Universal Construction and EngineeringSECTION 1200
BID
DATE: February 28, 2024
The undersigned, as bidder, declares it has received and examined the Contract
Document entitled Project No. 2023-07 and CDBG Project No. 4.LQ.48-23, 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 Holders List
with the City of La Quinta in order to receive addenda.
Addendum # Date Received
February 27, 2024
Initials
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
Name of Bidder
(760) 200-3100
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 Enfield Ln, Ste. 210,
Palm Desert, CA 92211
Bidder's Address
1019619
Contractor's License No.
California
State of Incorporati
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
02/28/2026
Contractor's Expiration Date
Secretary
Title of Witness
Bid 1200-2
ADDENDUM 01 — 2/26/2024
SECTION 1210
BID SCHEDULE
PROJECT NO. 2023-07 AND CDBG PROJECT NO.4.LQ.48-23
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. 2023-07 and CDBG Project No.
4.LQ.48-23, 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
ADDENDUM 01 — 2/26/2024
BASE BID — Citvwide Miscellaneous ADA Improvements
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars
Dollars
1
Mobilization
1
LS
$ 10,000.00
$ 10,000.00
2
Traffic Control
1
LS
$ 17,000.00
$ 17,000.00
3
Dust Control
1
LS
$ 1,500.00
$ 1,500.00
4
Remove Existing Tree
1
EA
$ 1,000.00
$ 1,000.00
Sawcut, Remove, and Dispose of
5
Existing Cross -Gutter, Sidewalk,
3,500
SF
$ 6.20
$ 21,700.00
and Ram
6
Sawcut, Remove, and Dispose of
157
LF
$ 30.00
$ 4,710.00
Existing Curb & Gutter
7
Construct Curb and Gutter per City
35
LF
$ 94.00
$ 3,290.00
of La Quinta Std. No. 201
8
Construct Sidewalk per City of La
490
SF
$ 8.50
$ 4,165.00
Quinta Std. No. 240 Mod.
Construct Cross -Gutter per City of
9
La Quinta Std. No. 230 Mod. and
645
SF
$ 20.00
$ 12,900.00
231 Mod.
Construct Concrete Curb Ramp per
10
City of La Quinta Std. No. 250 Mod.
6
EA
$ 6,341.00
$ 38,046.00
per Plan, Case A
Construct Concrete Curb Ramp per
11
City of La Quinta Std. No. 250 Mod.
2
EA
$ 5,565.00
$ 11,130.00
per Plan, Case B
Full Depth Grind Asphalt Concrete
12
Pavement (Y), Compact Existing
1,330
SF
$ 10.50
$ 13,965.00
Base, and Variable Overlay 3"-4"
13
Modify Ex. Landscape, Hardscape,
1
LS
$ 2,000.00
$ 2,000.00
and Irri ation as Needed
14
Signing and Striping, Including All
1
LS
$3 300.00
$
Incidentals
3,300.00
Total Amount of Bid Items 1 —14
$144,706.00
Bid Schedule 121 G-2
ADDENDUM 01 — 2126/2024
City may award or none of the following additive alternates:
ADDITIVE ALTERNATE NO. 1 — SUMMER VIEW WAY & DESERT FALL RAMPS
Item
Item Description
Est.
Unit
Unit Price
Item Total
No.
Qty.
(in figures)
(in figures)
Dollars
Dollars
1
Mobilization
1
LS
$ 5,000.00
$ 5,000.00
2
Traffic Control
1
LS
$ 6,000.00
$ 6,000.00
3
Dust Control
1
LS
$ 500.00
$ 500.00
4
Sawcut, Remove, and Dispose of
760
SF
$
$
Existing Sidewalk and Ramp
5.60
4,256.00
5
Sawcut, Remove, and Dispose of
43
LF
$ 33.00
$ 1,419.00
Existing Curb & Gutter
6
Construct Sidewalk per City of La
110
SF
$ 15.00
$ 1,650.00
Quinta Std. No. 240 Mod.
