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Purchasing Services Department 1900 W Olive Ave

Burbank, CA 91506 www.burbankusd.org

BID 2627-015 SUMMER 2027 ROOFING AT VARIOUS SITES 1

CONTRACTOR PREQUALIFICATION APPLICATION (PCC 22000)

CONTRACTOR INFORMATION

Firm/Company Name: _________________________________________________________________________ (as it appears on your license)

Address: _____________________________ __________________________ ______ _______________ Street City State ZIP

Contact Person: ____________________________________________ Phone: ___________________________

Email Address: ________________________________________________________________________________

Contractor State License Board (CSLB)

License Number:________________ Expiration Date: ______________ Classification(s) ___________________ (Automatic disqualification without a C-39 Classification)

Department of Industrial Relations (DIR) SB854

Registration Number: __________________ Expiration Date: ___________ (Automatic disqualification if omitted)

Construction Operations:

Bonding Capacity (per contract): $ __________________ Surety: ______________________________________

Value of largest contract: $ ________________________ Owner: ______________________________________

Annual Gross Revenue: $ ______________________ $ ______________________ $ ______________________ (previous 3 years)

FY _________ FY _________ FY _________

REQUIRED Attachments

1. Firm’s latest copy of Reviewed and Audited Financial Statement, with Notes and Supplemental Information (Information contained in this statement shall not be public records and shall not be open to public inspection)

2. W-9 Request for Taxpayer Identification Number and Certification

3. Certificate of Liability Insurance for all operations with Burbank Unified School District as Additional Insured

4. Garland Letter of Certification for this project

Submit all documents together in a single PDF file to davidgerharter@burbankusd.org

I, the undersigned, certify and declare that I have read all the answers to this prequalification application and questionnaire and know their contents. The matters stated in the questionnaire answers are true to the best of my knowledge and belief. I declare under penalty of perjury under the laws of the State of California, that the foregoing is correct.

Authorized Signature ____________________________________________ Date: ________________________

Print Name ____________________________________ Title: ________________________________________ http://www.burbankusd.org/ mailto:davidgerharter@burbankusd.org

PREQUALIFICATION QUESTIONNAIRE – PART 1

ESSENTIAL REQUIREMENTS FOR QUALIFICATION

NOTE: Contractor shall be disqualified if questions 1, 2, 3 or 4 are answered “No”

1. Do you have a liability insurance policy with policy limit of at least $1,000,000 per occurrence and $2,000,000 aggregate?

Yes No

2. Do you have a current Workers Compensation Insurance policy as required by the State of California Labor Code or are you legally Self Insured pursuant to Labor Code Section 3700 et seq?

3. Do you have a current DIR Registration Number as required by the Department of Industrial Relations under

SB854?

4. Are you a Certified Installer of Garland Roofing products? Please attach proof of Garland certification specifically listing this bid. Please contact Tony DeMartinis at tdemartinis@garlandco.com to obtain certification.

NOTE: Contractor shall be disqualified if questions 5, 6 or 7 are answered “Yes”

5. Has your license been revoked at any time in the last five (5) years?

6. Has a Surety firm completed a contract on your behalf, or paid for completion because your firm was default terminated by the Owner within the last five (5) years?

7. At the time of submitting this Pre-Qualification form, is your firm ineligible to bid on or be awarded a public works contract, or perform as a Sub-Contractor on a public works contract, pursuant to either Labor Code Section 1777.1 (Violation of public works labor laws) or Labor Code Section 1777.7 (Violation of apprenticeship requirements)?

If Yes, state the beginning and ending dates of the period of debarment:

Beginning: ___________________ Ending: ___________________

NOTE: A Contractor disqualified solely because of a “YES” answer given to question 5, 6 or 7 may appeal the disqualification and provide an explanation of the relevant circumstance during the appeal procedure.

BID 2627-015 SUMMER 2027 ROOFING AT VARIOUS SITES

mailto:tdemartinis@garlandco.com

PREQUALIFICATION QUESTIONNAIRE – PART 2

HISTORY, PERFORMANCE, AND COMPLIANCE WITH CIVIL AND CRIMINAL LAW

NOTE: If your answer to any of the following questions is “YES”, please explain on a separate signed sheet.

1. Is your firm currently the debtor in a bankruptcy case? Has your firm been in a bankruptcy case at any time during the last five (5) years?

2. Has your license(s) been suspended by the California State License Board (CSLB) or has any Responsible Managing Employee (RME) or Officer (RMO) been suspended within the last five (5) years?

3. Has your firm been assessed and paid Liquidated Damages after completion of a project under a construction contract with either public or private owner within the last five (5) years?

4. In the last five (5) years, has your firm, or any firm with which any of your company’s owners, officers, or partners were “associated with”, been debarred, disqualified, removed, or otherwise prevented from bidding on, or competing at any government agency or public works project for any reason?

NOTE: “associated with” refers to another construction firm in which an owner, partner, or officer of your firm held a similar position.

5. In the last five (5) years, has your firm been denied an award of a public works contract based on a finding by a public agency that your firm was NOT a RESPONSIBLE bidder?

6. In the past five (5) years, has any claim against your firm concerning your firm’s work on a construction project been filed in court or arbitration?

