Riverside Construction Company, Inc. BidSECTION 1200
BID
DATE: 10/4/22
4225 •1 r�
GZ M c .. _.._�
P.O. F:::7 as'.
MVERG40Lz, fCA W -ss2
The undersigned, as bidder, declares it has received and examined the Contract
Document entitled City Project No. 2011-05, Federal Project No. BRNBIL (537),
Dune Palms Road Bridge Improvements, 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 Federal Requirements Forms for Federal -Aid Construction Projects (The DBE
and subcontractor listings are to be submitted by the 5th calendar day after
bid openings all bidders)
1280 Russian Aggression Against Ukraine Sanctions
1290 Iran Contracting Act of 2010
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
r
1 9/16/22
2 9/21/22
3 9/22/22
4 9/27/22
Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID
GUARANTY.
Riverside Construction Company, Inc.
Name of Bidder
(951) 682-8308
Bidder's Telephone Number
Bid 1200-1
RIVERSIDE CMT M-!.� 0T1lON CO.
4225 GAF,"-. _: R FAD.
P.O. BCs:e '1 46
MVE SAM, GA 32502!
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.
Riverside Construction Company, Inc. (951) 682-8308
Name of Bidder Bidder's Telephone Number
4225 Garner Rd, Riverside, CA 92501
Bidder's Address
266222
Contractor's License No.
California
State Incorporation
S e of Bidd r
Bryan Lounsbury
Printed Name of Signatory
Secretary/Treasurer
Title of Signatory
estimating@rivconstruct.com
Bidder's Email Address
2/28/2023
Contractor's Expiration Date
Witness
Richard G. Lounsbury, Executive VP
Title of Witness
Bid 1200-2
Addendum 04 — September 26, 2022
SECTION 1210
BID SCHEDULE
l NSRSIDE CCU€I CO.
P.0. B�..*ia ] l46
f"VERSiOE, Cif €32502
City Project No. 2011-05
Federal Project No. BRNBIL (537)
DUNE PALMS ROAD BRIDGE IMPROVEMENTS
REVISED 09/26/2022 — Addendum #4
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 City Project No. 2011-05, Federal Project No. BRNBIL
(537), Dune Palms Road Bridge Improvements, 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 all Base Bid Areas and 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. Item #2A is predetermined for bidding purposes
only and only actual costs incurred for utility inspection from utility companies shall
be paid without mark-up.
Furthermore, this project has broken down the Base Bid areas according to project funding
requirements, therefore several of the same bid items have been split between the Base Bid
Areas. The following is a listing of the "duplicate" bid items numbers and their corresponding
Base Bid location for Contractor reference. In the Bid Schedule, the "Duplicate" items have
been noted with a (D) in the description.
Base Bid #1
Duplicate Base Bid Area
Description
Item Number
& Item Number (#-###
Sawcut & Removal AC Pavement
5
2-91
Sawcut & Remove Conc. Slope Protection 7
3-116
Unclassified Excavation (Roadway)
9
2-93
Unclassified Fill (Roadway)
11
2-94
Suitable Backfill Material
12
2-95
Asphalt Concrete (T=4.5")
14
2-97
Class 2 Aggregate Base (T=6.0")
15
2-99
6" AC Dike
17
2-100
6" Curb & Gutter
18
2-101
8" Median Curb
19
2-102
Concrete Sidewalk (W=5.5')
20
2-103
Concrete Driveway Approach
21
2-104
Colored Stamped Concrete Median
22
2-105
Bid Schedule 1210-1
RIVERSIDE CMISTeRUCTION CO.
Addendum 04 - September 26, 2022 P.O.
(.ipO Br
RIVERSOE, CA 92502
Concrete Slope Protection
26
3-117
Curb Ramp (Case A)
27
2-106
6' (Tall) Masonry Block Wall
28
2-107
4" Schedule 40 PVC, Landscaping Sleeve
47
2-109
Install Landscaping Plant Material & Irrigation
51
2-111
3/8" Crushed Rock (Apache Brown)
52
2-112
3/4" Crushed Rock (Desert Gold)
53
2-113
6" Minus - Baja Cresta Rubble
54
2-114
3/8" Decomposed Granite - Brimstone
55
2-115
Structure Excavation (Ret Wall)
59
3-134
Structure Backfill (Ret Wall)
60
3-135
Structural Concrete (Ret Wall)
67
3-136
Bar Reinforcing Steel (Ret Wall)
72
3-137
BASE BID AREA - DUNE PALMS ROAD BRIDGE IMPROVEMENTS:
BASE BID #1; FEDERAL PARTICIPATING (STA 16+50 - 25+62)
Unit Price
Item Total
Nu
Item Description
Qty:
Unit
(in figures)
(in figures)
Dollars
Dollars
Roadway Approaches
1
Mobilization
1
LS
$.2 1$p�!✓�p�
1�
$
2
Best Management Practices
1
LS
$ 150,006
$ F 50, v00
2A
Utility Company Inspection
1
LS
$ 60,000.0
$ 60,000.00
(Allowance)
3
Traffic Control
1
LS
$ 36Q CW'
CD
$ 0CQ�
4
Resident Engineers Trailer
23
MO
$ d p�CO
$ 10-3' SEGO
4A
Construction Monitoring
1
LS
$ 2 S,�GCj'
$ j, OC�p
Camera
5
Sawcut & Remove AC
22,000
SF
2 oa
$
$
Pavement (D)
6
Remove Concrete Pavement
41,686
SF
o
$ -
00
$ 733A
and Cut Off Wall (Crossing)
7
Sawcut & Remove Conc. Slope
I3,160
SF
06
$ -
$ dos �aoa
Protection (D)
8
Clearing & Grubbing
1
LS
$ VS, MD
$ 142-15,9Z
9
Unclassified Excavation
555
CY
4�-°
$
$ 2-/ -7_%�O
(Roadway) (D) (F)
—C�O'
10
Unclassified Excavation
3,200
CY
$ -66
$ 9 OOC;
(Channel) (F)
11
Unclassified Fill (Roadway)
5,435
CY
$ �G
2G^
�
$ N 08 '7pO
(D)(F)
,
Bid Schedule 1210-2
Addendum 04 - September 26, 2022
PIVERSIDE COM107- UCTION CO.
4225 GA;:: RD-.
P.O.
