5-02 LAX RSI Program Bid Form Bid Group 12 - Attachment 02.pdf

LAX RESIDENTIAL SOUND INSULATION PROGRAM

ATTACHMENT 2:

Bid Forms

AT LOS ANGELESWORLD AIRPORTS

BID

BIDDER NAME: ______________________________________________________________

Los Angeles, California

DATE: _____________, 2026

TO THE EXECUTIVE DIRECTOR OF LOS ANGELES WORLD AIRPORTS OF THE CITY OF

LOS ANGELES:

The undersigned has carefully examined the plans and specifications for the LAX Residential

Sound Insulation Program (LAX-RSI) project and has personally visited the site of the work and has become familiar with the conditions. The undersigned hereby proposes to furnish all the labor, materials, equipment, supervision, and incidentals to perform all work required and to complete the Work strictly in accordance with the Contract Documents, including any addenda, within THREE HUNDRED SIXTY-FIVE (365) calendar days from the date of the Notice to Proceed for the sums and unit prices stated in the Schedule of Work and Prices.

The undersigned has submitted a price on each item in the attached Bid Schedule of Work and Prices and a Total Bid Price and has checked carefully all figures inserted in the Bid Schedule and understands that the City of Los Angeles will not be responsible for any errors or omissions by the undersigned in this bid.

The undersigned understands that the quantities indicated in the Schedule are approximate only and not guaranteed to be correct. It is understood that they are the quantities, however, which will be used for the purpose of comparing bids. It is also understood that in the case the amount listed in the Unit Price Total is not the correct sum of the Unit Price multiplied by the Quantity, the Unit Price amount shall govern, and the Unit Price Total shall be corrected along with the Total Bid amount accordingly. It is understood that if the Total Bid amount listed is not the correct sum of the Unit Prices Totals, the Unit Price Totals shall govern, and the Total Bid shall be corrected accordingly. It is understood that the lowest Total Responsible Bid shall be the basis to determine the lowest responsible bidder for award of the Contract.

This Bid shall remain valid for three (3) months after the bid opening. The undersigned agrees that in case of default in executing the required contract and necessary bonds within fifteen (15) days after award is made, the proceeds of the check or bond accompanying this bid shall become the property of the City of Los Angeles.

All work done and materials furnished shall conform to the Contract Documents. In the event of any conflict, the order of precedence established in the Contract Documents shall prevail.

BID

Contractor's License No. ______________________________________________________

Expiration Date of Contractor's License __________________________________________

The representations of this Contractor's License are made under penalty of perjury.

Name of Individual, Firm or Corporation __________________________________________

Address ________________________________________________________________

(Sign here if individual) Signature _______________________________________________

(Sign here if partnership) Signature ______________________________________________

Members of Firm: Name ___________________________________

(or Corporation)

Address ___________________________________

Name ___________________________________

Address ___________________________________

Name ___________________________________

Address ___________________________________

(Sign here if Corporation) Signature _____________________________________________