7. At any time during the past five (5) years, has any surety company made any payments on your firm’s behalf as a result of a default to satisfy any claims made against a performance or payment bond issued on your firm’s behalf in connection with a construction project, either public or private?

8. In the last five (5) years, has any insurance carrier, for any form of insurance, refused to renew an insurance policy for your firm?

9. During the last five (5) years, has your firm ever been denied bond coverage by a surety company, or has there been a period of time when your firm had no surety bond in place during a public construction project when one was required?

10. Has CAL OSHA cited and assessed penalties against your firm for any “serious,” “willful” or “repeat” violations of safety or health regulations in the past five years?

PREQUALIFICATION QUESTIONNAIRE – PART 2

HISTORY, PERFORMANCE, AND COMPLIANCE WITH CIVIL AND CRIMINAL LAW (cont.)

11. Has the federal Occupational Safety and Health Administration cited and assessed any penalties against your firm in the past five years?

12. In the past five years, has the EPA, any Air Quality Management District or any Regional Water Quality Control Board cited and assessed penalties against either your firm or the owner of a project on which your firm was a contractor?

13. Has there been more than one occasion during the last five years in which your firm was required to pay either back wages or penalties for your own firm’s failure to comply with the state’s prevailing wage laws?

NOTE: This question refers only to your own firm’s violation of prevailing wage laws, not to violations of the prevailing wage laws by a subcontractor.

14. During the last five years, has there been more than one occasion in which your own firm has been penalized or required to pay back wages for failure to comply with federal prevailing wage requirements?

15. At any time during the last five years, has your firm been found to violate any provision of California apprenticeship laws or regulations, or the laws pertaining to use of apprentices on public works?

PREQUALIFICATION QUESTIONNAIRE – PART 3

COMPLETED PROJECTS INFORMATION

NOTE: Provide information about the 3 most recently completed public works projects. Names and references must be current and verifiable.

PROJECT #1 INFORMATION

Project Title __________________________________________________________________________________

Location _____________________________________________________________________________________

Owner / Public Agency __________________________________________________________________________

Owner Contact _________________________________ Title ________________________________________

Email address _______________________________________________ Phone ___________________________

Project Description (Scope of Work)

Contract Amount $ ___________________________ Final Project Cost $ ________________________________

Scheduled Completion Date ____________________ Actual Completion Date ____________________________

Additional Comments

PROJECT #2 INFORMATION

NOTE: Provide information about the 3 most recently completed public works projects. Names and references must

PROJECT #3 INFORMATION

NOTE: Provide information about the 3 most recently completed public works projects. Names and references must

COMMUNITY WORKFORCE AGREEMENT

LETTER OF ASSENT

To be signed by all contractors bidding on work covered by the Community Workforce Agreement.

Community Workforce Coordinator Burbank USD

Re: Community Workforce Agreement - Letter of Assent

To whom it may concern:

This is to confirm that ____________________________________ agrees to be party to and bound by the Burbank Unified School District Community Workforce Agreement effective March 1, 2025, as such Agreement may, from time to time, be amended by the negotiating parties or interpreted pursuant to its terms. Such obligation to be a party and bound by this Agreement shall extend to all work covered by the Agreement undertaken by this Company on the Project and this Company shall require all of its contractors and subcontractors of whatever tier to be similarly bound for all work within the scope of the Agreement by signing and furnishing to you an identical Letter of Assent prior to their commencement of work.

Sincerely, By: ________________________________

Name: ________________________________

Title: ________________________________

Contractor State License No. _______________________________

Address:

City:

ST:

ZIP:

Contact:

Phone:

email:

CSLBexp:

CLASS:

DIR#:

DIRexp:

BondCap:

Surety:

LargCon:

Owner:

RevFY1:

RevFY2:

RevFY3:

FY1:

FY2:

FY3:

Date Signed:

DebarEnd:

Sec1Q1: Off

Sec1Q2: Off

Sec1Q3: Off

Sec1Q4: Off

Sec1Q5: Off

Sec1Q6: Off

DebarStart:

Sec1Q7: Off

Sec2Q1: Off

Sec2Q2: Off

Sec2Q3: Off

Sec2Q4: Off

Sec2Q5: Off

Sec2Q6: Off

Sec2Q7: Off

Sec2Q8: Off

Sec2Q9: Off

Sec2Q10: Off

Sec2Q11: Off

Sec2Q12: Off

Sec2Q13: Off

Sec2Q14: Off

Sec2Q15: Off

Project1:

Location1:

Owner1:

Contact1:

ContactTitle1:

email1:

ContactPhone1:

ProjDesc1:

Contract$1:

FinalCost1:

ScheduledDate1:

ActualDate1:

Comments1:

Project2:

Location2:

Owner2:

Contact2:

ContactTitle2:

email2:

ContactPhone2:

ProjDesc2:

Contract$2:

FinalCost2:

ScheduledDate2:

ActualDate2:

Comments2:

Project3:

Location3:

Owner3:

Contact3:

ContactTitle3:

email3:

ContactPhone3:

ProjDesc3:

Contract$3:

FinalCost3:

ScheduledDate3:

ActualDate3:

Comments3:

CompanyName:

Name:

Title:

CSLB#:

www.Burbankusd.org

BID FORM

Dear Board Members:

The undersigned, doing business under the firm name of:

hereby propose and agree to enter into a Contract, to furnish any and all labor, materials, applicable taxes, equipment and services for the completion of Work described hereinafter and in the Contract Documents.

