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Hazard Construction Company Bidta Qai�tra cALLI oxu n — ADDENDUM NUMBER 1 TO: All Prospective Bidders and Plan Holders FROM: Ubaldo Ay6n, Assistant Construction Manager DATE: July 24, 2020 SUBJECT: Project No. 2020-04, Washington Street Pavement Rehabilitation The following shall be considered as incorporated into the project plans and specifications for the above referenced project. Portions of plans and specifications not specifically mentioned in this Addendum remain in force. • PROJECT SPECIFICATIONS Section 1210: Section 1210 is replaced, the following is a summary of the changes: • Additive Alternate 4 is changed from Sewer Air Vac Adjustment to Frontier Manhole Lowering • Additive Alternate 5 is added to include a 2" Grind and Overlay with Pavement Fabric Bid Item Section 4000: Sheet 4000-1, Section 3.0 Traffic Control., Add the following paragraph after paragraph 2• The Contractor shall maintain a 24/7 lane closure around the sewer air vac located near station 59+60 until the final paving is completed around the manhole and valve. Sheet 4000-7, Section 11.0 Asphalt Concrete and Placement of Base Material, paragraph 5 is replaced as follows: As Reads - Asphalt Base Course III-B2-PG 70-10 - 3" Total Thickness Finish Course III-B3-PG 70-10-RO - 2.5" Total Thickness Overlay III-B3-PG 70-10-RO - 2" Total Thickness ta Qai�tra CAIJI0Rh1 - Is Amended to Read - Asphalt Base Course III-B3-PG 70-10 -Thickness Varies Finish Course/Overlay III-C2-PG 70-10 - 2" Total Thickness Sheet 4000-8, Section 11.0 Asphalt Concrete and Placement of Base Material, add the following sub -section after paragraph 7: Paving Fabric Paving Fabric shall be used where shown on the plans and shall conform with Section 213, "Engineering Geosynthetics". Paving fabric shall be GlasGrid, type GG8501, or approved equal. Sheet_4000-8, Section 11.0 Asphalt Concrete and Placement of Base Material, add the following sub -section after paragraph 8: 302-7 Pavement Fabric [Add the following to section 302.7.2 Placement] Paving Fabric shall be placed per the recommendations of the manufacturer and in conformance with section 302-7.2.1. Sheet 4000-10, Section 11.0 Asphalt Concrete and Placement of Base Material, add the following paragraph to sub -section 11.7 Measurement and Payment: 2" Grind and Overlay with Pavement Fabric shall be measured and paid for at the contract unit price bid per Square Foot and shall include full compensation for all labor, materials, tools, and equipment and for doing all work involved in grinding (cold -milling), excavating, loading, stockpiling, hauling, disposing of existing pavement material to the depth specified, placing asphalt concrete, furnish and installing pavement fabric per the manufacturer installation recommendations, and no additional compensation will be allowed therefore. Sheet 4000-21 Section 19.0 Adjust to Grade Sewer Force Main Air Vac. Replace entire section with the following: 19.0 LOWER FRONTIER MANHOLE Additive Alternate 4 Lower Frontier Manhole shall include all work necessary to lower the manhole to allow for pavement grind operation. Lower Frontier Manhole shall include excavation and backfill, and lowering the manhole with a vehicle traffic rated cap. Work includes replacing damaged rings. ta Qal�tra - CALIFORNIA - Work includes all correspondence with Frontier for completion of the work and permanent tie -outs of manhole locations to the City's satisfaction so that manholes can be found in the future. The contract unit price paid for Lower Frontier Manhole shall include the per Each price to include full compensation for furnishing all labor, materials, tools, equipment, and incidentals, and for doing all the work involved in lowering the manhole, complete in place, as specified in the Standard Specifications and these special provisions, and as directed by the Engineer with no additional compensation allowed. ■ PROJECT PLANS The following changes are made to the plans: • Sheet 1,2, 3, and 5: Included construction note and detail to place raised pavement markers on median noses with paint; adjusted striping widths; and removed callout to adjust sewer force main air vac. New Sheet for work on Calle Tampico (1 of 1): Work includes two areas for 2" grind and overlay with pavement fabric. The Contractor is hereby notified; Addendum No. 1 must be acknowledged and initialed as stipulated under the instructions to Bidders and submitted as part of the Bid. Failure to do so shall result in the City designating said bid as "Non - Responsive. " APPROVED: Digitally signed by Ubaldo Ayon k DN:cn=Ubaldo Ayon Jr,o=City of La Qulnta, ou=Publlc /f .r WorW,emall=uayon@Iaquintaca.gov, -US f Date: 2020 07.27 08:1 SA5 -07'00' Ubaldo Ayon Assistant Construction Manager Attachments: 1. Revised Bid Schedule Dated 7-24-2020 2. Revised Plans END OF ADDENDUM NUMBER 1 HAZARD CONSTRUCTION COMPANY SECTION 1200 BID DATE: ;-,9 - 0.