CI-275 Bid Package Final.pdf

BID PROPOSAL FORM FOR DESIGN-BID-BUILD PROJECT

Construction Mgmt.

700.05DBB • 9/19

SOLANO HALL FIT STUDIO ROOM 1201

AUDIOVISUAL SYSTEM INSTALLATION,

PROJECT NUMBER CI-275

BID SOLICITATION NUMBER CI-275

California State University Channel Islands – 1 University Drive, Camarillo, California 93012

To the Trustees of the California State University, on behalf of the State of California (hereinafter called the Trustees):

The undersigned bidder hereby offers, in the amount stated below, to furnish all labor, materials, tools, equipment, apparatus, facilities, transportation, and permits for the construction of Project Number CI-275, Solano Hall FIT Studio Room 1201 Audiovisual System Installation, at California State University Channel Islands, and hereby agrees to enter into contract for Project Number CI-275 if this offer is accepted by the Trustees.

TOTAL AMOUNT OF BASE BID: $ LUMP SUM

(Use figures only) The above amount is to be stated in figures only and is the total amount bid for the entire contract work including all applicable taxes. Any alteration, erasure, or change must be clearly indicated and initialed by the bidder. The bidder agrees that if there are any discrepancies or questions in the figures, the Trustees will use the lower figure despite the bidder's intent. The Trustees reserve the right to reject any and all bids and to waive any irregularities. The Trustees' project budget for this project is $30,000.

SPECIFY THE NUMBER OF EACH ADDENDUM YOU HAVE RECEIVED ON THE LINE BELOW.

The bid is subject to the provisions contained in the Contract General Conditions (note especially Article 2.00 et seq. regarding instructions to bidders), and the bidder agrees that failure to comply with the conditions thereof shall be basis for rejection of this bid.

Five Percent Small Business Preference The undersigned bidder is hereby requesting the five percent Small Business Preference. To receive the five percent bid advantage, Bidder must submit with its bid a completed “Small Business Preference and Certification” form 701.09, and also indicate its intent by checking the appropriate response below:

By checking the appropriate box below, Bidder is requesting the five percent Small Business Preference, as either a:

1) CA certified Small Business upon verification in accordance with the CA Code of Yes No Regulations, Title 2, Section 1896.2, having applied for certification no later than 5:00 p.m. on bid opening date, or

2) Non-small business that commits to subcontracting at least 25% of its net bid price Yes No to CA certified small businesses and/or microbusinesses.

If Proposer checks one of the boxes above, and submits the completed Small Business Preference and Certification form 701.09, the Trustees will grant a bid preference of 5% of the lowest responsive bidder’s bid. Reference the Contract General Conditions and Supplementary General Conditions for Design-Bid-Build Project, Article 2.12, Small Business Five Percent Bid Advantage.

DVBE Participation / Request for DVBE Bid Incentive DVBE participation is not mandatory for this solicitation. Bidders requesting the DVBE Bid Incentive shall list their DVBE subcontractors/suppliers with the bid. Bidders shall direct solicitation questions through the PlanetBids Q&A function.

CSUCI Procurement and Contract Services contact: Daniel Brown, daniel.brown@csuci.edu, 805-437-1628.

The Trustees are granting a DVBE Bid Incentive, for bid evaluation purposes only, in accordance with the Contract General Conditions (for Design-Bid-Build Major Projects, Article 2.13, and for Design-Bid-Build Minor Projects, Article 2.11).

Bidder shall indicate whether or not Bidder is requesting the DVBE Bid Incentive by checking the appropriate response below. Bidder commits to subcontract at least the percentage of DVBE participation of its net bid price as stated hereon with one or more DVBE(s).