Pursuant to and in compliance with Notice Inviting Bids and other documents relating thereto, the undersigned bidder, having familiarized himself with the terms of the contract, the local conditions affecting the performance of the contract and the cost of the work at the place where the work is to be done, hereby proposes and agrees to perform within the time stipulated, the contract, including all of its component parts, and everything required to be performed, including its acceptance by the District, and to provide and furnish any and all of the labor, materials, tools, expendable equipment, and all utility and transportation services necessary to perform the contract and complete in a workmanlike manner all of the work required in connection with the following:

Bid No. 2627-015

SUMMER 2027 ROOFING AT VARIOUS SITES – OWNER FURNISHED MATERIAL

Each individual bid item shall include all items necessary to complete the work, including the assumption of all obligations, duties and responsibilities necessary to the successful completion of the contract, and the furnishing of all materials and equipment required to be incorporated in and from a permanent part of the work: tools, equipment, supplies, transportation, facilities, labor, supervision and services required to perform and complete the work; and bonds, insurance and submittals; all as per the requirements of the contract documents, whether or not expressly listed or designated.

The District reserves the right to award separate contracts for each site to the lowest responsive and responsible bidder.

ADDENDA

The undersigned has thoroughly examined all Addenda (if any) issued during the bid period and is thoroughly familiar with all contents thereof and acknowledges receipt of the following Addenda: (Bidder to list all addenda).

ADDENDUM NO. ________ DATE RECEIVED ________________

ADDENDUM NO. ________ DATE RECEIVED ________________

ADDENDUM NO. ________ DATE RECEIVED ________________

ADDENDUM NO. ________ DATE RECEIVED ________________

SITE 1: HORACE MANN CHILDREN’S CENTER

DEMOLITION AND NEW ROOFING / RESTORATION INSTALLATION

Owner Furnished Materials – Project 1:

Material Qty Unit Size Flexbase E 80 333 100 sf Roll KEE Stone HP 42 800 sf Roll

BASE BID – PROJECT 1:

_______________________________________________________________ Dollars ($ ____________________) (Words)

DISTRICT ALLOWANCE – PROJECT 1:

BASE BID PLUS ALLOWANCE – PROJECT 1:

Bid Project #1 – HORACE MANN CHILDREN’S CENTER Engineer Estimate: $710,480

School Building Solution Specification Horace Mann Children's Center 1,2 Recover 075500 Horace Mann Children's Center 3-8 Recover 075500 Horace Mann Children's Center 9-13 Recover 075500 Horace Mann Children's Center Admin. Recover 075500 Horace Mann Children's Center K Recover 075500 Horace Mann Children's Center MPR Recover 075500 Horace Mann Children's Center R-1 Recover 075500 Horace Mann Children's Center R-2 Recover 075500 Horace Mann Children's Center T Recover 075500 Horace Mann Children's Center Walkways Recover 075500

Fifty Thousand 50,000.00

SITE 2: ROBERT LOUIS STEVENSON ES

Bid Project #2 – ROBERT LOUIS STEVENSON ES Engineer Estimate: $1,521,416

Robert Louis Stevenson Elementary A-D Recover 075500

Robert Louis Stevenson Elementary 1 Recover 075500

Robert Louis Stevenson Elementary 2 Recover 075500

Robert Louis Stevenson Elementary 3 Recover 075500

Robert Louis Stevenson Elementary 4 Recover 075500

Robert Louis Stevenson Elementary 5 Recover 075500

Robert Louis Stevenson Elementary 6 Remove & Replace 075500

Robert Louis Stevenson Elementary 7 Remove & Replace 075500

Owner Furnished Materials – Project 2:

Material Qty Unit Size Flexbase E 80 710 100 sf Roll KEE Stone HP 89 800 sf Roll

BASE BID – PROJECT 2:

DISTRICT ALLOWANCE – PROJECT 2:

BASE BID PLUS ALLOWANCE – PROJECT 2:

One Hundred Five Thousand 105,000.00

SITE 3: WILLIAM MCKINLEY ES

Bid Project #3- WILLIAM MCKINLEY ES Engineer Estimate: $983,676

William McKinley Elementary 2 Remove & Replace 075500 William McKinley Elementary 1 Recover 075500 William McKinley Elementary 13-Oct Recover 075500 William McKinley Elementary 14-19 Recover 075500 William McKinley Elementary 31-34 Recover 075500 William McKinley Elementary 35 Remove & Replace 075500 William McKinley Elementary 36 Remove & Replace 075500 William McKinley Elementary 37 Remove & Replace 075500 William McKinley Elementary 41 Recover 075500 William McKinley Elementary 42 Recover 075500 William McKinley Elementary 43-47 Remove & Replace 075500 William McKinley Elementary K Recover 075500 William McKinley Elementary Lounge/ Library Recover 075500 William McKinley Elementary Dentist Remove & Replace 073100

Owner Furnished Materials – Project 3:

Material Amount Unit Size Flexbase E 80 444 100 sf Roll KEE Stone HP 56 800 sf Roll HPR SA FR Base Sheet 8 150 sf Roll RMER Seal 6 200 sf Roll

BASE BID – PROJECT 3:

(Words)

DISTRICT ALLOWANCE – PROJECT 3:

_______________________________________________________________ Dollars ($ ____________________) (Words)

BASE BID PLUS ALLOWANCE – PROJECT 3:

Seventy Thousand 70,000.00

UNIT PRICE BID ITEM PROPOSAL – ALL BIDDERS MUST COMPLETE

All pricing submitted below must include all material and labor costs associated to perform the work.

