. Individuals Performing Services (including address if different from No.lOa) (last name, first name, MI):

11. Information requested through this form is authorized by Title 31 U.S.C.Section 1352. This disclosure of lobbying activities is a materialrepresentation of fact upon which reliance was placed by the tier abovewhen this transaction was made or entered into. This disclosure is requiredpursuant to 31 U.S.C. 1352. This information will be available for publicinspection. Any person who fails to file the required disclosure shall besubject to a civil penalty of not less than $10,000 and not more than$100,000 for each such failure.

Signature : _

Print Name:Title:Telephone No.:DATE:

Federal Use Only:Authorized for Local ReproductionStandard Form - LLL(Rev. 7-97)


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 11-002714 Project ID: 1113000115Bidder Name: PAL General Engineering Inc Bidder ID:VC1200006128

EQUAL EMPLOYMENT OPPORTUNITY REGULATION CERTIFICATION

Bidder PAL GENERAL ENGINEERING, proposed subcontractorcertifies that he has participated in a previous contract orsubcontract subject to the equal opportunity clauses, as required by ExecutiveOrders 10925, 11114, or 11246, and that, if required, he has filed with theJoint Reporting Committee, the Director of the Office of Federal ContractCompliance, a Federal Government contracting or administering agency, or theformer President's Committee on Equal Employment Opportunity, all reports due-under the filing requirements.Notes:The above certification is required by the Equal Employment OpportunityRegulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must besubmitted by bidders and proposed subcontractors only in connection withcontracts and subcontracts which are subject to the equal opportunity clause.Contracts and subcontracts which are exempt from the equal opportunity clauseare set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.)

Currently, Standard Form 100 (EEO-l) is the only report required by theExecutive Orders or their implementing regulations.

Prime contractors and subcontractors who have participated in a previouscontract or subcontract subject to the Executive Orders and have not filedthe required reports should note 41 CFR 60-1.7(b) (1) prevents the award ofcontracts and subcontracts unless the Contractor submits a report coveringthe delinquent period or such other period specified by the Federal HighwayAdministration or by the Director, Office of Federal Contract Compliance,U.S. Department of Labor.



TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29, DEBARMENT ANDSUSPENSION CERTIFICATION

Bidder, under penalty of perjury, certifies that, except as noted below, it Drany other person associated therewith in the capacity of owner, partner,director, officer, manager:

is not currently under suspension, debarment, voluntary exclusion, ordetermination of ineligibility by any federal agency;

has not been suspended, debarred, voluntarily excluded or determinedineligible by any federal agency within the past 3 years;

does not have a proposed debarment pending; and

has not been indicted, convicted, or had a civil judgement rendered againstit by a court of competent jurisdiction in any matter involving fraud orofficial misconduct within the past 3 years.

If there are any exceptions to this certification, insert the exceptions in thefollowing space.

Exceptions will. not necessarily result in denial of award, but will beconsidered in determining bidder responsibility. For any exception noted above,indicate below to whom it applies, initiating agency, and dates of action.

UNDOCUMENTED ALIENS EMPLOYMENT

Under Pub Cont Code. 6101, the Bidder certifies compliance with state andfederal law respecting the employment of undocumented aliens.



NONCOLLUSION

AND SUBMITTED WITH BIDas follows:

TO BE EXECUTED BY BIDDER112, the bidder declaresDIEGO

NONCOLLUSION AFFIDAVITUnder PCC 7106 and 23 USCState of CA County of SANName MARLA JAHSHAN,being first duly sworn, deposes and says that he or she isPRESIDENT ofPAL GENERAL ENGINEERING INCthe party making the foregoing bid that the bid is not made in the interestof, or on behalf of, any undisclosed person, partnership, company, association,organization, or corporation; that the bid is genuine and not collusive orsham; that the bidder has not directly or indirectly induced or solicited anyother bidder to put in a false or sham bid, and has not directly or indirectlycolluded, conspired, connived, or agreed with any bidder or anyone else to putin a sham bid, or that anyone shall refrain from bidding; that the bidder hasnot in any manner, directly or indirectly, sought by agreement, communication,or conference with anyone to fix the bid price of the bidder or any otherbidder, or to fix any overhead, profit, or cost element of the bid price, orof that of any other bidder, or to secure any advantage against the public bodyawarding the contract of anyone interested in the proposed contract; that allstatements contained in the bid are true; and, further, that the bidder hasnot, directly or indirectly, submitted his or her bid price or any breakdownthereof, or the contents thereof, or divulged information or data relativethereto, or paid, and will not pay, any fee to any corporation, partnership,company association, organization, bid depository, or t~ any member or agentthereof to effectuate a collusive or sham bid.

