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Project 140-145 - Proposal - Miramontes - 1997-09-17 if P R O P O S A L PROJECT NOS 1112100-140 & 1112100-145 RECONSTRUCTING VARIOUS SEWER LINES TO THE BOARD OF DIRECTORS COSTA MESA SANITARY DISTRICT 77 FAIR DRIVE COSTA MESA, CALIFORNIA 92626 GENTLEMEN In compliance with the NOTICE INVITING BIDS for the RECONSTRUCTING VARIOUS SEWER LINES which is hereto attached, the undersigned has carefully examined the location of the proposed work, the plans, specifications and other contract documents therefore and is satisfied as to the conditions to be encountered, as to the character, quality and quantity of work to be performed and materials to be furnished as to the requirements of the specifications and the contract It is mutually agreed that the submission of a proposal shall be considered prima facie evidence that the bidder has made such examination If awarded the contract, the undersigned agrees to commence work under the contract within ten calendar days from the date of the contract and to complete said work within 60 working days from the first day of commencement of said work unless legal extension is granted in accordance with the terms set forth in the specifications, and to perform and complete the work as shown on the plans, and in accordance with the specifications and other contract documents, and to furnish all labor materials tools and equipment necessary to complete the work in place, in the manner and time prescribed at the following prices, to wit PROPOSAL SCHEDULE Item Approx Item with Unit Price Unit Price No. Quantity Written in Words Figures Total 1. L.S Remove and reconstruct existing s1wer line No 112 at-rtoiyr I hoHSOmst bolanxrc dollars and OD cents per Lump Sum $ z`U-- $ 2675-D — P-1 Bidder's Initials '^ PROPOSAL SCHEDULE (continued) Item Approx Item with Unit Price Unit Price No. Quantity Written in Words Figures Total 2 L.S Repair existing sewer line No 113 in place by installing Link-Pipe or equal without excavation at uae4- 1 haz iluinareik.N.IVAArc .- dollars and 93 cents per Lump Sum $ 2,5�9e $ 4,SCJG 3 L S Remove and reconstruct existing sewer line No 114 at 60,k ...4tec,,‘ z, ,lrr& bnt\'-*tS dollars and L-(a^ cents per Lump Sum $ 1i1i� $ 1,11 o 4 L S Remove and reconstruct existing sewer line No 115 at hew kr-c. 1-hAftvl i4 pc-Anon-c---- dollars and ■1a� cents per Lump Sum $ l;-,,,,„,.13 $ I,161 5 L S Remove and reconstruct existing sewer line No 5 at a l 4ntt m aunt/4 l kjlk nirs — J dollars and co La-- cents per Lump Sum $ Ii Qj(� $ I �(U • 6 L.S Remove and reconstruct existing sewer line No 8 at Savenl-eth \1wv-4ioi, 1tllotic .— dollars and DO $ cents per Lump Sum $ l l"l� $ II"on 7 L S Remove and reconstruct existing sewer line No 9 at E,ghFce„ 1h, tArrvl Allan— l3 dollars and IJC� �� _T „_ - cents per Lump Sum $ - $ = 8 L S Remove and reconstruct existing sewer line No 11 at 437-1k Al ►{l ,. r4 1 bollU grs_-- dollars" and cents per Lump Sum $ l'10D - $ I)16D be' u4,,, "Link-Pipe" 1 Tuff iPASCkerA t�Ilr.x- dollars and -a-, centts per Lump Sum Lik141 P-2 Bidder's Initials PROPOSAL SCHEDULE (continued) Item Approx Item with Unit Price Unit Price No. Ouantitv Written in Words Figures Total 9 L S Remove and reconstruct existing sewer line