• Plywood Deck Replacement

_____________________________________________Dollars ($__________________)/SF

• New Roof Insulation (R-10)

_____________________________________________Dollars ($__________________)/SF

• Downspout Replacement (22 Gauge and Match Existing Profile Dimension, Primed and

Painted to Match)

_____________________________________________Dollars ($__________________)/LF

• Wood Fascia Replacement (Prime and Paint to Match Existing)

_____________________________________________Dollars ($__________________)/LF

The Bidder acknowledges liability for liquidated damages in the amount of One Thousand Five Hundred Dollars ($1,500.00), for each calendar day beyond the scheduled day of completion, for which Contractor has contributed to or caused delay, until the project is completed and accepted.

It is understood that the District reserves the right to reject this bid and that the Bid shall remain open to acceptance and once opened, is irrevocable for a period of NINETY (90) days.

Site Visit Certification: By submission of this bid, the Bidder hereby certifies that its estimating and management staff has visited the site of the proposed work and is fully acquainted with the conditions relating to construction and labor. Bidder fully understands the facilities, difficulties, and restrictions pertaining to the execution of the work and has also relayed this information to all listed subcontractors and suppliers. Bidder fully indemnifies BURBANK UNIFIED SCHOOL DISTRICT and all their respective officers, agents, employees, and consultants from any damage or omission related to conditions that could have been identified during a visit to the site.

The undersigned shall, within ten (10) business days after the delivering of a Notice of Award, execute and deliver an agreement in the form of agreement present in these Contract Documents and provide Performance and Payment Bonds in accordance with the specifications and bid as accepted.

The Bidder specifically acknowledges and understands that if it is awarded a Contract, that it shall perform the Work of the Project while fully cooperating and complying with all applicable provisions of the District's labor compliance program. The undersigned Bidder hereby certifies that Bidder can furnish labor that can work in harmony with all other elements of labor employed or to be employed on the Work.

Bidder expressly acknowledges that it is aware that if a false claim is knowingly submitted (as the terms “claims” and “knowingly” are defined in the California False Claims Act, CA Gov. Code, §2650 et. Seq.), the District will be entitled to civil remedies set forth in the California False Claims Act. It may also be considered fraud and the Contractor may be subject to criminal prosecution.

It is understood and agreed that if written notice of the acceptance of this bid is delivered to the undersigned after the opening of the bid, and within the time this bid is required to remain open, or at any time thereafter before this bid is withdrawn, the undersigned will execute and deliver to the District a contract in the form attached hereto in accordance with the bid as accepted, and that he will also furnish and deliver to the District TWO (2) executed original Payment Bond and Performance Bond as specified, all within TEN (10) days after receipt of Notice of Award letter, and that the work under the contract shall be commenced by the undersigned bidder, if awarded the contract, on the date to be stated in the District's "Notice To Proceed", and shall be completed by the Contractor in the time specified in the contract documents.

The undersigned hereby designates as the office to which such Notice of Award of Contract may be mailed, telegraphed, or delivered:

Name Title Email Address

Company Name

Physical Address City, State ZIP

Our Public Liability and Property Damage Insurance is placed with:

Company Name Policy Number/Expiration

Our Workers’ Compensation Insurance is placed with:

Company Name Policy Number/Expiration

This bid may only be withdrawn prior to the scheduled time for the opening of bids or any authorized postponement thereof.

COURSE-OF-CONSTRUCTION INSURANCE REQUIREMENTS (required prior to commencement of work- reference Section 11.1.6.1 of the included General Conditions for Contract of Construction)

Contractor, during the progress of the Work and until final acceptance of the Work by Owner upon completion of the entire Contract, shall maintain Builder’s Risk/Course-of-Construction insurance satisfactory to the Owner, issued on a completed value basis on all insurable Work included under the Contract Documents. This insurance shall insure against all risks, including but not limited to the following perils: vandalism, theft, malicious mischief, fire, sprinkler leakage, civil authority, sonic boom, explosion, collapse, flood, earthquake (for projects not solely funded through revenue bonds, limited to earthquakes equivalent to or under 3.5 on the Richter Scale in magnitude), wind, hail, lightning, smoke, riot or civil commotion, debris removal (including demolition) and reasonable compensation for the Architect’s services and expenses required as a result of such insured loss. This insurance shall provide coverage in an amount not less than the full cost to repair, replace or reconstruct the Work. Such insurance shall include the Owner and any other person or entity with an insurable interest in the Work as an additional named insured.