MVERSIDE, .CA 925011
BASE BID #1; FEDERAL PARTICIPATING (STA 16+50 - 25+62)
Ett'
Unit Price
Item Total
Item
Item Description
Q y'
Unit
(in figures)
(in figures)
Dollars
Dollars
12
Suitable Backfill Material
80
CY
$ p6
125�
$ 306
O
(D)(F)
r
13
Construct & Remove Bypass
1
LS
$ 5,50, EGG
$ 550, DOG-"
Road
14
Asphalt Concrete (T=4.5") (D)
24,140
SF
$ 735v
$ c�Gl 4ca��
15
Class 2 Aggregate Base
24,140
SF
$ ����d�=°
(T=6.0") (D)
16
Crushed Misc. Base
521
CY
$ GO
$ -49'A'� 5 ``°
17
6" AC Dike (D)
135
LF
$ 2C} "0
$ 2, -700
18
6" Curb & Gutter (D)
448
LF
$ 40 bo
$ �l� c
19
8" Median Curb (D)
581
LF
$ �G6
$ 21 `782 ` 6
20
Co) crete Sidewalk (W=5.5')
4,148
SF
$ °O
$ ? 6O
21
Concrete Driveway Approach
1,034
SF
"d
$
$
(D)
-5
22
Colored Stamped Concrete
711
SF
$ j G�
$
Median (D)
,
23
Concrete Cross Gutter
1,215
SF
$ aG
$
24
8" Concrete Pavement
1,142
SF
$ `y0
$ ` 1 f 0 6
25
Type 1A Retaining Wall
1,829
SF
$ j 0-9 �D
$ k CA—
26
Concrete Slope Protection (D)
1,210
CY
$ j, �!j(J"�
$
27
Curb Ramp (Case A) (D)
1
EA
$ 5,Ono'`e
$
28
6' (Tall) Masonry Block Wall
300
LF
$
29
Catch Basin Per LQ Std 300 &
3
EA
$ ���
$
Local Depression Sump)
30
Catch Basin / Drywell System
1
EA
o
$ ���p�jp`Z
ao
$ S,006
w/ Local Depression (Sump)
31
Storm Drain Manhole No. 2
1
EA
$ G °b
r 2 QO l
$ 006( 6
per MH252
r
32
Reconstruct to Grade, SD
7
LF
db
$ } 2C�
b
$ �j�/�C U -
Manhole
33
24" Storm Drain Outlet w/
1
EA
66
$ �� 5�-
1� 0
$ g� S�� —
Grate
Bid Schedule 1210-3
Addendum 04 - September 26, 2022
RIVERSIDE COMSTIr—",JOTIO 9 CO.
4225 GAR",i" P!�;
P.O. Eoe� ' 146
RIVERSIDE, CA 92502
BASE BID #1; FEDERAL PARTICIPATING (STA 16+50 - 25+62)
Unit Price
Item Total
Item
Item Description
Qty:
Unit
(in figures)
(in figures)
Dollars
Dollars
34
42" Storm Drain Outlet w/
1
EA
$ i C6,.�GV� ;b
$ `�6
Grate
35
Concrete Collar Per M803
3
EA
$°O
$ (D�pdQ°IZ
36
24" HDPE N-12, WT Joint SD
232
LF
°`
$ 1 �� `
bb
$ 7, )!.
Pipe
37
Metal Fencing (Retaining Wall)
438
LF
$ °=
$ q S�j—
38
Metal Gate Assembly
2
EA
$ 25 , cap"
$ e
5c) , (�O`
39
Chain Link Fence H=6', w/
1,085
LF
$ S�
$
Fabric
40
24' Wide Vehicle Gate w/ Lock
1
EA
$
$
41
Temporary Fence (High
Visibility)
700
LF
$ �S"
$
42
Meter Pedestal Per LQ Std 730
1
EA
$ -7 CW-!!�
$CCC r
43
Pipe Gate
26
LF
$ rJ��=
$ i 3bp=
44
2" Schedule 80 PVC, City
Comm. Conduit
2,042
LF
po
$ —
„ti
$
45
Pull Box No. 3.5 (PCC)
6
EA
$ rJ� j'
$
46
Signing, Striping & Pavement
Markers
1
LS
$ os
mod, CJdG
ov
$di
47
4" Schedule 40 PVC,
42
LF
$
$ a"Ades
Landscaping Sleeve (D)
48
Adjust to Grade Storm Drain
1
EA
$ AgGG GU
$ \/ BOO
Manhole
1
49
4" Thick Decomposed Granite
1,430
SF
$ �o
$ '% JG 'b
(D) (School Ret. & Pool Wall)
50
Remove Communications
1
EA
p°
$ Zi tpC�
$ (2 DDT
MH/Vault
Landscaping
51
Install Landscaping Plant
Material & Irrigation (D)
4,600
SF
o�
$ O -
ov
$ �006
52
3/8" Crushed Rock (Apache
3,490
SF
$ o�
$ j C)
Brown) (D)
53
3/4" Crushed Rock (Desert
1,130
SF
$ °G
$
Gold) (D)
�54
(D)
,
Bid Schedule 1210-4
Addendum 04 - September 26, 2022
PIVERSI E CONST711UC' ION CO.
4225 GAR.N`"-.R' h I1:
P.O. BOX I I is
RIVERSIDE, CA 92502
BASE BID #1; FEDERAL PARTICIPATING (STA 16+50 - 25+62)
Est.
Unit Price
Item Total
Item
No.
Item Description
Qty
Unit
(in figures)
(in figures)
Dollars
Dollars
55
Not Used
56
90-Day Maintenance Period
1
7LS$
-1,
$
Brid e
57
Structure Excavation (Bridge)
151
CY
$ 0
$
(F)
58
Structure Backfill (Bridge) (F)
361
CY
$ 4D
$
59
Structure Excavation (Ret
204
CY
$ -76 t6
$ t �/ �a0 6°
Wall #3 & 4) (F) (D)
60
Structure Backfill (Ret Wall
288
CY
$ �6UE°
$ 28,
#3 & 4) (F) (D)
61
24" Cast -In -Drilled -Hole -Piling
3,076
LF
°G
$ i3�—
$ 4t5, 2—U6
(F)
62
60" Cast -In -Drilled -Hole -Piling
1,284
LF
$ �950
$g34,UC -
(F)
63
Prestressing Cast -In -Place
1
LS
$ 9
450;
$
Liccr
Concrete
64
Structural Concrete, Bridge
1,130
CY
$ 23�
$
Polymer Fiber (4,500 PSI) (F)
,
-
65
Structural Concrete (4,500
1,640
CY
$
PSI) (Bridge) (F)
66
Structural Concrete (4,000
285
CY
$ 3��f
$ (perJD�
PSI) (Bridge) (F)
i
66A
Structural Concrete (Bridge
152
CY
$ o d
1 d a0
°G
$
Footing) (F)
67
Structural Concrete (Ret
119
CY
ad
$ /�'�.
o�
$
Wall #3 & 4) (F) (D)
68
Structural Concrete, Approach
206
CY
$ Gi
$ j'7�; y�rjGO
Slab (Type N 30)
1
69
Minor Concrete (Median Paving,
116
CY
$ oo
�75
$ 01I�UC,Q6
Colored and Stamped) (F)
70
Joint Seal Assembly (MR = 2
181
LF
$ �6 p °o
$ 5-A 0 pGb
1/2")
17-3
71
Reinforcing Steel (Bridge)
1,191,536
LB
$ 3c;
(F)Bar
o
72
Bar Reinforcing Steel (Ret
11,881
LB
$ 1 cta
$ 2-25-7 3 � 90
Wall #3 & 4) (D) (F)
73
Concrete Barrier (Type 732 SW
968
LF
$ p0
-350 -
°b
$ 3738r 8 0U
Mod)
Bid Schedule 1210-5
Addendum 04 - September 26, 2022
PA ERSIDE CQMc.�'cUCVON CO.