Bid Proposal Form for Design-Bid-Build Project Solano Hall FIT Studio Room 1201 Audiovisual System Installation – Project No. CI-275 / Bid No. CI-275 California State University Channel Islands

Page 2 of 2 pages

DVBE Participation Incentive Less than 4.00% None 4.00% to 4.99% 1% 5.00% to 5.99% 2% 6.00% or more 3%

Bidder is requesting the DVBE Bid Incentive (check one): Yes No

A bidder requesting the DVBE Bid Incentive shall indicate its DVBE Participation Percentage Commitment below:

____________________% DVBE Participation Percentage Commitment

Bidder must submit its bid on this Proposal Form, completely filled out, through the CSUCI PlanetBids electronic bidding platform no later than 2:00 p.m. Pacific Time on Friday, October 16, 2026, or it will be disregarded. Bids submitted by email, mail, hand delivery, or any method outside PlanetBids will not be accepted. The Trustees will only accept bids from contractors holding the California contractor license classification(s) required for the Work, including a C-7 Low Voltage Systems Contractor license where applicable, together with a current California Department of Industrial Relations Public Works Registration number. Any line-voltage electrical Work shall be performed by a properly licensed C-10 Electrical Contractor unless the Contract Documents expressly assign that Work to CSUCI personnel.

Bidder shall include bidder's security in an amount equal to at least ten percent (10%) of the amount of bid in accordance with the Contract General Conditions for Design-Bid-Build Minor Projects. The bid security shall be uploaded with the electronic bid in PlanetBids, and the original bid security shall be delivered to CSUCI within 24 hours after the electronic bid opening. If the Trustees award a contract to the Bidder, and Bidder then fails to execute the contract, Bidder shall forfeit its bidder's security to the State. The successful bidder shall furnish performance and payment bonds, each in the amount of one hundred percent (100%) of the awarded Contract Sum, before issuance of the Notice to Proceed.

All onsite installation, integration, programming, testing, training, punch-list correction, and closeout activities must be completed during the week of Monday, November 2 through Friday, November 6, 2026. The complete system must be operational, tested, documented, and ready for CSUCI use no later than 5:00 p.m. on Friday, November 6, 2026. Liquidated damages shall be $200.00 for each calendar day completion is delayed beyond the time prescribed for the project.

701.06 9/17

BID PROPOSAL FORM SIGNATURE PAGE

Date

Name of Bidder’s Firm 1

ALL BIDS AND CONTRACTS MUST BE SIGNED BY AN OFFICER OR EMPLOYEE HAVING THE AUTHORITY TO BIND THE COMPANY OR FIRM. The undersigned Bidder, as authorized by its firm, hereby submits this bid pursuant to the contract documents. If Bidder is:

A. An Individual Proprietorship:

(Postal Address of Firm) (License Number)

(Signature, Printed Name of Person Signing) (Phone Number)

B. A Partnership: (check one) Partnership Limited Partnership Other (specify type) (Postal Address of Principal Office of Partnership) (License Number)

(Signature, Printed Name and Title of Authorized Person(s) Signing) 3 (Phone Number)

C. A Corporation/LLC/Other: (check one) Corporation Ltd. Liability Co. Other (specify type) (State of Incorporation/Organization) (Phone Number) (License Number)

(Postal Address of Principal Office of Corporation/Organization)

(Signature, Printed Name and Title of Authorized Person(s) Signing) 3

D. A Joint Venture:

(Name of Joint Venture) (License Number, if known) 4

An Affidavit of Joint Venture form must be filed five days prior to bid opening and each member of the joint venture must be prequalified one day prior to bid opening as provided in Article 2.02 of the Contract General Conditions. Each member of the joint venture shall fill in the information below corresponding to the member’s type of business organization. If the joint venture has more than one of the same types of business organizations, additional copies of this page containing the required information and signatures shall be added and attached to this proposal form. Any such attachments are a part of this proposal form.

First Member of the Joint Venture Second Member of the Joint Venture (Name and Type of Firm) 1 (License No.) (Name and Type of Firm) 1 (License No.)

(Postal Address of Principal Office of Firm) (State of Organization) (Postal Address of Principal Office of Firm) (State of Organization)

(Signature and Printed Name of Authorized Person(s) Signing) 3 (Signature and Printed Name of Authorized Person(s) Signing) 3

(Title of Person Who Signs Above) 2 (Phone Number) (Title of Person Who Signs Above) 2 (Phone Number)

Notes:

1 Name of firm must be the same as appears on state contractor’s license and on the CSU prequalification letter.

2 If signature is by an agent, other than by an authorized signatory of a corporation or a partnership, a power of attorney must be on file with the Trustees before bid opening or be submitted with this bid.

3 For the following types of firm, a certified copy of the official record/documentation as indicated below authorizing signatory to bind this bid/contract must be submitted with the Trustees-prescribed Certification form 702.03:

Partnership: partnership agreement or power of attorney.

