Bid Proposal - Project 311 - Sewer Manhole Surface Repair Program - 2015-10-19 •
• COSTA MESA SANITARY DISTRICT
ORANGE COUNTY,CALIFORNIA
BID PROPOSAL FORM
MANHOLE SURFACE REPAIR PROGRAM-PHASE II
Project No. 311
EBS GENERAL ENGINEERING INC
Name of Bidder:
1320 E SIXTH ST, STE 100 CORONA CA 92879
Address:
Phone No.: 951-279-6869
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 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.:_,_, ,_,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 arc 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. 311
Bid Proposal Form—1 of 9
CMSD SEWER PROJECT NO.311
SCHEDULE OF WORK ITEMS
SEWER MANHOLE SURFACE REPAIR PROGRAM-PHASE H
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
1 Lump Sum Bonds, Insurance, and Permits: Work under (�,1
this item includes any costs incurred for§I�'[?I
securing bonds, insurance, permits and Lump
financing for construction work. Sum S +l60a
2 Lump Sum Mobilization, Demobilization and Cleanup:
Work under this item shall include preparatory
and cleanup operations including, but not
limited to, those necessary for the movement
of personnel, equipment materials, and .P
incidentals to and from the project site,
securing a temporary construction yard, and S1-f
maintaining the project site in a safe and Lump �1
orderly manner during construction. Sum S .,XD,W
3 Lump Sum Traffic Control: Furnish all traffic control
plans with engineer's stamp, labor, matenals,
and equipment for the installation and removal
of the required traffic control including, but
not limited to, changeable message hoards,
signs, delineators, traffic cones, barricades,
flashing arrow signs,steel plates,and all other
traffic control devices necessary to comply SI-1 4` )�t
with the traffic control requirements of the
City of Costa Mesa, SEE NOTE PAGE 3 OF Lumppp/\�
9. Sum S1WQt]J
4 34 each Remove existing manhole frame and cover and
concrete collar and 24" asphalt ring; Install
new frame & cover and new concrete collar
and asphalt ring per CMSD Std. S-105 and
City Std. 813 to match street grade. CMSD to
provide new frames and covers and contractor
to obtain from District yard.
Work under this item shall be all inclusive and
include furnishing and installing all labor, 9
material, traffic control plan, and other work$work ifiliGiuti
necessary to install new concrete collar,
each S, Lev'J3
q< l/ )
asphalt ring,and frame&coven
CMSD Project Ne.311
Bid Proposal Form—2 of 9
CMSD SEWER PROJECT NO.311
SCHEDULE OF WORK ITEMS
SEWER MANHOLE SURFACE REPAIR PROGRAM-PHASE II
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
5 9 each Remove existing manhole frame and cover and
concrete collar and 24"asphalt ring:After
removal,District to determine if new frame
and cover required. Contractor to install
frame&cover and new concrete collar and
asphalt ring per CMSD Std. S-I 05 and City
Std.813 to match street grade. New frames
and covers available at District yard.
Work under this item shall be all inclusive and
include furnishing and installing all labor,
material.sewer flow diversion, traffic control
plan,and other work necessary to Stall new
concrete collar,asphalt ring,and frame& $
D.`J 1/5
C'U,}
cover.
each
TOTAL
AMOUNT OF
ITEMS I Al/11 '0Al/11 '0Ay
THROUGH S LJid ��S°`
(TOTAL IN e
WORDS)
Bidders Initials
Note: In case ofa discrepancy between the words and figures,the words shall prevail.
TRAFFIC CONTROL NOTE:
Contractor shall prepare and submit for approval Traffic Control Plans when required by the Engineering
Division of the City of Costa Mesa,714-754-5323. Normally, the City requires traffic control plans only
for locations shown on the City's Master Plan of Highways (included in bid documents). All other
locations shall be per WATCH Manual. Bidders shall contact City for current requirements.
CMSD Project No.311
Bid Proposal Form-3 of 9
i
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 BIDDER'S BOND
($ 10% BID AMOUNT).
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 ofthc
award of the contract: otherwise, said security sha be returned to the undersigned.
