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16-1018_HILLCREST CONTRACTING, INC_Agenda Report_D15TO: FROM: City of San Juan Capistrano Agenda Report Honorable Mayor and Members of the City Council ;ffien Siegel, City Manager 10/18/2016 015 SUBMITTED BY: Steve May, Public Works and Utilities Director .),W/'-- Ken Al-lmam, Chief Financial Officer ~ PREPARED BY: DATE: SUBJECT: Paul Meshkin, P.E., Senior Civil Engineer r October 18, 2016 Consideration of Award of a Contract for the Multi-modal Parking Lot Pavement Rehabilitation Project (CIP 15301) and the La Sala Parking Lot Pavement Rehabilitation Project (CIP 15303), and Appropriation of Funds for the projects (Hillcrest Contracting, Inc.) RECOMMENDATION: By motion, 1. Award a Contract for the Multi-modal Parking Lot Pavement Rehabilitation Project (CIP15301) and the La Sala Parking Lot Pavement Rehabilitation Project (CIP 15303) to the lowest responsible bidder, Hillcrest Contracting, Inc., in the amount of $296,206, with the condition that construction work will begin after January 1, 2017; and 2. Authorize the City Manager to execute the contract and to approve change orders up to 20% of the contract amount; and 3. Appropriate $22,700 from the Facilities Operations Internal Service Fund to increase the budget for CIP 15303 from $51,725 to $74,425; and 4. Appropriate $24,216 from the Parking Maintenance Fund to increase the budget for CIP 15301 from $308,700 to $332,916. City Council Agenda Report October 18, 2016 Page 2 of4 EXECUTIVE SUMMARY: Bids were recently received for pavement rehabilitation of the Multi-modal and La Sala Parking Lots, and staff is recommending award of a contract to the low bidder, Hillcrest Contracting, Inc. Staff is also recommending a 20% contingency for the Multi-modal Parking Lot rehabilitation project, rather than the normal 10%, due to the unknown conditions of the base and sub-surface material that might necessitate excavations and construction beyond the base contract amount. The total expected cost for the projects, including contingencies and staff costs, is $401,316, which is $46,916 over the remaining budget for the two projects. Staff is recommending appropriation of funds from the Parking Maintenance Fund and Facilities Operations Internal Service Fund to cover this shortfall. The Project scope includes pavement rehabilitation and striping of the two parking lots, installation of additional lighting, and construction of Americans with Disabilities Act (ADA) compliant ramps for the Multi-modal Parking Lot. This work will also result in three additional parking spaces in the Multi-modal Parking Lot. The locations of the two parking lots are shown on Attachment 1 . DISCUSSION/ ANALYSIS: On September 28, 2016, staff met with a number of business owners to review the schedule and scope of the project. The meeting attendees requested that the City postpone the project's start date to January 2017 following the holiday season, and that the City expedite the Multi-modal parking lot resurfacing to minimize the closure of this lot as much as possible. Staff has discussed this requested project schedule with the recommended contractor, Hillcrest Contracting, Inc., and a construction start date of January 23, 2017, has been agreed upon. The contractor has committed to complete the work in the Multi-modal parking lot within 1 0 calendar days, if he is allowed to work nights and weekends, which staff intends to allow in order to expedite construction. The resurfacing of the La Sala parking lot will be done after completion of the Multi-modal parking lot. The parking lots will be intermittently closed during the construction activities. Staff will continue its robust outreach effort to notify those who might be impacted by the closures. Notices will be sent to business owners, the Chamber of Commerce, and residents in the Los Rios District. Signs will be posted in the Multi-modal lot a week in advance of the work to notify commuters who park there while riding the train. The Multi-modal Parking Lot is comprised of seven parcels, two of which are owned by the City and five of which are owned by three private property owners. The City maintains the Lot under agreements with the three other property owners. The proposed scope of the work and the schedule of the work will be coordinated with those property owners. City Council Agenda Report October 18, 2016 Page 3 of 4 Three bids were received for this project as summarized below. The lowest responsive bid was $296,206 by Hillcrest Contracting, Inc. Staff has checked the references for Hillcrest Contracting, Inc., and has received positive feedback for Hillcrest's performance. Hillcrest is properly licensed and is qualified to perform the work. Staff recommends award of a contract to Hillcrest for the projects. Following is a summary of the bids received: Contractor's Name Hillcrest Contracting, Inc. All American Asphalt Palp, Inc . FISCAL IMPACT: Bid Amount $296,206 $371,921 $394,918 Both projects require appropriations to cover budget