document a310 2010 - stockton · bid bond contractor: (name. legal status olllladdress) golden...

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Document A310 1 M- 2010 Conforms with The American Institute of Architects AlA Document 310 Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status and address) City of Stockton 425 N. El Dorado Street, Stockton, CA 95202 BOND AMOUNT: $ 50,000.00 PROJECT: SURETY: (Name. legal sllltus a11d pri11cipnl place ofbusiJI(:ss) Liberty Mutual Insurance Company 175 Berkeley St., Boston , MA 02116 This document has important legal consequences. Consultation with Mailing Address for Notices an attorney is encouraged with respect to its completion or modification. Any si ngular reference to Contractor, Surety, Owner or other party shall be con sider ed pl ural Where applicable. {Name. location or address. a11d Project 1111111her. if any) furnish, install and terminate fiber optic cables, cond uits, and accessories in Weston Ranch area and San Joaquin Regional Tran sit District (SJRTD) office The Contractor and Surety arc bound to the Owner in the umount sel fort h above, for the payment of which the Contractor and Surety bind themselves, their heirs. executors, administrators, successors and assigns, jointly and severall y, as provided herei n. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in th e bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (I) enters into a contract with the Owner in accordance with the terms of such bid. and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond. between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation be . ,u ll and void, otherwise to remain in fu ll force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept th e bid. Wa iver of notice by the Surety sha ll not apply to any exrension exceeding sixty (60) days in the aggregate beyond th e tim e for acceptance of bid$ specified in the bid document s, and the Owner and Contractor shall obtain th e Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor. the term Contractor in this Bond shall be deemed to be Subcontractor and th e term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Golden State Utility Co ____________ _ (Seal) ary (Title)Mark Overholt (Title) Ana W. Oliveras, GOLDEN •Z.TATE lflTUT' CO

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Page 1: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

Document A3101M- 2010

Conforms with The American Institute of Architects AlA Document 310

Bid Bond

CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307

OWNER: (Name. legal status and address) City of Stockton 425 N. El Dorado Street, Stockton, CA 95202

BOND AMOUNT: $ 50,000.00

PROJECT:

SURETY: (Name. legal sllltus a11d pri11cipnl place ofbusiJI(:ss) Liberty Mutual Insurance Company 175 Berkeley St. , Boston, MA 02116

This document has important legal consequences. Consultation with

Mailing Address for Notices an attorney is encouraged with respect to its completion or modification.

Any singular reference to Contractor, Surety, Owner or other party shall be considered plural Where applicable.

{Name. location or address. a11d Project 1111111her. if any) furnish, install and terminate fiber optic cables, conduits, and accessories in Weston Ranch area and San Joaquin Regional Transit District (SJRTD) office

The Contractor and Surety arc bound to the Owner in the umount sel fort h above, for the payment of which the Contractor and Surety bind themselves, their heirs. execu tors, administrators, successors and assigns, jointly and severall y, as provided herei n. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (I) enters into a contract with the Owner in accordance with the terms of such bid. and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond. between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation sh:~ll be .,ull and void, otherwise to remain in fu ll force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any exrension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bid$ specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days.

If this Bond is issued in connection with a subcontractor's bid to a Contractor. the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.

When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond.

Golden State Utility Co --::-~=--~'bl-"..>o<..::::::;._ ____________ (Principa~ ~(?2.ii? _ (Seal)