No 16 },t So-e ne a VkAindrA U'∎k2WTS -- dollars and n-, ad- cents per Lump Sum $ 1161)a,- $ 1imst Alternative "A" n "Link-Pipe" -rOb Th sM L- OWNIes--dollars and 1/411 cents per Lump Sum 10 L S Remove and reconstruct existing sewer line No 146 at Thr.Le_-i'Inousecyj,- dollars and cents per Lump Sum $ 35& $ 3,6b0a_ 11. L S Remove and reconstruct existing sewer line No 89 at gev n�"PC� I�lLnel reek. dollars and OJ Qom Lump cents per Lump Sum $_______ $ 12 L S Remove and reconstruct existing sewer line No 147 at Wlne 4.01 th m1(14t& dollars and n 60 cents per Lump Sum $ I J i6D — $ I/G](� T- 13 L S Remove and reconstruct existing sewer line No 95 at U cM-e t. V rp t _ dollars and N, J cl- 0I)cents per Lump Sum $ ` $ 1gj(�� 14 L S Remove and reconstruct existing sewer line No 96 at SeArth ku,ndreL .dollars and -1 00 Kyn a) cents per Lump Sum $ Out, $ ( , 1O 15 L S Remove and reconstruct existing sewer line No 97 at £i f 1,P & K1r Ar & dollars and Q-- cents per Lump Sum $ Int° $ I J S� CD P-3 Bidder's Initials Lill+tt PROPOSAL SCHEDULE (continued) Item Approx Item with Unit Price Unit Price No. Quantity Written in Words Figures Total 16 L S Repair existing sewer line No 133 in place by installing Link-Pipe or or equal without excavation at 'f tvj ut 00,mirecAslollars and ,� 0i cents per Lump Sum $ $ 2,, 5 17 L S Remove and reconstruct existing sewer line iiN'��o. �� tt 135 at €U 6111?�N. I-64%1 rnL dollars and CY cents per Lump Sum $ �� - $ 1 /1t Alternative "A" - "Link-Pipe" 1^ 1,lhOUSarofi-- dollars and i cents per Lump Sum 4A 7 5 L F Construct 12" V C P sewer at I hrpp r,kre1� dollars and �D v� 0- cents per Linear Foot $ , $ 2� Zj r} -- 4B 1 EA Construct 48" dia sewer manhole at Peu,rfirous&niL dollars and CO G cents per each SAO-MCP $ 4-031 4C 1 EA Construct drop structure on exist manhole ,1 C4PDM N1Amf �R dollars and p✓ cents per each $ I IVO US-1Z 40 L S Reconst Exist 60" Dia M/H Base per detail sheet 4 at tv)n Thmuso.vA _ dollars and 07 F- cents per Lump Sum $ 2Q — $ 2 (5137) °° 4E L S Remove plug and fill portions of exist 12" V C P sewer at too 44-u,4n!'Pe, dollars and p7 00 cents per Lump Sum $ 2-10E " $ 2-0:) P-4 Bidder's Initials PROPOSAL SCHEDULE (continued) Item Approx Item with Unit Price Unit Price No. Ouantity Written in Words Figures Total 4F 3 EA Clean repair, prime and coat exist M/H w//polyurethane -'W Pie tieturvirek dollars and D� ,a-- cents per each $ 3j2 $ ID 6U) -- 5A 216 L F Trench & Remove exist 8" V C P sew r 4L0 7W lY> dollars and I)/ cents per Linear Foot $ 1� $ 21,Lolx� 5B 216 L F Construct 10" V C P sewer r\„ro ry Arti& dollars and CP OD-3 J cents per Linear Foot $ Z.bD` $ 4 5C 2 EA Const Drop Structure & join exist 8" V C P sewer Ghk:4et I4Ikwlrr,t dollars and 03 03 .f>-. cents per Each $ 1D $ 31 U Uu 5D L S Reconst Exist M/H Base per detail sheet 5 at c1e Thl..sah,J _ dollars and d3 01)_La- cents per Lump Sum $ I/�-- $ hciVD — 5E 5 EA Install Wye & 4 L F of 6" V C P sewer lateral FWi It uvr, ra dollars and OD �, cents per each $ 501±2 $ Z)STD 44-, — P-5 Bidder's Initials"�1 M PROPOSAL SCHEDULE (continued) Item Approx Item with Unit Price Unit Price No. Quantity Written in Words Figures Total 5F 1 EA Exist Lateral to be plugged & abandoned in place OM WP rck dollars and °,� C3 cents per Each $ 1b0 $ 1 � 5G 2 EA Join exist sewer M/H tie-eM l- ,(C'a dollars and 10 y- cents per Each $ I �5u — $ 3, MTV 5H 1 EA Protect in place or replace exist traffic signal loop in kind 4k,/ / r dollars and D, cents per Each $ II5IYD $ 6A 20 L F Trench & remove exist 8" V C P sewer ,/ja(, t_u Q dollars and o0 .