CALTRANS 4 STATE OF CALIFORNIA DEPARTMENT OF ... · PDF filecaltrans state of california...

CALTRANSSTATE OF CALIFORNIA

DEPARTMENT OF TRANSPORTATIONBID FOR

CONSTRUCTION ON STATE HIGHWAY INSOLANO COUNTY. AT VARIOUS LOCATIONSIn District 04 on Route 12, 37, SO, 113, 505, 6S0, 7S0

UNDER

Notice to Bidders and Special Provisions dated September 21, 2015Project plans approved June 1, 2015Standard Specifications dated 2010Standard Plans dated 2010

Identified by

Contract No. 04-2J1604

04-S01-12, 37, SO, 113, 505, 6S0, 7S0-Var

Project ID 0414000433

FEDERAL-AID PROJECTACNHP-X095 (02S)E

4

Bids open Wednesday, October 14, 2015 Dated September 21, 2015

AADD


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 04-2J1604 Project ID: 0414000433Bidder Name:FBD Vanguard ConstructionBID TO THE DEPARTMENT-OF-TRANSPORTATIONDES-OE-OI02.1

Name of Bidder FBD Vanguard ConstructionBusiness Street Address 651 Enterprise Court(Include even if P.O. Box is used)Business P.O. BoxCity, State, Zip Livermore, California, 94550Telephone No: AREA CODE 925-245-1300Fax No: AREA CODE 925-245-1007Contractor License No. 833032Public Works Contractor Registration No. 1000008493Checksum 83A135EF

Bidder ID:VCOOOOOI7387

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 additionally agrees to perform the non+plant establishmentwork within the number of working days bid for non+plant establishment

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

09-30-15 Revise Federal Minimum Wages,

3. Bidder submits this bid with one of the following forms of bidder's securityequal to at least 10 percent of the bid: Electronic 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:Dominic Sposeto ANDTITLE OF PERSON SIGNING:CEO

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

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 04-2J1604 Project ID: 0414000433Bidder Name:FBD Vanguard Construction Bidder ID:VC0000017387

BID ITEM LIST+------------------------------------------------------------------------------+I Estimated I I 1I Item Item Item I Quantity Unit Price I Item Total II No. Code Description IUni t of 1 .1_I IMeasure I I+---------------------------------------------- -------------------------------+1 1120090 CONSTRUCTION I I I11 1AREA SIGNS I LUMP SUM LUMP SUM I 56,405.001I 1 I LS 1 1+---------------------------------------------- ---------------- --------------+I 1120100 TRAFFIC CONTROL 1 I12 ISYSTEM I LUMP SUM LUMP SUM 118,580.001I I I LS I+---------------------------------------------- ---------------- --------------+I 1128652 PORTABLE I I13 ICHANGEABLE MESSAGE SIGN I LUMP SUM LUMP SUM 5,235.00 II I (LS) I LS I+---------------------------------------------- ---------------- -------------~+I 113 0100 JOB SITE I I14 IMANAGEMENT I LUMP SUM LUMP SUM 28,330.001I 1 I LS I+---------------------------------------------- ---------------- --------------+I 1130200 PREPARE WATER I I15 IpOLLUTION CONTROL 1 LUMP SUM LUMP SUM 1 6,015.001I IPROGRAM I LS I I+---------------------------------------------- -------------~-----------------+I 1146002 CONTRACTOR-SUPPLI I 116 lIED BIOLOGIST (LS) I LUMP SUM LUMP SUM I 40,700.001I I I LS I I+---------------------------------------------- -------------------------------+I 1150755 REMOVE SIGN I I I17 ISTRUCTURE WALKWAY (EA) I 31.0 2,815.001 87,265.001I I lEA I I+------------------------------------------------------------------------------+I 1568016 INSTALL SIGN I18 IPANEL ON EXISTING FRAME 8,230.0 7.77 63,947.101I I SQFT 1+-------------------------------- ------------- ---------------- --------------+I 1029717 FURNISH FORMED I19 IPANEL SIGN (OVERHEAD) 3,890.0 16.10 62,629.001I I FOR RETROREFLECTIVE II ISHEETING (TYPE XI) SQFT I+-------------------------------- ------------- ---------------- --------------+I 1029718 FURNISH 1110 ILAMINATED PANEL SIGN 4,340.0 27.27 118,351.8011 I (l"-TYPE A) FOR II IRETROREFLECTIVE SHEETING 1I I (TYPE XI) ISQFT I+---------------------------------------------- ---------------- --------------+I 1029719 RETROREFLECTIVE I I I111 ISHEETING (TYPE XI) 1 8,230.01 5.08 41,808.401I I ISQFT I I+--------------------------------------------------------------- --------------+