shortfalls. The La Sala Parking Lot Project has a shortfall of $22,700, and the Multi-modal Parking Lot Project has a shortfall of $24,216. The Facilities Operations Fund and the Parking Maintenance Fund have sufficient funding to cover these additional costs as a result of Fiscal Year 2015-16 projects that were completed substantially under budget. It is recommended that the needed funds for the La Sala Project be appropriated from the Facilities Operations Fund, and that the needed funds for the Multi-modal Project be appropriated from the Parking Maintenance Fund. Following is a summary of the expected costs for the two projects, the available budget, and additional funding needs. T bl f P . t C t B d t d Sh rtf II a eo rOJeC OS S, u 1ge, an 0 a Multi-modal LaSala Total CIP 15301 CIP 15303 Construction Cost $ 242,160 $ 54,046 $296,206 10% Contingency ~ 5,405 ~ 5,405 20% Contingency ~ 48,432 $ 48,432 Subtotals $290,592 $ 59,451 $ 350,043 Administration (staff Time) ~ 42,324 ~ 8,949 ~ 51,273 Totals $ 332,916 $ 68,400 $401,316 Previously Approved Funding ~ 308,700 ~ 45,700 ~ 354,400 Shortfall $ 24,216 $ 22,700 $ 46,916 ENVIRONMENTAL IMPACT: This project has been reviewed in accordance with the provisions of the California Environmental Quality Act (CEQA). The City's Environmental Administrator has determined that the project is Categorically Exempt under CEQA Guidelines Section 15301, Class 1 (c) "Existing Facilities". The project is consistent with Section 15301 (c) because the pavement rehabilitation and construction of American with Disabilities compliant ramps project is in an area in which the public right of way exists with no expansion. City Council Agenda Report October 18, 2016 Page 4 of 4 PRIOR CITY COUNCIL REVIEW: • On May 5, 2015, the City Council approved a Personal Services Agreement with Penco Engineering to perform professional engineering services to prepare pavement design, specifications, and cost estimates for local streets. COMMISSION/COMMITTEE/BOARD REVIEW AND RECOMMENDATIONS: This project does not require commission review . NOTIFICATION: Hillcrest Contracting, Inc. -Bidder All American Asphalt -Bidder Palp, Inc. DBA Excel Paving Company -Bidder Guy Edwards -Property Owner John Gillotti -Property Owner Ralph Bertolino -Property Owner Mark Bodenhamer -Chamber of Commerce Mary DeMers -Friends of the San Juan Capistrano Regional Library Mechelle Lawrence Adams -Mission San Juan Capistrano Heritage Tourism Association ATTACHMENT(S): Attachment 1 -Location Map Attachment 2 -Construction Contract Location Map ATTACHMENT 1 00 52 13 -CONTRACT This CONTRACT , No. is made and entered into this __ day of , , by and between City of San Juan Capistrano, sometimes hereinafter called "City," and HILLCREST CONTRACTING, INC., sometimes hereinafter called "Contractor." WITNESSETH: That the parties hereto have mutually covenanted and agreed, and by these presents do covenant and agree with each other as follows: a. SCOPE OF WORK. The Contractor shall perform all Work within the time stipulated in the Contract, and shall provide all labor, materials, equipment, tools, utility services, and transportation to complete all of the Work required in strict compliance with the Contract Documents as specified in Article 5, below, for the following Project: MULTI-MODAL AND LASALA PARKING LOTS REHABILITATION PROJECTS CIP 15301 AND 15303 The Contractor and its surety shall be liable to the City for any damages arising as a result of the Contractor's failure to comply with this obligation. a. TIME FOR COMPLETION. Time is of the essence in the performance of the Work. The Work shall be commenced on the date stated in the District's Notice to Proceed. The Contractor shall complete all Work required by the Contract Documents within 20 working days from the commencement date stated in the Notice to Proceed. By its signature hereunder, Contractor agrees the time for completion set forth above is adequate and reasonable to complete the Work. b. CONTRACT PRICE. The City shall pay to the Contractor as full compensation for the performance of the Contract, subject to any additions or deductions as provided in the Contract Documents, and including all applicable taxes and costs , the sum of Two hundred Ninety Six thousand Two hundred Six Dollars ($296,206). Payment shall be made as set forth in the General Conditions. c. LIQUIDATED DAMAGES. In accordance with Government Code section 53069.85, it is agreed that the Contractor will pay the City the sum set forth in Section 00 73 13, Article 1.10 for each and every calendar day of delay beyond the time prescribed in the Contract Documents for finishing the Work, as Liquidated Damages and not as a penalty or forfeiture. In the event this Is not paid, the Contractor agrees the City may deduct that amount from any money due or that may become due the Contractor under the Contract. This Article does not exclude recovery of other damages specified in the Contract Documents. d. COMPONENT PARTS OF THE CONTRACT. The "Contract Documents" include