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Universal Construction and Engineering BidSECTION 1200 BID DATE:— April 24, 2023 The undersigned, as bidder, declares it has received and examined the Contract Document entitled Project No. 2022-08 and CDBG Project No. 4.LQ.47.22, Citywide Miscellaneous 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 1290 B-4 Certification of Bidder Regarding Non -Segregated Facilities (Required for all Projects) 1290 B-7 Bidder's Certification on Federal Contract Requirements (Required for all Projects) 1290 B-8 Questionnaire Regarding Bidders (Required for all Projects) 1290 B-9 List of Subcontractors and Suppliers (Required for all Projects) 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 Molders List with the City of La Quinta in order to receive addenda. Addendum # Date Received Initials April 19, 2023 Bid 1200-1 Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID GUARANTY. Universal Construction and Engineering dba Universal Construction Engineering (760) 200-3100 Name of Bidder Bidder's Telephone Number 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. Universal Construction and Engineering dba Universal Construction Engineering Name of Bidder 77725 Enfied Lane, Ste. 210 Palm Desert, CA 92211 Bidder's Address 1019619 Contractor's License No. California State of Incorp n Signature of Bidder Alfonso Montes Printed Name of Signatory President Title of Signatory (760) 200-3100 Bidder's Telephone Number cathy@universalconstructioneng.com Bidder's Email Address 02/29/2024 Contractor's Expiration Date Pill! ��ii u ..:'� 1Tir� Secretary Title of Witness Bid 1200-2 SECTION 1210 BID SCHEDULE PROJECT NO. 2022-08 AND PROJECT NO. 4.LQ.47.22 CITYWIDE MISCELLANEOUS 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. 2022-08 and CDBG Project No. 4.LQ.47.22, Citywide Miscellaneous 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 plus all Additive Alternates. Unit prices in each and every case represent the true unit price used in preparing the bid schedule totals (Bid Form). Unit prices listed herein include material, installation and appurtenant work as is necessary to have the item complete and in place meeting the full intent of the plans and specifications. We acknowledge that unbalanced unit prices shall be sufficient cause for the rejection of our bid. Bid Schedule 1210-1 BASE BID — WORK SHOWN ON SHEET 2 Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ 10,500.00 $ 10,500.00 2 Traffic Control 1 LS $ 9,500.00 $ 9,500.00 3 Dust Control 1 LS $ 3,035.00 $ 3,035.00 Sawcut, Remove, and Dispose of 4 Existing Cross -Gutter, Sidewalk, 2,488 SF $ 6.00 $ 14,928.00 Ramp,Driveway,and Pavers 5 Sawcut, Remove, and Dispose of 167 LF $ 18.50 $ 3,089.50 Existing Curb; and Curb & Gutter 6 Construct Sidewalk per City of La 1,251 SF $ 8.70 $ 10,883.70 Quinta Std. No. 240 Mod. Construct Portion of Cross -Gutter 7 per City of La Quinta Std. No. 230 49 SF $ 40.00 $ 1,960.00 Mod. and 231 Mod. Construct Concrete Curb Ramp 8 per City of La Quinta Std. No. 250 5 EA $ 5,800.00 $ 29,000.00 Mod. Case A Construct Concrete Curb Ramp 9 per City of La Quinta Std. No. 250 3 EA $ 3,200.00 $ 9,600.00 Mod. Case B Construct Driveway Approach per 10 City of La Quinta Std. No. 221 320 SF $ 15.00 $ 4,800.00 Mod. Remove, Regrade, and Reset 11 Street Pavers per City of La 88 SF $ 15.00 $ 1,320.00 Quinta Std. 206 Sawcut, Remove, and Dispose of Existing Concrete Ramp; Furnish 12 and Install Truncated Dome 15 SF $ 70.00 $ 1,050.00 Concrete Tiles per City of La Quinta Std. No. 250 Mod. Full Depth Grind Asphalt Concrete 13 Pavement (3"), Compact Existing 80 SF $ 12.00 $ 960.00 Base and Overlay 3" 14 Modify Ex. Landscape, Hardscape, 1 LS $ 1,000.00 $ 1,000.00 and Irrigation as Needed 15 Signing and Striping, Including All 1 LS $ 2,000.00 $ 2,000.00 Incidentals Total Amount of Bid Items 1 — 15 $ 103,626.20 Bid Schedule 1210-2 City may award all or none of the following additive alternates: ADDITIVE ALTERNATE NO. 1 — AVE. MONTEZUMA AND AVE. NAVARRO Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ 1,500.00 $ 1,500.00 2 Traffic Control 1 LS $ 2,000.00 $ 2,000.00 3 Dust Control 1 LS $ 500.00 $ 500.00 4 Sawcut, Remove, and Dispose of 96 LF $ 19.50 $ 1,872.00 ExistingCurb and Gutter Construct Curb and Gutter 5 Transitions per City of La Quinta 96 LF $ 50.00 $ 