-2-0 The undersigned, as bidder, declares it has received and examined the Contract Document entitled Project No. 2020-04, Washington Street Pavement Rehabilitation, and will contract with the City, on the form of Contract provided herewith, to do everything required for the fulfillment of the contract for said work at the prices and on the terms and conditions herein contained. We have included the following items and agree that they shall form a part of this bid: SECTION TITLE 1200 Bid 1210 Bid Schedule 1220 Bid Guaranty Bond 1230 Certification of Bidder's Experience and Qualifications 1240 Proposed Subcontractors 1250 Non -Collusion Affidavit 1260 DIR Project Vendor Information We acknowledge that the following addenda have been received and have been examined as part of the Contract Documents. Bidders must be on the Plan Holders List with the City of La Quinta in order to receive addenda. Addendum # Date Received Initial Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID GUARANTY. HAZARD CONSTRUCTION COMPANY Name of Bidder - CZ;123-1 • 34GCO Bidder's Telephone Number Bid 1200-1 If our bid is accepted, we agree to sign the contract without qualifications and to furnish the performance and payment bonds and the required evidence of insurance within 10 calendar days after receiving written notice of the award of the contract. We further agree, if our bid is accepted and a Contract for performance of the work is entered into with the City, to so plan work and to prosecute it with such diligence that the work shall be completed within the time stipulated. HAZARD CONSTRUCTION COMPANY Name of Bidder - "1. a006 Bidder's Telephone Number to'S-7,q \11u-Q- 5D-Vy e,� ilM --� L,ovs VAzLo (-4 W), -e-4K Bidder's Address er's Email Address EU Contractor's License No. Sta of I*ofporation Signs re of Bidder JASON As MORDHORST, PRESIDENT Printed Name of Signatory Title of Signatory Contractor's Expiration Date Witness N() 0 qc Title of Witne s Bid 1200-2 Secretary's Certificate Hazard Construction Company The undersigned, Emmanuel C. Gavin, Secretary of Hazard Construction Company, a California Corporation, (the "Corporation"), does hereby certify that the following are true and complete resolutions which were unanimously adopted at the annual meeting of the Board of Directors of the Corporation on the sixth day of April 2020, and that such resolutions have not been amended or modified and continue to be in full force and effect as of the sixth day of April 2020: RESOLVED, that the Corporation execute and deliver certain contracts in the form required. FURTHER RESOLVED, that the President, or the Executive Vice President, or in their absence, the Vice President, or in their absence, the Secretary/Chief Financial Officer, be and hereby is authorized and empowered in the name and on behalf of this Corporation to execute contracts and to deliver the contracts on behalf of the Corporation and to do and perform all acts and things which he deems to be necessary or appropriate to carry out the terms of the contracts, including, but not limited to executing and delivering all agreements and documents contemplated by the contracts. FURTHER RESOLVED, In the absences of the stated officers of the Corporation, that the Assistant Vice Presidents, be and hereby is authorized and empowered in the name and behalf of this Corporation to perform the same acts stated herein, but not to exceed $1,000,000 in value for their appropriate areas of responsibilities. In witness whereof, I have hereunder set my hand as Secretary of the above Corporation this sixth day of April 2020. SecretaJy SECTION 1210 BID SCHEDULE PROJECT NO. 2020-04 WASHINGTON STREET PAVEMENT REHABILITA City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 To Whom It May Concern: Pursuant to the Invitation to Bid stated, the undersigned hereby pro this Bid, to execute a Contract, all labor, materials, transpo a Washington Street Paveme , and ac rdance with the provisions therein p es and grees that on award by the City under eces ry bonds, to furnish and install any and a services for Project No. 2020-04, eh ilitation, in accordance with the plans and specifications therefore ado ,pte and n file with the City within the time hereinafter set forth and at the prices ed i this Bid. It is understood that the basis of award shall be the lowest total rye of e Base Bid Area plus All Additive Alternates. Unit prices in eac a very se represent the true unit price used in preparing the bid schedule tata d For . Unit prices listed herein include material, installation and appurtena ark a is necessary to have the item complete and in place meeting t nten of the plans and specifications. We acknowledge that unbalanc it prices hall be sufficient cause for the rejection of our bid. Bid Schedule 1210-1 BASE BID — WASHINGTON STREET PAVEMENT REHABILITATION Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ $ 2 Traffic Control 1 LS $ $ 3 Dust Control 1 LS $ $ 4 2" Grind and Overlay 360,479 SF $ $ Continue to Full Depth Asphalt Concrete Grind 5 (3.5"f), Compact Existing 1,275 $ $ Aggregate Base, and 5.5" Asphalt Concrete Overlay to Bottom of Final Lift Remove and Construct 5.5" 6 AC over 6.5" AB, CLQ STD. 3 $ $ 195 Remove Existing Concrete 7 Sidewalk, Ramps, and 5,10 SF $ $ Cross -Gutters IN Remove Existing Curb a 8 Curb & Gutter (Reg r0ss 307 LF $ $ of Hei ht tJ 9 Crack Seal and IV II 11,157 SF $ $ SlurrySeal ' Construct OW & Gu er per 10 City of La Q 'nta d. Dwg. 307 LF $ $ 201and 202 (Re ardless of Hei ht ewalk per City Constr/uU 11 of La QStandard 240 615 SF $ $ Mod. Con ruct Concrete Curb 12 R3Knps per City of La Quinta 9 EA $ $ tandard 250 Mod. Construct Portion of Cross- 13 Gutter per City of La Quinta 735 SF $ $ STD 230 Mod. and 231 Mod. 14 Lower and Raise Drainage 1 EA $ $ Manhole to Grade 15 J Striping and All Incidentals 1 LS $ $ Total Amount of Bid Items 1 — 15 $ Bid Schedule 1210-2 City may award all or none of the following additive alternates: ADDITIVE ALTERNATE No. 1 — i Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars Lower Sewer Manhole per 1 CVWD Standards 9 EA $ 2 Raise Sewer Manhole per 9 EA $ $ CVWD Standards Total Amount of I ms 1 — 2 $ ADDITIVE ALTERNATE No. 2 — Item Item Description t= Unit Unit Price Item Total No. Qty (in figures) (in figures) Dollars Dollars 1 Lower Water Valve per. /19 EA $ $ CVWD Standards 2 Raise Water Valve pF 19 EA $ $ CVWD Standards/�., V Total Amount of Bid Items i — 2 $ ADDITIVE AZT NAT No. 3 — Item I rn