4225 GAR }' € E)-
P.O. BOX 4148
RIVERSIDE, CA 92s02,
BASE BID #1; FEDERAL PARTICIPATING (STA 16+50 - 25+62)
Est.=(in
Item Total
No
Item Description
QtY
)
(in figures)
Dollars
74
Metal Railing (Bridge)
968
LF
$ 3��x
$ ��g 3-
75
Bridge Lighting & Pull Boxes
1
LS
$
$ 22S ('
76
Miscellaneous Metal - Conduit
1
LS
$C���
$ 3�U%
Support System (Bridge)
CVWD Sewer Main Relocation
77
Remove Sewer Manhole
3
EA
��
$ i 1566
$ olv
<I, .SOr
78
Remove Pipe
201
LF
$ 18o"a$
oG
79
Reconstruct Sewer Manhole
7.4
LF
$ (� �dd�
6
$
80
48" Sewer Manhole
4
EA
$ *Lot 060
$ 16 DO 0 as
81
12" PVC Sewer Pipe
49
LF
$ .e
$ 15� r �GGo
82
18" PVC Sewer Pipe
166
LF
$ Q oo
$ 500 m d
83
Remove Structural
43
LF
1�oo
$ 1
Go
$ �'��� ✓
Encasement
84
Remove 36" Steel Sleeve
73
LF
$ 5 `b
v6
$ 2j 5,55 '
85
Structural Encasement
50
LF
$ F,C) 6c
$
86
Sewer Bypass
1
LS
$ j 0o, ooGG`p
G_6
$ GG, O06
CVWD Water Main Relocation
18" CL 350 DIP Watermain w/
87
Restr. Jts, Zinc Coated & V Bio
670
LF
$ -7
$ 85,Z50'6
Poly Wrapped
88
Remove Blind Flange
2
EA
$ }� ��`
$QGO �-6
89
Remove Water Main
646
LF
$ go,
$ �g� k loo0
90
36" Steel Sleeve
24
LF
$ `� ppa"°
$
Total Amount of Base Bid #1; Bid Items 1 - 90
$
Bid Schedule 1210-6
Addendum 04 — September 26, 2022
01VMSIDE CONSTRUCTION CO.
4225 CAR",.RD
P.O. BOX 1146
RIVIR DE, •CA 925OZ
BASE BID #2; NON-FEDERAL PARTICIPATING (STA 10+82 — 16+50 & 25+62 — 36+05)
Unit Price
Item Total
Item
Item Description
Qty:
Unit
(in figures)
(in figures)
Dollars
Dollars
Roadway Items
91
Sawcut & Remove AC
16,190
SF
$ 22�
�v
$
Pavement (D)
92
Clearing & Grubbing
1
LS
$ U061U
$ CO
93
Unclassified Excavation
275
CY
$
$ l �G
(Roadway) (D) (F)
_55
94
Unclassified Fill (Roadway)
640
CY
$Q �o
$ �S� CL°�
OD
(D) (F)
95
Suitable Backfill Material (D)
51
CY
$
$��o
(F)
96
Cold Mill AC Pavement
3,360
SF
$ 5�
Z
$
(T=0.10') (D)
97
Asphalt Concrete (T=4.5") (D)
18,540
SF
$
$ �c(U
r
98
Asphalt Concrete (T=0.10')
3,360
SF
$ 3 U
$ t ',
99
Class 2 Aggregate Base
18,540
SF
Sp
$ —
$
(T=6.0") (D)
100
6" AC Dike (D)
351
LF
$QCO
$
101
6" Curb & Gutter (D)
347
LF
$ Q�
$
102
8" Median Curb (D)
2,093
LF
$ ��°-�
$
103
Concrete Sidewalk (W=5.5')
4,909
SF
$ —
�s
$ 3G, 2'7Z
(D)
104
Concrete Driveway Approach
723
SF
$ ' a6
$
CD)
105
Colored Stamped Concrete
1 360
SF
�6
$ Jr
eb
$ 20, co `
Median (D)
106
Curb Ramp (Case A) (D)
1
EA
$ Sr60
$ 5, QGOGG
107
(';Tall) Masonry Block Wall
60
LF
$ Z G
$
108
Signing, Striping & Pavement
1
LS
$ 5U, GGG
$ �, 6 cr0
Markers
109
4" Schedule 40 PVC,
Landscaping Sleeve (D)
46
LF
$ so
$
Water Service Manifold
aG
110
Reconstruction
1
LS
$ 2ar pad
ao
$
Bid Schedule 1210-7
Addendum 04 - September 26, 2022
PlV1rR8IDE CONSTRa:CT1014 CO.
4225 GAR1q.�e� RCP.
P.O. SOX 1145
RIVERSIDE, CA 92602,
BASE BID #2; NON-FEDERAL PARTICIPATING (STA 10+82 - 16+50 & 25+62 - 36+05)
Unit Price
Item Total
No
Item Description
Qty:
Unit
(in figures)
(in figures)
Dollars
Dollars
Landscaping
111
Install Landscaping Plant
1,630
SF
r `6
$ 1
"G
$,.���)
Material & Irrigation (D)
112
3/8" Crushed Rock (Apache
1,235
SF
$ GO
$ p6
71.970-5
Brown) (D)
113
3/4" Crushed Rock (Desert
395
SF
$
$ - c=°
Gold) (D)
S
114
6" Minus - Baja Cresta Rubble
160
SF
°0
$ 1,
G°
-
(D)
115
Not Used
Total Amount of Base Bid #2; Bid Items 91 - 115
$ i4.9-1 4314- 5D
BASE BID #3 - CV LINK
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars
Dollars
CV Link Trail Plan Items
116
Sawcut & Remove Conc. Slope
14,200
SF
$ °�
$ 1 OOU GO
Protection (D)
117
Concrete Slope Protection (D)
805
CY
$
$ �l 75b
118
18" Storm Drain Outlet w/
Grate
1
EA
Go
$ �� �G6
mac,
$� OG
119
18" HDPE N-12, WT Joint SD
Pipe
58
LF
$ A�
$
120
Class 2 Aggregate Base
(T=4)
13,360
SF
$ `
121
Concrete Trail (T=6")
13,360
SF
$
$
I
122
Curb Ramp (Case B, Type 1)
2
EA
$
$ 17� a oo �o
123
Metal Railing (Trail Retaining
274
LF
$
$ il,S4,
Walls)
124
Metal Railing (Trail
730
LF
$ �S
$ ' a`
5��,
Undercrossing)
125
Install City Furnished In
Pavement Solar Guide Light
18
EA
$ LQ
a,
$ t` I' —
Bid Schedule 1210-8
Addendum 04 - September 26, 2022
RIVERSIDE CONSTR- rT' ON 00.