4,800.00 Std. No. 250 Mod. Sawcut, Remove, and Dispose of Existing Concrete Ramp; Furnish 6 and Install Truncated Dome 72 SF $ 60.00 $ 4,320.00 Concrete Tiles per City of La uinta Std. No. 250 Mod. Full Depth Grind Asphalt Concrete 7 Pavement (3"), Compact Existing 977 SF $ 12.00 $ 11,724.00 Base and Overlay 3" Modify and Restore Existing 8 Landscape, Hardscape, and 1 LS $ 150.00 $ 150.00 Irrigation as Needed 9 Signing and Striping, Including All 1 LS $ 4,275.00 $ 4,275.00 Incidentals Total Amount of Additive Alternate Bid Items 1-9 $ 31,141.00 ADDITIVE ALTERNATE NO. 2 — PUBLIC PARKING LOT DRIVEWAY Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ 1,000.00 $ 1,000.00 2 Traffic Control 1 LS $ 1,500.00 $ 1,500.00 3 Dust Control 1 LS $ 300.00 $ 300.00 4 Sawcut, Remove, and Dispose ofF278 SF $ 5.00 $ 1,390.00 Existing Driveway Bid Schedule 1210-3 Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 5 Sawcut, Remove, and Dispose of 40 LF $ $ ExistingCurb and Gutter 15.00 600.00 Construct Driveway Approach per 6 City of La Quinta Std. No. 221 278 SF $ 10.00 $ 2,780.00 Mod. Total Amount of Additive Alternate Bid Items 1-6 $ 7,570.00 ADDITIVE ALTERNATE NO. 3 — DESERT CLUB DRIVE AND SPRINGTIME WAY Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ 1,500.00 $ 1,500.00 2 Traffic Control 1 LS $ 2,000.00 $ 2,000.00 3 Dust Control 1 LS $ 500.00 $ 500.00 4 Sawcut, Remove, and Dispose of 703 SF 5.00 $ 3,515.00 ExistingSidewalk and Ramp$ 5 Unclassified Fill 2 CY $ 325.00 $ 650.00 6 Construct Sidewalk per City of La 527 SF $ 8.00 $ 4,216.00 Quinta Std. No. 240 Mod. Construct Concrete Curb Ramp 7 per City of La Quinta Std. No. 250 2 EA $ 5,800.00 $ 11,600.00 Mod. Case A Sawcut, Remove, and Dispose of Existing Concrete Ramp; Furnish 8 and Install Truncated Dome 47 SF $ 70.00 $ 3,290.00 Concrete Tiles per City of La Quinta Std. No. 250 Mod. Modify and Restore Existing 9 Landscape, Hardscape, and 1 LS $ 1,300.00 $ 1,300.00 Irrigation as Needed 10 Signing and Striping, Including All 1 LS $ 4,275.00 $ 4,275.00 Incidentals Total Amount of Additive Alternate Bid Items 1-10 $ 32,846.00 Bid Schedule 1210-4 GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Figures): s 175,183.20 GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Words): One hundred seventy-five thousand one hundred eighty-three and 20/100. 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 bid. Final payment will be based upon actual work performed, subje such adjust ents and alterations as elsewhere provided herein. 1--K Signature of Bidder (Ink) Alfonso Montes Name of Bidder (Printed or Typed) (760� 200-3100 Bidder Telephone Number alfonso@universalconstructioneng.com Bidder Email Address Bid Schedule 1210-5 SECTION 1220 BID GUARANTY BQi11D *PRINCIPAL, and MERCHANTS BONDING COMPANY (MUTUAL)" as SURETY, are held and firmly bound unto the City in the penal sum of TEN (10) PERCENT OF THE TOTAL AMOUNT OF THE BID of the Principal above named, submitted by said Principal to the City for the work described below, for the payment of which sum in lawful money of the United States, well and truly to be made to the City to which said bid was submitted, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by these presents, THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS, the Principal has submitted the above -mentioned bid to the City, for certain construction specifically described as follows, for which bids are to be opened at La Quinta, California. PROJECT NO. 2022-08 AND CDBG PROJECT NO, 4.LQ.47.22 CITYWIDE MISCELLANEOUS 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 24th day of April 2023. UNIVERSAL CONSTRUCTION AND ENGINEERING MERCHANTS BONDING COMPANY (MUTUAL) n Title of Signatory Signature ncipal 77725 Enfield Lane, Suite 210 Palm Desert, California 92211 Address Attorney -in -Fact Title of Signatory Signatureebof Surgty Dp, gias N Rothey 6700 Westown Parkway, P. O. Box 14498 Des Moines, Iowa 50306-3498 Address Note: Signatures of those executing for the surety must be properly acknowledged. Bid Guaranty Bond 1220-1 *UNIVERSAL CONSTRUCTION AND ENGINEERING, as State of COLORADO ) } ss. County of ARAPAHOE } On April 24, 2023, before me, a Notary Public in and for said County and State, residing therein, duly commissioned and sworn, personally appeared Douglas J. Rothey known to me to be Attorney -in -Fact of MERCHANTS BONDING COMPANY (MUTUAL) the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed the said instrument on behalf of the said corporation, and he duly acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year stated in this certificate above. My Commission Expires: December 8, 2026 Cy Chia M. Burnett, Notary Public Cynthia M. Burnett NOTARY PUBLIC STATE OF COLORAW NOTARY ID019"19211 W COMMISSION EVIRES DECF.MBER 8 2026 M E RC HANN' Ts"Ib, BONDING COMPANY.. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Cynthia M Burnett; Douglas J Rothey; Erik Ulibarri; Kim Payton; Wesley J Butorac; Zach Rothey their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 23rd day of June 2020 ` Rp0R Q Q ' RPQq•'• 9 MERCHANTS BONDING COMPANY (MUTUAL) "I�y: U� '4�'''• y . �; �,� q�;.Z� • MERCHANT NATIONAL BONDING, INC. . c.� a'sa= .r-:Z -o- o; v-� 2003 ;��? : y;� 1933 :'e: By • �, :C, a •+•+• .......... ■• •aid.. _ . . • '1,.�+ Zrasident STATE OF I OWA '.'.*"..'+'` • • .. . + COUNTY OF DALLAS ss. On this 23rd day of June 2020 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. POLLY MASON � v o � c n Commission Number 750576 My Commission Expires January 07, 2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 24th day of April , 2023 0. 1933 3 Secretary . o y 2003 :.ter : tiJ. "Y to POA 0018 (1/20) CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 3 �f#�rr������aa€a;�a�w3�u33�3���s�a�a��t3t�a3�33s��s��:����.�.r���..=•.;r�� A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of �] SIhE I On ARIL ?_g . ?y`j l before me, S5 I CA 1) - T_ � , Date Here Insert Name and Title of the Officer personally appeared Auwl)s\) MU`r�ES Name(s) of Signer(s) 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. o..y� JESSICA D. MONTES Notary Public • California Riverside County Commission w 2372633 =o " My Comm. Expires Aug 28, 2025 Place Notary Seal and/or Stamp Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature _AA_6�� Signature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: C'}1,kj�h 1Z Ajj j Document Date: At?RIL� 2023 Number of Pages: � Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: ��3�f3�i3Ss8�S3P:.�f��2�Y3�3#DE3E3�3 �i�F3�1#� ©2019 National Notary Association Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: . 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. Washington St. at Ave. 50 and Calle Tampico Sidewalk 1. Project Name: and ADA Improvements Owner: City of La Quinta Construction Cost: $ 87,726.80 Construction Time: _ 15 Working days Calendar Days Owner's Representative: Ubaldo Ayon Owner's Telephone No.: (760) 777-7000 Date of Substantial Completion: January 2023 2. Project Name: Citywide Miscellaneous ADA Improvements Project 2021-03 Owner: Citu of La Quinta Construction Cost: $ 174,258.87 Construction Time: Base Bid 20 working days Calendar Days Owner's Representative: Ubaldo Ayon _ Owner's Telephone No.: (760) 777-7000 Date of Substantial Completion. June 2022 Bidders Experience & Qualifications 1230-1 3. Project Name: 2021 Citywide Miscellaneous ADA Improvements Project No. 400015 Owner: City of Redlands Construction Cost: $ 367,891.98 Construction Time:. 90 _Calendar Days Owner's Representative: Kyle Wagner Owner's Telephone No.: (909) 798-7584 Date of Substantial Completion: February 2022 4. Project Name: 2021 Citywide Miscellaneous ADA Improvements Project No. 400015-2 Owner: City of Redlands Construction Cost: $ 976 757.35 Construction Time: 150 Calendar Days Owner's Representative: Kyle Wagner Owner's Telephone No.: (909) 798-7584 Date of Substantial Completion: September 2022 Signed this 25th day of April, 2023 , 2021. Universal Construction and Engineering dba Universal Construction Engineering 1019619 1000534892 Name of Bidder Signature of Bidder Alfonso Montes Printed Name of Bidder Contractor's License No. DIR Reg No. 02/29/2024 Expiration Date President 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. Superior Pavement Markings, P.O. Box 278, Beaumont, CA 92223 Signing and Striping - 6.0% - 776306 - 1000001476 Signature of Bidder Universal Construction and Engineering dba Universal Construction Engineering Name of Bidder Proposed Subcontractors 1240-1 SECTION 1250 NON -COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ) ss. County of Riverside ) Alfonso Montes , bed& firdu� worn eoses�nd say that n ersa ons