D.Bid_Proposal_Sheets-F.pdf
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- Solicitation number
- 11A4143
About this file
This is a Price Quote Proposal form from the California Department of Transportation (Caltrans) for Contract Number 11A4143 to Reset Traffic Signal Lifecycle, with an approximate magnitude of work valued at $348,000.00. The scope includes four main items: Jobsite Management, Preparation of WPCP (Water Pollution Control Program), Temporary Traffic Signal System Shutdown, and Traffic Signal System work. All items are measured in Lump Sum (LS) units with an estimated quantity of 1 for each item.
The form requires bidders to provide unit prices and total costs for each line item, along with their business information including business name, authorized person details, contact information, small business certification number, contractor's license information, federal ID/SSN, and Department of Industrial Relations registration number. The document includes provisions for damages if a winning bidder fails to execute the contract, set at either actual damages or 10% of the bid amount, whichever is less. Additionally, bids from contractors currently in default with Caltrans may be considered non-responsive and rejected.
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Text version
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
PRICE QUOTE PROPOSAL FOR UNIT ITEMS
DOTADM-1509 (REV 06/2023)
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
This form requests personal information. Disclosure of this information is voluntary. The principal purpose of the request for personal information is to facilitate processing this form. Failure to provide all or any part of the requested information may delay processing of this form. The California Department of Transportation is committed to the privacy of your personal information. Our policies regarding personal information collected and managed by our department are governed by law, including the Information Practices Act of 1977 (Civil Code Section 1798 and following).
Contract Number 11A4143
PROPOSAL TO THE STATE OF CALIFORNIA
DEPARTMENT OF TRANSPORTATION
APPROXIMATE MAGNITUDE OF WORK
$348,000.00
FOR: Reset Traffic Signal Lifecycle
The undersigned, as bidder, declares that the only persons or parties interested in this proposal as principals are those named herein; that this proposal is made without collusion with any other person, firm or corporation; and the bidder has carefully examined the proposed form of contract and the plans therein referred, and proposes and agrees, if this proposal is accepted, that the bidder will contract with the State of California to provide all necessary labor, materials, tools, or equipment to do all of the work specified in the contract, in the time and manner therein prescribed, and that the bidder shall take in full payment therefore the following price:
Item Number
Cost Code
Item Unit of
Measure Estimated Quantity
Unit Price (In Figures)
Item Total (In Figures)
1 130100 1LSJobsite Management
2 130200 1LSPrepare WPCP
3 871030 1LS
Temporary Traffic Signal System
Shutdown
4 870113 1LSTraffic Signal System
TOTAL
1. If the bidder is awarded the contract and refuses to execute the contract forms presented for signature within the time and manner required, the bidder will be liable to the Department of Transportation for actual damages resulting to Caltrans therefrom or 10% of the amount bid, whichever is less. Should the bidder fail to pay these damages, Caltrans may list the bidder as in default and ineligible to bid future Caltrans projects.
2. The bid of any Contractor who is currently in default with Caltrans on a contract already awarded may be regarded as non-responsive and may be rejected. Default is defined as being within a period of liquidated damages on uncompleted work or under notice to begin or complete a contract where work has not commenced within the time limit set forth in that notice or was suspended without valid cause, or failure to perform the required work in a manner satisfactory to the Engineer.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
PRICE QUOTE PROPOSAL FOR UNIT ITEMS
DOTADM-1509 (REV 06/2023)
Contract Number 11A4143
PERSONAL INFORMATION NOTICE
This form requests personal information. Disclosure of this information is voluntary. The principal purpose of the request for personal information is to facilitate processing this form. Failure to provide all or any part of the requested information may delay processing of this form. The California Department of Transportation is committed to the privacy of your personal information. Our policies regarding personal information collected and managed by our department are governed by law, including the Information Practices Act of 1977 (Civil Code Section 1798 and following).
Item Number
Cost Code
Item Unit of
Measure Estimated Quantity
Unit Price (In Figures)
Item Total (In Figures)
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.
BUSINESS NAME (PRINT OR TYPE) DATE
PRINT NAME OF AUTHORIZED PERSON
BY (MUST BE SIGNED BY AUTHORIZED PERSON) TITLE BUSINESS PHONE
BUSINESS ADDRESS (STREET / P.O. BOX, CITY, STATE) ZIP EMAIL
SMALL BUSINESS
CERTIFICATION NUMBER
STATE CONTRACTOR'S
LICENSE BOARD LICENSE
NUMBER
STATE CONTRACTOR'S
LICENSE BOARD LICENSE
CLASSIFICATION
FED ID NUMBER /
SOCIAL SECURITY NUMBER
DEPARTMENT OF INDUSTRIAL RELATIONS REGISTRATION NUMBER
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