� ' rcents per Linear Foot $ I r� — $ ) 956 6 6B 20 L F Construct 8" V C P sewer Ch n, Lr.Pcs._ dollars and �— cents per Linear Foot $ � � $ 6C L S Remove & replace exist tree, curb, gutter & sidewalk crcur`f} n,se„Y,d -PT ITA✓e Al hr - � dollars and /l ��p cents per Lump Sum $ 4? $ 2 Cotal or gross sum written in words Total or gross sum in figures , Pah Vkra. Q,. 11100.44A $ 1310)1 e4-.ED eM • A-. t' . 1. , h r e l Bidder's Initials ,h In case of a discrepancy between the words and figures, the words shall prevail P-6 Bidder's Initials 11\ 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 O&(,S BUNK- NOTICE Insert the words "Cash", "Certified Check", or "Bidder s Bond", as the case may be in an amount equal to at least ten per cent 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 P-7 Bidder's Initials 1 Respectfull submitted, /� r Mimi �s ems+. Co. f-ric . Mien 'e.s S+,ae.Tics \y/ice Pros Contractor's Business Naive ontra to 1 Title r o. Rtx g00gt IlA �`i 0G7.w Urce fb7Srde� t Business Address Street Y Title of InAus-f r CA •' I -$1c5 41104 gib— 12 3 on City .tate Zip Contractor's License, •g at'1 n Date & Classificatio ' - � X3.30 - IC43 = c Business Phone Number ti V ` au Iri.usu - Vic ,`Q \ti Name Title 14241 Pw br Ave_ ' - Residence* Street 1 t 4)l/iente state' I, Zip (asa) -257q Residence Phone Number I declare under penalty of perjury under the laws of the State of California that the forgoing is true /�and correct a at , this (- day of h� d � 19311 (Signed 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 nra-Mtozum mires 1 rrs. /I(Pas, Cuodal MInton, s _ Sec . P-8 Bidder's Initials ' 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 I i /617_ C,� Rya Ito Gaii- . Ca Iv-, $105Don is() s. PoAnn Avg . (90'1 ) $zo - 2c3h Pliah ACA (12311, 4/11 i, C I of' l Arry tD h At i4 C�fu S AJQ;Vara-) C1I 1,4�z,ill. 20 S. W1 l I Rabat Ave . 6.31-0 Loos 55 05 Imn ) C coup 41 34-14 8619.01 ZD5 S. v; okalok Ave , (316.) 005- n nn '1 , CA °10220 Bidder shall signify receipt of all Addenda here, if any Addendum No Date Received Bidder's Signature P-9 Bidder's Initials Ilk DESIGNATION OF SUBCONTRACTORS In compliance with the "Subletting and Subcontracting Fair Practices Act" being Sections 4100-4113 of the Public Contract 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 improve- ment 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 Legisla- tive Body of the owner Portion State License Of Work Subcontractor's Name and Address Number Class P-10 Bidder's Initials 61 Bond No 645398 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, Miramontes Construction Co Inc as principals and Nobel Insurance Company 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 OF THE BID ******************************************** ($ 10Z*********************) 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 THE CONDITION OF THIS OBLIGATION IS SUCH, That if the certain proposal of the above bounden, Miramontes Construction Co , Inc is accepted by the Costa Mesa Sanitary District, and if the above bounden, Miramontes Construction Co. , 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 (not including Sunday) from the date of the mailing of a notice of the above bounden, *SEE BELOW* , 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 *MIRAMONTES CONSTRUCTION CO INC.