ATTACHMENT4 BID/BIDDER CERTIFICATION SHEET

Invitation For Bid IFB N umber 07A4182

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Only an individual who is authorized to bind the bidding firm contractually shall sign the Bid/Bidder Certification Sheet. The signature must indicate the title or position that the individual holds in the firm. This Bid/Bidder Certification Sheet must be signed and returned along with all "required attachments" as an entire package with original signatures. The bid must be transmitted in a sealed envelope in accordance with IFB instructions.

A. Our all-inclusive bid is submitted in a sealed envelope marked "Bid Submittal - Do Not Open". B. All required attachments are included with this certification sheet. C. The signature affixed hereon and dated certifies compliance with all the requirements of this bid document. The

signature below authorizes the verification of this certification. D. The signature and date affixed hereon certifies that th is bid is a finn offer for a 90-day period.

An Unsigned Bid/Bidder Certification Sheet May Be Cause for Bid Rejection

I. Company Name

Ventura Pest Control

2b. Email Address office@venturapest.com

3. Address

2. Telephone Number

(80 474-7378

2a. Fax Number

80 650-1541

6566 Beene Rd, Ventura Ca 93003. 4545 W Industrial St, Suite 5B, Simi Valley CA 93063

Indicate your organization type: 4. 0 Sole Proprietorship I 5. 0 Partnership I 6. 0 Corporation

Indicate the applicable employee and/or corporation number: 7. Federal Employee ID No. (FEIN) 95-3869932 I 8. California Corporation No.

Indicate the Department of Industrial Relations information: Ca Structural Pest Control Board and The Department of Pesticide Reg 9. Contractor Registration Number PR 0167

Indicate applicable license and/or certification information: I 0. Contractor's State Licensing

Board Number

Structural Pest Control Board OPR 8267 Branches 1,2,3

I I . PUC License Number CAL-T-

OPR Agricultural QAL 98913

12. Bidder' Name (Print)

Char1es F. Cooley

N/A 13. Title

President

15. Date

3-25-2017 16. Are you certified with the Departmen of General Services, Office of Small Business and Disabled Veteran Business Enterprise Services (OSDS) as: a. Small Business Enterprise lfyes, enter certification number:

Yes 0 No 0

I am waiting on a reply from OSOS

b. Disabled Veteran Business Enterprise Yes 0 No 0 If yes, enter your service code below:

NOTE: A copy of your Certification is required to be included if either of the above items is checked "Yes".

Date application was submitted to OSDS, if an application is pending: Pending

17. Are you a Non-Small Business committing to the use of25% Certified Small Business Subcontractor Participation? Yes 0 No 0

If Yes, complete and return the Bidder Declaration form, GSPD-05-1 05 with your bid.

STA TE OF CALIFORNIA · DEPARTMENT OF TRANSPORTATION

BID PROPOSAL ATTACHMENT 1 ADM-14 12(REV. 11 /20 15)

Ventura Pest Control

CONTRACTOR'S NAME (Please Print):

ITEM ESTIMATED UNIT OF NO. QUANTITY MEASURE ITEM

1 200 Per Property Termite Inspection (with report) fo r property size 500- 3000 square feet (sq. fl.)

2 100 Per Property Termite Inspection (with report) for property size over 300 I sq. ft.

3 50 Per Property Termite Fumigation Requiring Tenting of Structure (Garage Included) for property size 500- 2000 sq. ft . Based on 1,800 sf or 23K cubic feet

4 50 Per Property Termite Fumigation Requiring Tentil~ of Structure ~Gara~e Included) . for property size 2001-5000 sq. ft. ased on 3, 00 s or 42K cubic feet

5 50 Per Property Termite Fumigation Requiring Tenting of Structure (Garage included) for property size 500 1-10,000 sq. ft. Based on 8,500 sf or 102K cubic feet

6 100 Per Property Spray for Termites (Local Treatment Drywood Termites) for property size 500- 3000 sq. ft. (Topical Spray) I (Drill & Treat)

7 100 Per Property Spray for Termites (Local Treatment Drywood Termites) for property size 3001-5000 sq. ft. (Topical Spray) I (Drill & Treat)

8 25 Per Property Spray for Termites (Local Treatment Drywood Termites) for property s ize over 500 I sq. ft . (Topical Spray) I (Drill & Treat)

9 100 Per Property Treatment of Subterranean Termites Based on 150 linear feet for orooertv size 500- 3000 sa. ft. (Broadcast Spray) I (Trench & Treat)

10 100 Per Property Treatment of Subterranean Termites Based on 300 linear feet for property size 3001-5000 sq. ft. (Broadcast Spray) I (Trench & Treat)

11 50 Per Property Treatment of Subterranean Termites Based on 500 linear feet fo r property size over 500 I sq. ft. (Broadcast Spray) I (Trench & Treat)

12 100 Per Property Orange Oil Treatment for Termites (Drill & Treat) for property size 500- 3000 sq. ft.