the following: Notice Inviting Bids Instructions to Bidders Bid Form Bid Bond Designation of Subcontractors Information Required of Bidders Attachment 2 Page 1 of36 Non-Collusion Declaration Form Iran Contracting Act Certification Public Works Contractor Registration Certification Performance Bond Payment (Labor and Materials) Bond General Conditions Special Conditions Technical Specifications Addenda Plans and Drawings Standard Specifications for Public Works Construction "Greenbook", latest edition, Except Sections 1-9 Applicable Local Agency Standards and Specifications, as last revised Approved and fully executed change orders Any other documents contained in or incorporated into the Contract The Contractor shall complete the Work in strict accordance with all of the Contract Documents. All of the Contract Documents are intended to be complementary. Work required by one of the Contract Documents and not by others shall be done as if required by all. This Contract shall supersede any prior agreement of the parties. e. PROVISIONS REQUIRED BY LAW AND CONTRACTOR COMPLIANCE. Each and every provision of law required to be included in these Contract Documents shall be deemed to be included in these Contract Documents. The Contractor shall comply with all requirements of applicable federal, state and local laws, rules and regulations, including, but not limited to, the provisions of the California Labor Code and California Public Contract Code which are applicable to this Work. f. INDEMNIFICATION. Contractor shall provide indemnification and defense as set forth in the General Conditions. g. PREVAILING WAGES. Contractor shall be required to pay the prevailing rate of wages in accordance with the Labor Code which such rates shall be made available at the City's Administrative Office or may be obtained online at http:/fwww.dir.ca.gov and which must be posted at the job site. [REMAINDER OF PAGE LEFT INTENTIONALLY BLANK] Attachment 2 Page 2 of 36 IN WITNESS WHEREOF, this Contract has been duly executed by t he above -named parties , on the day and year above written . Hillcrest Con tr ac tin g, In c. By _________________________ ___ Name and Title : __________ _ License No . -------------------- Date : -------------------------- (CONTRACTOR'S SIGNATURE MUST BE NOTARIZED AND CORPORATE SEAL AFFIXED, IF APPLICABLE) CITY OF SAN JUAN CAPISTRANO B y~~--~~~~~~-------Benjamin Siegel, City Manager Date :------------------- Approved as to form this <)6 ...fi.\ day of 5 ~e +-~1\\ he/ END OF CONTRACT Attachment 2 Page 3 of 36 Notary 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, ana not the truthfulness, accuracy , or validity of that document. STATE OF CALIFORNIA COUNTY OF------ On ________ __.. 20_, before me, ______________ , Notary Public, personally appeared , 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 me that 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 the entity upon behalf of wh ich 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. WITNESS my hand and official seal. Signature of Notary Public 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 this form to another document. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT o Individual o Corporate Officer Title(s) Title or Type of Document o Partner(s) Limited General u Attorney-In-Fact o Trustee(s) o Guardian/Conservator o Other: Signer is representing : Name Of Person(s) Or Entity(ies) 61147 .02100\20950242 .3 Number of Pages Date of Document -----· ---;So;:-ig-n-er-,-(s-:-)""'Oc:cth-e r""""'T""h-.,.-an~Na::-c:m-:-:e--:-;d-;:A--;:-bo-=--v--=--e -----~ -44-MULTI-MODAL AND lA SAlA PARKING LOTS RE~ Attachment 2 Page 4 of 36 00 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 , unti12:00 pm, 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. ___...\ ..._., l_,_,_.., 3"--------------- 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 -17-004143-BID FORMS Attachment 2 Page 5 of 36 A. BID SCHEDULE NO . ITEM DESCRIPTION 1 . Mobi lization/Demobilization" for the lump sum price of ~~~~dv ~,: Tl... "'!..•. •1 • I dollars . 'Applicable to both parking lots MULTI-MODAL LOT 2. Cold Mill/Grind 2" of Existing AC for the unit price of ; :e12o 1 ;""'2.-j, ,'Y> dollars per square foot. 3. Unclassified Excavation for the Removal of Existing Asphalt Concrete Pavement , Base & Subgrade to a Depth ofT' for the unit price of "'~14!:E 4 ?.o/, ... ~ dollars per square foot. 4 . Remove Existing PCC to a Depth of 7" for the unit price of "Vi/~ j ~--y, ~· dollars per square foot. 5. Remove Existing Ramp/Sidewalk and Concrete Gutter for the unit price of O,)~ i ~ ~ ... v dollars per square foot. 6. Remov e Exist ing V -G4tter for the unit price of t11 1!.t':h f ~ollars per squ are foot . 7. Construct 2" AC Overlay for the unit price of CoNE .J b;,;j ._~. dollars per square foot. 8. Construct 2" AC I GlasPave25 I 5" AC for the unit price of ls"~~.J .f '""-/; r.