16-1018_HILLCREST CONTRACTING, INC_Bid Forms00 41 43 -BID FORMS
1.1 Bid .
Bids will be received at the City of San Juan Capistrano Administration Office, 32400 Paseo
Adelanto, San Juan Capistrano, California, until 2:00pm, Tuesday, September 20, 2016
NAME OF BIDDER: HILLCREST CONTRACTING , INC .
To the Honorable City Council
of the City of San Juan Capistrano
32400 Paseo Adelanto
San Juan Capistrano, California 92675
The undersigned hereby declare that we have carefully examined the location of the proposed
Work, and have read and examined the Contract Documents, including all plans, specifications,
and all addenda, if any for the following Project:
MULTI-MODAL AND LASALA PARKING LOTS REHABILITATION PROJECTS CIP 15301
AND 15303
We hereby propose to furnish all labor, materials, equipment, tools, transportation, and services,
and to discharge all duties and obligations necessary and required to perform and complete the
Project, as described and in strict conformity with the Drawings, and these Specifications for
TOTAL BID PRICE indicated herein.
The undersigned acknowledges receipt, understanding, and full consideration of the following
addenda to the Contract Documents:
Addenda No .___,_\~' ~.....:..''"""'3o<......-___________ _
1. Attached is the required Bid Guarantee in the amount of not less than 10% of the Total
Bid Price.
2. Attached is the completed Designation of Subcontractors form .
3. Attached is the fully executed Noncollusion Declaration form .
4. Attached is the completed Iran Contracting Act Certification form .
5. Attached is the completed Public Works Contractor Registration Certification form.
6. Attached is the completed Contractor's Certificate Regarding Workers' Compensation
form.
7. Attached is the completed Bidder Information and Experience form .
61147.02100\20950242.3 -17-oo 41 43-BID FORMS
•
A. BID SCHEDULE
UNIT OF EST. UNIT ITEM
NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST
1. Mobilization/Demobilization* for LS 1
the lump sum price of
Twe-l ve. \"hc:%--q ,,J dollars. 1),000/JO 1~,ooo.oo
*Applicable to both parking lots
MULTI-MODAL LOT
2. Cold Mill/Grind 2" of Existing AC SF 31,554
for thJ unit price of o,'5v 1/q tfo~Dft ; et2o !1"2.--/u::rp dollars per
square foot.
3. Unclassified Excavation for the SF 5,670
Removal of Existing Asphalt
Concrete Pavement, Base & 3.20 I <tf/ I vi vt Subgrade to a Depth of 7" for th e
unit price of 71-J&:£; d "Zo/,o-o
dollars per square foot.
4. Remove Existing PCC to a Depth SF 882
of 7" for the .unit price of
'TH1la5 4 :z-:;1 crv dollars per 3,'2(; Z<62Z, yl
square foot.
5. Remove Existing Ramp/Sidewalk SF 164
and ConcreteJ G.utter for the unit
price of o.vc. 2 7'1'~ dollars /, 2'5 ~oS"",OD
per square foot.
6. Remove Existing V -~er for the SF 376
unit price of 711~f 00 ollars per 3. lJ() J 12%. (]0 square foot.
7 . Construct 2" AC Overlay for the SF 31,554
unit price of o }\)G f ~st o-0 J,~~ '5~otol.ll ~ dollars per square foot.
8. Construct 2" AC I GlasPave25 I 5" SF 2,159
AC fo?he unit p rice of
S"'eve,J 7 % oo dollars per
square foot.
7.10 /t,~zf.:r(D
9 . Construct 6' Wide V-Gutter for the SF 635
unit price of fiprmJ J 0 %m
I '5, t50 9S"2S: ar; dollars per square foot.
10. Construct 6" Curb for the unit LF 256
price of ·rw&ry J ~Am dollars
per linea r foot.
z.o.t:fD '5"1 ZO.bO
61147.02100120950242.3 -18-oo 41 43-BID FORMS
11. Construct ADA Curb Ramp, Type EA 2
1 for the uni t price of /t/oo. {)i) Zf5'oO,t£,
f'"cu:t..7i '!6J LJ.J, ,:\'U"II ~~~liars per each.
12. Construct ADA Curb Ramp, Type EA 1
Eib'6
4 for the uni ~rice of
f/t)JviJ{2(:!j) ~ co~')2 dollars per each. 1/00,tJ!J JJ()O,li)
13. Install Detectable Warning EA 1
Surface on Existing Curb Ramp
b 71/l'a-yf ~30.(50 330. a:~ for the unit price of "/tl/?1;£!; t..fv".J/);?6. ay,<:J) dollars per each.
14. Construct 6" Curb and 18" Gutter LF 30
for the unit price of '-fz,oO I -z-fd:>. CO fi>f-1/ f-TWo 1 ~ou dollars per linear
foot.
15. Construct 7" PCC with #4 Bars for SF 4,309
the unit price of AXIIIG t 5 o/luo C, ,l,;"O ~ 935,5()
dollars per square foot.
16. Install Fire Hydrant location EA 1
marker per California MUTCD (d;,oD Section 3, Figure 3B-102(CA), U;>. (J{)
(blue dot) for the unit price of
Si~ rt.~ ~ ~0'\) dollars each.