CHILD SUPPORT COMPLIANCE ACT

Under Pub Cont Code. 7110, the contractor acknowledges that:1. The contractor recognizes the importance of child and family support

obligations and shall fully comply with all applicable state and federallaws relating to child and family support enforcement, including, but notlimited to, disclosure of information and compliance with earningsassignment orders, as provided in Chapter 8 (commencing with section 5200)of Part 5 of Division 9 of the Family Code; and

2. The contractor to the best of its knowledge is fully complying with theearnings assignment orders of all employees and is providing the names ofall new employees to the New Hire Registry maintained by the EmploymentDevelopment Department.

NATIONAL LABOR RELATIONS BOARD

Under Pub Cont Code. 10232, the contractor, swears under penalty of perjury,that no more than one final unappealable finding of contempt of court by afederal court has been issued against the contractor within the immediatelypreceding two year period because of the contractor's failure to comply with anorder of a federal court which orders the contractor to comply with an order ofthe National Labor Relations Board.



VIOLATION OF LAW OR A SAFETY REGULATION

Under Pub Cont Code. 10162, the Bidder must complete, under penalty ofperjury, the following questionnaire:

Has the Bidder, any officer of the Bidder, or any employee of the Bidder whohas a proprietary interest. in the Bidder, ever been disqualified, removed, orotherwise prevented from bidding on, or completing a federal, state, or localgovernment project-because of a-violation of law- or a safetyregulation? No

If the answer is yes, explain the circumstances in the following space.

ANTITRUST LAW

Under Pub Con Code. 10285.1, the Bidder declares under penalty of perjuryunder the laws of the State of California that the Bidder Has Notbeen convicted within the preceding three years of any offenses referred to inthat section, including any charge of fraud, bribery, collusion, conspiracy, orany other act in violation of any state or federal antitrust law in connectionwith the bidding upon, award of, or performance of, any public works contract,as defined in Pub Cont Code. 1101, with any public entity, as defined in PubCont Code. 1100, including the Regents of the University of California or theTrustees of the California State University. The term "Bidder" includes anypartner, member, officer, director, responsible managing officer, orresponsible managing employee thereof, as referred to in Section 10285.1.

If the Bidder has been convicted of an offense within the past 3 years, providethe conviction details including the date and ultimate resolution of eachconviction in the space below.

PERMITS, LICENSES, AGREEMENTS, CERTIFICATIONS, AND RAILROADRELATIONS AND INSURANCE REQUIREMENTS

Bidder acknowledges that permits, licenses, agreements, certifications, and therequirements in the document titled "Railroad Relations and InsuranceRequirementsll are components of the Contract under section 5-1.02 of theStandard Specifications.



BIDDER RESPONSIBILITY QUESTIONNAIRE

Failure to truthfully answer the following questions will result in a findingthat the bid is nonresponsive. The Bidder must complete, under penalty ofperjury, the following questionnaire:

1. Within the past 10 years, has the Bidder been found to be a nonresponsiblebidder by any public entity, including federal, State, local, or regionalentities?- --- _. --_.No

2. Within the past 10 years, have any of the Bidder's officers or employeeswith a proprietary interest in the Bidder been determined to be anonresponsible bidder by a public entity, including federal, State, local orregional entities?No

3. Is there any officer or employee of the Bidder who now has or has had anyproprietary interest in another company that bid or bids on public worksprojects whose company has been determined to be a nonresponsible bidder by anypublic entity, including federal, State, loc~l, or regional entities?No

4. If the answer to any of the 3 preceding questions is yes, disclose allpertinent details of the determination of nonrespons.ibility, including:

4.1. Date of each nonresponsibility determination4.2. Name of each public agency issuing the nonresponsibility determination

and a contact person at that agency who would have information about thedetermination

4.3. Contract number for each nonresponsibility determination

END CERTIFICATIONS


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONBIDDER'S BONDDES-OE 0102.3(REV 3/2008)Contract No. 11-002714

Bond No.