Limited Partnership: certificate of limited partnership as filed by the CA Secretary of State.

Corporation: corporate resolution of board action.

Limited Liability Company: Articles of Organization, filed by the CA Secretary of State.

Other Type of Organization: identify type of firm above; provide firm’s official record or documentation authorizing signatory to bind this bid/contract.

4 The Joint Venture must have the required license in place at time of award of contract, and if awarded the contract, must return with the contract a resolution authorizing someone to sign contracts, change orders, and other documents for the joint venture.

Solano Hall FIT Studio Room 1201 Audiovisual System Installation Project No. CI-275 / Bid No. CI-275

702.03 • 9/17

CERTIFICATION

Contract No. TBA Project No.

Instructions:

ALL BIDS AND CONTRACTS MUST BE SIGNED BY AN OFFICER OR EMPLOYEE HAVING THE AUTHORITY TO

BIND THE COMPANY OR FIRM.

Provide the information requested below, including the type of organization for your firm, such as partnership, limited partnership, corporation, limited liability company, etc., and attach to this form a true and accurate copy of the firm’s official record adopted by the firm’s executives/board that authorizes certain of the firm’s officers or employees to bind the firm. An example of such official record would be a corporate resolution duly adopted by a Board of Directors for a Corporation.

This is to certify that

1) I am

Name and Title of Authorized Signatory (such as John Smith, President)

2) of ; and Name of Firm

3) the attached official record, which lists only the officers or employees of our firm who are authorized to bind the firm, is a true and accurate copy as duly adopted by the Executives/Board of the firm on .

Date

Signature Date

Firm’s Type of Organization (see instructions above)

IMPORTANT NOTE

(If your firm is a sole proprietorship, you need not complete this form. For all other types of firms, be sure to attach to this certification a copy of firm’s official record authorizing officers or employees of the firm to execute Contract Documents or to execute a bid submittal. If attaching more than one document, modify the form to reflect that fact.)

CI-275

Bid No. CI-275

BIDDERS BOND

Counterpar Project No

Know All Persons by These Presents:

THAT WE

as Principal, and as Surety, are held and firmly bound unto the Trustees of the California State University hereinafter called the Trustees, in the penal sum of TEN PERCENT (10%) OF THE TOTAL AMOUNT OF THE BID of the Principal above named, submitted by said Principal to the said Trustees for the work described below, for the payment of which sum in lawful money of the United States, well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents.

IN NO CASE shall the liability of the Surety hereunder exceed the sum of 10% of Bid.

THE CONDITION of this obligation is such that:

WHEREAS, the Principal has submitted the above-mentioned bid to the Trustees for certain construction specifically described as follows, for which bids are to be opened at

NOW, THEREFORE, if the aforesaid Principal is awarded the contract, and, within the time and manner required under the specifications, after the prescribed forms are presented to the principal for signature, enters into a written contract, in the prescribed form, in accordance with the bid, and files the two bonds with the Trustees, one to guarantee faithful performance and the other to guarantee payment for labor and materials, as required by law, then this obligation shall be null and void, otherwise, it shall be and remain in full force and virtue.

In the event suit is brought upon this bond by the Obligee and judgment is recovered, the Surety shall pay all costs incurred by the Obligee in such suit.

IN WITNESS WHEREOF, We have hereunto set our hands and seals on this day of , 2026

CONTRACTOR Contractor Name:

AS

PRINCIPAL Contractor Address: (SEAL)

By:

SURETY Surety Name:

Surety Address: (SEAL)

By:

Signatures executed in behalf of the Surety must be properly acknowledged.

Construction Mgmt.

702.09A • 10/06

CI-275

Solano Hall FIT Studio Room 1201 Audiovisual System Installation on October 16, 2026 at 2:00 p.m. Pacific Time for Bid Solicitation No. CI-275

NONCOLLUSION DECLARATION

TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID FOR:

Project No. Project Name

The undersigned declares:

I am the of , the party making the forgoing bid.

Title Company

The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person for such purpose.

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

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on , 2026 at , .

City State

Printed Name Signature

Construction Mgmt.