4225 GARN€wR RD:
P.O. BOX 1146
PdVERStDE, ,CA 92 02
BASE BID #3 - CV LINK
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars
Dollars
126
Thermoplastic Banding
1,588
SF
$ g�
$ BOG
(Undercrossing
s
127
6" Solid White Stripe (Paint)
180
LF
$ �j°a
$
(Trail]
128
Paint Bridge Soffit & Exterior
1
LS
$ 000--
�5�.r
$ d Q-b
Girder
129
F&I Soffit Panels w/ Electrical
1
LS
$ i 3S� r
$ 13S, ckC L,,4-
Connections
130
3" Schedule 40 PVC CV Link
990
LF
$
$
Conduit
131
Pull Box No. 3.5 (PCC)
4
EA
$rj
$ a00
132
4D} hick Decomposed Granite
6,400
SF
$ 56
$ 2�� 4� 00 G�
133
Concrete Wedge Curb
288
LF
$
$ i ! j0 Cj v�
CV Link Bridge Plan Items
134
Structure Excavation (Ret
368
CY
o
$ `76
$ E 5 77 6
Wall #1 & 2 (F) (D)
r
135
Structure Backfil/ (Ret Wall
501
CY
$ 1, Q00
$ �� 20 �b
#12) (F) (D)
136
-&
Structural Concrete (Ret
201
CY
$ 150 -�
$ -2,3 1 1567 �b
Wall #1 & 2) (F) (D)
137
Bar Reinforcing Steel (Ret
20,001
LB
o0
$ —
o�
$ �n( 00'E
Wall #1 & 2) (D}
Total Amount of Base Bid #3; Bid Items 116 - 137
$ 2, 52-k )-112 0 Co
BASE BID #4 - UNDERGROUND ELECTRICAL SYSTEM
Item
No.
Item Description
Est.
Qty.
Unit
Unit Price
(in figures)
Dollars
Item Total
(in figures)
Dollars
138
Dry Utility Trenching
900
LF
$ gs=
$
139
Large Vault Per IID Standard
1
EA
$ Q aD7J
$ [ cce
140
3" Sch. 40 PVC, IID Conduit
30
LF
$ J5
$ �()
141
4" Sch. 40 PVC, IID Conduit
100
LF
$ -2
$ 3 SUb
Bid Schedule 1210-9
Addendum 04 - September 26, 2022
4225 GARKEE :o, RD.
P.Q. BOX 145
MSeIE, CA 92602
BASE BID #4 - UNDERGROUND ELECTRICAL SYSTEM
Item
No.
Item Description
Est.
Qty.
Unit
Unit Price
(in figures)
Dollars
Item Total
(in figures)
Dollars
142
5" Sch. 40 PVC, IID Conduit
520
LF
$ LA-S 0""
$ 2-3,LA- Cz
143
6" Sch. 40 PVC, IID Conduit
4,000
LF
$ ��
$ iS2_ C W �t
144
5" Riser for Pole
1
EA
$
$ 3,CW
145
Transformer Pad (Single
Phase) per HD Standard
1
EA
$ r
15 � CCU
$ 1S Wo
Total Amount of Base Bid #4; Bid Items 138 - 145
$ 3�14��e 00
The Citv mav choose to Award All Some or None of the Following Additive Alternates:
ADDITIVE ALTERNATE A - ROADWAY (STA 10+82 - 16+50 & 25+62 - 36+05)
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars
Dollars
146
Crack Seal & Type II Slurry
136,650
SF
$ oa
$ 136, ��O a o
Seal
Total Amount of Additive Alternate "A" Bid Item 146
$ � �� � LL1250 6 W
ADDITIVE ALTERNATE B - CVWD SEWER ADJUSTMENTS
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars
Dollars
147
Adjust to Grade Sewer
2
EA
as
$ Epp
$ OGO
Manhole Lid & Frame to Grade
1
148
Adjust Sewer Cleanout to
1
EA
$ 2i5OGo
$
Grade
149
Relocate Sewer Cleanout
1
EA
$-1,0C��
$
150
Reconstruct Sewer Manhole
13
LF
$ t,,560,
$ `C(l'500 cv
Total Amount of Additive Alternate "B" Bid Items
$ Z91��a CO
147-150
Bid Schedule 1210-10
Addendum 04 - September 26, 2022
PIViERSDE C-MN3TRUCMC)N
P. 0. r` OX 1146
CA S'75 s2
ADDITIVE ALTERNATE C - CVWD WATER ADJUSTMENT
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars
Dollars
151
Adjust to Grade, Water Valve
$
EA
$ I 2 GO
$
Can and Lid
.
Total Amount of Additive Alternate "C"
Bid Item 151
$
q &00
ADDITIVE ALTERNATE D - CVWD WATER RELOCATION
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars
Dollars
152
Relocate Air Vac Assembly
2
EA
$ -7 5OOao
$ t- -5( 0(�p�v
Total Amount of Additive Alternate -D" Bid Item 152
$
t (/000ao
GRAND TOTAL ALL BASE BIDS AND ALL ADDITIVE ALTERNATES (Figures):
GRAND TOTAL ALL BASE BIDS AND ALL ADDITIVE ALTERNATES (Words): ,
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 providVd he)-
,lei
Signatures (Ink)
Bryan Lounsbury, Secretary/Treasurer
Name of Bidder (Printed or Typed)
(951) 682-8308
Bidder Telephone Number
estimating @rivconstruct.corn
Bidder Email Address
Bid Schedule 1210-11
I' -I "ICE CONSTRUCTM CO.
4225 RD.
P.O. BOX 1145
RIVERSIDE, CA 92502
SECTION 1220
BID GUARANTY BAND
Fidelity and Deposit
PRINCIPAL, and 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. 2011-05
Federal Project No. BRNBIL (537)
DUNE PALMS ROAD BRIDGE IMPROVEMENTS
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 24th day of
August , 2022.
Riverside Construction Company, Inc. Fidelity and Deposit Company of Maryland
Title of Sig atory
Sig ure of Princi
n
4225 Gamer Road
Riverside, CA 92501
',.Address
Attorney -in -Fact
Title of Signatory
• 5iature of Surety Margareta T. Thorsen
777 S. Figueroa Street, Suitt 3900
Los Angeles CA 90017 _
Address �e
Lr.
Note: Signatures of those executing for the surety must be properly acknoV460ged,.,;;
Bid Guaranty Bond 1220-1
iVERSID 00 � � '�°#'I�3P,� CO.
4225
P.O. SOX 1146
RIVERSIDE, CA WI '
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189
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 Riverside
On October 4.2022
Date
before me, Al ssa Helm NotM Public ,
Here Insert name and Title of the Officer
personally appeared Bryan LounsbuU
Name(s) of Signer(s)
o� ALYSSA HELM
Notary Public - California
x - Riverside County
Commission # 2300377
My Comm. Expires Aug 5, 2023
Place Notary Seal and/or Stamp Above
who proved to me on the basis of satisfactory evidence to be the
person(s) whose names) is/are subscribed to the within instrument
and acknowledged to me that he/sheAhey executed the same in
his/4erlheir authorized capacity(ies), and that by his/he t_4e4F
signature(s) on the instrument the person(s), or the entity upon behalf
of which the person(s) acted, executed the instrument.
