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HomeMy WebLinkAboutTri-Star Contracting II, IncSECTION 1200 BID DATE: 7/23/2026 The undersigned, as bidder, declares it has received and examined the Contract Document entitled Project No. 2024-06, Citywide Miscellaneous Concrete 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 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 Attached is a bid guaranty bond as required by Paragraph 1110-15.0, BID GUARANTY. Tri-Star Contracting II, Inc. Name of Bidder 760-251-5454 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. Tri-Star Contracting II, Inc. 760-251-5454 Name of Bidder Bidder's Telephone Number 15501 Little Morongo Road Desert Hot Springs, CA 92240 jwillis@tri-star.info Bidder's Address Bidder's Email Address 909195 1 /31 /2028 Contractor's License No. Contractor's Expiration Date CA State of Ibcorpor4lbons, Signaturef Bidder Witnes aniel Willis Jordan Willis Rodriguez Printed Name of Signatory CFO Title of Signatory Secretary Title of Witness Bid 1200-2 SECTION 1210 BID SCHEDULE PROJECT NO. 2024-06 CITYWIDE MISCELLANEOUS CONCRETE 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. 2024-06, Citywide Miscellaneous Concrete 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. 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 MISCELLANEOUS CONCRETE IMPROVEMENTS Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars 1 Mobilization 1 LS $ 9,545.00 $ 9,545.00 2 Traffic Control 1 LS $ 35,910.00 $ 35,910.00 3 Dust Control 1 LS $ 28,475.00 $ 28,475.00 Sawcut, Remove, and Dispose 4 of Existing Concrete Curb & 120 LF $92.30 $ 11,076.00 Gutter; and/or Rolled Curb Sawcut, Remove, and Dispose 5 of Existing Concrete Sidewalk, 840 SF $11.80 $ 9,912.00 Ramp, Driveway, and Cross - Gutter Construct Curb and Gutter per 6 City of La Quinta Std. No. 201, 50 LF $220.76 $11,038.00 3" Dowel into Adjacent Existing Concrete Curb Construct Type `C' Curb per 7 City of La Quinta Std. No. 203, 40 LF $208.85 $8,354.00 3" Dowel into Adjacent Existing Concrete Curb Construct Curb Transition per 8 City of La Quinta Std. No. 205, 10 LF $ 228.69 $ 2,286.90 3 Dowel into Adjacent Existing Concrete Curb 9 Construct Driveway per City of 220 SF $50.12 $11,026.40 La Quinta Std. No. 221 Mod. Construct Portion of Cross- 10 Gutter per City of La Quinta 30 SF $ 79.45 $ 2,383.50 Std. No. 230 Mod. and 231 Mod. 11 Construct Sidewalk per City of 380 SF $ 31.13 $11,829.40 La Quinta Std. No. 240 Mod. Construct Concrete Curb Ramp 12 per City of La Quinta Std. No. 1 EA $4,176.90 $4,176.00 250 Mod., Case B (Including Curb and Gutter Along Ram Construct Concrete Curb Ramp 13 per City of La Quinta Std. No. 1 EA $ 4,176.90 $ 4,176.90 250 Mod., Case E (Including Curb and Gutter Along Ram Bid Schedule 1210-2 Item Item Description Est. Unit Unit Price Item Total No. Qty. (in figures) (in figures) Dollars Dollars Sawcut, Remove, and Dispose of Existing Concrete Ramp; 14 Furnish and Install Truncated 40 SF $ 192.50 $ 7,700.00 Dome Concrete Tile per City of La Quinta Std. 250 Mod. Full Depth Grind Asphalt Concrete Pavement (4"), 15 Compact Existing Base, and 570 SF $ 79.27 $45,183.90 Variable Overlay (4" — 5"). 2'x1- 1/2" Header Cut incidental. Grade Parkway, Remove, Modify, and Replace 16 Hardscape, Landscape and 1 LS $ 29,457.00 $ 29,457.00 Irrigation in Kind to Furthest Extent Possible. 6" Under - sidewalk Drain incidental. Striping and Pavement 17 Markings, Including All 1 LS $18,900.00 $ 18,900.00 Incidentals Total Amount of Bid Items 1 —17 $251,430.90 Bid Schedule 1210-3 GRAND TOTAL BASE BID (Figures): $ 251,430.90 GRAND TOTAL BASE BID (Words): Two Hundred Fifty One Thousand Four Hundred Thirty Dollars and Ninety Cents 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 al rations as elsewhere provided herein. Stnature of Bidder (Ink) Tri-Star Contracting II, Inc. Name of Bidder (Printed or Typed) 760-251-5454 Bidder Telephone Number jwillis@tri-star.info Bidder Email Address Bid Schedule 1210-4 SECTION 1220 BID GUARANTY BOND PRINCIPAL, and Tri-Star Contracting II, Inc. , 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. 