We _

____________________ ~ __ as Principal, and

as Surety are bound unto the State of California, Department of Transportation,hereafter referred to as "Obligee", in the penal sum of ten percent (10%) ofthe total amount of the bid of the Principal submitted to the Obligee for thework described below,. for the payment of which sum we bind ourselves, jointlyand severally,

THE CONDITION OF THIS OBLIGATION IS SUCH, THAT:

WHEREAS, the Principal is submitting a bid to the Obligee, forCONSTRUCTION ON STATE HIGHWAY INSAN DIEGO COUNTY IN SAN DIEGO FROM 0.3 MILE SOUTH OF FIESTA ISLAND ROADOVERCROSSING TO 0.5 MILE NORTH OF TECOLOTE CREEK BRIDGEIn District 11 on Route 5for which bids are to be opened at 1727 30th Street, Sacramento CA 95816 on09-24-15.

NOW, THEREFORE, if the Principal is awarded the contract and, within the timeand manner required under the specif~cations, after the prescribed forms arepre~ented to him for signature, enters into a written contract, in theprescribed form, in accordance with the bid, and files two bonds with theObligee, one to guarantee faithful performance (if specified in the contract)of the contract and the other to guarantee payment for labor and materials asprovided by law, then this obligation shall be null and void; otherwise, itshall remain in full force.

In the event a suit is brought upon this bond by the Obligee and judgementis recovered, the Surety shall pay all costs incurred by the Obligee in suchsuit, including a reasonable attorney's fee to be fixed by the court.

Dated : , 20 _

Principal

Surety _

By _

Attorney-in-Fact


Correspondence or claims relating to this bond should be sent to the surety atthe following address:

CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT

State of California

County of

On this

Date

personally appeared

before me,Here insert Name and Title of the Officer

Name(s) of Signer(s)

who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to methat he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s) on the instrument the person(s), or theentity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of Californiathat the foregoing paragraph is true and correct.

WITNESS my hand and official seal

SIGNATURE

Signature of Notary Public

(SEAL)


09-24-15 Al0:27 INCONTRACT NO.

STATEOFCAliFORNIA' DEPARTMENTOFTRANSPORTATIONBIDDER'S BONDOE5-0.E.ot02,3 (REV 312008}

CClnttlld Ne>. 11-002714

Bond No. N/A--------------

We PAL General Engineering, Inc.

_____________________________________ OSPrincipal. and

United Fire & Casualty Company

as Surely are bound unto the Siate of California, Department ofTransportation. hereafter referred to as "Obligee", In the penal sum often percent (10%) of the total amount of the bid Ofthe Principal submitted to the Obligee for lite worl<dascribed below, fOr tha paymentof whichsurn we bind oursalves. joindy and saY8raily,

THE CONDITION OF THIS OBUGAnON IS SUCH, THAT:

WHEREAS, lite Principal Is submitting a bid to the Obligee, for ll-SD-5- R20.3/R21.4, CONSTRUCTION ON STATEHIGHWAYIN SANDIEGO COUNTY IN SANDIEGO ("""Y ""'" "'" na<td._ 01 ""'" __ •os''''''''' on111.prtJPOS01)FROM 0.3MILE SOUTH OFFIESTA ISLAND ROAD OVERCROSSINGTO 0.5MILE NORTH OFTECOLOTECREEKBRIDGE

for which bids are to be opened at_~S~a_c_ra_m_e_n_to~,_C_A _Ilnsen pIlOt wh.,. tlIda WlIf~ oPtntd)

on September 24,2015-------------------- (lnwt-.tJfbldopMl/ngJ

NOW, THEREFORE, if lite Principal is awarded the contreet and, within the 1imeand manner required under thespecliications, after the prescribed fOrmsa", presented to him for signature, enters Into a written contract in the prescribed form, inaccon:lancewith the bid, and files two bondswith the Obligee, one 10guarantee faithful parformance m specified in tha contract) of thacontract and tha other to guarantee payrnentfor labot' and materials as provided by law, than thl. obligation shall be null and VOid;othBlW~a, It snail remain in full force.

