Matich Corporation - BidSECTION 1200
BID
DATE: July 6, 2023
The undersigned, as bidder, declares it has received and examined the Contract
Document entitled Project No. 2022-03, FRED WARING DRIVE PAVEMENT
REHABILITATION, and will contract with the City, on the form of Contract provided
herewith, to do everything required for the fulfillment of the contract for said work at
the prices and on the terms and conditions herein contained.
We have included the following items and agree that they shall form a part of this
bid:
SECTION TITLE
1200
Bid
1210
Bid Schedule
1220
Bid Guaranty Bond
1230
Certification of Bidder's Experience and Qualifications
1240
Proposed Subcontractors
1250
Non -Collusion Affidavit
1260
DIR Project Vendor Information
We acknowledge that the following addenda have been received and have been
examined as part of the Contract Documents. Bidders must be on the Plan Holders
List with the City of La Quinta in order to receive addenda.
Addendum # Date Received Initials
1 July 3, 2023 ztl� A
Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID
GUARANTY.
Matich Corporation
Name of Bidder
909-382-7400
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.
Matich Corporation
Name of Bidder
1596 Harry Sheppard Blvd
San Bernardino, CA 92408
Bidder's Address
149783 / A & B
Contractor's License No.
California
State of Incorporation
s
Signature of Bidder
Robert M. Matich
Printed Name of Signatory
President
Title of Signatory
909-382-7400
Bidder's Telephone Number
rmatich@matichcorp.com
Bidder's Email Address
November 30, 2023
Contractor's Expiration Date
Etne 5 Jacob O. Reade
Vice President of Operations
Title of Witness
Bid 1200-2
taQal�tra
(Al IFORNIA -
ADDENDUM NUMBER 1
TO: All Prospective Bidders and Plan Holders
FROM: Ubaldo Ayon, Assistant Construction Manager
DATE: July 3, 2023
SUBJECT: Project No. 2022-03, Fred Waring Drive Pavement Rehabilitation
The following shall be considered as incorporated into the project plans and specifications for the
above referenced project. Portions of plans and specifications not specifically mentioned in this
Addendum remain in force.
PROJECT SPECIFICATIONS
Section 4000:
Sheet 4000-1, Section 3: Traffic Control Section, add the following paragraph after
paragraph 4•
The Contractor must phase work to only allow vehicles on pulverized material for a
maximum of 3 -days per stage. Only one pulverized lane in each direction shall be open at
one time. Bicycles shall not be permitted on pulverized material. At no time shall vehicles be
permitted to drive on pulverized material over a weekend or City Holiday.
Sheet 4000-2, Section 4: dust Control Section, add the following paragraph after
Paragraph 1•
In addition to general sweeping and maintenance of the site, the Contractor shall sweep
sidewalk and other surfaces on a daily basis and as needed after roadway pulverization
begins and prior to the base paving.
The Contractor is hereby notified; Addendum No. i must be acknowledged and initialed /
as stipulated under the instructions to Bidders and submitted as part of the Bid. Failure;QWja
to do so shall result in the City designating said bid as "Non -Responsive." '"'!
APPROVED:
Digitally signed by Ubaldo
Ayon Jr
Date: 2023.07.03 09:05:36
-07'00'
Ubaldo Ayon
Assistant Construction Manager
END OF ADDENDUM NUMBER 1
' CONTRACTORS
dCa STATE LICENSE BOARD
Y
ACTIVE LICENSE
'v
149783 E. CORP
a.,:,...N—. MATICH CORPORATION
Cbnplsgbnl.l A B leohil
E.P�.noN.11/30/2023 www.cslb.ca.gov ki+n.cd
r.:
Corporate Resolution
At a meeting of the Board of Directors of MATICH CORPORATION, a California corporation duly called
and held on the 15th day of October 2021, a quorum being present the following RESOLUTION was
adopted:
Resolved, the Corporate Officers for Matich Corporation are:
PRESIDENT ROBERT M. MATICH
VICE PRESIDENT & TREASURER RANDALL S. VALADEZ
VICE PRESIDENT & CORPORATE SECRETEARY RANDALL S. VALADEZ
VICE PRESIDENT— ESTIMATING JASON G. JONES
VICE PRESIDENT— CONSTRUCTION OPERATIONS JACOB 0. READE
FURTHER RESOLVED, that the above listed Corporate Officers are duly authorized to sign document
(bids, contracts, etc.) as may be necessary on behalf of MATICH CORPORATION.