2024-06 CITYWIDE MISCELLANEOUS CONCRETE 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 23rd day of July , 2026. Tri-Star Contracting II, Inc. Harco National Insurance Company Cho Douglas J. Rothey, Attorney -in -fact Title of Signatory .44 Signatu6_ef"Surdty 15501 Little Morongo Rd., Desert Hot Springs, CA 92240 4200 Six Forks Rd., Ste 1400, Raleigh, NC 27609 Address Address Note: Signatures of those executing for the surety must be properly ackn€iwled f ` Bid Guaranty Bond 17-1 State of Colorado ) ) ss. County of Arapahoe ) On July 23, 2026, before me, a Notary Public in and for said County and State, residing therein, duly commissioned and sworn, personally appeared Douglas J. Rothey. known to me to be Attorney -in -Fact of Harco National Insurance Company the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed the said instrument on behalf of the said corporation, and he duly acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my officia(seal, the day an�Ye state in this certificate above. i / L`✓) 12 .. // 7 / My Commission Expires: December 4, 2028 KIMBERLY DIANE MCALEXANDER NOTARY PUBLIC - STATE OF COLORADO NOTARY ID 20244044404 MY COMMISSION EXPIRES DEC 4, 2028 \��Utr llj STATE OF NEW JERSEY STATE OF ILLINOIS Cp c S0IL t. F, County of Essex County of Cook 4 SEAL �' � F 1904 �a O °yd�iy JETS a� Michael F. Zurcher Executive Vice President, Harco National Insurance Company and International Fidelity Insurance Company POWER OF ATTORNEY Bond # HARCO NATIONAL INSURANCE COMPANY INTERNATIONAL FIDELITY INSURANCE COMPANY Member companies of IAT Insurance Group, Headquartered: 4200 Six Forks Rd, Suite 1400, Raleigh, NC 27609 KNOW ALL MEN BY THESE PRESENTS: That HARCO NATIONAL INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Illinois, and INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under the laws of the State of New Jersey, and having their principal offices located respectively in the cities of Rolling Meadows, Illinois and Newark, New Jersey, do hereby constitute and appoint DOUGLAS J. ROTHEY, WES BUTORAC, ZACH ROTHEY, KARISA HENINGER, KIMBERLY MCALEXANDER, KIM PAYTON, ERIK ULIBARRI Denver, CO their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By -Laws of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December, 2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December, 2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint, and to revoke the appointments of, Attorneys -in -Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation may appoint and revoke the appointments of joint -control custodians, agents for acceptance of process, and Attorneys -in -fact with authority to execute waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed." IN WITNESS WHEREOF, HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31 st day of December, 2025 O� Go,9Ln pDa-0� :� = z' SEAL c = o': 1984 ? 3 = On this 31st day of December, 2025 , before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. NY IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark, New Jersey the day and year first above written. �OTAl�Y N�% 'O(JBL\G•��� �oF NEW J� Cathy Cruz a Notary Public of New Jersey My Commission Expires April 16, 2029 CERTIFICATION I, the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By -Laws of said Companies as set forth in said Power of Attorney, wlh the originals on file in the home office of said companies, and that the same are correct transcripts thereof, and of the whole of the said originals' anct that the. said Pt)wer of Attorney has not been revoked and is now in full force and effect. ;� •1 I IN TESTIMONY WHERE', I have herg4nta set my hand on this day, July 23, 2026 A00911 1 „ C�'— Irene Martins, Assistant Secretary TRISCON-02 DNIELSEN ACORO CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) s/26/2zs/2o2s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0757776 HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite 201 CONTACT Diane Nielsen PH/ONNo, Ext): (760 360-4700 4742 FAX 760 200-9706 ) (A/C, No):( ) ADDRESS: diane.nielsen@hubinternational.com Palm Desert, CA 92211 INSURERS AFFORDING COVERAGE NAIC # INSURER A: United Specialty Insurance Company 12537 INSURED INSURER B : Republic -Vanguard Insurance Company 40479 Tri-Star Contracting 11, Inc. Telar, Inc. 15-501 Little Morongo Road INSURER C : Benchmark Insurance Company 41394 INSURER D : Travelers Property Casualty Company of America 25674 INSURER E: Starstone Specialty Insurance Company 44776 Desert Hot Springs, CA 92240 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR R TYPE OF INSURANCE ADDL N SUER D POLICY NUMBER POLICY EFF M DD POLICY EXP M /DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR ATN261013086 6/26/2026 6/26/2027 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEDrence PREMISES Ea occur $ 50,000 GEN'L MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY PEA LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 $ B AUTOMOBILE X X 1X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY No Deductible RVA1078785-00 11/23/2025 11/23/2026 COMBINEDSINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Per person)$ BODILY INJURYOPPer accident $ PROPERTYDAMAGE