Tuxedo Avenue Sewer Rehabilitation Project

DEPARTMENT OF PUBLIC WORKS

BID FORMS

FOR

TUXEDO AVENUE SEWER REHABILITATION PROJECT

PROJECT NO. M04014

(CLEAN WATER STATE REVOLVING FUND PROJECT NO. C-06-7085-110)

PLEASE USE BLACK INK WHEN YOU

PREPARE THESE FORMS

DO NOT DETACH ANY OF THIS MATERIAL

THIS CONSTITUTES YOUR BID PROPOSAL

SUBMIT ONE ORIGINAL OF THIS BID PROPOSAL

Mandatory Job Walk:None

BID OPENING:Thursday, April 3, 2014, 2:00 p.m

BIDDER'S NAME:

BIDDER’S CHECKLIST/AGREEMENT

CITY OF STOCKTON PUBLIC WORKS DEPARTMENT

In submitting this bid as herein described, the bidder agrees that:

They have carefully examined the specifications and all other provisions of this form and understand the meaning, intent, and requirements of same.

Reviewed and understand all Questions/Answers/Clarifications on the City website at

prior to submitting bid.

Completed and properly signed the proposed Subcontractor List.

Signed the NonCollusion Declaration form.

Reviewed and properly signed the Certificate of Non-Segregated Facilitiesform.

Reviewed and properly signed the DBE forms (DBEForm 1 and Form 2, EPA Form 6100-2, EPA Form 6100-3 and EPA Form 6100-4).

Advised all subcontractors of prevailing wage rate requirements (David-Bacon Act)

Included 10% bidder’s security (bidder’s bond, certified or cashier’s check).

Submitted company name and contact information to

Attended Job Walk, if mandatory. None

Submitted one (1) ORIGINAL of all bid documents.

Deliver sealed bid to City Hall, City Clerks Office (1st floor), 425 N. El Dorado Street, Stockton, CA 95202 before Thursday, April3, 2014, 2:00 p.m. Sealed bid shall be marked "BID" and indicate project name, number, and bid opening date. Please note that some overnight delivery services do not deliver directly to the City Clerk's Office. This could result in the bid arriving in the City Clerk's Office after the bid opening deadline and therefore not being accepted.

NOTE:Bids are invalid which are unsigned, or not accompanied by 10% bid deposit or abidder’s bond, signed by both the bidder and the surety. If erasures of interlineations appear on your bid form, they must be initialed by the person preparing the bid.

FIRMADDRESS

CONTACT PHONE AND FAX NUMBERE-MAIL ADDRESS

PRINTED NAMETITLE OR AGENCY

SIGNATUREDATE

BID FOR PUBLIC WORK

CITY OF STOCKTON

Stockton, CA, 20

TO THE HONORABLE CITY COUNCIL OF THE CITY OF STOCKTON:

Pursuant to your Notice Inviting Sealed Bids, I, we, or either of us:

(State whether individual, firm, corporation, association, or copartnership)

hereby offer (and hereby promise and agree in case this bid is accepted) to furnish all labor, material, equipment and supplies necessary to complete the work mentioned in said Notice Inviting Sealed Bids in strict accordance with the plans and specifications for said work to be done and labor, materials, and equipment and supplies to be furnished, which plans and specifications are on file in the office of the City Clerk of the City of Stockton and made part hereof by reference, the same as if herein fully set out, at the following rates and prices, towit:

TUXEDO AVENUE SEWER REHABILITATION PROJECT

PROJECT NO. M04014

(CLEAN WATER STATE REVOLVING FUND PROJECT NO. C-06-7085-110)

B I D D I N G S C H E D U L E

Each bidder shall bid each item, including all alternate bid(s). Failure to bid an item shall be just cause for considering the bid as non-responsive. Line item costs should include all Contractor’s overhead and profit and indirect costs. Bids not presented on City forms shall be cause for considering the bid as non-responsive. If the City awards the contract, the award is made to the lowest responsible bidder.

TOTAL BID

BIDDER’S NAME

The undersigned agrees that if this bid is accepted, he/she will contract with the City of Stockton in the form of contract attached hereto to perform all of the work in accordance with the contract and the drawings, specifications, and other documents incorporated therein; that he/she will take in full payment therefor, and for all other obligations assumed under the contract, the prices set forth in the following bid schedule except as otherwise provided in the specifications; and that he/she will execute such contract and furnish the required contract bonds in the manner and within the time provided in the bidding requirements and conditions. The undersigned further agrees that he/she has carefully examined the site of the work and the bid documents and any addenda thereto, and is fully informed of the nature and location of the work, the quantities of the work, and the conditions to be encountered in performing the work; that the only parties interested in this bid as principals are those named herein and that this bid is made without collusion with any other party; and that this bid is submitted in all respects in accordance with the bidding requirements and conditions and all other requirements of the bid documents.