* IN WITNESS WHEREOF We hereunto set our hands and seals this 17th day of September , 1997 J i Miramontes Constru tion Co , Inc"- iC By' [14( LJ v, ` " I-/'1�51� . Nobel Insurance Coompany ~'^ 1 �� By' /C Matthe R. Dobyns, Attorn in Fact P-11 Bidder's Initials _I CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT K:ca....w.n.a._n_v. c.A.m.w.w_ft a..va.ca m. cam.w.n..".ca .n.•,..ca_w....ft A.._n.... w.s>w....."..ft.s.......sa.n.v.n.w..e'Y' i4 State of California 3 ik Los Angeles Aivi County of On 9/29/97 before me, Yvette C Morales Notary Public Date Name nd tine of Off lc ' (e.g. Ja Do Notary Public') >, 10 personally appeared Miriam Miramontes Name(s)of Sign Ns) ,>5 Aq n personally known to me-OR-E proved to me on the basis of satisfactory evidence to be the person(s) 3 2� whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the 211 same in his/her/their authorized capacity(ies), and that by 5 'X'^Z;.. YVETTE C. MORALES his/her/their signature(s) on the instrument the person(s), E. ,. l i COMM. # 1113880 or the entity upon behalf of which the person(s) acted, 4 _.-- NOTARY PUBLIC CALIFORNIA m executed the instrument. `�'i�% LOS ANGELES COUNTY I MY COMM EXPIRES OCT. 17 2000 Ig WITNESS my hand and official seal. it l, Sign of Notary Public 0 dAL Though the information below is not required b law.it may 9 q y y prove valuable to persons relying on the document and could prevent ., fraudulent removal and reattachment of this form to another document. I ,k Description of Attached Document S k Title or Type of Document: Bid Bond Document Date: 9/29/97 Number of Pages: 1 li ASigner(s) Other Than Named Above: Nobel Insurance Co. S l II Capacity(ies) Claimed by Signer(s) Miriam Miramontes Signer's Name: Signer's Name: I0 ❑ Individual E Individual I Corporate Officer Corporate Officer 2c B Title(s): Title(s): p ❑ Partner—= Limited E General D Partner—E Limited =l General 8 D Attorney-in-Fact = Attorney-in-Fact ?3 E Trustee = Trustee E Guardian or Conservator RIGHT THUMBPRINT RIGHT THUMBPRINT ,qt oFStcnw Guardian or Conservator of SIGNER- El Other Top or mumo ne = Other Too of thump nere .q Signer Is Representing: Signer Is Representing: 3 1 Miramontes Const. Co ,In• –W .`ccre,,:cc>� ocveR,'rc.'c<, �.' 'c tvevcc. .tact c,c. .`c4.'c4. .'ct, a`t,v' �i .`oi 'rL�, c 1995 Na al No ary Associa 8235 Remmet Ay PO So -184 Canoga Park.CA 91309-'l84 Proo No 5907 Re roe Call Toll Fr -800875-88277 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No 5907 C�Jlllllllllljllllllll- Itlllll lj/l!!l!l!l!l lljl/ljllll/lllllj,/llllllllll� State of California S 1 ti County of Orange s On 9-17-97 before me, Miry Angel —Notary Public �; DATE NAME,TInE OF OFFICER E G JANE DOE,NOTARY PUBLIC' \l (1 personally appeared Matthew R. Dobyns 1 NAME(S)OF SIGNER(S) ® personally known to me OR ❑ proved to me on the basis of satisfactory evidence to be the person(i) whose name($) iSniEl k 0 subscribed to the within instrument and ac 1 1 knowledged to me that heatantwexecuted k 0 the same in histinfidnit authorized 0 w, MARY ANGEL capacity and that by hi S 0 �,' .!r`II . COMM. 41067533 > signature( on the instrument the person*, 0 a .,--- riarmypueuc•chpco a or the entity upon behalf of which the . , 0 �E` TMt 19991 person(a) acted executed the instrument. 