Loading...
HomeMy WebLinkAbout05.W- Public Works RESOLUTION (ID#3025) DOC ID: 3025 B CITY OF SAN BERNARDINO —REQUEST FOR COUNCIL ACTION Purchase Order From: Tony Frossard M/CC Meeting Date: 07/07/2014 Prepared by: Linda Dortch, (909) 384-5140 Dept: Public Works Ward(s): All Subject: Resolution of the Mayor and Common Council of the City of San Bernardino Authorizing the Execution of a Vendor Service Agreement and Issuance of an Annual Purchase Order in the Amount of $60,000 with Three (3) One-Year Extensions at the City's Option to Rick Avila Construction for Sewer Manhole Cover Replacement Services. (#3025) Current Business Registration Certificate: Yes Financial Impact: Account Budgeted Amount: $525,900 Account No. 132-400-0094-5502 $60,000 Account Description: Professional/Contractual Services Balance as of: 7/01/2014 Balance after approval of this item: $465,900 Please note this balance does not indicate available funding. It does not include non-encumbered reccurring expenses or expenses incurred,but not yet processed. Motion: Adopt the Resolution. Synopsis of Previous Council Action: 11/19/13 Resolution No. 2013-322 was approved, authorizing the Public Works Director to issue a"Request for Proposals for Sewer Manhole Cover Replacement Services." RFQ F-14-16 Background: The Public Works Department, Operation & Maintenance Division, is responsible for maintaining all sewer manholes throughout the City. Each year, approximately 130 damaged, deficient and aged manhole covers are repaired or replaced. Maintaining the manholes in good condition is essential to the safety of the motoring and walking public. On February 4, 2014, a formal bid process was initiated to solicit bids for manhole cover replacement services. One bid from a local vendor was received. In order to insure that the City received the best price, staff determined that the item should be re-bid. On March 31, 2014, a formal bid process was initiated to solicit bids for manhole cover replacement services. Notices were posted on the web, printed in the newspaper, and mailed to the Chamber of Commerce. Bid packets were sent to five local vendors and two non-local vendors. Three local vendors and three non-local vendors responded. The bid requested firm Updated: 6/23/2014 by Jolena E.Grider B I Packet Pg. 549 i 3025 fixed ricin laced sewer manhole cover. p gp er replaced The vendor,business location, and total price per sewer manhole cover are listed below: VENDOR LOCATION TOTAL PRICE Rick Avila Construction San Bernardino $450.30 EBS Corona $475.00 Manhole Adjusting,Inc. Pico Rivera $940.00 TK Construction San Bernardino $1,140.00 Trinity Construction Company Blue Jay $1,694.00 BHI was considered non-responsive as they did not submit a complete bid packet. Rick Avila Construction was determined to be the lowest bidder. Staff recommends that the Mayor and Common Council authorize the execution of a vendor service agreement and issuance of an Annual Purchase Order in the amount of$60,000 with three (3) one-year extensions at the City's option to Rick Avila Construction for sewer manhole cover replacement services. City Attorney Review: Supporting Documents: reso 3025 (PDF) agrmt 3025 (PDF) Bid Summary (PDF) Bid Packet (PDF) Updated: 6/23/2014 by Jolena E.Grider B Packet Pg. 550 I RESOLUTION NO. 2 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AUTHORIZING THE EXECUTION OF A VENDOR 3 SERVICE AGREEMENT AND ISSUANCE OF AN ANNUAL PURCHSE ORDER IN 4 THE AMOUNT OF $60,000 WITH THREE (3) ONE-YEAR EXTENSIONS AT THE CITY'S OPTION TO RICK AVILA CONSTRUCTION FOR SEWER MANHOLE 5 COVER REPLACEMENT SERVICES. 