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Metrocell Construction, Inc.SECTION 1200 BID DATE: o * Ig © 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 examined as part of the Contract Documents. Bidders with the City of La Quinta in order to receive addenda. Addendum # l Date Received ,;1 19- -7 / �O been received and have been must be on the Plan Holders List Initials ?/3 Bid 1200-1 Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID GUARANTY. Metrocell Construction, inc 951-999-1626 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. Metrocell Construction, Inc. Name of Bidder 1166 Mildred Street Bidder's Address 829469 Contractor's License No. Calif�or �� Stag of I SianAre of Bidder James Culwell Printed Name of Signatory President Title of Signatory 951-999-1626 Bidder's Telephone Number bids@metrocell.org Bidder's Email Address 05/31/2024 Contractor's Expiration Date Brett Bunger Witness Civil Operations Manager Title of Witness Bid 1200-2 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 BASE BID — Citvwide Miscellaneous ADA Improvements Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Mobilization Dollars Dollars 1 1 LS $ '7Z IS_(95 $ 72 95.05 2 Traffic Control 1 LS $ it 503, lo'. $ 1 g 53, (VR $ (Z-74_.?3 3 Dust Control 1 LS $ 4 Remove Existing Tree 1 EA $ 4q e)q.7Lf $ 445y.1(p Sawcut, Remove, and Dispose of 5 Existing Cross -Gutter, Sidewalk, 3,500 SF $ (n . V5 $ �51 Vo. 3 and Ram Sawcut, Remove, and Dispose of 157 $ 110. $ oq'OH-tvi 6 LF Existing Curb & Gutter 7 Construct Curb and Gutter per City 35 LF $$ I$`'1 S5 U 4 S 1.3 of La Quinta Std. No. 201 8 Construct Sidewalk per City of La 490 SF $ 31,5'y $ (SI1155.2- Quinta Std. No. 240 Mod. Construct Cross -Gutter per City of 9 La Quinta Std. No. 230 Mod. and 645 SF 231 Mod. Construct Concrete Curb Ramp per lD 6, q 10 City of La Quinta Std. No. 250 Mod. $ $( J'S.LJO $ per Plan, Case A Construct Concrete Curb Ramp per U `� A � 11 City of La Quinta Std. No. 250 Mod. -42& EA $ I $ per Plan, Case B 12 Full Depth Grind Asphalt Concrete Pavement (3"), Compact Existing 1,330 SF $ 33. $ Base, and Variable Overlay 3"-4" 13 Modify Ex. Landscape, Hardscape, 1 LS $ C-��g� $ and Irrigation as Needed ,0 14 Signing and Striping, Including All 1 LS $ �j G Incidentals I I Total Amount of Bid Items 1 — 14 $ Bid Schedule 1210-2 City may award or none of the following additive alternates: ADDITIVE ALTERNATE NO. 1 - SUMMER VIEW WAY & DESERT FALL RAMPS Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ U!� . $ 2 Traffic Control 1 LS $ 40(051( $ LiOla5 3 Dust Control 1 LS $ 31'a• 1$ $ 318.143 4 Sawcut, Remove, and Dispose of 760 SF $ Existing Sidewalk and Ram 5 Sawcut, Remove, and Dispose of 43 LF $$ ��� �� -15 yd(•�J ExistingCurb & Gutter 6 Construct Sidewalk per City of La 110 SF $ 5T. 25 $ C4 Z1 `j .QD Quinta Std. No. 240 Mod. 7 Construct Concrete Curb Ramp per City of La Quinta Std. No. 250 Mod. 2, �.�- , '3F- $ 19450.5x' $ IZ1��• per Plan, Case A 8 Full Depth Grind Asphalt Concrete Pavement (3"), Compact Existing 140 SF $ 38,�q� $ Sgw-H Base, and Variable Overlay 3"-4" 9 Modify Ex. Landscape, Hardscape, 1 LS $ $ .31P and Irrigation as Needed 10 Signing and Striping, Including All 1 LS $ v"�0�[.i3 $p� Incidentals Total Amount of Additive Alternate Bid Items 1 - 10 $ GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Figures): $ 3a-C)Iaco�)-`7 GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Words): TVI t'" In ),1V4rn4 A vi pI -� fi—ypl-N M i o P ` h0L�G r1d -h #-I .'eo (Mk Bid Schedule 1210-3 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 an ities prio to submitting a bid. Final payment will be based upon actual work pe orm , sub' ct to suc adjustments and alterations as elsewhere provided herein. n / James Culwell 562-881-9070 bids@metrocell.org Signature of