13 100 Per Property Orange Oil Treatment for Teru1ites (Drill & Treat) for nronertv size 300 1-5000 so. ft.

14 100 Per Property Orange Oil Treatment for Termites (Drill & Treat) for property size over 500 I sq. ft.

( I) THE ABOVE QUANTIT IES ARE ESTIMATES ONl. Y AND ARE GIVEN AS A BASIS FOR COMPARISON O F BIDS. NO GUARANTEE IS MADE OR IMPLIED AS TO THE EXACT QUANTITY THAT WILL BE NEEDED.

(2) IN CASE OF DISCREPANC Y BETWEEN THE UNIT PRICE AND THE TOTAL SET FORTH FOR A UNl T BASIS ITEM. TH E UN IT PRICE SHALL PREY AIL.

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Agreement Number 07 A4 I 82 Page 1 of 3

UNIT PRICE TOTAL (Price Per Unit of (Estimated Quantity X .. •\ llnit Pri,.,.\

75.00 $ 15,000.00

100.00 $ 10.000.00

1,058.00 $ 52,900.00

1,932.00 $ 96,600.00

4,488.00 $ 224,400.00

800.00 $ 80,000.00

1,200.00 $ 120,000.00

1.800.00 $

45 000.00

1,500.00 $ 150,000.00

750.00 $ 75,000.00

2,250.00 $ 112,500.00

800.00 $ 80,000.00

1,200.00 $ 120,000.00

1,800.00 $

180,000.00

$ TOTAL THIS SHEET 1,361,400.00

STATE OF CALlFORNIA · DEPARTMENT OF TRANSPORTATION

BID PROPOSAL ATTACHMENT 1 ADM-1412 (REV. 11/2015)

ITEM ESTIMATED UNITOF NO. QUANTITY MEASURE ITEM

IS 25 Per Property Non-Termite Fumigation Requi ring Tenti ng of Structure (Garage Included) for orooertv size uo S00-2000 sa. ft. Bs:i~eri "'"' 1 i:ino ~f nr ?':Ill r.ubir. f<><>t

16 2S Per Property Non-Termite Fumigation Requiring Tenting of Structure (Garage Included) for property size up to 200 1-5000 sq. ftSased on 3,500 sf or 42K cubic feet

17 25 Per Property Non-Tem1ite Fumigation Requiring Tentin g of Structure (Garage Included) for property size over 500 I sq. ft. Based on 8,500 sf or 102K cubic feet

18 100 Per Property HEPANacuum Rodent Droppings for property size SOO- ISOO sq. ft.

19 100 Per Property HEP NY acuum Rodent Droppings for property size over I SO I sq. ft.

20 100 Per Property Deodorizing/Odor Control for property size SOO- I SOO sq. ft.

21 100 Per Property Deodorizing/Odor Control for property size over I SO I sq. ft.

22 100 Per Property Trapping and removal of animals such as opossums, squirrels, skunks, and raccoons

23 200 Per Property Extermination and t rapping of rodents such as rats and mice

24 2S Per Trap Check Trapping and removal of pigeons

25 150 Per Hole Rodent Proofing: Seal around pipes of exterior wall(s), seal up interior/exterior holes (up to 5" diameter) to prevent rodent from entering home

26 ISO Per Property Rodent Proofing: Seal around pipes of exterior wall(s), seal up interior/exterior holes (up to S. l" -12" diameter) to prevent rodent from entering borne

27 ISO Per Property Insect spray for ants, dust mites, crickets, fleas, maggots, cockroaches, spiders and water bu es for nronertv size S00-5000 sn. ft.

28 150 Per Property Insect spray for ants, dust mites, crickets, fleas, maggots, cockroaches, spiders and water bu<>s for nronertv size over :'iOO I so. ft.

29 so Per Property Cockroach fumigation (to include fogging and flushing) for property size 500-5000 sn. ft.

30 so Per Property Cockroach fumigation (to include fogging and fl ushing) for property size over SOOl sa. ft.

( I) THE ABOVE QUANT!TfES ARE ESTIMATES ONLY AND ARE GIVEN AS A BASIS FOR COMPARISON OF BLDS. NO GUARANTEE IS MADE OR IMPLIED AS TO THE EXACT QUANTITY THAT WILL BE NEEDED.

(2) IN CASE OF DISCREPANCY BETWEEN THE UNIT PRICE AND THE TOTAL SET FORTH FOR A UNIT BASIS ITEM, THE UNlT PRICE SHALL PREY All.