D cription Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Lower rigation Valve per 3 EA $ $ CVW Standards Ra' a Irrigation Valve per 2 WD Standards 3 EA $ $ Total Amount of Bid Items 1 — 2 $ Bid Schedule 1210-3 ADDITIVE ALTERNATE No. 4 — Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars Lower Sewer Force Main 1 Manhole and Valve per 1 EA $ $ CVWD Standards Raise Sewer Force Main 2 Manhole and Valve per 1 EA $ 7 CVWD Standards Total Amount of tem — 2 $ GRAND TOTAL BASE BID PLUS ALL AD I AL $ ll! C�J TES(Figures): GRAND TOTAL BASE BID PlWALL ADDITIVE ALTERNATES (Words): Bid Amount of each of the id Items must be filled in and completed. It is understood that the qu ies sh wn hereon are but estimates and the bidder is responsible to verify antities rior to submitting a bid. Final payment will be based upon actual k perfor ed, subject to such adjustments and alterations as elsewhere provid erein. / JASON rM OR®H, Signature of Bidder (Ink) HAZARD CSTAUCTION COMPANY Name of Bidder (Printed or Typed) Bidder Telephone Number Bidder Email Address Bid Schedule 1210-4 ADDENDUM O1 — JULY 24, 2020 SECTION 1210 BID SCHEDULE PROJECT NO. 2020-04 WASHINGTON STREET PAVEMENT REHABILITATION City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 To Whom It May Concern: Pursuant to the Invitation to Bid, and in accordance with the provisions therein stated, the undersigned hereby proposes and agrees that on award by the City under this Bid, to execute a Contract, with necessary bonds, to furnish and install any and all labor, materials, transportation and services for Project No. 2020-04, Washington Street Pavement Rehabilitation, in accordance with the plans and specifications therefore adopted and on file with the City within the time hereinafter set forth and at the prices named in this Bid. It is understood that the basis of award shall be the lowest total price of the Base Bid Area plus All Additive Alternates. Unit prices in each and every case represent the true unit price used in preparing the bid schedule totals (Bid Form). Unit prices listed herein include material, installation and appurtenant work as is necessary to have the item complete and in place meeting the full intent of the plans and specifications. We acknowledge that unbalanced unit prices shall be sufficient cause for the rejection of our bid. Bid Schedule 1210-1 ADDENDUM 01 - JULY 24, 2020 BASE BID — WASHINGTON STREET PAVEMENT REHABILITATION Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ 0 dD 7 $ FD Od^ 2 Traffic Control 1 LS $ $d CDZ 3 Dust Control 1 LS $ pOf $ / p p - 4 2" Grind and Overlay 360,479 SF $ / $ 2 Continue to Full Depth Asphalt Concrete Grind 5 (3.5"f), Compact Existing 1 275 SF $ $ Aggregate Base, and 5.5" ' Asphalt Concrete Overlay to y❑ Bottom of Final Lift `i: '^ 5� is Remove and Construct 5.5" 6 AC over 6.5" AB, CLQ STD. 321 SF $ $ 195 `��. 1 Y YYs-. Remove Existing Concrete 7 Sidewalk, Ramps, and 5,105 SF Cross -Gutters 3 /b 'M Remove Existing Curb and 8 Curb & Gutter (Regardless 307 LF $ ,. $ r of Height) 03- 9 Crack Seal and Type II 11,157 SF TO $ Z. qp $30 Slurry Seal -' l�2.3.--- Construct Curb & Gutter per 10 City of La Quinta Std. Dwg. 307 LF $ $ 201and 202 (Regardless of Height) 357 Construct Sidewalk per City 11 of La Quinta Standard 240 615 SF $ ., $ `- Mod.. S Construct Concrete Curb 12 Ramps per City of La Quinta 9 EA $ $ Standard 250 Mod. Z `l00 . _ 2 fo 1-60 Construct Portion of Cross- 13 Gutter per City of La Quinta 735 SF $ _ $ STD 230 Mod. and 231 Mod. 14 Lower and Raise Drainage 1 EA $ $ Manhole to Grade 1 20D 15 Striping and All Incidentals 1 LS $38 or $ Total Amount of Bid Items 1 — 15 $765.8Z8 �v Bid Schedule 1210-2 ADDENDUM 01 - JULY 24, 2020 City may award all or none of the following additive alternates: ADDITIVE ALTERNATE No. 1 — Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Lower Sewer Manhole per 9 EA _ CVWD Standards Cn DO 5 D 2 Raise Sewer Manhole per 9 EA CVWD Standards 6D0^ $ DOr Total Amount of Bid Items 1 — 2 $ ADDITIVE ALTERNATE No. 2 — Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Lower Water Valve per 19 EA $ $ CVWD Standards q80— 2 Raise Water Valve per 19 EA $ $ CVWD Standards PZ p" -^ i55F0r— Total Amount of Bid Items 1 — 2 $2q 760— ADDITIVE ALTERNATE No. 3 — Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Lower Irrigation Valve per 3 EA $ — $ — CVWD Standards Y�l�. 1 q qo . 2 Raise Irrigation Valve per 3 EA $ `� $ -- CVWD Standards �2 D . 2 4110. Total Amount of Bid Items 1 — 2 $3A00. ADDITIVE ALTERNATE No. 4 — Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Lower Frontier Manhole with 1 EA $ �� 0 $ SQL Vehicle Traffic Rated Cap 69 Total Amount of Bid Items 1 $ Bid Schedule 1210-3 ADDENDUM 01 - JULY 24, 2020 ADDTTTVF ALTERNATE Ne. 5 - Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 2" Grind and Overlay with 504 SF $ $ Pavement Fabric 2^ Replace obliterated striping, pavement markings, and 2 pavement markers in 2" 1 LS $ $ Grind and Overlay with Pavement Fabric construction area. OOr Total Amount of Bid Items 1 - 2 $ Zq' GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES(Figures): to $ 912 12(, GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Words): Bid Amount of each of the a��--B Items must be filled in and completed. It is understood that the quagp4i . - shotn hereon are but estimates and the bidder is responsible to verify Oantities p for to submitting a bid. Final payment will be based upon actual ork erfor subject to such adjustments and alterations as p � p J J elsewhere provided herein. -�� Signature of Bidder (Ink) HAZARD CONSTRUCTION COMPANY Name of Bidder (Printed or Typed) Bidder Telephone Number Bidder Email Address Bid Schedule 1210-4 SECTION 1220 