6 WHEREAS, Rick Avila Construction submitted the lowest bid for sewer manhole 7 cover replacement services,per RFQ F-14-34; 8 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE cn 9 CITY OF SAN BERNARDINO AS FOLLOWS: E 10 SECTION 1. The City Manager of the City of San Bernardino is hereby authorized to Q 11 execute on behalf of said City a Vendor Service Agreement between the City of San 12 > Bernardino and Rick Avila Construction, a copy of which is attached hereto, marked as v 13 0 Q14 Exhibit "A", and incorporated herein by this reference as fully as though set fourth at length. r_ 15 SECTION 2. That pursuant to this determination the Director of Administrative d 16 Services or his designee is hereby authorized to issue an annual purchase order to Rick Avila N to 17 Construction in the amount of$60,000 with three (3) one-year extensions at the City's option. M 18 N SECTION 3. The Purchase Order shall reference this Resolution Number and shall M 19 read, "Rick Avila Construction for sewer manhole cover replacement services. Agreement 20 21 not to exceed$60,000"and shall incorporate the terms and conditions of the agreement. E 22 SECTION 4. The authorization to execute the above-referenced Purchase Order and a 23 Agreement is rescinded if it is not executed by both parties within sixty (60) days of the 24 passage of this resolution. 25 26 27 /ll 28 Packet Pg.551 5.W.a 1 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY 2 OF SAN BERNARDINO AUTHORIZING THE EXECUTION OF A VENDOR SERVICE AGREEMENT AND ISSUANCE OF AM ANNUAL PURCHSE ORDER IN 3 THE AMOUNT OF $60,000 WITH THREE (3) ONE-YEAR EXTENSIONS AT THE 4 CITY'S OPTION TO RICK AVILA CONSTRUCTION FOR SEWER MANHOLE COVER REPLACEMENT SERVICES. 5 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor 6 and Common Council of the City of San Bernardino at a meeting _ 7 8 thereof,held on the day of ,2014,by the following vote, to wit: 9 Council Members: AYES NAYS ABSTAIN ABSENT 10 MARQUEZ U 0. 11 BARRIOS L 12 > 0 13 VALDIVIA v 0 14 SHORETT 15 NICKEL 3 0 16 U) JOHNSON LO N 17 M MULVIHILL 18 C1' N O M 19 20 Georgeann Hanna, City Clerk 21 The foregoing resolution is hereby approved this day of , 2014. 2 22 a 23 R. CAREY DAVIS, Mayor 24 City of San Bernardino 25 Approved as to form: 26 GARY D. SAENZ, City Attorney �+ 27 By: 28 Packet Pg.552 5.W.b VENDOR SERVICE AGREEMENT BETWEEN THE CITY OF SAN BERNARDINO AND RICK AVILA CONSTRUCTION FOR SEWER MANHOLE COVER REPLACEMENT SERVICES This VENDOR Service Agreement is entered into this 7th day of July, 2014, by and between Rick Avila Construction ("VENDOR") and the City of San Bernardino ("CITY" or "San Bernardino"). WITNESSETH: d WHEREAS, the Mayor and Common Council has determined that it is advantageous 'L a� and in the best interest of the CITY to contract for sewer manhole cover replacement services E and; Q v WHEREAS, The City of San Bernardino did solicit and accept quotes from available W L VENDORS for such sewer manhole cover replacement services; and c° a� 0 WHEREAS, VENDOR is the lowest bidder to provide said service to City; and NOW,THEREFORE. the parties hereto agree as follows: a� 1. SCOPE OF SERVICES. LO N For the remuneration stipulated, San Bernardino hereby engages the services of M Ln N VENDOR to provide those services as set forth in RFQ F-14-34, a copy of which is on file in M r E the Public Works Department and a copy of the Price Form is attached hereto as Attachment "1"and incorporated here by this reference. 2. COMPENSATION AND EXPENSES. w Q a. For the services delineated above, the CITY, upon presentation of an invoice, shall pay the VENDOR up to the amount of $60,000 for sewer manhole cover replacement services pursuant to RFQ F-14-34. b. No other expenditures made by VENDOR shall be reimbursed by CITY. IIl Exhibit"A" I Packet Pg.553 5.W.b 3. TERM; TERMINATION. The term of this agreement shall be from July 7, 2014 through June 30,2015,with three (3) one-year extensions at the City's option. Option year one, if exercised, shall be effective July 1, 2015 through June 30, 2016. Option year two, if exercised, shall be