Vance Corporation BidSECTION 1200
BID
DATE: 07/23/2020
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 off- the -Plan Holders
List with the City of La Quinta in order to receive addenda.
Addendum #
n
Date Received
07/24/2020
Initials
Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID
GUARANTY.
Vance Corporation
Name of Bidder
(909) 355-4333
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.
Vance Corporation
Name of Bidder
17761 Slover Avenue
Bidder's Address
414567
Contractor's License No.
California
State of Incorporation
4-
Sigil'ature of Bidder
Verner E. Thomas
Printed Name of Signatory
-- Preside -----
Title of Signatory
(909) 355-4333
Bidder's Telephone Number
vthomas@vancecorp.net
Bidder's Email Address
11 /30/2021
Contractor's Expiration Date
Vice President of Operations
Title of Witness
Bid 1200-2
ADDENDUM 01 — 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 - DULY 24, 2020
BASE BID - WASHINGTON STREET PAVEMENT REHABILITATION
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars I
Dollars
1
Mobilization
1
LS
$ : cm-
$ 54- Ooo -
2
Traffic Control
1
LS
$-78"000
3
Dust Control
1
LS
$ ow, -
$ -Ig ox
4
2" Grind and Overlay
360,479
SF
$ a�
$ icy'
Continue to Full Depth
Asphalt Concrete Grind
5
(3.5"f), Compact Existing
1,275
SF
$ 6a
]
$
Aggregate Base, and 5.5"
�1�
Asphalt Concrete Overlay to
Bottom of Final Lift
Remove and Construct 5.5"
6
AC over 6.5" AB, CLQ STD.
321
SF
$aL�"
$ 78g�
195
7
Remove Existing Concrete
Sidewalk, Ramps, and
5,105
SF
oo
$ S
_
$,5�
Cross -Gutters
8
Remove Existing Curb and
Curb & Gutter (Regardless
307
LF
ZF
$
of Height)
9
Crack Seal and Type II
11,157
SF
Slurry Seal
Construct Curb & Gutter per
10
City of La Quinta Std. Dwg.
307
LF
$ ��
$ ��0�
201and 202 (Regardless of
Hei ht
Construct Sidewalk per City
o
11
of La Quinta Standard 240
615
SF
$ /�'�
$-7,3Q-
Mod.
/
Construct Concrete Curb
,
12
Ramps per City of La Quinta
9
EA
$� �Q(�
$ 900'
Standard 250 Mod.
'
Construct Portion of Cross-
,So
13
Gutter per City of La Quinta
735
SF
$'� '
$ lo? <�7
STD 230 Mod. and 231 Mod.
14
Lower and Raise Drainage
1
EA
lob
$ j aoo
Manhole to Grade
r
15
Striping and All Incidentals
1
LS
$ 0D-
$ 39, 00-
Total Amount of Bid Items 1 - is
$ 767X'33
Bid Schedule 1210-2
ADDENDUM 01 - JULY 24, 2020
City may award all or none of the following additive alternates:
ADDITIVE ALTERNATE No. 1 —
7Item Item Description
No.
1 Lower Sewer Manhole per
CVWD Standards
2 Raise Sewer Manhole per
CVWD Standards
AnnTTTVF All TFRNATF Nn_ 7 -
Est. Unit Unit Price
Qty. (in figures)
Dollars
9 EA $
J. 9 EA $ �ls/
Total Amount of Bid Items 1 — 2
Item Total
(in figures)
Dollars
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars
Dollars
1
Lower Water Valve per
19
EA
C ;o
$ 00,
$
CVWD Standards
2
Raise Water Valve per
19
EA
$ $7�'
/
$ �ro,s�'
CVWD Standards
Total Amount of Bid Items 1 — 2
I $�1p�030 °a
AnnTTTVF ALTERNATE Nn. 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
oc
$ jQQ'�
$ 1,SOD
CVWD Standards
2
Raise Irrigation Valve per
3
EA
$ g7(�' °�
$ a��Q
CVWD Standards
Total Amount of Bid Items 1 — 2
$ q
AnnTTTVF All TFRNATF Nn_ 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
Vehicle Traffic Rated Ca
Total Amount of Bid Items 1
$ 7/0 '
Bid Schedule 1210-3
ADDENDUM 01 - JULY 24, 2020
AnnTTTVE ALTERNATE No. 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
oo
$ aL�'
$ 096
Pavement Fabric
Replace obliterated striping,
pavement markings, and
2
pavement markers in 2"
1
LS
$
$
Grind and Overlay with
Pavement Fabric
construction area.
Total Amount of Bid Items 1 — 2
$'cif pO
GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES(Figures):
7?ff 3D . P3
GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Words):
n 11 - I _ _a 1.
Bid Amount of each of the above Bid Items must be filled in and completed. It is
understood that the quantities shown hereon are but estimates and the bidder is
responsible to verify quantities prior to submitting a bid. Final payment will be
based upon actual work performed, subject to such adjustments and alterations as
elsewhere provided herein.