BID ITEM LIST+--------------------------------7---------------------------------------------+1 Estimated 1 1 I1 Item Item Item 1 Quantity Unit Price I Item Total 11 No. Code Description 1Unit of I II 1Measure 1 1+---------------------------------------------- -----------------------~-------+1 1860508 MODIFY SIGN I 1112 1ILLUMINATION LUMP SUM LUMP SUM 1 90,200.00 II I LS 1 1+---------------------------------------------- -------------------------------+1 1029720 REMOVE I 1113 1ELECTRICAL SYSTEM LUMP SUM LUMP SUM 1 5,500.00 I1 I LS 1 I+---------------------------------------------- -------------------------------+1 1999990 MOBILIZATION 1 1114 1 LUMP SUM LUMP SUM 1 50,000.001IlLS 1 I+---------------------------------------------- -------------------------------+1 1 1I 1 Total Bid $774,966.30 1+------------------------------------------------------------------------------+



DES-OE-0102.2C (REV 03/2015)

Bidding Firm: FBD Vanguard Construction

List this sub? Yes

1) Business Name CONSTRUCTION AREA SIGNS, INC.Location City NEWCASTLE State CACalifornia Contractor License Number 442645Public Works Contractor Registration Number 1000001337Portion of Work Subcontracted:

Item %1 100 CONSTRUCTION AREA SIGNS

List this sub? Yes

Description

2) Business Name GALLAWAY ENTERPRISESLocation City CHICO State CACalifornia Contractor License NumberPublic Works Contractor Registration NumberPortion of Work Subcontracted:

499441000001952

Item % Description6 100 CONTRACTOR-SUPPLIED BIOLOGIST (LS)

List this sub? Yes

3) Business Name COLUMBIA ELECTRIC, INC.Location City SAN LEANDRO State CACalifornia Contractor License Number 765902Public Works Contractor Registration Number 1000001478Portion of Work Subcontracted:

Item %12 100 MODIFY SIGN ILLUMINATION13 100 REMOVE ELECTRICAL SYSTEM

Description


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 04-2J1604 Project ID: 0414000433Bidder Name:FBD Vanguard Construction Bidder ID:VC0000017387DES-OE-0102.2C (REV 03/2015)

Bidding Firm: FBD Vanguard Construction

List this sub? Yes

4) Business Name KRC SAFETY CO., INC.Location City VISALIA State CACalifornia Contractor License NumberPublic Works Contractor RegistrationPortion of Work Subcontracted:

507950Number 1000004730

Item %2 100 TRAFFIC CONTROL SYSTEM

Description

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 04-2J1604 Project ID: 0414000433Bidder Name:FBD Vanguard Construction Bidder ID:VC0000017387OPT 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.: 04-2J1604 Project ID: 0414000433Bidder Name:FBD Vanguard Construction Bidder ID:VC0000017387SMALL BUSINESS STATUSDES-OE-0102.4(REV 3/2008)

Are you certified as a "Small Business" by the Office of Small Business.and 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.


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 04-2J1604 Project ID: 0414000433Bidder Name:FBD Vanguard Construction Bidder ID:VCOOOOOI7387

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 th~ 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," 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.