I, Randall S. Valadez, Secretary of MATICH CORPORATION have compared the foregoing RESOLUTION
with original thereof, as it appears in the records of the Board of Directors of said company, and do so
certify that the same is true and correct transcript there from, and of the whole said original
RESOLUTION.
I further certify that said RESOLUTION has not been amended or revoked and is still in full force and
effect.
IN WITNESS THEREOF, I hereunto set my hand as such Secret7thl`" day of October 2021.
Randall S. Valadez, Secretary
1396 HARRY SHEPPARD BLVD, SAN BERNARDINO 92408 • TELEPHONE (909) 382-7400 • FAX (909) 382-0191
www.matichcorp.com
SECTION 1210
BID -SCHEDULE
PROJECT NO. 2022-03
FRED WARING DRIVE PAVEMENT REHABILITATION
City of La Quinta
78-495 Calle Tampico
La Quinta, CA 92253
To Whom It May Concern:
Pursuant to the Invitation to Bid, and in accordance with the provisions therein
stated, the undersigned hereby proposes and agrees that on award by the City under
this Bid, to execute a Contract, with necessary bonds, to furnish and install any and
all labor, materials, transportation and services for 2022-03, FRED WARING
DRIVE PAVEMENT REHABILITATION, in accordance with the plans and
specifications therefore adopted and on file with the City within the time hereinafter
set forth and at the prices named in this Bid. It is understood that the basis of award
shall be the lowest total price of the Base Bid Area plus all Additive Alternates.
Unit prices in each and every case represent the true unit price used in preparing the
bid schedule totals (Bid Form). Unit prices listed herein include material, installation
and appurtenant work as is necessary to have the item complete and in place
meeting the full intent of the plans and specifications. We acknowledge that
unbalanced unit prices shall be sufficient cause for the rejection of our bid.
Bid Schedule 1210-1
BASE BID - FRED WARING DRIVE REHABILITATION
Item
Item Description
Est.
Unit
Unit
Item Total
No.
Qty.
Price
(in figures)
(in
Dollars
figures)
Dollars
1
Mobilization
1
LS
1��%
111311
2
Traffic Control
1
LS
$
3
Dust Control
1
LS
$
$ yG35' �9
4
Earthwork
1
LS
$1/7,757 j �1
$L/Z7
5
Pulverize 12" of Road Section
435,000
SF
$ Z'�
$
- Three Ste Process
Construct 5" Asphalt
��
6
Concrete Over Pulverized
435,000
SF
$ z
Base
Sawcut, Remove, and
Dispose of Existing Concrete
YO
7
Curb Ramp, Includes Curb
620
SF
$ Z /
$0 037, —
and Gutter (Limits 5' beyond
BCR to 5' beyond ECR
Construct Concrete Curb
Ramp per City of La Quinta
8
Std. No. 250, Case A,
1
EA
including 5' of sidewalk
beyond the BCR to ECR
Grade Parkway, Remove,
Modify, and Replace
9
Landscape and Irrigation in
1
LS
$$,�.�
Kind to Furthest Extent
Possible to Join proposed
/
Curb Ram
Salvage to City Existing Pull
10
box and Furnish and Install
2
EA
$�qq 7T
$
new No.6 Pull box
11
Signing & Striping Including
1
LS
G
$ 3 2 617/`
$ 21
All Incidentals
Total Amount of Bid Items 1 - 11
$ 7 /Z
Bid Schedule 1210-2
City may award all or none of the following additive alternates:
ADDITIVE ALTERNATE NO. 1 (Fred Waring)
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars
Dollars
1
Lower Sewer Manhole per
5
EA
$�� Z
ZS
$
CVWD Standards
2
Raise Sewer Manhole per
5
EA
$0 ✓
$
CVWD Standards
l ✓
Total Amount of Bid Items 1 - 2
ADDITIVE ALTERNATE NO. 2 (Fred Waring)
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars
Dollars
1
Lower Water Valve per
17
EA
$
CVWD Standards
2
Raise Water Valve per
17
EA
$
�(,'�
$
CVWD Standards
Total Amount of Bid Items i - 2
$
Bid Schedule 1210-3
a
ADDITIVE ALTERNATE NO. 3 WASHINGTON STREET REHABILITATION
Item
Item Description
Est.