effective July 1, 2016 through June 30, 2017. Option year three, if exercised, shall be effective July 1, 2017 through June 30, 2018. d This Agreement may be terminated at any time by thirty (30) days' written notice by d U) either party. The terms of this Agreement shall remain in force unless amended by written a E agreement of the parties executed on or before the date of expiration of current term of the Q 0. a� agreement. a 4. INDEMNITY. a� 0 VENDOR agrees to and shall indemnify and hold the City, its elected officials, employees, agents or representatives, free and harmless from all claims, actions, damages and liabilities of d 3 d any kind and nature arising from bodily injury, including death, or property damage, based or y LO N asserted upon any or alleged act or omission of VENDOR, its employees, agents, or Ln N subcontractors, relating to or in any way connected with the accomplishment of the work or M w E performance of service under this Agreement, unless the bodily injury or property damage was actually caused by the sole negligence of the City, its elected officials, employees, agents or representatives. As part of the foregoing indemnity, VENDOR agrees to protect and defend at 43 a its own expense, including attorney's fees the City, its elected officials, employees, agents or representatives from any and all legal actions based upon such actual or alleged acts or omissions. VENDOR hereby waives any and all rights to any types of express or implied indemnity against the City, its elected officials, employees, agents or representatives, with Exhibit"A" 2 Packet Pg. 554 respect to third a rt Y clai against the VENDOR relating to o r 'm any way connected with the accomplishment of the work or performance of services under this Agreement. 5. INSURANCE. While not restricting or limiting the foregoing, during the term of this Agreement, VENDOR shall maintain in effect policies of comprehensive public, general and automobile liability insurance, in the amount of $1,000,000.00 combined single limit, and statutory worker's compensation coverage, and shall file copies of said policies with the CITY's Risk 2 co d Manager prior to undertaking any work under this Agreement. CITY shall be set forth as an as E additional named insured in each policy of insurance provided hereunder. The Certificate of 8 CL Insurance furnished to the CITY shall require the insure r to notify CITY at least 30 days prior L 0 f the policy. to an change in or termination o Y � 0 6. NON-DISCRIMINATION. In the performance of this Agreement and in the hiring and recruitment of employees, d VENDOR shall not engage in, nor permit its officers, employees or agents to engage in, LO N race religion, color, national origin, M discrimination in employment of persons because of their g ,... LO N ancestry, age, mental or physical disability, medical conditions, marital status, sexual gender or M E L other status protected b law. sexual orientation or an Y � > Y p w C INDEPENDENT CONTRACTOR. d 7. INDEPE E VENDOR shall perform work tasks provided by this Agreement, but for all intents and a purposes VENDOR shall be an independent contractor and not an agent or employee of the CITY. VENDOR shall secure, at its expense, and be responsible for any and all payment of Income Tax, Social Security, State Disability Insurance Compensation, Unemployment Compensation, and other payroll deductions for VENDOR and its officers, agents, and Exhibit"A" 3 Packet Pg. 555 I'I S.W.b if an are required, in connection with the services to be and all business license, y q , employees, performed hereunder. 