Reserully submitted,
EBS GENERAL ENGINEERING INC A -- (DENT
Contractor's Business Name .npsctor Title
1320 E SIXTH ST.STE 100 OSEPH A NANCI. PRESIDENT
Business Address: Street y: Title
CORONA CA 92879 720016 A 3/31/16
City State Zip Contractor's License,Expiration
Date&Classification
951-279-6869
Business Phone Number
JOSEPH A NANCI,PRESIDENT
Name Title
Residence Phone Number
Bidder's Residence: Street
City State Zip
CMSD Project No. 311
Bid Proposal Form—4 of 9
t
California All-Purpose Acknowledgement
State of California }
County of Orange
On b ltv'(5 _ before me, William E. Ellis, Jr. ,a Notary Public
personally appeared Joseph A. Nanci
who proved to me on the basis of satisfactory evidence
to be the persons) whose name(a&is/arc subscribed to
the within instrument and acknowledged to me that he/
,^hoPhey executed the same in hisPou/thttr authorized
WILLIAM E Etus JR. capacity(lek1, and that by histlmitheie signature on
the instrument the person(„ or the entity upon behalf
Commission*2127998
keej- Notary Public-California i of which the personN acted,executed the instrument.
Orange County ' I certify under PENALTY OF PERJURY under the laws
Comm.E iris 00120 2019 of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
tk z4 E c:ccy
Notary Public Seal Notary Public Signature
OPTIONAL,
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s)Other than Named Above:
Capacity(ies) Claimed by Signer(s)
❑Individual ❑Individual
Thumbpnnl of Signer 1 U Corporate Officer' Thumbprint of Signer 2 U Corporate Officer:
0 Partner- 0 Limited U General U Partner- 0 Limited 0 General
0 Attorney-in-Fact U Attorney-in-Fact
❑Trustee 0 Trustee
O Guardian or Conservator U Guardian or Conservator
0 Other: 0 Other:
Signer is Representing: Signer is Representing: _
•
I declare under penalty of perjury under the laws of the State of California that the forgoing is true
and correct.
Dated CORONA this 15 day of OCT 20 15
r J, ed)
The II 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.
JOSEPH A NANCI. PRESIDENT
CMSD Project No. 311
Bid Proposal Form—5 of 9
California All-Purpose Acknowledgement
State of California}
County of Orange
On (p. \Si before me, William E. Ellis, Jr. ,a Notary Public
personally appeared Joseph A. Wane
who proved to me on the basis of satisfactory evidence
to be the persons) whose nameja),is/are subscribed to
the within instrument and acknowledged to me that he/
shekhe t executed the same in his/h i/tl..,L authorized
WILLIAM E ELLIS JR. capacity(5es}, and that by hisltler/Nteis signature(s),on
, 1?1 Commission Y 2127998 the instrument the person(„ or the entity upon behalf
Notary Public -California of which the person acted,executed the instrument.
i sir% Orange County 1 certify under PENALTY OF PERJURY under the laws
Mrs Comm.Extras Oct 23‘20191
E _ _ • _ _ _ of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
II i
Notary Public Seal Notary Public Signature
OPTIONAL
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s)Other than Named Above: _
Capacity(ies) Claimed by Signer(s)
Thumbprint of signer 1 U Individual U Individual
Thumbprinl of Signor 2
U Corporate Officer: U Corporate Officer:
U Partner- U Limited U General U Partner- 0 Limited O General
❑Attorney-in-Fact U Attorney-in-Fact
U Trustee U Trustee
U Guardian or Conservator U Guardian or Conservator
U Other: U Other:
Signer is Representing: Signer is Representing:
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 ADMINISTRATOR
SEE ATTACHMENT
PROJECT ADDENDA
Bidder shall signify receipt of all Addenda here,if any:
ADDENDUM NO. DATE RECEIVED BIDDER'S SIGNATURE
CMSD Project No. 311
Bid Proposal Form—6 of 9
•
5 Year References (2012-2015) Public Works
I. Project
Raise Manholes to Grade & Sewer Lateral Replacement
Project Address
Various Streets—Riverside
Owner Name
City of Riverside
Contact familiar with project Phone
Steve Howard (951)712-3904
Price of contract Type Of Work Date Complete
$21,500 R&R Curb and Gutter Aug 2015 to On-Going
2. Project
Sewer Replacement Various Locations
Project Address
Various Locations- Fullerton
Owner Name and Address
City of Fullerton
Contact familiar with project Phone:
Eric Villagracia 714-738-6853
Price of contract Type Of Work Date Complete