Uni
Unit Price
Item Total
No.
Qty.
t
(in
(in figures)
figures)
Dollars
Dollars
1
Mobilization
1
LS
$ l? j`�
$ C1, 4 3f6
2
Traffic Control
1
LS
$ fZ Z�7_
�
$r' 7,06b ��
3
Dust Control
1
LS
$
$
4
2" Grind and Overlay
4,950
SF
$ Q�
$
5
Earthwork
1
LS
$
6
Pulverize 12" of Road Section
33,720
SF
3�
$ �i
$ Ali 22
- Three Step Process
—
7
Construct 5" Asphalt
Concrete Over Pulverized
33,720
SF
Base
8
Signing & Striping Including
1
LS
$ S�12'&( ZZ
$ / ;Z,
5�
All Incidentals
i
Total Amount of Bid Items i - 8
$ �`�� L13Z
Bid Schedule 1210-4
?l
GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Figures):
$ �. X12 Z Of 7
GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Words):
rul)U N11 G GIOi(1
Vz
�d G �A�S •d �,D � l��l � Y C��S .
Bid Amount of each of the above Bid Items must be filled in and completed. It is
understood that the quantities shown hereon are but estimates and the bidder is
responsible to verify quantities prior to submitting a bid. Final payment will be
based upon actual work performed, subject to such adjustments and alterations as
elsewhere provided herein.
Signature of Bidder (Ink)
Robert M. Matich, President
J Name of Bidder (Printed or Typed)
909-382-7400
Bidder Telephone Number
rmatich@matichcorp.com
Bidder Email Address
Bid Schedule 1210-5
SECTION 1220
BID GUARANTY BOND
*
PRINCIPAL, and Liberty Mutual Insurance Company as SURETY, are held and firmly
bound unto the City in the penal sum of TEN (10) PERCENT OF THE TOTAL AMOUNT
OF THE BID of the Principal above named, submitted by said Principal to the City
for the work described below, for the payment of which sum in lawful money of the
United States, well and truly to be made to the City to which said bid was
submitted, we bind ourselves, our heirs, executors, administrators, and successors,
jointly and severally, firmly by these presents. * Matich Corporation
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. 2022-03
FRED WARING DRIVE PAVEMENT REHABILITATION
NOW, THEREFORE, if the aforesaid Principal is awarded the contract and, within the
time and manner required under the specifications, after the prescribed forms are
presented to him/her for signature enters into a written contract in the prescribed
form, in accordance with the bid, and files two bonds with the City, one to guarantee
faithful performance, and the other to guarantee payment for labor and materials as
required by law, and provide certificate of insurance coverage required by the
Contract Documents, then this obligation shall be null and void; otherwise, it shall be
and remain in full force and virtue.
IN WITNESS WHEREOF, we have hereunto set our hands on this 21st day of
June , 2023.
Matich Corporation
fl �ly
Title of Signatory
Signature of Principal
Liberty Mutual Insurance Company
Attorney -in -Fact
Title of Signatory
Signa ure of Surety,Leigh WDonough
1596 Harry Sheppard Blvd. 790 The City Drive South, Suite 200
San Bernardino, CA 92408 Orange, CA 92868
Address Address
Note: Signatures of those executing for the surety must be properly acknowledged.
Bid Guaranty Bond 1220-1
CALIFORNIA ALL- PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity
of the individual who signed the document to which this certificate is attached,
and not the truthfulness, accuracy, or validity of that document.
State of CALIFORNIA
County of SAN BERNARDINO
On 6/23/2023 before me, G.M.Bernal Kleespies Notary Public
ere insert name and title of me o cer
personally appeared ROBERT M MATICH
who proved to me on the basis of satisfactory evidence to be the persoro) whose
n me(g) 0/are subscribed to the within instrument and acknowledged to me that
/she/they executed the same int her/their authorized capacity iib } and that by
�i�i Aer/their signature on the instrument the person(', or the entity upon behalf of
which the personA 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.
G. M. BERNAL KLEESPIES
COMM. #2356450
.
