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1993-0518_EMPIRE PIPE CLEANING & EQUIPMENT_Bid Proposal • BID PROPOSAL SANITARY SEWER LINE MAINTENANCE From: EMPIRE PIPE CLEANING & EQUIPMENT, INC . CONTRACTOR To the Honorable City Council City of San Juan Capistrano Gentlemen: The undersigned, as bidder, declares that he has carefully examined the location of the proposed work as described, examined the Specifications and General Provisions, read the Instructions to Bidders, and is familiar with all proposal requirements, and hereby proposes and agrees, if the proposal is accepted, to complete said contract in accordance with the Contract Documents for the following: 1 . Cleaning of City Sewer and Drainage Lines - Unit Price Per Linear Foot Unit Price . 12 • 2 . Sewer and Drainage Line Cleaning leaning - Hourly Rate $/Hr $/Hr In Figures In Words Cost, per Crew, to do sewer and drainage line cleaning or other related work as directed by City c;5 . 00 Ninety- Staff. Work to be performed between Five the hours of 4am and 5pm, Monday Dollars thru Friday. Price shall include all labor, material, trucks, equipment and disposal costs. • 3 3 . Emergency Work - Hourly Rate 1111 $/Hr $/Hr In Figures In Words Cost to do sewer and drainage line cleaning, or other sewer work as directed by City Staff, at hours other than as stated in Item 2 above. Price shall include all labor, material , trucks, equipment and disposal costs. Unit Price Per Hour FOR FIRST TWO HOURS. 95 . 00 Ninety- Five Dollars Unit Price Per Hour FOR EACH HOUR 85 . 00 Ninety- THEREAFTER. Five Dollars Please indicate below the equipment and number of personnel included in the quoted rates for Items 2 and 3 above: High Velocity Water Jets 2 Man CreT:' • Please indicate below the hourly rate for any specialized equipment not included in the above definition. The rates quoted below shall be for equipment and operator (or operators) as required. Hourly Rate Hourly Rate Equipment Description Routine Emergency Vactor Model 810 140 . 00 140 . 00 TV Inspection Unit 105 . 00 105 . 00 • 4 Said amounts are to include and cover all taxes, the performing of 1111 all the labor requisite or proper and the providing of all necessary machinery, tools, apparatus, and other means of maintenance; also, the performance and completion of all the work in the manner set forth, described and shown in the Specifications for the work. All prices quoted above shall include removal and disposal of all material , such as sludge, grease, water, mud, roots, etc. , from the project sites. All prices quoted above shall include traffic control if required by City. Contractor will not be required to pay for permits on City projects. If the contract is awarded, the undersigned agrees to enter into a contract with the City and to commence work within fifteen (15) calendar days from the date of execution thereof. It is anticipated that the date to commence work shall be July 1, 1993 . It is understood that the city reserves the right to increase or decrease the frequency of any item or portion of the work or to omit portions of the work as may be deemed necessary by the Director of Public Lands and Facilities. The contract amount shall be adjusted to reflect these changes. It is also understood by Bidder that the City of San Juan Capistrano has the right to reject this proposal or to award a contract to the undersigned at the prices stipulated. • Signature of Bidder: �G /4'✓ Cif 11,-(94770-_, Patricia A. Thomas , President (If an individual, so state. If a firm or co-partnership, state the firm name and give the names of all individual co-partners composing the firm: President, Secretary, Treasurer, and Manager thereof. ) Dated: 5-18-93 P . O . Pox 8035 , Anaheim, CA 92812 Business Address Dated: 5-18-93 714-639-8352 Telephone Number Further, the undersigned bidder certifies that he has thoroughly checked the figures set forth in this proposal, that they are correct to the best of his knowledge and that they constitute his proposal for the work called out herein. Dated: 5-18 93 P . O . Box 8035 , Anaheim, CA 92812 • Business Address Dated: 5-18-93 714-639-8352 Telephone Number 5 NON—COLLUSION AFFIDAVIT (TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID) 0 STATE OF CALIFORNIA ) ss. County of Orange ) Patricia A . Thomas , being first duly sworn deposes and says that she is President of Empire Pipe Cleaning & Equipment , Inc . the party making the foregoing bid; that such bid is not made in the interest or on behalf of any undisclosed person, partnership, company, association, organization, or corporation; that such bid is genuine and not collusive or sham; that said bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that any one shall refrain from bidding; that said bidder has not in any manner, directly or indirectly, sought by agreement, communication or conference with any one to fix the bid price of said bidder or of any other bidder, or to fix the bid price of or cost element of Such hire r.rir•c nr r.f tt•. * .