701.05 • 1/2012

CI-275 Solano Hall FIT Studio Room 1201 Audiovisual System Installation

CERTIFICATION OF APPROPRIATE LICENSE,

DIR PUBLIC WORKS REGISTRATION, AND CALIFORNIA COMPANY

(Public Contract Code, Chapter 6100 et seq.)

Project No. Project Name:

The undersigned bidder declares:

1) That the attached pocket license or certificate of licensure is the Contractor’s, is current and valid, and is in a classification appropriate to the work to be undertaken on the above-referenced project for which bidder is submitting a bid, per Public Contract Code Section 6100(b). Attach a copy of the pocket license issued from Contractor’s State License Board.

2) That the Contractor is currently registered to bid public works projects with the Department of Industrial Relations (DIR) and shall maintain this registration current through the duration of this project. Attach documentation of the registration number issued by the DIR.

3) The bidder qualifies as a “California Company” per Public Contract Code Section 6107. Check one of the following statements that applies to the bidder:

Bidder has its principal place of business in California.

Bidder has its principal place of business in a state in which there is no local contractor preference on construction contracts.

Bidder has its principal place of business in a state in which there is a local contractor construction preference, and bidder has paid not less than five thousand dollars ($5,000) in sales or use taxes to California for construction related activity for each of the five years immediately preceding the submission of this bid.

If bidder does not qualify as a California company (and has not checked one of the statements under item 3 above), please complete the following information:

State in which Bidder has its principal place of business Amount of the local contractor construction preference offered day of

The undersigned declares under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on this , 2026 , at

, California.

Signature of Bidder or officer of Bidder authorized to Print or type name of person signing execute contracts

Print or type name of business entity Address

Construction Mgmt.

701.08 • 3/16

SMALL BUSINESS PREFERENCE AND CERTIFICATION REQUEST

(Bidders requesting a 5% Small Business Preference must sign below and enclose this form with their bid/proposal.

If your firm is not claiming the small business preference, do not submit this form with your bid/proposal.)

Project No Project Name: tion

The undersigned hereby requests the small business preference and further certifies under penalty of perjury, that the firm still meets the requirements of the California Code of Regulations, Title 2 section 1896 et seq.

NOTICE TO ALL BIDDERS: The California Government Code, section 14835 et seq. requires that a five percent preference be given to bidders who qualify as a small business. The rules and regulations of this law, including the definition of a small business for the delivery of service, are contained in California Code of Regulations, Title 2 section 1896, et seq. A copy of the regulations is available upon request. The small business preference is applied by either 1) factoring 5% if a non-small business low bid total, and subcontracting this amount from the small business total, not to exceed $50,000, or 2) where award is to be made to the highest scoring bidder based on evaluation factors in addition to price, the preference shall be 5% of the highest responsible bidder’s total score.

If your firm is a Small Business and wishes to claim the small business preference, which may not exceed $50,000 for any bid, your firm must have its principal place of business located in California, have a complete application (including proof of annual receipts) on file with the Small Business & DVBE Services Branch, in the Procurement Division of the State of California Department of General Services, by 5:00 p.m. on the date bids are opened, and be verified by such office. Please indicate by checking the box below whether your firm is claiming the preference and is a Small Business.

Small Business

OR

If your firm is a Non-Small Business and wishes to claim the small business preference, your firm must notify the Trustees by signing below, that your firm commits to subcontract at least 25% of its net bid price with one or more small businesses, submit a timely responsive bid, list the small business subcontractors and include name, address, phone number, portion of the work to be performed, and the dollar amount and percentage per subcontractor, and be determined a responsible bidder. Please indicate by checking the box below whether your firm is claiming the preference and is a Non-Small Business. Non-Small Business

Questions regarding the preference approval process should be directed to Small Business & DVBE Services, telephone (800) 559-5529 or (916) 375-4940, address: 707 Third Street, First Floor-Room 400, West Sacramento, CA 95605, or if by mail: P.O. Box 989052, West Sacramento, CA 95798-9052. You can also reach them via email (osdchelp@dgs.ca.gov) or on the Internet: www.pd.dgs.ca.gov/smbus.

IMPORTANT NOTICE (Read before signing) The “Small Business Preference and Certification Request” must be signed in the same name style in which the bidder is licensed by the Contractors State License Board. Bidders bidding jointly or as a combination of several business organizations are specially cautioned that such bidders must be jointly licensed and approved in the same form and style in which the bid is executed.

