2022-18 Elecnor Belco Electric, Inc. BidSECTION 1200
BID
DATE: 7/ 19/2022
The undersigned, as bidder, declares it has received and examined the Contract
Document entitled Project No. 2022-18, SilverRock Park Venue Wi-Fi and
Camera Backbone, 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
1270
Iran Contracting Act of 2010
1280
Russian Aggression Against Ukraine Sanctions
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 Initials
Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID
GUARANTY.
Elecnor Belco Electric, Inc.
Name of Bidder
(909)993-5470
Bidder's Telephone Number
Bid 1200-1
tev
CLARIFICATION A
TO: All Prospective Bidders and Plan Holders
FROM: Ubaldo Ayon, Assistant Construction Manager
DATE: July 22, 2022
SUBJECT: Project No. 2022-18, SilverRock Park Venue Wi-Fi and Camera Backbone
The following is a clarification to the project bid documents.
■ PROJECT SPECIFICATIONS
• Attachments '1270 Iran Contracting Act of 2010' and '1280 Russian
Aggression Against Ukraine Sanctions' are included in this clarification for
bidder's use as needed. It is not anticipated that these would be required
since the project anticipated amount is under $1 million dollars.
The Contractor is hereby notified; Clarification A does NOT need to be
acknowledged and initialed.
APPROVED:
Dlglially signed by Ubald, Ayon Jr
DN:—Ubaldo Ayon Jr,o ity of La Quin[a, ou=Public
Wgrks,emall=uayon@laquin ca.gov, c=US
Date: 2022 07 2516:05:05-0]W
Ubaldo Ayon
Assistant Construction Manager
NX John Wong
Vice President
Attachments:
1. 1270 Iran Contracting Act of 2010
2. 1280 Russian Aggression Against Ukraine Sanctions
END OF CLARIFICATION A
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.
Eleenor Belcotr'
Name of Bidder
14320 Albers Way. Chino, CA 91710
Bidder's Address
738518
Contractor's License No.
California
State of Incorporation
Sig toe nr
John Won
Printed Name of Signatory
Vice President
Title of Signatory
(909)993-5470
Bidder's Telephone Number
jwong@elecnor.com
Bidder's Email Address
7/31 /2023
Contractor's Expiration Date
re�\l . DaL g McWhorter
Estimator / Project Manager _
Title of Witness
Bid 1200-2
UNANIMOUS WRITTEN CONSENT IN LIEU OF
2021 ANNUAL MEETING OF THE BOARD OF DIRECTORS
OF
ELECNOR BELCO ELECTRIC, INC.
January 1, 2021
The undersigned, being all of the members of the Board of Directors (the "Board") of Elecnor Belco
Electric, Inc., a California corporation (the "Company"), in lieu of holding a meeting of the Board, hereby
take the following actions and adopt the following resolutions by unanimous written consent:
WHEREAS, the Board has determined that it is in the Company's best interests to appoint a revised
slate of Officers of the Company.
NOW, THEREFORE, BE IT RESOLVED, that the following persons be, and hereby are, elected
to the offices set forth opposite their respective names, to hold such offices until their respective successors
are elected and qualified at or before the next annual meeting of the Board, or until their earlier respective
deaths, resignations or removals:
NAMES
Alberto Garcia De Los Angeles
Jeroni Gervilla
Roger DeVito
Pedro Enrile
Leonardo Sancho Frances
John Wong
OFFICE
President and Chief Executive Officer
Chief Financial Officer
Senior Vice President, General Counsel
and Assistant Secretary
Secretary
Vice President
Vice President for Construction
FURTHER RESOLVED, that Alberto Garcia De Los Angeles, Jeroni Gervilla, Alberto Garcia
and Roger DeVito in their respective capacities (listed above) subject to such supervisory powers of the
Board of Directors, hereby are authorized and directed to perform all the duties commonly incident to that
office; shall have authority to execute in the name of the Company contracts, leases and other written
instruments to be executed by the Company; and, shall perform such other duties as the Board of Directors
may from time to time determine.
FURTHER RESOLVED, that the President and Chief Executive Officer may delegate authority
to any Chief Financial Officer or Chief Operating Officer or Senior Vice President or Vice President as and
within their authority levels as set forth in the Company's Bylaws, as the same may be amended from time
to time;
FURTHER RESOLVED, that Roger DeVito, in his capacity of Senior Vice President,
or Leonardo Sancho Frances in his capacity of Vice President are hereby authorized and directed
to:
1. Negotiate, sign, amend and terminate agreements in connection with the purpose of the Company, for
all contracts up to $250,000.00, and acting jointly with Alberto Garcia De Los Angeles or Jeroni
Gervilla for all contracts in amounts greater than $250,000.00.