$998,151 Sewer 1/2012 to 2/2013
3. Project
2014/2015 Citywide Curb, Gutter,Sidewalk, Driveway Repairs
Project Address
City Wide - Riverside
Owner Name
City of Riverside
Contact familiar with project Phone:
Steve Howard (951) 712-3904
Price of contract Type Of Work Date Complete
$407,628 Street Improvement Nov 2014 to Feb 2015
5 Year References (2012-2015) Public Works
4. Project
Miller Ave and Alder Ave Traffic Signal and Street Improvements
Project Address
Miller Ave and Alder Ave
Owner Name
City of Fontana
Contact familiar with project Phone: Fax:
Alfred Girardot 909-350-6647 909-350-6618
Price of contract Type Of Work Dote Complete
$390,355 Traffic Signal and Street Improvements July 2012 to Jun 2013
5. Project
Annual Concrete Repair FY 2014-15
Project Address
Various Locations—Rancho Santa Margarita
Owner Name
City of Rancho Santa Margarita
Contact familiar with project Phone:
Terry Gregory 949-635-1800
Price of contract Type Of Work Date Complete
$53,550 Street Improvements Apr 2015 to May 2015
6. Project
Improvement of Broadway Street
Project Address
Between Termino Ave and Livingston Dr
Owner Name
City of Long Beach
Contact familiar with project Phone
Charles Ramey 562-570-6383
Price of contract Type Of Work Date Complete
$922,794 Street Improvements Nov 2011 to Feb 2013
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.Contractor to also include the Subcontractor's license
number and the type of work performed.
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
cin. tON(10 � 0* eyes
3 L• Ccs"-_
CMSD Project No. 311
Bid Proposal Form-7 of 9
•
BOND N3-B
• PREMIUM: NIL
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, EBS GENERAL ENGINEERING, INC. as principals, and
SURETEC INSURANCE COMPANY as surety, arc 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 AMOUNT BID
(S 10% ) to be paid to the Distnct, 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.
illu CONDITION OF THIS OBLIGATION IS SUCII,
That if the certain proposal of the above bounden
EBS GENERAL ENGINEERING, INC. , is accepted by the Costa Mesa
Sanitary District, and if the above bounden, EBS GENERAL ENGINEERING, INC. 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 (nut including Sunday) from the date of the
mailing of a notice of the above bounden, ** , by and from District, that said
contract is ready for execution, then this obligation shall become null and void;othenvise it shall be and
remain in full force and virtue.
W WITNESS WHEREOF:
We hereunto set our hands and seals 14TH day
of OCTOBER ,2015.
EBS GENERAL ENGINEERING, INC.
BU�,�1 .YII:.:NCE COMPANY
� - —
CHARLES L. FLAKE, ATTORNEY—IN—FACT
CMSD Project No. 31I
Bid Proposal Form—8 of 9
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the I
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
County of Orange
On 10/14/15 before me, Lexie Sherwood Notary Public,
Date Insert Nam f Notary exactly as it appears on the official seal
I
personally appeared Charles L. Flake
__-
Namots)of5igners)
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
: „ LEXIE SHERWOOD person(s), or the entity upon behalf of which the person(s)
comm #2031]82 3
-1 c� acted, executed the instrument.
.., \ �. NOTARY PUBLIC
4.r % GE -JCOON ry 2
`v y "' Comm Exp JULY 2v.2017 t certifya under PENALTY PERJURY under the laws of
vwvvvwvrrY the State of California thatt the foregoing paragraph is true
and correct.
Witness my hand and icial seal.
Signature /0_
Place Notary Seal Above Signature oM(o ry Pubnc exle erwoo•
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document 11I
and could prevent fraudulent removal and reattachment of the form to another document.
Description of Attached Document
Title or Type of Document: I i
Document Date- Number of Pages-
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name. Signer's Name: ill
❑ Individual ❑ Individual
U Corporate Officer—Title(s): ❑ Corporate Officer —Title(s):
U Partner F7 Limited U General U Partner ❑Limited E General
U Attorney in Fact RIGHT THUMBPRINT U Attorney in Fact RIGHT THUMBPRINT
[1 Trustee OF SIGNER U Trustee OF SIGNER
U Guardian or Conservator Top of thumb here U Guardian or Conservator Top of thumb here
U Other: U Other'.