Verner E. Thomas
(909) 355-4333
VthomasawancecoKp.net
Signature of Bidder (Ink)
Name of Bidder (Printed or Typed)
Bidder Telephone Number
Bidder Email Address
Bid Schedule 1210-4
SECTION 1220
BID GUARANTY BOND
Vance Corporation,
PRINCIPAL, and SureTec Insurance 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 20th day of
JUN . 2020.
Vance Corporation
President
Title of Signatory
SureTec Insurance Company
Jeri Apodaca, Attorney -in -Fact
Title of Signatory
I G)r) k-
`
Signature of Principal Verner E. T arnas Si ature o€S ety
17761 Slover Ave., Bloomington, CA 92316 3131 Camino del Rio N., #1450, San Diego, CA 921,08
Address Address
Note: Signatures of those executing for the surety must be properly acknowledged.
Bid Guaranty Bond 1220-1
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
-------------
r
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 Bernardino
On July 23rd, 2020 before me,
Date
personally appeared
)
Macawi Muhammad, Notary Public
Here Insert Name and Title of the Officer
Verner E. Thomas
Name(ssj;of Signer(SX
who proved to me on the basis of satisfactory evidence to be the person(* whose name(*X ism
subscribed to the within instrument and acknowledged to me that hehish>mW executed the same in
hiskjerftotixauthorized capacity( and that by hisDfMR signature* on the instrument the personfq
or the entity upon behalf of which the personft acted, executed the instrument.
MACAWI MUHAMMAD
Notary Public -California
San Bernardino County z
z Commission # 2168128 r
My Comm Expires Oct 15, 2020
Place Notary Seal Above
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Signature
"Signaturec ry Public
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached DocumentBid Bond; City of La Quinta
Title or Type of Document: Washington St. Rehab- 42020-04 Document Date: 07/20/2020
Number of Pages: ] Signer(s) Other Than Named Above: Jeri Apodaca, Attorney -in -Fact
Capacity#es)cClaimed by SignerN
Signer's Name: Verner E. Thomas
X Corporate Officer — Title(s): President
C I Partner — ❑ Limited J General
_l Individual ❑ Attorney in Fact
Trustee ❑ Guardian or Conservator
-i Other:
Signer Is Representing: Vance Corporation
Signer's Name:
0 Corporate Officer — Title(s):
1 7 Partner — Ll Limited ❑ General
C Individual Ll Attorney in Fact
Trusteej Guardian or Conservator
❑ Other:
Signer Is Representing:
02014 National Notary Association • www.Nationa]Notary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL .,
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 �_ Orange )
On _ JUL 2 0 2020 —before me, _ Heather Rose Saltarelli, Notary Public �
Date Here Insert Name and Title of the Officer
personally appeared
Jeri Apodaca
Name(s) of Signer(s) —
who proved to me on the basis of satisfactory evidence to be the person(} whose name(* is/axe
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(bW, and that by his/her/tkodr signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
HEATHER ROSE SALTARELLI T
Notary Public - California Cf Y A�n {� PhIt6"I-aw
Orange CountySignatures w LY- '!`"-�
5 Commission # 224E219 Signature of Notary Public
My Comm. Expires Jul 27, 2022
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Number of Pages: __
Document Date-
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: ----
Corporate Officer — Title(s):
Partner — i_] Limited ; General
Individual x[ Attorney in Fact
Trustee f,.i Guardian or Conservator
Other:
Signer Is Representing:
Signer's Name:
Corporate Officer — Title(s):
l Partner — Limited General
Individual ! _i Attorney in Fact
Trustee Guardian or Conservator
Other:
Signer Is Representing:
02014 National Notary Association • www.NationaiNotary.org a 1-800-US NOTARY (1-800-876-6827) ltem #5907
p0A #: 510761 -Newport Beach
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make, constitute and appoint
Rhonda C. Abel, Kim Luu, Michael Parizino, Rachelle Rheault, James A. Schaller, Maria Guise, Heather Saltarelli, Jeri Apodaca, Reece Joel Diaz
its true and lawful Attorney -in -fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for, providing the bond penalty does not exceed
Five Million and 00/100 Dollars ($5,000,000.00)
and to hind the Company thereby as fully and to the same extent as if such bond were signed by the CEO, sealed with the corporate sea[
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney -in -Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys) -in -Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney -in -Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or abligatory undertakings and any and ail
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held an 20, of April
1999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this 30th day of March A.D. 2020.
SURETECINSt NY
}�URAN�.0
Cl % 1.+ a
Wr q Lri By:
w w a` John Kno ., CE
State of Texas ss: 7
County of Harris ..........x f
On this 30th day of March •, A.D. 2020 before me personally came John Knox Jr., to me known, who, being by me duly swom, did depose and say,
that he resiaes in Houston, Texas, that he is CEO of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the
Board of Directors of said Company; and that he signed his name thereto by like order.