BID GUARANTY BOND HAZARD CONSTRUCTION COMPANY, Nationwide Mutual G<, PRINCIPAL, and InSUMDCO COMPany as SURETY, are held and firmly bound unto the City in the penal sum of TEN (10) PERCENT OF THE TOTAL AMOUNT OF THE BID of the Principal above named, submitted by said Principal to the City for the work described below, for the payment of which sum in lawful money of the United States, well and truly to be made to the City to which said bid was submitted, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS, the Principal has submitted the above -mentioned bid to the City, for certain construction specifically described as follows, for which bids are to be opened at La Quinta, California. PROJECT NO. 2020-04 WASHINGTON STREET PAVEMENT REHABILITATION NOW, THEREFORE, if the aforesaid Principal is awarded the contract and, within the time and manner required under the specifications, after the prescribed forms are presented to him/her for signature enters into a written contract in the prescribed form, in accordance with the bid, and files two bonds with the City, one to guarantee faithful performance, and the other to guarantee payment for labor and materials as required by law, and provide certificate of insurance coverage required by the Contract Documents, then this obligation shall be null and void; otherwise, it shall be and remain in full force and virtue. IN WITNESS WHEREOF, we have hereunto set our hands on this day of 2020. HAZARD CONSTRUCTION COMPANY ENT Title off/Signatory Signature Principal Address Nationwide Mutual Insurance Company Kyle King Attorney -in -fact Title of Signatory Signature of Surety 5��1�k4 Address Note: Signatures of those executing for the surety must be properly acknowledged. Bid Guaranty Bond 1220-1 Power of Attorney 0000024345 KNOW ALL MEN BY THESE PRESENTS THAT: Nationwide Mutual Insurance Company, an Ohio corporation hereinafter referred to severally as the "Company" and collectively as "the Companles" does hereby make, constitute and appoint: BILL BODENSTADT; HANNAH MCGARVEY; KIM ACEVEDO; KYLE KING; TRAVIS PEARSON; each in their individual capacity, its true and lawful attomey-in-fact, with full power and authority to sign, seal, and execute on its behalf any and all bonds and undertakings, and other obligatory instruments of similar nature, in penalties not exceeding the sum of UNLIMITED and to bind the Company thereby, as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company; and all acts of said Attorney pursuant to the authority given are hereby ratified and confirmed. This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company: "RESOLVED, that the president, or any vice president be, and each hereby is, authorized and empowered to appoint attorneys -in -fact of the Company, and to authorize them to execute and deliver on behalf of the Company any and all bonds, forms, applications, memorandums, undertakings, recognizances, transfers, contracts of indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obligatory in nature that the business of the Company may require; and to modify or revoke, with or without cause, any such appointment or authority; provided, however, that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company." "RESOLVED FURTHER, that such attorneys -in -fact shall have full power and authority to execute and deliver any and all such documents and to bind the Company subject to the terms and limitations of the power of attorney issued to them, and to affix the seal of the Company thereto; provided, however, that said seal shall not be necessary for the validity of any such documents " This power of attorney Is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company. Execution of Instruments. Any vice president, any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved documents, instruments, contracts, or other papers in connection with the operation of the business of the company in addition to the chairman of the board, the chief executive officer, president, treasurer or secretary; provided, however, the signature of any of them may be printed, engraved, or stamped on any approved document, contract, instrument, or other papers of the Company. IN WITNESS WHEREOF, the Company has caused this instrument to be sealed and duly attested by the signature of its officer the 2r day of February. 2019. 4 � 6 e--- Antonio C. Albanese, Vice President of Nationwide Mutual Insurance Company ACKNOWLEDGMENT _:' `� ■ STATE OF NEW YORK, COUNTY OF NEW YORK: ss On this 2P1 day of February, 2019, before me came the above -named officer for the Company aforesaid, to me personally known to be the officer described in and who executed the preceding •'• :•r A instrument, and he acknowledged the execution of the same, and being b me dui sworn, deposes 9 9 Y Y and says, that he is the officer of the Company aforesaid, that the seal affixed hereto is the �rp yam. corporate seal of said Company, and the said corporate seal and his signature were duly affixed and subscribed to said instrument by the authority and direction of said Company. SuianneC Della Notary Public, State or New York t yl O,uell0ed in Westchester County Commission E,plms September 16, 2021 Notary F-11, My Co, 1,,1en Eapires September 16. 