I certify unNha.
LTY OF
California tegoing
WITNESSand 9fG
Signature
URY rider a laws of the State of
aoh' i tru nd correct.
OPTIONAL "
Though the information below is not required by law, it may prove valuable to person relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signers Name:
❑ Individual
❑ Corporate Officer — Title(s) ..
❑ Partner ❑ ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Other:
Signer is Representing:
_ Number of Pages:
Signers Name:
❑ Individual
❑ Corporate Officer — Title(s)
❑ Partner ❑ ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Other:
Signer is Representing:
PIV I tDE CONSTR-". ON CO.
r4-1 ,- _�- r-.t- I
CALIFORNIA ALL-PURPOSE ACKNOWLEDOWN EK i i4i5
RIVERSIDE. CA 9
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 Sacramento
On act 2, before me, Sandra R. Black Notary Public,
Date Insert Name of Notary exactly as it appears on the official seal
personally appeared Margareta T. Thorsen
Name(s) of Signer(s)
SANi]RA R. 75
CoMM, # CALIFORNIAo
NOYpRY P1�9LYq❑LN
ET
$•2 5
Comm_X9 DEG
Place Notary Seal Above
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 heisheithey
executed the same in hislheritheir 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 and laws of
the State of California that the,.foregoing ragrap is true
and correct. ; )) —
Witness
Signature
OPTIONAL
Though the information below is not required by law, it may prove
and could prevent fraudulent removal and reattachment
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s):
❑ Partner [:]Limited [:]General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing
and and offic
,r o persons relying on the document
form to another document.
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer —Title(s): —
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
AIV R3101,C C NS3'R' CTW" CO.
P.O. BOA i 146
RIVERSIDE, CA 925G2
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 ofthe 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
Margareta T. THORSEN of Pasadena, California, its true and lawful agent and Attorney -in -Fact, to make, 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 ofthe 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 281h day of April, A.D. 2020.
..........a
❑�` � 3e' 5 .4.
�6� s ;d
� LsM
cI
U.StJ4L� i .
=
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Robert D. Murray
Vice President
C.
By: Dawn E. Brown
Secretary
State of Maryland
County of Baltimore
On this 28th day of April, A.D. 2020, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, RobertD. 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 ofthe 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, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
Q
•fi 1
f
Constance A. Dunn, Notary Public
My Commission Expires: July 9, 2023
MV ERSIDE CON—S`-RUC'TiON CO.
4225 RD.
P.C. BOX d 146
EXTRACT FROM BY-LAWS OF THE COMPANIES RNERSIDE, CA 920?
"Article V, Section 8, Attorne s n-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
I, the undersigned, Secretary 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 I 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 duly 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 Attorney ... Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on theCompany."
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 10th 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,
the z4m day of August 2022
i a .o10
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
mm.rep4 rcIaimsnzuricltna.cttm
800-626-4577
FNERSIDE C0 S'rR. 110T*N CO.
4225 GAi`:`';a :: RD.
P.O. BOA 1146
RIVEMID;E. ,CA 9290
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: Ave 66 at SR-111
Owner: Riverside County Transportation Department
Construction Cost. $ $39M
Construction Time: 345 WD _Calendar Days
Owner's Representative: Joel Jimenez
Owner's Telephone No.: (951) 955-6800
Date of Substantial Completion:
03/2022
2. Project Name' I-15/Cajalco Interchange
Owner: City of Corona
Construction Cost: $ $50M
Construction Time: 750 WD
Owner's Representative: Savat Khamphou
Calendar Days
Owner's Telephone No.: (951) 279-3604
Date of Substantial Completion: 02/2020 3
Certification of Bidder's Experience and Qualifications 1230-1
PIVERSIDECON�7--71JCTJOH ram.
4225 C r 1, ; ; ZD.
P.O. BOX 1 146
RIVERSIDE.- CA 92"
3. Project Name: Durfee Ave Grade Separation
Owner: SGVCOG
Construction Cost: $ 45M
Construction Time: 1,095 CD .Calendar Days
Owner's Representative: Rene Coronel
Owner's Telephone No.: (626) 373-2691
Date of Substantial Completion: 06/2022
4. Project Name: Date Palm Drive Widening at Whitewater River
Owner: City of Cathedral City
Construction Cost: $ $16M
Construction Time: 315 WD Calendar Days
Owner's Representative: Scott Walker
Owner's Telephone No.: (714) 875-4714
Date of Substantial Completion: 03/2019
Signed this
4th
day of
Riverside Construction Company, Inc.
October , 2022.
266222 1000003993
Name of Bidder Contractor's License No. DIR Reg No.
&-K
Si e of Bidder
Bryan Lounsbury
Printed Name of Bidder
02/28/2023
Expiration Date
Secretary/Treasurer
Title of Signatory
Certification of Bidder's Experience and 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 Work/% of Work/License No./DIR Reg No.
Subcontractor: MEX Electric
Business Address: PO Box 1248, Colton, Ca. 92324
Description of Work: Electrical
of Work: °I ,
License No.: 657808
DIR Reg No.: 1000064819
Bryan Lounsbury, Secretary/Treasurer
of Bidder
Riverside Construction Company, Inc.
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.
Subcontractor: ALCORN FENCE COMPANY
Business Address: 6445 PEDLEY RD, RIVERSIDE, CA 92509
Description of Work: FENCING & RAILING
of Work: G o Vl o
License No.. 122954
DIR Reg No.: 1000001986
Bryan Lounsbury, Secretary/Treasurer
6skire Bi er
Riverside Construction CompanyyInc.
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.
Subcontractor: Griffith Company
Business Address: 3050 E. Birch Street, Brea, CA 92821
Description of Work: IRRIGATION & LANDSCAPING
% of Work: , U o k
License No.: 88
DIR Reg No.: 1000005611
Bryan Lounsbury, Secretary/Treasurer
Si at a of B
_Riverside Construction Company. Inc,
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.
Subcontractor: FOUNDATION PILE, INC
Business Address: 8375 ALMERIA AVE, FONTANA, CA 92335
Description of Work: CIDH PILING
% of Work: 6. 8" o
License No.: 360640A
DIR Reg No.: 1000007197
Bryan Lounsbury, Secretary/Treasurer
_Riverside Construction Company, Inc.
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.
Subcontractor: SCHWAGER DAVIS, INC
Business Address: 198 HILLSDALE AVE, SAN JOSE, CA 95136
Description of Work: PRESTRESSING
of Work: 1, V.
License No.. 492582
DIR Reg No.: 1000005118
Bryan Lounsbury, Secretary/Treasurer
Signe of B
Riverside Construction Company, Inc.
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.