8. BUSINESS REGISTRATION CERTIFICATE AND OTHER REQUIREMENTS. VENDOR warrants that it possesses or shall obtain, and maintain a business registration certificate pursuant to Chapter 5 of the Municipal Code, and any other licenses, permits, qualifications, insurance and approval of whatever nature that are legally required of VENDOR a� U to practice its business or profession. d NOTICES. E Any notices to be given pursuant to this Agreement shall be deposited with the United 8 CL States Postal Service, postage prepaid and addressed as follows: TO THE CITY: Public Works Director U 300 North"D" Street San Bernardino, CA 92418 = Telephone: (909) 384-5140 d a� TO THE VENDOR: Rick Avila Construction 4022 North"F" Street San Bernardino, CA 92407 c Telephone: (909) 886-2257 Contact: Rick Avila N 0 M 9. ATTORNEYS' FEES. E rn In the event that litigation is brought by any party in connection with this Agreement. a� the prevailing party shall be entitled to recover from the opposing party all costs and expenses, U w including reasonable attorneys' fees, incurred by the prevailing party in the exercise of any of Q its rights or remedies hereunder or the enforcement of any of the terms, conditions of provisions hereof. Attorney's fees for the City Attorney and members of his office shall bE calculated based on market rate for comparable services. Exhibit"A" 4 Packet Pg. 556 s. F 10. ASSIGNMENT. VENDOR shall not voluntarily or by operation of law assign, transfer, sublet or encumber all or any part of the VENDOR's interest in this Agreement without CITY's prior written consent. Any attempted assignment, transfer, subletting or encumbrance shall be void and shall constitute a breach of this Agreement and cause for the termination of this Agreement. Regardless of CITY's consent,no subletting or assignment shall release VENDOR ., N d V of VENDOR's obligation to perform all other obligations to be performed by VENDOR as co hereunder for the term of this Agreement. E d 11. VENUE. CL v The parties hereto agree that all actions or proceedings arising in connection with this a� Agreement shall be tried and litigated either in the State courts located in the County of San U IV 0 Bernardino, State of California or the U.S. District Court for the Central District of California, _ Riverside Division. The aforementioned choice of venue is intended by the parties to be 3 d Cn mandatory and not permissive in nature. N 0 12. GOVERNING LAW. n N This Agreement shall be governed by the laws of the State of California. M E L 13. SUCCESSORS AND ASSIGNS. This Agreement shall be binding on and inure to the benefit of the parties to this Agreement U and their respective heirs,representatives, successors, and assigns. 14. HEADINGS. The subject headings of the sections of this Agreement are included for the purposes of convenience only and shall not affect the construction or the interpretation of any of its provisions. Exhibit"A" 5 Packet Pg. 557 5.W.b 15. SEVERABILITY. If any provision of this Agreement is determined by a court of competent jurisdiction to be invalid or unenforceable for any reason, such determination shall not affect the validity or enforceability of the remaining terms and provisions hereof or of the offending provision in any other circumstance, and the remaining provisions of this Agreement shall remain in full force and effect. N d V lb. ENTIRE AGREEMENT; MODIFICATION. > This Agreement constitutes the entire agreement and the understanding between the a E parties, and supercedes any prior agreements and understandings relating to the subject manner a) CL 4) of this Agreement. This Agreement may be modified or amended only by a written instrument d executed by all parties to this Agreement. u 0 CL 3 LO N O M LO N O M w E L a} (Q C a> E V i-. W Q Exhibit"A" 6 Packet Pg. 558 VENDOR SERVICE AGREEMENT BETWEEN THE CITY OF SAN BERNARDINO AND RICK AVILA CONSTRUCTION FOR SEWER MANHOLE COVER REPLACEMENT SERVICES IN WITNESS THEREOF, the parties hereto have executed this Agreement on the day and date set forth below. Dated: 12014 RICK AVILA CONSTRUCTION a� U By: L a� Its: c