uc on and't�gi eering a he or she is President of istruction Engineering , 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 r%6, 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 deposit to any member or agent thereof to effectuate a collusive or sha Signature Universal Construction and Engineering dba Universal Construction Engineering Name of Bidder President Title April 25, 2023 Date Non -Collusion Affidavit 1250-1 CALIFORNIA ACKNOWLEDGMENT 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 ►voRso On amIL.. Z, I zm before me, )ESS I M^Z _Mp_1,j__ 1-E S Date Here Insert Name and Title of the Officer personally appeared Name(s) of Signer(s) 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. 014V MONTESNotary Public - California Riverside County Commission p 2372633 Comm. Expires Aug 28, 2025 Place Notary Seal and/or Stamp Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (�M,& Signature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document 1 Title or Type of Document: —MILU Document Date: A?u- 2a; U23 Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: _ ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: 02019 National Notary Association Signer's Name: _ ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: _ Signer is Representing: SECTION 1260 DIR Project Vendor Information Vendor Information: Name: Universal Construction and Engineering dba Universal Construction Engineering Address: 77725 Enfied Lane, Ste. 210 Zip:92211 Project Manager: Alfonso Montes City: Palm Desert ST: CA Email: alfonso@universalconstructioneng.com Phone: (760) 200-3100 CSLB/Certification Number: 1019619 Public Works Registration No.: 1000534892. Classification: Asbestos Boilermaker Bricklayers Carpenter Carpet/Linoleum Cement Masons V Drywall Finisher Drywall/Lathers Electricians Elevator Mechanic Glaziers Iron Workers Laborers v Millwrights Operating Eng Painters Pile Drivers Pipe Trades V 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: httt)://www.dir.ca.gov/Public-Works/Prevailing-WaQe.-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:/Jwww.dir.ca.gov/Public-Wor-ks/Ce rtified-Payroll- Reportina.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 SECTION1 OMPLIANCE WITH IRAN CONTRACTINGACT # 1 1 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 I RAN ODNTRACn NG ACT CERnRCA11ON 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 = 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) By (Authorized Signature) Printed Name and Title of Person Signing Federal ID Number (or n/a) Date Executed Iran Contracting Act Certification 1270-2 OPTION #2 — EXEMPTION Pursuant to Public Contract Code sections 2203(c) and (d), a public entity may permit a vendor/financial institution engaged in investment activities in Iran, on a case -by -case basis, to be eligible for, or to bid on, submit a proposal for, or enters into or renews, a contract for goods and services. If you have obtained an exemption from the certification requirement under the Iran Contracting Act, please fill out the information below, and attach documentation demonstrating the exemption approval. Vendor Name/Financial Institution (Printed) By (Authorized Signature) Printed Name and Title of Person Signing Federal ID Number (or n/a) Date Executed Iran CbntractingAct 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 repast to the City if this section is a2plicable. %ssian Aggression Against Ukraine %nctionsCertification 1280-1 EXHIBIT B-4 Required Bid Form CERTIFICATION OF BIDDER REGARDING NONSEGREGATED FACILITIES Project Name: Citywide Miscellaneous ADA Improvements Universal Construction and Engineering dba Name of Bidder: Universal Construction Engineering The above named Bidder hereby certifies that: I do not maintain or provide for my employees any segregated facilities at any of my establishments, and that I do not permit my employees to perform their services at any location, under my control, where segregated facilities are maintained. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, rest rooms, wash rooms, restaurants and other eating areas, time clocks, locker rooms or other dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, color, religion, national origin, or because of habits, local customs, or otherwise. I further agree to obtain identical certifications from all proposed subcontractors prior to the award of subcontr e 1 10,000. Signature: Name (Print): Alfonso Montes Title: President Date: April 25, 2023 CDBG Required Bid Form 1290-1 EXHIBIT B-7 Required Bid Form BIDDER CERTIFICATION ON FEDERAL CONTRACT REQUIREMENTS PROJECT NAME: Citywide Miscellaneous ADA Improvements CERTIFICATION: I hereby certify that I have reviewed and understand the diversified Federal construction contract related requirements imposed on the Contractor(s) of HUD - funded construction projects, including but not limited to the following: 1. The subject project is being financed with Community Development Block Grant funds (24 CFR Part 570); 2. This project and all related construction contracts are subject to the U.S. Department of Housing and Urban Development's Federal Labor Standards Provisions (HUD 4010 — revised 06/2009); and 1. This project is subject to all applicable laws and regulations as listed in the General Summary of these Special Federal Provisions; and 2. If my bid is $200,000 or more, this project and all related contracts will subject to Section 3 requirements (12 U.S.C.1701u). Universal Construction and Engineering dba CONTRACTOR'S NAME; Universal Construction Engineering CONTRACTOR'S LICENSE NO 1019619 ADDRESS: 77725 Enfied Lane, Ste. 210, Palm Desert, CA 92211 AUTHORIZED REPRES SIGNATURE: DATE: April 25, 2023 nso Montes Name) CDBG Required Bid Form 1290-2 EXHIBIT B-8 Required Bid Form QUESTIONNAIRE REGARDING BIDDERS Bidder has been engaged in the contracting business under the present name of Universal Construction and Engineering , since _Sept. 2019 (Date). Present business address is: 77725 Enfied Lane, Ste. 210. Palm Desert. CA 92211 Federal Tax ID: 84-3727219 Amount of Bid $ California Contractor's License No.:. 1019619 Expiration Date: 02/29/2024 DUNS Number: 080555623 or CAGE Code: Because this project is Federally -funded, it is necessary to obtain information concerning minority and other group participation for statistical purposes. The U.S. Department of Housing and Urban Development (HUD) uses this information to determine the degree to which its programs are being utilized by minority business enterprises and targeted group contractors. A minority enterprise is defined by the Federal Government as a business that is fifty-one percent (51%) or more "minority -owned". Please check applicable box concerning the ownership of your business: ❑ American Indian or Native Alaskan ❑ Asian or Pacific Islander/Native Hawaiian ❑ Black/African American 5d Hispanic ❑ White ❑ Hasidic Jews ❑ Other A woman -owned enterprise is defined by the Federal Government as a business that is fifty - percent (50%) or more woman -owned. Please check applicable box concerning the ownership of your business: ❑ Woman/Female owned 0 Male owned A Section 3 Contractor or Subcontractor is a business concern that is more than fifty-one percent (51 %) owned by a low or very low-income person, or a business concern that provides economic opportunities to low and very low-income residents. Please check applicable box concerning the ownership of your business: ❑ Section 3 Business concern 0 Non -Section 3 Business concern The United States Department of Housing and Urban Development (HUD) is authorized to solicit the information requested in this form by virtue of Title 12, United States Code, Section 1701 et seq., and other regulations. It will not be disclosed or released outside of HUD without your consent, except as required or permitted by law. CDBG Required Bid Form 1290-3 EXHIBIT B-9 Required Bid Form LIST OF SUBCONTRACTORS SUBCONTRACTOR FED. I.D.# AMOUNT ADDRESS/PHONE NO. Superior Pavement 204518251 $10 P.O. Box 278, Beaumont, CA Markings 550.00 (951) 845-2799 NAME OF SUPPLIER Desert Redi-Mix SUPPLIERS ADDRESS/PHONE NO. CONTRACT AMOUNT 83-801 Ave. 45, Indio, CA 92201 $28,000.00 This form is to be completed and submitted with the bid package. CDBG Required Bid Form 1290-4 �f�IIVERSA� 77725 Enfield Lane, Ste. 210, Palm Desert, CA 92211 Citywide Miscellaneous ADA Improvements Project No. 2022-08 and CDBG Project No. 4.LQ.47.22 Project Schedule Week One: 1. Sawcut and Demo 4 days 2. Grade and Compact 2 days 3. Form and Pour 5 days Week Two: 1. Truncated Domes 3 days 2. Backfill 2 days 3. Grind and Compact 1 days 4. Asphalt 2 days 5. Signing and Striping 1 day