Construct Concrete Curb Ramp per
7
City of La Quinta Std. No. 250 Mod.
2
EA
$ 6,808.00
$ 13,616.00
per Plan, Case A
Full Depth Grind Asphalt Concrete
8
Pavement (3"), Compact Existing
140
SF
$ 10.50
$ 1,470.00
Base, and Variable Overlay 3"-4"
9
Modify Ex. Landscape, Hardscape,
1
LS
$ 500.00
$ 500.00
and Irri ation as Needed
10
Signing and Striping, Including All
1
LS
$
$
Incidentals
600.00
600.00
Total Amount of Additive Alternate Bid Items 1 —10
$ 35,011.00
GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Figures):
$179,717.00
GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Words):
One hundred seventy-nine thousand seven hundred seventeen and no/100.
Bid Schedule 1210-3
ADDENDUM 0l — 2/26/2024
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 'll be based
upon actual work performed, subject to such adjustments alterations a elsewhere
provided herein. a
Signature of Bidder (Ink)
Universal Construction and Engineering dba Universal Construction Engineering
Name of Bidder (Printed or Typed)
(760) 200-3100
cathy@universalconstructioneng.com
Bidder Telephone Number
Bidder Email Address
Bid Schedule 1210-4
SECTION 1220
BID GUARANTY BOND
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. 2023-07 AND CDBG PROJECT NO. 4.LQ.48-23
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 7th day of
February , 2024.
Universal Construction and Engineering Merchants Bonding Company (Mutual)
dba Universal Construction Engineering
fP.,S ) DEh/T
Title of Signatory
Sig natur rincipal
Elizabeth Collodi, Attorney -In -Fact
Title of Signatory
Signat a of Surety
7 -7 7 25 EM,F(E L -V " . 1>7T:-2-10
,PA -L^ 1VE5,6y-i' %-7.2.44 P.O. Box 14498, Des Moines, IA 50306-3498
Address Address
Note: Signatures of those executing for the surety must be properly acknowledged.
Bid Guaranty Bond 1220-1
Notary 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 February 28 , 20 24 , before me, Jessica D Montes , Notary Public, personally
appeared Alfonso Montes who proved to me on the basis of satisfactory
Name(s) of Signer(s)
evidence to be the personN whose nameN is/em subscribed to the within instrument and acknowledged to
me that hemexecuted the same in his/NeAheir authorized capacity, and that by his/f'terftheir
signatureXon the instrument the personj), or the entity upon behalf of which the personN 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.
JESSICA D. MONTES
Notary Publicflide - umryCalifornia ■ WITNESS m hand and official seal.
Ri��nfde county s y
Commission k 2372633
9"Y Comm. EIOIIB Aug 11, 1025
Signature of Notary Public
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 and reattachment of this form to another document.
CITY CLAIMED BY SIGNER
❑ Individual
❑ Corporate
❑ Partner(s) ❑\ Limited
El
❑ Attorney -In -Fact
❑ Trustee(s)
❑ Guardian/Conservator
❑ Other:
Signer is representing:
Name Of Person(s) Or Entity(ies)
DESCRIPTION OF ATTACHED DOCUMENT
igner(s) Other Than Named Above
NOTE: This acknowledgment is to be completed for Contractor/Principal.