2. Execute, amend and finalize bid proposals in connection with the purpose of the Company, for all
proposals up to $1,000,000.00, and acting jointly with Alberto Garcia De Los Angeles or Jeroni
Gervilla for all proposals in amounts greater than $1,000,000.00.
3. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, execute, amend and finalize
purchase orders for materials and equipment in connection with the purpose of the Company.
4. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, execute, amend and terminate
agreements for the lease of real estate to be used as offices or job related temporary yards.
5. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, execute, amend and terminate
insurance and/or bid bonds arrangements in connection with the purpose of the Company.
6. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, hire, suspend, impose
sanctions and dismiss the administrative personnel of the Company, setting forth their employment
terms and conditions, obligations and remuneration.
7. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, settle and claims on behalf of
the Company.
AND IT IS FURTHER RESOLVED, that all actions heretofore taken by the officers of the
Company on behalf of and in the name of the Company, relating to the conduct of the business of the
Company, the expenditure of money, the making of contracts and all other acts taken or omitted in the
performance of their duties to the Company be, and the same hereby are, in all respects, approved, ratified
and affirmed, as of the date taken, done or omitted, respectively.
The actions taken by the Board Consent shall have the same force and effect as if taken by the
undersigned at a meeting of the Board of Directors, duly called and constituted pursuant to the Bylaws of
the Company and the laws of the State of California. This Board Consent may be executed in counterparts,
each of which shall be deemed an original, but all of which together shall constitute one and the same
document.
IN WITNESS WHEREOF, the undersigned, being all of the members of the Board of Directors
of Elecnor Belco Electric, Inc., have executed these actions by written consent as of the date first written
Luis Alcibar, Director
Alexander Arrola, Director
SECTION 1210
BID SCHEDULE
PROJECT NO. 2022-18
SILVERROCK PARK VENUE WI-FI AND CAMERA BACKBONE
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. 2022-18,
SilverRock Park Venue WI-Fi and Camera Backbone, 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.
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
BASE BID — SILVERROCK PARK VENUE WI-FI AND CAMERA BACKBONE
Item
Item Description
Est.
Unit
Unit
Item Total
No.
Qty.
Price
(in figures)
(in
Dollars
figures)
Dollars
1.
Mobilization
1
LS
$S 000
$ 5 oc'u
2.
Traffic Control
1
LS
$ '3 t�IJU
$ 3 000
3.
Dust Control
1
LS
$ 000
$
4'
Remove and Replace 6" Thick
36
SF
$ ",(-,
$� 734
Concrete Sidewalk
Furnish and install 2" High -
Density Polyethylene (HDPE)
5
Conduit, grey color, pull tape,
304
LF
$
$ oZ7� �U
and tracer wire; Including
Trench Repair (Replace
Landscape/Irrigation in -kind
6
Furnish and Install No. 6 Pull
2
EA
$
$ 1�76
Box
Building Modification,
7.
Connection, and Electrical
1
LS
0 ,7y0
Modification
Furnish and Install 24 Strand
$
Single Mode Fiber Optic Cable
900
LF
$d
$j9(?
and pull tape in
existing/proposed conduit
Furnish and Install 24 Port
9
Fiber Patch Panel complete
2
EA
$ �� 7,7o
$ 3/5YQ
(shelf mount). Terminate fiber
optic cable
Furnish and Install 24 Port
10.
Hardened Managed Gigabit
Aggregate Switch, SFP
1
EA
$�� J�®p
$ 0(
Modules, power supply, and
patch cords complete
11,
Test Network Equipment and
1
LS
$13 00
$��°�
System Documentation
12.
As -Built Plans
1
LS
$ �00
$ S-00
Furnish to City Hall minimum
13.
2-strand single mode fiber
50
LF
$ 0'r o
$ 2S
maximum 24-strand to be
installed by others
Total Amount of Bid Items 1 — 13
$
Bid Schedule 1210-2
GRAND TOTAL BASE BID (Figures): $ h 1 . (1 I d--
GRAND TOTAL BASE BID (Words): 5i ' Odle 7-yl_oL)5r.(a)d Ni4,IG
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.
of Bidder (Ink)
JNn WwA 1 Vice President
Name of Bidder (Printed or Typed)
(909)993-5470
Bidder Telephone Number
iwone(a,,elecnor.com
Bidder Email Address
Bid Schedule 1210-3
SECTION 1220
BID GUARANTY BQNQ
PRINCIPAL, and Fidelity and Deposit company of Maryland, 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. 2022-18
SILVERROCK PARK VENUE WI-FI AND CAMERA BACKBONE
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 22nd day of
July 2022.