Bidder (Ink) Name of Bidder (Printed or Typed) Bidder Telephone Number Bidder Email Address Bid Schedule 1210-4 TOKIOMARINE kIt \ HCC BID BOND KNOW ALL PERSONS BY THESE PRESENTS: Surety Group 801 S Figueroa Street, Suite 700 Los Angeles, CA 90017 USA Tel: 310-649-0990 Bond Number: 11-757-088 That we, Metrocell Construction Inc. 1166 Mildred Street Ontario CA 91761 (hereinafter called Principal), as Principal, and American Contractors Indemnity Company , a corporation organized and existing under the laws of California (hereinafter called Surety) as Surety, are held and firmly bound unto the City of La Quinta 78-495 Calle Tampico La Quinta CA 92253 (hereinafter called Obligee) as Obligee, in the penal sum of ten percent ( 10 %) of amount bid not to exceed Ten Percent of the Amount Bid In Dollars ( 10% ) for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, That, whereas the Principal has submitted or is about to submit a proposal to the Obligee on a contract for Prosect No. 2023-07 and CDBG Project No. 41Q.48-23 Citywide Miscellaneous ADA Improvements 78-495 Calle Tampico La Quinta CA 92253 NOW, THEREFORE, if the said contract be awarded to the Principal and the Principal shall, within such time as may be specified, enter into the contract in writing, then this obligation shall be void. If the Principal shall fail to do so, then the undersigned shall pay the obligee the damages which the obligee may suffer by reason of such failure up to and not exceeding the penal sum of the bond. Signed and sealed this 281h day of February , 2024 Principal: II o ns ructiori, Inc. By: Surety: American Contras or Indemnity Company By: A// / L Blake A. Pfister, Attorney -In -Fact Any claims under this bond may be addressed to the Surety at the following address: American Contractors Insurance Company 801 South Figueroa Street, Suite 700 Los Angeles CA 90017 Attention: Claims Department Tel: (310) 649-0990 E-mail: suretyclaimsinguiryptmhcc.com HCCSZZA_BIDBOND 7/2017 Page 1 of 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 l County of Orange )r On February 26, 2024 before me, L. Nahina Pfister, Notary Public Date Here Insert Name and Title of the Officer personally appeared Blake A. Pfister Nome(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. L. NAHINA PFISTER Notary Public - California e H Orange County Commission # 2479518 My Comm. Expires Jan. 13, 2028 Place Notary Sea/ 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. OPTIO re j Signature 44194 Public 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: Bid Bond 11-757-088 Document Date: February 28, 2024 Signer(s) Other Than Named Above: N /A, None Capacity(ies) Claimed by Signer(s) Signer's Name: Blake A. Pfister ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual N Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: American Contractors Indemnitv ComDanv 02019 National Notary Association Number of Pages: 1 Signer's Name: ----- ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: T_OKIO MARL N E HCC POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, a Maryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the "Companies"), do by these presents make, constitute and appoint: Blake A. Pfister of Mission Viejo, California its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed ******Five Million**'*** Dollars ( ***5 000.000.00*** ). This Power of Attorney shall expire without further action on April 2V, 2026. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of Directors of the Companies: Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attomey-in-Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 1811 day of April 2022. AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING OMPANY UNITED STATES_SURETY „1J�S .