Bid_Booklet_C1568008.pdf

STATE OF CALIFORNIA THE RESOURCES AGENCY DEPARTMENT OF PARKS AND RECREATION

Santa Cruz District

Bid Booklet Water Well Drilling

Contract # C1568008

February 2016

STATE OF CALIFORNIA – THE RESOURCE AGENCY

DEPARTMENT OF PARKS AND RECREATION

SANTA CRUZ DISTRICT

PIGEON POINT LIGHT STATION STATE HISTORIC PARK

WATER WELL DRILLING

FEBRUARY 2016

TABLE OF CONTENTS

#C1568008

Item # of Pages

Notice to Contractors, DPR112A Instructions to Bidders, Section 0100, DPR 482A Disabled Veteran Business Enterprise Incentive Notice, DPR 479IW DVBE Declarations (DVBE), STD 843, (Sample) Bidder’s DVBE Participation, DPR 486, (Sample) Darfur Contracting Act Certification, DPR 74 (Sample) Non-Collusion Affidavit, DPR 837, (Sample) Small Business (SB) Notice, DPR 478 SB Subcontractor Participation Worksheet, DPR 85, (Sample) Standard Agreement, STD 213PW, (Sample) Exhibit A, Scope of Work, DPR 603PW, (Sample) Exhibit A, Attachment 1, Specifications Exhibit B, Budget Detail & Payment Provisions DPR 604PW, (Sample) Exhibit B, Attachment I, Public Works Bid Form, DPR 482B, (Sample) Exhibit C, General Terms and Conditions (view and download via the internet at: http://www.dgs.ca.gov/ols/Home.aspx click on the tab, “standard contract language, then select GTC 610”) Exhibit D, Special Terms and Conditions, DPR 605PW, (Sample) Payment Bond, STD 807, (Sample) Payee Data Record, STD 204 & Payee Data Record Supplement, DPR 88, (Sample) General Conditions, DPR 483

Special Requirements

Section 00804, Disposal of Refuse Section 2670, Gravel Packed Water Well Goulds/Xylem Pump-Motor Specifications Berkeley/Pentair Pump-Motor Specifications Berkeley/Pentair Control Box Franklin Electric Control Box

Site Images and Specifications

Maps Site Images

Bid documents

Bid Documents Checklist Exhibit B, Attachment I, Public Works Bid Form, DPR 482B DVBE Declarations, STD 843 Bidder’s DVBE Participation, DPR 486 Darfur Contracting Act Certification, DPR 74 Non-Collusion Affidavit, DPR 837 Small Business Preference, DPR 85 Payee Data Record, STD 204 & Payee Data Record Supplement, DPR 88

DPR 112A (Rev. 5/2011)(Excel 5/5/2011)

State of California - Natural Resources Agency

DEPARTMENT OF PARKS AND RECREATION

PUBLIC WORKS

NOTICE TO CONTRACTORS

Prospective bidders may examine and obtain bid forms, specifications, and plans by calling or mailing a request to the office of the Department of Parks and Recreation, at the phone number or address listed above.

No bid will be considered unless it is made on a standard bid form furnished by the Department of Parks and Recreation, and is made in accordance with the "Instructions to Bidders."

Bids must be submitted for the entire work as described herein. The Department of Parks and Recreation reserves the right to waive any irregularity in a bid or to reject any or all bids.

The apparent low bidder will be required to execute a contractual agreement in the form of a "Standard Agreement - Form 213" which shall be binding upon the State of California only upon approval by the State.

Bond requirements for contracts exceeding $5,000 are stated in the General Conditions, DPR 483, Section 00700.

In accordance with the provisions of Section 1770, 1773, and 1773.1 of the Labor Code, the Department has ascertained that the general prevailing rate of wages in the county in which the work is to be done be as listed by the Department of Industrial Relations. A copy of this listing is on file at the address listed above or at www.dir.ca.gov.

Notice of Requirement for Nondiscrimination Program: Your attention is called to the "Nondiscrimination Clause" set forth or referred to herein, which is applicable to all nonexempt State construction contracts, and subcontracts, and to the "Standard California Nondiscrimination Construction Contract Specifications" set forth herein. (Refer to General Terms and Conditions at www.ols.dgs.ca.gov/Standard+Language.)

Bids will be received at the office of the Department of Parks and Recreation, located at 303 Big Trees Park Road, Felton, CA 95018, telephone (831) 335‐6318, up to 2 PM, Thursday, March 10, 2016, at which time and place they will be publicly opened and read for performing the work as follows:

Furnish all labor, materials, tools and equipment necessary to drill one (1) new water well, purchase and install either a new Goulds/Xylem, Berkeley/Pentair, or equivalent water pump motor and one new Franklin or Berkeley/Pentair or equivalent brand control box in accordance with community water system well requirements in California at Pigeon Point Light Station State Historic Park within the Santa Cruz District, San Mateo County, California complete and in accordance with the plans and specifications therefore and such addenda thereto as may be issued prior to bid opening date. The contractor agrees to complete all the work within ninety (90) calendar days from the date of written notice to commence work. This includes the ten (10) calendar days allowed for the Contractor to begin work.

License Required: C‐57 Job Estimate: $75,000.00

Please note: Water Well Drilling bid solicitation questions will be accepted up to 12:00 PM, Monday, March 7, 2016. Any question(s) concerning this bid solicitation must be submitted to the State's Representative, Felipe Jauregui at Felipe.Jauregui@parks.ca.gov . A list of questions and answers (Q&As) will be emailed to potential bidders upon request. For a list of Q&As, please submit a written request via email to Felipe.Jauregui@parks.ca.gov . Potential bidders are responsible to inquire as to whether or not any Q&As exist for this solicitation and are encouraged to obtain a copy they may thoroughly review prior to submitted a bid.