Elecnor Belco Electric, Inc. Fidelity and Deposit Company of Maryland
Vice President
Title of Signatory
John Wong Vice President
Sig atu of Principal
14320 Albers Way, Chino, CA 91710
Attorney -in -Fact
Title of Signatory
�o__
Donna M. Planeta
gnat ,f Surety
1299 ZURICH WAY, 5TH FLOOR,
SCHAUMBURG, IL 60196 - 1056
Address Address
Note: Signatures of those executing for the surety must be properly acknowledged.
Bid Guaranty Bond 1220-1
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.
Connecticut
State of Oatdoa�iaxHartford
County of )
On July 22, 2022 before me, Robyn L. Salley, Notary Public
(insert name and title of the officer)
personally appeared Donna M. Planeta, Attorney -in -Fact
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of 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.
ROBYN L. SALLEY
NOTARY PUBLIC CT 185794
My Commission Expires Feb. 28, 2027
Signature (Seal)
Robyn L. Salley Notary Public
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are
set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute,
and appoint Jacqueline R. SUSCO, Kathryn PRYOR, Nicholas TURECAMO, Gentry STEWART, Amanda P. D ANGELO, Donna
M. PLANETA, Bethany STEVENSON, Joshua SANFORD, Aimee R. PERONDINE, Jennifer G. GODERE, Alexis R.
APOSTOLIDIS, Michelle Anne MCMAHON, Rebecca M. JOSEPHSON, Brendan W. FLETCHER, Cassandra BAEZ, of Hartford,
Connecticut, EACH, its true and lawful agent and Attorney -in -Fact, to snake, execute, seal and deliver, for, and on its behalf as surety, and
as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents,
shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged
by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly
elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the
regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their
own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 26th day of August, A.D. 2021.
q 71 �pl�0!
* o
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Robert D. A4urray
Vice Presidew
BY: Dann F. Brown
S'ecrelal y
State of Maryland
County of Baltimore
On this 26111 day of August, A.D. 2021, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D.
Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who
executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of
the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and
the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF, 1 have hereunto set my hand and affixed my Official Seal the day and year first above written.
1'�piN 1l lfi+r
�s, ptt55Li�
Constance A. Dunn, Notary Public
'i4t>`nd1AIL r';�'�
My Commission Expires: July 9, 2023
l�Hl1HL���\
Authenticity of this bond can be confirmea at Donavalidator.zurich na.com or 410-559-8790
ME
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and 1 do further certify that Article V, Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duty called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attomey...Any such Power or any cerlificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the I Oth day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this _2_2_nd _ day of __jjjjy . _ZQ22 _.
wp oeres f w�
� r
By: Brian M. Hodges
Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
www.reI2orttili:kuini Q)zuriclmaxom
800-626-4577
Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790
CALIFORNIA ALL- PURPOSE
CERTIFICATE OF 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 ezfv irAl'w }
On W ? 2 before me, �L��► yl ��'1 , Ll �l {ly,
("eye ingf rl anmB and I Ir�iTiwr
personally appeared bvn
who proved to me on the basis of satikf6etory evidence to be the personA whose
me is ary 615�subscribed to the wi in instrument and acknowledged to me that
he AIth�f executed the same in WWrithgir authorized capacity and that by
I Itt)jk signatur on the instrument the persor j, or the entity upon behalf of
which the person( acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that
the foregoing paragraph is true and correct.•„,
w ELISA•BETH LIM
�" •.t., � Z
WITNESS my hand and official seal. Commission No. 2281937
Za
U NOTARY PUBLIC-CALIFORNIA
SAN BERNARDINO COUNTY
My Comm Expires MARCH 21, 2023
Notary Public Signature
(Notary Public Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages Document Date
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
❑ Corporate Officer
Title
❑ Partner(s)
❑ Attorney -in -Fact
❑ Trustee(s)
❑ Other
'.oir Version vopAv ,kitaryciasses,corr,
INSTRUCTIONS FOR COMPLETING THIS FORM
This form complies with current California statutes regarding notary wording and,
if needed, should be completed and attached to the document. Acknowledgments
from other states may be completed for documents being sent to that state so long
as the wording does not require the California notary to violate California notary
law.
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
lie/she/they,— is /are ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
Indicate title or type of attached document, number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document with a staple.