17. Install Lighting for the lump sum LS 1 ~51000.00 4~000,00 price of FJ.·~,t Thrae Jh -a~·~d dollars.
18. Install Landscape Irrigation for the LS 1
lump sum price of Fi v£-~..VD f otfiau Jioro,oo (;(500, tX)
dollars.
19. Provide Signing and Striping for LS 1
the lump sum price of 3'5"00. I7J 3t;'CO,ct. 1iH~~ .~ ?Ve .. :Hv,VDflE{J dollars.
I cn:y, co
LASALA LOT
20. Remove Ex. PCC SF 250
Ramp/Sidewal k/Curb & G ~r for
the unit price of Wo f;. 'oo ;z.,oO ti"DO, CO
dollars per square foot
61147.02100\20950242.3 -19-oo 41 43-BID FORMS
21. Unclassified Excavation for the SF 5,480
Removal of Existing Asphalt z,31J /21 0ot/, 0. Concrete Pavement, Base &
Su b grade to a Depth of 12 :' fo r the
unit price of "Tti)o A '3Dlj~
do llars per square foot.
22. Provide Signing and Striping for LS 1
th e lump sum price of J<q60.CiJ 1900, oD
tJjiV~ rrJ tfvNLa4G)dollars. ocy,oo
23. Construct Trash Enclosure Curb EA 1
1100.00 Ramp, Typ/ ~o r the unit price of /100, dO
6W~ 11 t.J.. J..llr.:>~1 ~ dollars per each.
24. Install Detectable Warning EA 1
Surface on Existing Curb Ramp
?30. dO ~ 30, ()() for the unit price of 711'1= J{v. '~ "THtll7'f
dollars per each. · oo,t-ro
25. Construct 4" AC I Geogrid I 8" AB SF 5,480
for t he u n i;r:ce of
6'VG J. -za IJO dollars per
t;,20 z 71/Pt~, t D
square foot.
26. Construct 4" PCC Sidewalk per SF 158
SJ C Std . No . 3 ~ f or t he unit price
of 6 '21tr i 7<-\<Ji> d ollars per '3, 70 I ":J 7f, (;{)
square foot.
27. Construct modified Curb Ramp EA 1
per OCPW Std. No. 1115, Type 1 --
for the unit price of lwE?JTJ;;:lb.JDI-. 'vdJ/)~ UUJ,CD zzco, (J,
dollars per each. f. >/toiJ
28. Const ruct 4" Curb ff~ u nit LF 25
I Cf, iJD 47~00 price of ~Ji w@ do llars per
linear foot 00
OTHER ITEM S
29. Provide Traffic Control for the LS 1
lump sum price of 0J(J8:). CD qooo,tl;
PI;J::_1 ~fAwn i. !Xjt:i) d ollars.
32. Provide City Notification Signs for EA ~~ 2 ,,oo.tP zzcx::;,co the lump sum price of ~k;} 1-1 , 1.1 IA:7~ j. 0t
61147.02100\20950242.3 -20-oo 41 43-BID FORMS
dollars .
33. Provide Project Survey for the LS 1
lump sum price of tftJtXJ, dJ c(-aro.a>
Fou/1-1Zivv!.."MD"i, ~ollars.
The costs for any Work shown or required in the Contract Documents, but not specifically
identified as a line item are to be included in the related line items and no additional
compensation shall be due to Contractor for the performance of the Work.
In case of discrepancy between the Unit Price and the Item Cost set forth for a unit basis item,
the unit price shall prevail and shall be utilized as the basis for determining the lowest
responsive, responsible Bidder. However, if the amount set forth as a unit price is ambiguous,
unintelligible or uncertain for any cause, or is omitted, or is the same amount as the entry in the
"Item Cost" column, then the amount set forth in the "Item Cost" column for the item shall prevail
and shall be divided by the estimated quantity for the item and the price thus obtained shall be
the Unit Price.
For purposes of evaluating Bids, the City will correct any apparent errors in the extension of unit
prices and any apparent errors in the addition of lump sum and extended prices.
The estimated quantities for Unit Price items are for purposes of comparing Bids only and the
City makes no representation that the actual quantities of work performed will not vary from the
estimates. Final payment shall be determined by the Engineer from measured quantities of work
performed based upon the Unit Price.
B. TOTAL BID PRICE:
TOTAL BID PRICE BASED ON BID SCHEDULE TOTAL OF UNIT PRICES FOR
MULTI-MODAL AND LASALA PARKING LOTS REHABILITATION PROJECTS
CIP 15301 AND 15303
$ ___ )q~b~~~~~·qr ______________ _ 1 Total Bid Price in Numbers
$-Twc:>MuhMe,J tJ)rudyS:iXTh~tSaf1cfTwo tknd.,.u:f Fi'v&l tbllors'lnd%:,
Total Bid Price in Written Form
In case of discrepancy between the written price and the numerical price, the written price
shall prevail.
The undersigned agrees that this Bid Form constitutes a firm offer to the City which cannot be
withdrawn for the number of calendar days indicated in the Notice Inviting Bids from and after
the Bid opening, or until a Contract for the Work is fully executed by the City and a third party,
whichever is earlier.
