Bid - Insituform - 2016-03-01 . , 4� t
COSTA MESA SANITARY DISTRICT
ORANGE COUNTY,CALIFORNIA
BID PROPOSAL FORM
INDUS SEWER AND MANHOLE REHABILITATION
Project No.310
Name of Bidder: INSITUFORM TECHNOLOGIES, LLC.
17988 Edison Avenue Chesterfield, MO 63005
Address:
Phone No: 636/530-8000
TO THE BOARD OF DIRECTORS
COSTA MESA SANITARY DISTRICT:
Pursuant to and in compliance with the Notice Inviting Sealed Proposals (Bids) and the other documents
relating thereto, the undersigned bidder has carefully examined and is completely familiar with the plans,
specifications, and contract documents including the local conditions affecting the performance of the
contract,the character, quality, quantities,and scope of the work, and the materials to be furnished as to the
r requirements of the specifications and the contract.
•
If awarded the contract, the undersigned bidder hereby proposes and agrees to perform within the time
stipulated in the contract,including all of its component parts and everything required to be performed,and to
furnish any and all of the labor,material,tools, equipment,transportation,services,permits,utilities,and all
other items necessary to perform the contract and complete in a workmanlike manner,all of the work required
in connection with the construction of said work all in strict conformity with the plans and specifications and
other contract documents,including addenda Nos.:one(1) and_, on file in the District office for
the prices hereinafter set forth.
The undersigned as bidder, declares that the only persons or parties interested in this proposal as principals
are those named herein; that this proposal is made without collusion with any person, firm, or corporation;
and he proposes and agrees,if the proposal is accepted,that he will execute a contract with the District in the
form set forth in the contract documents and that he will accept in full payment thereof the following prices,
to wit:
CMSD Project No.310 Bid Proposal Form— 1 of 10
(IPPI
CMSD SEWER PROJECT NO.310
SCHEDULE OF WORK ITEMS
INDUS SEWER AND MANHOLE REHABILITATION
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
Bonds,Insurance,and Permits: Work under this item includes L
1 Lump Sum any costs incurred for securing bonds, insurance permits and Sum $ lr*ID .00
financing for construction work.
Mobilization, Demobilization and Cleanup: Work under this
item shall include preparatory and cleanup operations
including,but not limited to,those necessary for the movement
2 Lump Sum of personnel,equipment,materials,and incidentals to and from Lump $ ��
the project site, securing a temporary construction yard, and Sum
maintaining the project site in a safe and orderly manner
during construction.
Rehabilitate the 10-inch gravity sewer from MH 105944 to
A rox MH 105959 by lining the pipe per plans and specifications. Lim
3 132 LF Work under this item shall include furnishing all labor, Sum $ 7� '"/.00
material, and work necessary for the installation of the new
liner in the existing pipe located in this reach.
Rehabilitate the 10-inch gravity sewer from MH 105959 to
MH 105964 by lining the pipe per plans and specifications.
Approx
4 76 LF Work under this item shall include furnishing all labor, Lump $ q igg e0
material, and work necessary for the installation of the new Sum
liner in the existing pipe located in this reach.
Rehabilitate the 10-inch gravity sewer from MH 105964 to
Approx MH 105981 by lining the pipe per plans and specifications.
5 151 LF Work under this item shall include furnishing all labor, Lump
i)
$ $ 321.o
material,and work necessary for the installation of the new
liner in the existing pipe located in this reach.
Rehabilitate the 10-inch gravity sewer from MH 105981 to
Approx MEI 105995 by lining the pipe per plans and specifications.
• m
6 111 LF Work under this item shall include famishing all labor, LuSum $ &I17.00
material,and work necessary for the installation of the new
liner in the existing pipe located in this reach.
Rehabilitate the 10-inch gravity sewer from MH 105995 to
Approx MH 106027A by lining the pipe per plans and specifications.
7
82 LF Lump
Work under this item shall include furnishing all labor, Sum $ K .0 b
material,and work necessary for the installation of the new
liner in the existing pipe located in this reach.
CMSD Project No. 310 Bid Proposal Form—2 of 10
CMSD SEWER PROJECT NO.310
SCHEDULE OF WORK ITEMS
INDUS SEWER AND MANHOLE REHABILITATION
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
Rehabilitate the 10-inch gravity sewer from MH 106027A to
Approx MI-1 106027 by lining the pipe per plans and specifications.
