Bear Electrical Solutions1
Proposal for On-Call Traffic Signal Repair Service
for the City of La Quinta
Attn: Kris Gunterson, Traffic Analyst
August 5, 2019
Bear Electrical Solutions, Inc.
Headquarters:
1341 Archer Street,
Alviso, CA 95002
1(800) GO BEAR1
Local Regional Office:
3911 E. La Palma Avenue, Suite A
Anaheim, CA 92807
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
1 | P a g e
Table of Contents
Project Understanding and Approach .................................................................................................................. 3
Statement of Qualifications .................................................................................................................................. 6
Current Maintenance Accounts ........................................................................................................................ 8
Staff Qualifications .............................................................................................................................................. 13
Non-Collusion Affidavit Form.............................................................................................................................. 15
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
2 | P a g e
City of La Quinta – Design and Development Department
78-495 Calle Tampico
La Quinta, CA 92253
Attn: Kris Gunterson, Traffic Analyst
RE: RFP for On-Call Traffic Signal Repair Services
Dear Kris Gunterson:
Bear Electrical Solutions, Inc., is excited to propose on the RFP for On-Call Traffic Signal Repair Services
for the City of La Quinta (the City). We are pleased to submit our proposal, which details our philosophy
and services, and conveys our commitment to, and enthusiasm for, working with the City. We have
prepared our proposal to respond to the guidelines set forth in your RFP.
We are one of the largest, privately-owned maintenance service providers maintaining over 3,500 traffic
signals and 160,000 streetlights in California. Bear Electrical is the best at what we do because we focus on
having the right people, smart systems, and owning a continuous improvement mindset.
WE EXIST PURELY TO PROVIDE MAINTENANCE SERVICES WITH THE GUIDING PRINCIPLES OF:
Our company is the best company for the City of La Quinta because:
1. We have specifically assigned (3) Econolite-certified, NEC-licensed electricians who have a 90-minute
maximum response time to the City of La Quinta.
2. We have a proven reporting and billing portal that allows transparency and ease of use.
Our team is ready to provide the City a turnkey service solution of high-quality traffic signal electricians. We
are currently delivering best in class turnkey maintenance service to over 56 public agencies statewide. We
look forward to the opportunity to work for the City of La Quinta.
Our company information is as follows:
Headquarters Address: Project Contact(s): Justin Cataldo, Local
1341 Archer Street Manager & Robert Asuncion, Traffic Engineer
Alviso, CA 95002-0924
Local Address (Service Branch Office for this project)
3911 E. La Palma Avenue, Suite A
Anaheim, CA 92807 Email Address(s): Justin@Bear-Electrical.com
Company Main Phone: 408-449-5178 & Robert@Bear-Electrical.com
Sincerely,
Robert Asuncion, TE
Vice President
Building long - term
connections and relationships
with our customers and team
Finding innovative and creative
solutions to do things better
Remaining nimble and agile to
respond to customer’s needs.
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
3 | P a g e
Project Understanding and Approach
Based on our review of the RFP and background knowledge of the City, we understand the City needs the
following:
• A traffic signal maintenance service provider that can provide a full turnkey maintenance program for
a continuously innovating and expanding community in the La Quinta area
• A maintenance service provider that can operate as a “project partner” and have a team of
responsible, experts of the trade - available 24/7/365 with the ability to respond to emergency work
in two-hour max.
o A team of electrical experts that is properly licensed, knowledgeable, drug-free, and highly
certified to perform the work at hand throughout the entirety of the contract.
• A maintenance company that can handle and recommend best practices regarding routine
maintenance of traffic signal infrastructure as well as unscheduled maintenance items with a proper
work authorization process.
• A maintenance company that can provide industry-standard, certified traffic signal equipment that is
consistent with City of La Quinta standards and specifications, including but not limited to, signal poles,
controller cabinet, cabinet components, and field indication hardware.
• A maintenance company that can effectively communicate and report routine activities as well as
extraordinary issues that arise such as emergency or scheduled work.
o Ability to maintain accurate and up-to-date documentation
o Transparent billing reporting
o Submit maintenance invoices in an expedient and accurate manner monthly
Approach
Our approach to meet the goals and objectives of this RFP is as follows:
• We will assign our best electricians and project manager that are locally based. We have experience
working with developing communities and will bring proactive innovative solutions to the table.