61147.02100\20950242.3 -21-004143-BID FORMS
The successful bidder hereby agrees to sign the contract and furnish the necessary bonds and
certificates of insurance within ten (1 0) working days after the City provides the successful
bidder with the Notice of Award.
Upon receipt of the signed contract and other required documents, the contract will be executed
by the City, after which the City will prepare a letter giving Contractor Notice to Proceed. The
official starting date shall be the date of the Notice to Proceed, unless otherwise specified. The
undersigned agrees to begin the Work within ten (10) working days of the date of the Notice to
Proceed, unless otherwise specified.
The undersigned has examined the location of the proposed work and is familiar with the
Drawings and Specifications and the local conditions at the place where work is to be done.
If awarded the contract, the undersigned agrees that there shall be paid by the undersigned and
by all subcontractors to all laborers, workers and mechanics employed in the execution of such
contract no less than the prevailing wage rate within Orange County for each craft,
classification, or type of worker needed to complete the Work contemplated by this contract as
established by the Director of the Department of Industrial Relations. A copy of the prevailing
rate of per diem wages are on file at the City's Administration Office and shall be made available
to interested parties upon request.
Encl qvEidu1,rfJ[ll d cash, bidder's bond , or cashier's or cert_ified check No. Bidder's Bond from the
1'4/ A Bank in th e amo unt of 1 0% of Total B1d , which is not ---='"--"'"'.......__..__ __
less than ten percent (10%) of this bid, payable to City of San Juan Capistrano as bid security
and which is given as a guarantee that the undersigned will enter into a contract and provide the
necessary bonds and certificates of insurance if awarded the Work.
The bidder furthermore agrees that in case of bidder's default in executing said contract and
furnishing required bonds and certificates of insurance, the cash, bidder's bond, or cashier's or
certified check accompanying this proposal and the money payable thereon shall become and
shall remain the property of the City of San Juan Capistrano.
Bidder is an individual , or corporation _X __ , or partnership ___ , organized under
the laws of the State of California --------------
Bidder confirms license(s) required by California State Contractor's License Law for the
performance of the subject project are in full effect and proper order. The following are the
Bidder's applicable license number(s), with their expiration date(s) and class of license(s):
471664 A-HAZ Expires: 04/30/2017
If the Bidder is a joint venture, each member of the joint venture must include the required
licensing information.
Sureties that will furnish the Faithful Performance Bond and the Labor and Material Payment
Bond, in the form specified herein, in an amount equal to one hundred percent (100%) of the
contract price within ten (10) working days from the date the City provides the successful bidder
the Notice of Award. Sureties must meet all of the State of California bonding requirements, as
61147.02100\20950242.3 -22-004143-BID FORMS
defined in California Code of Civil Procedure Section 995.120 and must be authorized by the
State of California.
The insurance company or companies to provide the insurance required in the contract
documents must have a Financial Strength Rating of not less than "A-" and a Financial Size
Category of not less than "Class VII" according to the latest Best Key Rating Guide. At the sole
discretion of the City, the City may waive the Financial Strength Rating and the Financial Size
Category classifications for Workers' Compensation insurance.
(signatures continued on next page)
61147.02100\20950242.3 -23-oo 41 43-BID FORMS
I hereby certify under penalty of perjury under the laws of the State of California that all of the
information submitted in connection with this Bid and all of the representations made herein are
true and correct.
Executed at Corona , California
(Corporate Seal)
, on this~ day of September , 2016 .
Hillcrest Contractil')q lnG....
(Bidders Name -Pnl"'t or 1 ype)
Glenn J. Salsbury, President
(Name and Title)
~
(Signature)
Names of individual members of firm or names and titles of all officers of corporation and their
addresses are listed below:
Name Glenn J. Salsbury Title President
Complete Address 1467 Circle City Drive Corona CA 92879
Phone (951) 273-9600 FAX (951) 273-9608
Name Einer G. Lindholm Title Vice President/Secretary
Complete Address 1467 Circle City Drive Corona CA 92879
Phone (951) 273-9600 FAX (951) 273-9608
Name ___ N_I_A _________ Title _____ N_IA ___________ _
Complete Address __ N_IA _________________________ _
Phone ___ N_/A ____________ FAX __ N_I_A ___________ _
Name ___ N_IA _________ Title _____ N_I_A ___________ _
Complete Address __ N_I_A ________________________ _
Phone _______ N_IA ________ FAX ___ N_IA ___________ _
61147.02100\20950242.3 -24-oo 41 43-BID FORMS
1.2 Bid Bond
BOND /108560235
PREMIUM: NIL
[Note: Not required when other form of Bidder's Security, e.g. cash, certified check or
cashier's check, accompanies bid.]
The makers of this bond are, HILLCREST CONTRACTING. INC. • as
Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND , as Surety
and are held and firmly bound unto the City of San Juan Capistrano, hereinafter called the City,
in the penal sum of TEN PERCENT (10%) OF THE TOTAL BID PRICE of the Principal
submitted to CITY for the work described below, for the payment of which sum In lawful money
of the United States, well and truly to be made, we bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that whereas the Principal has submitted
the accompanying bid dated SEPTEMBER 20 , 20 ..ll.._, for MULTI-MODAL AND LA SAL\
PARKING LOTS REHABILITATION PROJECTS CIP 15301 AND 15303.