8 262 LF Work under this item shall include furnishing all labor, Sum $ .00
material, and work necessary for the installation of the new
liner in the existing pipe located in this reach.
Rehabilitate the 10-inch gravity sewer from MB 106027 to
Approx MH 106052 by lining the pipe per plans and specifications.
9 182 LF Work under this item shall include furnishing all labor, Sump $ l\ 802.40
material,and work necessary for the installation of the new
liner in the existing pipe located in this reach.
Rehabilitate the 10-inch gravity sewer from MH 106052 to
Approx MH 106067 by lining the pipe per plans and specifications.
10 195 LF Work under this item shall include furnishing all labor, Lump $t2 5 o$.00
material,and work necessary for the installation of the new Sum
liner in the existing pipe located in this reach.
Rehabilitate the 10-inch gravity sewer from MH 106067 to
Approx MH 106068 by lining the pipe per plans and specifications.
11 106 LF Work under this item shall include furnishing all labor, um p $ (o�/II.00
material,and work necessary for the installation of the new
liner in the existing pipe located in this reach.
ts
Lump Sum Rehabilitate MH 105944 as shown on the plan. L
ump 12 (6.5'Deep) Work under these items shall include furnishing all labor,
Sum $ 6, 286.00
2$0.00
material,and work necessary for rehabilitating manhole.
Rehabilitate MH 105959 as shown on the plan.
Lump
13 Lump Sum Work under these items shall include furnishing all labor, Sum $ oQ4.e0
(6.3'Deep) material,and work necessary for rehabilitating manhole.
CMSD Project No.310 Bid Proposal Form—3 of 10
CMSD SEWER PROJECT NO.310
SCHEDULE OF WORK ITEMS
INDUS SEWER AND MANHOLE REHABILITATION
BID APPROX. UNIT TOTAL
ITEM QUANTITY DESCRIPTION PRICE AMOUNT
Rehabilitate MH 105964 as shown on the plan.
Lump Sum Lump
14 p Work under these items shall include furnishing all labor, Sum $4/84m5'00
(7.1'Deep) material,and work necessary for rehabilitating manhole.
Rehabilitate MH 105981 as shown on the plan. _p
15 Lump Sum Work under these items shall include furnishing all labor, Sum $ t1, 00,od
(11.8'Deep) material,and work necessary for rehabilitating manhole.
I .
Rehabilitate MH 105995 as shown on the plan.
L Lip
16p Sum
Work under these items shall include furnishing all labor, Sum $ t 2`16.®
(13.7' Deep) material,and work necessary for rehabilitating manhole.
Rehabilitate MH 106027A as shown on the plan.
Lump
17 Lump Sum Work under these items shall include furnishing all labor, Sum $ Li 11 O.OD
(14.6' Deep) material,and work necessary for rehabilitating manhole.
Rehabilitate MH 106027 as shown on the plan.
Lump
18 Lump Sum Work under these items shall include furnishing all labor, Sum $ 1� H00.00
(14.9' Deep) material,and work necessary for rehabilitating manhole.
Rehabilitate MH 106052 as shown on the plan.
19 Lump Sum Work under these items shall include furnishing all labor, L_Smnp $ t3 c3a.ea
(14.0' Deep) material,and work necessary for rehabilitating manhole.
•
Rehabilitate MH 106067 as shown on the plan. m +10,2Q).ct>
20 Lump Sum Work under these items shall include furnishing all labor, LuSum^�
(10.6' Deep) material,and work necessary for rehabilitating manhole.
CMSD Project No. 310 Bid Proposal Form—4 of 10
CMSD SEWER PROJECT NO.310
SCHEDULE OF WORK ITEMS
INDUS SEWER AND MANHOLE REHABILITATION
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
Rehabilitate MH 106068 as shown on the plan.
21 Lip Sum Work under these items shall include furnishing all labor, Sump $ t o�( P.00
(11.0' Deep) material,and work necessary for rehabilitating manhole.
Landscape Restoration
22 Lump Sum Contractor to replace in kind to equal or better condition all Lump $ t C ,a0
backyard vegetation or improvements damaged during
construction.
TOTAL AMOUNT OF
ITEMS 1 THROUGH 22 $ 21g► Y5$ W
(TOTAL IN WORDS)
Two t{v1-10ip.Fv �A../ ,4,r�j Fo t-1-c���� ii POI ,E►�°M-1 5
t�6
�,-'O Zt=E c�►�rf 5
Bidders Initials W.-11
Note: In case of a discrepancy between the words and figures,the words shall prevail.
