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Desert Elite Electric and Construction - BidDATE: 10/20/22 SECTION 1200 BID The undersigned, as bidder, declares it has received and examined the Contract Document entitled Project No. 2019-23, Washington Street at Avenue 50 and Calle Tampico Sidewalk and ADA 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 Iran Contracting Act of 2010 1280 Russian Aggression Against Ukraine Sanctions We acknowledge that the following addenda have been received and have been examined as part of the Contract Documents. Bidders must be on the Plan Holders List with the City of La Quinta in order to receive addenda. Addendum # Date Received Initials Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID GUARANTY. Desert Elite Electric and Construction Inc. 760-565-1804 Name of Bidder Bidder's Telephone Number Bid 1200-1 If our bid is accepted, we agree to sign the contract without qualifications and to furnish the performance and payment bonds and the required evidence of insurance within 10 calendar days after receiving written notice of the award of the contract. We further agree, if our bid is accepted and a Contract for performance of the work is entered into with the City, to so plan work and to prosecute it with such diligence that the work shall be completed within the time stipulated. Desert Elite Electric And Construction, Inc. Name of Bidder PO Box 2513 Palm Desert Ca. 92261 Bidder's Address 1000013 Contractor's License No. Ca Signature of Bidder Amanda Hodges Printed Name of Signatory Chief Financial Officer Title of Signatory 760-565-1804 Bidder's Telephone Number ahodges@deeandc.com Bidder's Email Address 03/31/2024 Contractor's Expiration Date Witness acb Title of Witness Bid 1200-2 SECTION 1210 BID SCHEDULE PROJECT NO. 2019-23 WASHINGTON STREET AT AVENUE 50 AND CALLE TAMPICO SIDEWALK AND ADA IMPROVEMENTS City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 To Whom It May Concern: Pursuant to the Invitation to Bid, and in accordance with the provisions therein stated, the undersigned hereby proposes and agrees that on award by the City under this Bid, to execute a Contract, with necessary bonds, to furnish and install any and all labor, materials, transportation and services for Project No. 2019-23, Washington Street at Avenue 50 and Calle Tampico Sidewalk and ADA 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 the Base Bid Area. Unit prices in each and every case represent the true unit price used in preparing the bid schedule totals (Bid Form). Unit prices listed herein include material, installation and appurtenant work as is necessary to have the item complete and in place meeting the full intent of the plans and specifications. We acknowledge that unbalanced unit prices shall be sufficient cause for the rejection of our bid. Bid Schedule 1210-1 BASE BID — Washington Street at Avenue 50 and Calle Tampico Sidewalk and ADA Improvements Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ 4, 000 $4, 000 2 Traffic Control 1 LS $ 9, 200 $ 9,200 3 Dust Control 1 LS $ 4,200 $ 4,200 Sawcut, Remove, and Dispose 4 of Existing Concrete Curb and 26 LF $ 63.00 $ 1, 638 Curb & Gutter Sawcut, Remove, and Dispose 5 of Existing Concrete Cross- 143 SF $ 26.00 $ 3,718 Gutter 6 Remove Existing Tree Stump 3 EA $ 650.00 $ 1, 950 7 2" Grind and Asphalt Concrete 45 SF 125.00 $ 5, 625 Overlay$ Construct Sidewalk Per City of 8 La Quinta Standard Plan 240 824 SF $ 14.50 $ 11, 948 Mod. Construct Curb Ramp Per City of La Quinta Standard Plan 250 9 Mod; Case B; One Wing, 2 EA $ 7, 800 $ 15, 600 Retaining Curb on One Side Limits ECR/BCR Construct Portion of Cross - 10 Gutter Per City of La Quinta 143 SF $ 26. 00 $ 3, 718 Standard Plan 230 Mod. and 231 Mod. Furnish and Install Keystone 11 Gravity Block Wall Per City of La 53 LF $ 98.00 $ 5, 194 Quinta Standard Plan 717 Mod; 5 Course Stack Remove and Modify Existing 12 Landscaping, Hardscape, and 1 LS $ 16, 425.00 $ 16,425.00 Irrigation as Needed to Satisfaction of City 13 Signing and Striping 1 LS $ 6, 800 $ 6, 800 Total Amount of Bid Items 1 - 13 $ 90, 016. 0 0 Bid Schedule 1210-2 GRAND TOTAL BASE BID (Figures): $ 90, 016. 