5.1£ the organization filing the report in item 4 checks "Suhawardee," 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.: 04-2J1604 Project ID: 0414000433Bidder Name:FBD Vanguard ConstructionDISCLOSURE OF LOBBYING ACTIVITIES

Bidder ID:VC0000017387Approved 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 ,if 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)

--------------------------------------------------------------------------------Contract No. 04-2J1604


EQUAL EMPLOYMENT OPPORTUNITY REGULATION CERTIFICATION

Bidder FBD Vanguard Construction, 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 dueunder 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-1) 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.


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 04-2J1604 Project ID: 0414000433Bidder Name:FBD Vanguard Construction Bidder ID:VCOOOOOI7387

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

Bidder, under penalty of perjury, certifies that, except as noted below, it orany 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

NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BIDUnder PCC 7106 and 23 USC 112, the bidder declares as follows:State of CA County of AlamedaName Dominic Sposeto,being first duly sworn, deposes and says that he or she isCEO ofFBD Vanguard Constructionthe 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 corporationi 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 otherbidderl 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 to 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.


STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract NO.: 04-2J1604 Project ID: 0414000433Bidder Name:FBD Vanguard Construction Bidder ID:VC0000017387

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 IIRailroad Relations and InsuranceRequirementsTl 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, local, or regional entities?No

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

4.1. Date of each nonresponsibility determination .4.2. 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. 04-2J1604

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 severallYt

THE CONDITION OF THIS OBLIGATION IS SUCH, THAT:

WHEREAS, the Principal is submitting a bid to the Obligee, forCONSTRUCTION ON STATE HIGHWAY INSOLANO COUNTY AT VARIOUS LOCATIONSIn District 04 on Route 12, 37, 80, 113, 505, 680, 780for which bids are to be opened at 1727 30th Street, Sacramento CA 95816 on10-14-15.

NOW, THEREFORE; if the Principal is awarded the contract and, within the timeand manner required under the specifications, after the prescribed forms arepresented 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

before me,

Here insert Name and Title of the Officer

personally appeared _ ~ ...__. _

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)


ContractBid Bond(OOO)10/212015

Bond Details

Principal

Bond Details for: Bid BondStatus: In Effect

Bond Fonn: CA DOT eBond Bid Bond Only UP 3-15 (Bid Bond)Current Effective Date: 10/2/2015

Expiration Dale: 12/3112015Subsidiary: FBD Vanguard Construction, Inc.o . f Construction on State Highway in Solano County atescnp Ion: Various Locations

Contract Date:Type of Bond:

SAACode:Initial Effective Date:

Name: FBD Vanguard Construction, Inc.Address: 651 Enterprise Court

Livermore, CA 94550State of Incorporation: CA

Page I of I

Obligee

Agency Information

Bond Form Custom Fields

Name:Address:

State of Obligation:Obligee Type:

Agency:Site:

Attorney-in-fact:State of Execution:

California Department of Transportation

CACAunknown

Andreini & CompanyAndreini & Company (San Mateo, CA)Kathleen EarleCA

Bid Location:Contract 10 No. Required for Electronic Bidding:

Contractors 10 No. Required for Electronic Bidding:

Other InformationProject, Invitation or Bid Number:

Bid Date:Bid Bond Amount:SurePath 10 (Long):

Bond Validation Number(BVN):

Issuing CarriersTravelers Casualty and Surety Company of America

Bond Number:Premium Amount:State Surcharge:Municipal Tax:

Comments

Sacramento04-2J1604VC0000017387

04-2J160410/141201510%(680A77E9-COA5-4DBB-A69A-9D367064FDC4)

7QFF-P9KR-6SM3-3BDB E-Mail BVN

Bid Bond$0.00$0.00$0.00

https://www.insurevision.com/surepath/sp2BondDetails.asp?BondID={ 680A 77E9-COA5-... 10/1512015

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