BB&K (2021) -23_ 00 41 43 — BID FORMS
26529.00000\41023838.1
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Butte )
On February 7, 2024 before me, Sara Walliser, Notary Public
(insert name and title of the officer)
personally appeared Elizabeth Collodi
who proved to me on the basis of satisfactory evidence to be the person(&} whose name(&) is/aye
subscribed to the within instrument and acknowledged to me that f►e/she/" executed the same in
146/her/theif authorized capacity(+es)-, and that by hi•s/her/thc* signature(s) on the instrument the
person(& or the entity upon behalf of which the person(6) 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 m hand and official seal. t �. -if SARAINAL.LISER
y COMM -#2449544
Q *� f. Y l NOTARY PI.,01-IC CAL1,ORNIA 0)
QUUNTY OF RIITTE
Comm. F.xpl:bI JUI 5. 2027 I
Signature (Seal) —j
MERCHANTS
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, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the
"Companies") do hereby make, constitute and appoint, individually,
Bill Rapp; Brad Espinosa; Breanna Boatright; Cassandra Medina; Deanna Quintero; Elizabeth Collodi; Jason March; Jennifer Lakmann; John
Hopkins; Kathleen Le; Matthew Foster; Mindy Whitehouse; Pamela Sey; Paula Senna; Phillip Watkins; Renee Ramsey; Samantha Watkins; Sara
Walliser; Sharon Smith; Steven Lee Williams; Tony Clark
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-Attomey 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 Attomeys-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
Attomey-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 1st day of February 2024
••P� 10 Nq ''.
�.•••'P0 '
?hgR Rq� > Z
:Q2 -o-
v . 2003
•. �OG . CO,�jA
�•00.•D�P0gq.9y
y• 1933 : y
••.�6'.r'' • • .. . • Ido .
MERCHANTS BONDING COMPANY (MUTUAL)
MERCHANTS NATIONAL BONDING, INC.
dlb/a MERCHANTS NATIONAL INDEMNITY COMPANY
By
President 779!!�_
STATE OF IOWA i7 ••. • ; • . •'
COUNTY OF DALLAS ss.
On this 1 st day of February 2024 , before me appeared Larry Taylor, to me personally known, who being by me duly swom
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.
`raU1 y Kim Lee
o& ^ Commissnn Number 762737
%ty CammISS10n Ezpres
w. April 14, 2024
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 7th day of February 2024
••.....••
••P�10N4 •• •.�p�NG Cglf-.
v 2003 : a 1933 ; c • Secretary
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POA 0018 (1/24) """ ��•�••
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.
Project Name: Citywide Miscellaneous ADA Improvements Project No. 2022-08
Owner: City of La Quinta
Construction Cost: $
186,553.80
Construction Time: 30 working days Calendar Days
Owner's Representative: Ubaldo Ayon
Owner's Telephone No.: (760) 777-7000
Date of Substantial Completion: July 2023
Washington St. at Ave. 50 and Calle Tampico Sidewalk
2. 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 Avon
Owner's Telephone No.: (760) 777-7000
Date of Substantial Completion:
December 2022
Bidders Experience & Qualifications 1230-1
3. Project Name: Citywide Miscellaneous ADA Improvements Project 2021-03
H
Owner: City of La Quinta
Construction Cost: $174,258.87
Construction Time: Base bid 20 working days
Owner's Representative: Ubaldo Ayon
Owner's Telephone No.: (760) 777-7000
Date of Substantial Completion: June 2022
Calendar Days
Project Name: Citywide Miscellaneous ADA Improvements 2020-02
Owner: City of La Quinta
Construction Cost: $ 113,923.77
Construction Time: 15 working days Calendar Days
Owner's Representative: Ubaldo Ayon
Owner's Telephone No.: (760) 777-7000
Date of Substantial Completion: March 2021
Signed this 28th day of February , 2024.
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.
02/28/0226
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 2.2% 776306/1000001476
Signature of Bidder
Alfonso Montes
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 , beimfirst � ul�y sworn, deposes and say that he
or she is President U ersal on truction and E gineering dba
Of I Iniver¢nt rnnstrLwAjnn Fnginekng 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 de ository, or to any member or agent thereof to effectuate
a collusive or shamtid.
Signature
Alfonso Montes
Name of Bidder
Presdient
Title
February 28, 2024
Date
Non -Collusion Affidavit 1250-1
Notary 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 February 28 , 20 24, before me, Jessica D Montes , Notary Public, personally
appeared Alfonso Montes who proved to me on the basis of satisfactory
Name(s) of Signer(s)
evidence to be the personN whose name() is/.ea subscribed to the within instrument and acknowledged to
me that he/sheMi" executed the same 1n his/hsrftheir authorized capacityi K), and that by his/herMieir
signatureN on the instrument the personN, or the entity upon behalf of which the personN 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.