00 GRAND TOTAL BASE BID (Words): Ninety Thousand and Sixteen Dollars 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 pr ided herein. _ . / /, , Amanda Hodges 760-565-1804 ahodges@deeandc.com Signature of Bidder (Ink) Name of Bidder (Printed or Typed) Bidder Telephone Number Bidder Email Address Bid Schedule 1210-3 SECTION 1220 BID GUARANTY BOND PRINCIPAL, and Desert Elite Electric & Construction, Inc., 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. 2019-23 WASHINGTON STREET AT AVENUE 50 AND CALLE TAMPICO SIDEWALK AND ADA 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 13th day of October 2022. Desert Elite Electric & Construction, Inc. CF0 Title of Signatory Signature of Principal P O Box 2513 Palm Desert, CA 92261 Address The Ohio Casualty Insurance Company Diane M Nielsen - Attorney in Fact Title of_Signatory signature of Surety 175 Berkley St Boston, MA 02116 Address Note: Signatures of those executing for the surety must be properly acknowledged. Bid Guaranty Bond 1220-1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Riverside On 10 113 before me, Linda Rocha Date Insert Name of Notary exactly as it appears on the official seal personally appeared Diane M. Nielsen Name(s) of Signer(s) r. LINDA ROCHA �y Notary Public - California Riverside County Commission " 2310332 + � My Comm. Expires Nov 20, 2023 Place Notary Seal Above , Notary Public, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislherltheir authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my ofF ial bse-a-a .Signatur Signatu of Notary Public Linda Rocha OPTIONAL Though the information below is not required by law it may prove valuable to persons relying on the document and could prevent fraudulent removal anal reattachment of the 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) Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s): ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: 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: Top of thumb here This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company mutua. The Ohio Casualty Insurance Company Certificate No: 82059�22-9 72035 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, Constitute and appont Diane M. Nielsen_ Matthew S. Costello: Sal C. Sandoval all of the city of Palm Desert stale of CA each individually if there be more than one named, its true and lawful attarne] in•fact to make, execute, seal, acknowledgeand deliver, for and on its behalf as suretyand as its act and deed, any and all undertakings, bonds, reeognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 9th day of July 2021 . Liberty Mutual Insurance Company ►Nsuf? 11 I1VgG d tNsu The Ohio Casualty Insurance Company JP apvCX% ' op S onP❑+e��s'evy c,P o ❑vr, West American Insurance Company 1912 f a 1919 n 1991 0 dq No o a E N mod' �m8eswus�.�a yQ�`HArpg�D1S, �vointa� asBy: m y a By : io 7 * * * David M. Carey, Assistant Secretary ro State of PENNSYLVANIA E q1 : County ofMONTGOMERY ss o Sscretsry of Liberty Mutual Insurance U o (D On this 9th day of Jmy ,, 2021 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant m Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes y therein contained by siqninq on behalf of the corporations by himself as a duly authorized officer. a!::�i M — _-a 'rn 0� IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. O n �5Pnit PAS,. Commonwaete+ofPennSyNanra- Notary sear Fes¢ c° �T{y [y Teresa Pestelle, Notary Public Montgomery County 4F My commission expires March 28, 2025 . Commission number 1128044 Member, PonnsY ranfrt WwWEon pt HoU6" E O E By. Q o Teresa Pastella, Notary Public This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance company, uuetiy MULU r` Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: 2 ARTICLE IV— OFFICERS: Section 12. Power of Attorney. o cu Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the -0 U President may presalbe, shall appoint such attameys•in-fact, as may he necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and dellver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall o L have full power to bind the Corporation by their signature and execuliion of any such instruments and to attach thereto the seal of the Corporation. When so executed, such 2 instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shalt appoint such altomeys-in-fact as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys•in•fact subject to the limitations set forth is lheir respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seat of the Company. When