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Agreement Number 07 A4182 Page 2 of3

UNIT PRICE TOTAL (Price Per Unit of (Estimated Quantity X

l\Aon•••r"\ I I nit Price\

1.150.00 $

2A 750.00

2,016.00 $ 50.400.00

4,692.00 $ 117,300.00

600.00 $ 60,000.00

900.00 $ 90,000,00

150.00 $ 15,000.00

250.00 $ 25,000.00

300.00 $ 30,000.00

200.00 $ 40,000.00

60.00 $ 1.500.00

30.00 $ 4,500.00

450.00. $ 67,500.00

165.00 $ 24,750.00

195.00 $ 29,250.00

245.00 $ 12,250.00

295.00 $ 14,750.00

TOTAL THIS SHEET $ 610,950.00

STATE OF CA.LLFORNIA · DEPARTMENT OF TRANSPORTATION

BID PROPOSAL ATTACHMENT 1 ADM-1412 (REV. 1112015)

ITEM ESTIMATED UN IT OF NO. Q UANTITY MEASURE ITEM

31 75 Per Hive Removal of bee/wasp hive or honeycomb

32 100 Per Property Extermination of bees, wasps, and hornets for property size 500-5000 sq. ft.

33 100 Per Property Extermination of bees, wasps, and hornets for property over 500 I sq. ft.

34 75 Per Property Gopher abatement services for property size 500-5000 sq. ft.

35 50 Per Property Gopher abatement services for property size over 500 I sq. ft.

36 200 Hour Emergency Services

( l ) THE ABOVE QUANTJTlES ARE ESTIMATES ONLY AND ARE GIVEN AS A BASIS FORCOMPARJSON OF BJDS. NO GUARANTEE IS MADE OR lMPLIED AS TO THE EXACT QUANTITY THAT WILL BE NEEDED.

(2) rN CASE OF DISCREPANCY BETWEEN THE UNIT PRJCE AND THE TOTAL SET FORTH FOR A UNlT BASIS ITEM, THE UNIT PR ICE SHALL PREY AJL.

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Agreement Number 07 A4 l 82 Page3of3

UN IT PRICE TOTAL (Price Per Unit of (Estimated Quantity X

Mooonro\ I Jn;t Prj<'P\

400.00 $ 30,000.00

175.00 $ 17,500.00

175.00 $ 17,500.00

250.00 $ 25,000.00

300.00. $ 15,000.00

125.00 $ 25,000.00

$ TOT AL THIS SHEET 130,000.00

TOTAL THIS $ 2, 102,350.00 PROPOSAL

State of California-Department of General Services, Procurement Division GSPD--05-105 (EST 8/05)

ATTACHMENT 2 Agreement Number 07 A4182

Page 1 of 2

BIDDER DECLARATION

1. Prime bidder information (Review attached Bidder Declaration Instructions prior to completion of this form):

a. Identify current California certification(s) (MB, SB, SB/NVSA, DVBE): SB or None_ (lf"None': go to Item #2)

b. Will subcontractors be used for this contract? Yes L No_ (If yes, indicate the distinct element of work your firm will perform in this contract e.g., list the proposed products produced by your firm , state if your fi rm owns the transportation vehicles that will deliver the products to the State, identify which solicited services your firm will perform, etc.). Use additional sheets, as necessary.

The only work that Ventura Pest Control will be subcontracting Is Structural Fumigation or Tenting. VPC Is a licensed branch 1 fumigation company, however we sub contract the fum1gat1on process to the company hstea below and supervise the process. All other services 1nclud1ng tum1gatlon prep, is oerformed in house bv Ventura Pest Control with our In- house staff and em1ioment

c. If you are a California certified DVBE: (1) Are you a broker or agent? Yes _ No L (2) If the contract includes equipment rental, does your company own at least 51 % of the equipment provided in this contract (quantity and value)? Yes _No _NIA~

2. If no subcontractors will be used, skip to certification below. Otherwise, list all subcontractors for this contract. (Attach additional pages if necessary):

Subcontractor Name, Contact Person, Subcontractor Address CA Certification V\brk performed or goods provided Corresponding Good 51% Phone Number & Fax Number & Email Address (MB, SB, DVBE or None) for thfs oontract % of bid price Standing? Rental?

Best Care Fumigation Inc. 2237 Statham Blvd. PR 4898 Structural Fumigation (tenting) 70% On FumE ' Y. NIA. Luis Quezada. Oxnard, CA 93033 SPCB work only 805-94 7 -6326 . . 805240-2328 luis@bestcarefumigation.com

CERTIFICATION: By signing the bid response, I certify under penalty of perjury that the information provided is true and correct. Page_ 1_ of_1 _