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Interstate Striping Inc
SECTION 1200 BID DATE: -1 -AL\ - Z O Z�O The undersigned, as bidder, declares it has received and examined the Contract Document entitled Project No. 2025-01, Citywide Striping Refresh, and will contract with the City, on the form of Contract provided herewith, to do everything required for the fulfillment of the contract for said work at the prices and on the terms and conditions herein contained. We have included the following items and agree that they shall form a part of this bid: SECTION TITLE 1200 Bid 1210 Bid Schedule 1220 Bid Guaranty Bond 1230 Certification of Bidder's Experience and Qualifications 1240 Proposed Subcontractors 1250 Non -Collusion Affidavit 1260 DIR Project Vendor Information 1270 Iran Contracting Act of 2010 1280 Russian Aggression Against Ukraine Sanctions We acknowledge that the following addenda have been received and have been examined as part of the Contract Documents. Bidders must be on the Plan Holders List with the City of La Quinta in order to receive addenda. Addendum # Date Received Initials —A, DC�Ck Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID GUARANTY. Name of Bidder (�O(� y(At n3 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. Having examined the bid documents, we certify that we have acquainted with the nature, geographical and exact location of the works; the general conditions of execution; the neighboring buildings and other constraints that might affect the construction methods; the obligation not to obstruct the traffic where requested, or the flow of any water; the physical conditions specific to the construction sites; the climatic conditions; local conditions; means of communication and transport; the possibility of supplying water, electricity and fuel; the availability of labor sufficient in number and quantity; all constraints and obligations resulting from social, tax and customs legislation; and all conditions and circumstances which might influence the execution or price of the works. We certify that we are satisfied with the description of the works and the Project Engineer's explanations and that we understand perfectly the works to be undertaken as specified and implied in the execution 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. Name of Bidder �3o,��triacd�c�o , C� gz�og Bidder's Address \ o$i \LkQ Contractor's License No. C� State of Incorporation Signature o Bidder �har� a rA cor--ka Printed Name of Signatory Ti4 of Signatory Bidder's Telephone Number 6\ e C*- ceka�ke - sr\- .cox Bidder's Email Address oa I as I 2 02$ Contractor's xpiration Date Witness V-�amw,s>A;Z�o-�0\(-- Title of Witness Bid 1200-2 SECTION 1210 BID SCHEDULE PROJECT NO. 2025-01 CITYWIDE STRIPING REFRESH 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. 2025-01, Citywide Striping Refresh, 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 — CITYWIDE STRIPING REFRESH — APPENDIX C Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $-,S�cxp ,CO $!:� (W.Cj3 2 Traffic Control 1 LS $\pl Refresh Pavement Striping and 3 Markings, Including All 1 LS $(Ape Incidentals Total Amount of Bid Items 1 — 3 $(p61 CW , City may award all or none of the following additive alternates: ADDITIVE ALTERNATE NO. 1 — APPENDIX D & E Item No. Item Description Est. Qty. Unit Unit Price (in figures) Dollars Item Total (in figures) Dollars 1 Mobilization 1 LS $ L�(=, M $%Aj(p,CjD 2 Traffic Control 1 LS $ .M $2,W,CZ 3 Proposed Signing and Striping, IncludingAll Incidentals 1 LS $ Ip (� �• $ Ip��,'e1 Total Amount of Bid Items 1 — 3 $`�o, ADDITIVE ALTERNATE NO. 2 Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Refresh Green Backgrounds 1 LS sLw • O $yap'uZ.C.0 Total Amount of Bid Items 1 —1 $ Hap ,oz> Bid Schedule 1210-2 ADDITIVE ALTERNATE NO. 3 Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Remove