Per accident $ A X UMBRELLA LAB EXCESS LIAB X OCCUR CLAIMS -MADE BTN26104171 6/26/2026 6/26/2027 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED RETENTION $ Over GL & WC On $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROP RIETOR/PlEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 99 WC-00005143-00 10/1/2025 10/1/2026 X STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ D E Leased/Rented Pollution 6606072C693 T87499252AEM 1/11/2026 10/27/2025 1/11/2027 10/27/2026 Leased/Rented Limit 500,000 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Project No. 2024-06, Citywide Miscellaneous Concrete Improvements CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of La Quinta tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico La Quinta, CA 92253 AUTHORIZED ,�{RREEPP;RES EN TATI V E ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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: Indian Ave Road Repairs Owner: City of Desert Hot Springs Construction Cost: $ $4,994536.00 Construction Time: 180 Owner's Representative: Danny Porras Owner's Telephone No.: 760-341-6411 Date of Substantial Completion: 5/28/2024 2. Project Name: Kalura Patio Improvements Owner: City of Palm Springs Construction Cost: $ $417,655.00 Construction Time: 99 Owner's Representative: Owner's Telephone No.: Alberto Gradilla 760-323-8253 Ex 8718 Date of Substantial Completion: 9/24/2025 Calendar Days Calendar Days Bidders Experience & Qualifications 1230-1 3. Project Name: Fred Waring Storm Drain Crossing Owner: City of Palm Desert Construction Cost: $ $205,910.00 Construction Time: 25 Calendar Days Owner's Representative: Randy Chavez Owner's Telephone No.: 760.776.6462 Date of Substantial Completion: 7/18/2025 4. Project Name: Circle K -Cathedral City Owner: Circle K, Inc. Construction Cost: $ $155,966.00 Construction Time: 87 Calendar Days Owner's Representative: Amy Marchiando Owner's Telephone No.: 949-723-2245 Date of Substantial Completion: 4/8/2026 Signed this 23rd day of July 2026. Tri-Star Name of 909195 er Contractor's License No SignaturAof Bidder Jordan Willis Rodriguez Printed Name of Bidder 1 /31 /2028 Expiration Date CFO Title of Signatory 1000004952 DIR Reg No. Bidders Experience & Qualifications 1230-2 SECTION 1240 PROPOSED SUBCONTRACTORS Pursuant to California Public Contracting Code, Section 4100 et. seq., the following list gives the name, business address, and portion of work (description of work to be done) for each subcontractor that will be used in the work if the bidder is awarded the Contract. (Additional supporting data may be attached to this page. Each page shall be sequentially numbered and headed "Proposed Subcontractors" and shall be signed.) The Contractor shall perform, with its own organization, Contract work amounting to at least 50 percent of the Contract Price except that any designated "Specialty Items" may be performed by subcontract and the amount of any such "Specialty Items" so performed will be deducted from the Contract Price before computing the amount required to be performed by the Contractor with its own organization. "Specialty Items" will be identified by the Agency in the Bid or in the Special Provisions. Where an entire item is subcontracted, the value of work subcontracted will be based on the Contract Unit Price. Subcontractor/Business Address/Description of Work/% of Work/License No./DIR Reg No. Chrisp Company/2280 South Lilac Ave Bloomington, CA 92316/Striping 4%/374600/1000000306 Signature ofl3idder Jordan Willis Rodriguez Tri-Star Contracting II, Inc. 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 ) Jordan Willis Rodriguez being first duly sworn, deposes and say that he or she is CFO of Tri-Star Contracting II, 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, o paid, and will not pay, any fee to any corporation, partnership, company associatio organizatiQ�bid depository, or to any member or agent thereof to effectuate a collusive r sham bi�1. Signature Tri-Star Contracting II, Inc. Name of Bidder CFO Title July 23, 2026 Date Non -Collusion Affidavit 1250-1 SECTION 1260 DIR Project Vendor Information Vendor Information: Name: Tri-Star Contracting II, Inc. Address: 15501 Little Morongo Road cityDesert Hot SpringsST: CA Zip: 92240 Project Manager: Daniel Willis Phone: 760-251-5454 Email: dwillis@tri-star.info CSLB/Certification Number: 909195 Public Works Registration No.: 1000004952 Classification: Asbestos Boilermaker Bricklayers Carpenter Carpet/Linoleum Cement Masons X Drywall Finisher Drywall/Lathers Electricians Elevator Mechanic Glaziers Iron Workers Laborers X Millwrights Operating Eng X Painters Pile Drivers Pipe Trades Plasterers Roofer SheetMetal Sound/Com Surveyor Teamster X 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.