JESSICA 0. MONTES
Notary Public - California WITNESS my hand and official seal.
Riverside County_
Commission t 2372633
My Comm. Exoires Aug 20. 2025
Signature of Notary Public
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 and reattachment of this form to another document.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
❑ Individual
❑ Cor-pQrate Officer
❑
Partner(s)Limited
❑ General
❑ Attorney -In -Fact \
❑ Trustee(s)
❑ Guardian/Conservator
❑ Other:
Signer is representing:
Name Of Person(s) Or Entity(ies)
Non- Collusion
Title or Type of Document
mber of Pages
February 28, 2024
Date of Document
NOTE: This acknowledgment is to be completed for Contractor/Principal.
BB&K (2021) -23- 00 4143 — BID FORMS
26529.00000\41023838.1
SECTION 1260
DIR Proiiect Vendor Information
Vendor Information:
Name: Universal Construction and Engineering dba Universal Construction Engineering
Address: 77725 Enfield Lane, Ste. 210 City: Palm Desert ST: CA
Zip: 92211
Project Manager: Alfonso Montes
Email: alfonso@universalconstructioneng.com
Phone: (760) 200-3100 CSLB/Certification Number:
Public Works Registration No.: 1000534892
Classification:
1019619
Asbestos Boilermaker Bricklayers Carpenter V Carpet/Linoleum
Cement Masons V Drywall Finisher Drywall/Lathers Electricians -
Elevator Mechanic Glaziers Iron Workers Laborers V Millwrights
Operating Eng V Painters Pile Drivers Pipe Trades Plasterers _
Roofer SheetMetal Sound/Com Surveyor Teamster Tile Worker
Prevailina Wanes 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.gov/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://www.dir.ca.gov/Public-Works/Certified-Payroll-Reporting.html.
A copy of certified payroll, including the names and addresses of employees
and/or subcontractors working on the job must be included with invoices
submitted to the City of La Quinta.
DIR Project Vendor Information 1260-1
SECTION
PO
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)
By (Authorized Signature)
N/A
Printed Name and Title of Person Signing Date Executed
Iran Contracting Ad Certification 1270-2
OPTION #2 — EXEMPTION
Pursuant to Public Contract Code sections 2203(c) and (d), a public entity may
permit a vendor/financial institution engaged in investment activities in Iran, on a case-
by-case basis, to be eligible for, or to bid on, submit a proposal for, or enters into or
renews, a contract for goods and services.
If you have obtained an exemption from the certification requirement under the
Iran Contracting Act, please fill out the information below, and attach documentation
demonstrating the exemption approval.
Vendor Name/Financial Institution (Printed) Federal ID Number (or n/a)
By (Authorized Signature)
N/A
Printed Name and Title of Person Signing Date Executed
Iran Contracting Act Certification 1270-3
SECTION 1280
COMPLIANCE WITH CALIFORNIA EXECUTIVE ORDER N-6-22
RUSSIAN AGGRESSION AGAINST UKRAINE
(a) Contractor shall comply with California Governor Executive Order N-6-22
regarding sanctions in response to Russian aggression in the Country of Ukraine,
and any implementing guidelines and/or economic sanctions imposed by the
United States government in response to Russian actions in Ukraine, as well as
any sanctions imposed under California law (collectively "economic
sanctions"). Contractor shall comply with all such economic sanctions. By
submitting a bid to the City, Contractor agrees to take any and all actions to
support the Ukrainian government and people as required by law, including by
refraining from new investments in, and financial transactions with, Russian
institutions or companies that are headquartered or have their principal place of
business in Russia (Russian entities), not transferring technology to Russia or
Russian entities, and directly providing support to the government and people
of Ukraine.