~ dollars per square foot. 9. Construct 6' Wide V-Gutter for the unit price of fi ;r,::r,n) 1 o (·{ dollars per square foot. 10. Construct 6" Curb for the unit price of fl...,;,v,-y sl cr fig. dollars per linear foot. 61147 .02100\20950242 .3 UNIT OF EST. MEASURE QTY. LS 1 SF 31,554 SF 5 ,670 SF 882 SF 164 SF 376 SF 31 ,554 SF 2,159 SF 635 LF 256 -18- UNIT ITEM PRICE COST I=<,OoO/YJ l>,ooo.oo o,sv 14 tfo~o¥ 3 .1-D t ~tvi,x 3 ,'2() z.szz.y(. 1. ·z5 Z.,o5, Of) 3.DD J IV~. tJO J,~5' 52,-0(cl.ll 1 . "lo It, ~2/.:f<P 15, (50 9 '5 2S.OO zo . CfD 'i' I ZO , ()(; oo 41 43-BID FORMS Attachment 2 Page 6 of36 11. Construct ADA Curb Ramp , Type fCxJf.;r. 1 for the unit price of =.&) liiJtJ,;efJJ t c.>~c;!p llars per each. ' "' 12. Construct ADA Curb Ramp , Type Et.cver. 4 for the uni:~;ice of tiL i,·.J~lE:J)-.J ct -·~,. •. , dollars per each . 13. Install Detectable Warning Surface on Existing Curb Ramp for the unit price of 7tl{l.f£: t ·IJ..l,JOi2c ~<S) dollars per each. 14. Construct 6" Curb and 18" Gutter for the unit price of ror.ry -[7,(/o 1 :vJ~o dollars per linear foot. 15. Construct 7" PCC with #4 Bars for the unit price of A/JNf.. ·I £<0 '-'V dollars per square foot. 16. Install Fire Hydrant location marker per California MUTCD Section 3 , Figure 38-102(CA), S i'!' (blue dot) for the unit price of li..f 1. <Xft l·iJ dollars each . I 17. Install Lighting for the lump sum price of f;J ,,l·l:: 1J,,~ TJn ... ~.-t dollars. 18. Install Landscape Irrigation for the lump sum price of f ",'£. 'Nt:r v-..Ad() dollars . 19. Provide Signing and Striping for the lump sum price of 7iH~ I -?&. llvdi>(fil dollars . atf· (:t _ LASALA LOT 20. Remove Ex. PCC Ramp/Sidewalk/Curb & G ~r for the unit price of Wo J ' .:..'1: dollars per square foot 61147 .02100\20950242 .3 EA 2 EA 1 EA 1 b "llh~f LF 30 SF 4,309 EA 1 LS 1 LS f ~t·~ 1 LS 1 SF 250 -19- /tfoo. aV 2-<;>'DO I (£ I ICOJJtJ /JaOI CD ~30.i50 3 30. cX P <Jz_,lf{) /2-t:o, CO Cf,t;"O ~ 93S: £"t!> w.ao (d;, cL> ~5 1 0QJ.OO t-t~ooo.oo t;oro.ro ~(500 , d) 35"W. lX 3sto.C'l .z..CJD '?DO, to oo 41 43 -81 D FORMS Attachment 2 Page 7 of 36 21. Unclassified Excavation for the Removal of Existing Asphalt Concrete Pavement, Base & Subgrade to a Depth of 12 '.' for the unit price of U;)[1 Ji: "3 .:~c-( dollars per square f o ot. 22. Provide Signing and Striping for the lump sum price of N1AU ftl fh;tVY,2Et )dollars . t..o/ltrC 23. Construct Trash Enclosure Curb ci6V6 Ramp , T yr:;e 4 f or the unit price of '1-.i,t.•.v .-:,, ~p ollars per each . 24. Install Detectable Warning Surface on Existing Curb Ramp for the unit price of Tl!gt; H·W~ dol ars per each. 1· c~_t ~ ' 25. Construct 4" AC I Geogrid I 8" AB fo r th e unit pr ice of h Vc; J "Z<J1a, dollars per square foot. 26. Construct 4" PCC S idewalk per SJC Std . No . 330 fo r the unit price of 6 wt c i 7'-)'/(,l!) dollars per square foot. 27. Construct modified Curb Ramp per OCPW Std. No . 1115 , Type 1 for the unit price of 7 t ,'8 f l t lt;./v r dollars per each . 1 t.•c;.,,lt oc 28. Construct 4 " Curb fo/ the unit price of 0 lller-r;;en l ~'ldollars per linear foot. t.: OTHER ITEMS 29. Provide Traffic Control for the lump sum pr i c~ of #1A.t..,T lov>A..ID. i ~AL 'C dollars. 32. Provide City Notification Signs for the lump sum price of ~~he.. H 61147.02100\20950242.3 SF 5,480 LS 1 EA 1 EA 1 0 /Hifl-T'j SF 5,480 SF 158 EA 1 'fc.W!>ile-D LF 25 LS 1 EA l(~ 2 u Ji'>jZIEfl j. () -20- z,3D /21 hof,0 1 Jct60 .CV I 9CK>, oO 1 100 . c:i) /100, uv 730 aD :'1 ":5 30, (£. t;,20 1-~#~, {J.) 9J, 70 /?7f. w ULD.CD zzco. ci I q , of) t.{7q-; (}() 0ato.CO Cf()t7), il I I c;O.[J) z,z.co ,CO 0041 43-BID FORMS Attachment 2 Page 8 of 36 dollars . 33. Provide Project Survey for the LS 1 lump su m price of t./-tUJ.co ~.aJ F""~'-rttt·v!>.-l.N12d:. ~o llars . 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 preva il 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 appa r ent 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 performe d based upon the Unit Price . B. TOTAL BID PRICE: TOTAL BID PRICE BASED ON BID SCHEDULE TOTAL OF UNI T PRICES FOR MULTI-MODAL AND LASALA PARKING LOTS REHABILITATION PROJECTS CIP 15301 AND 15303 $--~~~b~~-~~·~qr ______________ __ Total Bid Price in Numbers $Two i+un df~J tJ in erry$'ixTho:.ts-a~-JcfT wo itu.I')J,,¢ j:i'vc tkllors qnJ ~ 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 .02 10012095024 2 .3 oo 41 43 -BID FORMS Attachment 2 Page 9 of 36 The successful bidder hereby agrees to sign the contract and fum ish 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 ( 1 0) 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. Enc1Qi·~6, TfiJ(l, d cash, bidder's bond, or.