In tha event a suil is brought upon this bond by 1I1eObligee and jUdgment is recovered, the Surely shall pay all colie Inounredby tha Obligee in such sUit, Including a reasonable attomsy's lea to ba flxed by lhe OOUIt

Dated: September 22 , 20~_

,

. \ -

SEEATTACHED ACKNOWLEDGMENT< '

PAL General Engineering. Inc.

Signalure

WITNESS my hand and official $881.

ByMat e C. yoor,

CAliFORNIA All-PURPOSE ACKNOWLEDGMENT

}erne;

Correspondence or claims relating to thilibond $/lOuld be sent to the surety at thefollowing address:

United Fire & Casualty Company118 Second Avenue SECedar Rapids, IA 52407

ofCeUfohiie

On this---~---DiiOparsonally appeared

(SEAl)

who provad to me on tha basis of satisfactory avidence to be tha sa nama<" ISiaresUbscribed to the within instrUmentand acknowiedged io me that he/-.y exeeute<lthB same Inhi_ ~ed capaclty(lH), and that by hiSilleflllleitSlgnature(~)on the instrument the person~, or thB entity upon behaWof which the

t certify under PENAl.TY OF PERJURY under the laws of the S!eta OfCalifornia that the foreljOl

ADA Noll' For'liidlYidUals With sensory dlUblfltiea, ttla docUment Is available In litemale fOrmatS. F~ InfOfrnatiOrjcall ($16) $54-641Q or TOD (918) 654-3880 or

. ce wrtte RecordS and Forma Mln.gement. 1120 N Street. MS..s9. sacramento, CA 95814,

09-24-15 Al0:27 IN

ACKNOWLEDGMENT

A notary public or other officer completing thiscertificate verifies only the identity of the individualwho signed the document to which this certificate isattached, and not the truthfulness, accuracy, orvalidity of that document.

State of CaliforniaCounty of San Diego

On September 22, 2015 before me, Kathy Scheuerman, Notary Public(insert name and title of the officer)

personally appeared Matthew C. Gaynorwho proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aresubscribed to the within instrument and acknowledged to me that he/she/they executed the same inhis/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument theperson(s), or the entity upon behalf of which the pers on(s) acted, executed the instrument.

I certify under PENALTY OF PERJ URY under the laws of the State of Cali fomia that the foregoingparagraph is true and correct.

WITNESS my hand and official seal.

Signature IttJ.;/;h.cf 3dJeu.eA YULUL.. (Seal)

~

• KATHY SCHEUERMAN_ .ft.:,'-" . CommISSion # 2062091~ :~__, Notary Public . California ~Z' San Diego County _

J .• '•••• MlSOT"l :x~r:stAaI2.a}q1~1

09-24-15 Al0:28 IN

CLIENT COpy CONTRACT NO.

STATE OFCALIFORNIA ' DEPARTMENT OFTRANSPORTATIONBIDDER'S BONDDEs-DE.(l102,3 (REV 3120081

ConttactNQ. 11-002714

Bond No. N/A------------We PAL General Engineering. Inc.

as principlil, and-------------------------------------United Fire & Casualty Company

as Surety are bound unlo the Stale of Caliiomia, Department of Transportation, heraa~r referred 10 11$'Obligee', in the penal eum often percent (10%) of the total amount of the bid ofltls Principal submitted to the ObliQOOfOr the wor1<described below, fOr the paymentof which sum we bind ourseJves. jOintly andssverally-,

1lfE CONDITION OF 1lfIS OBUGATION IS SUCH. 1lfAT:

WHEREAS, ltIe Principal Is submitting a bid to the Obligee, fOr II-SD-S-R20.3/R21.4; CONSTRUCTION ON STATE HIGHWAYIN SAN DIEGO COUNTY IN SAN DIEGO (<:opy"""""""""_01 •• ", 111<1__ .••• '_ •.•on""""""'0FROM 0.3 MILE SOUTH OF FIESTA ISLAND ROAD OVERCROSSING TO 0.5 MILE NORTH OF TECOLOTE CREEK BRIDGEfOr which bids are to be opened at __ S_a_c_ra_m_e_n_to~._C_A ~_

,,"""'- wtlero •••• wllJbe __ ~~~~ __ ~_~_~~_~_~~~_ on September 24. 2015

(1nHtt date Ofbld opening)

NOW, THEREFORE. W the PrinCipal is awarded the contracte,;d, within the time and manner required under thespeciflca1ions, altar the prescribed fOrms are presented 10him fO,signature, enters into a written contract, in the prescribed Iorm, inaCCOldance with 1IIe bid, and files two bonds with the Obligee, one to guarantee f1iithf\l1 performance (W speCified in the contract) of thecontract and tha other to guarantee payn1entfOr labOr and materials as provided by law, then this obligation shall be null and void;othelWise, It Shall remain in full force.