E v Dated , 2014 CITY OF SAN BERNARDINO a_ By: > Allen J. Parker, City Manager c°� Approved as to Form: °o Gary D. Saenz, City Attorney = By: CD 0 M N 0 M E L E Q E 0 �M+ Q Exhibit"A" 7 Packet Pg. 559 (SaOin.IaS;uawaaeldab aanOO alOquew IOMaS : SZO£) AaecuuanS pi8 :;uauayOe;;y c v LO ass a d? Q > o Z U cr- IL a. O o C U ca M -J o — C3 ca O. O C) chi = ca Lo O > E 00 Z m L U p Lo N m -0 CD O U) M 1� Q) 0) U a w +' Q N W m Q ° ti LLJ 2 W U r O � o 0 ca U or �t T U 0') Z U) UL � m � LL ;' to O rt0 m � � U co O cu U _ O O CL J a L N > V tC U � U O qS CL J � O O N t7 Z; U jJ lY i i ..'.. ,.,.-.... i _:....._ .._.-.:.'./.�.. ....:. _...�.i.. 3, (saO!naaS juawaae!da�j aanOO a!Ot{uew JOMaS : 5ZO£) fuewwnS p!8 :;uauayae}jy � aL SU` U r O a IL T o xm �O i U O O O O O U3 'ct O r M O W = O N r? 1 co r,? O N LO O co Q D "i; } �i,r,L� r,� 0 O cr U- ca c C , t C� (1) C O d > LO 0 W C U O s.. O V sw 2! '.vt7>.r`d J / `, t""' `3s .ttit t ��, 'f6 r �� .r t ..t ✓lt 1 �. l -S`f lrjr ['111, J ' / r,/' ✓'✓JiJ�I� t I flf L ; �Y�2 f l y _ _ F i l l� J' h RFQ F-14-34 Sewer Manhole Cover Replacement Services City of San Bernardino TECHNICAL SPECIFICATIONS RFQ F-14-34 SEWER MANHOLE COVER REPLACEMENT SERVCIES NOTICE: "SPECIAL INSTRUCTIONS TO THE BIDDER" The Public Works Department, Operation & Maintenance Division, is responsible for maintaining all sewer manholes throughout the City. The intent of this document is to solicit proposals from qualified CONTRACTOR'S with experience in providing sewer •2 manhole cover replacement services. The Public Works Department, Operation & in Maintenance Division will provide the manhole lids and collars. Last year, approximately 130 damaged, deficient and aged manhole covers were replaced. The City is looking for the most responsive and responsible CONTRACTOR that will be committed to provide the City of San Bernardino with sewer manhole cover replacement services at a per unit cost. Through a competitive qualification and bid based procurement process, the City of San Bernardino intends to enter into an agreement with a qualified CONTRACTOR for sewer manhole cover replacement services. 0 as Services: Bidder shall complete right-hand column indicating brief reasoning for 0 exemptions to requirements when not applicable. State "Acceptable" if M requirements area agreeable as set forth in left-hand column. q g L 3 Whenever the terms "Standard Specifications" is used, it shall mean the "Standard Specifications for Public Works Construction, latest edition." In u; case of conflict between these specifications and Standard Specifications, o these specifications shall take precedence over and be used in lieu of the d Standard Specifications. Y FAILURE TO COMPLETE RIGHT HAND COLUMN WILL INVALIDATE BID a CATEGORY I ACCEPTABLE 1 AS SPECIFIED m 1. SCOPE a� E A. The CONTRACTOR will supply all labor, concrete materials, asphalt material and Q equipment associated with the removal and installation of damaged, deficient and aged manhole covers. For bidding purposes and to better compare pricing, the 130 manhole cover replacements per year will be used to establish a unit cost for each manhole cover that is replaced. The City of San Bernardino does not guarantee that 130 manhole covers will be replaced per year. eAcyc P r' IO Packet Pg.562 k FQ P-14-34 Sewer Manhole Cover R placement Services B. CONTRACTOR is responsible for disposal of all materials in an approved recycle facility. C. This is a non-prevailing wage contract. � ta( 2. TRAFFIC CONTROL Attention is directed to Section 7-10, "Public Convenience and Safety" of the Standard Specifications for Public Works Construction, latest N edition and these special provisions. Warning signs, lights, and devices for use in in performance of work on Highways shall conform to d the "Manual of Traffic Control," 2000 Edition, and E the "Work Area Traffic