The Contractor agrees that the District will not be held responsible if any of the approximate quantities shown
in the foregoing proposal shall be found incorrect,and he shall not make any claim for damages or for loss of
profits because of a difference between the quantities of the various classes of work as estimated and the
work actually done. If any error,omission or mis-statements shall be discovered in the estimated quantities,
it shall not invalidate this contract or release the Contractor from the execution and completion of the
whole or part of the work herein specified, in accordance with the specifications and the plans herein
mentioned and the prices herein agreed upon and fixed therefor, or excuse him from any of the obligations
or liabilities hereunder, or entitle him to any damages or compensation otherwise than as provided for in
this contract.
The Contractor agrees that the District shall have the right to increase or decrease the quantity of any bid
item or portion of the work or to omit portions of the work as may be deemed necessary or expedient, and
that the payment for incidental items of work, not separately provided in the proposal shall be considered
included in the price bid for other various items of work.
Accompanying this proposal is a bidders bond in an amount equal to 10% of the total bid price
($ )-
CMSD Project No.310 Bid Proposal Form-5 of 10
NOTICE: Insert the words "Cash", "Certified Check", or"Bidder's Bond",as the case may be in an amount
equal to at least 10%of the total bid price,payable to the Costa Mesa Sanitary District.
The undersigned deposits the above named security as a proposal guaranty and agrees that it shall be
forfeited to the Costa Mesa Sanitary District as liquidated damages in case this proposal is accepted by the
District and the undersigned shall fail to execute a contract for doing said work and to furnish good and
sufficient bonds in the form set forth in the specifications and contract documents of the District with surety
satisfactory to the District within 10 Days after the bidder has received written notice of the award of the
contract; otherwise, said security shall be returned to the undersigned.
Respectfully submitted,
INSITUFORM TECHNOLOGIES, LLC.
Contractor's Business Name Contractor Title
17988 Edison Avenue
Business Address: Street By: Title
Chesterfield, MO 63005 758411 A 31 July 2016
City State Zip Contractor's License,Expiration
Date&Classification
636/530-8000
Business Phone Number
Ursula J. Youngblood, Contracting &Attesting Officer
Name Title
see above
Residence Phone Number
see above
Bidder's Residence: Street
City State Zip
I declare under penalty of perjury under the laws of the State of California that the forgoing is true and
correct.
Dated at St. Louis County MO ,this 1st day of March 2016 .
Signed)
i1� •I J.o oo
ol.
The full names and residences of all persons and parties interested in the foregoing proposal,as principals,are
as follows:
NOTICE: Give first and last names in full; in case of corporation, give names of President, Secretary,
Treasurer and Manager,and affix corporate seal; in all cases of partnerships and joint ventures give names of
all the individual members.
CMSD Project No. 310 Bid Proposal Form—6 of 10
I /situ m Shielding the World's 17988 Edison Avenue
Technologies; LLC Infrastructure Chesterfield,MO 63005 Tel: (636)530-8000
www.aegion.com Fax: (636)898-5078
INSITUFORM TECHNOLOGIES,LLC*
OFFICERS
As OF JANUARY 2016
OFFICERS
David F.Morris
President, Chief Administrative Officer and Secretary Phone: (636)530-8607
17988 Edison Avenue
Chesterfield,MO 63005
David A.Martin
Executive Vice President and Chief Financial Officer Phone: (636)530-8607
17988 Edison Avenue
Chesterfield,MO 63005
Kenneth L.Young
Senior Vice President and Treasurer
17988 Edison Avenue Phone: (636)530-8607
Chesterfield,MO 63005
Daniel P. Schoenekase
Vice President, General Counsel and Assistant Secretary
17988 Edison Avenue Phone: (636)530-8607
Chesterfield,MO 63005
Business Address for Officers:
17988 Edison Avenue
Chesterfield,MO 63005
*A wholly owned subsidiary
of Aegion Corporation
INSITUFORM TECHNOLOGIES,LLC
Assistant Secretary's Certificate
The undersigned,being the Assistant Secretary of Insituform Technologies,LLC, a Delaware
limited liability company(the"Company"),hereby certifies that:
1. The following is a true and correct excerpt from the Limited Liability Company Agreement
of the Company:
Appointment by the President. The president of the Company may from time to time
appoint officers of the Company's operating divisions,and such contracting and
attesting officers of the Company as the President may deem proper,who shall have
such authority,subject to the control of the Board of Managers,as the President may
from time to time prescribe.
2. The President of the Company has,pursuant to the above authority, duly appointed Debra
Jasper,Jana Lause,Ursula Youngblood,Diane Partridge,Laura M.Andreski and Whittney
Schulte as Contracting and Attesting Officers of the Company. Each of the foregoing have
been fully authorized and empowered by the President of the Company(i)to certify and to
attest the signature of any officer of the Company,(ii)to enter into and to bind the Company
to perform pipeline rehabilitation activities of the Company and all matters related thereto,
including the maintenance of one or more offices and facilities of the Company,(iii)to
execute and to deliver documents on behalf of the Company,and(iv)to take such other
action as is or may be necessary and appropriate to carry out the project, activities and work
of the Company.
IN WITNESS WHEREOF,I have hereunto affixed my name as Assistant Secretary this 23rd day
of October,2015.
INSITUFORM TECHNOLOGIES,LLC
By
Daniel P. Schoenekase
Assistant Secretary
•
State OlCaiifofnia
'r. I `'.Z ,CONTRACTORS STATE LICENSE BOARD I.
ACTIVE LICENSE
rrr
helm timber 758411 emw LLC `...
a =a INSITUFORM TECHNOLOGIES LLC
CiaSHb4lbLNit A c .
eanrren oat.
07/31/2018 www.cslb.ca.gov T. "
•
David F. Morris President, Chief Administrative Officer and Secretary
David A. Martin Executive Vice President and Chief Financial Officer
Kenneth L.Young Senior Vice President and Treasurer
Daniel P. Schoenekase Vice President, General Counsel and Assistant Secretary
CONSTRUCTION PROJECT REFERENCES
In order to more fully evaluate your background and experience for the project herein proposed,it is
requested that you submit a list of Public Works and/or similar construction projects completed, or in
progress,within the last 24 months. Your cooperation in this matter is greatly appreciated.
DATE PROJECT AGENCY'S CONTRACT
AWARDED AWARDING AGENCY ADMINISI'RATOR
3 1 f S MoW,EGTO SAaN-cwu1 AISre4c-r 6 . lgos)9b -112. 0
cJS/IY C6n.I•Ft111 d> __L,.vtre--.2 9 tc,iQ1ti s440� rYoaaN (1 4-71-3gt,a
(P '14 it S 404 J c ee ay j S,y.r vc i.(2t,�,^. tc)1 T�l-i7'rt 4 (goo
.14- 74?/
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Lljoff)•
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CMSD Project No.310 Bid Proposal Form—7 of 10
PROJECT ADDENDA
Bidder shall signify receipt of all Addenda here,if any:
ADDENDUM NO. DATE RECEIVED BIDDER'S SIGNATURE
OnU l) 4115I1ta 1 Lst.t.itt-,..4.6pLujcifooct:
DESIGNATION OF SUBCONTRACTORS
In compliance with the "Subletting and Subcontracting Fair Practices Act" being Sections 4100-4113 of
the Government Code of the State of California, and any amendments thereto, each bidder shall set forth
below the name and location of the place of business of each Subcontractor who will perform work or labor
or render service to the prime Contractor in or about the construction of the work or improvement in an
amount in excess of 1/2 of 1%of the prime Contractor's total bid and shall further set forth the portion of
the work which will be done by each such Subcontractor. Only one Subcontractor for each such
portion shall be listed.
If the Contractor fails to specify a Subcontractor for any portion of the work to be performed under the
contract,he shall be deemed to have agreed to perform such work himself,and he shall not be permitted
to subcontract that portion of the work except under the conditions hereinafter set forth.
Subletting or subcontracting of any portion of the work to which no Subcontractor was designated in the
original bid,shall only be permitted in cases of public emergency or necessity, and then only after a finding
reduced to writing as a public record of the Legislative Body of the owner.
Portion State License
Of Work Subcontractor's Name and Address Number Class
A{/MA N6tN6.f.R.misc15-9 �bS
MA�+1ocU gz a. M 4ti ,w�taNi�a dsr•
Aad art ' "Ak yn, 0, 414013
T — — 5D ,` s.
mt c�37y a—
Oft tnr,2,. CA 10005'
CMSD Project No.310 Bid Proposal Form—8 of 10
1
10%BIDDER'S BOND TO ACCOMPANY PROPOSAL
(Required if the bidder desires to submit bond instead of a certified or cashier's check).
KNOW ALL PEOPLE BY THESE PRESENTS:
That we, Insituform Technologies,LLC as principals, and
Travelers Casualty and Surety Company of America as surety, are held and firmly bound unto the Costa
Mesa Sanitary District,a special district,organized under the laws of the State of California and situated in
Orange County in the sum of Ten Percent of the Amount Bid
($ 10%of the Amount Bid ) to be paid to the District,its successors and assigns, for which payment well
and truly to be made,we bind ourselves,our heirs,executors,and administrators,successors or assigns,joint
and severally firmly by these presents. Project: Indus Sewer and Manhole Rehabilitation,Project No.310
THE CONDITION OF THIS OBLIGATION IS SUCH,
That if the certain proposal of the above bounden
Insituform Technologies,LLC , is accepted by the Costa Mesa
Sanitary District, and if the above bounden, Insituform Technologies,LLC his
heirs,executors,administrators, successors and assigns, shall duly enter into and execute a contract for
such construction, and shall execute and deliver the LABOR AND MATERIAL and the FAITHFUL
PERFORMANCE BONDS described within 10 days(not including Sunday)from the date of the mailing
of a notice of the above bounden,lnsituform Technologies,LLC,by and from District,that said contract is ready
for execution, then this obligation shall become null and void;otherwise it shall be and remain in full force
and virtue.
IN WITNESS WHEREOF:
We hereunto set our hands and seals this 1st day
of March ,2016,
Principal: Insituform Technologies,LLC
17988 Edison Avenue,Chesterfield,MO 63005
YSbt ILL 1. oKP)q L P&ri,
Urs Young. .•: •ontr oti g Attesting Officer
Surety: Travelers Casualty and Surety Company of America
One TowerS•uare .- .6183
Buchho:llEr.ne -in-Fact
CMSD Project No.310 Bid Proposal Form—9 of 10
CALIFORNIA ALL—PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
Missouri
State of G&W-mitt
0
County of St.Louis
On March 1,2016 before me, Jessica Avery,Notary Public
(Here insert name and title of the officer)
personally appeared Barbara Buchhold,Attorney-in-Fact
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.
JESSICA AVERY
Notary Public-Notary Seal
WITNESS my hand and official seal. STATE OF MISSOURI
St.Louis County
L''''--Jessica
My Commission Expires: Feb.24,2019
(No; Commission# 15633529
Signature otary Public Jessica Av Notary Public {
• •
ADDITIONAL OPTIONAL INFORMATION
INSTRUCTIONS FOR COMPLETING THIS FORM E
Any acknowledgment completed in California must contain verbiage exactly as '
DESCRIPTION OF THE ATTACHED DOCUMENT appears above ire the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
10%Bidder's Bond To Accompany Proposal - document is to be recorded outside of California.In such instances,any alternative
(Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California(i.e. certi&ing the authorized capacity of the signer). Please check the
(Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required.
•
Number of Pages • State and County information must be the State and County where the document
1 Document Date 3/01/16
signer(s)personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s)personally appeared which
Travelers Casualty and Surety Company of America must also be the same date the acknowledgment is completed.
(Additional information) • The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title(notary public).
• Print the name(s)of document signer(s)who personally appear at the time of
notarization.
CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e.
❑ Individual(s) he/she/they..is/are)or circling the correct forms.Failure to correctly indicate this
information may lead to rejection of document recording.
❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines.If seal impression smudges,re-seal if a
(Title) sufficient area permits,otherwise complete a different acknowledgment form.
❑ Partner(s) • Signature of the notary public must match the signature on file with the office of
the county clerk.
at Attorney-in-Fact ' Additional information is not required but could help to ensure this
O Trustee(s) acknowledgment is not misused or attached to a different document.
0 Other Indicate title or type of attached document,number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer,indicate the title(i.e.CEO,CFO,Secretary).
• Securely attach this document to the signed document
2008 Version CAPA v12.10.07 800-873-9865 wvw.NotaryClasses.com
I
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
Missouri
State of G »g
County of St.Louis
On 1 March 2016 before me, Debra K.Jasper, Notary Public
(Here insert name and title of the officer
personally appeared Ursula J.Youngblood,Contracting&Attesting Officer
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 l she/t ey executed the same inAtieher/timix
authorized capacity(ies),and that by>his/her/tkaxxignature(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.