ary (Title)Mark Overholt

~~~~~~~~"~~~------------~-- (Sur~rty ~~ompany (Sea~ (Title) Ana W. Oliveras, Attorney~ln~Fact

GOLDEN •Z.TATE lflTUT' CO

Page 2: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power or Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.

Certificate No.~ American Fire and Casualty Company The Ohio Casualty Insurance Company West American Insurance Company

Liberty Mutual Insurance Company Peerless Insurance Company

POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENl S: 1 hat American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State ol Ohio. thatltberty Mutual Insurance Company is a corporation duly organized under the laws ol the State of Massachusetts. that Peerless Insurance Company is a corpomtion duly organized under the laws of the State ol New llampshire. and West American Insurance CornpHny is a corporation duly orgaruzcd under the laws or the State of Indiana (herein collectively cHIIed lhe "Companies'), pursuant to and by aut11ority herein set forth. does hereby name, constitute and apjJoint. .....cA...,o..,a_.w.......,o...wliv.,.ewra"'s,__ __________ _

all or the crty of Sunrise • state of FL each individually if there be more than one named. its true and lawful attorney·fn.fact to make, execute. seal, acknowledge and dclrver. for and on its behalf as surety and as its act and deed. any and all undertalongs. bonds. recognizances and other surety obligations. in pursuance of these presents and shall be as brnding upon the Companies as ~ they have been duly signed by the president and attested by the secretary of the Companies rn therr own propef persons.

IN WITNESS WHERE OF. this Power of Anornoy has been subscrrbcd by an authorized officer or official of the Companies and the corporate seals of the Companies have been alfixed thereto thrs ~dayol October 2012 .

STATE OF WASHINGTON COUNTY OF KING

ss

American Fire and Casualty Company The Ohio Casually Insurance Company Liberty Mutual insurance Company Peerless Insurance Company West American Insurance Company

By: ~~--~~~--~~~~~------­Gregory W. Davenport, Assistant Secretary

On thrs ~day of October .1Q!L. before me personally appeared Gregory W. Davenport who acknowledged himself to be I he Assistant Secretary ol Amefrcan fire and Casualty Company. Liberty Mutual Insurance Company, The Ohio Casualty Company. Peerless Insurance Company and West American Insurance Company, and that he. as such. being autllorized so to do. execute the foregoing instrument lor the purposes therein contained by signing on behalf or the corporations by himself as a duly authorized officer.

IN WITNESS WHEREOF. I have hereunto subscribed my nome and affixed my notarial seal al Seattle. Washmgton. on the day and year first above written.

By: ~et·~ KD Riley , NOif'Ublic

This Power ol Attorney rs made and executed pursuant to and by authority ollhe following By·laws and AuthorizatiOns of Amencan Fire and Casually Company, The Ohio Casualty Insurance Company, lrberly Mutual Insurance Company. West Amefrcan Insurance Company and Peerless Insurance Company, which resolutions arc now in full force and effect rea<f1ng as follows:

ARTICLE IV - OFFICERS- Section 12. Power ol Anorney. Any officer or other officral of the Corporation authorized for that purpose in vmting by the Chainnan or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys·m·fact. as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys· in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney·ill·fact under the provisions of this article may be revoked al any time by the Board, the Chairman. I he President or by the orncer or officers granting such power or authority.

ARTICLE XIII - Execution of Contracts - SECTION 5. Surety Bonds and Undertakings. Any olfrcer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys·in·fact. as may be necessary to act in behalf of the Company to make, execute. seat. acknowledge and deliver as surety any and all undertakings. bonds. recognizances and other surety obligations. Such attorncys·in·fact subject to the limitations set forth in therr respective powers ol attorney. shall have full power to bind the Company by their signature and execution or any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as rf srgnefl by the president and attested by the secretary.

Certificate or Designation - The President or the Company. acting pursuant to the Bylaws of the Company. authorizes Gregory W. Davenport. Assistant Secretary to appoint such attorney-in·lacl as may be necessary to act on behalf ol the Company to make. execute, seal, acknowledge and deliver as surety any and all undertakings. bonds, recognizances and other surety obligations.