$PECIAL�Y,lA1SURANCE COMPANY v- 1: w - c State of California =,; '*� � ,h • E + � _ County of Los Angeles y ?,:.. tr s BY "-•','FOF... *" "" " Daniel P. Aguilar, Vice President 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 On this 18th day of April 2022, before me, Sonia O. Carrejo, a notary public, personally appeared Daniel P. Aguilar, Vice President of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person 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. SONIA 0. CARRE3O WITNESS my hand and official seal. ShAyCwm. NotaryPublic-Ui3wnutris Angeles CowryCwnmissm Expires Apr 23, 7026 Signature(seal) I, Kio Lo, Assistant Secretary American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Los Angeles, California this 28th day of February 12024 ....... v .. ....... .. �5 5URF c .• ..Y s s a�.. Corporate Seals 11 —757-088 =�°' w,� y° `°�: �P, r� ='o o Bond No. 'u eaawonsrtu i k, v c u savr ss, roro 7 !,' V 1.._ y� ... ...........:� sr .. y. '-�o ,• r2s S Kio Lo, Assi Serratsry Agency No. 3074 "le.o't�yo' *.. HCCSMANP0.402P..023 visit tmhcc.com/surety for more information 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 February 27, 2024 before me, Lisa Serrano, Notary Public (insert name and title of the officer) personally appeared James Culwell who proved to me on the basis of satisfactory evidence to be the person(6) whose name(s) is/8f-- subscribed s/emssubscribed to the within instrument and acknowledged to me that executed the same in his/, -:-r— *. authorized capacity(!. —es), and that by his/!-,c—� signaturefs) on the instrument the person(s), or the entity upon behalf of which the person(e) 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 / X A \` — J (Seal) tr r,F LISA YOLANDA SERRANO Notary Public - California : San Bernardino County Commission # 2332885 `� o•"'�� My Comm. Expires Sep -1, 2p24 SECTION 1230 CERTIFICATION OF BIDDER'S EXPERIENCE AND QUALIFICATIONS The undersigned Bidder certifies that he is, at the time of bidding, and shall be, throughout the period of the contract, licensed under the provisions of Chapter 9, Division 3, of the Business and Professions Code of the State of California, to do the type of work contemplated in the Contract Documents. Bidder shall further certify that it is skilled and regularly engaged in the general class and type of work called for in the Contract Documents. The Bidder represents that it is competent, knowledgeable, and has special skills on the nature, extent, and inherent conditions of the work to be performed. Bidder further acknowledges that there are certain peculiar and inherent conditions existent in the construction of the particular facilities, which may create, during the construction program, unusual or peculiar unsafe conditions hazardous to persons and property. Bidder expressly acknowledges that it is aware of such peculiar risks and that it has the skill and experience to foresee and to adopt protective measures to adequately and safely perform the construction work with respect to such hazards. The Bidder shall list below four (4) projects completed in the last seven (7) years of similar size and complexity that indicate the Bidder's experience as a General Contractor. 1. 2. Project Name: Owner: M12d10 C1 Construction Cost: $ 6100.4 000 Construction Time: hn,c,)VAn Calendar Days Owner's Representative: l -m4lio y Flora Owner's Telephone No.: 2 - g!5 -VS Date of Substantial Completion: ZOZZ Project Name: MC Owner: a4 Construction Cost: $ 1 1 �� 141 00 Construction Time: I IrYI 0►il + S Calendar Days Owner's Representative: Owner's Telephone No.: q yCI-Z7y ,5 Date of Substantial Completion: tit120 3 _ Bidders Experience & Qualifications 1230-1 3. 