The Contractor shall submit to the Owner for its approval all items deemed to be uninsurable under the Builder’s Risk/Course-of Construction insurance. The risk of the damage to the Work due to the perils covered by the Builder's Risk/Course-of-Construction insurance, as well as any other hazard which might result in damage to the Work, is that of the Contractor and the surety, and no claims for such loss or damage shall be recognized by the Owner, nor will such loss or damage excuse the complete and satisfactory performance of the Contract by the Contractor.

NOTE: A bidder shall not submit a bid unless the bidder’s contractor's license number appears clearly on the bid, the license expiration date and class are stated, and the bid contains a statement that the representations made therein are made under penalty of perjury. Any bid submitted by a contractor who is not licensed pursuant to Business and Professions Code §7028.15 shall be considered nonresponsive and shall be rejected. Any bid not containing the above information, or a bid containing information which is subsequently proven false, may be considered nonresponsive and may be rejected. Each bid must give the full business address of the bidder and be signed by bidder with bidder's usual signature. Bids by partnerships must furnish the full name of all partners and must be signed in the partnership name by a general partner with authority to bind the partnership in such matters, followed by the signature and designation of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of incorporation and by the signature and designation of the chairman of the board, president or any vice president, and then followed by a second signature by the secretary, assistant secretary, the chief financial officer or assistant treasurer. All persons signing must be authorized to bind the corporation in the matter. The name of each person signing shall also be typed or printed below the signature. Satisfactory evidence of the authority of the officer signing on behalf of a corporation shall be furnished.

The undersigned declares, under penalty of perjury under the laws of the State of California, that the representations made in this bid are true and correct.

Signature Date

Print Name Title

Company Name State of Incorporation

Mailing Address City, State ZIP

Email Address Telephone

DIR Registration No. Expiration

CSLB License No. Class(es) Expiration

NOTE: This page may be reproduced as necessary to list additional corporate officers or partners.

Evidence of authority to bind the corporation is attached.

BidderName:

ADDENDUM NO:

DATE RECEIVED:

ADDENDUM NO_2:

DATE RECEIVED_2:

ADDENDUM NO_3:

DATE RECEIVED_3:

ADDENDUM NO_4:

DATE RECEIVED_4:

Dollars:

Base Bid 1:

BB Plus Dollars 1:

BB plus 1:

Dollars_2:

BB 2:

BB Plus Dollars 2:

BB Plus 2:

Dollars_3:

BB 3:

BB Plus Dollars 3:

BB Plus 3:

Dollars_Ply:

Ply:

Dollars_Ins:

Ins:

Dollars_DSPT:

DSPT:

Dollars_WF:

WF:

Name:

Title:

Email Address:

Company Name:

Physical Address:

City State ZIP:

Company Name_2:

City State ZIP_3:

Policy NumberExpiration:

Physical Address_2:

City State ZIP_2:

Company Name_3:

Policy NumberExpiration_2:

Physical Address_3:

Expiration_2:

Date:

Print Name:

Title_2:

Company Name_4:

State of Incorporation:

Mailing Address:

City State ZIP_4:

Email Address_2:

Telephone:

DIR Registration No:

Expiration:

CSLB License No:

Classes:

Evidence of authority to bind the corporation is attached: Off

BID BOND

KNOW ALL MEN BY THESE PRESENTS: that we, as Principal and ________________________________________________________________ as Surety, are held and firmly bound unto BURBANK UNIFIED SCHOOL DISTRICT, in the County of Los Angeles, State of California, hereinafter called the "Owner," in the sum of Ten Percent (10%) of the Total Amount of the Bid submitted to the Owner: $___________________ (______________________________________________________________________ Dollars) for payment of which sum, well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns.

The condition of the above obligation is such that whereas the Principal has submitted to the Owner a certain bid, attached hereto and hereby made a part hereof, to enter into a Contract in writing for the construction of BID 2627-015 SUMMER 2027 ROOFING AT VARIOUS SITES) in strict accordance with Contract documents.

NOW, THEREFORE,

a. If said bid shall be rejected, or, in the alternative;

b. If said bid shall be accepted and the Principal shall execute and deliver a contract in the form of agreement attached hereto and shall execute and deliver Performance and Payment Bonds in the forms attached hereto (all properly completed in accordance with said bid), 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 full force and effect, it being expressly understood and agreed that the liability of the Surety for any and all default of the Principal hereunder shall be the amount of this obligation as herein stated.

Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract on the call for bids, or to the Work to be performed hereunder, or the specification accompanying the same, shall in any way affect its obligation under this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of said Contract or the call for bids, or to the Work, or to the specifications.

BID BOND

BID 2627-015 SUMMER 2027 ROOFING AT VARIOUS SITES 2

IN WITNESS WHEREOF, the above-bound parties have executed this instrument under several seals this _____ day of ___________________, ________, hereto affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body.

In the presence of:

(Affix Corporate Seal)

(Corporate Principal)

(Business Address)

(Affix Corporate Seal)

(Corporate Surety)

(Business Address)

By: __________________________________

The rate of premium on this bond is $_____________ per thousand.

The total amount of premium charged is $_____________________.