For more information, please contact Felipe Jauregui, Santa Cruz District Maintenance Chief at (831) 335‐6389.

Note: A Letter of Bondability on Surety Company’s letterhead stating the Contractor/Bidder has the bonding capacity available for this project. The letter must be included with bid submission. When contract is awarded, the Contractor will be required to submit Payment and Performance bonds to DPR within ten (10) calendar days.

DPR 482A (Rev. 11/2014)(Excel 11/25/2014)(Page 1 of 3)

DEPARTMENT OF PARKS AND RECREATION

PART 1. GENERAL

Bidder shall carefully examine and thoroughly acquaint himself/herself with the conditions at the site of the work, the plans, the specifications and the provisions contained in the project manual. He/she shall investigate conditions character, quality and quantity of surface, and sub-surface materials of obstacles to be encountered.

Failure by the bidder to acquaint himself/herself with site conditions and available information will not relieve him/her from the responsibility for estimating properly the difficulty or cost of successfully performing the work.

The submission of a bid will be considered as conclusive evidence that the bidder has made such examination.

A.

Questions pertaining to the Plans and Specifications which may arise during the bidding period shall be directed to the Question and Answer section of the solicitation posted within the advertisement.

B.

Any discrepancies, omissions, ambiguities, or conflicts in or among the contract documents or doubts as to meaning shall be brought to the state’s attention not later than seven days prior to bid opening date.

A.

All interpretations and clarifications will be in the form of written addenda. All bidders are responsible to inquire as to addenda issued. All addenda become part of the contract documents. Any oral representations issued shall be of no force or effect.

B.

Before submitting bids, all bidders must be licensed in the appropriate classification in accordance with provisions in Chapter 9, Division 3, of the “California Business and Professions Code” as amended.

A.

No bidder may bid on work of a kind for which he/she is not properly licensed by the Contractors State License Board, and any such bid received will be rejected. Joint venture bidders must possess a joint venture license.

State shall not award a contract to a bidder, nor shall a bidder be eligible to bid for or receive a contract, who has, in the preceding five years, been convicted of violating a state or federal law respecting the employment of undocumented aliens.

B.

Bids shall be signed and submitted on the Bid Form provided and shall be filled out in the same name style, manner and license number as bidder is licensed with the Contractors State License Board.

C.

Bids exceeding $250,000 shall have enclosed cash, a cashier’s check, certified check, or a bidder’s bond, executed as surety by a corporation authorized to issue surety bonds in the State of California, made payable to “Director of Parks and Recreation,” in an amount equal to at least 10 percent of amount of bid. No such bid shall be considered unless one of the forms of bidder’s security is enclosed therewith. If bidder’s security is a bidder’s bond, it must be executed on a form approved by the state. Personal checks are not acceptable.

E.

EXAMINATION OF BID DOCUMENTS AND SITE1.01

DISCREPANCIES1.02

BIDS AND BIDDERS1.03

Each bid shall have listed therein the name, address, license number and portion of the work of each subcontractor to whom the bidder proposes to subcontract portions of the work in an amount in excess of 1/2 of 1 percent of the total bid in accordance with the “Subletting and Subcontracting Fair Practices Act,” commencing with Section 4100 of the Public Contract Code. The contractor agrees that he/she is fully qualified to perform that portion of the work, and that he/she shall perform that portion of the work for which a subcontractor has not been listed.

D.

SECTION 00100

PUBLIC WORKS

INSTRUCTIONS TO BIDDERS

DPR 482A (Page 2 of 3)

Within 10 days after the contract award the Department of Parks and Recreation will return all bidder’s security, other than bidder’s bonds, accompanying proposals that are not to be further considered in making the award.

Retained bidder’s security will be held until the contract has been fully executed, after which all bidder’s security, except bidder’s bonds, will be returned.

Bids shall not be qualified. Any proposal modifying the conditions of the bid will be disregarded, or will be cause for rejection of the bid. Deviations from the Plans and Specifications shall not be considered and shall be cause for rejection of the bid.

F.

Bids shall include the cost of all items shown on the Plans, mentioned in the Specifications, or reasonably inferred therefrom as necessary to complete the work within the intent of the contract documents.

G.

Bid shall include all applicable federal, state and other taxes, together with the cost of all permits, licenses and the like, which may be required under various laws and regulations.

H.

No bids exceeding $1,000.00 shall be considered unless a sworn statement is executed by the bidder on the form provided by the state titled “NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID FOR PUBLIC WORKS,” DPR 837, and submitted with the bid. BIDDER’S

SIGNATURE ON THE FORM MUST BE NOTARIZED.

O.

If the contract is awarded, it will be awarded to lowest responsible bidder whose bid complies with all prescribed requirements, which may include a “Small Business Vendor” in accordance with California Code of Regulations, Title 2, Section 1896 et seq.

B.

All bids shall remain valid for 30 calendar days after the bid opening date.

Amounts shall be written in figures. I.

Bids shall be submitted in duplicate in a sealed envelope. This sealed envelope shall be delivered to the place shown prior to the time and date for the bid opening. This envelope must have the return address of the bidder.

It is the responsibility of the bidder to see that his/her bid is received in proper time. Facsimile (FAX) responses will not be considered.

J.

No bids will be accepted after the time set for the bid opening. K.

Bids will be opened and read publicly at the time set for the bid opening, or as soon as practicable thereafter. L.