so executed such Instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in - Fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a oertified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 13th day of October , 2022 IHSUIQ ZY INS4, d INsu P�' a tiL ]��evorkr q �P y Rvo •Y vl ❑yp r4.3, o �> CY 1912 1919 1991 0 0 0 41 y: Y�yy88hc" a yn�' H�µr s a'r ra, ti+vtxx� da Renee C. Llewellyn, Assistant Secretary f•� 3'yl a 1•� �'M r i<� LMS-12873 LMIC OCIC WAIC Multi Cc 02/21 flo v � N pC4 � M W Q O -0(0 to — �re U CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of P On I before me, (Here insert name and IiIIC or the officer) personally appeared Public who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Wi SS my hand and off7ci1. L} Siltnature of Notary Public ZSUZSANNA PHEIL COMM. #2298294 NOTARY PUBLIC ■ CALIFORNIA RIVERSIDE COUNTY Commiuion Expires JULY 22, 2023 (Notary Sea)) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT a (Tio or description ofAtlache ncuntrnl) (Title or description ofattached document continued) Number of Pages I Document Date �3 " (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) 1-1 Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM Arm acknoirleclgment completed in California must contain verbiage exactly as appears above in the notary• section or a .sepctrale acknouVledgnrent form 17711SI be properly- c'ompleled and attached to that document- The only exceprion is if a document is to he recorded outside gl'California, hi such insfunces, any alternative acknonrledgntent verbiage as way be printed on such a document so long as the verbiage does not require the noiar}' to do something that is illegal for a notay, in California (i.e_ certifying the aulhorice(l capacity of the signer), Please check the eloc'ument car e fidly for proper notarial s rorditrg and anac h this form if required. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i_e. he/shcAey is /afe ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection ofdocuntent recording. • The notary seal impression must be clear and photographically reproducible, Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area penmits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document, indicate title or type of attached document, number of pages and date_ Indicate the capacity claimed by the signer. if the claimed capacity is a corporate officer, indicate the title (i,e. CEO, CFO, Secretary). • Securely attach this document to the signed document SECTION 1220 BID GUARANTY BOND PRINCIPAL, and , 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. 2019-23 WASHINGTON STREET AT AVENUE SO AND CALLE TAMPICO SIDEWALK AND ADA 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 day of , 2022. Title of Signatory Signature of Principal Address Title of Signatory Signature of Surety Address Note: Signatures of those executing for the surety must be properly acknowledged. Bid Guaranty Bond 1220-1 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: V IUCt't"GlL11t" L- IU,"LA)i IIG Owner: b A A &A!u p � Construction Cost: $ 33L� t Construction Time: q G Calendar Days Owner's Representative: Owner's Telephone No.: Rpo -;C-:;o — G555- Date of Substantial Completion: " �� 22 22- 2. Project Name: 0 IG11$� �ftTi0V1 Owner:Wa (Zn51ru 9�0-" -Eor SOuAFern C ikLOIC( 606 Corn Gt .tA - Construction Cost: $ 18 S 343 0D Construction Time: 1 L4 Calendar Days Owner's Representative: 'Ki cx LucI -, Owner's Telephone No.: -1 U D - LA q q - a `� Date of Substantial Completion: I Q 10,2 4 ayzo Bidders Experience & Qualifications 1230-1 3. Project Name: 61 Cei4 D U,�J I ]lun -Yana r Owner: bnve(6,14 Pth.nOI9 iE5 r A5 Corn Gtir�� Construction Cost: $ S `1CI 614 Construction Time: Calendar Days Owner's Representative: Tobt(- "OrsS _ Owner's Telephone No.: 415i9-cA $ S- $gga Date of Substantial Completion: 03 04 2 4. Project Name: 6+ru6, PIMA-, Owner: Uy i W 'B u.ild 66 Iry li CES -Far Co-awj� U? Construction Cost: $ 4i% LA k • EI a Construction Time: I g Calendar Days Owner's Representative: �(Ancf1eL Owner's Telephone No.: - L4 $ S - 53015 Date of Substantial Completion: 0-11 g4 l 22- _ Signed this •ZU4+) day of 0006fr , lrlc Name of Bidder ►� eAi r • - • ••- `i 0 AcmA rm Hvd tt!� Printed Name of Bidder 10000 ! 3 Contractor's License No. 031 31 1 2-024 Expiration Date 2021. 10v0g3LPgW DIR Reg No. (b I-t-t F1nArlC.