HomeMy WebLinkAboutRESPONSE - BID - 5940 FOSSIL CREEK TRAIL UNDERPASS & HWY 287 (3)SECTION 00300
BID FORM
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t
List the
_ re imp'rta.;r 7oleos rece:.t
sEa.t na = appr.oximare r y, completed b� P y.a.,Y
location, a of each, and the month and year
S� type of -.stra^tic:,. comr
rM r>
List your
amo ------ -- - ------------_
]� -]or equipment available for th-s contract.
r— C n b1K-W�.. 1 U /L
Experience construct:o�, Work simi;ac _:, importance
project: to this
l'
�• Background and experience of the print -pa_ ganization
including officers: members of your or
SEA A•ee.o ,... _ ,
-redi t a. a: :e: $ 570o ---- —
r• Bank reference:��l --
ti\Al
Will you, uron request, I- out a furnish anv F detailed financial statement and
\\rram� other information that may be required by the OWNER?
X_ -Are or — _ _ _
' 1 -•.se as a Genera, CONTRACTOR?mow -- — - --
If Yes, in what city, county and state? F"`� ct a
rn n r\.•OIL�N
class, license and numbers? �"!"`�aR�S�,y►�.M—�
Whale '
-9 Do you ,
Contract? i� anticipate subcontracting Work
under this
If yes, what percent of tor-
and to whom? acontract? � � �o
��• Are any lawsuits pending against
IF yes, DETAIL You or your firm at -"this time?�
7/96
Sectiori:00420 Page
21
22
What are the limits of your public liability?
s S Cis m
What company?
DETAIL
What are your company's bonding limitations? a, S Mi o-op SjtJC .L:e -ra
3 0CQ! 6M -Tar-^S
23. The undersigned
corporation to
verification of
Qualifications.
Dated at I a, 3a
hereby authorizes and requests any person, firm or
furnish any information requested by the OWNER in
the recital comprising this Statement of Bidder's
this day of WSA-A(51NR , 206S.
7:S — D- �cJG— CO -
Name of e
By:
Title: VP
State of Cld�, o
County of
C-N-(LlS Lr--CNE being duly sworn deposes and says that he
is yQ of 3-a `o�Jtv,���,le. cj_ and that
(name of organization)
the answers to the foregoing questions and all statements therein contained
are true and correct.
Subscribed and sworn to before me this day of
NovsrnS3LA /�,�7 62��0��o5.�' ' /l .
Notary Public
My commission expires my cnmmission Expires
September 6, 2006
7/96 Section 00420 Page 3
Email: johnleone@j2contracting.com — Web Page: www.j2contracting.com
i 929 3e' Ave. Ct. 4106 • Greeley. CO 806340 (970) 392-0694 • Fax: (9701 392-0695
Drainage Pipe*Reclamation*Site Grading*Cement & Lime Subgrade
Public t3tilitiesOStreet Construction
Recently Completed Public Works Projects (2000-2005)
I. Project Name:
37'h Street/351h Ave. ROW Improvements
Sub or Prime?
Prime Contractor
Owner:
City of Evans (Contact: Martin Howell)
1 100 371h Street
Evans, CO 80620
Engineering:
Drexel -Barrel)
4840 Pearl East Circle, Suite 114
Boulder, CO 80301
Contract Amount:
$3,300,000.00
Completion Date:
5/2004
% Comp. with Own Forces:
70%
2. Project Name:
56'h Ave. Reconstruct
Sub or Prime?
Prime Contractor
Owner:
City of Greeley (Contract: Pat Hill 350-9540)
1000 10a' Street
Greeley, CO 80631
Engineering:
City of Greeley (Contract: Pat Hill 350-9540)
1000 10'h Street
Greeley, CO 80631
Contract Amount:
$146,561
Completion Date:
6/02
% Comp. with Own Forces:
36%
3. Project Name:
Highland Hills 20'h Street/56'h Ave.
Detention Pond/Irrigation Line
Sub or Prime?
Prime Contractor
Owner:
City of Greeley (Contract: Bert Leautaud 350-9788)
1000 101h Street
Greeley, CO 80631
Engineering:
City of Greeley (Contract: Bert Leautaud 350-9788)
1000 10'h Street
Greeley, CO 80631
Contract Amount:
$254,773.00
Completion Date:
9/02
% Comp. with Own Forces:
95%
4.
5.
C
7
Recently Completed Public Works Projects (2000-2005) (Continued)
Project Name:
47'h Ave. Widening
Sub or Prime?
Prime Contractor
Owner:
City of Greeley (Contract: Mike Bedell 336-4125)
Engineering:
KBN Engineers
820 8'h Street
Greeley, CO 80631
Contract Amount:
$410,000
Percentage Complete:
100%
Completion Date:
I I/03
Comp. with Own Forces:
40%
Project Name: Weld County Parking Lot (8"' St. & 10" Ave.)
Sub or Prime? Prime Contractor
Owner: Weld County (Contract: Pat Persichino)
Engineering: KBN Engineers
820 8'h Street
Greeley, CO 80631
Contract Amount: $430,000.00
Percentage Complete: 100%
Completion Date: 4/05
Comp. with Own Forces: 40%
Project Name:
32"" Street/29"' Ave. ROW Improvements
Sub or Prime?
Prime Contractor
Owner:
City of Evans (Contract: Martin Howell 339-5344)
1 100 37"' Street
Evans, CO 80620
Engineering:
Pickett Engineering
808 8"' St.
Greeley, CO 80631
Contract Amount:
$1,354.000.00
Percentage Complete:
100%
Completion Date:
11/01
Comp. with Own Forces:
50%
Project Name:
East Memorial Storm Sewer/Balsam Ave. Improv.
Sub or Prime?
Prime Contractor
Owner:
City of Greeley (Contract: Bert Leautaud 350-9788)
1000 101h Street
Greeley. CO 80631
Engineering:
Burnett Consulting Engineers
P.O. Box 121
Cowdrey, CO 80434
Contract Amount:
$809,000
Percentage Complete:
100%
Completion Date:
10/01
% Comp. with Own Forces:
70%
Recently Completed Public Works Projects (2000-2005) (Continued)
8. Project Name:
49ih Ave. & 591h Ave. Storm Sewer
Sub or Prime?
Prime Contractor
Owner:
City of Greeley (Contract: Bert Leautaud 350-9788)
1000 101h Street, Greeley, CO 80631
Engineering:
City of Greeley (Contract: Bert Leautaud 350-9788)
1000 10'h Street, Greeley, CO 80631
Contract Amount:
$306,000
Percentage Complete:
100%
Completion Date:
11/01
% Comp. with Own Forces:
70%
9. Project Name:
Monfort Phase III
Sub or Prime?
Prime Contractor
Owner:
City of Greeley (Contact: Phil Carter 350-9826)
1000 10'h Street, Greeley, CO 80631
Engineering:
Boyle Engineering
165 South Union Blvd.. Suite 200
Lakewood, CO 80228
Contract Amount:
$300,000
Change Orders:
$70,000 (4 change orders)
Completion Date:
11/00
% Comp. with Own Forces:
80%
10. Project Name: 1" Ave./East Memorial Storm Sewer
Sub or Prime? Prime Contractor
Owner: City of Greeley (Contract: Bert Leautaud 350-9788)
1000 10"' Street, Greeley, CO 80631
Engineering: Burnett Consulting Engineers
P.O. Box 121, Cowdrey, CO 80434
Contract Amount: $620,000.00
Percentage Complete: 100%
Completion Date: 8/00
Comp. with Own Forces: 70%
11, Project Name:
2000 Impac Project
Sub or Prime?
Prime Contractor
Owner:
City of Greeley (Contract: Linda Hood 350-9808)
1000 10"' Street, Greeley, CO 80631
Engineering:
Same
Contract Amount:
$354,000
Percentage Complete:
100%
Sch. Completion Date:
9100
% Comp. with Own Forces:
45%
12. Project Name:
Hill and Park Waterline
Sub or Prime?
Prime Contractor
Owner:
City of Evans (Contract: Martin Howell 339-5344)
1 100 37'h Street, Evans, CO 80620
Engineering:
RTW
Fort Collins, CO 80525
Contract Amount:
$254,000
Percentage Complete:
100%
Completion Date:
12/00
% Comp. with Own Forces:
90%
Cr Email: johnleone@j2contracting.com — Web Page: www.j2contracting.com
• s 929 3e Ave. Ct. 0106 • Greeley, CO 806340 (970) 392-0694 • Fax: (970) 392-0695
Drainage Pipe* ReclamationsSite GradingOCement & Lime Subgrade
Public tlhlities9Street Construction
Recently Completed Residential Projects (2000-2005)
1. Project Name:
Pumpkin Ridge Subdivision Phase I & II
Sub or Prime?
Prime Contractor
Owner:
Pumpkin Ridge LLC (Dale Souther)
3835 W. 10'h Street. Greeley, CO 80634
Engineering:
KBN Engineers
820 81h Street, Greeley, CO 80631
Contract Amount:
$3,300,000
Sch. Completion Date:
6/2005
% Comp. with Own Forces:
50%
2. Project Name: North Point Subdivision. Phase I & 11
Sub or Prime? Worked directly for owners CM
Owner: Northpoint LLC (Contact: Andy Krill)
Engineering: Northern Engineering
420 S. Howes, Suite 202. Fort Collins, CO 80521
Contract Amount: S2,100,000.00
Percentage Complete: 100%
Completion Date: 10/02
% Comp. with Own Forces: 95%
3. Project Name:
Prairie View Subdivision
Sub or Prime?
Prime Contractor
Owner:
Prairie View LLC (Dale Souther)
3835 W. 10'h Street, Greeley, CO 80634
Engineering:
McRae & Short Engineering
123I 8'h Ave., Greeley, CO 8063 I
Contract Amount:
$395,519.00
Percentage Complete:
100%
Completion Date:
5/00
% Comp. with Own Forces:
50%
4. Project Name:
Sommersett Subdivision
Sub or Prime?
Prime Contractor
Owner:
Prairie View LLC (Dale Souther)
3835 W. 10'h Street, Greeley, CO 80634
Engineering:
McRae & Short Engineering
1231 8'h Ave.
Greeley, CO 80631
Contract Amount:
$608,000.00
Percentage Complete:
100%
Completion Date:
8/01
% Comp. with Own Forces:
50%
'446"ft 0—
Email: johnleone@j2contracting.com — Web Page: www.j2contracting.com
919 38 h Ave. Ct. L 106 • Greeley. CO 806340 (970) 392-0694 • Fax. (970) 392-0695
Drainage Pipe* ReclamationsSite GradingOCement & Lime Subgrade
Public t'tilitieseStreet Construction
Recently Completed Commercial Projects (2000-2005)
I. Project Name:
Bonell Good Samaritan Center Parking Lots
Sub or Prime?
Prime Contractor
Owner:
Bonell Good Samaritan Center
708 22nd Street
Greeley, CO 80631
Engineering:
Landmark Engineering
3521 W. Eisenhower Blvd.
Loveland, CO 8037
Contract Amount:
$295,000.00
Percentage Complete:
10%
Completion Date:
8/2003
% Comp. with Own Forces:
80%
2. Project Name:
College Green Business Park
Sub or Prime?
Prime Contractor
Owner:
Hensel Phelps Development Management Co.
(Contract: Kim McAuliffe 970-352-6565)
Engineering:
KBN Engineers
820 8* Street
Greeley, CO 80631
Contract Amount:
$700,000
Completion Date:
4/04
% Comp. with Own Forces:
94%
3. Project Name:
Northern Colorado Medical Center, MOB I#I
Sub or Prime?
Sub Contractor
Owner:
Northern Colorado Medical Center
Prime Contractor:
Hensel Phelps (R) Barron (970) 506-9402)
Engineering:
Drexel-Barrell
4840 Pearl East Circle, Suite 114
Boulder, CO 80301
Contract Amount:
$460,000
Completion Date:
5/03
% Comp. with Own Forces:
100%
SECTION 00430
SCHEDULE OF SUBCONTRACTORS
List all subcontractors for the work items listed below and all subcontractors
performing over is% of the contract.
ITEM
ASS:
C n�) C�fZ.C-ram
CoNULEvr
J7iuNG
7/96
SUBCONTRACTOR
r1Nproso Cav«
J�G-S
LEs M�'T'SaN C6r.�S-�ct.uc�S
Section 00430 Page 1
SECTION 00020
INVITATION TO BID
07/2001 Section 00020 page 2
SECTION 00300
BID FORM
PROJECT: Bid 5940 Fossil Creek Trail Underpass @ Hwy. 287
Place W
Date: A/6,vE1-78G2 �I Z-Alp ZC-jos
1. In compliance with your Invitation to Bid dated and
subject to all conditions thereof, the undersigned
a (Corporation, Limited Liability Company, Partnership, Joint Venture, or
Sole Proprietor) authorized to do business in the State of Colorado
hereby proposes to furnish and do everything required by the Contract
Documents to which this refers for the construction of all items listed
on the following Bid Schedule or Bid Schedules.
2. The undersigned Bidder does hereby declare and stipulate that this
proposal is made in good faith, without collusion or connection with any
other person or persons Bidding for the same Work, and that it is made in
pursuance of and subject to all the terms and conditions of the
Invitation to Bid and Instructions to Bidders, the Agreement, the
detailed Specifications, and the Drawings pertaining to the Work to be
done, all of which have been examined by the undersigned.
3. Accompanying this Bid is a certified or cashier's check or standard Bid
bond in the sum of rXy6 Feat i7-
�/� ) in accordance with the Invitation To Bid and Instructions
to Bidders.
4. The undersigned Bidder agrees to execute the Agreement and a Performance
Bond and a Payment Bond for the amount of the total of this Bid within
fifteen (15) calendar days from the date when the written notice of the
award of the contract is delivered to him at the address given on this
Bid. The name and address of the corporate surety with which the Bidder
proposes to furnish the specified performance and payment bonds is as
follows: &uEar S(Ad2 .m� �O c4ox Yd'90TS. %iFc,CD gO�y�
S. All the various phases of Work enumerated in the Contract Documents with
their individual jobs and overhead, whether specifically mentioned,
included by implication or appurtenant thereto, are to be performed by
the CONTRACTOR under one of the items listed in the Bid Schedule,
irrespective of whether it is named in said list.
G. Payment for Work performed will be in accordance with the Bid Schedule or
Bid Schedules subject to changes as provided in the Contract Documents.
7. The undersigned Bidder hereby acknowledges receipt of Addenda No.
through _Z-
8. BID SCHEDULE (Base Bid)
7/96 Section 00300 Page 1
Project: Fossil Creek Trail Underpass @ Hvy 287
BID SCHEDULE (BASE BID)
Bid Items are described in Section 01800
BID
ESTIMATED
ITEM'n
DESCRIPTION
QUANTITY
UNIT
1
Mobilization
1
LS
2
Traffic Control
1
LS
3
Surveying
1
LS
4
Erosion Control
1
LS
5
Remove Fence
20
'F
6
Remove Abandoned Manhole
1
EA
7
Abandon EX. 18" RCP
1
Ls
6
Remove C&G
16
LF
9
Demolition of Apron Slabs
2
EA
10
Unclassified Exc.
1,950
CY
11
2 Concrete Channel & SW Culvert
1
E.A.
12
4' Manhole (STANDARD 10' DEEP)
1
EA
13
4' Flat Top Manhole wl Watertight Lid
1
EA
14
Watertight Lid for Ex. Manhole
1
EA
15
12" CLass III RCP (C.I.P.)
20
LF
16
24" CLass III RCP (C.I.P.)
34
LF
17
19"x30" CLass III HERCP (C.I.P.)
50
LF
18
19"x30" CLass III HERCP FES (C.I.P.)
1
FA
19
Buried Riprap TYPE H (C.I.P.)
2,164
SF
20
6" Concrete Slope Paving
350
8F
21
ADA Pedestrian Ramp -10' Opening
1
EA
22
5" Colored Concrete Paving
11,406
SF
23
5" Concrete Paving w.r 6" Monolithic Curb
1.514
SF
24
Concrete Paving Overlay
1,494
SF
25
Steel Piling
480
LF
26
Wall TYPE A
93
LF
27
Wall TYPE B
24
LF
28
Wall TYPE C
99
LF
29
Wall TYPE D
50
LF
30
Wall TYPE E
20
LF
31
Wall TYPE F
42
LF
32
Structure Backfiil Class 2
65
cY
33
Artistic Walls - shaping & form liners
1
LS
34
Installation of 'Viewing Window' Frame
2
EA
35
Drill Seeding wi Mulch
1
`",ACa
36
Architectural Miscellaneous
1
LS
37
Mechanical System
1
LS
38
Electrical System
1
LS
39
Metal Trail Gate
2
—A
TOTAL OF BASE BID
7/96
3
j4M40
Section 00300 Page 2
9. PRICES
The foregoing prices shall include all labor, materials, transportation,
shoring, removal, dewatering, overhead, profit, insurance, etc., to cover
the complete Work in place of the several kinds called for.
Bidder acknowledges that the OWNER has the right to delete items in the
Bid or change quantities at his sole discretion without affecting the
Agreement or prices of any item so long as the deletion or change does
not exceed twenty-; e prerc,'t (25%) of the total Agreement Price.