2021 CERTIFICATE I, Laura B. Guy, Assistant Secretary of the Company, do hereby certify that the foregoing is a full, true and correct copy of the original power of attorney Issued by the Company: that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has not been revoked or amended in any manner; that said Antonio C. Albanese was on the date of the execution of the foregoing power of attorney the duly elected officer of the Company, and the corporate seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of directors; and the foregoing power of attorney is still in full force and effect. �} t0 IN YttTNFSS WHEREOF, I b y ©eerreuunnto subscribed my name as Assistant Secretary, and affixed the corporate seal of said Company thisy� ��1 day of V awry 13 Assistant Secretary BDJ 1(02-19)00 This document is void if VOID appears in the BLUE line on the right, the Nationwide watermark is missing from the center of the page and/or the red consecutive number is missing from the upper right-hand corner. Contact us at 212-329-6900 if this document is void or if you have any questions, CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracv or validitv of that document. State of California County of San Diego On July 24, 2020 before me, Apryle Briede, Notary Public Date NAME, TITLE OF OFFICER - E.G. AJANE DOE, NOTARY PUBLIC personally appeared Kyle Kin NAME(S) OF SIGNERS) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that he/may executed the same in his/her4he4 authorized capacity{ and that by his/her if signature(s) on the instrument the person(o, or the entity upon behalf of which the person(o 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. c ,,• APRYLE BRIEDE SEAL Notary Public California (SEAL) �- '' San Diego County ApTRY PU 1C SIGNATURE L Commission N 2246886 My Comm. Expires Jul 17, 2022 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. State of California County of San Dieiw On July 27 2020 before me, Apryle Briede, Notary Public Date NAME, TITLE OF OFFICER - E.G. AJANE DOE, NOTARY PUBLIC personally appeared Jason A. Mordhorst NANIE(S) OF SIGNER(S) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(o is/are subscribed to the within instrument and acknowledged to me that he/she4hey executed the same in his/"e%eir authorized capacity{} and that by his/hef4heif signature(s) on the instrument the person(o, or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. APRYLE BRIEDE Notary Public - California (SEAL) x j San flf County ego _ Commission # 22d6886 OTA V PU [C SIGNATURE ° My Comm, ExpiresJu1 17, 2022 J SECTION 1230 CERTIFICATION OF BIDDER'S EXPERIENCE AND QUALIFICATIONS The undersigned Bidder certifies that he is, at the time of bidding, and shall be, throughout the period of the contract, licensed under the provisions of Chapter 9, Division 3, of the Business and Professions Code of the State of California, to do the type of work contemplated in the Contract Documents. Bidder shall further certify that it is skilled and regularly engaged in the general class and type of work called for in the Contract Documents. The Bidder represents that it is competent, knowledgeable, and has special skills on the nature, extent, and inherent conditions of the work to be performed. Bidder further acknowledges that there are certain peculiar and inherent conditions existent in the construction of the particular facilities, which may create, during the construction program, unusual or peculiar unsafe conditions hazardous to persons and property. Bidder expressly acknowledges that it is aware of such peculiar risks and that it has the skill and experience to foresee and to adopt protective measures to adequately and safely perform the construction work with respect to such hazards. The Bidder shall list below four (4) projects completed in the last seven (7) years of similar size and complexity that indicate the Bidder's experience as a General Contractor. 1. Project Name: Owner: Construction Cost: $ 1 Construction Time: i d a r D� Owner's Representative: Owner's Telephone No.: Date of Substantial Completion: 2. Project Name: Owner: Construction Cost: $ Construction Time: Owner's Representative: Owner's Telephone No.: Date of Substantial Completion: Calendar Days Bidders Experience & Qualifications 1230-1 3. 4. Project Name: Owner: Construction Cost: Construction Time: Owner's Representative: Owner's Telephone No.: _ Date of Substantial Completion: Project Name: Owner: Construction Cost: $ Construction Time: Owner's Representative: Owner's Telephone No.: Date of Substantial Completion: Calendar Calendar Days Signed thisZ, day of , 2020. HAZARD C? F Name WMcicler Signatur/of Bidder COMPANY JASON A. MORDHORST, PRESIDENT Printed Name of Bidder I �c5+Z A Contractor's Licensle No. ,q-%J U ( 30 ( zZ Expiration Date Title of Signatory DIR Reg No. I. to (30 (;LA Bidders Experience & Qualifications 1230-2 HAZARD CONSTRUCTION COMPANY .. 2019 COMPLETED PROJECTS HAZARD CONSTRUCTION Public Project Name: Carmel Mountain Road Undercrossing HCC #15025 Owner: Department of Transportation Owner Address: 1727 30th Street, Sacramento, CA 95816 Owner Rep.: Chuck Deyoe Email: chuck.de oe dot.ca. ov Phone No.: 858-467-4089 Fax No.: Contract Price: $813,933.63 Completed: 06/2019 Contract No. 11-282304 Scope of Work: Mass Excavation, Export Trucking, Landscape & Irrigation, Erosion Control, Traffic Control Public Project Name: 1-8 Fiber Optics HCC #16032 Owner: Department of Transportation Owner Address: 1727 30th Street, Sacramento, CA 95816 Owner Rep.: Shrikant Amtey Email: shrikant.amtevCa7dot.ca.gov Phone No.: 858-688-1575 Fax No.: Contract Price: $5,499,432.72 Completed: 01/2019 Contract No. 11-237964 Scope of Work: Fiber Optic System, Cold Plane & RHMA Overlay, Irrigation, Sign Structures and Concrete Barrier Public Project Name: Route 67 HFST HCC #16039 Owner: Department of Transportation Owner Address: 1727 30th Street, Sacramento, CA 95816 Owner Rep.: Fariborz Rezaeeamiri Email: fariborz.amiriadot.ca.gov Phone No.: 858-688-1564 Fax No.: 858-720-2130 Contract Price: $4,480,797.99 Completed: 04/2019 Contract No. 11-403204 Scope of Work: Centerline Channelizers, HFST, Dike, Guardrail, Sign Structures, Vegetation