In the event a suit is brough1 upon this bond bY the Obligee andjud9'T'ent is recovered, the Surety shall pay all cosio Incurredby the Obligee In suell sUi1, including a raasonsbleatlomsy's lee to be fixed by the court.

Dated: September 22 .20~.

PAL General Engineering, Inc.correspondence or claimS relating tei thiSbond should be sent to the su,ety at thefollowing address:.

United Fire & Casualty Company118 Second Avenue SECedar Rapids, IA 52407

Marla Jahshan, PreSident Prh'u;iP4J

United Fire & Casualty CompanySUIOly

ByM'~at-th~e-w-C~.G~a-y-n-o-r,~-~--~~~. ~---------

CALIFORNIA ALL-PURPOSEACKNOWlEDGMENTState 01CSlifOhiia }

__ ~_~~~~ __ ~_ SEE ATTACHED ACKNOWLEDGMENTCounty of

On this beloreme;---Defo~--~ ----------_-~_-~_--_-Tiiiii=-of~""'~~om~~_----------

personallyappeared -_~ __ - _-(S) of.Sipr(')

who proved 10me on the basis of satislactory &\Iid"nee to be tl1eperson") whOse name(J) isiaresubscribed to tho within inlltnJmentand acknowledged 10me that heJohoItheY executed the saiTle In hls!llei'lll'loit authorizedcapaCity( •••• ). and that by hlsillarllheirsignature(j) on the instrument tho person(Jl. or the entity upon behalf of which the personlS) a~ exeouled the inatnJmant

t certify under PENALTY OF PERJURY under the laws of the State of CalifOrnia that the fOregoihg paragraph is true and correct.

WITNESS my hand and offIclal seal.

(SEAl)Signature _

SJgnatulW' (J/ NotarY Public

ADA:NotIt8 For Ii'idlvldUals with:8enSOl'Y dtsabIIltiM. this ,document"/Savallat* in Iltemate~. FrJiI infofmatjon. call (916) 6s+&410 or TOO (91B) 654-3880 OfWI'tte RecordS and Forma Management,,1120 N.Street MS--89. SlCI'Imerrto, CA ~4.

Inquiries: Surety Department118 Second Ave SE

Cedar Rapids, IA 52401

Mary A. Bertschlow" Notarial Seal

Commission number 713213My Commission Expires 10/2612016

UNITED FIRE & CASUALTY COMPANY, CEDAR RAPIDS;IAUNITED FIRE & INDEMNITY COMPANY, WEBSTER, TXFINANCIAL PACIFIC INSURANCE COMPANY, ROCKLIN, CA

CERTIFIED COPY OF POWER OF ATIORNEY(original on file at Home Office of Company - See Certification)

KNOW ALL PERSONS BY THESE PRESENTS, That UNITED FIRE & CASUALTY COMPANY, a corporation duly organized and existing underthe laws of the State of Iowa; UNITED FIRE & INDEMNITY COMPANY, a corporation duly organized and existing under the laws of the State ofTexas; and FINANCIAL PACIFIC INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of California(herein collectively called the Companies\. and havine their corporate headquarters in Cedar Rapids, State of Iowa, does make, constitute and appoint .DANIEL FRAZEE, DR KIM VASQU~L, OR MAtTHEW C. GAYNOR, ALL INDIVIDUALLY of SANTeE CA

their true and lawful Attorney(s)-in-Facl with power and authority hereby conferred to sign, seal and execute in its behalf all lawful bonds, undertakingsand other obligatory instruments of similar nature provided that no single obligation shall exceed $50,000,000.00and to bind the Companies lhereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of lhe Companiesand all of the acts of said Attorney, pursuant to the authority hereby given and hereby ratified and confinned.