Any bid may be withdrawn prior to the time fixed in the Notice to Contractors for submitting bids, provided a request for withdrawal is submitted in writing, signed by the bidder or his duly authorized representative and filed at, or e-mailed to or faxed to the place shown on the Notice to Contractors. An oral, telegraphic, or telephonic request to withdraw or alter a bid proposal is not acceptable.

M.

No bid may be withdrawn after the time fixed in the Notice to Contractors for submitting bids. N.

In the case of a tie bid, the determination of a successful bidder will be made by a coin toss in the presence of all interested bidders, at a time and date set by the state.

P.

1.04 CONTRACT

A.

DPR 482A (Page 3 of 3)

Failure to provide the required executed contract documents within the ten (10) working days, not including Saturdays, Sundays and Legal Holidays may be deemed refusal of an award which may be cause for forfeiture of bidder’s security.

The state may award to the next lowest responsible bidder and avail itself of all legal remedies provided by

The contract shall be binding upon the state only after approval by the state. Should work begin in advance of receiving notice that the Contract is approved, that work shall be considered as having been done by a volunteer and Contractor shall go unpaid.

D.

CERTIFICATE OF INSURANCE1.05

The contractor shall furnish a Certificate of Insurance to the state as described in General Conditions, DPR 483, Section 00700.

The apparent low bidder shall execute the required number of copies of the contract documents and return them within ten (10) days, not including Saturdays, Sundays and Legal Holidays, after he/she has received notice that he/she is the apparent low bidder. Signature of the apparent low bidder on the contract documents will complete identification of these documents.

C.

CALIFORNIA PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE 1.06

Bidder shall be required to submit a DPR 20 (California Public Contract Code Section 10162 Questionnaire) for bids that exceed $147,000. Failure to submit this form with the bid shall not be cause for rejection; however, bidders must furnish the completed form within the time frame prescribed by the Department of Parks and Recreation. Failure to submit the required information within the time frame prescribed by the Department of Parks and Recreation may be deemed refusal of an award which shall be cause for forfeiture of bidder’s security.

DPR 479IW (New 2/2010)(Excel 2/17/2010)(Page 1 of 5)

Bidder's attention is directed to the Disabled Veteran Business Enterprise (DVBE) Participation Requirement for bidders, as outlined in the accompanying bid package.

Disabled Veteran Business Enterprise (DVBE) Notice

What is a Disabled Veteran Business Enterprise (DVBE)?

For a business to be considered a Disabled Veteran Business Enterprise (DVBE), they must be certified with the State of California - Department of General Services in accordance with California Code of Regulations, Title 2, Section 1896.94. Please see the following website for more information about DVBE certification benefits and eligibility requirements: http://www.pd.dgs.ca.gov/smbus/dvbecert.com.

Only DVBEs who perform a commercially useful function relevant to this solicitation, may be used to satisfy the DVBE participation and/or incentive program requirements.

Commercially Useful Function Definition

California Code of Regulations, Title 2, § 1896.61(l): The term "DVBE contractor, subcontractor or supplier" means any person or entity that satisfies the ownership (or management) and control requirements of §1896.61(f); is certified in accordance with §1896.70; and provides services or goods that contribute to the fulfillment of the contract requirements by performing a commercially useful function.

As defined in MVC §999, a person or an entity is deemed to perform a "commercially useful function" if a person or entity does all of the following:

• Is responsible for the execution of a distinct element of the work of the contract.

• Carries out the obligation by actually performing, managing, or supervising the work involved.

• Performs work that is normal for its business services and functions.

• Is not further subcontracting a portion of the work that is greater than is expected by normal industry practices.

A contractor, subcontractor, or supplier will not be considered to perform a commercially useful function if the contractor's, subcontractor's, or supplier's role is limited to that of an extra participant in a transaction, contract, or project through which funds are passed in order to obtain the appearance of disabled veteran business enterprise participation.

What is the DVBE Incentive Program?

The DVBE Incentive Program was established by statute and applies to contracts solely financed by State funds. This program is separate from the DVBE Participation Program. The incentive is designed to encourage bidders to partner with DVBE subcontractors.

The DVBE Participation Requirement for this solicitation has been waived – however the DVBE Incentive still applies.

There is no minimum DVBE participation requirement for this solicitation.

DVBE Incentive for Invitation For Bid (IFB) (Participation Requirement Waived)

DPR 479IW (Page 2 of 5)

The incentive may be combined with other incentives and preferences up to an established cap of $100,000.00. The incentive is used only for evaluation purposes and does not alter the amounts of the actual bids.

PLEASE NOTE: If, for this agreement, a contractor made a commitment to achieve disabled veteran business enterprise (DVBE) participation, within 60 days of receiving final payment under this agreement (or within such other time period as may be specified elsewhere in this agreement) the contractor must certify in a report to the awarding department:

• the total amount the prime contractor received under the contract

• the name and address of the DVBE(s) that participated in the performance of the contract

• the amount each DVBE received from the prime contractor

• that all payments under the contract have been made to the DVBE(s)

• the actual percentage of DVBE participation that was achieved

You will be required to report to DPR the actual dollars spent with each DVBE subcontractor on DPR 489. If awarded the contract you will receive this form at the completion of the contract. A person or entity that knowingly provides false information shall be subject to a civil penalty for each violation. (Military & Veterans Code (M&VC) § 999.5(d))

Who is eligible to receive the incentive?

Any responsive and responsible bidder who has attained .01% DVBE participation or higher.

Documentation

Bidders must document DVBE participation commitment by completing and submitting the following forms:

• DPR 486, Bidder’s DVBE Participation

• STD. 843, DVBE Declarations

DPR 486, Bidder’s DVBE Participation: The DPR 486 is used to document the proposed prime contractor and subcontractors, including their roles and responsibilities. The form must be submitted with the bid package.