WITNESS my hand and official sealNotaryPublic- California 5
SAN BERNARDINO COUNTY 6
s� My Comm. Ex . MAY 4, 2025
L
Nbfary Public Signature (Notary Public Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
SECTION 1220
(Title or description of attached document)
BID GUARANTY BOND
(Title or description of attached document continued)
Number of Pages Document Date
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
❑ Corporate Officer
(Title)
❑ Partner(s)
❑ Attorney -in -Fact
❑ Trustee(s)
❑ Other
www NotaryClasses.com 800-873-9865
INSTRUCTIONS FOR COMPLETING THIS FORM
This farm complies with current California statutes regarding notary wording and,
if needed, should be completed and attached to the document. Acknowledgments
from other states may be completed for documents being sent to that state so long
as the wording does not require the California notary to violate California notary
law.
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
he/she/they is /are ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk
d• Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
Indicate title or type of attached document, number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary)
• Securely attach this document to the signed document with a staple.
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
I 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. I
State of California
County of .- Orange
On JUN .Z 12023 before me, _ Le -Kim H. Luu, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Leigh McDonough
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) €s/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(€es), and that by his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument,
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Signature
1%nature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date.
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 x Attorney in Fact
Trustee Guardian or Conservator
Other:
Signer Is Representing: ��.'�.M._--._m'___-____..N...____
Signer's Name:
Corporate Officer — Title(s):
Partner -- Limited General
Individual Attorney In Fact
Trustee Guardian or Conservator
Other: _
Signer Is Representing: _
02014 National Notary Association - www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907
_
LE -KIM H, LUU Q
COMMISSION # 2316198 3
E
Notary Public - California 3
'
ORANGE COUNTY
My Comm Expirr:s Dec 17, 2023
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
1%nature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date.
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 x Attorney in Fact
Trustee Guardian or Conservator
Other:
Signer Is Representing: ��.'�.M._--._m'___-____..N...____
Signer's Name:
Corporate Officer — Title(s):
Partner -- Limited General
Individual Attorney In Fact
Trustee Guardian or Conservator
Other: _
Signer Is Representing: _
02014 National Notary Association - www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907
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.
5. Liberty Liberty Mutual Insurance Company
MutuaL The Ohio Casualty Insurance Company Certificate No: 8209664-977460
SURETY West American Insurance Company
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 appoint, Jeri
Apodaca- Kevin Cathcart- Vanessa Copeland. Reece Joel Diasz, Maria Guise, Terah Lane. Eric Lmviq, Kim Luu, Leigh McDonough. Michael D- Parb iao, Lisa
Pellerito, Rachelle Rhcatdt, Mark Richirdson- I-kcathcr Sallumik. James Schaller
all of the city of Irvine slate of CA each individually if there be more than one named, its true and lawful attorney-in-fact to make,
execute, seal, acknowledge and deliver, for and oil its behalf as surely and as its act and deed, any and all undertakings, bonds, recognizances 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 awn 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 23rd day of March , 2023 .
Liberty Mutual Insurance Company
P4 ►KsuR� P'11 MIS& a ►tss%?. The Ohio Casualty Insurance Company
tia raa`PO"kr 'tn �, °ry GP�eRPORTr yn West American Insurance Company
JQ
fi �e a °o �m
1912 �+ 0 1919 „ 2 1991 0
A �
p°9�cacua L Sp HAUPs'L V!rNnN*
s-4 *"A}d� By:
navirl M Carav AecieTana Sonrohne
State of PENNSYLVANIA
County of MONTGOMERY
0:3) On this 23rd day of March , 2023 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
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
therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
�o
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written.
a) �,►� P�sr
� ,pn w4l.. C Commormallh of PannsyNa+aa - Notary Beal
Teresa Pastels, Notary Public
�Q/�
Montgomery County
My commission expires March 28, 2025 By
v Commisslon nwbar h rh2611A4
SVV4 mflff6 ,Pann¢yNap Ai59mwS W}Nutar. Teresa Pastella, Notary Public
Airy l
4? 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, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV – OFFICERS: Section 12. Power of Attorney.
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
President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver 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
have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
0 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,
shall appoint such attorneys -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 attorneys -in -fact subject to the limitations set forth in their 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 seal 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 certified 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. �tl YN�y � � 023
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day o
P� ►NSu. �11 IN,gV+� � ►Nsui?