(Affix Corporate Seal) Name ___________________________________

Title ___________________________________

Signature ___________________________________

Name ___________________________________

Title ___________________________________

Addenda Acknowledged: ______________________________________________________

Date Signature

Company Name Title

Item No. Bid Group Address Unit # Location Unit Price

Permits

Trenching

Allowance Unit Price Extended Price

D01 Bid Group 12 711 BAYONNE ST EL SEGUNDO

D02 Bid Group 12 770 W IMPERIAL AVE Unit 87 EL SEGUNDO

D03 Bid Group 12 1228 E SYCAMORE AVE EL SEGUNDO 85,000.00$

D04 Bid Group 12 703 MAIN ST Unit 2 EL SEGUNDO

D05 Bid Group 12 756 SIERRA ST EL SEGUNDO

D06 Bid Group 12 311 W OAK AVE EL SEGUNDO

D07 Bid Group 12 1415 E WALNUT AVE EL SEGUNDO

D08 Bid Group 12 741 BUNGALOW DR EL SEGUNDO

D09 Bid Group 12 730 LOMITA ST EL SEGUNDO

D10 Bid Group 12 632 WHITING ST EL SEGUNDO

D12 Bid Group 12 811 CALIFORNIA ST EL SEGUNDO

D13 Bid Group 12 511 E MAPLE AVE EL SEGUNDO

D14 Bid Group 12 770 W IMPERIAL AVE Unit 12 EL SEGUNDO

D15 Bid Group 12 824 LOMITA ST EL SEGUNDO

D16 Bid Group 12 573 W PALM AVE EL SEGUNDO 12,000.00$

D17 Bid Group 12 704 LOMA VISTA ST EL SEGUNDO 12,000.00$

D18 Bid Group 12 703 MAIN ST Unit 1 EL SEGUNDO

D19 Bid Group 12 325 E OAK AVE EL SEGUNDO 15,000.00$

D20 Bid Group 12 325 E OAK AVE 1/2 EL SEGUNDO 15,000.00$

D21 Bid Group 12 637 W WALNUT AVE EL SEGUNDO

D22 Bid Group 12 754 SHELDON ST EL SEGUNDO

D23 Bid Group 12 868 LOMITA ST EL SEGUNDO

D24 Bid Group 12 916 LOMA VISTA ST EL SEGUNDO

D25 Bid Group 12 770 W IMPERIAL AVE Unit 49 EL SEGUNDO

D27 Bid Group 12 913 CENTER ST EL SEGUNDO

D28 Bid Group 12 746 VIRGINIA ST EL SEGUNDO

D29 Bid Group 12 763 BUNGALOW DR EL SEGUNDO

D30 Bid Group 12 1200 E SYCAMORE AVE EL SEGUNDO

D32 Bid Group 12 838 HILLCREST ST EL SEGUNDO

D33 Bid Group 12 919 CYPRESS ST EL SEGUNDO

D34 Bid Group 12 404 W PALM AVE EL SEGUNDO

D35 Bid Group 12 636 LOMA VISTA ST EL SEGUNDO

D36 Bid Group 12 708 PENN ST EL SEGUNDO

D37 Bid Group 12 644 LOMA VISTA ST EL SEGUNDO

D38 Bid Group 12 758 MARYLAND ST EL SEGUNDO

D40 Bid Group 12 1434 E WALNUT AVE EL SEGUNDO

D41 Bid Group 12 1200 E MAPLE AVE EL SEGUNDO

D42 Bid Group 12 506 E OAK AVE EL SEGUNDO

D43 Bid Group 12 1220 E SYCAMORE AVE EL SEGUNDO 51,000.00$

D44 Bid Group 12 101 W MAPLE AVE EL SEGUNDO 23,000.00$

D45 Bid Group 12 107 W MAPLE AVE EL SEGUNDO 23,000.00$

D46 Bid Group 12 111 W MAPLE AVE EL SEGUNDO 23,000.00$

D47 Bid Group 12 807 MAIN ST Unit A EL SEGUNDO 11,250.00$

D48 Bid Group 12 807 MAIN ST Unit B EL SEGUNDO 11,250.00$

D49 Bid Group 12 807 MAIN ST Unit C EL SEGUNDO 11,250.00$

D50 Bid Group 12 807 MAIN ST Unit D EL SEGUNDO 11,250.00$

D51 Bid Group 12 1201 E WALNUT AVE EL SEGUNDO

D52 Bid Group 12 724 PENN ST EL SEGUNDO

D53 Bid Group 12 311 E OAK AVE EL SEGUNDO

D54 Bid Group 12 730 EUCALYPTUS DR EL SEGUNDO

D55 Bid Group 12 404 E MAPLE AVE EL SEGUNDO

D56 Bid Group 12 1415 E SYCAMORE AVE EL SEGUNDO

Bid Group 10 Allowance - Dry Utility Consultant 25,000.00$ 25,000.00$

Total Count 52

IMPORTANT NOTES TO READ BEFORE FILLING OUT THIS WORKSHEET:

• This estimated worksheet is for the purpose of establishing prices and comparing bids in order to determine the low bidder. No guarantee can be given that these quantities will be reached or exceeded.

• Use the bid table in Bonfire to enter in the requested information. RAMPLA.com will have a link to Bonfire.

• The selected bidders will be required to research code, obtain approvals, and pay for permits from the applicable regulatory agencies, such as, but not limited to the City of El Segundo’s Building

Codes and Regulations, City of Los Angeles Department of Building and Safety, City of Los Angeles Fire Department, County of Los Angeles, South Coast Air Quality Management District (SCAQMD).

LAX RSI

List of Subcontractors [Compliance with the California Subcontractor Listing Law (Public Contract Code Section 4100 et seq.) is required. Please list Subcontracts with a value greater that ½ of 1% (0.5%) of the Total Prime Contract Value.]

Page ____ of ____

NAME OF BIDDER:_____________________________________ DATE: _______________

Name of Subcontractor and California Contractors License Number

Company Address & Contact Number

Scope of Work Assigned

Name of Subcontractor and

Name of Subcontractor and

[Add more pages as necessary]

LAX RESIDENTIAL SOUND INSULATION PROGRAM PILOT GROUP

BID FORM – PRIME BIDDER’S EXPERIENCE:

BIDDER:_____________________ CA CONTRACTOR LICENSE: ______________DATE:_______

[License of the Bidding Firm]

Minimum Requirement to have ive (5) years of Residential Sound Mitigation Construction Experience, valued at $5,000,000000 or more.