The above must be filled in by Corporate Surety.

Principal:

Surety:

BidNumber:

BidText:

day:

month:

year:

CorpPrinc:

CorpPrincAdd1:

CorpPrincAdd2:

CorpSurety:

SuretyAdd1:

SuretyAdd2:

Rate:

Premium:

DESIGNATION OF SUBCONTRACTORS

To Be Executed by Bidder and Submitted with Bid

Each bidder shall set forth below the name and the location of the place of business of each subcontractor and the California contractor license number of each subcontractor who will perform work or labor or render service to the Contractor in or about the construction of the Work or improvement, or to a subcontractor licensed by the State of California who, under subcontract to the Contractor, specially fabricates and installs a portion of the Work or improvement according to detailed drawings contained in the plans and specifications, in an amount in excess of one-half of 1 percent (0.5%) of the bidder's total bid, and the portion of the Work which will be done by each subcontractor. An inadvertent error in listing a California contractor’s license number shall not be grounds for filing a bid protest or for considering the bid nonresponsive if the bidder submits the corrected contractor’s license number to the Owner within 24 hours after the bid opening, or any continuation thereof, so long as the corrected contractor’s license number corresponds to the submitted name and location for that subcontractor.

If the Contractor fails to specify a subcontractor for any portion of the Work to be performed under the Contract in excess of one-half of 1 percent (0.5%) of the Contractor’s total bid, the Contractor shall be deemed to have agreed to perform such portion itself, and 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 as 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 legislative body of the Owner.

As of March 1, 2015, for any bid proposal submitted, and as of April 1, 2015, for any contract for public work entered into, an inadvertent error in listing a subcontractor who is not registered under Labor Code section 1725.5 shall not be grounds for filing a bid protest or grounds for considering the bid nonresponsive, provided that either: the subcontractor is registered prior to the bid opening; or the subcontractor is registered and has paid the penalty registration fee specified in Labor Code section 1725.5(a)(2)(E), if applicable, within 24 hours after the bid opening; or the subcontractor is replaced by another registered subcontractor under Public Contract Code section 4107. Failure of a listed subcontractor to be registered shall be grounds under Public Contract Code section 4107 for the Contractor, with the Owner’s consent, to substitute a registered subcontractor for the unregistered subcontractor.

Failure to provide this information in a legible manner may result in the rejection of an otherwise acceptable bid.

DESIGNATION OF SUBCONTRACTORS - SITE 1

BID 2627-015 SUMMER 2027 ROOFING - HORACE MANN CHILDREN'S CENTER 2

If there are none, please check this box:

Subcontractor Name City & State Phone

CSLB# Class(es) Expiration DIR# Expiration

Description of Work % of Total

I am the authorized representative of the Bidder submitting this Designation of Subcontractors and I declare that each subcontractor listed holds a valid and current contractor license in good standing in California to perform the portion of work for which the subcontractor is listed.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Signed: __________________________________________________________

Printed Name: ____________________________________________________

Company Name: __________________________________________________

Title: ____________________________________________________________

Date: ____________________________________________________________

DESIGNATION OF SUBCONTRACTORS - SITE 2

BID 2627-015 SUMMER 2027 ROOFING - STEVENSON ELEMENTARY SCHOOL 3

I am the authorized representative of the Bidder submitting this Designation of Subcontractors and I declare that each subcontractor listed holds a valid and current contractor license in good standing in California to

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

DESIGNATION OF SUBCONTRACTORS - SITE 3

BID 2627-015 SUMMER 2027 ROOFING - MCKINLEY ELEMENTARY SCHOOL 4

I am the authorized representative of the Bidder submitting this Designation of Subcontractors and I declare that each subcontractor listed holds a valid and current contractor license in good standing in California to

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

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WORKERS’ COMPENSATION CERTIFICATION

Labor Code Section 3700, in relevant part, provides:

“Every employer except the state shall secure the payment of compensation in one or more of the following ways:

(a) By being insured against liability to pay compensation in one or more insurers duly authorized to write compensation insurance in this state

(b) By securing from the Director of Industrial Relations a certificate of consent to self-insure either as an individual employer or as one employer in a group of employers. Said certificate may be given upon furnishing proof satisfactory to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to his or her employees, … ”

I am aware of the provisions of the Labor Code Section 3700 which require every employer to be insured against liability for workers' compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. I shall supply the Owner with Certificates of Insurance evidencing that Workers’ Compensation Insurance is in effect and providing that the Owner will receive thirty (30) days’ notice of cancellation.

Signed: _____________________________________________________

Printed Name: ________________________________________________

Company Name: ______________________________________________

Title: _______________________________________________________

Date: _______________________________________________________

In accordance with Article 5 (commencing at Section 1860), Chapter 1, Part 7, Division 2 of the Labor Code, the above certification must be signed and filed with the awarding body prior to performing any work under the contract.

Name:

Company:

Title:

Date_af_date:

NONCOLLUSION DECLARATION

Owner: BURBANK UNIFIED SCHOOL DISTRICT

Project: BID 2526-011 SUMMER 2026 ROOFING AT VARIOUS SITES

The undersigned declares:

This bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder.