Control and Striping Public Project Name: Voltaire Street Bridge HCC #17019 Owner: City of San Diego Owner Address: 1010 Second Avenue, Suite 1400, San Diego, CA 92101 Owner Rep.: Steve Guarente, PE Email: Guarente o@-_sandiego_goV Phone No.: 619-453-2948 Fax No.: 858-627-3297 Contract Price: $1,403,348.66 Completed: 03/2019 Contract No. K-18-1547-DBB-3 Scope of Work: Bridge Rehabilitation and Reconstruction of Intersection HAZARD CONSTRUCTION COMPANY 2019 COMPLETED PROJECTS HAZARD CONSTRUCTION Private Project Name: Imperial Valley Commons Private Road Access HCC #17020 Owner: Imperial Valley Commons, LP Owner Address: 2030 Hamilton Place Blvd., Chattanooga, TN 37421 Owner Rep.: Ken Wittler Email: ken.wittler@cblpro;aerties.com Phone No.: 423-855-0001 Fax No.: Contract Price: $1,030,646.65 Completed: 01/2019 Contract No. S140-000-07.3 Scope of Work: Street Infrastructure including Landscaping & Irrigation, Sidewalks and Surfacing of Roadway Public Project Name: Borrego Springs Library HCC #17027 Owner: BNBuilders, Inc. Owner Address: 5825 Oberlin Drive, Suite 1, San Diego, CA 92121 Owner Rep.: Jose Garcia Email: iose.carciagbnbuilders.com Phone No.: 760-277-8006 Fax No.: Contract Price: $636,834.00 Completed: 04/2019 Contract No. 717006 Scope of Work: Site Improvements, Earthwork, AC Paving, Site Concrete and Utilities Public Project Name: Borrego Springs Park HCC # 17028 Owner: BNBuilders, Inc. Owner Address: 5825 Oberlin Drive, Suite 1, San Diego, CA 92121 Owner Rep.: Jose Garcia Email: iose.narciaO)bnbuilders.com Phone No.: 760-277-8006 Fax No.: Contract Price: $874,974.00 Completed: 04/2019 Contract No. 717006 Scope of Work: Site Improvements, Earthwork, AC Paving, Site Concrete and Utilities Public Project Name: Borrego Springs Sheriff Office HCC #17029 Owner: BNBuilders, Inc. Owner Address: 5825 Oberlin Drive, Suite 1, San Diego, CA 92121 Owner Rep.: Jose Garcia Email: Lose.garciata"7, bnbuilders.com Phone No.: 760-277-8006 Fax No.: Contract Price: $274,638.00 Completed: 04/2019 Contract No. 717006 Scope of Work: Site Improvements, Earthwork, AC Paving, Site Concrete and Utilities HAZARD CONSTRUCTION COMPANY .. 2019 COMPLETED PROJECTS HAZARD CONSTRUCTION Private Project Name: El Centro Medical Office Building HCC # 17034 Owner: Pacific Building Group Owner Address: 9752 Aspen Creek Court, Suite 150 Owner Rep.: Robert Reynolds Email: rreynolds@pacificbuildinci-group.com Phone No.: 858-552-0600 Fax No.: Contract Price: $436,804.00 Completed: 04/2019 Contract No. JR0137510 Scope of Work: Grading and retaining/anchor wall Public Project Name: Route 5/805 Pave Gore HCC # 18002 Owner: Department of Transportation Owner Address: 1727 30th Street, Sacramento, CA 95816 Owner Rep.: Rene Figueroa Email: rene.fiaueroa(a)dot.ca.gov Phone No.: 858-688-1551 Fax No.: Contract Price: $3,255,290.18 Completed: 06/2019 Contract No. 11-411204 Scope of Work: Gore Paving (Exposed Aggregate), JPCP (RSC), Stamped Concrete, Dike, Guardrail, Irrigation/Landscape, Roadside Signs & Striping Public Project Name: 2018 Overlay Project HCC #18006 Owner: City of Calexico Owner Address: 608 Heber Avenue, Calexico, CA 92231 Owner Rep.: Lilliana Falomir Email: talomirl@calexico-ca.gov Phone No.: 760-768-2160 Fax No.: 760-768-0992 Contract Price: $408,028.47 Completed: 07/2019 Contract No. 2018-100 Scope of Work: Street Improvements including Grind & Overlay AC, Remove & Replace Concrete Curb & Gutter, Striping, Loop Detectors, Utility/ Adjust Private Project Name: ARE 9635 TCD Repositioning HCC # 18007 Owner: DPR Construction Owner Address: 5010 Shoreham Place, San Diego, CA 92122 Owner Rep.: Mary Bubacz Email: marybCcDdpr.com Phone No.: 858-597-7070 Fax No.: Contract Price: $315,190.00 Completed: 05/2019 Contract No. D1-A17013-00 Scope of Work: Parking Lot Paving HAZARD CONSTRUCTION COMPANY 2019 COMPLETED PROJECTS Private Project Name: Center for Novel Therapeutics HCC # 18008 Owner: McCarthy Building Companies, Inc. Owner Address: 9275 Sky Park Court, Suite 200, San Diego, CA 92123 Owner Rep.: Patrick Gifft Email: paifftCcDmccarthy.com Phone No.: 763-568-0635 Fax No.: Contract Price: $370,982.00 Completed: 04/2019 Contract No. 5058-102 Scope of Work: 90,000 SF Asphalt Parking Lot construction Public Project Name: HCC # 18010 Owner: Owner Address: Owner Rep.: Email: Phone No.: Fax No.: Contract Price: Completed: Contract No. Scope of Work: Public Project Name: HCC # 18011 Owner: Owner Address: Owner Rep.: Email: Phone No.: Fax No.: Contract Price: Completed: Contract No. Scope of Work: Route 86 PCC Panel & AC Rehabilitation State of California 1737 30th Street Sacramento, CA 95816 Peter Koury eter.kou dot.ca. ov 760-324-3496 / 909-844-0619 $12,746,372.69 06/2019 08-1 G6204 Cold Plane, RHMA Overlay and IPSR (Individual Precast Slab Replacement) Route 86 SAMI-RHMA Overlay State of California 1737 30th Street Sacramento, CA 95816 Daniel Hernandez daniel.hernandez.duarteO.dot.ca. aov 760-594-2008 $4,119,523.24 06/2019 11-2N0134 Grind and Overlay RHMA, HMA Digouts, and JPCP Bus Pads Public Project Name: Rte 52 Erosion Repair HCC # 18012 Owner: State of California Owner Address: 1737 30th Street Sacramento, CA 95816 Owner Rep.: Ray Arinduque, RE Email: ray. arindugue@dot.ca.cov Phone No.: 858-688-1511 Fax No.: Contract Price: $988,350.25 Completed: 06/2019 Contract No. 11-292804 Scope of Work: Installation of Erosion Control Cellular Confinement System ©UL Q� HAZARD CONSTRUCTION COMPANY 2019 COMPLETED PROJECTS Public Project Name: Route 98 - Bridge Deck Repair HCC #18013 Owner: State of California Owner Address: 1737 30th Street Sacramento, CA 95816 Owner Rep.: Daniel Hernandez Email: daniel.hernandez.duarte(o)dot.ca.gov Phone No.: 760-355-8666 Fax No.: Contract