Subcontractor: Integrity Rebar Placers
Business address: 1345 Nandina Avenue, Perris, Ca. 92571
Description of Work: F/I Reinforcement
0
% of Work: % 0 2 0
License No.: 533729
DIR Reg No.: 1000005302
Bryan Lounsbury, Secretary/Treasurer
Si4nattk6 of E Idder
Riverside Construction Company, Inc.
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.
Subcontractor: I
Business Address: Lp V I
Description of Work:
% of Work: t .101 e
License No.: (-Q S qq
DIR Reg No.: I Lmw,J' fib
Bryan Lounsbury, Secretary/Treasurer
re of Bidder
_Riverside Construction Company, Inc.
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.
Subcontractor:
Business Address:
Description of Work:
% of Work:
License No.:
DIR Reg No.:
Bryan Lounsbury, Secretary/Treasurer
Sig re of Bidd
Riverside Construction Company, Inc.
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.
Subcontractor:
Business Address:
Description of Work:
% of Work:
License No.:
DIR Reg No.:
Bryan Lounsbury, Secretary/Treasurer
41 re of er
_Riverside Construction Company, Inc.
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.
Subcontractor:
Business Address:
Description of Work:
% of Work:
License No.:
DIR Reg No.:
Bryan Lounsbury, Secretary/Treasurer
Sigt;ature ot,.Bmer
_Riverside Construction Company, Inc.
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.
Subcontractor:
Business Address:
Description of Work:
of Work:
License No.:
DIR Reg No.:
Bryan Lounsbury, Secretary/Treasurer
Sjr(VAfure of Bi
Riverside Construction Com any Inc.
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.
Subcontractor:
Business Address:
Description of Work:
% of Work:
License No.:
DIR Reg No.:
Bryan Lounsbury, Secretary/Treasurer
re of Bi
Riverside Construction Company, Inc.
Name of Bidder
Proposed Subcontractors 1240-1
FNERSIDE CONSTR !CTioi Oa.
4225 %G1aoi" N,7' ", RD.
P.O. BOX 1146
f"VE RSlDE, CA 922
SECTION 1250
NON -COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED
WITH BID
State of California )
) ss.
County of Riverside )
Bryan Lounsbury , being first duly sworn, deposes and say that he or
She is Secretary/Treasurer of Riverside Construction Company, 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 collusiv or sham bid.
2
Sig re
Bryan Lounsbury
Name of Bidder
Secretary/Treasurer
Title
10/4/22
Date
Non -Collusion Affidavit 1250-1
■
P.O. BOX 1146
RIVERSIDE, CA 92
CALIFORNIA JURAT GOVERNMENT CODE § 8202
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 Riverside
ALYSSA HELM
Notary Public - California
x - Riverside County s"
Commission # 2300377
My Comm. Expires Aug 5, 2023
Place Notary Seal and/or Stamp Above
Subscribed and sworn to (or affirmed) before
me on this 4th day of October, 2022
Date Month
By (1) Bryan Lounsbury
Name of Signer
Proved to me on the basis of satisfactory evidence
be the person who appeared before me (.) (,)
(2)
(and)
Name of Signer
Proved to i�e on the basis of satisfad
be the person whc/appear* bef) re me.
Signature
OPTIONAL
Though the information below is not required by law, it may prove
valuable to person relying on the document and could prevent
fraudulent removal and reattachment of this form to another document.
Further Description of Any Attached Document
Title or Type of Document
Document Date Number of Pages:
Signer(s) Other Than Named Above:
Top of thumb here
of Notary Public
evidence
Top of thumb here
r-IVERSIDE CONSTRUCT*" CU.
P.O. BOA( 1146
Rf ERS1i3E, CA 92
SECTION 1260
DIR Project Vendor Information
Vendor Information:
Name: Riverside Construction Company, Inc.
Address: 4225 Garner Rd
Zip: 92501
Project Manager: Bryan Lounsbu
Phone: (951) 682-8308
City: Riverside ST: CA
Email: estimating@rivconstruct.com
CSLB/Certification Number:. 266222
Public Works Registration No.:_ 1000003993
Classification:
Asbestos Boilermaker Bricklayers Carpenter X Carpet/Linoleum
Cement Masons X Drywall Finisher Drywall/Lathers Electricians
Elevator Mechanic Glaziers Iron Workers Laborers X Millwrights
Operating Eng xPainters Pile Drivers Pipe Trades Plasterers
Roofer SheetMetal Sound/Com Surveyor Teamster X Tile Worker.
Prevaillinci Wacies 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:/Lwww.dir.ca.gov/Public-Works/Prevailing-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: http:/Iwww.dir.ca.gov/Public-Works/Certified-Payroll-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
PIVERSIDE CONSTRt#Co.
4225 C.Ai�a:`]R, IUD:
P.C. 180,11 11146
RIVERS DE, CA 929
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
The
bidder
has X
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
Riverside Construction Company, Inc.
proposed
subcontractor
, hereby certifies that he
has not , participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
The
bidder
proposed subcontractor
Mex Electric , hereby certifies that he
has X I has not , participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime- contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
The
bidder
ALCORN
has X ,
proposed
subcontractor
NCE COMPANY , hereby certifies that he
has not , participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
The
bidder
proposed subcontractor
GRIFFITH COMPANY , hereby certifies that he
has X I has not participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
The
bidder
'FOUNDATION PILE, INC.
proposed
subcontractor
, hereby certifies that he
has X I has not , participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
The
bidder
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
proposed
subcontractor
SCHWAGER DAVIS, INC hereby certifies that he
has X I has not , participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
The
bidder
proposed subcontractor
Integrity Rebar Placers , hereby certifies that he
has X I has not participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
The
bidder
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
proposed
subcontractor
, hereby certifies that he
has X I has not J, participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
The
bidder
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
proposed
subcontractor
hereby certifies that he
has X has not , participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
The
bidder
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
proposed subcontractor
hereby certifies that he
has X I has not _ _ participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
The
bidder
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
proposed
subcontractor
, hereby certifies that he
has X I has not , participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
SECTION 1270
FEDERAL REQUIREMENTS FORMS FOR FEDERAL -AID CONSTRUCTION
PROJECTS
The
bidder
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
proposed
subcontractor
, hereby certifies that he
has X has not , participated in a previous contract or subcontract
subject to the equal opportunity clauses, as required by Executive Orders 10925,
11114, or 11246, and that, where required, he has filed with the Joint Reporting
Committee, the Director of the Office of Federal Contract Compliance, a Federal
Government contracting or administering agency, or the former President's
Committee on Equal Employment Opportunity, all reports due under the applicable
filling requirements.
Note: The above certification is required by the Equal Employment Opportunity
Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be
submitted by bidders and proposed subcontractors only in connection with
contracts and subcontracts which are subject to the equal opportunity clause.
Contracts and subcontracts which are exempt from the equal opportunity
clause are set forth in 41 CFR 60-1.5. (Generally only contracts or
subcontracts of $10,000 or under are exempt.)