STD. 843, DVBE Declarations: All disabled veteran owners and disabled veteran managers of the DVBE must complete the form and submit it with the bid package. A STD. 843 needs to be submitted by every DVBE supplier who is part of a bid whether they are the prime or a sub.

Bids that fail to submit the completed required forms to confirm the level of DVBE participation will not be eligible to receive the DVBE incentive. Clerical and typographical errors on these forms may be corrected at the State’s sole discretion.

Information submitted by the bidders to claim the DVBE incentive(s) will be verified by the State. If evidence of an alleged violation is found during the verification process, the State shall initiate an investigation, in accordance with the requirements of the PCC §10115, et seq., and MVC §999 et seq., and follow the investigatory procedures required by the 2 CCR §1896.80. Contractors found to be in violation of certain provisions may be subject to loss of certification, penalties and/or contract termination.

Table A – IFB (aka Low Price Method)

Low Price Method

A B C

$98,000.00 $102,100.00 $100,000.00

0% 8% 4.5%

1 3 2 n/a 5% 4% n/a

$4,900.00

(5% x $98,000)

$3,920.00

(4% x $98,000) n/a

97,100.00

($102,100 - $4,900)

96,080.00

($100,000 - $3,920)

3 2 1

DPR 479IW (Page 3 of 5)

Confirmed DVBE

Participation of DVBE Incentive Amount for IFB

5% or more

4% - 4.99%

3% - 3.99%

2% - 2.99%

.01% - 1.99%

5% of lowest responsive and responsible bid

4% of lowest responsive and responsible bid

3% of lowest responsive and responsible bid

2% of lowest responsive and responsible bid

1% of lowest responsive and responsible bid

Final Rank:

DVBE Incentive (from Table A)

Incentive Amount

(% x Lowest Responsive and

Responsible Bid Price)

Adjusted Bid Price

(Bidder's Price - Bidder's Incentive

Amount)

Bidder Name

Original Bid Price

DVBE Participation for certified

DVBE Prime or Subcontractors

Initial Ranking

How does the DVBE Incentive Program Work?

The DVBE incentive is used only for evaluation purposes to determine the successful bidder and does not alter the amounts of the actual bids. A dollar cap of $100,000.00 is set for all combined incentives and preferences.

For contracts to be awarded based on the Low Price Method, the incentive amount is equal to a percentage of the lowest responsive and responsible bid based on the amount of DVBE participation in the bid being evaluated per Table A below. The Computation Method does not include the small business preference;

however, the small business preference may be applied and may affect the application of the incentive and the outcome of the ranking.

Computation Method

The State of California www.pd.dgs.ca.gov/smbus

Department of General Services Receptionist: (916) 375-4940

Office of Small Business and DVBE Services 24-hour recording: (916) 322-5060

707 Third Street, First Floor – Room 400 FAX: (916) 375-4950 West Sacramento, CA 95605 OSDCHelp@dgs.ca.gov

DPR 479IW (Page 4 of 5)

Substitution of Proposed DVBE

• If awarded the contract, the DVBE subcontractors and/or contractors proposed by bidder must be used unless prior written notice of substitution is provided to the state and the state approves such substitution.

• The notice must include a minimum of: (1) a written explanation of the reason for the substitution;

and (2) an updated DPR 486 must be submitted to the award office of Department of Parks and Recreation. The substitution request must before approved before the substitution can take place.

• Failure to adhere to at least the DVBE participation proposed by the successful bidder may be cause for contract termination and recovery of damages under the rights and remedies due the state under the default section of the contract.

Contractor understands and agrees that should award of this contract be based in part on their commitment to use the Disabled Veteran Business Enterprise (DVBE) subcontractor(s) identified in their bid or offer, per Military and Veterans Code 999.5 (e), a DVBE subcontractor may only be replaced by another DVBE subcontractor and must be approved). Changes to the scope of work that impact the DVBE subcontractor(s) identified in the bid or offer and approved DVBE substitutions will be documented by contract amendment.

Failure of Contractor to seek substitution and adhere to the DVBE participation level identified in the bid or offer may be cause for contract termination, recovery of damages under rights and remedies due to the State, and penalties as outlined in M&VC § 999.9; Public Contract Code (PCC) § 10115.10, or PCC § 4110 (applies to public works only).

To locate DVBE contractors:

Contact the department’s contracting official named in this solicitation for any DVBE contractors who may have identified themselves as potential subcontractors, and to obtain suggestions for search criteria to possibly identify DVBE contractors for the solicitation. You may also contact the department’s SB/DVBE Advocate for assistance – www.parks.ca.gov/advocate.

Access the list of all certified DVBEs by using the Department of General Services, Procurement Division (DGS-PD) online certified firm database at http://www.bidsync.com/DPXBisCASB Search by “Keywords” or United Nations Standard Products and Services Codes (UNSPSC), that apply to the elements of work you want to subcontract to a DVBE.

Check for subcontractor ads that may be placed on the California State Contracts Register (CSCR) for this solicitation prior to the closing date. You may access the CSCR at: www.eprocure.dgs.ca.gov (View CSCR Ads).

The State of California, Department of General Services, Procurement Division, Office of Small Business and DVBE Services (OSDS) offers many services that assist contractor/business owners with a variety of information designed to streamline the State contracting process. OSDS also certifies DVBE contractors. For more information, please contact OSDS to find out more:

http://www.pd.dgs.ca.gov/smbus mailto:OSDCHelp@dgs.ca.gov

DPR 486 - Part 2

STD. 843

DPR 479IW (Page 5 of 5)

DPR 486 - Part 1

DISABLED VETERAN BUSINESS ENTERPRISE (DVBE)

DVBE Documentation Checklist

The State of California acknowledges the service and sacrifice of its disabled veterans, in part, through the “Disabled Veteran Business Enterprise (DVBE) Participation Program.” As mandated by law, state agencies have a goal to award at least 3% of their annual contract dollars to certified DVBE’s.

When a firm bids on a state DPR contract that contains DVBE participation, the firm may benefit from the DVBE Incentive program. We encourage all suppliers to obtain as much DVBE participation as possible.

PLEASE NOTE: INCOMPLETE DOCUMENTATION (DPR 486 AND STD. 843) MUST RESULT IN

DISQUALIFICATION FROM FURTHER PARTICIPATION IN THE SELECTION PROCESS FOR THE

CONTRACT.

The following checklist is provided to assist bidders with their DVBE participation documentation:

All DVBE participation is indicated.

The names of each participating DVBE company is listed with the dollar value and applied percentage of the bid.

A copy of the printout from eProcurement system showing the company’s DVBE certification status.

The DVBE participation percentage listed agrees with the dollar value claimed.

Signed “Bidder’s Certification.”

A completed and signed STD. 843 is included with the bid for every DVBE (whether prime or sub) included.

STATE OF CALIFORNIA – DEPARTMENT OF GENERAL SERVICES PROCUREMENT DIVISION

DISABLED VETERAN BUSINESS ENTERPRISE DECLARATIONS

STD. 843 (Rev. 11/2005) Instructions: The disabled veteran (DV) owner(s) and DV manager(s) of the Disabled Veteran Business Enterprise (DVBE) must complete this declaration when a DVBE contractor or subcontractor will provide materials, supplies, services or equipment [Military and Veterans Code Section 999.2]. Violations are misdemeanors and punishable by imprisonment or fine and violators are liable for civil penalties. All signatures are made under penalty of perjury.

SECTION 1

Name of certified DVBE:_________________________________________ DVBE Ref. Number: _______________

PO/Contract Description (materials/supplies/services/equipment): ____________________________________________

Solicitation/Contract Number:__________________________ SCPRS Ref. Number:__________________________

(FOR STATE USE ONLY)

SECTION 2

APPLIES TO ALL DVBEs. Check only one box in Section 2 and provide original signatures.

I (we) declare that the DVBE is not a broker or agent, as defined in Military and Veterans Code Section 999.2 (b), of materials, supplies, services or equipment listed above. Also, complete Section 3 below if renting equipment.

Pursuant to Military and Veterans Code Section 999.2 (f), I (we) declare that the DVBE is a broker or agent for the principal(s) listed below or on an attached sheet(s). (Pursuant to Military and Veterans Code 999.2 (e), State funds expended for equipment rented from equipment brokers pursuant to contracts awarded under this section shall not be credited toward the 3-percent DVBE participation goal.)

All DV owners and managers of the DVBE (attach additional pages with sufficient signature blocks for each person to sign):

(Printed Name of DV Owner/Manager) (Signature of DV Owner/ Manager) (Date Signed)

(Printed Name of DV Owner/Manager) (Signature of DV Owner/Manager) (Date Signed)

Firm/Principal for whom the DVBE is acting as a broker or agent: ________________________________________ (If more than one firm, list on extra sheets.) (Print or Type Name)

Firm/Principal Phone: ______________ Address: ____________________________________________________

SECTION 3

APPLIES TO ALL DVBEs THAT RENT EQUIPMENT AND DECLARE THE DVBE IS NOT A BROKER.

Pursuant to Military and Veterans Code Section 999.2 (c), (d) and (g), I am (we are) the DV(s) with at least 51% ownership of the DVBE, or a DV manager(s) of the DVBE. The DVBE maintains certification requirements in accordance with Military and Veterans Code Section 999 et. seq.

The undersigned owner(s) own(s) at least 51% of the quantity and value of each piece of equipment that will be rented for use in the contract identified above. I (we), the DV owners of the equipment, have submitted to the administering agency my (our) personal federal tax return(s) at time of certification and annually thereafter as defined in Military and Veterans Code 999.2, subsections (c) and (g). Failure by the disabled veteran equipment owner(s) to submit their personal federal tax return(s) to the administering agency as defined in Military and Veterans Code 999.2, subsections

(c) and (g), will result in the DVBE being deemed an equipment broker.

Disabled Veteran Owner(s) of the DVBE (attach additional pages with signature blocks for each person to sign):

(Printed Name) (Signature) (Date Signed)

(Address of Owner) (Telephone Number of Owner) (Tax Identification Number of Owner)

Disabled Veteran Manager(s) of the DVBE (attach additional pages with sufficient signature blocks for each person to sign):

(Printed Name of DV Manager) (Signature of DV Manager) (Date Signed)

Page ___ of ___

SAMPLE

DPR 486 (New 1/2010)(Excel 1/26/2010)

COMPANY INFORMATION

COMPANY INFORMATION: List the information (Company Name, Contact information) of subcontractor(s) and supplier(s) proposed for DVBE. If prime contractor is a DVBE, the name must be listed for participation.

COMPLETION INSTRUCTIONS

PART 1 — SUMMARY OF DISABLED VETERAN BUSINESS ENTERPRISE (DVBE) PARTICIPATION

State of California - Natural Resources Agency

DEPARTMENT OF PARKS AND RECREATION

COMPANY NAME

CONTACT

COMPANY NAME

CONTACT

I hereby certifiy that I have made a diligent effort to ascertain the facts with regard to the representations made herein. In making this certification, I am aware of Section 12650 et seq. of the Government Code providing for the imposition of treble damages for making false claims against the State and Section 10115.10 of the Public Contract Code making it a crime for intentionally making an untrue statement in this certificate.