[See Instructions to Bidders §5.3.3. for more details.]

Directions: As noted above and elsewhere in this Request for Bids, describe required Experience by the (Prime) Bidder. Provide this list, documenting the projects that validate the Bidder’s minimum requirements. References must be included.

(1) Project Name:___________________________________________________________

Year(s) of Performance:________________________________________________

Location:____________________________________________________________

Project Description:____________________________________________________

Construction Value: ____________________________________________________

Owner ________________________________________________________

Reference Contact’s phone and e-mail: ____________________________________

(2) Project Name:___________________________________________________________

Year(s) of Performance:________________________________________________

Location:____________________________________________________________

Project Description:____________________________________________________

Construction Value: ____________________________________________________

Owner ________________________________________________________

Reference Contact’s phone and e-mail: ____________________________________

(3) Project Name:___________________________________________________________

Year(s) of Performance:________________________________________________

Location:____________________________________________________________

Project Description:____________________________________________________

Construction Value: ____________________________________________________

Owner ________________________________________________________

Reference Contact’s phone and e-mail: ____________________________________

(4) Project Name:___________________________________________________________

Year(s) of Performance:________________________________________________

Location:____________________________________________________________

Project Description:____________________________________________________

Construction Value: ____________________________________________________

Owner ________________________________________________________

Reference Contact’s phone and e-mail: ____________________________________

(5) Project Name:___________________________________________________________

Year(s) of Performance:________________________________________________

Location:____________________________________________________________

Project Description:____________________________________________________

Construction Value: ____________________________________________________

Owner ________________________________________________________

Reference Contact’s phone and e-mail: ____________________________________

Contractor Name __________________________________________

Name: ___________________________________________________

Title: ____________________________________________________

Signature: _________________________________________________

Federal Requirements Forms

Federal Requirements Forms Page 1 of 8

FEDERAL REQUIREMENTS FORMS

To be submitted with bid

TABLE OF CONTENTS

Title

Buy American Preferences (FR-4)

Disadvantaged Business Enterprise (FR-12)

Tax Delinquent and Felony Conviction (FR-24)

FRs which state certification by signing/submitting bid

Debarment and Suspension (FR-11)

Foreign Trade Restriction (FR-17)

Lobbying and Influencing Federal Employees (FR-18)

Federal Requirements Forms Page 2 of 8

FEDERAL REQUIREMENT: FR-4

BUY AMERICAN PREFERENCE

49 USC § 50101

Certificate of Buy American Compliance - Manufactured Products

As a matter of bid responsiveness, the bidder or offeror must complete, sign, date, and submit this certification statement with their proposal. The bidder or offeror must indicate how they intend to comply with 49 USC § 50101 by selecting one on the following certification statements. These statements are mutually exclusive. Bidder must select one or the other (not both) by inserting a checkmark ( ) or the letter “X”.

Bidder or offeror hereby certifies that it will comply with 49 USC § 50101 by:

a) Only installing steel and manufactured products produced in the United States;

b) Installing manufactured products for which the Federal Aviation Administration (FAA) has issued a waiver as indicated by inclusion on the current FAA Nationwide Buy American Waivers Issued listing; or

c) Installing products listed as an Excepted Article, Material or Supply in Federal Acquisition Regulation Subpart 25.108

By selecting the certification statement, the bidder or offeror agrees:

1. To provide to the Owner evidence that documents the source and origin of the steel and manufactured product.

2. To faithfully comply with providing U.S. domestic product.

3. To furnish U.S. domestic product for any waiver request that the FAA rejects

4. To refrain from seeking a waiver request after establishment of the contract, unless extenuating circumstances emerge that the FAA determines justified.

The bidder or offeror hereby certifies it cannot comply with the 100 percent Buy

American Preferences of 49 USC § 50101(a) but may qualify for either a Type 3 or Type 4 waiver under 49 USC § 50101(b). By selecting this certification statement, the apparent bidder or offeror with the apparent low bid agrees:

1. To the submit to the Owner within 15 calendar days of the bid opening, a formal waiver request and required documentation that supports the type of waiver being requested.

2. That failure to submit the required documentation within the specified timeframe is cause for a non-responsive determination may result in rejection of the proposal.

3. To faithfully comply with providing U.S. domestic products at or above the approved U.S. domestic content percentage as approved by the FAA.

4. To refrain from seeking a waiver request after establishment of the contract, unless extenuating circumstances emerge that the FAA determines justified.