Currently, Standard Form 100 (EEO-1) is the only report required by the
Executive Orders or their implementing regulations.
Proposed prime contractors and subcontractors who have participated in a previous
contract or subcontract subject to the Executive Orders and have not filed the
required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of
contracts and subcontracts unless such contractor submits a report covering the
delinquent period or such other period specified by the Federal Highway
Administration or by the Director, Office of Federal Contract Compliance, U.S.
Department of Labor.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-1
Equal Employment Opportunity Certification
P3VEH SIDE CCiNSTROCTfON CO.
4226 0A WI -I _ MY,
P.0. BOX 1 "I46
MVER-SIDE, C9250
PUBLIC CONTRACT CODE
Public Contract Code Section 10285.1 Statement
In conformance with Public Contract Code Section 10285.1 (Chapter 376, Stats.
1985), the bidder hereby declares under penalty of perjury under the laws of the
State of California that the bidder has , has not X been convicted within the
preceding three years of any offenses referred to in that section, including any charge
of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or
Federal antitrust law in connection with the bidding upon, award of, or performance
of, any public works contract, as defined in Public Contract Code Section 1101, with
any public entity, as defined in Public Contract Code Section 1100, including the
Regents of the University of California or the Trustees of the California State
University. The term "bidder" is understood to include any partner, member, officer,
director, responsible managing officer, or responsible managing employee thereof,
as referred to in Section 10285.1.
Note: The bidder must place a checkmark after "has" or "has not" in one of the blank
spaces provided. The above Statement is part of the Proposal. Signing this
Proposal on the signature portion thereof shall also constitute signature of this
Statement.
Bidders are cautioned that making a false certification may subject the certifier
to criminal prosecution.
Public Contract Code Section 10162 Questionnaire
In conformance with Public Contract Code Section 10162, the Bidder shall complete,
under penalty of perjury, the following questionnaire:
Has the bidder, any officer of the bidder, or any employee of the bidder who has a
proprietary interest in the bidder, ever been disqualified, removed, or otherwise
prevented from bidding on, or completing a federal, state, or local government
project because of a violation of law or a safety regulation?
Yes No X
If the answer is yes, explain the circumstances in the following space.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-2
Public Contract Code Certification
P'iVE SIDE CC STRUOTPOM CO.
P.C. BOAR 1146
Ri'aEERSIDE, CA 92
Public Contract Code 10232 Statement
In conformance with Public Contract Code Section 10232, the Contractor, hereby
states under penalty of perjury, that no more than one final unappealable finding of
contempt of court by a federal court has been issued against the Contractor within
the immediately preceding two-year period because of the Contractor's failure to
comply with an order of a federal court which orders the Contractor to comply with
an order of the National Labor Relations Board.
Note: The above Statement and Questionnaire are part of the Proposal. Signing this
Proposal on the signature portion thereof shall also constitute signature of this
Statement and Questionnaire.
Bidders are cautioned that making a false certification may subject the certifier to
criminal prosecution.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-3
Public Contract Code Certification
RAVERS1DE CDf4STR .3OTH M GO.
P.O. EOTC I i 6
RfAMMME, CA 0290
DEBARMENT AND SUSPENSION CERTIFICATION
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29
The bidder, under penalty of perjury, certifies that, except as noted below, he/she or
any other person associated therewith in the capacity of owner, partner, director,
officer, manager:
■ is not currently under suspension, debarment, voluntary exclusion, or
determination of ineligibility by any Federal agency;
• has not been suspended, debarred, voluntarily excluded or determined
ineligible by any Federal agency within the past 3 years;
• does not have a proposed debarment pending; and
• has not been indicted, convicted, or had a civil judgment rendered
against it by a court of competent jurisdiction in any matter involving
fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following
space.
N/A
Exceptions will not necessarily result in denial of award, but will be considered in
determining bidder responsibility. For any exception noted above, indicate below to
whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or
administrative sanctions.
The above certification is part of the Proposal. Signing this Proposal on the
signature portion thereof shall also constitute signature of this Certification.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-4
Debarment and Suspension Certification
RVERSIDE CONSTRI UC'T M GO.
4225 GA€ C',.,:!'o RD:
P.O. BOX 11146
CA192ING2
NON -LOBBYING CERTIFICATION FOR FEDERAL -AID CONTRACTS
The prospective participant certifies, by signing and submitting this bid or proposal,
to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on
behalf of the undersigned, to any person for influencing or attempting
to influence an officer or employee of any Federal agency, a Member of
Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal
contract, the making of any Federal grant, the making of any Federal
loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment, or modification of any Federal
contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or
will be paid to any person for influencing or attempting to influence an
officer or employee of any Federal agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of
Congress in connection with this Federal contract, grant, loan, or
cooperative agreement, the undersigned shall complete and submit
Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance
with its instructions.
This certification is a material representation of fact upon which reliance was placed
when this transaction was made or entered into. Submission of this certification is a
prerequisite for making or entering into this transaction imposed by Section 1352,
Title 31, U.S. Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more than $100,000 for
each such failure.
The prospective participant also agrees by submitting his or her bid or proposal that
he or she shall require that the language of this certification be included in all lower
tier subcontracts, which exceed $100,000 and that all such sub -recipients shall certify
and disclose accordingly.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-5
Non -Lobbying Certification for Federal -Aid Contracts
i= ERSiDE CONSTRUCTION i CAD.
4225 fa14Rs«i_ 'i RM
P�0. BOX `1 ' 46
Wff4ERSM-,,CA 92M
DISCLOSURE OF LOBBYING ACTIVITIES
COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURUSUANT TO 31 USC 13
1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type:
a. contract a. bid/offer/application = a. initial
b. grant b. initial award b. material change
c. cooperative agreement c. post -award
d. loan For Material Chang Only:
e. loan guarantee year qu er
f. loan insurance date of last rt
4. Name and Address of Reporting Entity S. If Reporting Entity in No. 4 is S awardee,
Enter Name and Address of P me:
❑ Prime 1-1 Subawardee
Tier , if known
Congressional District, if known
6. Federal Department/Agency:
8. Federal Action Number, if known:
10. a. Name and Address of Lobby Entity
(If individual, last name, first name, MI)
Congressional Y'rma/Description.
t, if known
7. Federal Proi?ra
CFDA Nur ier, if applicable
9. Award , rno u n t, if known:
b. jndividuals Performing Services (including
address if different from No. 10a)
(last name, first name, MI)
/app:
Continuati Sheet(s) if necessary)
11. Amount of Payment (chepply) 13. Type of Payment (check all that apply)
$ actplatin a. retainer
b. one-time fee
12. Form of Payment (check c. commission
a. cash d. contingent fee
b. in -kind; specifya deferred
LJ f. other, specify
14. Brief Description of Servmed or to be performed and Date(s) of Service, including
officer(s), employee(s), or) contacted, for Payment Indicated in Item 11:
(attach Continuation Sheet(s) if necessary)
15. Continuation /letw attached: Yes ❑ No 11 10
11. Information req sled through this form is authorized by
Title 31 U.S. ection 1352. This disclosure of lobbying
reliance w Iaced by the tier above when his transaction
was made r entered into. This disclosure is required
purstian o 31 U.S.C. 1352. This information will be
repo to Congress semiannually and will be available for
pub inspection. Any person who fails to file the required
d losure shall be subject to a civil penalty of not less than
10,000 and not more than $100,000 for each such failure.