• Our live dispatch team answers our toll free 1-800-GOBEAR1 phone number from 8:00am – 5:00pm
during weekdays. We have a call center that handles after hour calls and routes them to the correct
person immediately. You can also dispatch/create work orders online by submitting a case through
your portal, or by emailing our dispatch email address.
• We will establish a positive and regular routine with the City of La Quinta by having, at a minimum, a
bi-monthly meeting to review work progress and discuss pertinent issues to complete open work.
• Continue to enhance and share our working knowledge of new ITS technologies and maintenance
approaches with you, as needed and if requested.
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
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• Traffic Engineering Support for La Quinta, if needed – In the true spirit of “extension of staff,” Robert
Asuncion can provide traffic engineering consultation to assist in budget and design review, grant data
collection and strategy, timing review and validation, and traffic engineering best practices
recommendations for signal operations.
• Perform unscheduled maintenance and emergency response. We excel in unscheduled maintenance
with a team of labors and electricians that have experience in traffic signal and streetlight construction.
We have a process developed for authorizing extra work as part of our online maintenance system.
• Provide a truly innovative approach to knowing your traffic signal maintenance program. The
S.T.A.R. (Service Tracking And Reporting) system is Bear Electrical Solution’s proprietary software
suite built to drive a higher standard for the maintenance industry. The STAR system enables real-
time exchange of information from our field & office to our customers to ensure optimal accuracy and
responsiveness. Key highlights of the system are:
o Setup and customization of your own online portal to view real-time status of your work
orders.
o One centralized place for all your data – locations, installed assets, and work order history
organized by locations.
o Automated approval process for extraordinary work proposals.
o Smart reports and analytics to drive better decisions on how to maintain your
infrastructure.
Our system is built on the salesforce platform which allows it to integrate with all other industry
software solutions. If the City has their own work order management system, we can integrate our
system with the City’s system in terms of data upload and work order management.
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
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• Optional: Audit and establish a baseline inventory of assets and report and enter data in STAR as
well as provide completed inventory reporting to the City on a per location basis. This includes traffic
signal cabinet inventory. Inventory reporting will be online and accessible through the City port
• Routine communication will be made by our field foreman to the City either by phone or email (City
preference) to communicate work scheduled for the day, any extraordinary calls that came in
overnight or from the weekend, and a forecast of any work ahead.
Live Intersection
Location Inventory Asset
Database
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
6 | P a g e
Statement of Qualifications
Bear Electrical Solutions, Inc. was created with the simple belief that no other firm in our space was delivering
the level of service that customers deserved. Knowing that there was a better way, we created Bear Electrical
using a high standard that is focused on two simple objectives: 1. Delivering on our promises and 2. Putting
people first.
We achieve this high standard by having the right people, smart systems, and challenging the status quo.
Right People
We only hire people that, not only have the perfect balance of experience and expertise, but MUST have the
right mindset. Our people operate with a high standard of professionalism, reliability, and responsiveness
when they perform their duties. Our team is constantly empathic to our customers and naturally possess a
sense of genuine care and concern to the needs of our customers. We work relentlessly to give the best
possible customer experience while ensuring all work is done safely and in compliance to public agency
standards and best practices.
Smart Systems
Building smart systems and processes is essential to empowering our team to deliver on our promises.
Leveraging our long-time experience as well as constantly learning from our customers’ needs, Bear Electrical
has developed systems and processes using industry best practices and world-class software. This allows us
to raise the bar by providing insightful data and reports, and delivering real time communication and access to
critical service information.
Challenging the Status Quo
This inspires us – we believe that by continually improving and searching for better maintenance solutions
allows us to become the best service provider in the industry. We approach each agency as a new customer
– customizing fresh new solutions, use data to drive future decisions and make smart recommendations, and
most importantly – free you up to do other aspects of your job and make signal and streetlight infrastructure
maintenance easy for you.
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
7 | P a g e
Company Background
Bear Electrical Solutions, Inc. was founded in 2013 to deliver the best signal and lighting electrical construction
and maintenance service possible to California. Headquartered in San Jose, CA and with our southern California
branch office in Anaheim, CA - Bear Electrical employs 66 full time employees, operates three field offices with
a statewide service area, and provides maintenance services to 56 public agency contracts.