4. Project Name: Iii K Owner: LA Z, � CS Construction Cost: $_z t 40{P 10 00 T Construction Time: 6 M 0yi *,S Calendar Days Owner's Representative: Owner's Telephone No.: V1 q KYe cin n Date of Substantial Completion: I 2022 - Project Name: bj M Owner: �k, R SCS Construction Cost: $ 0 Construction Time: 2 1'Y► 0✓1'1S Calendar Days Owner's Representative: Kenny 6eLkVI J a 1< Owner's Telephone No.: 3 i O� 4I -001'0 Date of Substantial Completion: 11 120-Z,3 Signed this 26th day of February , 2024. Metrocell Construction Inc James Culwell Printed Name of Bidder 829469 Contractor's License No. 05/31/2024 1000046269 DIR Reg No. 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. nOR6 James Culwell 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 James Culwell , being first duly sworn, deposes and say that he or she is President of Metrocell Construction Inc , the party making the foregoing bid that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly sought by contract, agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company associ , organization, bid depository, or to any member or agent thereof to effectuate a colgisivelor s46bid. James Culwell Name of Bidder President Title February 26, 2024 Date Non -Collusion Affidavit 1250-1 SECTION 1260 DIR Proiect Vendor Information Vendor Information: Name: Metrocell Construction Inc Address: 1166 Mildred Street Zip: 91761 City: Ontario ST: Ca Project Manager: Brett Bunger Email: bids@metrocell.org Phone: 951-999-1626 CSLB/Certification Number: 829469 Public Works Registration No.: 1000046269 Classification: Asbestos Boilermaker Bricklayers Carpenter Carpet/Linoleum Cement Masons +✓ Drywall Finisher Drywall/Lathers Electricians _ Elevator Mechanic Glaziers Iron Workers ,/ Laborers Millwrights Operating Eng Painters Pile Drivers Pipe Trades Plasterers Roofer SheetMetal Sound/Com Surveyor Prevailing Wages and Payroll: Teamster Tile Worker The project is subject to prevailing wage rates and enforcement by the Department of Industrial Relations (DIR). Prevailing wage rates can be obtained at: hftp://www.dir.ca.gov/Public-Works/Prevailin-g-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 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. Russian Aggression Against Ukraine Sanctions Certification 1280-1 EXHIBIT B-4 Required Bid Form CERTIFICATION OF BIDDER REGARDING NONSEGREGATED FACILITIES Project Name: Citywide Misc ADA Improvements Name of Bidder: Metrocell Construction Inc 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 ""contracts exceeding $10,000. Signature: Name (Print): James Culwell Title: President Date: February 26, 2024 CDBG Required Bid Forms 1290-1 BIDDER CERTIFICATION ON FEDERAL CONTRACT REQUIREMENTS Project Name: Citywide Misc ADA Improvements EXHIBIT B-7 Required Bid Form Bid/Solicitation #: 4.LQ.48-23 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); 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). CONTRACTOR'S NAME: Metrocell Construction Inc CONTRACTOR'S LICENSE NO.: 8129469 ADDRESS: 1166 Mildred Street, Ontario, Ca 91761 AUTHORIZED REP?t�"Tly:J�i s Culwell (Print Name) SIGNATURE: DATE: February 26, 024 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 Metrocell Construction Inc. since 03/2004 (Date). Present business address is:1166 Mildred Street, Ontario, Ca 91761 Federal Tax ID: 20-0966699 California Contractor's License No.: 829469 Amount of Bid Expiration Date: 05/31/2024 UEI Number: TZA4WTKNRQX7 or CAGE Code: 6CZB9 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 XII 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 ❑ 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 ❑ 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 SUBCONTRACTOR X10 (1 EXHIBIT B-9 Required Bid Form LIST OF SUBCONTRACTORS FED. I.D.# AMOUNT ADDRESS/PHONE NO. SUPPLIERS NAME OF SUPPLIER ADDRESS/PHONE NO. CONTRACT AMOUNT This form is to be completed and submitted with the bid package. CDBG Required Bid Forms 1290-4