Control Handbook," 2000 c Edition, adopted by the City of San Bernardino. The CONTRACTOR shall so conduct the operation o as to offer the least possible obstruction and U inconvenience to the public. Convenient access to 0 abutting properties shall be maintained whenever = possible. CONTRACTOR shall maintain a minimum of one traffic lane in each direction at all times. All excavations opened during any day will be paved back to a safe condition by the end of the same day. `n LO Full compensation for furnishing labor, materials, M equipment, and incidentals for all traffic control will be considered as being included in various items of work and no additional compensation will be a allowed. :2 m c 3. LENGTH OF TIME TO COMPLETE U f6 CONTRACTOR must commence work within ten Q (10) calendar days after notification by the CITY. CONTRACTOR must pursue the work continuously after commencement of job to complete the entire work order. Twenty)20) working days are allowed for this project. Packet Pg.563 I h RI'Q t;-14-.34 Sewer Manhole Cover Rehlaccmen€Services 4. PRICING PER UN IT COS T Provide a pricing proposal that is a fixed fee per sewer manhole cover that is replaced. The fixed fee shall include all related costs. A list of 20-26 manhole locations will be given to the CONTRACTOR at a time for replacement. Reminder: The Public Works Department, Operation & Maintenance Division will provide the new manhole lids and collars. The CONTRACTOR must return the old manhole lids and collars to the L City Yard upon completion of the new Cn replacements. When existing manhole lids and collars are in good condition when raising the U manhole lids, please reuse the old set. CL Construction Standard: The CONTRACTOR will make the repairs according to the City of San o Bernardino Public Works Standards, a copy of U which is attached hereto, marked Attachment "1". <r�J' j� o c 5. SUBCONTRACTOR The CONTRACTOR must list all subcontractors d used for the duration of this contract. If a new subcontractor is hired to provide services during the `n contract, the CONTRACTOR must submit the name o of the new subcontractor, subcontractor's license, and insurance information one week prior to work performed. U a 6. REFERENCE LIST C'any o4 k,et kJ iAv .a Provide three (3) local government agencies and/or company's previous or current contact references s that support your ability to provide sewer manhole w cover replacement services. a 7. CONTRACT LENGTH The length of this contract shall be for one year with three (3) one-year extensions at the City's option. n(--,C k 12 Packet Pg.564 RPQ f;-i4-34 Sewer Manhole Cover Replacement Services 8. LICENSES The CONTRACTOR represents that it has all licenses including the Class A contractor license, permits, qualifications and approvals of whatever nature that are legally required to provide sewer manhole cover replacement services, including a City Business License, and that such licenses and approvals shall be maintained throughout the term of this Contract. y 9. CONTRACTOR NON-COMPLIANCE N A. If the Public Works Department Director, or his designee, determines that there are deficiencies in the performance of this Agreement, the Public Q. Works Director, or his designee, will provide a written notice to the CONTRACTOR stating the deficiencies and specifying a time frame to 0 correct the specified deficiencies. This time frame shall be reasonable, as determined by the 0 Public Works Director, or his designee, to correct the specified deficiencies. a� B. Should the CONTRACTOR fail to correct any 3 a� deficiencies within the stated time frame, the Public Works Director, or his designee, may o exercise the following measures: d 1. Deduct from the CONTRACTOR'S payment U the amount necessary to correct the a. deficiency, including City overhead costs and m impose a deficiency deduction. as E 2. Withhold the entire or partial payment. 