PART 2 — BIDDER'S CERTIFICATION

BIDDING COMPANY'S NAME

SIGNATURE DATE

TITLE (e.g. BUSINESS OWNER/CHIEF EXECUTIVE OFFICER, ETC.)

CONTRACTING WITH: Show the name of the department or company with which the company listed is contracting.

PRINT OUT: In order to claim DVBE participation credit, a printout from the eProcurement system showing their supplier ID and the status of their certification must be furnished with the bidder's bid or upon the signing of contract documents. Check mark if a copy of the printout is included.

NATURE OF WORK: Identify the proposed work (or materials or equipment) to be provided.

TIER: Bidder may count toward its participation goal the dollar value of work and supplies to be obtained by its primary subcontractors and suppliers from DVBE firms as second and third level tier subcontractors/suppliers. Contracting tier should be indicated with the following designations:

DVBE company listed for participation.

0 = Prime or Joint Contractor 1 = Primary Subcontractor or Supplier 2 = Subcontractor/Supplier of Level 1 Subcontractor/Supplier 3 = Subcontractor/Supplier of Level 2 Subcontractor/Supplier

DOLLAR VALUE: The dollar amount of the bid to be performed by the listed company’s own forces.

PERCENTAGE OF BID: The percentage of the total bid amount the dollar value represents.

CONTRACTING WITH

PERCENT OF BID

PRINT-

OUT

TIER

NATURE OF WORK

CONTACT PHONE

DOLLAR VALUE

COMPANY NAME

CONTACT

CONTRACTING WITH

PERCENT OF BID

PRINT-

OUT

TIER

NATURE OF WORK

CONTACT PHONE

DOLLAR VALUE

COMPANY NAME

CONTACT

CONTRACTING WITH

PERCENT OF BID

PRINT-

TIER

NATURE OF WORK

CONTACT PHONE

DOLLAR VALUE

COMPANY NAME

CONTACT

COMPANY NAME

CONTACT

CONTRACTING WITH

PERCENT OF BID

PRINT-

TIER

NATURE OF WORK

CONTACT PHONE

DOLLAR VALUE

BIDDER'S DVBE PARTICIPATION

PRINTED NAME

OUT

OUT

SOLICITATION NUMBER

DVBE CERTIFICATION NO.

DVBE CERTIFICATION NO.

DVBE CERTIFICATION NO.

DVBE CERTIFICATION NO.

DVBE CERTIFICATION NO.: Provide the DVBE Certification Number assigned to company.

DPR 74 (Rev. 5/2013)(Excel 5/16/2013)

DO NOT COMPLETE THIS FORM UNLESS YOUR COMPANY MEETS THE CRITERIA OF OPTION #1 OR OPTION #2.

FOR DEPARTMENT USE ONLY

C1568008

State of California - Natural Resources Agency

DEPARTMENT OF PARKS AND RECREATION

DARFUR CONTRACTING ACT CERTIFICATION

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 to submit a proposal.

DO NOT COMPLETE OR RETURN THIS FORM IF: Within the previous three years, your company HAS NOT had any business activities or other operations outside of the United States.

AGREEMENT/PAPO NO.

OPTION #1 - 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 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)

BY (Authorized Signature)

PRINTED NAME AND TITLE OF PERSON SIGNING

DATE EXECUTED EXECUTED IN THE COUNTY AND STATE OF

FEDERAL ID NUMBER

OPTION #2 - WRITTEN PERMISSION FROM DGS

Pursuant to Public Contract Code section 10477(b), the Director of the Department of General Services 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 Department of General Services 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)

INITIALS OF SUBMITTER

PRINTED NAME AND TITLE OF PERSON INITIALING

FEDERAL ID NUMBER

All other companies, complete Option #1 or Option #2 and return:

NON-COLLUSION AFFIDAVIT TO BE EXECUTED BY

BIDDER AND SUBMITTED WITH BID FOR PUBLIC WORKS

STATE OF CALIFORNIA

COUNTY OF

SS

(Name)

DATED: By

(Position title)

(The bidder)

(Person signing for bidder)

Subscribed and sworn to (or affirmed) before me on this___________ day of ___________________, 20_____ , by the

THIS FORM MUST REMAIN WITH THE BID

(Notary Public)(Notarial Seal)

DPR 837 (Rev. 6/2011)(Excel 6/22/2011) the party making the foregoing bid that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation, that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that 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, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that 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 paid, and will not pay, any fee to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.

, being first duly sworn, deposes and says that he or she is person named above, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

DPR 478 (New 2/2010)(Excel 2/22/2010)(Page 1 of 3)

Small Business (SB) Notice 5% Small Business Preference

What is a California Certified Small Business (SB)?

For a business to be considered a Small Business (SB), they must be certified with the State of California - Department of General Services in accordance with California Code of Regulations, Title 2, Section 1896.94.

State of California - Natural Resources Agency

DEPARTMENT OF PARKS AND RECREATION

Your business may be eligible if it meets all of the following:

• Must be independently owned and operated.

• Cannot be dominant in its field of operation.

• Must have its principal office located in California.

• Must have its owners (or officers in the case of a corporation) domiciled in California.

• Together with its affiliates, be either:

° A business with 100 or fewer employees, and an average annual gross receipts of $14 million or less over the previous three tax years, or ° A manufacturer with 100 or fewer employees.

• Microbusiness: A small business will automatically be designated as a microbusiness if gross annual receipts, together with all affiliates, are less than $3,500,000 or, the small business is a manufacturer with 25 or fewer employees.