· cashier's or cert.ified check No. Bidder's Bond from the 1'1/ A . Bank in the amount of 10% 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 furthennore 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 ---'C::..;a::..;l'-'ifo::..;m_;.;.::ia _________ _ 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 c lass 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-oo 41 43-BID FORMS Attachment 2 Page 10 of36 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 VW 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 -23-004143-BID FORMS Attachment 2 Page 11 of 36 I hereby certify under penalty o f perjury under the laws of the -State of California that all of the infor m ation su bmitt e d in con nect ion with this Bid and all of the representations made herein are true and correct Executed at Coro na , Califo rnia (Corporate Sea l) , on this __3Q_ day of September , 2016. Hillcre$.t. ContractirJq In G.... (Bidders Name -Prulf or 1 ype) Glenn J . Salsbury , President (Name and Title) Names of ind ividual members of firm or names and titles of all officers of corporation and their addresses are li sted be low : Na me Gle nn J . Salsbu ry Title President Com plete Add res s 146 7 Circl e City Drive Coro na CA 92879 Ph o ne (9 51)2 73-9 6 00 FAX (9 51 )273-9608 Name Eine r G Li ndho lm Title Vice PresidenUSecretary Co mp lete A dd re ss 14 6 7 Ci rcl e City Dri ve Corona CA 92879 Ph o ne (9 5 1) 2 73 -9600 FA X (9 51) 273-9608 Name N/A Title N/A C om plete Address _ __.:__:N:.:..:/A~------------------------- Pt1 o ne ___ N_/A ______________ F AX ___ N~/A~------------ Nam e ___ N_I A _________ T itle _____ N...;./_A.:..__ __________ _ Complete Address __ N_IA _________________________ _ Phone _______ N_I_A _________ F AX ____ N_/A ___________ ___ 6 114 7.021 00\2095024 2 3 -24-00 4 1 43 -BID FORMS Attachment 2 Page 12 of 36 1.2 Bid Bond BOND l/08560235 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 .£ l DEL l TY AND DEPOS l T l.OMP ANY OF ~1 ARYLAND , 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 TH E TOTAL BID PRICE of th e Pr incipal submitted to CITY for the work described below, for the payment of which sum In lawfu l 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 datec1 SE PTEMBER 20 , 20 16 , 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. S u rety, for value received, hereby stipulates and agrees that no change, e xtension of time, alteratlon or addltlon 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 SE PTEMBER , 20...!..§...... the name and corporate seal of each corporation. (Coiporate Seal) (Corporate Seal) (Attach Attorney-in-Fact Certfflcate) 61147.02100120950242 .3 -25- HJLL "REST CON TRACTlNG. INC . Contractor/ Principal By Z~ GLENN J.SALSBURY. I Ei Title · · ... · ---·-------.. ·•· Title ATTORNEY-IN-FACT oo 41 43-BID FORMS Attachment 2 Page 13 of 36 CALIFORNIA ALL~PURPOSE ACKNOWLEDGMENT .-----------· ---···---·--·· -·----------------. A notary public or othe r officer completing this certifi ca te 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 County of Orange } On 09/07/2016 before me , Lexie Sherwood , Notary Public , Da te Insert Name of Notary exactly as it appea rs on th e officia l seal personally appeared Sp encer Flake ~--------------~N~a,~nc~('s~)~or~S~ig~ne~r~s) ____ __ ------------------------------------------·---- Place Notary Seal Above who proved to me on the basis of satisfactory e vidence to be t11e person(s) whos e name(s) is/a re subscribed to th e within instrument and acknowledged to me that he /s he/th e y P.Xec ut c d the same in his/ller/their authorized ca pa ct ty(ies ), and that by his/her/their s1gnature(s) on the in strument th e pe rs on(s), or the entity upon behalf of which the person(s) ac ted , e xe cuted the mst rum ent. I certify under PENALTY OF PERJURY under the law~ of the State of Californi a that the foregoing paragraph is true and correct. OPTIONAL Though the information below is not required by Ia~ it may prove valuable to persons relying on the document and could prevent fraudulent removal ana reattachment of the form to another document . Description of Attached Document Title or Type of Document: ------------------------ DocumentDate: ---------------------____ _ Number of Pages: ____ _ Slgner(s) Other Than Named Above : ---------------------------------- Capacity(ies) Claimed by Signer(s) Signer's Name: _________________ _ 0 individual 0 Corporate Officer - Title(s ): ----------- 0 Partner 0 Limited 0 Genera l 0 Attorney in Fact O 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 Parmer 0 Limited 0 General 0 Attorney in Fact 0 Trustee 0 Guardian or Conservator 0 Other : _______ _ Signer is Represent ing : RIGHT THUMBPRINT OF SIGNER Top of thumb here Attachment 2 State of California County of Riverside CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT ON September 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. Witness my ha d and official seal /r /rh_ I L L'( /I ( I I ((,> ) -------------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 -0 Limited 0 General 0 Attorney in Fact 0 Trustee 0 Guardian or Conservator 0 Other: Attachment 2 Page 15 of 36 ZURICH AMERICAN INSURANCE COMPANY COLONlAL 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 ofNew York, the COLONIAL AMEIUCAN 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 gra nted by Article V , Section 8, of the By-Laws of said Companies, which arc set forth on the reverse side hereof and are hereby certified to be in full force and etTect 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 .lawft1l agent and Attorney-in-Fact, to make, execute, seal and del iver, for, and on its beha lf 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, s hall be as binding upon said Companies .