3. Terminate the contract and award to second Q bidder. 13 Packet Pg. 565' Il . 5 RPQ F-14-34 Sewer Manhole Cover Replacement Services i' PRICE FORM REQUEST FOR QUOTES: RFQ F-14-34 DESCRIPTION OF RFQ: Sewer Manhole Cover Replacement Services COMPANY NAME: 9;C,< Ayd ADDRESS: ��+ate b�.d,&-��t�—�.� r✓i�l � el, {��.-�tl� d Cn c w E d U co PRINT 0. NAME OF AUTHORIZED REPRESENTATIVE 0 c� a� 0 Provide pricing that is a Firm Fixed Fee per replaced sewer manhole cover. L UNIT FEE cn LO N O Per Manhole Cover $ a ANNUAL PURCHASE ORDER m c Effective on or about July 1, 2014 through June 30, 2015 plus three (3) one-year E renewal options, for City's requirements. Y Option year one, if exercised, shall be effective July 1, 2015 through June 30, 2016. Q Option year two, if exercised, shall be effective July 1, 2016 through June 30, 2017. Option year three, if exercised, shall be effective July 1, 2017 through June 30, 2018. Actual option year pricing shall be negotiated with the successful Bidder(s) prior to exercising of any given option year. Option years shall become effective only upon issuance by the City of a duly authorized Purchase Order. 15 Packet Pg.566 RFQ F-]4-34 sewer Manhole Cover Replacement services Are there any other additional or incidental costs, which will be required by ur firm in order to meet the requirements of the Technical Specifications? Yes / No' (circle one). If you answered "Yes", please provide detail of said additional costs: N N Please indicate any elements of the Technical Specifications that cannot be met by your firm: Cn E d U tC Q d L 7 0 Have you included in your bid all informational items and forms as requested? / d No (circle one). If you answered "No", please explain: c a L as 3 (D U) LO N O M r This offer shall remain firm for 120 days from RFQ close date. Terms and conditions as set forth in this RFQ apply to this bid. I1 'm Cash discount allowable: % days; unless otherwise stated, payment terms are: Net thirty (30) days. E In signing this bid, Bidder warrants that all certifications and documents w requested herein are attached and properly completed and signed. a From time to time, the City may issue one or more addenda to this RFQ. Below, please indicate all Addenda to this RFQ received by your firm, and the date said Addenda was/were received. 16 Packet Pg.567 RPQ P-14-34 Sewer Manhole Cover Replacemenl services Verification of Addenda Received: Addenda No: Received on: Addenda No: Received on: Addenda No: Received on: ,� rn AUTHORIZED SIGNATURE: Cn �U V PRINT SIGNER'S NAME & TITLE: (Ca`"� d , a� E d u M DATE SIGNED: ��"�� � 0 COMPANY NAME & ADDRESS: !C'/� �"��/ ('C't1 SJ`�'tiCr %il Cc:,d1 ,�i(QGti(r'�9C o <N a� 6 PHONE: _ 5 FAX: d EMAIL: r- e Kew i I Ck co.4 5 f�lve�z`c�wt �Lrt�r/a`��,;� .�1c: `". LO N O M r d IF SUBMITTING A "NO BID", PLEASE STATE REQSON(S) BELOW: a 'a m c d E U f{S r Q 17 Packet Pg.568 RFQ P-14-34 Sewer Manhole Cover Replacement Scrviccs SUBCONTRACTOR'S LIST As required by California State Law, the General Contractor bidding will hereinafter state the subcontractor who will be the subcontractor on the job for each particular trade or subdivision of the work in an amount in excess of one-half of one percent of the General Contractor's total bid and will state the firm name and principal location of the mill, shop, or office of each. If a General Contractor fails to specify a subcontractor, or if he specifies more than one subcontractor for the same portion of work to be performed under the contract in excess of one-half of one percent, he agrees that he is fully qualified to perform that portion himself and that he shall perform that portion himself. a� DIVISION OF NAME OF FIRM OR LOCATION N WORK OR CONTRACTOR CITY TRADE ti., Av L d 0 m O _ ca 3 Print Name S19nature of Bidder r U / ca Company Name: l�irX 14,;'/.,� �'� S;A^—&l /Ck -a. Address: E v REJECTION OF BIDS Q The undersigned agrees that the City of San Bernardino reserves the right to reject any or all bids, and reserves the right to waive informalities in a bid or bids not affected by law, if to do seems to best serve the public interest. 