� R Del Cyr Title of Signatory Bidders Experience & Qualifications 1230-2 SECTION 1240 PROPOSED SUBCONTRACTORS Pursuant to California Public Contracting Code, Section 4100 et. seq., the following list gives the name, business address, and portion of work (description of work to be done) for each subcontractor that will be used in the work if the bidder is awarded the Contract. (Additional supporting data may be attached to this page. Each page shall be sequentially numbered and headed "Proposed Subcontractors" and shall be signed.) The Contractor shall perform, with its own organization, Contract work amounting to at least 50 percent of the Contract Price except that any designated 'Specialty Items" may be performed by subcontract and the amount of any such "Specialty Items" so performed will be deducted from the Contract Price before computing the amount required to be performed by the Contractor with its own organization. "'Specialty Items" will be identified by the Agency in the Bid or in the Special Provisions. Where an entire item is subcontracted, the value of work subcontracted will be based on the Contract Unit Price. Subcontractor/Business Address/Description of Work/% of Work/License No./DIR Reg No. N/A Signature of Bidder Desert Elite Electric And Construction, Inc. Name of Bidder Proposed Subcontractors 1240-1 SECTION 12SO NON -COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County Of Riverside Amanda Hodges , being first duly sworn, deposes and say that he or she is Chief Financial Officerof Desert Elite Electric and r the o s rucL onn party making the foregoing bid that the bic' Is no MaIa in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly sought by contract, agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. i Signature Desert Elite Electric And Construction, Inc. Name of Bidder Chief Financial Officer Title 10/20/2022 Date Non -Collusion Affidavit 1250-1 SECTION 1260 DIR Project Vendor Information Vendor Information: Desert Elite Electric Name: And Construction, Inc . Address: PO Box 2513 Zip: 92261 Project Manager: Daniel Lua Phone: 760- 565-1804 City:Palm Desert ST: Ca Email: dlua@deeand.com CSLB/Certification Number: 1000013 Public Works Registration No.: 1000836978 Classification: Asbestos Boilermaker Bricklayers Carpenter Carpet/Linoleum Cement Masons X Drywall Finisher Drywall/Lathers Electricians X Elevator Mechanic Glaziers Iron Workers Laborers X Millwrights Operating Eng Painters Pile Drivers Pipe Trades Plasterers Roofer SheetMetal Sound/Com Surveyor Teamster Tile Worker, Prevailing Wages and Payroll: The project is subject to prevailing wage rates and enforcement by the Department of Industrial Relations (DIR). Prevailing wage rates can be obtained at: http:Zlwww.dir.ca.ciov/Public-Works/Prevailing-Wage.html. Contractors and subcontractors on most public Works projects are required to submit certified payroll records to the Labor Commissioner using DIR's electronic certified payroll reporting system. For your convenience, the link for reporting certified payroll is: http:Ilwww.dir.ca.gavlPublic-WorkslCertified-Payroll- Reporting.html. A copy of certified payroll, including the employees and/or subcontractors working on with invoices submitted to the City of La Quinta. names and addresses of the job must be included DIR Project Vendor Information 1260-1 SECTION COMPLIANCEWITH IRAN 02UMACTINra ACT_QF__j 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. Iran Contracting Act Certification 1270-1 IRAN CONTRACTING ACT CERTIFICATION Pursuant to the Iran Contract Act of 2010 (Public Contract Code 2200- 2208), Vendors/Bidders are ineligible to bid on or submit a proposal for any contract with a public entity for goods or services of one million dollars ($1,000,000) or more if the Vendor/Bidder engages in investment activities in Iran. MUST BE SUBMITTED WITH BID PROPOSAL IF BID AMOUNT IS $1,000,000 OR MORE Prior to bidding on, submitting a proposal, or executing a contract or renewal for a public entity contract for goods or services of $1,000,000 or more, a vendor must either: a) certify it is not on the current list of persons engaged in investment activities in Iran created by the California Department of General Services ("DGS") pursuant to Public Contract Code section 2203(b) and is not a financial institution extending $20,000,000 or more