Authorization - By unanimous consent of the Company's Board of Directors. I he Company consents that facsimile or mechanically reproduced signature or any assrstant secretnry or the Company, wherever appearing upon a certified copy of any jJOwer of attorney issued by the Company in connection with surety bonds. shall be valld and biding upon the Company with the same force and effect as though manually affixed.

I, Oavrd M. Carey. the undersigned, Assistant Secretary. of American Fire and Casualty Company. The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company. West American Insurance Company and Peerless Insurance Company do hereby cerufy U1a1 the orrginal power ol attorney or which the forcgorng is a full, true and correct copy of the Power of Auorney executed by said Companies, is in full force and effect and has not been revoked rot+A <fy1 /J "flj IN TESTIMONY WHEREOF. I have hereunto set my hand and affixed ~e ;eats of sard Comparues thrs _0 ___ 1 day or ~20 1..3

. -0/~~ I By: --::-~~~:-:-:--::-'-/ ._• ...::.L t:_:----:-:--:-:::--------

David M. Carey, Assistant Secretary

POA - AFCC, LMIC, OCIC. PIC & WAIC LMS_12873_0<11012

GOLDEN STAlE UTILITY CO 442 of 500

Page 3: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

FIBER OPTIC NETWORK EXPANSION­WESTON RANCH & SJRTD OFFICE

FEDERAL AID CONTRACT BIDDERS CHECKLIST CITY OF STOCKTON

Did you complete and properly sign:

_ x _This Bidders Checklist and all forms provided in the following Bid for Public Work

X

X

section?

List of Subcontractors?

Check list of Debarred Subcontractors (Labor Code Section 1777.1 )? http://www.dir.ca.gov/DLSE/Debar.html

_ x_sign and notarize by jurat certificate the Non-Collusion Affidavit form (Exhibit

X

X

12-E, Attachment D)?

Equal Employment Opportunity Certification (Exhibit 12-E, Attachment C)?

Certification of Attempts to Recruit Minority and Women Employees (EE0-1 B)?

_ x_ritle VI Violation Self-Certification?

_ x_Public Contract Code (Section 10285.1, Section 10162, Section 10232)?

X Debarment and Suspension Certification (Exhibit 12-E, Attachment E)?

_ x_Non-lobbying Certification for Federal-Aid Contracts (Exhibit 12-E,

Attachment F)?

X Disclosure of Lobbying Activities (SF-LLL) (Exhibit 12-E, Attachment G)?

Include DBE Forms: x DBE Certification Statement (DBE-1A) (All Bidders: Due with Bid.)

x Company Workforce Report (DBE-1 B) (All Bidders: Due with Bid.)

x Bidders List of Subcontractors (Exhibit 12-G) (All Bidders: Due with Bid.)

__ Bidder DBE Commitment (Construction Contracts - Exhibit 15-G) (1st, 2nd, & 3rd lowest bidders: Due to City within 4 business days.)

__ DBE Information -Good Faith Efforts (Exhibit 15-H) (1st, 2nd, & 3rd lowest bidders: Due to City within 4 business days.)

_ _ Final Report-Utilization of Disadvantaged Business Enterprises (DBE) (Exhibit 17 -F) (Due at End of Project)

__ Disadvantaged Business Enterprises (DBE) Certification Status Change (Exhibit 17 -0) (Due at End of Project)

GOU:ci\J ~TATE llTIUiY CO

Page 4: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

General: x Read and understand U.S. Department of Transportation Federal Highway

Administration FHWA-1273, Required Contract Provisions Federal-Aid Construction Contracts? http://www. fhwa .dot.gov/proq ram ad min/contracts/1273/1273 .pdf

x Advise all subcontractors of prevailing wage rate requirements.

x Check http://www.wdol.gov/dba.aspx#3 website for any revisions to the applicable federal wage rates up to ten days prior to bid opening date. Federal wage rates will be physically included as part of the final contract documents.

x Construction & Demolition Recycling Plan forms: See Instructions to Bidders: SECTION 24: CONSTRUCTION & DEMOLITION DEBRIS for directions and locations of forms.

x Include your 10% bidder's security (bidder's bond, certified or cashier's check).

_x_Review all Questions/Answers/Clarifications on the City web site at http://www.stocktongov.com/business/bidflash.cfm prior to submitting your bid.

_ x_Submit company name and contact information to Nancy Arbios at

(209) 937-8114 or email at [email protected]

_ x_Attend Job Walk, If mandatory None

_ x_Attend Mandatory Pre-Bid Meeting: Februrary 28, 2013, 9:00 a.m. , City Hall Council Chambers- 425 N. ElDorado Street, Stockton, CA 95202

x Submit one (1) Original of all bid documents.