�J LdRpp2q YC y.1 apRPO'�4r �b VP �paPoggr 4,
a m m w
1912 0 1919do a 1991 0
"Pa�ya Ys�"°'nx��da By Renee C. L1ewe€lyn, Assistant Secretary
LMS -12873 LMIC OCIC WAIC Multi Cc 02/21
Lo
SECTION 1230
CERTIFICATION OF BIDDER'S E PERIEN E 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: _Phelan Road Intersection Improvements
Owner: San Bernardino County
Construction Cost: $ 2,056,154.00
Construction Time: 60 Calendar Days
Owner's Representative: Larry White
Owner's Telephone No.: (909) 387-7924
Date of Substantial Completion: January 2023
2. Project Name: Street Rehabilitation at Various Locations
Owner: City of Banning
Construction Cost: $848,796.00
Construction Time: 40 Calendar Days
Owner's Representative: Kevin Sin
Owner's Telephone No.: (951) 922-3140
Date of Substantial Completion: January 2023
Bidders Experience & Qualifications 1230-1
3. Project Name: 2021 Pavement Rehabilitation
owner: City of Palm Springs
Construction Cost: $5,7581200.00
Construction Time: 120 Calendar Days
Owner's Representative: Vonda Teed
Owner's Telephone No.: (760) 232-8253
Date of Substantial Completion: August 2022
4. Project Name: PMP 2021 Street Resurfacing Project
Owner: City of Redlands
Construction Cost: $ 9,235,780.00
Construction Time: 180 Calendar Days
Owner's Representative: Goutam Dobey
Owner's Telephone No.: (909) 798-7584
Date of Substantial Completion: July 2022
Signed this 6th day of July , 2023.
Matich Corporation
Name of Bidder
149783
Contractor's License No
Signature of Bidder
Robert M. Matich
Printed Name of Bidder
November 30, 2023
Expiration Date
President
Title of Signatory
1000004260
DIR Reg No.
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.
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Signature of Bidder RobertM Matich, President
Matich Corporation
Name of Bidder
poi eleeG
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Proposed Subcontractors 1240-1
SECTION 1250
NON -COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED
WITH BID
State of California
ss.
County of San Bernardino
Robert M. Matich , being first duly sworn, deposes and say that
he or she is President of Matich Corporation I the
party making the foregoing bid that the bid is not made in the interest of, or on
behalf of, any undisclosed person, partnership, company, association, organization,
or corporation; that the bid is genuine and not collusive or sham; that the bidder has
not directly or indirectly induced or solicited any other bidder to put in a false or
sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed
with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from
bidding; that the bidder has not in any manner, directly or indirectly sought by
contract, agreement, communication, or conference with anyone to fix the bid price
of the bidder or any other bidder, or to fix any overhead, profit, or cost element of
the bid price, or of that of any other bidder, or to secure any advantage against the
public body awarding the contract of anyone interested in the proposed contract;
that all statements contained in the bid are true; and, further, that the bidder has
not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or
the contents thereof, or divulged information or data relative thereto, or paid, and
will not pay, any fee to any corporation, partnership, company association,
organization, bid depository, or to any member or agent thereof to effectuate a
collusive or sham bid.
Signature
Robert M. Matich
Name of Bidder
President
Title
July 6, 2023
Date
Non -Collusion Affidavit 1250-1
CALIFORNIA ALL- PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity
of the individual who signed the document to which this certificate is attached,
and not the truthfulness, accuracy, or validity of that document.
State of CALIFORNIA
County of SAN BERNARDINO
On 7/05/2023 before me, G.M.Bernal Klees ies Nota Public
tH ere insert name ano litle or t e 0 Car]
personally appeared ROBERT M MATICH
who proved to me on the basis of satisfactory evidence to be the personX whose
nameo 0/are subscribed to the wi In instrument and acknowledged to me that
&/she/they executed the same in tji /her/their authorized capacity, and that by
(91 /her/their signatureA on the instrument the person, or the entity upon behalf of
which the persono 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.