Our company carries all the necessary licenses and credentials to ensure the public that we are competent,
responsible, and above all, safety experts in our craft.
California Contractor’s License (#982079)
• Class A – General Engineering – Required to perform or oversee work specialized in civil-related works
such as foundations, concrete work, paving and trenching.
• Class C-10 – Electrical – Required for installation and maintenance of high-voltage devices.
• Class C-31 – Construction Zone Traffic Control – Required for preparation and implementation of traffic
control such lane closures, flagging, etc. which is a vital task in maintenance.
• Class D-31 – Pole Installation and Maintenance– Required to perform pole installation and
maintenance
Individual Licenses and Certifications
• Department of Industrial Relations Certified & Registered (#1000002158)
• Gold Shovel Certified by Pacific Gas & Electric
• National Electrical Contractors Association Certified
• Department of Industrial Relations – Electrical License
• Professional License in Traffic Engineering
Involved and Active in Various Industry Organizations
• Prospect Silicon Valley (Major Sponsor)
• Traffic Signal Association of Silicon Valley Chapter (TSA)
• California Street Light Association (CALSLA)
• United Contractors (UCON)
Our company specializes in:
• Emergency Response – We are capable and commit to have an electrician in your City within two (2)
hour during normal and non-working times – 24/7/365.
• Traffic Signal Timing – Bear Electrical Solutions, Inc. is the only maintenance company in the area that
has an in-house licensed traffic engineer as owner and manager. Robert Asuncion has provided such
services to our existing customers on an as-needed basis.
• Traffic Signal Controller Programming – With a maintenance team comprised of all IMSA Level III Field
electricians- our team of electricians are fully capable and knowledgeable to input any signal controller
programming in your city in practically any software format.
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
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• Streetlight Maintenance (can be provided if required by La Quinta) – Bear Electrical Solutions is the
largest private streetlight maintenance provider (for municipalities) providing service to over
160,000 agency owned infrastructure. We have crafted our systems to not only effectively service
your streetlight issue but have a proprietary system in tracking work history, asset information (both
City and third party), and costing on a per pole basis.
• Solar-powered Devices – As a leader in the maintenance business, our electricians have working
knowledge and experience on virtually every solar-powered traffic device in the market.
• Fiber Optic, Wired, and Wireless Communications – Our team have experience installing new builds,
troubleshooting, and repairing all typical forms of communication media for both traffic signal and
streetlight applications. From deploying CCTV cameras, SMART streetlights, adaptive signal system to
Bluetooth travel time readers to V2X technology – our team has experience with all forms of
communications and understands the intricacies to your signal infrastructure.
Current Maintenance Accounts
Below is our current list of agency contracts throughout California.
Contract
No.
(ACTIVE)
Agency - Contract Maintenance
Contract Type # of TS # of SL
# of
Flashing
Beacon
# of
Lighte
d CW
# of Radar
Speed Signs Duration
1
Citrus Heights
Streetlight
Full Turnkey
Streetlighting
4,503 2015-
2025
2 Elk Grove
Streetlight
Full Turnkey
Streetlighting
16,646 2014-
2019
3
Fremont
Streetlight
Full Turnkey
Streetlighting
16,994 2017-
2022
4 Lathrop Streetlight Full Turnkey
Streetlighting
1,518 2014-
2020
5
Manteca
Streetlight
Full Turnkey
Streetlighting
4,040 2014-
open
6 Tustin
Streetlighting
Full Turnkey
Streetlighting
3,161 2017-
2022
7
Aliso Viejo Traffic
Signal
Full Turnkey
Traffic Signal
47
3
6
2017-
2024
8 Benicia Traffic
Signal
Full Turnkey
Traffic Signal
11
12 2018-
2023
9
Burlingame Traffic
Signal
Full Turnkey