All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Name:

Company:

Title:

Date_af_date:

FINGERPRINTING NOTICE AND ACKNOWLEDGMENT

(Education Code Section 45125.2)

Business entities entering into contracts with the Owner for the construction, reconstruction, rehabilitation or repair of a facility must comply with Education Code sections 45125.1 and 45125.2. Such entities are responsible for ensuring full compliance with the law and should therefore review all applicable statutes and regulations. The following information is provided simply to assist such entities with compliance with the law.

1. If the District determines your employee(s) will have more than limited contact with students, then you must take one or more of the following steps:

a. Install a physical barrier at the worksite to limit contact with pupils.

b. Have an employee, who the Department of Justice has ascertained has not been convicted of a violent or serious felony, continually monitor and supervise employees.

The entity shall verify in the Independent Contractor Student Contact Form to the Owner that the employee charged with monitoring and supervising its employees has no such convictions. (See attached.)

c. Arrange for surveillance by personnel, with Owner approval.

If one or more of these steps is taken, you are not required to comply with Education Code section 45125.1.

2. If you are providing the services in an emergency or exceptional situation, you are not required to comply with Education Code section 45125.2. An “emergency or exceptional” situation is one in which pupil health or safety is endangered or when repairs are needed to make a facility safe and habitable. Owner shall determine whether an emergency or exceptional situation exists.

I have read the foregoing and agree to comply with the requirements of Education Code §45125.1 and §45125.2 as applicable.

ATTACHMENT

Under Education Code section 45125.1, no employee of a contractor or subcontractor who has been convicted of or has criminal proceedings pending for a violent or serious felony may come into contact with any student.

A violent felony is any felony listed in subdivision (c) of Section 667.5 of the Penal Code. Those felonies are presently defined as:

(1) Murder or voluntary manslaughter.

(2) Mayhem.

(3) Rape as defined in paragraph (2) or (6) of subdivision (a) of Section 261 or paragraph (1) or

(4) of subdivision (a) of Section 262.

(4) Sodomy as defined in subdivision (c) or (d) of Section 286.

(5) Oral copulation as defined in subdivision (c) or (d) of Section 288a.

(6) Lewd or lascivious act as defined in subdivision (a) or (b) of Section 288.

(7) Any felony punishable by death or imprisonment in the state prison for life.

(8) Any felony in which the defendant inflicts great bodily injury on any person other than an accomplice which has been charged and proved as provided for in Section 12022.7, 12022.8, or 12022.9 on or after July 1, 1977, or as specified prior to July 1, 1977, in Sections 213, 264, and 461, or any felony in which the defendant uses a firearm which use has been charged and proved as provided in subdivision (a) of Section 12022.3, or Section 12022.5 or 12022.55.

(9) Any robbery.

(10) Arson, in violation of subdivision (a) or (b) of Section 451.

(11) Sexual penetration as defined in subdivision (a) or (j) of Section 289.

(12) Attempted murder.

(13) A violation of Section 12308, 12309, or 12310.

(14) Kidnapping.

(15) Assault with the intent to commit a specified felony, in violation of Section 220.

(16) Continuous sexual abuse of a child, in violation of Section 288.5.

(17) Carjacking, as defined in subdivision (a) of Section 215.

(18) Rape, spousal rape, or sexual penetration, in concert, in violation of Section 264.1.

(19) Extortion, as defined in Section 518, which would constitute a felony violation of Section

186.22 of the Penal Code.

(20) Threats to victims or witnesses, as defined in Section 136.1, which would constitute a felony violation of Section 186.22 of the Penal Code.

(21) Any burglary of the first degree, as defined in subdivision (a) of Section 460, wherein it is charged and proved that another person, other than an accomplice, was present in the residence during the commission of the burglary.

(22) Any violation of Section 12022.53.

(23) A violation of subdivision (b) or (c) of Section 11418.

Initials

BID 2627-015 SUMMER 2027 ROOFING AT VARIOUS SITES 3

A serious felony is any felony listed in subdivision (c) Section 1192.7 of the Penal Code. Those felonies are presently defined as:

(1) Murder or voluntary manslaughter

(2) Mayhem

(3) Rape

(4) Sodomy by force, violence, duress, menace, threat of great bodily injury, or fear of immediate and unlawful bodily injury on the victim or another person

(5) Oral copulation by force, violence, duress, menace, threat of great bodily injury, or fear of immediate and unlawful bodily injury on the victim or another person

(6) Lewd or lascivious act on a child under the age of 14 years

(7) Any felony punishable by death or imprisonment in the state prison for life

(8) Any felony in which the defendant personally inflicts great bodily injury on any person, other than an accomplice, or any felony in which the defendant personally uses a firearm

(9) Attempted murder

(10) Assault with intent to commit rape, or robbery

(11) Assault with a deadly weapon or instrument on a peace officer

(12) Assault by a life prisoner on a non-inmate

(13) Assault with a deadly weapon by an inmate

(14) Arson

(15) Exploding a destructive device or any explosive with intent to injure

(16) Exploding a destructive device or any explosive causing bodily injury, great bodily injury, or mayhem