G. M. BERNAL KLEESPIES
{o + COMM. #2356450
WITNESS my hand and official seal. 'Notary Public -California
SAN BERNARDINO COUNTY
COMM, 5g, MAY 4.2025
Notary Public signature (Notary Public Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
SECTION 1250 NON -COLLUSION
(Title or description of attached document)
AFFIDAVIT TO BE EXECUTED BY BIDDER
(Title or description of attached document continued)
Number of Pages Document Date
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
❑ Corporate Officer
(Title)
❑ Partner(s)
❑ Attorney -in -Fact
❑ Trustee(s)
❑ Other
www.NotaryClasses.com 800-873-9865
INSTRUCTIONS FOR COMPLETING THIS FORM
This form complies with current California statutes regarding notary wording and,
if needed, should be completed and attached to the document. Acknowledgments
from other states may be completed for documents being sent to that state so long
as the wording does not require the California notary to violate California notary
law.
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public)
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e
he/she/tire};- is /are ) or circling the correct forms Failure to correctly indicate this
information may lead to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form
• Signature of the notary public must match the signature on file with the office of
the county clerk.
Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document
Indicate title or type of attached document, number of pages and date.
3 Indicate the capacity claimed by the signer If the claimed capacity is a
corporate officer, indicate the title (i e. CEO, CFO, Secretary),
• Securely attach this document to the signed document with a staple.
SECTION 1260
DIK_P_ EWect Vendor Information
Vendor Information:
Name: Matich Corporation
Address: 1596 Harry Sheppard Blvd. City: San Bernardino ST: CA
Zip: 92408
Project Manager: Jacob O. Reade
Email: jreade@matichcorp.com
Phone: 909-382-7400 _ CSLB/Certification Number: 149783
Public Works Registration No.: 1000004260
Classification:
Asbestos Boilermaker Bricklayers Carpenter Carpet/Linoleum
Cement Masons V Drywall Finisher Drywall/Lathers Electricians
Elevator Mechanic Glaziers Iron Workers Laborers V Millwriahts
Operating Eng V Painters Pile Drivers Pipe Trades Plasterers
Roofer SheetMetal Sound/Com Surveyor Teamster V 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://www.dir.ca.goyIPublic-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://www.dir.ca.gov/Public-Works/Certified-Payroll-
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
Contractor Information
Legal Entity Name
MATICH CORPORATION
Legal Entity Type
Corporation
Status
Active
Registration Number
1000004260
Registration effective date
7/1/2022
Registration expiration date
6/30/2025
Mailing Address
P 0 BOX 10 HIGHLAND 92346 CA United States of America
Physical Address
1596 E HARRY SHEPPARD BLVD SAN BERNARDINO 92408 ...
Email Address
Trade Name/DBA
MATICH CORPORATION
License Number(s)
CSLB:149783
Legal Entity Information
Corporation Number:
Federal Employment Identification Number:
President Name:
Robert Matich
Vice President Name:
Treasurer Name:
Secretary Name:
CEO Name:
Agent of Service Name:
Robert Matich
Agent of Service Mailing Address:
1596 Harry Sheppard Blvd. San Bernardino 92408 CA United States of America
Workers Compensation
Do you lease employees No
through Professional
Employer Organization
(PEO)?:
Registration History
Effective Date Expiration Date
6/5/2018 6/30/2019
5/8/2017 6/30/2018
6/7/2016
6/30/2017
7/8/2015
6/30/2016
12/22/2014
6/30/2015
7/1/2019
6/30/2022
7/1/2022 6/30/2025
Please provide your
current workers
compensation insurance
information below:
PEO PEO PEO
PEO InformationName Phone Email
Insured by Carrier
Policy Holder Name:MATICH CO RPO RATION Insurance Carrier:
FEDERAL INSURANCE COMPANYPolicy Number:54303168Inception date:7/1/2021
Expiration Date:6/30/2022
SECTION
CUMPAJA
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
pursuant to Public Contract Code
on a case-by-case basis.
to prevent the City from exercising its rights
section 2203, subdivision (c) or (d), or both,
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)
Matich Corporation 95-1810911
By (A ria Si nature
z
Printed Name and Title of Person Signing Date Executed
Robert M. Matich, President July 6, 2023
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 Nam Fi cial Institution (Printed)
By (Authorized Signature)
Printed Name and Title of Person Signing
Federal ID Number (or n/a)
Date Executed
Iran Contracting Act Certification 1270-3
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.
17A