Traffic Signal
26 2017-
2022
10 Capitola Traffic
Signal
Full Turnkey
Traffic Signal
8
2 2014-
2020
11
Carlsbad Traffic
Signal
Full Turnkey
Traffic Signal
177 2015-
2022
12 Ceres Traffic Signal Full Turnkey
Traffic Signal
34 2018-
2023
13
Citrus Heights
Traffic Signal
Full Turnkey
Traffic Signal
68 2015-
2025
14 Covina Traffic
Signal
Full Turnkey
Traffic Signal
48
1
1
12
2017-
2022
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
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15
El Dorado County
Traffic Signal
Full Turnkey
Traffic Signal
49 2017-
2022
16 Elk Grove Traffic
Signal
Full Turnkey
Traffic Signal
144
7
10 2014-
2019
17
Elk Grove Unified
School District
Traffic Signal
Full Turnkey
Traffic Signal
4 2019-
2023
18 Escalon Traffic
Signal
Full Turnkey
Traffic Signal
2 2019-
2023
19
Fremont Traffic
Signal
Full Turnkey
Traffic Signal
173 2018-
2023
20 Galt Traffic Signal Full Turnkey
Traffic Signal
5 2019-
2022
21
Glendora Traffic
Signal
Full Turnkey
Traffic Signal
51 2016-
2021
22 Hollister Traffic
Signal
Full Turnkey
Traffic Signal
20
3
2
2017-
open
23
Jay Paul Company
Traffic Signal
Full Turnkey
Traffic Signal
1 2018-
open
24 Lathrop Traffic
Signal
Full Turnkey
Traffic Signal
30
9
2014-
2020
25
Lincoln Traffic
Signal
Full Turnkey
Traffic Signal
35 2016-
2021
26 Loomis Traffic
Signal
Full Turnkey
Traffic Signal
7 2015-
2020
27
Los Altos Traffic
Signal
Full Turnkey
Traffic Signal
3
2
2018-
2023
28 Manteca Traffic
Signal
Full Turnkey
Traffic Signal
57 2018-
2023
29
Monterey Traffic
Signal
Full Turnkey
Traffic Signal
56
7
1
15
2019-
2022
30 Oakdale Traffic
Signal
Full Turnkey
Traffic Signal
8 2018-
2023
31
Pacific Grove
Traffic Signal
Full Turnkey
Traffic Signal
2 2019-
2022
32
Palo Alto Traffic
Signal /
Augmentation
Full Turnkey
Traffic Signal
17 2018-
2022
33
Paradise Traffic
Signal
Full Turnkey
Traffic Signal
15 2017-
2022
34 Paso Robles Traffic
Signal
Full Turnkey
Traffic Signal
32 2018-
2022
35
Patterson Traffic
Signal
Full Turnkey
Traffic Signal
13 2016-
2021
36 Placentia Traffic
Signal
Full Turnkey
Traffic Signal
60 2019-
2022
37
San Joaquin Traffic
Signal
Full Turnkey
Traffic Signal
31
1 2018-
2023
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
10 | P a g e
38
San Juan
Capistrano Traffic
Signal
Full Turnkey
Traffic Signal
38
1
3 2018-
2023
39
Saratoga Traffic
Signal
Full Turnkey
Traffic Signal
15
7
5 2019
40 Seaside OMC -
Traffic Signal
Full Turnkey
Traffic Signal
2 2018-
2022
41
Seaside Traffic
Signal
Full Turnkey
Traffic Signal
21 2018-
2022
42 Stanton Traffic
Signal
Full Turnkey
Traffic Signal
14
2 2019-
2023
43 Tustin Traffic Signal Full Turnkey
Traffic Signal
128
2
5 2017-
2021
44 UC Santa Cruz
Traffic Signal
Full Turnkey
Traffic Signal
2 2019-
2022
45
Watsonville Traffic
Signal
Full Turnkey
Traffic Signal
25 2019-
2022
46 Dixon Traffic Signal
and Streetlight
Full Turnkey TS
& SL
4
5 2018-
2021
47
Lake Forest Traffic
Signal
Full Turnkey TS
& SL
91
362
6 2017-
2022
48
Los Altos Traffic
Signal and
Streetlight
Full Turnkey TS
& SL
8
8
2
12
16
2018-
2021
49
Salinas Traffic
Signal and
Streetlight
Full Turnkey TS
& SL
110 2019-
2023
50
Contra Costa
County Traffic
Signal and
Streetlight
On-Call /
Augmentation
195
6,700 2019-
2023
51
Fremont Park
Department
On-Call /
Augmentation
2,300 2017-
2022
52 Monrovia
Streetlighting
On-Call /
Augmentation
2,400 2019
53
Monrovia Traffic
Signal
On-Call /
Augmentation
35 2019
54 San Jose Traffic
Signal & Streetlight
On-Call /
Augmentation
920
62,000 2019-
2021
55 Sacramento Traffic
Signal & Streetlight
On-Call /
Augmentation
700
40,000
56
Yuba County
Traffic Signal
On-Call /
Augmentation
57 2018-
2022
Totals
3,582
160,632
73
42
62
# of TS # of SL
# of
Flashing
Beacon
# of
Lighte
d CW
# of Radar
Speed Signs
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
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We are proud of the customer base that we have that allows us to work collaboratively
and feeds our passion as traffic signal electricians and managers. Below is a list of
references of local government entities that we have a privilege of serving.