If the Principal does not withdraw its Bid within the time specified in the Contract Documents;
and if the Principal is awarded the Contract and provides all documents to the City as required
by the Contract Documents; then this obligation shall be null and void. Otherwise, this bond will
remain in full force and effect.
Surety, for value received, hereby stipulates and agrees that no change, extension of time,
alteration or addition to the terms of the Contract Documents shall in affect its obligation under
this bond, and Surety does hereby waive notice of any such changes.
In the event a lawsuit is brought upon this bond by the City and judgment is recovered, the
Surety shall pay all litigation expenses Incurred by the City in such suit, including reasonable
attorneys' fees, court costs, expert witness fees and expenses.
IN WITNESS WHEREOF, the above-bound parties have executed this instrument under their
several seals this 7TH day of SEPTEMBER , 20_1L, the name and corporate seal of
each corporation.
(Corporate Seal)
(Corporate Seal)
(Attach Attorney-in-Fact Certificate)
61147.02100\20950242.3 -25-
HILLCREST CONTRACTING. INC.
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Sure~
By ~~~--~~~~~----
Attorneyn:FaCtSPENC
Title ATTORNEY-IN-FACT
004143-BID FORMS
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA }
Countyof _O_r_a_n~g_e ______________________________ __
On 09/07/2016 before me, Lexie Sherwood , Notary Public,
--------~---------Date Insert Name of Notary exactly as it appears on the official seal
personally appeared Spencer Flake ~--------------------------N~a~m-e (~s)~o~rs=ig-ne-r(~s)~--------------------------
Place Notary Seal Above
who proved to me on the bas is of satisfactory evidence to
be the person(s) whose name(s) is/are subscribed to the
with in instrument and acknowledged to me that he/she/they
executed the same in his/h er/their authori ze d capacity(ies),
and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true
and correct.
OPTIONAL-----------
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of the form to another document.
Description of Attached Document
DocumentDate: --------------------------------------Number of Pages :-----------------
Signer( s) Other Than Named Above: ----------------------------------------------~-----
Capacity(ies) Claimed by Signer(s)
Signer's Name: --------------------------
0 Individual
0 Corporate Officer -Title(s): _______________ _
0 Partner D Limited 0 General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other:-------------
Signer is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name: --------------------------
0 Individual
0 Corporate Officer --Title(s): ----------------
0 Partner 0 Limited 0 General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other: ---------------
Signer is Representing :
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT
State of California
County of Riverside
ON Sep tember 20 , 2016 before me . A Gutierrez . Notary Public. personally appeared
Date Here Insert Name and title of the Officer
Glenn J. Salsbury, who proved to me on the basis of satisfactory evidence to be the
Name(s) of Signer(s)
person whose name is subscribed to the within instrument and acknowledged to me that
he executed the same in his authorized capacity, and that by his signature on the
instrument the person or entity upon behalf of which the person acted, executed the
instrument.
I certify under PENALTY OF PERJURY under the laws of the state of California that the
foregoing is true and correct.
~ AA 4 AA AxA h,AA,4 AAA
(") •. ~·. . A. GUTIERREZ ~
1-. • . COMM . #2086318 0:1
.co(.) '~ ' NOTARY PUBLIC • CAliFORNIA £l
RIVERSIDE COUNTY Co) ~ My Comm . Expires Nov.13, 2018 t
V'VVV vvvvvvvvv
------------------------OPTIONAL ------------------------
Though law does not require the information below, it may prove valuable to persons
relying on the document and could prevent fraudulent removal of this form to another
document.
Description of Attached Document: Bid Bond
Document Date: Number ofPage~s: __ _
Signer(s) Other Than Named Above
Capacity(ies) Claimed by Signer
Signer's Name: Glenn J. Salsbury
0 Individual
0 Corporate Officer-Title(s): President -----------------------0 Partner - D Limited D General
0 Attorney in Fact
0 Trustee
0 Guardian or Conservator
0 Other:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
THOMAS 0. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said
Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby
nominate, constitute, and appoint Richard A. COON, Charles L. FLAKE, David L. CULBERTSON, Lexie SHERWOOD and Spencer
FLAKE, all of Anaheim, California, EACH its true and lawful agent and Attorney-in-Fact, to make, execute, seal and deliver, for, and on
its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in
pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly
executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New
York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in
Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in
Owings Mills, Maryland., in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By-Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 4th day of September, A.D. 2015.
By.
Secretary
Eric D. Barnes
State of Maryland
County of Baltimore
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Vice President
Thomas 0. McClellan
On this 4th day of September, A.D. 2015, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, THOMAS
0. MCCLELLAN, Vice President, and ERIC D.-BARNES, Secretary, of the Companies, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that
he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that
the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said
Corporations.