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: Traffic Signal Installation and Modifications at Various Locations
Owner' t ' i , of Glendale
Construction Cost: $
Construction Time: 12/1/2018 - 5/30/2019
Owner's Representative: Sarkis Oganesyan
Owner's Telephone No.: _(818)548-3945
Date of Substantial Completion: 5/30/2019
2. Project Name: North Verdugo Road Traffic Signals
Owner: City of Glendale
Construction Cost: $ 2,844,613
Calendar Days
Construction Time: 8/1/2020 To 7/31/2021 _Calendar Days
Owner's Representative: _ Sarkis Oganesyan
Owner's Telephone No.: _(818)549-3945
Date of Substantial Completion: 7/31/2021
Bidders Experience & Qualifications 1230-1
CALIFORNIA ALL- PURPOSE
CERTIFICATE OF 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 Bernardino
On July 26, 2022 before me, _Elisa Beth Lim, Notary Public
art insert name and We'at"me after
personally appeared John Wong
who proved to me on the basis of satisfactory evidence to be the person(s) whose
name(&) Is re subscribed to the within instrument and acknowledged to me that
(e he/they executed the same in Is er/their authorized capacity(ies), and that by
Is er/their 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. ELISA BETH LIM
Commission No. 2281937 0
WITNESS my and and official seal. NOTARY PUBLIC-CALIFORNIA
F SAN BERNARDINO COUNTY
My Comm Expires MARCH 21. 2023
Notary Pub Signature (Notary Public Seal)
rm
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
City of La Quinta Bid Bond
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages Document Date
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
❑ Corporate Officer
(Title)
❑ Partner(s)
❑ Attorney -in -Fact
❑ Trustee(s)
❑ Other
www.NotaryClasses.com 800-873-9865
INSTRUCTIONS FOR COMPLETING THIS FORM
This farm complies with current California statutes regarding notary wording and,
if needed, should be completed and attached to the document. Acknowledgments
from other states may be completed for documents being sent to that stale so long
as the wording does not require the California notary to violate California notary
law
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
he/she/the)— is /ere ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
Indicate title or type of attached document, number of pages and date.
. Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document with a staple.
3. Project Name: Signal Synchronization and Bus Speed Improvements
Owner: Citv of Huntington Park
Construction Cost: $__S91 1352
Construction Time: 5/20/2019 - 11/5/2019 Calendar Days
Owner's Representative: Cesar Roldan
Owner's Telephone No.: (323)584-6320
Date of Substantial Completion: 11/5/2019
4. Project Name: 73-510 Fred Waring Dr., Palm Desert, CA 92260 _
Owner: City of Palm Desert
Construction Cost: $ $602,259 _ _ _
Construction Time: 11/18/2019 - 3/20/2020 Calendar Days
Owner's Representative: Randy Bowman
Owner's Telephone No.: (760)776-6493
Date of Substantial Completion: 3/20/2020
Signed this NO, day of
Elecnor Belco Electric, Inc.
Name of Bidder
Printed Name of Bidder
July
2022.
738518 1000004804
Contractor's License No. DIR Reg No.
7/31/2023
Expiration Date
Vice President
Title of Signatory
Bidders Experience & Qualifications 1230-2
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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.
-4Z 0 SU fps
/ Vice President
Bidder
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 )
John Wong , being first duly sworn, deposes and say that
he or she is Vice President of Elecnor Belco Electric, Inc. , 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.
Sign f
tur
John Wong
Name of Bidder
Vice President
Title
7/ 19/2022
Date
Non -Collusion Affidavit 1250-1
SECTION 1260
DIR Project Vendor Information
Vendor Information:
Name: ElecnorBelco Electric, Inc.
Address: 14320 Albers Wa City
zip: 0i7iu
Project Manager
Email:
Chino ST: CA
Phone: (909)993-5470 CSLB/Certification Number: 738518
Public Works Registration No.: 1000004804
Classification:
Asbestos Boilermaker Bricklayers Carpenter Carpet/Linoleum _
Cement Masons Drywall Finisher Drywall/Lathers Electricians
Elevator Mechanic . Glaziers Iron Workers Laborers X _ Millwrights
Operating Eng Painters Pile Drivers Pipe Trades Plasterers
Roofer SheetMetal Sound/Com Surveyor Teamster Tile Worker
PrevailingWages_ 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:
httl2:/Iw-ww.dir.ca.gov/Public-Works/Prevalling-Wage.htmi.
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: httpJ/www.dir.ca.gov/Public-Works/Certiffed-Pavroll-
Reportina.html.