and Replace Raised 1 LS Pavement Markers Total Amount of Bid Items 1 —1 GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Figures): aD GRAND TOTAL BASE BID PLUS ALL ADDITIVE ALTERNATES (Words): W -\G 7-ern Q e r\�C--N 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) Name of Bidder (Printed or Typed) (� Oc ti—M Lk Q'803 Bidder Telephone Number Bidder Email Address Bid Schedule 1210-3 SCHEDULE OF VALUES A Schedule of Values is required of the two apparent low bidders and shall be submitted within 48 hours of bid opening. Bid is subject to rejection if the Schedule of Values is not submitted within 48 hours of bid opening. The items listed in the Schedule of Values are not intended to reflect all of the various work items required by the Plans and Specifications; rather, the City will use the prices in the Schedule of Values to calculate the value of additions, deductions, and changes in work during construction, including labor, tools, materials, equipment, and incidentals for each indicated item. All pricing blanks shall be filled in completely by the bidder. Listed prices shall represent the true price used in preparing the Bid Schedule. Prices listed herein shall include all tools, materials, installation, and appurtenant work as is necessary to have the item constructed completely and in place, meeting the full requirements and intent of the Plans and Specifications. Unbalanced prices shall be sufficient cause for rejection of the bid. UNIT PRICES ITEM NO. DESCRIPTION UNIT PRICES UNIT 1 • Detail 8 (6" White Skip) $ J . co LF 2. j Detail 11 (6" White Skip) $ ` 00 LF 3. Detail 21 (6" Double Yellow) $ 2co LF 4• Detail 24 (6" Yellow Edge Line) $ 2 Co LF 5. Detail 27 (6" Double Yellow Edge Line) $ 2co LF 6. Detail 27B (6" White Edge Line) $ , C5D LF 7. Detail 29 (6" Double Yellow Median) $ �cc LF 8. Detail 31 (6" Yellow Two -Way Left -turn) $ CO LF 9• Detail 35 (6" Yellow Intersection Line) $ 2 LF 10. Detail 37B (Lane Drop) $ 2 Cc LF 11. Detail 38A Channel) ( ) $ 1.Sa LF 12. Detail 39 (Bike Lane) $ t CX-D LF 13. Detail 39A (Bike Lane Drop) $ . CO LF 14. Detail 40 (White Intersection) $ 00 LF 15. Detail 41 (Yellow Intersection) $ ` ' Co LF Bid Schedule 1210-4 ITEM NO. DESCRIPTION UNIT PRICES UNIT 16. 12" WHITE $ 2-.,:SO LF 17. STOP $ ZC� , co EA 18. STOP AHEAD $ so . (z) EA 19. SIGNAL AHEAD $ 35 d � � EA 20• BIKE LANE $ to EA 21. BIKE LANE ARROW $ 00 EA 22- BIKE LANE SYMBOL WITH PERSON $ VS0 . EA 23• BICYCLE LOOP DETECTOR SYMBOL $ 100 w EA 24. GOLF CART LANE $ 2� © EA 25. PED XING $ `L.Sd CC) EA 26• KEEP CLEAR $ E 250. EA 27• YIELD $ to EA 28. TYPE III ARROW $ Lp 1�d EA 29• TYPE IV ARROW $ ISoCo EA EA 30. TYPE VI ARROW $ C� 260 • 31. TYPE VII ARROW $ ZOo EA 32. PAVEMENT MARKINGS REMOVAL WET BLASTING $ HOUR 33. CERAMIC NON -REFLECTIVE RAISED PAVEMENT MARKERS INSTALLATION C� EA 34. REFLECTIVE RAISED PAVEMENT MARKERS INSTALLATION $ EA 35. RAISED PAVEMENT MARKERS REMOVAL $ EA 36. GREEN BACKROUND $ S � SF Bid Schedule 1210-5 SECTION 1220 BID GUARANTY BOND PRINCIPAL, and Merchants National Indemnity 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. 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. 2025-01 CITYWIDE STRIPING REFRESH 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 July , 2026. Interstate Striping, Inc. Title of Signatory Signature of Principal Stephanie Acosta, President 895 S. Sunnyside Ave, San Bernardino, CA 92408 Address Merchants National Indemnity Company Title of Signatory 9 gnature of Surety Janelle L. Tuominen, attorney -in -fact P.O. Box 14498, Des Moines, IA 50306 Address Note: Signatures of those executing for the surety must be properly acknowledged. Bid Guaranty Bond 1220-1 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, Janelle L Tuominen; Susan C Monteon their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and April 27, 2024 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015 and amended on April 27, 2024. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 29th day of July 2024 �............. ��_.... 0MERCHANTS BODING 0IV4� �•,�AG.G�%�`• * MERCHANTS NANIONALCBONDING, (NC. (MUTUAL)IN �y.,�0i�P0R,q�, Z y �O�Op00yq�4y�: d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY :2:Z _o-44 `7 2003 y 1933 e: By STATE OF IOWA '•�( .•'••Z"t `1•• President COUNTY OF DALLAS ss. ��""""'�� • `• • • • On this 29th day of July 2024 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. - �--~-� �QRIA� s� Penni Miller z Commission Number 787952 • • My Commission Expires towA January 20, 2027 (Expiration of notary's commission does not invalidate this instrument) Notary Public I, Elisabeth Sandersfeld, 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 21st day of Juiy 2026 �P� 10 N4� • ., OtG GQ!1� •. •p y ; 'Oq•• , DµPOR' ;, �OOpPOq -o-2003 1933 Secretary :d .,� ............ diAte:• ••d•.. .• POA 0018 (6/24) ••���"'"'����' ••• • ``• •• CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Riverside On July 21, 2026 before me, Date Susan C. Monteon Insert Name of Notary exactly as it appears on the official seal personally appeared Janelle L. Tuominen Name(s) of Signer(s) SUSAN C. MONTEON p COMM. #2523541 Z Notary Public - Califomia z Z Riverside County o My Comm. Expires July 16, 2029 , Notary Public, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand and official seal. Signature tAA,a, C- t w� Place Notary Seal Above Signature of Notary Public Susan C. Monteon 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 the form to another document. Description of Attached Document Title or Type of Document: Document Date.- Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual Corporate Officer—Title(s): Partner ❑ Limited ❑ General Attorney in Fact Trustee Guardian or Conservator ❑ Other: Signer is Representing: Top of thumb here Number of Pages: Signer's Name. - Individual ❑ Corporate Officer—Title(s): ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of�zn %�(ZU►C �� O On 5y�� 22ZOZio before me, 004n—Wec Chau�ra, �o�Qc�, lac Date Here Insert Name and Title of the Officer personally appeared Fc,Q�\ ( 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. aMAUSTIN TYLER CHAMA Notary Public • California San Bernardino County Commission # 2522754 y Comm. Expires Jun 10, 2029 + Place Notary Seal and/or Stamp Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature - K . L gnoture of Notary Public Vr I IVIVML Completing this information can deter alteration of the document or fraudulent reattachment of this form to on unintended document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: ©2019 National Notary Association Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: SECTION 1230 CERTIFICATION OF BIDDER'S EXPERIENCE AND QUALIFICATIONS The undersigned Bidder certifies that he is, at the time of bidding, and shall be, throughout the period of the contract, licensed under the provisions of Chapter 9, Division 3, of the Business and Professions Code of the State of California, to do the type of work contemplated in the Contract Documents. Bidder shall further certify that it is skilled and regularly engaged in the general class and type of work called for in the Contract Documents. The Bidder represents that it is competent, knowledgeable, and has special skills on the nature, extent, and inherent conditions of the work to be performed. Bidder further acknowledges that there are certain peculiar and inherent conditions existent in the construction of the particular facilities, which may create, during the construction program, unusual or peculiar unsafe conditions hazardous to persons and property. Bidder expressly acknowledges that it is aware of such peculiar risks and that it has the skill and experience to foresee and to adopt protective measures to adequately and safely perform the construction work with respect to such hazards. The Bidder shall list below four (4) projects completed in the last seven (7) years of similar size and complexity that indicate the Bidder's experience as a General Contractor. 