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.htm1. 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 • 11 ' ► 1 ■ ► • ► ► ► • 1 1 Pursuant to the Iran Contracting Act of 2010 (Pub. Contract Code, § 2200 et seq.), (a) Contractor shall be ineligible to bid on or submit a proposal for any contract for One Million Dollars ($1,000,000) or more if Contractor engages in investment activities in Iran as defined in Public Contract Code Section 2202.5, and/or if Contractor is identified on the list of persons engaging in investment activities in Iran prepared by the State of California pursuant to Public Contract Code Section 2203 subdivision (b). (b) For bids of One Million Dollars ($1,000,000) or more, Contractor must certify that it is not on the list of ineligible vendors prohibited from doing business with the State of California and shall complete the Iran Contracting Act Certification and submit with their proposal at the time of bid. Contractor shall obtain the Iran Contracting Act Certification in the form approved by the State of California, or upon written request to the City Clerk's Office, a copy of the form will be provided to Contractor. Failure by Contractor to provide the certification required by this Section may deem Contractor's bid non -responsive. (c) Nothing in this Section is intended to prevent the City from exercising its rights pursuant to Public Contract Code section 2203, subdivision (c) or (d), or both, on a case -by -case basis. Iran Contracting Act Certification 1270-1 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 DIGS. I certify (or declare) under penalty of perjury under the laws of the State of California that the fpregoing is true and correct. Vendor NfVelFinancial Institution (Printed) Tri-Star ntracting c. By (AuthoVed Sign tune) 'rinted NarAe and Title of Person Signing Jordan Wills Rodriguez/CFO Federal ID Number (or n/a) 20-8168300 Date Executed July 23, 2026 Iran Contracting Act Certification 1270-2 OPTION #2 — EXEMPTION Pursuant to Public Contract Code sections 2203(c) and (d), a public entity may permit a vendor/financial institution engaged in investment activities in Iran, on a case - by -case basis, to be eligible for, or to bid on, submit a proposal for, or enters into or renews, a contract for goods and services. If you have obtained an exemption from the certification requirement under the Iran Contracting Act, please fill out the information below, and attach documentation demonstrating the exemption approval. Vendor Name/Financial Institution (Printed) By (Authorized Signature) Federal ID Number (or n/a) Printed Name and Title of Person Signing I Date Executed Iran Contracting Act Certification 1270-3 SECTION 1280 COMPLIANCE WITH CALIFORNIA EXECUTIVE ORDER N-6-22 RUSSIAN AGGRESSION AGAINST UKRAINE (a) Contractor shall comply with California Governor Executive Order N-6-22 regarding sanctions in response to Russian aggression in the Country of Ukraine, and any implementing guidelines and/or economic sanctions imposed by the United States government in response to Russian actions in Ukraine, as well as any sanctions imposed under California law (collectively "economic sanctions"). Contractor shall comply with all such economic sanctions. By submitting a bid to the City, Contractor agrees to take any and all actions to support the Ukrainian government and people as required by law, including by refraining from new investments in, and financial transactions with, Russian institutions or companies that are headquartered or have their principal place of business in Russia (Russian entities), not transferring technology to Russia or Russian entities, and directly providing support to the government and people of Ukraine. (b) If bidding on a contract for Five Million Dollars ($5,000,000) or more, Contractor shall submit a written report to the City on Contractor's compliance with the economic sanctions, and the steps Contractor has taken in response to Russia's actions in Ukraine, including, but not limited to, desisting from making new investments in, or engaging in financial transactions with, Russian entities, not transferring technology to Russia or Russian entities, and directly providing support to the government and people of Ukraine as required by law. Failure to submit the report required by this Section may deem Contractor's bid non -responsive. Please include a written report to the City if this section is applicable. Russian Aggression Against Ukraine Compliance 1280-1