DEBRA K.JASPER
Notary Public-Notary Seal
WITNESS my hand and official seal. STATE OF MISSOURI
/�� �� J / St.Charles County
My CommissssionnExpires: Nov. 17,2018
Signature o otary ublic ((NotaicCia )ussion# 14969544
ADDITIONAL OPTIONAL INFORMATION
INSTRUCTIONS FOR COMPLETING THIS FORM
DESCRIPTION OF THE ATTACHED DOCUMENT Any aclvrowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a '
107. Bid k 3 Bona XO Au,*Mtr7ami pmpos11.i document is to be recorded outside of California.In such instances,any alternative
(Title or description of attached doe ent) acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California(i.e.certifying the authorized capacity of the signer).Please check the
(Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required.
Number of Pages 1 Document Date 3/1/2016 • State and County information must be the State and County where the document
signer(s)personally appeared before the notary public for acknowledgment.
Insituform Technologies,LLC • Date of notarization must be the date that the signer(s)personally appeared
(Additional information) which must also be the same date the acknowledgment is completed
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title(notary public).
• Print the name(s)of document signer(s)who personally appear at the time of
CAPACITY CLAIMED BY THE SIGNER notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms(i.e.
Individual(s) he/sheithe5;is/are)or circling the correct forms.Failure to correctly indicate
this information may lead to rejection of document recording.
x Corporate Officer • me notary seal impression must be clear and photographically reproducible.
Contracting and Attesting Officer Impression must not cover text or lines.If seal impression smudges,re-seal if a
sufficient area permits,otherwise complete a different acknowledgment form.
(Title) • Signature of the notary public must match the signature on file with the office of
Partner(s) the county clerk.
Attorney-in-Fact ?Additional information is not required but could help to ensure this
Trustee(s) acknowledgment is not misused or attached to a different document
e1 Indicate title or type of attached document,number of pages and date.
Other +Indicate the capacity claimed by the signer.If the claimed capacity is a
corporate officer,indicate the title(i.e.CEO,CFO,Secretary).
• Securely attach this document to the signed document
2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com
S-4067/GE 9/09
XDP
•
State of Missouri
County of St. Louis
On 3/01/2016, before me, a Notary Public in and for said County and State, residing therein, duly
commissioned and sworn, personally appeared Barbara Buchhold known to me to be Attorney-in-
Fact of
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
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 in behalf of 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 official seal, the day and year
stated in this certificate above.
1)/1-77
Jessica ary,Notary Public
JESSICA AVERY
Notary Public-Notary Seal
STATE OF MISSOURI
St.Louis County
My Commission Expires: Feb.24,2019
My Commission Expires: Commission# 15633529
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT TI IE RED BORDER
POWER OF ATTORNEY
•TRAVELERS J41111116. Farmington Casualty Company St.Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company
Attorney-In Fact No. 229369 Certificate No. 006277806
KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance
Company,St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States
Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a
corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the
laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint
Andrew P.Thome,Dana A. Dragoy,Peter J. Mohs,Debra A.Woodard,Barbara Buchhold, Michael D.Wiedemeier.and Amanda L.Williams
of the City of Chesterfield ,State of Missouri ,their true and lawful Attorney(s)-in-Fact,
each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and
other writings obligatory 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.
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 29th
day of July 2015
Farmington Casualty Company St.Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company
pASU,�� `.. �`lil'vrly yFtFE•a'hr. \'N IR$G .:'11"M3�'w. Jp 1Y qN0 N161WA?YY
07 O 5V'-'YJO(1 • T`'.'^'rvYlt� N 9 `tpR POR,,/f'�m P°:`OpPORgT�:2��i `P % 'q,Tj FP
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State of Connecticut By:
rte!
City of Hartford ss. Robert L.Raney, enior Vice President
29th July 2015
On this the day of ,before me personally appeared Robert L.Raney,who acknowledged himself to
be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul
Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers
Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing
instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
p•T!T
In Witness Whereof,I hereunto set my hand and official seal. ' `TN, C
My Commission expires the 30th day of June,2016. * PUG * Marie C.Tetreault,Notary PublicWw"
'w:1 *1
58440-8-12 Printed in U.S.A.