Maria D. Adamski, Notary Public
My Commission Expires: July 8, 2019
POA-F 012-4150J
1.3 List of Subcontractors
In compliance with the Subletting and Subcontracting Fair Practices Act Chapter 4
(commencing at Section 41 00), Part 1, Division 2 of the Public Contract Code of the State of
California and any amendments thereof, Bidder shall set forth below: (a) the name and the
location of the place of business, (b) the California contractor license number, (c) the DIR public
works contractor registration number, and (d) the portion of the work which will be done by each
subcontractor who will perform work or labor or render service to the Bidder in or about the
construction of the work or improvement to be performed under this Contract in an amount in
excess of one-half of one percent (0.5%) of the Bidder's Total Bid Price. Notwithstanding the
foregoing, if the work involves the construction of streets and highways, then the Bidder shall list
each subcontractor who will perform work or labor or render service to the Bidder in or about the
work in an amount in excess of one-half of one percent (0.5%) of the Bidder's Total Bid Price or
$10,000, whichever is greater. No additional time shall be granted to provide the below
requested information.
If a Bidder fails to specify a subcontractor or if a contractor specifies more than one
subcontractor for the same portion of work, then the Bidder shall be deemed to have agreed
that it is fully qualified to perform that portion of work and that it shall perform that portion itself.
Work to be CSLB DIR
Name of Location of Contractor Registration %of done by Subcontractor Business License No. Number Work Subcontractor
~t4l--f~SL Elechlc 4q SY F-. Lit "PCLlfll 'i~
ICXXb:/osso frncthe;YJtJ 1CA1 eota? <t~~Ltso 13'·5
Ci:>t.:p fiAA>E. P~6VI ;oz.tfo ;.A'lt} 6(pCf3£Z...
lee Ujc-'-'1"'rll f $&(/A-//11£::-/.1.,11-~ /ooOCD'33frt3 '/,2-
~5"7'"6-£1~ Jf-11'12-/f t'.ult1lfl (';1
'1r1~Z.....
5-rfl,/~J ""rJy 4w17+ ~T ~0, /$ox/~ /0000/(,~CJ{t, ~-rrz-,'f1tv1 "Tv5-r/~ cA-'i?'f7 I 11 :2--
qz,7~1
61147.02100\20950242.3 -28-oo 41 43-BID FORMS
Work to be CSLB DIR
Name of Location of Contractor Registration %of done by Subcontractor Business License No. Number Work Subcontractor
.. (Attach add1t1onal sheets 1f necessary)
NameofB~der~~~-~H~i~~llc~r~~~C~o~n~t~ra~c~ti~nKg~, l~n~c~. ~~~~~~~~~~~~~~
Signature._~~~~-"/?~~~-~-----_--_:-_:-_:-_-_-_:-_-_-_-~~~~~~~~~~~~~~~--
Name and Title_~ ___ G_Ie_n_n_J_. S_a_l_s_bu_ry......:..., _P_re_s_id_e_n_t~~~~~~~~~~~~--
Oared ______________ ~S~e~pt~e~m~b~e~r ~14~·~2~0~16~------------------------------
61147.02100120950242.3 -29-0041 43-BID FORMS
ElEt:TRit:, INt:.
License No. 822450 C-10
DIR REGISTRATION NO. 1000000550
Hillcrest Contracting, Inc.
1467 Circle City Drive
Corona, Ca 92879
RE: Multi-Modal Parking Lot Bid
Attn: Jerry Blair
Subsequent to our phone conversation yesterday we are sending this letter to confirm that MSL
will not be able to take on the above project due to the fact our revised quote was not taken into
account. MSL received a revised quote fi:om our supplier that substantially changed our quote
therefore we cannot do this project as requested.
P le se let me know if there are any other concerns .
CC: bids-Multi-Modal-SJC
MSL Electl'ic, Inc.
4938 E. La Palma Avenue, Anaheim, CA 92807-1912
(714) 693-4837 *Fax (714) 693-4838
HILLCRE ST CONTRACTING
General Engineering Contractors
10-13-16
City of San Juan Capistrano
Public Works Dept.
32400 Paseo Adelanto
San Juan Capistrano. CA 92675
Attention: Paul Meshkin
Regarding: Multi-Modal & LaSala Parking Lot Project
Dear Paul,
License #4 71664A
Due to a last minute price change that we were not able to include in our bid, our
electrical subcontraetor, MSL Electric has indicated that they will not be able to do this
project Their letter to that affect is attached. We are requesting to substitute VT Electric
as our electrical subcontraetor. Their Address is 10825 Vernon Ave., Ontario, CA. Their
contractor's license# is 763236 and their DIR #is 1000005674. In addition to the above
they are a UDBE/DBE contractor with a certification# 30828.
Thank you,
P.O. Box 1898 • Corona, California, 92878-1898 • (951) 273-9600 • FAX (951) 273-9608
1.4 Bidder Information and Experience Form
ARTICLE 1. INFORMATION ABOUT BIDDER
(Indicate not applicable ("N/A") where appropriate.)
NOTE:
1.0
2.0
3.0
Where Bidder is a joint venture, pages shall be duplicated and information provided
for all parties to the joint venture.
Name of Bidder: Hillcrest Contracting, Inc.