Use
Signature: L&Jo��_
Print Name: an Lounsbury
Title: Secretary/Treasurer
Telephone No.: (95I) 682-8308 Date: 10/4/22 —
Authorized for Local Reproduction
Standard Form - LLL
Form LLL Rev. 09-1
Federal Requirements Forms for Federal -Aid Construction Projects 1270-6
Disclosure of Lobbying Activities
PIVEE SIDE CONS'' RIUCT"N CO.
4225 GARN'L";'t L RD-.
P.O. BOX 1146
IPtWERSIDE. A 92W,2
INSTRUCTIONS FOR COMPLETION OF SF-LLL,
DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether subawardee
or prime Federal recipient, at the initiation or receipt of covered Federal action or a
material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing
of a form is required for such payment or agreement to make payment to lobbying
entity for influencing or attempting to influence an officer or employee of any agency,
a Member of Congress an officer or employee of Congress or an employee of a
Member of Congress in connection with a covered Federal action. Attach a
continuation sheet for additional information if the space on the form is inadequate.
Complete all items that apply for both the initial filing and material change report.
Refer to the implementing guidance published by the Office of Management and
Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and/or
has been secured to influence, the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a follow-up report
caused by a material change to the information previously reported, enter the
year and quarter in which the change occurred. Enter the date of the last,
previously submitted report by this reporting entity for this covered Federal
action.
4. Enter the full name, address, city, state and zip code of the reporting entity.
Include Congressional District if known. Check the appropriate classification
of the reporting entity that designates if it is or expects to be a prime or
subaward recipient. Identify the tier of the subawardee, e.g., the first
subawardee of the prime is the first tier. Subawards include but are not limited
to subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in Item 4 checks "Subawardee" then enter
the full name, address, city, state and zip code of the prime Federal recipient.
Include Congressional District, if known.
6. Enter the name of the Federal agency making the award or loan commitment.
Include at least one organization level below agency name, if known. For
example, Department of Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action
(item 1). If known, enter the full Catalog of Federal Domestic Assistance
(CFDA) number for grants, cooperative agreements, loans and loan
commitments.
8. Enter the most appropriate Federal identifying number available for the Federal
action identification in item 1 (e.g., Request for Proposal (RFP) number,
Invitation for Bid (IFB) number, grant announcement number, the contract
grant. or loan award number, the application/proposal control number
assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001."
9. For a covered Federal action where there has been an award or loan
commitment by the Federal agency, enter the Federal amount of the
award/loan commitments for the prime entity identified in item 4 or 5.
Federal Requirements Forms for Federal -Aid Construction Projects 1270-7
Disclosure of Lobbying Activities
P,O. BOX 11146
*lVMSkDE, ,CA
10.(a) Enter the full name, address, city, state and zip code of the lobbying entity
engaged by the reporting entity identified in item 4 to influenced the covered
Federal action.
(b) Enter the full names of the individual(s) performing services and include
full address if different from 10 (a). Enter Last Name, First Name and Middle
Initial (MI).
11.Enter the amount of compensation paid or reasonably expected to be paid by
the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether
the payment has been made (actual) or will be made (planned). Check all
boxes that apply. If this is a material change report, enter the cumulative
amount of payment made or planned to be made.
12.Check the appropriate box. Check all boxes that apply. If payment is made
through an in -kind contribution, specify the nature and value of the in -kind
payment.
13.Check the appropriate box. Check all boxes that apply. If other, specify
nature.
14.Provide a specific and detailed description of the services that the lobbyist has
performed or will be expected to perform and the date(s) of any services
rendered. Include all preparatory and related activity not just time spent in
actual contact with Federal officials. Identify the Federal officer(s) or
employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress
that were contacted.
15. Check whether or not a continuation sheet(s) is attached.
16.The certifying official shall sign and date the form, print his/her name title and
telephone number.
Public reporting burden for this collection of information is estimated to average 30
minutes per response, including time for reviewing instruction, searching existing
data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding the burden
estimate or any other aspect of this collection of information, including suggestions
for reducing this burden, to the Office of Management and Budget, Paperwork
Reduction Project (0348-0046), Washington, D.C. 20503.SF-LLL-Instructions Rev.
06-04-90<<ENDIF>>
Federal Requirements Forms for Federal -Aid Construction Projects 1270-8
Disclosure of Lobbying Activities
KIVERSIDE CC<jNS7,- LJCTf0N Co.
4225 OAR-N. k RD143
SIDE, iA 62
SECTION 1280
COMPLIANCE WITH CALIFORNIA EXECUTIVE ORDER N-5-22
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 al2plicable.
P.O. SOX I •46
i
SIM.
SECTION 1290
COMPLIANCE WITH IRAN CONTRACTING ACT OF 2010
Pursuant to the Iran Contracting Act of 2010 (Pub. Contract Code, § 2200 et seq.),
(a) Contractor shall be ineligible to bid on or submit a proposal for any contract for
One Million Dollars ($1,000,000) or more if Contractor engages in investment
activities in Iran as defined in Public Contract Code Section 2202.5, and/or if
Contractor is identified on the list of persons engaging in investment activities
in Iran prepared by the State of California pursuant to Public Contract Code
Section 2203 subdivision (b).
(b) For bids of One Million Dollars ($1,000,000) or more, Contractor must certify
that it is not on the list of ineligible vendors prohibited from doing business with
the State of California and shall complete the Iran Contracting Act Certification
and submit with their proposal at the time of bid. Contractor shall obtain the
Iran Contracting Act Certification in the form approved by the State of California,
or upon written request to the City Clerk's Office, a copy of the form will be
provided to Contractor. Failure by Contractor to provide the certification
required by this Section may deem Contractor's bid non -responsive.
(c) Nothing in this Section is intended to prevent the City from exercising its rights
pursuant to Public Contract Code section 2203, subdivision (c) or (d), or both,
on a case -by -case basis.
ON-1977'UrMON W.
4225 G F°�" ,.'' ' O.
P.O. BOX 1140
*SMCA 92M
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 Institution (Printed) Federal ID Number (or n/a)
Riverside Construction Company, Inc. 95-2662331
By tA&horizod Sign
P ame and 7'itI o on Signing Date Executed
Bryan I ounsbury, Secretary/Treasurer 10/4/22
Iran Contracting Act Certification
1290-2
P.O. BOX 1146
WY9VWM:CA92BM
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) IFFederal ID Number (or n/a)
By (Authorized Signature)
Printed Name and Title of Person Signing
Date Executed
Iran Contracting Act Certification 1290-3