-.c - _...L__ L: .a.,,. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5193 �'�11-`'�titi1ti��1\1ti" �'�\'�1�.-\'�titi'�1-\'�'�'�ti'�titi'�1'X11\'`ti"\11ti'�111ti•`'�1\"�1\.1'�'`'`'t11"'`^`11til\'\1ti"�ti-`'`~"'�1/1'`1'�1� r State of �;�iL : Illi OPTIONAL SECTION �� 1 1 CAPACITY CLAIMED BY SIGNER r rC Though statute does not require the Notary to / fCounty of (�� fill in the data below, doing so may prove I 1 - invaluable to persons relying on the document. 1 On SAS -415 before me;O a LOA' VLLP ( 130-A1-471 Y i °(,V / f DATE n NAME,TITLE OF OFFICER-E.G.,"JANE DOE,NOTARY PUBLIC" GOR O ATE OFFICER(S)r IX) - ' 1 D 6-I3 f personally appeared 1 �-��' I Y� ME(S)OF SIGNER(S) TITLE(S) 1 f \ PARTNER(S) LIMITED f f [�proved to me on the basis of satisfactory evidence fto be the person whose name(V isfa-e- 0 GENERAL l fsubscribed to the within instrument and ac- 0 A ORNEY IN FACT knowledged to me that f°te/she/they-executed ❑TRU TEE(S) 1 4 the same in his/her/t-Itcr'r authorized ❑GUARD ••N/CONSERVATOR 1 capacity(ioc), and that by-hts/her/#,�re+r ❑OTHER: r) • PATRICIA K LANE signature(V on the instrument the person ), j COMM.1l960335 z f fq Notarypub � p or the entity upon behalf of which the fi ` !'.'• ORANGE COUNTY person(,) acted, executed the instrument. f tI 7 My .expires MAR 12.1996 SIGNER IS REPRESE G: t f WITNESS my hand and official seal. NAME OF PERSON(S)OR ENTITY(IES) / t om; fib, eAti0G a-Via4• f 1 SIGNATURE OF NOTARY 1 ,n 'J r OPTIONAL SECTION 1� /J �t� Yp 1 �j `' THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT t ly• SO ---. D- tl i) w Ll,uaStaJ— 9�.(a • f fTHE DOCUMENT DESCRIBED AT RIGHT: l� _ V rr `Q(1� f NUMBER OF PAGES DATE OF DOCUMENT ✓ . a / f Though the data requested here is not required by law, SIGNERS OTHER THAN NAMED ABOVE I � f 4 it could prevent fraudulent reattachment of this form. SIGNER(S) 1 ©1992 NATIONAL NOTARY ASSOCIATION•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 C r 6 41/1 DESIGNATION OF SUB-CONTRACTORS Are subcontractors to be used on this project: Yes No X If yes, please complete the following: In compliance with the Provisions of Section 4100-4107 of the Government Code of the State of California as amended, the undersigned certifies that he has used the sub-bids of the following listed subcontractors in making up his bid, and that the subcontractors listed will be used for the work for which they bid, subject to the approval of the Director of Public Lands and Facilities, and in accordance with the applicable provisions of the specifications. It is understood and agreed that all those portions of the work called for in the contract documents for which a subcontractor is not listed will be performed by the undersigned through his forces. If no subcontractors are listed, all insurance will be written in the name of the general contractor only. Item of Work Subcontractor Address Phone No. 1. 2 . 41/1 3 . 4 . 5. 6 . 7 . 8 . Empire Pipe Cleaning & Equipment , Inc . Bidder' s Name &Act_.) 644174g„ Authorized Signature 1111 7 4111 STATEMENT OF EXPERIENCE THIS PAGE TO BE COMPLETED BY BIDDER AND SUBMITTED TO CITY AS PART OF QUOTATION. 1. Patricia A. Thomas Empire Pipe Cleaning & Equipment , In Bidder' s Name Company Name 2. P .O . Box 8035 , Anaheim, CA 92812 Business Address 714-639-8352 3. Business Telephone Number 4. List at least six (6) Contracts of a similar type - either currently held or held within the past 24 months. Contract From to City/Company Supervisor Amount 1980-1993 San Juan Capistrano Ed Green 20 ,000 4111 1979-1993 Brea John Randell 40 ,000 1979-1993 Corona Jim Privett 130 , 000 1982-1993 Cerritos Mary Anne Wozniak 65 , 000 1982-1993 City of Los Angeles Wept. of Airports Roger Spear 40 , 000 1991-1993 Signal Hill Greg Lakin 15 , 000 6-,66/,_, Signature Empire Pipe Cleaning & Equipment , Inc . Company 11/0 8 41/1 STATEMENT OF EQUIPMENT THIS PAGE TO BE COMPLETED BY BIDDER AND SUBMITTED TO CITY AS PART OF QUOTATION. 1. Patricia A. Thomas Empire Pipe Cleaning & Equipment , Bidder' s Name Company Name Inc . 2 . P .O. Box 8035 , Anaheim, CA 92812 Business Address 714-639-8352 3 . Business Telephone Number 4 . State below the information for all equipment you have available for work. Make of Equipment Serial Type of Equipment You are Offering Model Year Number Sreco Water Jet HV2000 1986 0550 1111 Meyers Water Jet MHV7 1983 3145 FMC Water Jet 6540 1983 4962 FMC Water Jet 6540 1980 8143 Vactor 810 1982 3725 Vactor 810 1980 0204 RST TV Unit 1100 1991 0027 If your equipment does not comply with the specifications of equip- ment specified, state wherein your equipment differs so that full consideration can be given to all offers. Remarks: Signature 4111 Empire Pipe Cleaning & Equipment, Inc . Company 9