Type, if Entity: ____ a_C_a_lif_o_rn_i_a _C_o_r::....po_r_a_ti _on ______ _
Bidder Address: 1467 Circle City Drive Corona CA 92879
(951) 273-9608
Facsimile Number
jerry@hillcrestcontracting.com
Email Address
(951) 273-9600
Telephone Number
4.0 How many years has Bidder's organization been in business as a Contractor?
31 Years
5.0 How many years has Bidder's organization been in business under its present
name? 31 Years
5.1 Under what other or former names has Bidder's organization
operated? N/A
6.0 If Bidder's organization is a corporation, answer the following :
6.1 Date of Incorporation : February 26, 1985
6.2 State of Incorporation: California
6.3 President's Name: Glenn J. Salsbury
6.4 Vice-President's Name(s): Einer G. Lindholm
N/A
6.5 Secretary's Name: Einer G. Lindholm
6.6 Treasurer's Name: N/A
61147 .02100\20950242.3 -30-00 41 43-BID FORMS
7.0 If an individual or a partnership, answer the following :
7.1 Date of Organization : __ N_/_A ______________ _
7.2 Name and address of all partners (state whether general or limited
partnership):
N/A
N/A
N/A
8.0 If other than a corporation or partnership, describe organization and name
principals:
N/A
9.0 List other states in which Bidder's organization is legally qualified to do business.
N/A
N/A
10.0 What type of work does the Bidder normally perform with its own forces?
Paving, Grading and Concrete General Contractor
11.0 Has Bidder ever failed to complete any work awarded to it? If so, note when,
where, and why:
NO
12.0 Within the last five years, has any officer or partner of Bidder's organization ever
been an officer or partner of another organization when it failed to complete a
contract? If so, attach a separate sheet of explanation:
NO
13.0 List Trade References:
All American Asphalt: 400 E Sixth St., Corona CA 92878 (951) 736-7600
Rancho Ready Mix: 28251 Lake St., Lake Elsinore CA 92530 (951) 674-0488
61147.02100\20950242.3 -31-00 41 43-BID FORMS
Downs Oil Company: 14360 Magnolia Ave., Corona CA 92881 (951) 737-3421
14.0 List Bank References (Bank and Branch Address):
Citizens Business Bank
2650 E. Imperial Highway Brea CA 92821
(714) 996-8150 Tel
15.0 Name of Bonding Company and Name and Address of Agent:
Bonding Co: Fidelity & Deposit Company of Maryland
Bonding Agent: Culbertson Insurance Service
5500 E. Santa Ana Canyon Road, Anaheim CA 92807 (714) 921-0530
[REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK]
61147.02100\20950242.3 -32-00 41 43-BID FORMS
ARTICLE 2. LIST OF CURRENT PROJECTS (BACKLOG)
[**Duplicate Page if needed for listing additional current projects.**]
Project Description of Completion Date Cost of Bidder's Work
Bidder's Work
City of Eastvale
Chandler and Selby Avenue Street Improvements 12/2016 $254,653 .00
City of San Jacinto
2016 ATP Sidewalk Street & Sidewalk Improvements 12/2016 $1,024,788.00
Omni Trans-Riverside
Ruben Campos Park Street Improvements 12/2016 $226,309.00
City of Highland
Baseline & Seine Road Street Improvements 12/2016 $875,088.00
Five Points Comm -Irvine
Irvine Blvd Street Improvements 06/2017 $4,594,704 .00
61147.02100\20950242.3 -33-00 41 43-BID FORMS
ARTICLE 3. LIST OF COMPLETED PROJECTS -LAST THREE YEARS
[**Duplicate Page if needed for listing additional completed projects.**]
Please include only those projects which are similar enough to demonstrate Bidder's ability to
perform the required Work.
Project Description of Completion Date Cost of Bidder's Work
Bidder's Work
City of Moreno Valley
Perris Blvd Improvements Street Improvements 01/2014 $3,614,654.00
City of Anaheim
Metrolink Pedestrian Project Street Improvements 01/2014 $888.348.00
1-215 Logistics
Heacock Street to Ironwood Street Street Improvements 06/2014 $659,100.00
County of Riverside
Grand Avenue & Blackwell Blvd Street Improvements 11/2014 $679,000.00
City of Newport Beach
Peninsula Point Alley Replacement Street Improvements 0512013 $1 '792,650.00
County Of Riverside
Harrison Street & 66th Avenue Street Improvements 05/2013 $985,328.00
61147.02100\20950242.3 -34-00 41 43-BID FORMS
ARTICLE 4. EXPERIENCE AND TECHNICAL QUALIFICATIONS QUESTIONNAIRE
Personnel:
The Bidder shall identify the key personnel to be assigned to this project in a management,
construction supervision or engineering capacity .
1. List each person's job title, name and percent of time to be allocated to this project:
Je rry Blair. Estimator/P roj ect Man ag er-50%, Darcy Searle, Project Man ag er-50%
AI Zamaro , Superintendent-SO %, Matt Gonzalez, Superintendent -50%
2. Summarize each person's specialized education :
SEE ATTACHED RESUMES
3. List each person 's years of construction experience relevant to the project:
SEE ATTACHED RESUMES
4 . Summarize such experience:
SEE ATTACHED RESUMES
Bidder agrees that personnel named in this Bid will remain on this Project until completion of all
relevant Work, unless substituted by personnel of equivalent experience and qualifications
approved in advance by the City.