x Deliver the sealed bid proposal to City Hall, City Clerks Office (1st floor) , 425 N. ElDorado Street, Stockton, CA 95202 not later than Thursday. March 14, 2013, 2:00p.m. Sealed bid shall be marked "BID" and indicate project name, number, and bid opening date. Please note that some overnight delivery services do not deliver directly to the City Clerk's Office. This could result in the bid arriving in the City Clerk's Office after the bid opening deadline and therefore not being accepted.

NOTE: Bids are invalid which are unsigned or not accompanied by 10% bid deposit or a bidder's bond, signed by both the bidder and the surety. If erasures or interlineations appear on your bid form, they must be initialed by the person preparing the bid.

Golden State Utility Co . 4425 Farm Supply Dr. Ceres CA 95307

FIRM ADDRESS

209-579- 3400 209 - 579-3497 moverholt®gsuc.net

CONTACT PHONE AND FAX NUMBER E-MAIL ADDRESS

Mark Overholt President

PRINTED NAME TITLE OR AGENCY

---r_ ~· 3/14/13

SIGNATURE DATE

........ .;t:N STATE UTILITY CO

Page 5: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

BID FOR PUBLIC WORK

CITY OF STOCKTON

Stockton, CA ----=3..:..../ .;:..14~, 20.12_

TO THE HONORABLE CITY COUNCIL OF THE CITY OF STOCKTON:

Pursuant to your Notice Inviting Sealed Bids, I, we, or either of us:

Golden State Utility Co . a Delaware Corp.

(State whether individual, firm, corporation , association , or co-partnership)

hereby offer (and hereby promise and agree in case this bid is accepted) to furnish all

labor, material, equipment and supplies necessary to complete the work mentioned in

said Notice Inviting Sealed Bids in strict accordance with the plans and specifications for

said work to be done and labor, materials, and equipment and supplies to be furnished,

which plans and specifications are on file in the office of the City Clerk of the City of

Stockton and made part hereof by reference, the same as if herein fully set out, at the

following rates and prices, to-wit:

GOLDEN c;TATF. UTIUTV CO,

Page 6: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

FIBER OPTIC NETWORK EXPANSION WESTON RANCH AND SJRTD OFFICE

PROJECT NO. 10-05 FEDERAL PROJECT NO. CML-5008(096)

B I DD I NG SCHEDULE

Each bidder shall bid each item, including all alternate bid(s). Failure to bid an

item shall be just cause for considering the bid as non-responsive. Line item

costs should include all Contractor's overhead and profit and indirect costs.

Bids not presented on City forms shall be cause for considering the bid as non­

responsive.

Item Description Unit Quantl!Y_ Unit_e_rice Total Price Weston Ranch Fiber O~tic Network

EXDjlnsion

1 Furnish and lnsta112 1/2" Sch 80 PVC LF Conduit (open trench) 150 $ 85000 $ 12,750.00

2 Furnish and lnstall2 1/2" HOPE LF (Boring) 4,690 $ 38 . 00 $178,220000

3 Furnish and Install #6 Pull Box with

EA Extension 12 $ 1,225000$ 14,700 . 00 Install the City furnished 24-Strand

4 Dielectric Loose Tube 803/125 Micron LF 33,500 SM Fiber (OSP} ~ 2o75 ~ 92,125000

Furnish and Install 12-Strand Dielectric 5 Loose Tube 803/1 25 Micron SM Fiber LF

6,000 (OSP) $ 3o00 1$ 18,000 o00

6 Furnish and Install Fiber Cable Warning

EA Label 120 $ 158 000 $ 18, 960 000

7 Furnish and Install Mule Tape with LF Detectable Trace Wire 37,500 $ 3.00 ~112,500 0 00

8 Furnish and Install SC Type Anaerobic EA Fiber Connectors 250 $ 87 000 :;> 21,750.00

9 Furnish and Install 72-Splice Closure

EA Fiber (SCF) with Tray 14 f? 2,825.00 ~ 39,550.00

10 Furnish and lnstaii12-Fiber Buffer Fan-EA Out Kit-24" Breakout 19 $ 550.00 $ 10,450.00

11 Furnish and Install Single Fusion Splice EA Sleeves (Pack of 50 Sleeves) 8 $ 1, 085 0 00 $ 8,680.00

12 Furnish and Install 96-Fiber Closet EA Connector Housing 1 :;. 4, 715 0 00:;. 4,715 000

13 Furnish and Install 12-Port Panel SC EA Duplex SM Loaded 24 $ 1, 050.00 $ 25,200 000

14 Furnish and Install 12-Fiber Wall Mount

EA Enclosure 18 ~ 940.00 ~ 16,920o00

RTD Office Fiber O~tic Network Exoansion

Install the City furnished 1250 ft 24-15 Strand Dielectric Loose Tube 803/125 LF

1,250 Micron SM Fiber (OSP) ~ 4 o50 p 5,625000

16 Furnish and install 48-Fiber Closet EA Connector Housing 1 $ 1, 995.00$ 1,995000

; OllJFN STATf ! JTTLffi' CO

Page 7: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

Item Description Unit Quan titv Unit orice Total Price

17 Furnish and install 12-Fiber Wall Mount EA Enclosure 2 $ 940.00$ 1,880.00

18 Furnish and install 12-Port Panel SC EA Duplex SM Loaded 2 $ 1,050.00 $ 2,1.00 . 00

19 Furnish and instaii12-Fiber Buffer Fan- EA Out Kit-24" Breakout 4 $ 535.00 $ 2,140 . 00

20 Furnish and install SC Type Anaerobic EA