1. Project Name:CltyW\6t e- oO�emtr� CQkc \b S? cMKDm � Owner: 'l_ \\ _11 OV- Mo'Ce O O V WIi A Construction Cost: $ dl , 05a , Ll a5 . G&- Construction Time: '-6Q,--) Calendar Days Owner's Representative: Owner's Telephone No.: -7SLO— 7LDQ_D Date of Substantial Completion: 01 - 1A - ZOZy 2. Project Name: Cy OF cot\ahe t.,\ --,Jeo.c\y CorcKoday Owner: C N or, ,�:A, Construction Cost: $ CC — Construction Time: 3CaS Calendar Days Owner's Representative: ::ZcY\_ (\�� Owner's Telephone No.: --]t`L-l=� Date of Substantial Completion: 20Z�-ZOZCo 21 I22 i 0 Z�ZtO Bidders Experience & Qualifications 1230-1 3. Project Owner: Construction Cost: $ 'S� , ( � , [_7 LJ�P��IyA Construction Time: Gate w6v-Das Owner's Representative:5� �nArr��ln Owner's Telephone No.: Date of Substantial Completion: 4. Project Owner: Construction Cost: $ Construction Time: -S0 Calendar Days Owner's Representative: Owner's Telephone No.: qS\— Date of Substantial Completion: Signed this 2Ln4ay of 2026. 10l311LI0 lOOO'B(DlD0H Name of Bidder Contractor's License No. DIR Reg No. olO h6b )2-nZn� Signature of Midder Expiration bate Printed Name of Bidder Ti e 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. c Signature of Bid er Name of Bidder Proposed Subcontractors 1240-1 SECTION 1250 NON -COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED_ WITH BID State of California j ss. County of ) P+Cc��c' , beinq first duly sworn, deposes and say that he ok sh i of Q Fka) C GACYK\0, i W\ C , the pa maki g 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. X_ Signature V\(), 1 k)C\1C Name of Bidder L Tit __l 2ZCp Date Non -Collusion Affidavit 1250-1 SECTION 1260 DIR Project Vendor Information Vendor Information: Name:�C�S��'Q�� �rc����g►1�e Address-.'�ArJ P3 city Cro &,cr ST- CA Zip:(�'-`{(Db Project Manager: `5kCg�cnhe— LS:s _Email:-Sinb Phone:C�oc\-A-,L�Rt d3 CSLB/Certification Number: �0'(6---? 1 kA O Public Works Registration No.- \( MMtlp\oo*1 _ 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 Sunieyor Teamster Tile Worker Prevailing Wages and Payroll: The project is subject to prevailing wage rates and enforcement by the Department of Industrial Relations (DIR). Prevailing wage rates can be obtained at: http://www.dir.ca.gov/Public-Works/Prevailing-Wage.htmi. Contractors and subcontractors on most public Works projects are required to submit certified payroll records to the Labor Commissioner using DIR's electronic certified payroll reporting system. For your convenience, the link for reporting certified payroll is: http://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 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. V�d r Namgg/Fi anc. I Institution (Printed) Federal ID Number (or n/a) ICM G-ff1PI rigIn C �"? -321153� By (Authorized Si ure _ P i ted N me and Title of Person Signing Date Executed Iran Contracting Act Certification 1270-2 OPTION #2 — EXEMPTION Pursuant to Public Contract Code sections 2203(c) and (d), a public entity may permit a vendor/financial institution engaged in investment activities in Iran, on a case - by -case basis, to be eligible for, or to bid on, submit a proposal for, or enters into or renews, a contract for goods and services. If you have obtained an exemption from the certification requirement under the Iran Contracting Act, please fill out the information below, and attach documentation demonstrating the exemption approval. dor Name/Financial Institution (Printed) Federal ID By (Authorized Signature) Printed Nameg4d-Tr-of Person Signing Date 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. Russian Aggression Against Ukraine Compliance 1280-1