Signer is Representing: Signer is Representing:
POA a: 510123
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know AII Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
Charles L. Flake, David L. Culbertson, Richard A. Coon, Spencer Flake
its tae and lawful Attorney-in-fact,with full power and authority hereby conferred in its name, place and stead,to execute,acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for:
Five Million and 00/100 Dollars($5,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate
seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment shall continue in force until _ 1013112016 _._ and is made under and by authority of the following
resolutions of the Board of Directors of the SureTec Insurance Company:
Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Anorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20th of April,
1999.)
In Witness Whereof SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal
to be hereto affixed this lain day of May AD, 2015
Sung C„ SURETEC INSURANCE COMPANY
,............. de
ic ='9,., By: re
a;,`m/11 e John ox Jr. 'resident
State of Texas ss: '7% d i-.1
....
County of Harris
On this 18th day of May ,AD.. 2015 before me personally came me John Knox Jr,to me known,who,being by me duly sworn,did depose and say,that he
resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
Ca. JAOOUNcnarELVNyMAtn0NADOPublic
Slate of Tawas i
ray comm.Exp 5110/2017Jacq /1elyn adq Notary Public
My commissionsion expires May 18,2017
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this 14TH day of OCTOBER 2015. A.D.
,i11/'/_ IF
.. —
.Bre.t Beaty,Assistant ecretary
Any Instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call(71 3)812.0800 any business day between 8:00 am and 5:00 pm CST.
California All-Purpose Acknowledgement
State of California
County of Orange _
On (OAS t before me, William E. Ellis, Jr. ,a Notary Public
personally appeared Joseph A. Naomi
who proved to me on the basis of satisfactory evidence
to be the person(s) whose nameXis/are subscribed to
the within instrument and acknowledged to me that he/
_ ^ho/tImy executed the same in his/hhcfrihar authorized
WILLIAM E. ELLIS JR. capacityhis/hen/MS, and that by his/lmsignatureN on
100. t Commission N 2127998 the instrument the person(s), or the entity upon behalf
" �i Notary Public•California g of which the person acted,executed the instrument.
\'rw/./ Orange County I certify under PENALTY OF PERJURY under the laws
....1Comm.Extra Oct 23,2019t of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
(k)UCk Gu L COI/
Notary Public Seal Notary Public Signature
OPTIONAL
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s)Other than Named Above:
Capacity(ies) Claimed by Signer(s)
Thumbprint of Signer 1 Individual Thumbprint of Slone;2 Individual
❑Corporate Officer: ❑Corporate Officer:
❑Partner- O Limited U General U Partner- 0 Limited O General
❑Attorney-in-Fact ❑Attorney-in-Fact
❑'Trustee 0 Trustee
U Guardian or Conservator ❑Guardian or Conservator
❑Other: ❑Other:
Signer is Representing: Signer is Representing:
•
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 oilier 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 hid 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
whomsi•ver to pay, deliver to, or share with any other person in any way or manner, any of the
procce of the contracts sought by this bid-
J•SE'H A NANCI, PRESIDENT
Subscribed and sworn to before me bv:
This day of 20_
My Commission expires:
Notary Public
CMSD Project No.311
Bid Proposal Form—9 of 9
•
• California All-Purpose Acknowledgement
State of California)
County of Orange
On tO ACP '11 before me, _ William E. Ellis, Jr. ,a Notary Public
personally appearedJoseph A. Nanci
who proved to me on the basis of satisfactory evidence
to be the persons) whose name(a)\is/are subscribed to
the within instrument and acknowledged to me that he/
sheFthey executed the same in his/Ii (tlii1. authorized
Et capacity(? , and that by histlimithth signaturetttk on
WILLIAM E. ELLIS in. [ the instrument the persont$„ or the entity upon behalf
_: �,�- Commission•2127998 ( of which the person
b)•' L Notary Public acted,executed the instrument.
` • - CaliforniaCalilornia
.z'
•
Orange County S; 1 certify under PENALTY OF PERJURY under the laws
J s- '
Mr Comm.Expires Oct 23.2019 of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
(
Notary Public Seal Notary Public Signature
OPTIONAL
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s)Other than Named Above:
Capacity(ies) Claimed by Signer(s)
Thumbpint of Signer 1 U Individual ❑Individual
P 9 Thumbprint of Signer
❑Corporate Officer: 0 Corporate Officer:
❑Partner- O Limited❑General ❑Partner- U Limited O General
❑Attorney-in-Fact ❑Attorney-in-Fact
U Trustee ❑Trustee
❑Guardian or Conservator 0 Guardian or Conservator
❑Other: ❑Other:
Signer is Representing: Signer is Representing: