Addenda__1_-_Attachments_08A3887.pdf

“Provide a safe, sustainable, integrated and efficient transportation system to enhance California’s economy and livability”

DEPARTMENT OF TRANSPORTATION

ADMINISTRATION

DIVISION OF PROCUREMENT AND CONTRACTS

1727 30th STREET, MS-65

SACRAMENTO, CA 95816

PHONE (916) 227-6000

TTY 711

https://dot.ca.gov/programs/procurement-and-contracts/

September 5, 2025

Addendum No. 1 Invitation for Bid (IFB) 08A3887

Trash and Recycling Services in San Bernardino County

NOTICE TO ALL PROSPECTIVE BIDDERS:

Addendum No. 1 is issued for the above-referenced IFB. Bids for this work shall be with the full understanding of this Addendum.

The following represents REVISIONS to this IFB, Attachment 2 – Required Documents:

The active links have been added below, and physical forms are attached to this Addendum No. 1.

Bid/Bidder Certification Sheet (DOT ADM-1416) Bid/Bidder Certification Sheet

Darfur Contracting Act Certification (DOT ADM-0077) Darfur Contracting Act Certification

The following represents ADDITIONS to this IFB.

Attachment 1 – Bid Proposal has been added below.

ALL OTHER TERMS AND CONDITIONS SET FORTH IN THE IFB REMAIN IN FULL FORCE AND

EFFECT.

Sincerely, Angel Cervantes Jr Contract Analyst http://www.dot.ca.gov/dpac/ http://www.dot.ca.gov/dpac/ https://forms.dot.ca.gov/v2Forms/servlet/FormRenderer?frmid=DOTADM1416 https://forms.dot.ca.gov/v2Forms/servlet/FormRenderer?frmid=DOTADM0077

STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION

BID/BIDDER/PROPOSER CERTIFICATION SHEET

DOT ADM-1416 (REV 05/2025)

Americans with Disabilities Act (ADA) Notice: This document is available in alternative accessible formats. For more information, please contact the Forms Management Unit at (279) 234-2284, TTY 711, in writing at Forms Management Unit, 1120 N Street, MS-89, Sacramento, CA 95814, or by email at Forms.Management.Unit@dot.ca.gov.

PERSONAL INFORMATION NOTICE

Pursuant to the Federal Privacy Act (5 U.S.C, Section 552 et seq.) and the Information Practices Act of 1977 (IPA) (Civil Code Sections 1798 et seq.) declares that the right to privacy is a personal and fundamental right protected by the California and United States Constitutions. Please be advised that this form requests personal information. The term “personal information” means any information that is maintained by an agency that identifies or describes an individual, including, but not limited to, the individual’s name, social security number, physical description, home address, home telephone number, education, financial matters, and medical or employment history. It includes statements made by, or attributed to, the individual. (Civil Code, § 1798.3, subdivision (a).)

Information Collection and Access: California law requires the following information to be provided when collecting information from individuals.

(See, for example, Civil Code, § 1798.17.)

Agency Name and Division Within the Agency Requesting the Information:

California Department of Transportation, Division of Procurement and Contracts, Office 2

Title of Official Responsible for Information Maintenance:

Support Staff, Protest and Policy at the Division of Procurement and Contracts at (279) 234-2382, or in writing at Office 2, 1727 30th Street, MS 65, Sacramento, CA 95816, or by email at NonIT.Contracts@dot.ca.gov

Maintenance of the Information Authorized By:

California Constitution, Article 1, Section 1 Government Code Section 11015.5 Health Insurance Portability and Accountability Act (HIPAA) of 1996 – Privacy Rule Information Practices Act (Civil Code Section 1798 et seq.)

Public Records Act (Government Code Section 6250 et seq.) State Administrative Manual (SAM) Section Privacy - 5310 et seq.

Statewide Information Management Manual (SIMM) 5310-A and 5310-B National Institute of Standards and Technology (NIST) Special Publication 800-53

Consequences of Not Providing All or Any Part of the Requested Information:

Disclosure of this information is mandatory. Failure to provide information will prevent eligibility in the program and delay or prevent the processing of this form.

Principal Purpose(s) for Which the Information Will Be Used:

The request for personal information is to facilitate processing this form and review eligibility for the program.

Known Disclosures:

The information shall be disclosed to authorized California Department of Transportation employees and the information will remain confidential

Right of Access to Records:

Individuals have the right to access information provided and may request a correction or deletion of records. Exceptions may include, but are not limited to, investigations and public transparency laws. Personal Information will only be disclosed as permitted by the Information Practices Act, Civil Code, §§ 1798–1798.83, or as otherwise required by law. To request access to, or to request correction or deletion of, information provided in this form you may contact the Official Responsible for Information Maintenance identified above.

DOT ADM-1416 (REV 01/2025)

Americans with Disabilities Act (ADA) Notice: This document is available in alternative accessible formats. For more information, please contact the Forms Management Unit at (279) 234-2284, TTY 711, in writing at Forms Management Unit, 1120 N Street, MS-89, Sacramento, CA 95814, or by email at

Forms.Management.Unit@dot.ca.gov.

Agreement Number A

Only an individual who is authorized to bind the bidding firm contractually shall sign the Bid/Bidder/Proposer Certification Sheet. The signature must indicate the title or position the individual holds in the firm. This Bid/Bidder/Proposer Certification Sheet shall be signed and returned.

A. The signature and date affixed hereon certifies compliance with all the requirements of this bid document and authorizes the verification of this certification.

B. The signature and date affixed hereon certifies this bid is a firm offer for a 90-day period.

An Unsigned Bid/Bidder/Proposer Certification Sheet may be cause for bid rejection.

1. COMPANY NAME 2. PHONE

2a. FAX

2b. EMAIL ADDRESS

3. ADDRESS

INDICATE YOUR ORGANIZATION TYPE

4. Sole Proprietorship 5. Partnership 6. Corporation

INDICATE THE APPLICABLE EMPLOYEE AND/OR CORPORATION NUMBER

7. Federal Employee ID No. (FEIN) 8. California Corporation No.

INDICATE THE DEPARTMENT OF INDUSTRIAL RELATIONS INFORMATION

9. Contractor Registration Number

INDICATE APPLICABLE LICENSE AND/OR CERTIFICATION INFORMATION

10. Contractors State Licensing Board Number 11. PUC License Number

CAL-T-

12. BIDDER'S/PROPOSER'S NAME (PRINT) 13. TITLE

15. DATE14. SIGNATURE

{{Sig1_es_:signer1:signature }} {{Dte1_es_:signer1:date:format(mm/dd/yyyy) }}

I agree that by providing my electronic signature for this form, I agree to conduct business transactions by electronic means and that my electronic signature is the legal binding equivalent to my handwritten signature. I hereby agree that my electronic signature represents my execution or authentication of this form, and my intent to be bound by it.

16. Are you certified with the Department of General Services, Office of Small Business and Disabled Veteran Business Enterprise Services (OSDS) as:

a. Small Business Enterprise YES NO

If yes, enter certification number

b. Disabled Veteran Business Enterprise YES NO

If yes, enter your service code below

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

17. Are you a non-small business committing to the use of 25% Certified Small Business Subcontractor Participation? YES NO

DOT ADM-1416 (REV 01/2025)

Americans with Disabilities Act (ADA) Notice: This document is available in alternative accessible formats. For more information, please contact the Forms Management Unit at (279) 234-2284, TTY 711, in writing at Forms Management Unit, 1120 N Street, MS-89, Sacramento, CA 95814, or by email at

Forms.Management.Unit@dot.ca.gov.

Agreement Number A

Complete the numbered items on the Bid/Bidder/Proposer Certification Sheet by following the instructions.

Item Numbers Instructions

1, 2, 2a, 2b, 3 Must be completed. These items are self-explanatory.

Check if your firm is a sole proprietorship. A sole proprietorship is a form of business in which one person owns all the assets of the business in contrast to a partnership and corporation. The sole proprietor is solely liable for all the debts of the business.

Check if your firm is a partnership. A partnership is a voluntary agreement between two or more competent persons to place their money, effects, labor, and skill, or some or all of them in lawful commerce or business, with the understanding that there shall be a proportional sharing of the profits and losses between them. An association of two or more persons to carry on, as co-owners, a business for profit. the assets of the business in contrast to a partnership and corporation.

Check if your firm is a corporation. A corporation is an artificial person or legal entity created by or under the authority of the laws of a state or nation, composed, in some rare instances, of a single person and his successors, being the incumbents of a particular office, but ordinarily consisting of an association of numerous individuals.

7 Enter your federal employee tax identification number.

Enter your corporation number assigned by the California Secretary of State’s Office. This information is used for checking if a corporation is in good standing and qualified to conduct business in California.

Enter your Contractor Registration Number assigned by the Department of Industrial Relations (DIR). This Information will be used to determine if you are registered with DIR.

Complete if your firm holds a California contractor’s license. This information will be used to verify possession of a contractor’s license.

Complete if your firm holds a PUC license. This information will be used to verify possession of a PUC license for public works agreements.

12, 13, 14, 15 Must be completed. These items are self-explanatory.

If certified as a Small Business Enterprise, place a check in the “yes” box, and enter your certification number on the line. If certified as a Disabled Veterans Business Enterprise, place a check in the “Yes” box and enter your service code on the line. If you are not certified to one or both, place a check in the “No” box. If your certification is pending, enter the date your application was submitted to the Department of General Services, Office Small Business and DVBE Services.

To get certified, go to OSDS Certification Program.

If applicable, complete and return the Bidder Declaration form (GSPD-05-105) or Subcontractor Provisions List form (DOT ADM-1511) with your bid.

Completion Instructions for Bid/Bidder/Proposer Certification Sheet

DARFUR CONTRACTING ACT CERTIFICATION

DOT ADM-0077 (REV 01/2025)

Americans with Disabilities Act (ADA) Notice: This document is available in alternative accessible formats. For more information, please contact the Forms Management Unit at (279) 234-2284, TTY 711, in writing at Forms Management Unit, 1120 N Street, MS-89, Sacramento, CA 95814, or by email at Forms.

Management.Unit@dot.ca.gov.

PERSONAL INFORMATION NOTICE

Pursuant to the Federal Privacy Act (5 U.S.C, Section 552 et seq.) and the Information Practices Act of 1977 (IPA) (Civil Code Sections 1798 et seq.) declares that the right to privacy is a personal and fundamental right protected by the California and United States Constitutions. Please be advised that this form requests personal information. The term “personal information” means any information that is maintained by an agency that identifies or describes an individual, including, but not limited to, the individual’s name, social security number, physical description, home address, home telephone number, education, financial matters, and medical or employment history. It includes statements made by, or attributed to, the individual. (Civil Code, § 1798.3, subdivision (a).)

Information Collection and Access: California law requires the following information to be provided when collecting information from individuals.

(See, for example, Civil Code, § 1798.17.)

Agency Name and Division Within the Agency Requesting the Information:

California Department of Transportation, Division of Procurement and Contracts, Office 2

Title of Official Responsible for Information Maintenance:

Support Staff, Protest and Policy at the Division of Procurement and Contracts at (279) 234-2382, or in writing at Office 2, 1727 30th Street, MS 65, Sacramento, CA 95816, or by email at NonIT.Contracts@dot.ca.gov

Maintenance of the Information Authorized By:

California Constitution, Article 1, Section 1 Government Code Section 11015.5 Health Insurance Portability and Accountability Act (HIPAA) of 1996 – Privacy Rule Information Practices Act (Civil Code Section 1798 et seq.)

Public Records Act (Government Code Section 6250 et seq.) State Administrative Manual (SAM) Section Privacy - 5310 et seq.

Statewide Information Management Manual (SIMM) 5310-A and 5310-B National Institute of Standards and Technology (NIST) Special Publication 800-53

Consequences of Not Providing All or Any Part of the Requested Information:

Disclosure of this information is mandatory. Failure to provide information will prevent eligibility in the program and delay or prevent the processing of this form.

Principal Purpose(s) for Which the Information Will Be Used:

The request for personal information is to facilitate processing this form and review eligibility for the program.

Known Disclosures:

The information shall be disclosed to authorized California Department of Transportation employees and the information will remain confidential.

Right of Access to Records:

Individuals have the right to access information provided and may request a correction or deletion of records. Exceptions may include, but are not limited to, investigations and public transparency laws. Personal Information will only be disclosed as permitted by the Information Practices Act, Civil Code, §§ 1798–1798.83, or as otherwise required by law. To request access to, or to request correction or deletion of, information provided in this form you may contact the Official Responsible for Information Maintenance identified above.

DARFUR CONTRACTING ACT CERTIFICATION

DOT ADM-0077 (REV 01/2025)

Americans with Disabilities Act (ADA) Notice: This document is available in alternative accessible formats. For more information, please contact the Forms Management Unit at (279) 234-2284, TTY 711, in writing at Forms Management Unit, 1120 N Street, MS-89, Sacramento, CA 95814, or by email at Forms.