0 1 WITNESS my hand and official seal. 0 0 ® URE OF NOTAR 1 OPTIONAL o 0 Though the data below is not required by law it may prove valuable to persons relying on the document and could prevent k 1 fraudulent reattachment of this form. S 0 CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ,ti k ❑ INDIVIDUAL El CORPORATE OFFICER 110 1 TITLE OR TYPE OF DOCUMENT LE(S) 1 k n TIT PARTNER ❑S) LIMITED 0 1 ATTORNEY-IN-FACT ❑ GENERAL NUMBER OF PAGES 1` E. TRUSTEE(S) 1 ❑ GUARDIAN/CONSERVATOR 0 ❑ OTHER: 00 lS DATE OF DOCUMENT 1 SIGNER IS REPRESENTING 1 ,11 NAME OF PERSON(S)OR ENTITYIIES) . �� Nobel Insurance Company SIGNER(S) OTHER THAN NAMED ABOVE 0 k.t. ll1 1111.�1./ll11111111J111ll llll ll 111llll lllllllllllllllllllllll!lllll ®1993 NATIONAL NOTARY ASSOCIATION 8236 Remmet Ave. P O.Box 7184 Canoga Park,CA 91309-7184 NOBEL INSURANCE COMPANY 645398 GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,That NOBEL INSURANCE COMPANY has made,constituted and appointed,and by these presents does make,constitute and appoint Les M. Mantle or Matthew R. Dobyns its true and lawful attorney-n-fact, for it and in its name, place, and stead to execute on behalf of the said Col ipany, as surety, bonds undertakings and contracts of suretyship to be given to ALL OBLIGEES provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sum of ***************Three million five hundred thousand dollars ($3,500,000)*************** This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directo if the Company the 24th day of August. 1995 "RESOLVED,That the Ch Ian of the Bo rd,the Vi Cha of it Board,th Pr 'de't,an Es an V' Pr 'dent Sc Vi Pre'dent Vi Pr 'dent of the Compa be d Ilia ch an of th uth cd to ute Po of Attome qt alifymg Ili attorney- -fact amed the gi Po of Atto to ute behalf of di Co Ipam bonds dertakmgs nd all ttr cts of etyslup and that an As scant V' Pr 'dent, Sc etary As scant Se etary be nd that ch any of th he eby uth ed to attest the m of any ch Pr of Attome id to attach the eto th at of the Company FARTHER RESOLVED,that the 'gnats of ch oft d III al of ill Co ipany ay be affi ed to any ch Po of Attome to.ms ertifi ate elan the eto by fa ile and an ch Po of Atto croft ate bearing ch fa de 'path fa (mile at shall be alid and hi idi ig up it Co span vh affi ed and th fats tth speck to bond, ndenaktng ntract of etystup to vhmh it attached. In Witn v\'he of,NOBEL INSURANCE COMPANY has cd its of al al tc be he nto affi ed, id th pr nts to be tuned bs of its V' Pr 'de its id attested by of its As stant V' Pr 'dents tin 1st day ofOctobe 1995. Attest: NOBEL INSURANCE COMPANY By g, aQ ri 7 SEAL .6 ALA) iin William Os ola Gordo As Stan V' Pr 'dent En it B Aske Vi Pr 'dent STATE OF GEORGIA 1 Ss t COUNTY OF DEKALB On this 1st day of October, 1995,before me personally came Emil B.Askew,to me known,who being by me duly sworn did depose and say that he is a Vice Pre 'dent of NOBEL INSURANCE COMPANY