JACOLJELYN GREENLEAF
� ,YiY gU�li
+ -u�?yf flotary Public, State of Texas
•":
I' ir` Comm. Expires 05-18 2021
j •,;A�ti;;`••` Notary ID 126903029 "—A M L��_
Jacq elyn Greenleaf, Notary Public
L My commission expires May 18, 2021
I, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney, executed by said Company, which is still in full force and effect; and furthermore, the resolutions of the Board of Directors, set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this ^day of JUL 2 U 20 4 A.D.
— ' ;I
. Brenf Beaty, A`Kistant SecVetary
Any instrument issued in excess of the penalty stated above is totally void and without any validity. 510761
For verification of the authority of this power you may call (713) 812-0800 any business day between 8:30 am and 5:00 pm CST.
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: 2019 Citywide Street Improvements
Owner: City of Perris
2.
Construction Cost: $--2.355,371.40
Construction Time: 100 working days C�ldx�
Owner's Representative: Brad Brophy, P. E.
Owner's Telephone No.: 951 943-6504
Date of Substantial_ Completion: 03/20/2020
Project Name: Victoria Avenue Pavement Rehabilitation
Owner: City of Highland
Construction Cost: $ 1,439,981.92
Construction Time: 45 working days
Owner's Representative: S_,9rin�_7,,9rn,9no, P. E-
Owner's Telephone No.:
(909) 864-6861
Date of Substantial Completion:
10/10/2018
CaIltmyg
Bidders Experience & Qualifications 1230-1
3.
4.
Project Name: Dinah Shore Drive Pavement Rehabilitation
Owner: City of Rancho Mirage
Construction Cost: $ 1,439,981.92
Construction Time: 60 __Calendar Days
Owner's Representative: Lelan Cole, P. E.
Owner's Telephone No.: (760) 770-3224 x 272
Date of Substantial Completion: 02/03/2019
Project Name: Newport Road Widening
Owner: City of Menifee
Construction Cost: $, 3,051,579.90
Construction Time: 70 working days
Owner's Representative: Carlos Geronimo
Owner's Telephone No.: (951) 723-3722
Date of Substantial Completion: 05/02/2017
Signed this 23rd day of Jul
2020.
Vance Corporation 414567 1000008103
Name of Bidder Contractor's License No. DIR Reg No.
11/30/2021
Signature of Bidder Expiration Date
Verner E. Thomas President
Printed Name of Bidder Title of Signatory
Bidders Experience & Qualifications 1230-2
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 ork�oof Work/License No./DIR Reg No.
M
Signature of Bidder Verner omas
Vance Corporation
Name of Bidder
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.
ZZ2----
--,6�7- ,
Signature of Bidder erner E: Thomas
Vance Corporation
Name of Bidder
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.
/,,! � -, � �� 7
Signature of Bidder Verner E. as
Vance Corporation
Name of Bidder
Proposed Subcontractors 1240-1
SECTION 1250
NON -COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED
WITH BID
State of California
ss.
County of San Bernardino
Verner E. Thomas being first duly sworn, deposes and say that
he or she is President of Vance Corporation ., the
party making the 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, any fee to any corporation, partnership, company association,
organization, bid depository, or to any member or agent thereof to effectuate a
collusive or sham bid.
le—
Switure
Vance Corporation
Name of Bidder
President
Title
07/23/2020
Date
Non -Collusion Affidavit
1250-1
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202
N See Attached Document (Notary to cross out lines 1-6 below)
❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary)
Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any)
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 Subscribed and sworn to (or affirmed) before me
County of San Bernardino
on this 23rd day of July , 2020 ,
by
(and (2)
Date Month Year
Verner E. Thomas
Name of Signer(sX
proved to me on the basis of satisfactory evidence
to be the person(: who appeared before me.
Signature
Place Notary Seal Above Signature of Notary Public
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document Non -Collusion Affidavit
City of La Quinta; Washington St., Rehab
Title or Type of Document: Project # 2020-04 Document Date: 07/23/2020
Number of Pages: 1 Signer(s) Other Than Named Above: No other singer
02016 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910
Vendor Information:
Name;
SECTION 1260
DIR Project Vendor Information
Vance Corporation
Address: 17761 Slover Avenue
Zip: 92316
Project Manager: Bruce Barrie
Phone: (909) 355-4333
City: Bloomington ST: CA
Email: bbarrie@vancecorp.net
CSLB/Certification Number: 414567
Public Works Registration No.: 1000008103
Classification:
Asbestos Boilermaker Bricklayers Carpenter Carpet/Linoleum
Cement Masons Drywall Finisher Drywall/Lathers Electricians
Elevator Mechanic Glaziers Iron Workers Laborers X Millwrights
Operating-EngX Painters Pile Drivers Pipe -Trades Plasterers_
Roofer SheetMetal Sound/Com Surveyor Teamster X Tile Worker
Prevailing Wages and Payroll:
-_The_project_is-s_ubject-to-pr_evailing_wa-ge_ rates -and -enforcement -by the Department___ ____
of Industrial Relations (DIR). Prevailing wage rates can be obtained at:
http://www.dir.ca.gov/Public-Works/Prevailing-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: htt www.dir.ca. ov Public -Works Certified -Pa roll-
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