Management.Unit@dot.ca.gov.

Darfur Contracting Act Certification

Instructions: Complete, as applicable, and submit with bid.

Public Contract Code Sections 10475-10481 applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services ("DGS") to submit a proposal.

OPTION #1 - CERTIFICATION

If your company has not, within the previous three years, had any business activities or other operations outside of the United States, complete and sign this section and submit with bid package.

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below has not, within the previous three years, had any business activities or other operations outside of the United States; and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California.

Company/Vendor Name (Printed) Federal ID Number

By (Authorized Signature)

OPTION #2 - CERTIFICATION

If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below.

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code Section 10476; and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California.

Company/Vendor Name (Printed) Federal ID Number

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

OPTION #3 - WRITTEN PERMISSION FROM DGS

Pursuant to Public Contract Code Section 10477(b), the Director of the DGS may permit a scrutinized company, on a case-by-case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below.

We are a scrutinized company as defined in Public Contract Code Section 10476, but we have received written permission from the DGS to submit a bid or proposal pursuant to Public Contract Code Section 10477(b). A copy of the written permission from DGS is included with our bid or proposal.

Company/Vendor Name (Printed) Federal ID Number

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

I agree that by providing my electronic signature for this form, I agree to conduct business transactions by electronic means and that my electronic signature is the legal binding equivalent to my handwritten signature. I hereby agree that my electronic signature represents my execution or authentication of this form, and my intent to be bound by it.

By (Authorized Signature)

I agree that by providing my electronic signature for this form, I agree to conduct business transactions by electronic means and that my electronic signature is the legal binding equivalent to my handwritten signature. I hereby agree that my electronic signature represents my execution or authentication of this form, and my intent to be bound by it.

I agree that by providing my electronic signature for this form, I agree to conduct business transactions by electronic means and that my electronic signature is the legal binding equivalent to my handwritten signature. I hereby agree that my electronic signature represents my execution or authentication of this form, and my intent to be bound by it.

Printed Name and Title of Person Signing

Agreement No. 08A3887

STATE OF CALIFORNIA ∙ DEPARTMENT OF TRANSPORTATION

BID PROPOSAL Attachment 1

ADM-1412 (REV. 05/2025)

Contractor’s Name (Please Print):

Item Number

Estimated Quantity

Unit of Measure Item Description

Unit Price (Price Per Unit of Measure)

Total (Estimated Quantity

X Unit Price)

1 2,340 Per Bin

Scheduled Pickup: All labor, trash bins, equipment, travel, and incidentals and all associated costs, fees, and taxes, necessary to provide trash and debris collection, hauling, and disposal services of 3 Cubic Yard (CY) trash and debris bin, at the Caltrans District 08 Office, located at 464 West 4th Street, San Bernardino, CA 92401, as described in Exhibit A, Scope of Work.

2 468 Per Bin

Scheduled Pickup: All labor, recycle bins, equipment, travel, and incidentals and all associated costs, fees, and taxes, necessary to provide recycling collection, hauling, and disposal services of 3 CY bin at the Caltrans District 08 Office, located at 464 West 4th Street, San Bernardino, CA 92401, as described in Exhibit A, Scope of Work.

3 7 Per Bin

On-Call Pick-up: All labor, trash bins, equipment, travel, and incidentals and all associated costs, fees, and taxes, necessary to provide trash and debris collection, hauling, and disposal services of 3 CY bin, located at the Caltrans District 08 Office, located at 464 West 4th Street, San Bernardino, CA 92401, as described in Exhibit A, Scope of Work.

4 3 Per Bin

On-Call Pick-up: All labor, recycle bins, equipment, travel, and incidentals and all associated costs, fees, and taxes, necessary to provide recycling collection, hauling, and disposal services of 3 CY bin, located at the Caltrans District 08 Office, located at 464 West 4th Street, San Bernardino, CA 92401, as described in Exhibit A, Scope of Work.

1) The above quantities are estimates only and are given as a basis for comparison of bids. 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 unit price shall prevail.

3) Please do not alter, modify, or change this bid proposal sheet. Any alterations, modifications, or changes to this bid proposal sheet will be grounds to reject the bid.

4) Each line item must be bid. Please do not leave any unit price column blank or this bid proposal sheet will be deemed non-responsive.

Total This Proposal (Add Line Items 1 - 4)