• as fully and amply, to all intents and purposes, as if they had been duly excc1.1ted a nd acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its ofticc in New York, New York., the regularly elected ofticers 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 hc:reby certifY tlmt 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 . rN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affi"ed 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. Secrewry 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 ih e sub sc riber, a Notary Public of ihe State of Maryland, duly commiss ioned and qualified, THOMAS 0. MCCLELLAN, Vice Pnsident, and ERIC D. BAR..l'IIES, Secretary, of the Companies, to me personally known to be the individuals and officers described in and who e'ec uted the preceding instmment , and acknowledged the exec ution of sa me, and being by me duty s worn, deposeth aod saiih, that he/she is the said ollie~,. of the Company aforesaid, and that the seals affixed to the prL"Ceding instrument arc the Corporate Seals of said Companies, and th11t ihe said Cocpornte Seals a nd th e signature as such officer were duly affixed and sub scribed to the said ins trument by the aulllority and direct io n of the said Corporations. Maria D. Adamski , Notary Public My Commission Expires : July 8, 2019 POA-F 012-4150J Attachment 2 Page 16 of 36 1.3 List of Subcontractors In compliance with the Subletting and Subcontracting Fair Practices Act Chapter 4 (commencing at Section 4100), 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 Cal ifornia contractor license number , (c) the DIR public works contracto r 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 subcontracto r 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 perfor m that portion itself. Work to be Name of Location of done by Subcontractor Business Subcontractor ~tCAL-~SL E I ech ic-L.\q sg f. Lq~q,lt'l'/- ,A na.he;rn 1CA 1 '1)lQJ c::o q;, fi.A Nf;_ PA~ ·r 1 (..J" '(o !.:>A-1V ~ ·tc.-' ;/I} r ;.7W A "' WI 5-tl s r. -.u-1 s t-t,rtt} '-"l'1A ,o q I 7~-2-r 5"17Z1fJ;v~ ~ ~~ fJ,O , &x·tt6c -; -rfZ-1 pI;..; 1 ll/~fl~ cA- q Z1S'l 61 14 7 . 021 00\20950242.3 -28 - CSLB DIR Contractor Registration %of License No. Number Work <E~Llso lcxxtx:~osso <.'C ~·._) -5"(..9 35Z.... r loooco33y'j '/-, 2-- ~1-711'1 /0000/1.,,-Cj" 1-- --~· oo 41 43-BID FORMS Attachment 2 Page 17 of 36 Work to be CSLB OIR Name of Location of Contractor Registration %of done by Subcontractor Business License No. Number Work Subcontractor .. (Attach addrttonal sheets 1f necessary) Name of Bidder ____ ____;H~i~.;cr~s-=-t -=C-=o-=-n..:...tr-=a-=ct.:.:.:in~g~,..:...l..:...n-=-c.____; _____________ _ ~--Signature ________ _L~----y----------------------------------------------- Name and Title. _____ G=.:.::Ie::..:n::...:n-=J:.:.·-=S:..:a:.:..:ls:.:b:..:u::.:.ry:L;.'c...:P:...:r:..:e:..:s::...:id:..:e:.:.n:.:.t _____________ _ Dated September 14, 2016 61147.02100\20950242.3 -29-oo 41 43 -BID FORMS Attachment 2 Page 18 of 36 1.4 B idder 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..:..ia:........:.C...:o--'rp--o __ r-=-at-=-io:..:n.--_ _____ _ 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 Con .ractor? 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 Attachment 2 Page 19 of 36 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): NIA N/A N/A 6 .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 Genera l 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 organ ization eve r 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 Ame rican Asphalt 400 E Sixth St., Corona CA 92878 (951) 736-7600 Rancho Ready Mix: 28251 Lake St.. Lake Elsinore CA 92530 (951) 67 4-0488 61147 .02100\20950242 .3 -31-00 41 43 -BID FORMS Attachment 2 Page 20 of36 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 , Anahe im CA 92807 (714) 921-0530 [REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK] 61147.02100\20950242 .3 -32-00 41 43-BID FORMS Attachment2 Page 21 of 36 ARTICLE 2. LIST OF CURRENT PROJECTS (BACKLOG) [**Duplicate Page if needed for listing additional current projects. *j Project Description of Completion Date Bidder's Work City of Eastvale Chandler and Selby Avenue Stntellmprovements 12/2016 City of San Jaooto 2016 ATP Sidewalk Stn!et & Sidewalk lmproi/1H1lenls 12/2016 Omni Trans-Riverside Ruben Campos Park Slreet Improvements 1212016 City of Highland Baseline & Seins Road Street Improvements 12/2016 Flw Points Comm-Irvine Irvine BIYd Street Improvements 0612017 61147 .02100120950242 .3 -33- Cost of Bidder's Work $254 ,653 .00 $1 .024.788 .00 $226,309.00 $875 ,088.00 ~.594,704 .00 00 41 43-BID FORMS Attachment 2 Page 22 of 36 ARTICLE 3. LIST OF COMPLETED PROJECTS -LAST THREE YEARS [*"Duplicate Page if needed for listing additional completed projects. '"1 Please include only those projects which are similar enough to demonstrate Bidder's