A copy of certified payroll, including the
employees and/or subcontractors working on
with invoices submitted to the City of La Quinta.
names and addresses of
the job must be included
DIR Project Vendor Information 1260-1
IRAN CONTRACTING ACT CERTIFICATION
Pursuant to the Iran Contract Act of 2010 (Public Contract Code 2200-
2208), Vendors/Bidders are ineligible to bid on or submit a proposal for any
contract with a public entity for goods or services of one million dollars
($1,000,000) or more if the Vendor/Bidder engages in investment
activities in Iran.
MUST BE SUBMITTED WITH BID PROPOSAL IF BID AMOUNT IS
$1,000,000 OR MORE
Prior to bidding on, submitting a proposal, or executing a contract or renewal for a
public entity contract for goods or services of $1,000,000 or more, a vendor must
either: a) certify it is not on the current list of persons engaged in investment
activities in Iran created by the California Department of General Services ("DGS")
pursuant to Public Contract Code section 2203(b) and is not a financial institution
extending $20,000,000 or more in credit to another person, for 45 days or more, if
that other person will use the credit to provide goods or services in the energy sector
in Iran and is identified on the current list of persons engaged in investment activities
in Iran created by DGS; or b) demonstrate it has been exempted from the
certification requirement for that solicitation or contract pursuant to Public Contract
Code section 2203(c) or (d).
To comply with this requirement, please insert your vendor or financial institution
name and Federal ID Number (if available) and complete one of the options below.
Please note: California law establishes penalties for providing false certifications,
including civil penalties equal to the greater of $250,000 or twice the amount of
the contract for which the false certification was made, contract termination, and
three-year ineligibility to bid on contracts. (Pub. Cont. Code § 2205.)
OPTION #1 - CERTIFICATION
I, the official named below, certify I am duly authorized to execute this certification
on behalf of the vendor/financial institution identified below, and the vendor/financial
institution identified below is not on the current list of persons engaged in
investment activities in Iran created by DGS and is not a financial institution
extending twenty million dollars ($20,000,000) or more in credit to another
person/vendor, for 45 days or more, if that other person/vendor will use the credit
to provide goods or services in the energy sector in Iran and is identified on the
current list of persons engaged in investment activities in Iran created by DGS.
I certify (or declare) under penalty of perjury under the laws of the State of
California that the foregoing is true and correct.
Vendor Name/Financial .1 utiv�
Elecnor Beico Electric, I C.
By (Authorized Sign t e
Printed Name and t rson
John Wong Vice President
(Printed)
Signing
Federal ID Number (or n/a)
33-0768970
Date Executed
7/22/2022
Iran Contracting Act Certification 1270-2
OPTION #2 — EXEMPTION
Pursuant to Public Contract Code sections 2203(c) and (d), a public
entity may permit a vendor/financial institution engaged in investment
activities in Iran, on a case -by -case basis, to be eligible for, or to bid on,
submit a proposal for, or enters into or renews, a contract for goods and
services.
If you have obtained an exemption from the certification requirement
under the Iran Contracting Act, please fill out the information below, and
attach documentation demonstrating the exemption approval.
Vendor Name/Financial Institution (Printed) Federal ID Number (or n/a)
By (Authorized Signature)
Printed Name and Title of Person Signing Date Executed
Iran Contracting Act Certification 1270-3
SECTION 1280
COMPLIANCE WITH CALIFORNIA EXECUTIVE ORDER N-6-22
RUSSIAN AGGRESSION AGAINST UKRAINE
(a) Contractor shall comply with California Governor Executive Order N-6-22
regarding sanctions in response to Russian aggression in the Country of Ukraine,
and any implementing guidelines and/or economic sanctions imposed by the
United States government in response to Russian actions in Ukraine, as well as
any sanctions imposed under California law (collectively "economic
sanctions"). Contractor shall comply with all such economic sanctions. By
submitting a bid to the City, Contractor agrees to take any and all actions to
support the Ukrainian government and people as required by law, including by
refraining from new investments in, and financial transactions with, Russian
institutions or companies that are headquartered or have their principal place of
business in Russia (Russian entities), not transferring technology to Russia or
Russian entities, and directly providing support to the government and people
of Ukraine.
(b) If bidding on a contract for Five Million Dollars ($5,000,000) or more, Contractor
shall submit a written report to the City on Contractor's compliance with the
economic sanctions, and the steps Contractor has taken in response to Russia's
actions in Ukraine, including, but not limited to, desisting from making new
investments in, or engaging in financial transactions with, Russian entities, not
transferring technology to Russia or Russian entities, and directly providing
support to the government and people of Ukraine as required by law. Failure to
submit the report required by this Section may deem Contractor's bid non-
responsive.
Please include a written report to the City if this section is applicable.
Wong
�,,Joh,
ice President