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
NON-COLLUSION AFFIDAVIT
The bidders,by its officers and agents or representatives present at the time of filing this bid,being duly
sworn on their oaths say, that neither they nor any of them have in any way, directly or indirectly,entered
into any arrangement or agreement with any other bidder,or with any public officer of Costa Mesa Sanitary
District whereby such affiant or affiants or either of them has paid or is to pay to such bidder or public officer
any sum of money, or has given or is to give to such other bidder or public officer anything of value
whatever, or such affiant or affiants or either of them has not directly or indirectly, entered into any
arrangement or agreement with any other bidder or bidder, which tends to or does lessen or destroy free
competition in the letting of the contract sought for on the attached bids;that no bid has been accepted from
any Subcontractor or supplier through any bid depository, the By-Laws, Rules, or Regulation of which
prohibit or prevent the Contractor from considering any bid from any Subcontractor or supplier which is not
processed through said bid depository,or which prevent any Subcontractor or supplier from bidding to any
Contractor who does not use the facilities of or accept bids from or through such bid depository; that no
inducement of any form or character other than that which appears upon the face of the bid will be
suggested, offered, paid or delivered to any person of the contract, nor has this bidder any agreement or
understanding of any kind whatsoever,with any person whomsoever to pay, deliver to,or share with any
other person in any way or manner,any of the proceeds of the contracts sought by this bid.
Subscribed and sworn to before me by:
•
Ursula J.Youngblood
Circ 1.4 Q j, u,r\)j fuJ(4, •:ontracting&Attestlg Officer
This 1st day of March 201 Q
My
Commission expires:
N tary Public
o
DEBRA K.JASPER
Notary Public-Notary Seal
STATE OF MISSOURI
St.Charles County
My Commission Expires: Nov. 17,2018
Commission#14969544
CMSD Project No.310 Bid Proposal Form—10 of 10
St`SANIT,�*y
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ADDENDUM NO. 1
#310 Indus Sewer and Manhole Rehabilitation
Today's Date: February 15,2016
Bid Opening Date: March 1, 2016, 10:00 A.M.
This Addendum is hereby made a part of the contract documents and construction drawings. Receipt of the
Addendum shall be noted on the Bid Form. The following changes,additions,clarifications or modifications
shall be made to the contract documents and construction drawings; all other conditions remain the same.
Based on questions submitted by contractors during the pre-bid meeting,the District provides the following
clarifications:
1. Manhole frame and cover dimensions will not be provided. Contractor to assume all new
manhole covers will be GMI 2600AAEGOI.
2. Manhole lining shall include the invert of the channel. The bypass system shall be left in place
during manhole lining.
3. Prior to work in the backyard of a residence or utilizing the side yard of a residence,contractor
shall take sufficient photographs to adequately document the existing landscape and general
condition. Contractor shall furnish pictures upon request by District. Pictures shall be labeled
with the address.
4. CCTV of the Indus Sewer Main by National Plant Services dated 1/27/16 is hereby provided.
Please note; on the CCTV,Mil 104904 is the same as MH 106027A on the plans; and there is no
CCTV of MH 106067 to MH 106068.
5. The bypass configuration shown on the plans shall be bid as shown on the plans. The bypass
using the manholes in Santa Ana Avenue as discussed in the field during the pre-bid meeting
shall not be used as it does not take into account certain low lying sewer connections.
6. Enclosed is the pre-bid sign-in sheet.
Thank you,
4-
Robin B. Hamers, PE
District Engineer
(714) 293-2727
A Pe o tVlaE1Z-S i4 sr'
•
PLAN HOLDER LIST
Costa Mesa Sanitary District (as of 2/11/16)
PN 310 INDUS SEWER & MANHOLE REHABILITATION
BIDS: MARCH 1, 2016 @ 10:00AM
Plan Holders Date Delivery Method
Bid Set CD Pick-Up Fed-Ex
All American Asphalt
Kim Bird
400 E.Sixth St
V Corona, CA 92879 2/11/16 1 x
P: 951-736-7600 F:951-739-4671
publicworks@allamericanasphalt.com
Ayala Engineering
Ricardo Ayala
5753 E.Santa Ana Canyon 2/10/16 1 X
Anaheim,CA 92807
714 823 7179 F: 714 912-4571
Ricardo@avalaengineering.com
Excel Paving Co.