18 Packet Pg.569 5'.Wd ACOR - CERTIFICATE OF LIABILITY INSURANCE 4��j201'' ' PRODUCER THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GLOBAL PREMIER INSURANCE SERVICES HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 417 W Allen Ave x$105 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. _ San Dimas, CA 91773 - --- - (909)542-0905 INSURERS AFFORDING COVERAGE NAIC# INSURED Rick Avila Constructionmm -� - INSURER A: United Contractors Ins Svcs --- 4022 North P Street INSURERS: Wt-SCO Insurance Company _ San Bernardino, CA 92407 INSURER C: 909-886-•2257 - Fax INSURER D; INSURER E: --_— - -- COVERAGES THE POLICIES OF INSURANCE LISTEOBELOW HAVE BEEN ISSUED TO THE INSURED NAMED A13OVEFOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ~ ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. _ IN6 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION -- - -,_ DATE MMrt?Diff"Y DATE(MMIDD/YY) _ LIMITS �� V GENERAL LIABILITY EACH OCCURRENCE S 1 000 0 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurenco) $ 50 to 0 CLAIMS MADE I-X_1 OCCUR MED EXP(My oneperson) S 5, D A X _ DSI-GL-CA-01296 10/2/13 10/2/14 PERSONAL&ACV INJURY $ ] �Q Q r- D _ GENERAL AGGREGATE S 2_,000 E `D GEN'L AGGREGATE LIMIT APPLIESPER'. PRODUCTS-COMPIOPAGG S 1 Q©Q� U X POLICY PRO- LOG .__-_..._ >Z AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ T ALLUWNEp AUTOS 9 DODILY INJURY $ O SCHEDULED AUTOS (Per person) V HIRED AUTOS — 4) BODILY INJURY Q NON-OWNED AUTOS (Per accident) $ t cc --- PROPERTY DAMAGE (Peraccident) S GARAGE LIABILITY AUTO ONLY-£A ACCIDENT $ - ANYAUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ •• EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ N :1 OCCUR Ci CLAWSMADE AGGREGATE DEDUCTIBLE $ I H U Y RETENTION $ $ WORKERS COMPENSATION AND - - EMPLOYERS'LIABILITY X TORY LIMITS_ ER -a ANY PROPRIETORIPARYNrruEXFCUTIVE E.L.EACH ACCIDENT S 1 Q 00 r m oyes.dam+ibaun Excwoeo? WWC3060225 05/06/2013 05/06/2014 E.L.D€SEASE-EAEMPLOYEC $ 1 000 w Ilyes,desuibeundar -- SPECIAL PROVISIONS below _ - E.L.DISEASE-POLICY LIMIT S 1�,0 0 Q� c - OTHER .___ _ '-.._ G t V f0 r DESCRIPTION OF OPERATIONS/LOCAT IONS/VEHICLES/EXCLUSIONS ADDED BYENDORSEMENT /SPECIAL PROVISIONS Certificate holder is named as additional insured hereto. RE: City of San Bernardino CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOt; San Bernardino City Street 300 N. T3 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRIT ------- NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,SUT FAILURE TO DO SO SHALL San $Lrnarda,n0, CA. 92 4�. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TIME INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Packet Pg.570 RFQ F-14-34 Sewer Manhole Cover Replacement Services NON - COLLUSION AFFIDAVIT TO: THE COMMON COUNCIL, CITY OF SAN BERNARDINO In accordance with Title 23, United States Code, Section 112, the undersigned hereby states, under penalty of perjury: That he/she has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken action in restraint of free competitive bidding in connection with RFQ F-14-34. W Business Name /L I4�1 f�r eak > trycTr041 C Business Address N, � s� SqK ��`'" " ° ya7 °E' v Q. Signature of bidder X L d O U J22 N� � h S f as e�c i"4., 0"' 0 Place of Residence M L , � 3 Subscribed and sworn before me this day of-��,— 20 Ln � N Notary Public in and for the County o� Y lcC State of California. M My commission expires: a m r n � Nobly Puawa-64ftmje 2 ,I 6 Q 19 Packet Pg.571 Q v U L (n a� ca CL O 3. 0),. o CN u y,. Q = « M CL 4 C1 V a+ a.+ Q 1 Packet Pg. 572