Please see the following website for more information about SB certification benefits and eligibility requirements: http://www.pd.dgs.ca.gov/smbus/sbcert.htm

What is the SB Preference?

State law allows certified small business (SB) and microbusiness (MB) firms to receive a 5% bidding preference on applicable state solicitations. The 5% preference is also available for non-certified businesses who subcontract 25% of contract amount with a certified SB/MB.

The effect of the preference is to help SBs/MBs be more competitive in the bid process, thereby enhancing state contract awards directly or indirectly to SB/MB. The preference is only used for computation purposes to determine the winning bidder, the contract is awarded at the actual bid amount.

http://www.pd.dgs.ca.gov/smbus/sbpref.htm

In no event shall the SB preference or non-SB subcontracting preference exceed $50,000 in any single bid.

Bid After 5% Preference

$30,750

$28,975

$29,520

$28,421

DPR 478 (Page 2 of 3)

Claims small business and is CA Certified

2 $28,975

3 $29,520

Bidder Bid Amount Small Business Status

1 $30,750

4 $29,870

Claims small business status, but is not CA certified

Does not claim to be a small business

Claims small business status, but their CA certification has expired

How does the 5% Small Business Preference Work?

The following example shows how the 5% preference computation works, and how it is used to determine a successful bidder.

Computation Method

Five percent is applied to the lowest (non-certified small business) responsible bid ([Bidder 2] $28,975 x .05 = $1448.75).

The preference amount ($1,448.75) is subtracted from the certified small business (Bidder 4’s) bid amount ($29,870 - $1,448.75 = $28,421.25).

Bidder 4’s computed total is $28,421.25, making them the lowest bidder.

The contract is awarded to Bidder 4 for $29,870.

NOTE: The 5% preference is used only for computation purposes to determine the successful bidder and does not alter the amounts of the actual bids.

Documentation

Please provide a printout from the eProcurement website showing your certification and expiration date.

https://www.bidsync.com/DPXBisCASB

If a non-certified firm is claiming the SB Preference based on subcontracting at least 25% of the contract to a certified SB/MB, you must include a complete DPR 85 with your bid.

Information submitted by the bidders to claim the SB Preference will be verified by the State. If evidence of an alleged violation is found during the verification process, the State shall initiate an investigation, in accordance with the requirements of the PCC §10115, et seq., and MVC §999 et seq., and follow the investigatory procedures required by the 2 CCR §1896.80. Contractors found to be in violation of certain provisions may be subject to loss of certification, penalties and/or contract termination.

The State of California www.pd.dgs.ca.gov/smbus

Department of General Services Receptionist: (916) 375-4940

Office of Small Business and DVBE Services 24-hour recording: (916) 322-5060

707 Third Street, First Floor – Room 400 FAX: (916) 375-4950

West Sacramento, CA 95605 OSDCHelp@dgs.ca.gov

DPR 478 (Page 3 of 3)

To locate SB/MB contractors:

Contact the department’s contracting official named in this solicitation for any SB/MB contractors who may have identified themselves as potential subcontractors, and to obtain suggestions for search criteria to possibly identify SB/MB contractors for the solicitation. You may also contact the department’s SB/DVBE Advocate for assistance – www.parks.ca.gov/advocate.

Access the list of all certified SB/MBs by using the Department of General Services, Procurement Division (DGS-PD) online certified firm database at http://www.bidsync.com/DPXBisCASB Search by “Keywords” or United Nations Standard Products and Services Codes (UNSPSC) that apply to the elements of work you want to subcontract to a SB/MB.

Check for subcontractor ads that may be placed on the California State Contracts Register (CSCR) for this solicitation prior to the closing date. You may access the CSCR at: www.eprocure.dgs.ca.gov (View CSCR Ads).

The State of California, Department of General Services, Procurement Division, Office of Small Business and DVBE Services (OSDS) offers many services that assist contractor/business owners with a variety of information designed to streamline the State contracting process. OSDS also certifies SB/MB contractors.

For more information, please contact OSDS to find out more:

http://www.pd.dgs.ca.gov/smbus mailto:OSDCHelp@dgs.ca.gov

COMPANY NAME CONTRACTING WITH NATURE OF WORK TIER DOLLAR

VALUE

% OF

BID

Total Small Business Subcontractor Dollar Value

Total Amount of Bid

TOTAL % OF BID FOR ALL SMALL BUSINESS SUBCONTRACTORS

DPR 85 (Rev. 6/2011)(Excel 6/6/2011)

COMPLETION INSTRUCTIONS

SMALL BUSINESS PREFERENCE

State of California - Natural Resources Agency

DEPARTMENT OF PARKS AND RECREATION

Certified Small Businesses (SBs) may receive a 5% preference. Non Certified Small Business (SB) contractors may receive a 5% preference by subcontracting a minimum of 25% of the total monetary amount of their bid to Certified Small Businesses.

See the DPR 478, Small Business Notice for more information about the SB Preference.

COMPANY NAME: List the names of the subcontractors and suppliers proposed for the 25% Small Business (SB) subcontractor participation.

CONTRACTING WITH: Enter the name of the company with which the company listed is contracting.

NATURE OF WORK: Identify the proposed work (or materials or equipment) to be provided.

TIER: The Bidder may count toward its 25% Small Business participation goal the dollar value of work and supplies to be obtained by its primary subcontractors and suppliers from SB subcontractor firms as second and third level tier subcontractors/suppliers. Using the following codes, indicate the contracting tier for each SB company listed for participation:

0 = Prime or Joint Contractor 1 = Primary Subcontractor or Supplier 2 = Subcontractor/Supplier of Level 1 Subcontractor/Supplier 3 = Subcontractor/Supplier of Level 2 Subcontractor/Supplier

DOLLAR VALUE: Enter the dollar amount of the bid to be performed by the listed company’s own forces.