Fiber Connector 52 $ 160 . 00 $ 8,320 . 00

21 Furnish and install Video Multiplexer EA 2 $ 2, 500.00 ~ 5,000.00

22 Furnish and install Mule Tape with LF

Detectable Trace Wire 1,500 ~ 2 . 90 ti 4,350 . 00

General 23 Mobilization LS $ 7,000 . 00 $ 7,000.00

24 Traffic Control LS $ 7 7 , 500 . 00 $ 7 7 ,500. 00

25 Landscape/Sidewalk/Roadway Repair LS $70,850 . 00 ~ 70 , 850 .00

26 Clearing and Grubbing LS $28,4.15 . 00 ~ 28 , 415.00

TOTAL BID $ 789,69s.oo

BIDDER'S NAME Golden State Utility co.

•OLDEN STATE lJTlllTY CO

Page 8: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

The undersigned agrees that if this bid is accepted, he/she will contract with the City of Stockton in the form of contract attached hereto to perform all of the work in accordance with the contract and the drawings, specifications, and other documents incorporated therein; that he/she will take in full payment therefor, and for all other obligations assumed under the contract, the prices set forth in the following bid schedule except as otherwise provided in the specifications; and that he/she will execute such contract and furnish the required contract bonds in the manner and within the time provided in the bidding requirements and conditions. The undersigned further agrees that he/she has carefully examined the site of the work and the bid documents and any addenda thereto, and is fully informed of the nature and location of the work, the quantities of the work, and the conditions to be encountered in performing the work; that the only parties interested in this bid as principals are those named herein and that this bid is made without collusion with any other party; and that this bid is submitted in all respects in accordance with the bidding requirements and conditions and all other requirements of the bid documents.

A bid guaranty accompanies this bid in the form of (check one of the following) :

0 Cash, or 0 Cashier's check, or 0 Certified check payable to City of Stockton, or lil Bidder's bond in favor of the City

For any amount not less than ten percent (1 0%) of the aggregate of the bid.

Also accompanying this bid are the following attachments, properly executed and signed:

1. List of Subcontractors to be Used in the Work 2. Non-Collusion Affidavit.

THE CITY RESERVES THE RIGHT TO REJECT ANY AND ALL BIDS.

Golden Stat e Ut i l i ty Co . (209) 579-3400 76-0567490

(Firm Name) (Phone) (Tax I.D. No.)

4425 Farm Supply Dr . Ceres CA

(Address) (City) (State)

401136 A,C10 08/3 1 / 14

(Contractor) (Lie. No. & Classification) (Expiration Date)

GOLOEN STATE unufY CO.

Page 9: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Section 10162, 10232, and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5, Title 2 of the California Administrative Code). By my signature on this proposal I further certify, under penalty of perjury under the laws of the State of California and the United States of America, that the non-collusion affidavit required by Title 23 United State code, Section 112 and Public Contract Code Section 71 06; and the Title 49 Code of Federal Regulations, Part 29 Debarment and Suspension Certification are true and correct.

THE REPRESENTATIONS MADE HEREIN ARE MADE UNDER PENALTY OF PERJURY

BIDDER SIGN HERE President

(Signature) Mar k Overholt (Title)

NOTE: CONTRACTOR'S LICENSING LAW--In accordance with California Public Contract Code 20103.5 when federal funds are involved in local agency contracts, no bid shall be invalidated by the failure of the bidder to be licensed in California at the time of bid opening. However, at the time of award the selected contractor shall be properly licensed in accordance with the laws of the State.

Gnt 1"\fl\l STATE lJTTUTY LO

Page 10: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

CALIFORNIA JURAT WITH AFFIANT STATEMENT

~e Attached Document (Notary to cross out lines 1-6 below) 0 See Statement Below (Lines 1-5 to be completed only by document signer(s]. not Notary)

Signature of Oocumont Signer No. 1

State of California

County of ~~~\au~

DANIEL TREVINO Commission# 1887244 Notary Public • California ~

Stanislaus County ~ Comm. Ex ires May 23. 2014

Place Notary Seal and/or Stamp Abov&

Subscribed and sworn to (or affirmed) before me

on this __cl_ day of f"kch. 201.3_. by Date Month Year

(1 )____:rv'tw~k.--=---=6~w~baC-J<,l .:;.._t-_ _ Name of Signor

proved to me on the basis of satisfactory evidence to be the person who appeared before me (.) (,)

(and

proved e on the basis of satisfactory evidence the person who appe red before me.)