ability to perform the required Work. Project Description of Bidder's Work City of Moreno Valley Perris Blvd Improvements Street Improvements City or Anaheim Metrolink Pedestrian Project Street lmPfovamanta 1-215 Logistics Heacock Street to Ironwood Street Street lmprovamenta County of RilltlrSide Grand Avenue & BlaCkwell Blvd Street Improvements C ity of Newport Beach Peninsula Point Aaey Replacement Street Improvements County Of Riverside Harrison Street & 66th Avenue Streellmprovementa 61147 .02100\20950242 .3 Completion Date 0112014 0112014 0612014 1112014 0512013 0512013 -34- Cost of Bidder's Work $3 ,614,854 .00 $888 ,348.00 $659 ,100.00 $679,000 .00 $1 .792,650.00 $985,328.00 00 41 43-BID FORMS Attachment 2 Page 23 of36 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 t itle , name and percent of time to be allocated to this project: Jerr y Bla ir. Estimator/Project Manager-50%, Darcy Searle, Project Manager-50% AI Za ma ro, Supenntendent -50 %, Matt Gonzalez , Superintendent -5o% 2 . Summarize each person 's specialized education: SEE ATIACHED RESUMES 3 . List each person's years of construction experience relevant to the project: SEE ATTACHED RESUMES 4 . Summa rize 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 6 1 '147 021 001209 5024 2 3 -35-00 41 43-BID FORMS Attachment 2 Page 24 of 36 1969-19 7 I 1967-1969 Jerry Blair 1467 Circle City Drive Corona, CA 92879-1668 951/273-9600 Phone , 9511273-9608 Fax SUMMARY OF QIIUFICADONS 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 experieJ~ce 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. WOII HIITOIY CII/JIIliii/JIIIINII'rtl/llt:l ... .,.. Hillcrest Contracting, Inc., Corona, CA Public Works Construction I 994 -Present lssistJBJIIIIa#tll Sully-Miller Contracting Company, Anaheim, CA 1992-1994 /Jn/BIIIC111161nt«1111/l/riSIIIII ..... Sully-Miller Contracting Co., Orange, CA 1989-1992 ClllflflSIIai1JIII'Iri/III:IIIIIBIItJt; Sully -Miller Contracting Co., Orange, CA /986-1989 Ctlllllrltdltllaa...~llllllatlllr. Sully -M iller Contracting Co., Orange, CA 1974-1986 EDUCATION BS Economics/Industrial Technology, Cal State University Long Beach, CA AA, Fullerton Junior College Emphasis on Engineering Attachment 2 Page 25 of 36 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 Attachment 2 AI Zamaro 1467 Circle City Drive Corona, CA 92879-1668 9511273-9600 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 Attachment 2 Page 27 of 36 Mathew Gonzalez 1467 Circle City Drive Corona, CA 92879-1668 Phone 9511273-9600 Fax 9511273-9608 Summary of Qualifications: Experience: Education: Over 24 years of Experience in all aspects of the Construction Industcy. Currently the Conaete Superintendent of a Multi-Million Dollar Construction Company. Hillcrest Co~g, Inc. Concrete Superintendent Rossi Concrete Concrete Superintendent T.B. Penick & Sons Concrete Foreman General High School Diploma Corona,CA 2003 to Present Temecula, CA 1999 to 2003 San Diego, CA 1985 to 1999 San Diego 1984 Attachment 2 Page 28 of36 Additional Bidder's Statements: If the Bidder feels that there is add itional information wh ich 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_c_ti_ng:.:''-l_n_c _. _________ _ Signature. __ ~d__!:__-t~'-':::::_::. ===------------- Name ____ ~G~Ie~n~n~J~·~S~a~ls~b~u~ry~------------------- Titl e _____ P~r:....:e:....:s..:..:id:...:e:.:...n:.:.t _______________ ___ Date September 20 , 2016 6114 7.02100\20950242 .3 -36-00 4 1 43 -BID FORMS Attachment 2 Page 29 of 36 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 refra in 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 f ix 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 d ivulged 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 th is declaration on behal f of a Bidder that is a corporat ion , 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 pe rjury under the laws of the State of California that the foregoing is true and correct and that th is declaration is executed on September 2o . 20 16 [date], at Corona [city], California [state]. Name of Bidder Hillcrest Contracting , Inc. Signature __ .J:.~::::::__:__::_t-__=:::::====:::::::=----- Name __ G_Ie_n_n_J_._S_a_ls_b_u_ry~------------------ Title ___ P_r_e_sl_·d_e_n_t ------------------------- 61147 .02 100\2 0950242 .3 -37-00 41 43 -B ID FOR MS Attachment 2 Page 30 of36 ·1 .6 Iran Co ntractinq Ac t Ce rtificatio n. (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: ('I) 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 financ ial 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 . 0 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 . Printed Name. Glenn J . Salsbury Title : President Firm Name : Hillcrest Contracting , Inc. Date : Se pternbe r 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> <Yea r> Pipeline Project XXXX 61147 .02 100\20950242.3 -38-00 41 43 -BID FORMS Attachment2 Page 31 of 36 1. 