(17) Exploding a destructive device or any explosive with intent to murder

(18) Any burglary of the first degree

(19) Robbery or bank robbery

(20) Kidnapping

(21) Holding of a hostage by a person confined in a state prison

(22) Attempt to commit a felony punishable by death or imprisonment in the state prison for life

(23) Any felony in which the defendant personally used a dangerous or deadly weapon

(24) Selling, furnishing, administering, giving, or offering to sell, furnish, administer, or give to a minor any heroin, cocaine, phencyclidine (PCP), or any methamphetamine-related drug, as described in paragraph (2) of subdivision (d) of Section 11055 of the Health and Safety Code, or any of the precursors of methamphetamines, as described in subparagraph (A) of paragraph (1) of subdivision (f) of Section 11055 or subdivision (a) of Section 11100 of the Health and Safety Code

(25) Any violation of subdivision (a) of Section 289 where the act is accomplished against the victim’s will by force, violence, duress, menace, or fear of immediate and unlawful bodily injury on the victim or another person

BID 2627-015 SUMMER 2027 ROOFING AT VARIOUS SITES 4

(26) Grand theft involving a firearm

(27) Carjacking

(28) Any felony offense, which would also constitute a felony violation of Section 186.22

(29) Assault with the intent to commit mayhem, rape, sodomy, or oral copulation, in violation of Section 220

(30) Throwing acid or flammable substances, in violation of Section 244

(31) Assault with a deadly weapon, firearm, machine gun, assault weapon, or semiautomatic firearm or assault on a peace officer or firefighter, in violation of Section 245

(32) Assault with a deadly weapon against a public transit employee, custodial officer, or school employee, in violation of Sections 245.2, 245.3, or 245.5

(33) Discharge of a firearm at an inhabited dwelling, vehicle, or aircraft, in violation of Section 246

(34) Commission of rape or sexual penetration in concert with another person, in violation of Section 264.1

(35) Continuous sexual abuse of a child, in violation of Section 288.5

(36) Shooting from a vehicle, in violation of subdivision (c) or (d) of Section 12034

(37) Intimidation of victims or witnesses, in violation of Section 136.1

(38) Criminal threats, in violation of Section 422

(39) Any attempt to commit a crime listed in this subdivision other than an assault

(40) Any violation of Section 12022.53

(41) A violation of subdivision (b) or (c) of Section 11418

(42) Any conspiracy to commit an offense described in this subdivision

Name:

Company:

Title:

Date_af_date:

Initials2:

Initials3:

Initials4:

DRUG-FREE WORKPLACE CERTIFICATION

This Drug-Free Workplace Certification is required pursuant to Government Code Sections 8350 et seq., the Drug-Free Workplace Act of 1990. The Drug-Free Workplace Act of 1990 requires that every person or organization awarded a contract or grant for the procurement of any property or services from any State agency must certify that it will provide a drug-free workplace by doing certain specified acts. In addition, the Act provides that each contract awarded by a State agency may be subject to suspension of payments or termination of the contract, or both, and the contractor may be subject to debarment from future contracting if the state agency determines that specified acts have occurred.

Pursuant to Government Code Section 8355, every person or organization awarded a contract or grant from a State agency shall certify that it will provide a drug-free workplace by doing all of the following:

(a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited in the person's or organization's workplace and specifying actions which will be taken against employees for violations of the prohibition;

(b) Establishing a drug-free awareness program to inform employees about all of the following:

(1) The dangers of drug abuse in the workplace;

(2) The person's or organization’s policy of maintaining a drug-free workplace;

(3) The availability of drug counseling, rehabilitation and employee-assistance programs;

(4) The penalties that may be imposed upon employees for drug abuse Violations;

(c) Requiring that each employee engaged in the performance of the contract or grant be given a copy of the statement required by subdivision (a) and that, as a condition of employment on the contract or grant, the employee agrees to abide by the terms of the statement.

I, the undersigned, agree to fulfill the terms and requirements of Government Code Section 8355 listed above and will publish a statement notifying employees concerning (a) the prohibition of controlled substance at the workplace, (b) establishing a drug-free awareness program, and (c) requiring that each employee engaged in the performance of the contract or grant be given a copy of the statement required by Section 8355(a) and requiring that the employee agree to abide by the terms of that statement.

I also understand that if the Owner determines that I have either (a) made a false certification herein, or (b) violated this certification by failing to carry out the requirements of Section 8355, that the contract or grant awarded herein is subject to suspension of payments, termination, or both. I further understand that should I violate the terms of the Drug-Free Workplace Act of 1990, I may be subject to debarment in accordance with the requirements of Section 8350 et seq.

I acknowledge that I am aware of the provisions of Government Code Section 8350 et seq. and hereby certify that I will adhere to the requirements of the Drug-Free Workplace Act of 1990.

Name:

Company:

Title:

Date_af_date:

SUFFICIENT FUNDS DECLARATION

(LABOR CODE SECTION 2810)

Owner: BURBANK UNIFIED SCHOOL DISTRICT Project: BID 2526-011 SUMMER 2026 ROOFING AT VARIOUS SITES

I hereby declare that I am a duly authorized representative of the below named company which is making and submitting the bid for the above Project that accompanies this Declaration, and that such bid includes sufficient funds to permit the Company to comply with all applicable local, state and…