(b) If bidding on a contract for Five Million Dollars ($5,000,000) or more, Contractor
shall submit a written report to the City on Contractor's compliance with the
economic sanctions, and the steps Contractor has taken in response to Russia's
actions in Ukraine, including, but not limited to, desisting from making new
investments in, or engaging in financial transactions with, Russian entities, not
transferring technology to Russia or Russian entities, and directly providing
support to the government and people of Ukraine as required by law. Failure to
submit the report required by this Section may deem Contractor's bid non-
responsive.
Please include a written report to the City if this section is aggl,ir,
Russian Aggression Against Ukraine Sanctions Certification 1280-1
EXHIBIT B-4
Required Bid Form
CERTIFICATION OF BIDDER
REGARDING NONSEGREGATED FACILITIES
Citywide Miscellaneous ADA Improvements
Project Name: Project No. 2023-07
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 subcontract 10,000.
Signature: '
Name (Print): Alfonso Montes
Title: President
Date: February 28, 2024
CDBG Required Bid Forms 1290-1
EXHIBIT B-7
Required Bid Form
BIDDER CERTIFICATION ON
FEDERAL CONTRACT REQUIREMENTS
Citywide Miscellaneous ADA Improvements
Project Name: Project No. 2023-07 Bid/Solicitation #:
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:
The subject project is being financed with Community Development Block Grant funds
(24 CFR Part 570); and
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 10/2023); and
3. This project is subject to all applicable laws and regulations as listed in the General
Summary of these Special Federal Provisions; and
4. If my bid is $200,000 or more, this project and all related contracts will be subject to
Section 3 requirements (12 U.S.C.1701 u); and
5. If the project is $250,000 or more, this project and all related contracts will be subject
to comply with the requirements of the Build America, Buy America (BABA) Act (41
USC 8301).
Universal Construction and Engineering dba
CONTRACTOR'S NAME: Universal Construction Engineering
CONTRACTOR'S LICENSE NO.: 1019619
ADDRESS: 77725 Enfield Ln, Ste. 210, Palm Desert, CA 92211
AUTHORIZED REPRESENT Montes (Print Name)
SIGNATURE:
DATE: February 28, 2024
CDBG Required Bid Forms 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 dba Universal Construction Engineering , since 09/30/2019(Date).
Present business address is: 77725 Enfield Ln, Ste. 210, Palm Desert, CA 92211
Federal Tax ID: 84-3727219 Amount of Bid
California Contractor's License No.: 1019619 Expiration Date: 02/28/2026
UEI Number: CXLUSMQ95H95 or CAGE Code: 8BE65
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 the applicable box
concerning the ownership of your business:
❑ American Indian or Native Alaskan
❑ Asian or Pacific Islander/Native Hawaiian
❑ Black/African American
4 Hispanic
❑ White
❑ Hasidic Jews
❑ Other
A woman -owned enterprise is defined by the Federal Government as a business that is
fifty-one percent (51 %) 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 over 75 percent of the labor
hours performed for the business over the prior three-month period are performed by
Section 3 workers. Please check the applicable box concerning the ownership of your
business:
❑ Section 3 Business concern 9' 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 Forms 1290-3
EXHIBIT B-9
Required Bid Form
LIST OF SUBCONTRACTORS
SUBCONTRACTOR FED. I.D.# AMOUNT ADDRESS/PHONE NO.
Superior Pavement
Markings 20-4518251 $3,900.00 P.O. Box 389, Beaumont, CA
NAME OF SUPPLIER
Desert Redi-Mix
SUPPLIERS
ADDRESS/PHONE NO
83-801 Avenue 45, Indio, CA
(760) 398-7717
51) 845-2799
CONTRACT AMOUNT
$25,000.00
81-760 Oleander Ave., Indio, CA
White Cap (,760)202-3623 $5,000.00
This form is to be completed and submitted with the bid package.
CDBG Required Bid Forms 1290-4