Signature --~~~~·~:........s:~~~~::....:..=--s lgnature of Notary Public

OPTIONAL--------------------

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.

Further Description of Any Attached Document

Title or Type of Do()umenl: -----------------

RIGHT THUMBPRINT OF SIGNER H1

Top of thumb here

Document Date: _ _________ _ Number of Pages: _ __ '---- -----'

RIGHT THUMBPRINT OF SIGNER 112

Top of thumb here

Signer(s) Other Than Named Above:---------------------------

C 2009 National Notary Association • NatlonoiNotnry.org • NNA Members-Only Hotline f ·888·876·0827 Hom #59f0

Page 11: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

LIST OF SUBCONTRACTORS

GENERAL CONTRACTOR: Golden State Utility Co.

PROJECT: Fiber Optic Network Expansion- Weston Ranch and SJRTD Office Project No. 10-05 Federal Project No. CML-5008(096)

PLEASE LIST BELOW ALL SUBCONTRACTORS CONTRIBUTING TO THIS WORK

Each bidder shall give the name, business address, description of the work, and the dollar amount to be PAID the subcontractor, for each subcontractor that will be used on the project, if the Bidder is awarded the contract. Only subcontractors with work in excess of one-half of one percent (0.5%) or $10,000 (whichever is greater) of the Bidder's total bid need to be listed. All work in excess of one-half of one percent (0.5%) or $10,000 (whichever is greater) of the Bidder's total bid, for which a subcontractor is not listed on this form, shall be performed by the Bidder's own organization. Additional numbered pages listing proposed subcontractors may be attached to this page. Each page shall be headed "Proposed Subcontractors" and shall be signed by the Bidder.

(MUST PRINT LEGIBLY OR TYPE)

BUSINESS ADDRESS NAME (CITY) TYPE OF WORK

Alecka Paving 4955 Swindon Place Paving Newark , CA

Bennett Telecom P .O . Box 920 Oakdale , CA

Doumit 8972 Canberra Dr . Construction Sacrame n to, CA

Splicing

Boring

Jerry's 3096 w. Blemont #106 Fresno, CA

Boring

(SIGNATURE OF BIDDER)

Mark Overholt, President

BIDDER SIGN HERE

AMOUNT

TBD

TBD

TBD

TBD

GO! nEN STA 11: UTIUTY CO

Page 12: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

Certification of Attempts to Recruit Minority and Women Employees

{FORM EE0-1 B)

To ensure compliance with City of Stockton's Equal Employment Opportunity Plan , it is the City's policy that all contractors bidding on federal-aid projects complete and return the following information:

I, =-:-Ma~r=-k--::Ov~e_r_h_ol-=t~"7":"':""----:----, representing Golden State Utility Co . (Prlntrrype Company Official Name) (PrlnVType Company Name)

am knowledgeable of the City of Stockton's Equal Employment Opportunity goals and I have thoroughly reviewed and complied with provisions of City of Stockton bid requirements and I certify that:

[!]Yes 0 No When recruiting for vacancies this firm conducts mailings to specific outreach agencies and interest groups concerned with minority and women employment.

[!]Yes 0 No This company has an Equal Employment Opportunity policy and all employees and applicants for employment receive equal consideration and treatment.

0 Yes 0 No This company understands the legal and moral commitment of complying with federal and state legislation promoting equal employment opportunities and is committed to promoting equal opportunity in its work force.

The City of Stockton reserves the right to require additional information from the bidding contractor at any time.

3/14/13

Signature of Company Official Date

Mark Overholt President

Print/Type Name of Company Official Title

GOLul:l'l STA 1 E U1 I ll If CO

Page 13: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

TITLE VI VIOLATION SELF-CERTIFICATION

We. the undersigned, self-certify that pursuant to Federal Code of Regulations (CFR),

23 CFR 200.9, 633 and 49 CFR 21.7, we do not have any unresolved violations under

Title VI of the Civil Rights Act of 1964 and related statutes, Including Americans with

Disabilities Act (ADA) . In addition, we acknowledge that an unresolved Title VI violation

will disqualify us for consideration as a bidder for the subject project.

CONTRACTOR: Golden State Ut ility Co.

BY: Mark Overholt

President

TITLE

DATE: 3/14/13

GntDFI\t ~TATr: IJTTI TTY t.O

Page 14: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

PUBLIC CONTRACT CODE

Public Contract Code Section 10285.1 Statement

In conformance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985).

the bidder hereby declares under penalty of perjury under the laws of the State of