Y ,Z,OBMITTED :
r:.aai �� -�� IZ'
Signatu e Date
a a Title
License
(Seal - if Bid is
Attest:
Address
Telephone
Email
(If Applicable)
ation)
Li 50 'E. I tom' ST
CasGL-=-j , Co Solo31
9 -10
CH (LI b L.8aE (2, S A CM-)' �Lrj n1G- . CoyV
7/96 Section 00300 Page 3
SECTION 00410
BID BOND
KNOW ALL MEN BY THESE PRESENTS: that we, the undersigned J-2 Contracting Company.
as Principal, and Developers Surety and Indemnity Company as
Surety, are hereby held and firmly bound unto the City of Fort Collins, Colorado,
as OWNER, in the sum of $ 5% * for the payment of which, well and
truly to be made, we hereby jointly and severally bind ourselves, successors, and
assigns.
THE CONDITION of this obligation is such that whereas the Principal has
submitted to the City of Fort Collins, Colorado the accompanying Bid and hereby
made a part hereof to enter into a Construction Agreement for the construction
of Fort Collins Project, Bid 5940 Fossil Creek Trail Underpass @ Hwy. 287
NOW THEREFORE,
(a) If said Bid shall be rejected, or
(b) If said Bid shall be accepted and the principal shall execute and deliver
a Contract in the form of Contract attached hereto (properly completed in
accordance with said Sid) and shall furnish a BOND for his faithful
performance of said Contract, and for payment of all persons performing
labor or furnishing materials in connection therewith, and shall in all
other respects perform the Agreement created by the acceptance of said Bid,
then this obligation shall be void; otherwise the same shall remain in
force and effect, it being expressly understood and agreed that the
liability of the Surety for any and all claims hereunder shall, in no
event, exceed the penal amount of this obligation as herein stated.
The Surety, for value received, hereby stipulates and agrees that the obligations
of said Surety and its BOND shall be in no way impaired or affected by any
extension of the time within which the OWNER•may accept such Bid; and said Surety
does hereby waive notice of any such extension.
Surety Companies executing bonds must be authorized to transact business in the
State of Colorado and be accepted by the LONER.
* FIVE PERCENT OF TOTAL AMOUNT BID-----
7/96 Section 00410 Page 2
IN WITNESS NHEREOF, the Principal and the Surety have hereunto set their hands
and seals this 31st day of _�Octoberti, 2005 , and such of `them as are
corporations have caused their corporate seals to be hereto affixed and these
presents to be signed by their proper effacers, the day and year first set forth
above.
PRINCIM SURETY
Name: J-2 ContractingCompan Developers Surety and Indemnity Company
Address: 929 38th Ayenue QQu tq, #106 P.O. SQ, 46 ___
Greeley, 8 83 _ Denver. CO 80246,
By- �� _..�. _ OJ.R.;Richards
Attorney -in -Fact
,
r
%TT ?
a.r ;.•
A.
° (SEAL) (SEAL)
7/96 Section 00410 Page 3
i
inscgh1co
DISCLOSURE RIDER
Terrorism Risk Insurance Act of 2002
The Terrorism Risk Insurance Act of 2002 created a three-year program under which the
Federal Government will share in the payment of covered losses caused by certain events of
international terrorism. The Act requires that we notify you of certain components of the Act, and
the effect, if any, the Act will have on the premium charged for this bond.
Under this program, the Federal Government will cover 90% of the amount of covered
losses caused by certified acts of terrorism, as defined by the Act. The coverage is available only
when aggregate losses resulting from a certified act of terrorism exceed $5,000,000.00. Insurance
carriers must also meet a variable deductible established by the Act. The Act also establishes a
cap of $100 billion for which the Federal Government or an insurer can be responsible.
Participation in the program is mandatory for specified lines of property and casualty
insurance, including surety insurance. The Act does not, however, create coverage in excess of
the amount of the bond, nor does it provide coverage for any losses that are otherwise excluded
by the terms of the bond, or by operation of law.
No additional premium has been charged for the terrorism coverage required by the Act.