Required Documentation

Type 3 Waiver – The cost of the item components and subcomponents produced in the United States is more that 60 percent of the cost of all components and subcomponents of the “item”.

The required documentation for a Type 3 waiver is:

Federal Requirements Forms Page 3 of 8

a) Listing of all product components and subcomponents that are not comprised of 100 percent U.S. domestic content (Excludes products listed on the FAA Nationwide Buy American Waivers Issued listing and products excluded by Federal Acquisition Regulation Subpart 25.108; products of unknown origin must be considered as non-domestic products in their entirety).

b) Cost of non-domestic components and subcomponents, excluding labor costs associated with final assembly at place of manufacture.

c) Percentage of non-domestic component and subcomponent cost as compared to total “item” component and subcomponent costs, excluding labor costs associated with final assembly at place of manufacture.

Type 4 Waiver – Total cost of project using U.S. domestic source product exceeds the total project cost using non-domestic product by 25 percent. The required documentation for a Type 4 of waiver is:

a) Detailed cost information for total project using U.S. domestic product

b) Detailed cost information for total project using non-domestic product

False Statements: Per 49 USC § 47126, this certification concerns a matter within the jurisdiction of the Federal Aviation Administration and the making of a false, fictitious or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code.

Date Signature

Federal Requirements Forms Page 4 of 8

FEDERAL REQUIREMENT: FR-12

DISADVANTAGED BUSINESS ENTERPRISE

49 CFR part 26

As a condition of bid responsiveness, the Bidder or Offeror must submit the following information with its proposal on the forms provided herein (refer to Administrative Requirements Attachment):

1) The names and addresses of Disadvantaged Business Enterprise (DBE) firms that will participate in the contract;

2) A description of the work that each DBE firm will perform;

3) The dollar amount of the participation of each DBE firm listed under (1)

4) Written statement from Bidder or Offeror that attests their commitment to use the DBE firm(s) listed under (1) to meet the Owner’s project goal; and

5) If Bidder or Offeror cannot meet the advertised project DBE goal, evidence of good faith efforts undertaken by the Bidder or Offeror as described in appendix A to 49 CFR part 26.

Information submitted as a matter of bidder responsibility:

The Owner’s award of this contract is conditioned upon Bidder or Offeror satisfying the good faith effort requirements of 49 CFR §26.53.

The successful Bidder or Offeror must provide written confirmation of participation from each of the DBE firms the Bidder or Offeror lists in its commitment within five days after bid opening.

1) The names and addresses of Disadvantaged Business Enterprise (DBE) firms that will participate in the contract;

2) A description of the work that each DBE firm will perform;

3) The dollar amount of the participation of each DBE firm listed under (1)

4) Written statement from Bidder or Offeror that attests their commitment to use the DBE firm(s) listed under (1) to meet the Owner’s project goal; and

5) If Bidder or Offeror cannot meet the advertised project DBE goal, evidence of good faith efforts undertaken by the Bidder or Offeror as described in appendix A to 49 CFR part 26.

Date Signature

Federal Requirements Forms Page 5 of 8

FEDERAL REQUIREMENT: FR-24

TAX DELINQUENT AND FELONY CONVICTION

Sections 415 and 416 of Title IV, Division L of the Consolidated Appropriations Act, 2014 (Pub. L. 113-76), DOT Order

4200.6 - Requirements for Procurement and Non-Procurement Regarding Tax Delinquency and Felony Convictions

The applicant must complete the following two certification statements. The applicant must indicate its current status as it relates to tax delinquency and felony conviction by inserting a checkmark ( ) in the space following the applicable response. The applicant agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification in all lower tier subcontracts.

1) The applicant represents that it is ( ) is not ( ) a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.

2) The applicant represents that it is ( ) is not ( ) is not a corporation that was convicted of a criminal violation under any Federal law within the preceding 24 months.

Term Definitions Felony conviction: Felony conviction means a conviction within the preceding twenty-four (24) months of a felony criminal violation under any Federal law and includes conviction of an offense defined in a section of the U.S. code that specifically classifies the offense as a felony and conviction of an offense that is classified as a felony under 18 U.S.C. § 3559.

Tax Delinquency: A tax delinquency is any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted, or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.

Date Signature

Federal Requirements Forms Page 6 of 8

FEDERAL REQUIREMENTS (FRs) WHICH STATE CERTIFICATION BY

SIGNING/SUBMITTING BID

By signing below, Bidder is declaring that by signing and submitting its bid, it is certifying to the following Federal Requirements within this procurement:

FR-11 Debarment and Suspension FR- 17 Foreign Trade Restriction

FR-18 Lobbying and Influencing Federal Employees

Date Signature