Legal Name Style of Bidder(s):

Signature of Bidder: Date

In the event the bidder has received assistance in obtaining bonding for this project, it shall set forth below the name and nature of the firm providing such assistance. Should the firm be listed as a subcontractor, bidder shall set forth the percentage of the contract to be performed by the subcontractor.

Name of Firm:

Is Firm a Listed Subcontractor? If Yes, indicate Percentage or, No, if not a Listed Subcontractor

Special attention is directed to California Code of Regulations, Title 2 section 1896.16 for penalties for furnishing incorrect supporting information in obtaining preference.

Construction Mgmt.

701.09 • 11/19 mailto:osdchelp@dgs.ca.gov

DISABLED VETERAN BUSINESS ENTERPRISE (DVBE)

PARTICIPATION REQUIREMENT

DVBE TRANSMITTAL FORM

The DVBE Transmittal Form is to be attached and used as a cover sheet for the required DVBE documentation that must be submitted within 24 hours following the bid opening.

Campus: Channel Islands

Project Name: F12-F11 Bldg Abatement & Interior Demolition

Project Number: CI-536

Bid Date:

Name of Contractor Submitting Bid:

Please check off the following to insure you have included them in your documentation:

Attachment 1: Summary of DVBE Participation

Attachment 2: Bidder’s Certification of DVBE Status of Subcontractors and Suppliers

Disabled Veteran Business Enterprise Declarations, Form STD. 843

Attachment of Any Additional Supporting Documentation

Construction Mgmt.

DVBE-T • 12/10

OFFICIAL CSU USE ONLY

Did Contractor meet 3% DVBE requirement? Yes No

DVBE Bid Incentive (attach abstract of bids) Amount of DVBE Bid Incentive granted: % Amount of DVBE Participation pledged: %

Signed:

DVBE Program Advocate Date

Attachment 1

SUMMARY OF DISABLED VETERAN-OWNED BUSINESS PARTICIPATION

COMPANY NAME NATURE OF WORK

CONTRACTING

WITH TIER

CLAIMED

DVBE

VALUE $

PERCENTAGE

OF CONTRACT

OSMB DVBE

CERTIFICATION

I declare under penalty of perjury, under the laws of the State of California, that the information herein is true and correct to the best of my knowledge.

Executed on: , at in the state of .

Date City State

Signature of Contractor or Authorized Agent Project Name Project Number

Printed Name Firm Name Telephone

DVBE-1 • 8/09

Attachment 2

BIDDER’S CERTIFICATION

DISABLED VETERAN BUSINESS ENTERPRISE

STATUS OF SUBCONTRACTORS AND SUPPLIERS

I hereby certify that I have made a diligent effort to ascertain the facts with regard to the representations made herein and, to the best of my knowledge and belief, each firm set forth in this bid as a disabled veteran business enterprise complies with the relevant definition set forth in law. 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, Section 10115.10 of the Public

Contract Code making it a crime to intentionally make an untrue statement in this certificate, and the provisions of the Military and Veterans Code, Section 999.9.

Date Signature of Authorized Agent

Title

DVBE-2 • 8/09

S

Instructions: The disabled veteran (DV) owner(s) and DV manager(s) of the Disabled Veteran Business Enterprise

(DV

TATE OF CALIFORNIA – DEPARTMENT OF GENERAL SERVICES PROCUREMENT DIVISION

DISABLED VETERAN BUSINESS ENTERPRISE DECLARATIONS

STD. 843 (Rev. 5/2006)

BE) 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:

Description (materials/supplies/services/equipment proposed):

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 actin (If more than one firm, list on extra sheets.)

Firm/Principal Phone:

g as a broker or age

Address:

nt:

(Print or Type Name)

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

Failure by the disabled veteran equipment owner(s) to submit their Veterans Code 999.2, subsections (c) and (g).