California that the bidder has_ , has not ~been convicted within the preceding

three years of any offenses referred to in that section, including any charge of fraud,

bribery, collusion, conspiracy, or any other act in violation of any state or Federal

antitrust law in connection with the bidding upon, award of, or performance of, any

public works contract, as defined in Public Contract Code Section 1101 , with any public

entity, as defined in Public Contract Code Section 1100, including the Regents of the

University of California or the Trustees of the California State University. The term

"bidder" is understood to include any partner, member, officer, director, responsible

managing officer, or responsible managing employee thereof, as referred to in Section

10285.1.

Note: The bidder must place a check mark after "has" or "has not" in one of the blank spaces provided . The above Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution.

GOLI"'EN ST/\TE UTJLJTY CO.

Page 15: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

Public Contract Code Section 10162 Questionnaire

In conformance with Public Contract Code Section 10162, the Bidder shall complete,

under penalty of perjury, the following questionnaire:

Has the bidder, any officer of the bidder, or any employee of the bidder who has a

proprietary interest in the bidder, ever been disqualified, removed, or otherwise

prevented from bidding on , or completing a, state, or local government project because

of a violation of law or a safety regulation?

Yes No_x_

If the answer is yes, explain the circumstances in the following space.

Y0U1FN STATE UTILITY CO.

Page 16: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

Public Contract Code 10232 Statement

In conformance with Public Contract Code Section 10232, the Contractor. hereby states

under penalty of perjury, that no more than one final unappealable finding of contempt

of court by a federal court has been issued against the Contractor within the

immediately preceding two year period because of the Contractor's failure to comply

with an order of a federal court which orders the Contractor to comply with an order of

the National Labor Relations Board.

Note: The above Statement and Questionnaire are part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution.

G!JlUEN 'STAn: ll'llUTY CO

Page 17: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

DBE Certification Statement (FORM DBE-1A)

The Respondent to a City of Stockton Competitive Bid or Request for Proposal hereby certifies:

1. That it shall demonstrate compliance with the requirements established in the City of Stockton's DBE Program.

2. That it fully understands that the provisions contained in the City's DBE Program shall be considered a part of its contractual agreement with the City in the event of award of contract.

3. That it is in compliance with all Executive Orders and all Federal, State and local laws regard ing fair employment practices and nondiscrimination in employment. Stockton Municipal Code Chapter 3. 72 (Non-discrimination and Affirmative Action Programs for Performance of City Contracts) shall apply.

4. That it wi ll continue to make good faith efforts to hire women and minorities of those races and in those trades that are substantially under-represented in the com=wo7::=

- -~ 3/14/13 Signature of Company Official Date

Mark Overholt PrinVType Name of Company Official

Company Name Golden state Utility co.

Address 4425 Farm Supply Dr. Ceres CA 95307

Telephone ( 209 ) _s_7_9_-3_4_o_o ___ County stanislaus

President Title

Project Name Fiber Optic Network Expansion-Weston Ranch and SJRTD Office Project No. 10-05 , Federal Project CML-5008(096)

DYes m No

If yes:

Is your company a certified Disadvantaged Business Enterprise?

Certifying Agency--------------

Certification Number ____________ _

Qualify as DBE? DYes 0 No

• • • • .. '* • • .. • • ... • • ... * • ... "' • * "' - * for office use only • • • ' • ' " • ' • • • • " ,. * " • " • 'tr , • * •

Verified by ___________ Date--------

GULDEN SlATE UTILI!'"\' CO

Page 18: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

Company Name:

Project Name:

Company Workforce Report (FORM DBE-1 B)

~o\~ 5kk uw\~h Lv·

0e.~"' ~J ,

(Indicate the current ethnic make-up of your permanent office and field personnel.)

JOB CATEGORIES TOTAL LATINO/ AFRICAN ASIAN NATIVE ASIAN SUB-EMPLOYEES HISPANIC AMERICAN PACIFIC AMERICAN CONTINENT WHITE

ISL.

M F M F M F M F M F M F M F

1. Officials & Managers

~ ~ 3 \. J..

2. Professionals