Customer Reference No. 1
Name City of Tustin
Project Description Citywide Traffic Signal Maintenance - Routine & Response Services
Project Duration 2016- ongoing
Project Cost $500k annually
Contact Name Krys Saldivar, Public Works Manager
Contact Telephone
Number
714-573-3172
Contact Email
Address ksaldivar@tustinca.org
Customer Reference No. 2
Name City of Carlsbad
Project Description Citywide Traffic Signal Maintenance - Routine & Response Services
Project Duration 2015- ongoing
Project Cost $600k annually
Contact Name Doug Bilse, Senior Traffic Engineer
Contact Telephone
Number 760-602-7504
Contact Email
Address doug.bilse@carlsbadca.gov
Customer Reference No. 3
Name City of Aliso Viejo
Project Description Citywide Traffic Signal Maintenance - Routine & Response Services
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
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Project Duration 2017- ongoing
Project Cost $100K annually
Contact Name Shaun Pelletier, City Engineer
Contact Telephone
Number 949-425-2533
Contact Email
Address spelletier@cityofalisoviejo.com
Customer Reference No. 4
Name City of Covina
Project Description Citywide Traffic Signal Maintenance - Routine & Response Services
Project Duration 2017- ongoing
Project Cost $50K annually
Contact Name Steven Pivovaroff, City Engineer
Contact Telephone
Number 626-422-0396
Contact Email Address spivovaroff@covinaca.gov
Customer Reference No. 5
Name City of Glendora
Project Description Citywide Traffic Signal Maintenance - Routine & Response Services
Project Duration 2016- ongoing
Project Cost $45k annually
Contact Name Ulises Benavente
Contact Telephone
Number
626-914-8247
Contact Email Address ubenavente@ci.glendora.ca.us
Additional references can be provided, if requested.
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
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Staff Qualifications
The Bear Electrical Solutions’ Anaheim Branch will be the office servicing the City of La Quinta contract.
The organization chart for Bear Electrical Solutions is comprised of two divisions – Maintenance and
Construction Operations. For the City of La Quinta, the key staff are highlighted below:
For this contract, we anticipate dedicating (6) key staff to the City of La Quinta. As extraordinary work arises,
additional qualified maintenance staff can provide support to the key La Quinta team. Moreover, any work
such as foundation builds, trenching & concrete will be supported by our construction division.
Jason Hayes, Anaheim Project Manager – Jason will be the main point of contact for the City. Jason
has been in the electrical maintenance industry for over 20 years starting as an apprentice to currently
being a regional manager for our company. Not only is Jason a hands-on electrician, Jason is subject
matter teacher and consultant and will be your project manager for City of La Quinta. Jason will be
coordinating bi-monthly meetings with the City and providing project management estimating and
invoicing for the City. Jason possesses a wealth of field experience and skills managing similar
contracts. IMSA Level III Field, NEC Licensed, OSHA Certified
Justin Cataldo, Anaheim Field Manager – Justin will be secondary point of contact for City and will be
responsible for field staff work scheduling. Justin is an expert in scheduling and logistics. He ensures
all work orders are completed and meets customer expectation. Justin has over 35 years of
experience in the traffic signal maintenance business.