Price: $68,378.89 Completed: 02/2019 Contract No. 11-21VI0014 Scope of Work: Asphalt Grind & Overlay at Bridge Deck Abutment Public Project Name: Alpine Fire Debris Cleanup HCC # 18017 Owner: County of San Diego Owner Address: 5500 Overland Ave., Suite 310, San Diego, CA 92123 Owner Rep.: John Volpp Email: john.volpp@nv5.com Phone No.: 619-805-5141 Fax No.: Contract Price: $476,928.80 Completed: 06/2019 Contract No. 558736 Scope of Work: Provide dumpsters for fire debris cleanup Public Project Name: Route 52 HTCB HCC #18018 Owner: State of California Owner Address: 1737 30th Street Sacramento, CA 95816 Owner Rep.: Ray Arinduque Email: ray.arinduque(a),dot.c_a.gov Phone No.: 858-688-1511 Fax No.: Contract Price: $1,122,417.49 Completed: 10/2019 Contract No. 11-421204 Scope of Work: Procure and Install High Tension Cable Railing Private Project Name: Watermark Office Building 2 HCC #18019 Owner: Swinerton Builders Owner Address: 16798 West Bernardo Drive, San Diego, CA 92127 Owner Rep.: Jason Chappell Email: Ichappell@swinerton.com Phone No.: 858-376-2822 Fax No.: Contract Price: $217,748.00 Completed: 05/2019 Contract No. 17054018 Scope of Work: Asphalt Parking Lot construction 4* HAZARD [O.&T40C116N HAZARD CONSTRUCTION COMPANY M. 2019 COMPLETED PROJECTS HAZARD CONSTRUCTION Public Project Name: 2018 Citywide Resurfacing HCC # 18021 Owner: City of La Mesa Owner Address: 8130 Allison Avenue, La Mesa, CA 91942 Owner Rep.: Michael Kinnard Email: mkinnardC5)ci.la-mesa.ca.us Phone No.: 619-667-1155 Fax No.: Contract Price: $2,395,121.57 Completed: 05/2019 Contract No. 19-05 Scope of Work: Citywide Street Reconstruction and Paving, including Cement Treatment of Subgrade Public Project Name: New Briar Flume Replacement Phase 1 HCC # 18027 Owner: Imperial Irrigation District Owner Address: P.O. Box 937, Imperial, CA 92251 Owner Rep.: Carmen McPhetrige Email: ccmcphetricie@iid.com Phone No.: 760-791-2064 Fax No.: Contract Price: $2,469,122.36 Completed: 07/2019 Contract No. 8100002373 / SRFP309 Scope of Work: Furnish and Install Twin Steel Pipe Flumes over the All American Canal, including (2) 160' long Steel Truss Bridges, 58" Diameter Steel Pipes, Pile Supported Concrete Abutments Public Project Name: HCC # 18030 Owner: Owner Address: Owner Rep.: Email: Phone No.: Fax No.: Contract Price: Completed: Contract No. Scope of Work: Route 94/125 Concrete Barrier State of California 1737 30th Street Sacramento, CA 95816 Daron Meehan daronm(@Petersonchase.com 949-370-4157 $209,149.10 11/2019 11-418004 Grind and Overlay Asphalt Private Project Name: Mitchell 1 HCC # 18032 Owner: TFW Construction / Development, Inc. Owner Address 7460 Mission Valley Road, #200, Sa Diego, CA 92108 Owner Rep.: Justin McKellar Email: uslinmckellar tfwconstruction,com Phone No.: 619-220-4881 Fax No.: 619-220-4885 Contract Price: $356,394.61 Completed: 12/2019 Contract No. None Scope of Work: Parking Lot Paving HAZARD CONSTRUCTION COMPANY r=rM 2019 COMPLETED PROJECTS cONST-TION Private Project Name: Storm Baseball - Parking Lot C HCC # 18034 Owner: Jacobs Investment Company LLC Owner Address: 13974 Boquita Drive, Del Mar, CA 92014 Owner Rep.: Steve Harrison Email: stevehCo)thcdm.com Phone No.: 760-473-4139 Fax No.: Contract Price: $982,365.00 Completed: 05/2019 Contract No. None Scope of Work: Existing Parking Lot Reconstruction, mill/pulverize existing AC and regrade, followed by asphalt paving Private Project Name: Horton Park Plaza HCC # 19005 Owner: Horton Plaza LLC c/o Westfield Development Inc. Owner Address: 2049 Century Park East, 41st Floor, Century City, CA 90067 Owner Rep.: Brady Cahill Email: bradv.cahi0CcDurw.com Phone No.: 858-766-8438 Fax No.: Contract Price: $44,965.98 Completed: 07/2019 Contract No. 20305300 Scope of Work: Offsite Improvements for Horton Plaza Park Public Project Name: J18 Southend Facility Concrete Slab HCC # 19007 Owner: Imperial Irrigation District Owner Address: PO Box 937, Imperial, CA 92251 Owner Rep.: Sam Singh (Samuel) Email: se_singh,@iid.coni Phone No.: 760-427-1767 Fax No.: Contract Price: $70,460.00 Completed: 04/2019 Contract No. SA 8100002409 Scope of Work: Build a 90'x25'x7" Concrete Slab including Earthwork, Form, Pour, Finish Reinforced Concrete Slab Public Project Name: Twin Peaks Middle & Highland Ranch Elementary HCC # 19012 Owner: Poway Unified School District Owner Address: 15250 Avenue of Science, San Diego, CA 92128 Owner Rep.: Mike Hatch Email: mhatch(Mpowayusd.com Phone No.: 619-993-2140 Fax No.: Contract Price: $425,289.11 Completed: 10/2019 Contract No. 2019-24B Addendum No. 1 Scope of Work: Grind and Overlay Parking Lots and Play Courts SECTION 1240 PROPOSED SUBCONTRACTOR5 Pursuant to California Public Contracting Code, Section 4100 et. seq., the following list gives the name, business address, and portion of work (description of work to be done) for each subcontractor that will be used in the work if the bidder is awarded the Contract. (Additional supporting data may be attached to this page. Each page shall be sequentially numbered and headed "Proposed Subcontractors" and shall be signed.) The Contractor shall perform, with its own organization, Contract work amounting to at least 50 percent of the Contract Price except that any designated "Specialty Items" may be performed by subcontract and the amount of any such "Specialty Items" so performed will be deducted from the Contract Price before computing the amount required to be performed by the Contractor with its own organization. "Specialty Items" will be identified by the Agency in the Bid or in the Special Provisions. Where an entire item is subcontracted, the value of work subcontracted will be based on the Contract Unit Price. Subcontractor/Business Address/Description of Work/% of Work/License No./DIR Reg No. 02y0 Sq+a 5t2AMtW- C aL10 P444e: -- /1)0 $"&400061) 3 343 c y C1-1 r J u v�►,, �•► LIA-I -c.