3. Clerical & Office ,. 1 ,. t :t- ~

4. Field Supervisor \~ 5 IO 5. Skilled - Specific Trade

a.

b.

c.

6. Unskilled -Specific Trade

a. Lo...~ \15" ((X) 5 110 b.

c.

7. TOTAL -Items 1-6 ~CJ\ \0 loS ~ \ {c ~0 ~

TABLE A: For Official Use Only

(A) (B) (C) (D) (E) (F) (G) Female Hispanic African Asian Native Asian Sub- White Other

American Pacific lsi. American continent

Organization Personnel %

Total Personnel

Note: All firms doing business with the City of Stockton must provide the workforce ethnicity information requested on this form. Failure to do so will result in bid or RFP rejection for non-responsiveness.

M

OTHER

F

\

l

Total (A-G)

GOLDEN STATE UTILITY CO

Page 19: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

CITY OF STOCKTON --~~~

PU BLIC WORKS DEPARTMENT 22 East Weber Avenue, Room 301 • Stockton, CA 95202-2317 • 209/937-8411 • Fax 209/937-8277

www.stocktongov.com

LETTER OF CLARIFICATION NO. 1

FIBER OPTIC NETWORK EXPANSION- WESTON RANCH AND SJRTD OFFICE PROJECT NO. 10-05, FEDERAL PROJECT CML-5008(096)

TO ALL PROSPECTIVE BIDDERS DATE: March 11 , 2013

Letter of Clarification No. 1 for the above project consists of the following changes:

1. This acknowledgement form (see important notice at the end of this document).

Special Provisions:

2. Page SP-51, second to the last paragraph in Section 10-3.27, Fiber Connectors SC, delete:

" The Single-mode Anaerobic-Cure Connector shall be of Corning Cable Systems part number, 95-101-41 -SP or accepted equivalent."

3. Page SP47, Section 10-3.09, Conduit/Interconnect, replace the second to the last paragraph below:

All fiber optic interconnect conduits, existing and new installation by this work, identified by the plan and these specifications, with fiber cable shall include one DT900P/3000FT detectable pull rope with 22 AWG wire, made by NEPTCO, for future detection.

with:

"All fiber optic interconnect conduits, existing and new installation by this work, identified by the plan and these specifications, with fiber cable shall include one detectable pull rope with 22 AWG wire for future detection."

C:.OLOr:I\J SlATE UTILDY CO

Stockton

Page 20: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

Letter of Clarification No. 1 Fiber Optic Network Expansion- Weston Ranch and SJRTD Office March 11, 2013 Page 2

4. Page SP56, last sentence of the first paragraph in Section 10-3.36, Mule Tape, delete:

"The mute tape shall be manufactured by Neptco, part number DT900P/3000FT, or accepted equivalent."

GORDON A. MACKA PUBLIC WORKS DE

GAM/TG/DY:nla

NOTICE: THIS FORM MUST BE SIGNED AND RETURNED WITH YOUR BID. FAILURE TO 50 INCLUDE OR ACKNOWLEDGE A CLARIFICATION MAY RESULT IN THE BID BEING REJECTED AS NOT RESPONSIVE.

CONTRACTOR: GOLDEN STATE UTILITY CO.

BIDDER SIGNATURE: ~ ~ DATE: __ 3_,__/_~_-_;;_/3=:.._ ________ _

::ODMA\GRPWISE\COS.PW.PW_Library:204291.1

GOLDEN STATE UTILITY CO

Page 21: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

EXHIBIT 15-G

Local Agency Bidder DBE Commitment (Construction Contracts)

Obtain most current form for the New Race Conscious DBE Program from the Caltrans website:

(http://www.dot.ca .gov/hq/LocaiPrograms/lam/forms/lapmforms.htm)

l:JOLOEN STATE UiiUTY CO

Page 22: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

EXHIBIT 15-H

DBE Information- Good Faith Efforts

Obtain most current form for the New Race Conscious DBE Program from the Caltrans website:

(http://www.dot.ca.gov/hq/LocaiPrograms/lam/forms/lapmforms.htm)

GOLDEN STATE UTILITY CO.

Page 23: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

EXHIBIT 12-G

Bidder's List of Subcontractors (DBE and Non-DBE) Part 1

Obtain most current form from the Caltrans website:

(http://www.dot.ca.gov/hg/LocaiPrograms/lam/forms/lapmforms.htm)

GOLDEN STAT!: UTILITY CO

Page 24: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

EXHIBIT 17-F

Final Report-Utilization of Disadvantaged Business Enterprises (DBE) First Tier Subcontractors

Obtain most current form for the New Race Conscious DBE Program from the Caltrans website:

(http://www .dot. ca .gov /hg/Local Programs/lam/to rms/la pmforms. htm)

GOLDEN STATE UT1Ll1Y 0'

Page 25: Document A310 2010 - Stockton · Bid Bond CONTRACTOR: (Name. legal status Olllladdress) Golden State Utility Co 4425 Farm Supply Drivel Ceres, CA 95307 OWNER: (Name. legal status

EXHIBIT 17-0

Disadvantaged Business Enterprises (DBE) Certification Status Change

Obtain most current form from the Caltrans website:

(http://www.dot.ca.gov/hq/LocaiProgramsllam/forms/lapmforms.htm)

GOLDEN STATE UTILIT' L .