Ralph Murillo, Field Foreman – Ralph is the regional office foreman and supervises several electricians
for maintenance. Ralph has over 16 years of experience performing traffic signal maintenance. He is
Econolite-certified and is proficient with 170/2070 controllers. He is knowledgeable in IP networking,
Andrew Bader
CFO / Construction
Felipe Calderon
Chief Estimator
Construction
Jeff Grimes
Construction Super
19 Electrical /
Laborers
Construction
Dvision
Robert
Asuncion, TE
VP / Maintenance
Brent Paulson
San Jose Manager
10 Maintenance
Electricians
San Jose
Ritch Shefke
Sacto. Manager
7 Maintenace
Electricians
Sacramento
Jason Hayes
Anaheim Manager
Project Support
6 Office Staff
Justin Cataldo
Field Manager
Vinny Nguyen
IMSA Level 3
Wes Sumner -
Lab Manager
IMSA Level 3
Bernardo Torres
IMSA Level 3
Minh Pham
IMSA Level 3
Ralph Murillo
IMSA Level 3 / Fiber
Rene McGaugh
IMSA Level 3
Jesse Coronado
IMSA Level 3
James Moreno
IMSA Level 3
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AUGUST 5, 2019
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wireless and wired communication installation, troubleshooting, and modifications. IMSA Level III
Field, NEC Licensed, IMSA Fiber Optic Certified.
Rene McGaugh, Field Electrician/Construction Lead – Rene has over 20 years of experience
performing traffic signal maintenance and roadway electrical construction. Rene is passionate about
the maintenance trade and at one-time was a partner at another company performing electrical work.
He is Econolite-certified and is proficient with 170/2070 controllers. IMSA Level III Field, NEC
Licensed.
Bernardo Torres, Field Electrician – Bernardo has over 8 years of experience performing traffic signal
maintenance. Bernardo is Econolite-certified and is proficient with 170/2070 controllers. IMSA Level
III Field, NEC Licensed.
Robert Asuncion, Traffic Engineer – Robert has worked in the public sector as a Transportation
Engineer as well as the private sector in the traffic signal / streetlight maintenance manager for over
15 years. As Co-Founder of Bear Electrical Solutions, Robert has made streetlights and traffic signal
maintenance his career and life’s work. IMSA Level III Field & II Bench, Professional Traffic Engineer
Licensed, Contractor A Licensed
Wes Sumner, In-House Laboratory Engineer - Wes has been in the traffic signal industry for over 35
years and specializes in controller cabinet testing and certification, controller and cabinet design and
engineering. Wes provides third-party testing and certification to several cabinet manufacturers prior
to customer delivery. He is extremely knowledgeable with signal operation troubleshooting and
repair. Wes is certified and trained to operate on all the traffic signal software/hardware platforms in
the industry. IMSA Level III Field & III Bench. Fiber Optic and Network Certified. OSHA certified.
Additional field electricians will provide service to La Quinta as extraordinary work is requested by
the City.
CITY OF LA QUINTA
RFP FOR ON-CALL TRAFFIC SIGNAL REPAIR SERVICES
AUGUST 5, 2019
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Non-Collusion Affidavit Form
NON-COLLUSION AFFIDAVIT FORM
Must be executed by proposer and submitted with the proposal
I, __________________________________ (name) hereby declare as follows:
I am ______________________________ of _________________________,
(Title) (Company)
the party making the foregoing proposal, that the proposal is not made in the interest of, or on behalf
of, any undisclosed person, partnership, company, association, organization, or corporation; that the
proposal is genuine and not collusive or sham; that the proposer has not directly or indirectly induced
or solicited any other proposer to put in a false or sham proposal, and has not directly or indirectly
colluded, conspired, connived, or agreed with any proposer or anyone else to put in a sham proposal,
or that anyone shall refrain from proposing; that the proposer has not in any manner, directly or
indirectly, sought by agreement, communication, or conference with anyone to fix the proposal price
of the proposer or any other proposer, or to fix any overhead, profit, or cost element of the proposal
price, or of that of any other proposer, or to secure any advantage against the public body awarding
the agreement of anyone interested in the proposed agreement; that tall statements contained in
the proposal are true; and, further, that the proposer has not, directly or indirectly, submitted his or
her proposal price or any breakdown thereof, or the contents thereof, or divulged information or data
relative hereto, or paid, and will not pay, any fee to any corporation, partnership, company,
association, organization, proposal depository, or to any member or agent thereof to effectuate a
collusive or sham proposal.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true
and correct.
Proposer Signature: _______________________________________
_______________________________________
______________________________________
_______________________________________
Proposer Name:
Proposer Title:
Company Name:
Address: _______________________________________
_____________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
ATTACHMENT 2