7 Public Works Contractor Registration Certifi catio n 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 Lli P //www d tr ca g ov/Pu tJitc \CYQrks/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 Number:_1_0_0_0_0_06_0_5_6 _____ _ Dl R Registration Expiration :_0_6_13_0_12_0_1_7 _____ _ Bidder further acknowledges: 1. Bidder shall ma intain a current DIR 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 Bid de r __ H_ill _cr_e_s_t _C_o_n_tr_a_ct_in_,g"-',_l _nc_. _________ _ Signature ___ _~.~~.:..~-.-;;i~=========::;._ ________ _ Name and Title ___ G_Ie_n_n_J..::.._S..::.a..::.l..::.s..::.bu..::.ry...L.:...., ..::.P_re:...cs=--id..::.e:...cn--'t'---------- Dated _________ S_e~p_te_m __ be_r_2_0~,_2_0_1_6 _______________ _ <Month> <Year:> Pipeline Project X XXX 61147 .02100120950242 .3 -39-00 41 4 3 -BID FORMS Attachment 2 Page 32 of 36 --------------------------------- 1.8 Contractor's Certificate Reg ard ing W ork e rs ' Comp e ns ation. I am aware of the provisions of section 3700 of the Labor Code which requ ire 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 w ith such provisions before commencing the performance of the work of this Contract. Name of Bidder Signature Name Title Dated <Month> <Yea r> P ipe li ne Proj ect XXXX 61 14 7 .021 00\20950242.3 Hillcrest Contracting Inc Glenn J. Salsbury President September 20, 2016 -40-00 41 43 -BID FORM S Attachment 2 Page 33 of36 3:£-l()Q p. '>LOA J~ LA' Tf'> 1949) 49J. 1171 \949) 4<13-I 0~ ~ r. .I\ X ol\,'' \J:-'11/,(J, ,'' f\I},JI!I' •l"o' ADDENDUM #ONE .\i~ 1, r~l, I 1 •l I i I'• .II '5·\MA EV'TO "<I:F<P; K !'RGIJ'i(l PM,\ •AI ER~<)N ESu 1·1 ·~t ~~ PE.<Rr t Fl-~EE, Subject: Multi-Modal and La Sala Parking Lots Pavement Rehabilitation Project-CIP 15301 and 15303 Please note the following : 1. Detaii1/ES-2; Pole Base Fixture-Total depth of the pole footing to be 6'-0". 2 . Bid Item# 18-Install Landscape Irrigation-there is an allowance of $5,000 for this bid item. 3 . The construction of the concrete portion of the project will be done during regular daytime working hours . 4 . Construction of Asphalt Concrete Pavement for the Multi -Modal Parking lot will be done at night, Monday-Thursday only , 10:00 P.M. to 5:00 A.M . No work is allowed on Weekends and holidays . 5 . Construction of La Sala Parking lot will be done at regular daytime working hours . 6. The contractor to provide two Changeable Message Signs at the entrance to Multi-Modal Parking lot 10 days prior to start of construction notifying the public of the upcoming project and duration . All other terms and conditions remain the same . FOR THE CITY OF SAN JUAN CAPISTRANO ~E .t/9 -7 /<?-/i~ Date "'" City Engineer Son .Juan C apistrano · Pl'eseJTing the Past to t:nhan~.·e tire Futui'L· Attachment2 Page 34 of 36 :-t2400 P.l> SEQ Ant:::L.,r-l ,(, SAN JUA I J C/IP'STR ".NO , •. ~ 926 1 5 (949\ 493-11/1 ADDENDUM # Two )AM ALL!.:V,...fO <;I::RPY K rERGUSliN "'All FATTER';('\N, E. } I,;HN 1 PEHH.r )fqE~ 1-ii::E:••I: Subject: Multi-Modal and La Sala Parking Lots Pavement Rehabilitation Project-CIP 15301 and 15303 Please note the following : PCC pavement to be constructed as follows : • Remove existing AC and AB materials to a depth necessary to accommodate the new AB and PCC sections • Stockpile ex isting AB materials for reuse, careful not to contaminate with subgrade materials . The existing aggregate base should be tested to verify it meets gradation and R-value requirements and for corrosion for compatibility with concrete if to be reused . • Process the exposed subgrade to a depth of 6 inches , moisture condition to near optimum moisture content , and re-compact to at least 90 percent • Construct 4-inches thick (minim um) aggregate base layer, moisture conditioned to at least optimum and compacted to at least 95 percent. Existing aggregate base may be reused provided it is not contaminated with the subgrade soil or use new aggregate base (CAB or CMB) • Construct 7 -inch thick PCC pavement using 520-A-2500 PCC Mix • Rebars will not be required . Construct weakened plane joints at 12 foot spacing or less in both transverse and longitudinal directions (position the longitudinal joint away from the wheel paths if possible) within 10 to 24 hours after PCC pour All other terms and conditions remain the same . FOR THE CITY OF SAN JUAN CAPISTRANO San .luan Caprs trano : Pl'eserl'ing th e Past to E11honcc lhl' Fwurc \.J •·•w• '' • e ·, ' Attachment 2 Page 35 of36 32400 F'A!c'EO .>.OE l 1\Nf•"l SAN JUAN •::API STR N "). ; 1\ 9:.!n 7~ 194 9) 493-I I 71 (949 ) 493-105..:1 F )( ADDENDUM #Three .'4MAL fVATO 1:-RRf K ~ERGt.J'>O N P'~1 PAnER~Of\c ESO JUhN 1.' PFRR'r DEREK RE'EiiE Subject: Multi-Modal and La Sala Parking Lots Pavement Rehabilitation Project-CIP 15301 and 15303 Please note the following : The City will not furnish any light poles and bases for the two new light poles at the northern end of the Multi-Modal Parking lot. The contractor will be responsible for supplying all the necessary poles and bases . All other terms and conditions remain the same . FOR THE CITY OF SAN JUAN CAPISTRANO Sun Juan Capistrano: Presen·in g th(' Past to Enhance thr: Future: 0 ., ..... . Attachment 2 Page 36 of 36