Changes Occuring Since Prequalification
If any substantive changes have occurred since Bidder submitted its prequalification package
for this Project , Bidder shall list them below. If none are listed, Bidder certifies that no
substantive changes have occurred.
N/A
61147 .02100120950242 .3 -35-00 41 43-BID FORMS
1969-1971
1967-1969
Jerry Blair
1467 Circle City Drive
Corona, CA 92879-1668
951/273-9600 Phone, 951/273-9608 Fax
SUMMARY OF QUAliFICATIONS 1971-PRESENT
Having worked in the construction industry for over thirty-three years, I offer a vast amount
of experience to our team. My construction experience ranges from my starting position of
bid runner to assistant manager of a one hundred fifty million dollar company. I think this
experience will be very beneficial to the successful completion of your project.
WORK HISTORY
Ch/eflsdmatoriPTII/BCIManager, Hillcrest Contracting, Inc., Corona, CA
Public Works Construction
1994 -Present
Assistant Manage/, Sully-Miller Contracting Company, Anaheim, CA
1992-1994
OrangeConstmcUonDIV/s/on/lfanager, Sully-Miller Contracting Co ., Orange, CA
1989-1992
Ch/e/lsdmator/ProJectManager, Sully-Miller Contracting Co., Orange, CA
1986-1989
ConstrucdonlsUmator/ProJect/lfanager, Sully-Miller Contracting Co., Orange, CA
1974-1986
EDUCATION
BS Economics/Industrial Technology, Cal State University
Long Beach, CA
AA, Fullerton Junior College
Emphasis on Engineering
Darcy Searle
1467 Circle City Drive
Corona, CA 92879
Phone: (951) 273-9600 Fax: (951) 273-9608
Summary of Qualifications:
Sixteen years of experience in the construction industry, ranging from on-site
supervision of trades to project management and some estimating.
Experience:
Education:
Hillcrest Contracting, Inc.
Project Manager
Erosion Control Company, Inc.
Payroll/Dispatching/Assistant Project Manager
Riverside Community College
Business Administration
Moreno Valley High School
Corona, California
1998 to Present
Chino, California
1994 to 1998
Riverside, California
1983 to 1986
Moreno Valley, California
AI Zamaro
1467 Circle City Drive
Corona, CA 92879-1668
951/273-9600 951/273-9608 FAX
Summary of Qualifications:
Over 25 years experience in all aspects of the Construction Industry.
Currently a Superintendent of a Multi-Million Dollar Construction Company.
Experience: Hillcrest Contracting Inc
Superintendent
Lee Construction Co.
Foreman
McGraw Construction Co.
Foreman
Education: General High School Diploma
CollegeAA
Corona, CA
1993 to Present
Lake Forest, CA
1989 to 1993
Anaheim, CA
1985 to 1989
Santa Ana, Ca
1979
Huntington Beach, Ca
1982
Mathew Gonzalez
1467 Circle City Drive
Corona, CA 92879-1668
Phone 9511273-9600 Fax 951/273-9608
Summary of Qualifications:
Experience:
Education:
Over 24 years of Experience in all aspects of the Construction
Industry. Currently the Cona-ete Superintendent of a
Multi-Million Dollar Construction Company.
Hillcrest Con~acting, Inc.
Concrete Superintendent
Rossi Concrete
Concrete Superintendent
T.B. Penick & Sons
Concrete Foreman
General High School Diploma
Corona, CA
2003 to Present
Temecula, CA
1999to 2003
San Diego, CA
1985 to 1999
San Diego
1984
Additional Bidder's Statements:
If the Bidder feels that there is additional information which has not been included in the
questionnaire above, and which would contribute to the qualification review, it may add that
information in a statement here or on an attached sheet, appropriately marked:
N/A
ARTICLE 5. VERIFICATION AND EXECUTION
These Bid Forms shall be executed only by a duly authorized official of the Bidder:
I declare under penalty of perjury under the laws of the State of California that the foregoing
information is true and correct:
Name of Bidder __ H_ill_c_re_s_t _C_o_n_tr_a_ct_in....::g::..:.,_ln_c_. _________ _
Sig nature, _ ___.#IC...._L-......:....1~~£.......:===------------
Name ______ G_Ie_n_n_J._S_a_l _sb_u_~~-------------
Title President ------~~~----------------
Date September 20, 2016
61147.02100\20950242.3 -36-00 41 43-BID FORMS
1.5 Non-Collusion Declaration
The undersigned declares:
1 am the President
foregoing Bid .
of Hillcrest Contracting, Inc. , the party making the
The Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership,
company, association, organization, or corporation. The Bid is genuine and not collusive or
sham. The Bidder has not directly or indirectly induced or solicited any other Bidder to put in a
false or sham bid. The Bidder has not directly or indirectly colluded, conspired, connived, or
agreed with any Bidder or anyone else to put in a sham bid, or to refrain from bidding. The
Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or
conference with anyone to fix the Bid Price of the Bidder or any other Bidder, or to fix any
overhead, profit, or cost element of the Bid Price , or of that of any other Bidder. All statements
contained in the Bid are true. The Bidder has not, directly or indirectly, submitted his or her Bid
Price or any breakdown thereof, or the contents thereof, or divulged information or data relative
thereto, to any corporation, partnership, company, association, organization, bid depository, or
to any member or agent thereof to effectuate a collusive or sham bid, and has not paid , and will
not pay, any person or entity for such purpose .