Crissa Phillips
2230 Lemon Avenue 2/10/16 1 X
Long Beach, CA 90806
P: 562 599-5841 F: 562 591-7485
estimating@excelpaving.net
SW Pipeline&Trenchless Corp
1Vick Ciceran
22118 S.Vermont Ave. 2/8/16 1 X
Torrance,CA 90502
P: 310 329-8717 F: 310 329-0981
rbolger@swpipeline.com
Pro Pipe
Jas Pal
J 23311 Madero 2/5/16 1 X
Mission Viejo,Ca 92691
P:949 304-4492 F:949 380-0118
ias.pal@hswcorp.com
lnsituform Technologies
Terry Henry
580 Goddard Avenue
J Chesterfield, Mo 63005 2-4-16 1 X
P: 562 413 1585 F: 636 898-5094
thenry@insituform.com
PLAN HOLDER LIST
Costa Mesa Sanitary District (as of 2/11/16)
PN 310 INDUS SEWER & MANHOLE REHABILITATION
BIDS: MARCH 1, 2016 @ 10:00AM
Plan Holders Date Delivery Method
Bid Set CD Pick-Up Fed-Ex
Sancon Technology
Will Deford
5841 Engineer Drive 2-3-16 1 X
Huntington Beach,CA 92649
P: 714 891-2323 F: 714 891-2524
will@sancon.com
GCI Construction
f Ammar Tohmeh
1031 Calle Recodo,Suite D 2-2-16 1 X
San Clemente, CA 92673
P: 714 957 0233 F: 714 5401148
ammar@gciconstruction.com
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COMPOSITES INC
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•
Product Attributes s Materials:
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This drawing is the property of
SECTION A-A –
GMI Composites,INC.and includes
confidential Information,trade secret
information,and/or know how that is
SEE DETAIL A the property of GMI Composites,INC.
Copyright 2010 GMI Composites,INC.
GMI COMPOSITES INC. 755
31
1355 Sherman Blvd., Muskegon, MI 49441 P: 2. ,1611 F. 231.755.1613 www.gmi-covers.com
P: 231 755.161 1
_
,{gional Meter & Automation-Calif Quotation
2250 Apollo Way Suite 300
SANTc ROSA CA 95407
707-575-0700 Fax 707-575-3786
09/17/14 51056014
ORDER TO: M!#409.W.0
National Meter &Automation-Ca
2250 Apollo Way Suite 300
SANTA ROSA CA 95407 1
707-575-0700 Fax 707-575_3786
QUOTE TO: SHIP TO:
Cash Sale California COSTA MESA SANITARY DIST.
SANTA ROSA, CA 95407 COSTA MESA, CA 92627
448 ! COSTA MESA 1 $CRC Rob Sears
Chuck Cummin5s BW BEST-WAY Cash On Delivery 11/06/14 No
lea NS - GMI 2600 SERIES 395. 000 395. 00
FRAME & COVER, 1/4 TURN PADDLE
STYLE LOCK, PICK BAR.
***********************************
Lea '54102 POLLARD P54102 METER LID WRENCH 28 . 000 28 .00
. 565
***********************************
***********************************
STEVE,
PRICES SHOWN ARE YOUR NET COST,
F.O.B. FACTORY, MUSKEGON, MI.
49441.
AVAIL. IS APPROX. 4 - 6 WEEKS
A.R.O.
THANKS,
CHUCK CUMMINGS / NATIONAL METER &
AUTOMATION, INC.
TAXES NOT INCLUDED
Subtotal 423 .00
This is a Quotation. S&H CHGS 0.00
Price are firm for 3C days, subJeCt to change witt7out notice after 30 3ays.
Appitoable taxes extra.
Amount Due 423.00
• Terry Henry
From: Rob Hamers <rhamers@robhamers.com>
Sent: Wednesday, February 24, 2016 9:22 AM
To: Terry Henry
Cc: Phyllis Beck
Subject: CMSD#310 Indus Sewer and MH Rehabilitation
Mr.Henry,
This is official word that the Insituform liner submittal has been reviewed and determined to meet the intent of the project specificat
project.
As a reminder, please insure the Insituform proposal is turnkey and includes complete access, by-pass as shown on the plans with HD
pre CCTV to verify actual lengths and other conditions, post CCTV,7.5 mm thickness for the liner, lateral reinstatements,complete or
specifications, lockable composite MH frames and covers,traffic control plans, landscape restoration,a start date of May 2,2016,am
conditions for a turnkey project.
Please confirm receipt of this email.
Thank you,
Rob Hamers, PE
DISTRICT ENGINEER I COSTA MESA SANITARY DISTRICT
628 W. 19th Street, Costa Mesa, CA 92627
phone (949) 631-1731 I cell (714) 293-2727 I fax(949) 548-6516
Irvine office email: rhamers@robhamers.com I Costa Mesa office email: pbeck anrobhamers.com
1