A bid guaranty accompanies this bid in the form of: (Check one of the following)

Cash, or

Cashier's check, or

Certified check payable to City of Stockton, or

Bidder's bond in favor of the City.

For any amount not less than ten percent (10%) of the aggregate of the bid.

Also accompanying this bid are the following attachments, properly executed and signed:

1.List of Subcontractors to be used in the work

2.NonCollusion Affidavit

The City reserves the right to reject any and all bids

Name of FirmPhone Tax I.D. No.

AddressCity StateZip

ContractorLic. No. & ClassificationExpiration Date

NOTE - State law requires bidders on public agency contracts to include on their bid: (1) their State contractors license number, (2) the license expiration date, and (3) a statement that the representations made therein are made under penalty of perjury. The law further states that "Any bid not containing this information, or bid containing information which is substantially proven false shall be considered non-responsive and shall be rejected by the public agency."

THE REPRESENTATIONS MADE HEREIN ARE MADE UNDER PENALTY OF PERJURY

BIDDER SIGN

 HERE

SIGNATURE TITLE

LIST OF SUBCONTRACTORS

GENERAL CONTRACTOR:

PROJECT:

PLEASE LIST BELOW ALL SUBCONTRACTORS CONTRIBUTING TO THIS WORK

Each bidder shall give the name, business address, description of the work, and the dollar amount to be PAID the subcontractor, for each subcontractor that will be used on the project, if the Bidder is awarded the contract. Only subcontractors with work in excess of one-half of one percent (0.5%) of the Bidder's total bid need to be listed. All work in excess of one-half of one percent (0.5%) of the Bidder's total bid, for which a subcontractor is not listed on this form, shall be performed by the Bidder's own organization. Additional numbered pages listing proposed subcontractors may be attached to this page. Each page shall be headed "Proposed Subcontractors" and shall be signed by the Bidder.

MUST PRINT LEGIBLY OR TYPE

NAME BUSINESS ADDRESS TYPE OF WORKAMOUNT ($)

 BIDDER SIGN HERE

SIGNATURE OF BIDDER

NONCOLLUSIONDECLARATION

(Title23UnitedStatesCodeSection112andPublicContractCodeSection7106)

TotheCITYofSTOCKTONDEPARTMENT OFPUBLIC WORKS.

Theundersigned declares:

Iamthe,of,thepartymakingtheforegoingbid.

Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation. Thebidisgenuineandnotcollusiveorsham. Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbidderto putinafalseorshambid. Thebidderhasnotdirectlyor indirectlycolluded,conspired,connived,oragreedwithanybidderoranyoneelsetoputinashambid,ortorefrainfrombidding. Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder. Allstatementscontainedinthebidaretrue. Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.

Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limited liabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.

IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedon ______at (city), _____ (state).

______

(Signature)

CERTIFICATE OF NON-SEGREGATED FACILITIES

We, ______(Company)

Certify that we do not and will not maintain or provide for our employees any segregated facilities at any of our establishments, and that we do not and will not permit our employees to perform their services at any location, under our control, where segregated facilities are maintained. We understand and agree that breach of this certification is a violation of Equal Opportunity clause required by Executive Order 11246, amended.

As used in this certification, the term "segregated facilities” means any waiting rooms, work areas, rest rooms and wash rooms, 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, creed, color, or national origin, because of habit, local custom or otherwise.

We further agree that (except where we have obtained identical certifications from proposed Subcontractors for specific time periods) we 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; that we will retain such certification in our files; and that we will forward the following notice to such proposed Subcontractors (except where the proposed Subcontractors have submitted identical certifications for specific time periods).

NOTICE TO PROSPECTIVE SUBBUILDERS OF REQUIREMENT FOR CERTIFICATION OF NON-SEGREGATED FACILITIES. A certification of Non-segregated facilities as required by the 9 May 1967 order on Elimination of Segregated Facilities, by the Secretary of Labor (32 Fed. Reg. 7439, 19 May 1967), must be submitted from the provisions either for each subcontract or for all subcontracts during a period (i.e. quarterly, semi-annually, or annually).

NOTE: Whoever knowingly and willfully makes any false, fictitious or fraudulent representation may be liable to criminal prosecution under 18 U.S.C. 1001.

______

(Name of Company)

By:______

Date: ______

Title:______