Developers Surety and Indemnity Company
Indemnity Company of California
17780 Filch, Suite 200
Irvine, CA 92614
(949) 263 3300
www.1nacoDleo.com
ID-1498 (Rev. 5/03)
t POWER OF ATTORNEY FOR
% DEVELOPERS SURETYAND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO BOX 19725, IRVINE, CA 92623 (949) 263-3300
KNOW ALL MEN BY
IF THESE PRESENTS, that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY
COMPANY OF CALIFORNIA, do each hereby make, constitute and appoint:
***James S. Rosulek, J.R. Richards, Douglas J. Rothey, Cynthia M. Burnett, Florietta Acosta, Donald E.
Appleby, Gloria C. Blackburn, Dilynn Guern, Pamela J. Hansen, Kristen L. McCormick, Kevin W. McMahon,
Frank C. Penn, Susan J. Lattarulo, jointly or severally***
as their true and lawful Attomey(s),in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings
and contracts of suretyship giving and granting unto said Attomey(s)-in-Fact full power and authority to do end to perform avers act s
to be doue in connection therewith as each of said corporations could do, but reserving to each of saidne
all of the acts of said Attomey(s)-in-Fact, CO8sary, requisite or proper
Pursuant to these presents, are hereby ratified and confirmed, corporations full power of substitution and revocation, and
This Power ofAttomey is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Board of Directors of
DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of November 1, 2000:
RESOLVED, that the Chairmen of the Board, the President and any Vice President of the corporation be, and that each of them hereby is, authorized to
execute Powers ofAttorey, qualifying the attorneY(s) named in the Powers ofAttomey to execute, on behalf of the corporations, bonds, undertakings
Power ofgmp; and ��. t the Secretary or any Assistant Secretary of the corporations be, and each of them hereby is, authorized to attest the execution and of any such
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by
facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporation when so affixed and in
the future with respect to any bond, undertaking or contract of suretyship to which it is attached.
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused
these presents to be signed by their respective Executive Vice President and attested by their respective Secretary this 1 at day of February, 2005.
By:
David H. Rhodes, $a" �AND jN Wy
Executive Vice President nPA
uiIOCT. a< By: d i 10 r sWalter A. Crowell, Secretary }0 % 1938 oE
STATE OF CALIFORNIA )
COUNTY OF ORANGE )SS.
On February 1, 2005, before me Nita O Hiffmeyet, personally appeared David H. Rhodes and Walter A. Crowell, personally known to me or
to me on the basis of satisfactory evidence) m be the persons whose names an subscribed to the within instrument and acknowledged to me that
same in their authorized capacities, and that b their signatures ( proved
Y gnatures on the instnmrent the entity upon behalf of which the persons mO persons acted, executed time instrument.
WITNESS my hand and official seal.
Nrm e. HIfIFMEYEq
Signature
oftQMooUNW
1 eoanm Ins,yu 10, 2009
CERTIFICATE
The undersigned, as Executive Vice -President, of DEVELOPERS SURETY AND iNDE
CALIFORNIA, does hereby certify that the foregoing Power of Attorney remains in full force ar),d INDEMNITY COMPANY OF
the resolutions of the respective Boards of Directors of said corporations set forth in time Poti $f�. hermore, that the provisions of
This Certificate is executed in the City of Irvine, California, the 31 s t ,����y-e i p ' F of this Certificate.
dayofym[m rr
By
J r
�
ry ;
Dared L. Kemgan, Executive Vico-Pnsident '� '� 6 �
ID-1380 (Rev. 2/o5)
,41
i
SEc_
STATEMEV. OF B 1 DDER
Al. questions
comprehensive.
must be answered �'el
the data
"A '
be
This statement must
given must i,-
ta�rized.
,.r an
answered o.i
separate attached she
If nece Ty, o
^s ma
information he
.
desires.
e Bidder may S3;;it a:..
onalm'
i . Name of Bidder:
2• Permanent main off_ce address:g acl 3 8TI4
10 aF. r �1
3• When organized: II/q S LCo 8()&31t
9• if a corporation, where incorpc_ar=d:
�l.oR�o
5. How any years have ycJ been enaa.ed in the contracting bus'_-.--
under ycjr present firm or trade
6• 'ontraCtS on hand: (Schedule these, sho
contract and the appro-wing the amount of ea_:.
priate aat'c'_pated dates of completion.
`I.'1'Mlirb � {��-� 3� 1►.)i. nrm C, f .-
7• Generai charac
ter of P.crk perfcr-ie„
your company:
B• Have you ever failed to complete a.; Work awarded to you?
If so, where and why?
9• Have your ever defaulted on a contract? fJO
If so, where and why?
10. Are you debarred by any government agency? too
If yes list agency name.