&r4 S fSi *S G9 t7r r 422 &,no.W ri rx-,3 oce- , S u c� -- 3 f 372 IV I s-, niq� s10,0-r Alt, $.564L. WAt'5rc�or4 Si)gq /►Wrb 6C,via, /eewo�a/ F5$37U I b00W7Yg4 Cn�, sT�tuc n I Nnro, eA-, 922or /�S l!u?lC.S l3`��Qa�.eeg5'� �-J�sGt�S 5� 93Z?9P 1OL%pC��22'6 Adju Signatur of Bidder JASON A. MORDHORST, PRES90EN7 Name of Bidder HAZARD CONSTRUCTION COMPANY Proposed Subcontractors 1240-1 SECTION 1240 PROPOSED SUBCONTRACTORS Pursuant to California Public Contracting Code, Section 4100 et. seq., the following list gives the name, business address, and portion of work (description of work to be done) for each subcontractor that will be used in the work if the bidder is awarded the Contract. (Additional supporting data may be attached to this page. Each page shall be sequentially numbered and headed "Proposed Subcontractors" and shall be signed.) The Contractor shall perform, with its own organization, Contract work amounting to at least 50 percent of the Contract Price except that any designated "Specialty Items" may be performed by subcontract and the amount of any such "Specialty Items" so performed will be deducted from the Contract Price before computing the amount required to be performed by the Contractor with its own organization. "Specialty Items" will be identified by the Agency in the Bid or in the Special Provisions. Where an entire item is subcontracted, the value of work subcontracted will be based on the Contract Unit Price. Subcontractor/Business Address/Description of Work/% of Work/License No./DIR Reg No. rn D f2•er3p,�2� '7� � e"(0 c)� 569t. � - 2� �lSla6� l D00o0 by3� C. 9,0-t,s n 2--n $. Za C,,4c {�6_ b pi nAU- �� 7 37Y.60D 1 D tV066 3 04 �D[tit /346fl�1M'iop, CA of it 16 Signatur of Bidder JASON A. MORDHORST, PRESIDENT Name of Bidder HAZARD CONSTRUCTION COMPANY Proposed Subcontractors 1240-1 SECTION 1240 PROPOSED SUBCONTRACTORS Pursuant to California Public Contracting Code, Section 4100 et. seq., the following list gives the name, business address, and portion of work (description of work to be done) for each subcontractor that will be used in the work if the bidder is awarded the Contract. (Additional supporting data may be attached to this page. Each page shall be sequentially numbered and headed "Proposed Subcontractors" and shall be signed.) The Contractor shall perform, with its own organization, Contract work amounting to at least 50 percent of the Contract Price except that any designated "Specialty Items" may be performed by subcontract and the amount of any such "Specialty Items" so performed will be deducted from the Contract Price before computing the amount required to be performed by the Contractor with its own organization. "Specialty Items" will be identified by the Agency in the Bid or in the Special Provisions. Where an entire item is subcontracted, the value of work subcontracted will be based on the Contract Unit Price. Subcontractor/Business Address/Description of Work/% of Work/License No./DIR Reg No. R Signatur of Bidder ASON A. MORDHORST, PRESIDENT: Name of Bidder HAZARD CONSTRUCTION COMPANY Proposed Subcontractors 1240-1 SECTION 1250 NON -COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ) ss. County of ty1I>JY ) 4�d DV , beiyp first duly sworn, deposes and say that he or she is +ram of �.CR [j.� the party making he foregoing bid that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly sought by contract, agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, an fee to any corporation, partnership, company association, organizatio , id de ❑sitory, or to any member or agent thereof to effectuate a collusiv r sham bi . Signature HAZARD CONSTRUCTION COMPANY Name of Bidder 'AEON A. MORDHORST, PRESIDENT Title Date Non -Collusion Affidavit 1250-1 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Diego Subscribed and sworn to (or affirmed) before me on this 27th day of July , 20 20 , by Jason A. Mordhorst proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. r APRYLE BRIEDE Notary Public - California .•io . •. San Diego County > Commission p 2246886 My Comm. Expires Jul 17, 2022 EMU (Seal) Signature SECTION 1260 DIR Project Vendor Information Vendor Information: Name: HAZARD CONSTRUCTION COMPANY Address:_ W�J;�-C[ Jw\_L City: CA (A-2 ST: Zip: "A70q0 Project Manager: TikSo�i v�o2t�+►o'�2'� Email: '.S_+tiwwott°v'1n /m4z*Vt'►9corJ.co­1 Phone:, Tl� •'J%-1 - 2--(OW CSLB/Certification Number: Public Works Registration No.:. I0CW)-1-1.ZI Classification: Asbestos Boilermaker Bricklayers Carpenter Carpet/Linoleum Cement Masons Drywall Finisher Drywall/Lathers Electricians Elevator Mechanic Glaziers Iron Workers _ Laborers Millwrights Operating Eng Painters Pile Drivers Pipe Trades Plasterers Roofer. SheetMetalSound/Com Surveyor Teamster__>N�Tile Worker. Prevailing Wages and Payroll: The project is subject to prevailing wage rates and enforcement by the Department of Industrial Relations (DIR). Prevailing wage rates can be obtained at: http://www,dir.ca.gov/Public-WorksIPrevailing-Wage.html. Contractors and subcontractors on most public Works projects are required to submit certified payroll records to the Labor Commissioner using DIR's electronic certified payroll reporting system. For your convenience, the link for reporting certified payroll is: http:/Iwww.dir.ca.ciov/Public-Works/Certified-Payroii- Reporting.html. A copy of certified payroll, including the names and addresses of employees and/or subcontractors working on the job must be included with invoices submitted to the City of La Quinta. DIR Project Vendor Information 1260-1