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
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