PERCENTAGE OF BID: Enter the percentage of the total bid amount the dollar value represents.

PRINTOUT: In order to claim the 25% Small Business participation credit, a printout from the Office of Small Business and DVBE Services eProcurement website for each SB listed.

PRINT-

OUT

DATECONTRACTOR NAME

PART I

IS CONTRACTOR A CALIFORNIA CERTIFIED SMALL BUSINESS?

YES NO

If Yes, attach Contractor's certification printout from the eProcurement website to this form and stop here.

If No, you still may qualify for the Small Business Preference, complete Part II below.

PART II

SB CERT NO.

SB CERT NUMBER:

SB CERT NUMBER:

SB CERT NUMBER:

SB CERT NUMBER:

Notice to Proceed (NTP) through

Exhibit A - Scope of Work 1 page(s) Exhibit A - Attachment 1 - Specifications 4 page(s)

1 page(s) Exhibit B - Attachment 1 - Public Works Bid Form 6 page(s) Exhibit C* - General Terms and Conditions

Exhibit - D Special Terms and Conditions (Attached hereto as part of this agreement) 1 page(s) Exhibit - D* Special Terms and Conditions pages Exhibit E - Additional Provisions pages

Items shown with an Asterisk (*), are hereby incorporated by reference and made part of this agreement as if attached hereto.

These documents can be viewed at www.ols.dgs.ca.gov/Standard+Language

IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto.

C1568008

Department of Parks and Recreation

June 30, 2017

CONTRACTOR

Exhibit D, Attachment 1 - Project Manual

Exhibit B, Budget Detail and Payment Provisions

PO Box 942896 Sacramento, CA 94296

Department of Parks and Recreation

GTC 610

Kristal C. Simpson, Staff Services Manager, III

STATE OF CALIFORNIA

Check mark one item below as Exhibit D:

STATE OF CALIFORNIA

STANDARD AGREEMENT

STD 213[PW] (Rev 06/03)(CA ST PKS, EXCEL 10/20/2004)

AGREEMENT NUMBER

REGISTRATION NUMBER

STATE AGENCY'S NAME

CONTRACTOR'S NAME

CONTRACTOR'S NAME (if other than an individual, state whether a corporation, partnership, etc.)

BY (Authorized Signature) DATE SIGNED(Do not type)

PRINTED NAME AND TITLE OF PERSON SIGNING

ADDRESS

AGENCY NAME

DATE SIGNED(Do not type)

PRINTED NAME AND TITLE OF PERSON SIGNING

The term of this Agreement is:

The maximum amount of this Agreement is:

The parties agree to comply with the terms and conditions of the following exhibits which are by this reference made a part of the Agreement.

This Agreement is entered into between the State Agency and Contractor named below:1.

2.

3.

4.

California Department of General Services Use Only

Exempt per:

BY (Authorized Signature)

ADDRESS

CONTRACTOR STATE AGENCY DEPT. OF GEN.SER. CONTROLLER ACCOUNTING SVS.

Contractor's Name:

Agreement Number:

Page: 1 1

SCOPE OF WORK

1. Contractor agrees to furnish all labor, tools, materials and equipment necessary to:

2. The work shall be performed at:

3. The work shall be provided during:

4. The project representatives during the term of this agreement will be:

State Agency: Contractor:

Section/Unit: Section/Unit:

Attention: Attention:

Address: Address:

City/State/Zip Code: Felton, CA 95018 City/State/Zip Code:

Phone: Phone:

Fax: Fax:

E-mail: E-mail:

DPR 603PW (Rev. 7/2011)(Excel 7/21/2011)

Felipe Jauregui, Maintenance Chief

303 Big Trees Park Road

831‐335‐6389

C1568008

Department of Parks and Recreation

Pigeon Point Light Station State Historic Park, 210 Pigeon Point Road, Pescadero, CA 94060.

Normal working hours, with the exception of State holidays. Hours and days are arranged by the State's

Representative.

felipe.jauregui@parks.ca.gov 831‐335‐6394

Santa Cruz District

EXHIBIT A — Public Works (Standard Agreement) of drill one (1) new water well, purchase and install either a new Goulds/Xylem, Berkeley/Pentair or equivalent brand water pump and motor, a new Franklin or Berkley/Pentair or equivalent brand control box in accordance with community water system well requirements in California at Pigeon Point Light Station State Historic Park within the Santa Cruz District, San Mateo County, California complete and in accordance with the plans and specifications in Exhibit D, Attachment 1, Project Manual.

Pigeon Point Light Station State Historic Park

Water Well Drilling Contract

Exhibit A, Attachment 1, Specifications # C1568008

1. General:

a. The purpose of this contract is to drill one (1) new water well, Contractor shall purchase and install either a new Goulds/Xylem, Berkeley/Pentair or equivalent brand water pump motor, a new Franklin or Berkeley/Pentair or equivalent brand control box at Pigeon Point Light Station State Historic Park in San Mateo County within the Santa Cruz District, according to the Plans and Specifications and the attached drawings and as directed by the State’s Representative.

a. Prior to construction the Contractor shall provide the well site drilling plan, including specifications to the States Representative. The proposed well site plan and specifications shall include all pertinent features within a distance no less than 200 feet in radius that could affect the quality of water from the well. See attached sheet of features. The State’s Representative and the Contractor will review the site and make recommendations on specific drilling site locations.

b. This project requires Coastal Development and San Mateo County Well Drilling

Permits. The permits are being obtained by the state and shall be secured within six (6) months.

c. The completed work shall be…