The Authority hereby granted shall expire the 12th day of December, 2016 unless sooner revoked • byUNlTEDFIRE&CASUALTY COMPANY, UNITED FIRE & INDEMNITY COMPANY, AND FINANCIAL PACIFIC INSURANCE COMPANY.

This Power of Attorney is made and executed pursuant to and by authority of the following bylaw duly adopted on May IS, 2013, by the Boards ofDirectors of UNITED FIRE & CASUALTY COMPANY, UNITED FIRE & INDEMNITY COMPANY, and FINANCIAL PACIFIC INSURANCECOMPANY. "Article VI - Surety Bonds and Undertakings"

Section 2, Appointment of Attorney-in-Fact. "The President or any Vice President, or any other officer of the Companies may, from time totime, appoint by written certificates attorneys-in-fact to act in behalf of the Companies in the execution of policies of insurance, bonds,undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby, and the Corporate sea~ may beaffixed by facsimile to any power of attorney or special power of attorney or certification of either authorized hereby; such signature and seal,when so used, being adopted by the Companies as the original signature of such officer and the original seal of the Companies, to be valid andbinding upon the Companies with the same force and effect as though manually affixed. Such attorneys-in-fact, subject to the limitations setforth in their respective certificates of authority shall have full power to bind the Companies by their signature and execution of any suchinstruments and to attach the seal of the Companies thereto. The President or any Vice President, the Board of Directors or any other officer ofthe Companies may at any time revoke all power and authority previously given to any attorney-in-fact.

~,,'\Imlllill ~,,\\I\~lg:1:1I111. ""<III";:;"'",, IN WITNESS WHEREOF, the COMPANIES have each caused these presents to be signed by its$"~~~~ ~~~." ">f~ /~~:'J,~~o/t:;"f';;.%vice president and its corporate seal 10 be hereto affixed this 12th day of December, 2014if colU'OlVr.n\~~ g2 COltPOIlATEl~ [3/$ ~\lt.¥~ ~\~\ UNITED FIRE & CASUALTY COMPANY;!;i _e_ ~$ %~ -~-;- E~~\\" 1m ..J}l UNITED FIRE & INDEMNITY COMPANY\.& SUL (I.:! o;.~'t.~#.-.•.•.,.~,f %,::....."!.{!f.P~";~"f',/ FINANCIAL PACIFIC INSURANCE COMPANY

"'11. JO•.~"",," "'J,-'~"'f ~". '..", ,,*"-"'IIUII\lI\\ 11I/lIIml" """"1111"'" By: 9-~ 12.- fl:cfl..._ .•

State of Iowa, County of Linn, ss: ., V lee P;esidentOn 12th day of December, 2014, before me personally came Denn1s J. R1chmannto me known, who being by me duly sworn, did depose and say; that he resides in Cedar Rapids, State oflowa; that he is a Vice President of UNITEDFIRE & CASUALTY COMPANY, a Vice President of UNITED FIRE & INDEMNITY COMPANY, and a Vice President of FINANCIAL PACIFICINSURANCE COMPANY the corporations described in and which e~ecuted the abQve instrument; that he knows the seal of said corporations; that theseal affIXed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporationsand lhat he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporations. .

- 'A~~ Notary Public

My commission expires: 10/26/2016

I, D.vid A. Lange, Secretary of UNITED FIRE & CASUALTY COMPANY lU).dAssistant Secretary of UNITED FIRE & INDEMNITY COMPANY,and Assistant Secretary of FINANCIAL PACIFIC INSURANCE COMPANY, do hereby certify that I have compared the foregoing copy oftbe Powerof Attorney and affidavit, and the copy of the Section of the bylaws and resolutions of said Corporations as set forth in said Power of Attorney, with theORIGINALS ON FILE IN THE HOME OFFICE OF SAID CORPORATIONS, .nd that the same are correct transcriptS thereof, and ofthe whole of thesaid originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. '

In testimony whereof I have hereunto subscribed my name and affixed the corporate seal of the said Corporationsthis 22nd day of September ,2D.J...5........

BPOA0045 Oti5

• •

O~'-:2A-15 fIl.O:27" . I,~ ,~

IN

By:/1y#.~Secrelary, UF&CAssistant Secretary, UF&lIFPIC

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