Any person executing this declaration on behalf of a Bidder that is a corporation, partnership,
joint venture, limited liability company, limited liability partnership, or any other entity, hereby
represents that he or she has full power to execute, and does execute , this declaration on
behalf of the Bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing is
true and correct and that this declaration is executed on September2o .2o1s [date], at
Corona [city], California [state].
Name of Bidder Hillcrest Contracting, Inc.
Signature __ ...c.e~ ___ t-____ -==~-------
Name __ G_Ie_n_n_J_. _S_a_ls:.....;b....:.u_.ry.__ _________ _
Title. ___ P_r_e_s_id_e_n_t _____________ _
61147.02100\20950242.3 -37-00 41 43-BID FORMS
1.6 Iran Contractin g Act Ce rtific at ion .
(Public Contract Code section 2200 et seq .)
As required by California Public Contract Code Section 2204, the Contractor certifies subject to
penalty for perjury that the option checked below relating to the Contractor's status in regard to
the Iran Contracting Act of 2010 (Public Contract Code Section 2200 et seq.) is true and correct:
[2g The Contractor is not:
(1) identified on the current list of person and entities engaged in investment
activities in Iran prepared by the California Department of General Services in
accordance with subdivision (b) of Public Contract Code Section 2203; or
(2) a financial instruction that extends, for 45 days or more , credit in the amount of
$20,000 ,000 or more to any other person or entity identified on the current list of
persons and entities engaging in investment activities in Iran prepared by the
California Department of General Services in accordance with subdivision (b) of
Public Contract Code Section 2203, if that person or entity uses or will use the
credit to provide goods or services in the energy sector in Iran.
D The City has exempted the Contractor from the requirements of the Iran Contracting
Act of 2010 after making a public finding that, absent the exemption, the City will be
unable to obtain the goods and/or services to be provided pursuant to the Contract.
D The amount of the Contract payable to the Contractor for the Project does not
exceed $1,000,000 .
Signature : __ ~----~~-:_-:_-:_-:_-:_-:_-:_-:_-:_-:_-:_ ____ _
Printed Name: Glenn J. Salsbury
Title: President
Firm Name: Hillcrest Contracting , Inc.
Date : September 20, 2016
Note: In accordance with Public Contract Code Section 2205, false certification of this form shall
be reported to the California Attorney General and may result in civil penalties equal to the
greater of $250,000 or twice the Contract amount , termination of the Contract and/or ineligibility
to bid on contracts for three years.
<Month> <Year>
Pipeline Project XXXX
61147.02100120950242 .3
-38-00 41 43-BID FORMS
1. 7 Public Works Contractor Registration Certification
Pursuant to Labor Code sections 1725.5 and 1771.1, all contractors and subcontractors that
wish to bid on, be listed in a bid proposal, or enter into a contract to perform public work must be
registered with the Department of Industrial Relations. See http://www.dir.ca.gov/Pub!ic-
Works/PublicWorks.html for additional information.
No bid will be accepted nor any contract entered into without proof of the contractor's and
subcontractors' current registration with the Department of Industrial Relations to perform public
work.
Bidder hereby certifies that it is aware of the registration requirements set forth in Labor Code
sections 1725.5 and 1771.1 and is currently registered as a contractor with the Department of
Industrial Relations.
Name of Bidder: Hillcrest Contracting, Inc.
DIR Registration N umber: __ 10_0_0_0_0_6_05_6 _____ _
DIR Registration Expiration:_0_6_/3_0_12_0_1_7 _____ _
Bidder further acknowledges:
1. Bidder shall maintain a current Dl R registration for the duration of the project.
2. Bidder shall include the requirements of Labor Code sections 1725.5 and 1771.1
in its contract with subcontractors and ensure that all subcontractors are
registered at the time of bid opening and maintain registration status for the
duration of the project.
3. Failure to submit this form or comply with any of the above requirements may
result in a finding that the bid is non-responsive.
Name of Bidder __ H_i_llc_r_e_st_C_on_t_ra_c_tl_·n"""g"'-, _ln_c_. _________ _
Signature ___ ...l.4:::_~-&:..~=========='----------
Name and Title ___ G_Ie_n_n_J_._S_a_ls_b_u_ry"-'''-P_r_e_s_id_e_n_t --------
Dated ______ S_e~p_te_m_b_e_r_2_0"'-,_20_1_6 __________ _
<Month> <Year>
Pipeline Project XXXX
61147.02100\20950242.3
-39-00 41 43 -BID FORMS
1.8 Contractor's Certificate Regarding Workers' Compensation.
I am aware of the provisions of section 3700 of the Labor Code which require every employer to
be insured against liability for workers' compensation or to undertake self-insurance in
accordance with the provisions of that code, and I will comply with such provisions before
commencing the performance of the work of this Contract.
Name of Bidder
Signature
Name
Title
Dated
<Month> <Year>
Pipeline Project XXXX
61147.02100\20950242.3
Hillcrest Contracting Inc
Glenn J. Salsbury
President
September 20, 2016
-40-00 41 43 -BID FORMS