the corporation described in and which executed the above instrument; that h knos the eat of the said corporation. that the seal affixed to the said Instrument is such corporate seal; that it was so affixed En order of the Board if Directors if said corporation and th It h Tried his name thereto by like order. OFFICIAL SEAL LENORA N CAPE NOTARY PUBLIC 4J .y� MY COMMISSION EXPIRES (/��`a"'' e.,'" / . AUGUST a,1998 Lenora N Cape NOTARY PUBLIC My Commission Expires August 1998 CERTIFICATE I,the undersigned,an Assistant Secretary if NOBEL INSURANCE COMPANY a Texas corporation, DO HEREBY CERTIFY that the forego'ig id ittached Po ver of Attorney remains in full force and has of beef eked:and furthermore that the Resolution if the Board of Directors,set forth in the said Power of Attorney,is now in force. Signed nd se Jed at the city of Atlanta in the State of Georgia. Dated the l7tb day of September t9 97 SEAL 0 4an A) d PttA Charles B Cape,Assistant Secretary 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 Subcon- tractor 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 tifvu 14.41Aelk Subscribed and sworn to before me by , , This day of 199 My Commission expires Notary Public P-12 Bidder's Initials Lknill l U _ CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT rA AA AA.A.... a.a a a a a a a a..A. .a a.H H. . ...Ma aaa.A A va as A.Aaa Ma ta..0.a P'> 4 Slate of California 5 iit County of Los Angeles �L� �SI 9/29/97 Yvette C Morales Notary Public '.5 t On before me. , Da Name nd Title of Ohm leg Ja On No ary Public") 9„ personally appeared Miriam Miramontes Namels)of Sign r(s) q, it g personally known to me–OR–E. proved to me on the basis of satisfactory evidence to be the person(s) q whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the �; qq .l� . “- A L same in his/her/their authorized capacity(ies), and that by ' : 't om', YVETTE C. MORALES his/her/their signature(s) on the instrument the person(s) '"�� }� 1- COMM. # 1113880 vi or the entity upon behalf of which the person(s) acted, 5 '6 m a r,9 NOTARY PUBLIC CALIFORNIA CA 0 ±; ,J executed the instrument. al a LOS ANGELES COUNTY ��,' MY COMM. EXPIRE. OCT, 17 ?000 WITNESS my hand and official seal. S nta_. 1 1/4,5, Sign of Notary Public ali dNAL xvi Though the information below is not required by law. it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document ? Title or Type of Document: Non Collusion Affidavit q Document Date: 9/29/97 Number of Pages: 1 Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) 1 Signer's Name: Miriam Miramontes Signer's Name: �', x 5 p ill Individual Individual <0x., 1-X Corporate Officer ❑ Corporate Officer Vice President Ttle(s). Title(s): p L Partner—I Limited ❑ General = Partner Limited _ General PA L Attorney-in-Fact ± Attorney-in-Fact U Trustee E Trustee RIGHT THUMBPRINT - RIGHT THUMBPRINT �,SIGNER E Guardian or Conservator OFscNeR Guardian or Conservator oPHUMBP <N I_ Other Too ur;numo i_� Other Top or mumo nere Signer Is Representing: Signer Is Representing: Miramontes Const Co Inc 'p . `=<. `.i. ,�tsec,`ct, .r-c. .'et,'cc. .etr-r.'�.�.r-rX'-r,•cc.c�,c�,'cc, _ c:�X=<.'�=t.�t. `cc, ,cc,` v> 01995 Napo al No ary As 8236 Remmet Au PO Bo 184 Ca oga Park.CA 91309--184 Pr No 590' Re rde Call Toll.Fr I-800-876-6827