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) (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

Line

Line

Line

Line

LIST OF PROPOSED SUBCONTRACTORS

(to be submitted with bid)

Information/Instructions:

Pursuant to the provisions of Public Contract Code section 4100 et seq., Bidder shall set forth:

(a) the name, location of the place of business, the California Contractors State License Board-issued contractor license number , and the California Department of Industrial Relations (DIR)

Public Works Registration number of each subcontractor who will perform work or labor or render service to prime contractor in or about the construction of the work or improvement, or a subcontractor licensed by the state of California who, under subcontract to the prime contractor, specially fabricates and installs a portion of the work or improvement according to detailed drawings contained in the plans and specifications, in an amount in excess of one-half of one percent of prime contractor’s total bid;

(b) the portion of the work (trade) which will be done by each such subcontractor under this act.

Bidder shall list only one subcontractor for each such portion as defined by Bidder in its bid. For each alternative, Bidder shall list any subcontractor not included in the base contract work subcontractor listing. All work in excess of one-half of one percent of this bid, for which no subcontractor is listed below, shall be performed by Bidder. Within 24 hours of bid opening, Bidder shall submit the List of Subcontractors—Additional Information form.

Non-small Business Bidders: Non-small business bidders, that claim the small business preference and commit to subcontract at least 25% of their total project bid price including awarded alternatives with one or more small businesses, shall list those small businesses and the dollar amount of their subcontracts hereon. See Calif. Code of Regulations, Title 2, section 1896 et seq.

Substitution: Bidder shall not substitute any subcontractor listed below or permit any subcontractor to be assigned or transferred, or allow work to be performed by anyone other than the designated subcontractor, or sublet or subcontract any of the work in excess of one-half of one percent of this bid for which a subcontractor is not herein designated, except as otherwise provided in the Subletting and Subcontracting Fair Practices Act. Substitution of any small business subcontractor by a non-small business claiming the small business bid preference shall be done pursuant to Calif. Code of Regulations, Title 2, section 1896.10. DVBEs listed hereon may only be replaced by another DVBE, and the substitution of the DVBE must be approved by the Trustees and the Department of General Services.

Portion of Work (Trade/

Supplier, if DVBE)

Specify Work as Base Bid (B) or Alternate (#) Company Name and Address

CA CSLB-Issued Contractor License

No. Small Business (Indicate $)

DVBE

(Indicate $) CA DIR

Public Works Registration No.

Page 1 of 2 pages Construction Mgmt.

701.04 • 1/15

Bidder Name: ____________________

Project No. CI-275

DVBE Participation / Bid Incentive: DVBE participation is not mandatory for this solicitation. Bidders may qualify for the DVBE Bid Incentive by committing to DVBE participation in accordance with the Bid Proposal Form. Trustees will calculate DVBE participation on the total project bid price, including awarded alternatives. A bidder requesting the incentive shall list participating DVBEs and the dollar amount of participation by each DVBE. The total DVBE participation amounts listed shall equal at least the bidder's stated DVBE Participation Percentage Commitment. For each alternative, Bidder shall list any DVBE participating in work to be performed on the alternative.

Bidder Name:

Project No.

LIST OF PROPOSED SUBCONTRACTORS (cont’d) (to be submitted with bid; see page 1 for information and instructions)

Portion of Work (Trade/

Supplier, if DVBE)

Specify Work as Base Bid (B) or Alternate (#) Company Name and Address

CA CSLB-Issued Contractor - License No. Small Business

(Indicate $)

DVBE

(Indicate $) CA DIR Public Works

Registration No.

Construction Mgmt.

Page 2 of 2 pages 701.04 • 1/15

LIST OF SUBCONTRACTORS—ADDITIONAL INFORMA

(to be submitted within 24 hours after bid opening)

Information/Instructions:

Pursuant to the provisions of the Subletting and Fair Practices Act, Public Contract Code section 4100 et seq., and in accordance with the Contract General Conditions, Article 2.06-b, this form shall contain the information for all subcontractors listed on the List of Proposed Subcontractors submitted with the bid. No listed subcontractor shall be added or deleted by use of this form. Bidder shall verify all listed subcontractors’ licenses with the Contractors State License Board and DIR Public Works Registration numbers.

In the ‘Subsidiary of Bidder’ column, indicate whether the subcontractor is a subsidiary or is owned or partially owned by the Bidder (share profits), by checking appropriate response (‘Y’ for ‘Yes’ or ‘N’ for ‘No’). In the ‘Insurance’ column, indicate whether the subcontractor will carry its own insurance, or whether the subcontractors without individual insurance policies are insured by the Bidder. If the subcontractor will carry its own insurance, check ‘S’ in the insurance column; if not, check ‘B’ which will indicate that the subcontractors without individual insurance policies are insured by the Bidder.

If Bidder is a non-small business and has received the small business bid preference, it shall list those small business subcontractors hereon, and indicate that the subcontractor is a small business and provide the dollar amount and percentage of bid (including awarded alternatives) for each small business subcontractor’s portion of the bid (trade).

Bidder (Contractor) will be required to submit a Subcontractor Directory, per Article 2.06-b, to demonstrate compliance with the Subcontracting Fair Practices Act.

Portion of Work (Trade/ Supplier, if

DVBE)

Specify Base Bid (B) or Alt (#) Company’s Full Name and Address

Verified

CA CSLB-

Issued Contractor License No.

Subsidiary of Bidder

Insurance (Check One) Dollar and % Amount of Bid

Verified DIR Public

Works Registr.

No.

Y N S B Small Business DVBE

Page 1 of ___2__ pages Signature of Bidder: Construction Mgmt.

701.04A • 1/15

Bidder Name: ____________________

Project No. CI-275

If Bidder has committed to DVBE participation for purposes of the DVBE Bid Incentive, Bidder shall list hereon the dollar amount and percentage of bid for DVBE participation by each listed DVBE. The total of these amounts shall equal at least the DVBE Participation Percentage Commitment stated in the Bid Proposal Form, based on the total project bid price including awarded alternatives. For each alternative, Bidder shall list any DVBE participating in work to be performed on the alternative.

Bidder Name:

Project No.

LIST OF SUBCONTRACTORS—ADDITIONAL INFORMATION (cont’d) (to be submitted within 24 hours after bid opening; see page 1 for information and instructions)

Portion of Work (Trade/ Supplier, if

DVBE)

Specify Base Bid (B) or Alt (#) Company’s Full Name and Address

Verified

CA CSLB-

Issued Contractor License No.

Subsidiary of Bidder

Insurance (Check One) Dollar and % Amount of Bid

Verified DIR Public

Works Registr.

No.

Y N S B Small Business DVBE

Page 2 of ___2__ pages Signature of Bidder: Construction Mgmt.

701.04A • 1/15 bd_prevailing_wage_rates_cover.doc, Rev. 11/25

PREVAILING WAGE RATES

Solano Hall RM 1201 AV Installation

CI-536

CSU CHANNEL ISLANDS

This project is a public works project and is subject to prevailing wage rate laws (see Contract General Conditions, Article 36.02).

Pursuant to Labor Code sections 1770 et seq., the Trustees have obtained from the Department of Industrial Relations determinations of the prevailing wage rates and the prevailing wage rates for holiday and overtime work in the locality in which the Work is to be performed. Copies of these prevailing wage rates (determination 2026-2) <insert appropriate determination number and delete this note> are on file and available to any interested party upon request at the Trustees’ principal office and on the following Department of Industrial Relations website: http://www.dir.ca.gov/dlsr/DPreWageDetermination.htm.

Prevailing wage determinations with a single asterisk (*) after the expiration date remain in effect for the life of the project. Prevailing wage determinations with double asterisks (**) after the expiration date indicate that the basic hourly wage rate, overtime and holiday pay rates, and employer payments to be paid for work performed after this date have been predetermined. If work is to extend past this date, the new rate must be paid and should be incorporated into contracts entered now. The Contractor should contact the Prevailing Wage Unit, DLSR, to obtain predetermined wage changes. All determinations that do not have double asterisks (**) after the expiration date remain in effect for the life of the project.

If it becomes necessary to employ crafts, classifications or types of workers other than those listed, the Contractor shall immediately notify the Trustees who will then inform the Contractor of the prevailing rate which shall be applicable as a minimum from the time of initial employment.

These rates are the minimum that may be paid by the Contractor. Nothing contained in the contract documents shall be construed as preventing the Contractor from paying more than the minimum rate.

CONTRACTOR shall post a schedule showing all applicable prevailing wage rates at appropriate and conspicuous locations on the Project site in accordance with Labor Code section 1773.2.

End of Page http://www.dir.ca.gov/dlsr/DPreWageDetermination.htm

bd_prevailing_wage_rates_cover