in credit to another person, for 45 days or more, if that other person will use the credit to provide goods or services in the energy sector in Iran and is identified on the current list of persons engaged in investment activities in Iran created by DGS; or b) demonstrate it has been exempted from the certification requirement for that solicitation or contract pursuant to Public Contract Code section 2203(c) or (d). To comply with this requirement, please insert your vendor or financial institution name and Federal ID Number (if available) and complete one of the options below. Please note: California law establishes penalties for providing false certifications, including civil penalties equal to the greater of $250,000 or twice the amount of the contract for which the false certification was made, contract termination, and three-year ineligibility to bid on contracts. (Pub. Cont. Code § 2205.) OPTION #1 - CERTIFICATION I, the official named below, certify I am duly authorized to execute this certification on behalf of the vendor/financial institution identified below, and the vendor/financial institution identified below is not on the current list of persons engaged in investment activities in Iran created by DGS and is not a financial institution extending twenty million dollars ($20,000,000) or more in credit to another person/vendor, for 45 days or more, if that other person/vendor will use the credit to provide goods or services in the energy sector in Iran and is identified on the current list of persons engaged in investment activities in Iran created by DGS. I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Vendor Name/Financial Institution (Printed) Federal ID Number (or n/a) Desert Elite Electri ai onstruction, Inc. By U ri a 51 t Printe Name and Title of P 5r ing Date Executed Amanda Hodges 10/20/2022 Iran Contracting Act Certification 1270-2 OPTION #2 -- EXEMPTION Pursuant to Public Contract Code sections 2203(c) and (d), a public entity may permit a vendor/financial institution engaged in investment activities in Iran, on a case -by -case basis, to be eligible for, or to bid on, submit a proposal for, or enters into or renews, a contract for goods and services. If you have obtained an exemption from the certification requirement under the Iran Contracting Act, please fill out the information below, and attach documentation demonstrating the exemption approval. Ven or Financial Institution (Printed) Federal ID Number (or n/a) By (Authorized Signature Printed Name and Title of Person Signing--- I Date Executed Iran Contracting Act Certification 1270-3 SECTION 1280 COMPLIANCE WITH CALIFORNIA EXECUTIVE ORDER N-6-22 RUSSIAN AGGRESSION AGAINST UKRAINE (a) Contractor shall comply with California Governor Executive Order N-6-22 regarding sanctions in response to Russian aggression in the Country of Ukraine, and any implementing guidelines and/or economic sanctions imposed by the United States government in response to Russian actions in Ukraine, as well as any sanctions imposed under California law (collectively "economic sanctions"). Contractor shall comply with all such economic sanctions. By submitting a bid to the City, Contractor agrees to take any and all actions to support the Ukrainian government and people as required by law, including by refraining from new investments in, and financial transactions with, Russian institutions or companies that are headquartered or have their principal place of business in Russia (Russian entities), not transferring technology to Russia or Russian entities, and directly providing support to the government and people of Ukraine. (b) If bidding on a contract for Five Million Dollars ($5,000,000) or more, Contractor shall submit a written report to the City on Contractor's compliance with the economic sanctions, and the steps Contractor has taken in response to Russia's actions in Ukraine, including, but not limited to, desisting from making new investments in, or engaging in financial transactions with, Russian entities, not transferring technology to Russia or Russian entities, and directly providing support to the government and people of Ukraine as required by law. Failure to submit the report required by this Section may deem Contractor's bid non- responsive. Please include a written report to the City if this section is applicable.