D._Bid_Proposal_Sheets_F.pdf

STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION

PRICE QUOTE PROPOSAL FOR UNIT ITEMS

DOT ADM-1509 (REV 02/2025)

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

PERSONAL INFORMATION NOTICE

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

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

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

Agency Name and Division Within the Agency Requesting the Information:

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

Title of Official Responsible for Information Maintenance:

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

Maintenance of the Information Authorized By:

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

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

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

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

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

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

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

Known Disclosures:

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

Right of Access to Records:

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

DOT ADM-1509 (REV 02/2025)

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.

Contract Number 07A6214

PROPOSAL TO THE STATE OF CALIFORNIA

DEPARTMENT OF TRANSPORTATION

APPROXIMATE MAGNITUDE OF WORK

$345,802.75

FOR: Construct biofiltration swale at 4 locations on Route 60 (PM 19.5/20.4) and Repair damaged wall of AVSF on Route 5 (PM 2.5)

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 1LSJOB SITE MANAGEMENT

2 170103 1LSCLEARING AND GRUBBING

3 070030 1LSLEAD COMPLIANCE PLAN

4 398100 430LFREMOVE AC DIKE

5 730020 5.9CYMINOR CONCRETE (CURB)

6 120090 1LSCONSTRUCTION AREA SIGNS

7 120100 1LSTRAFFIC CONTROL SYSTEM

8 120320 1,260LFTEMPORARY BARRIER SYSTEM

9 129100 30EA

TEMPORARY/ALTERNATIVE CRASH

CUSHION MODULUS

10 120165 27EACHANNELIZERS (SURFACE MOUNTED)

11 860090 1LSMAINTAINING EXISTING TRAFFIC

MANAGEMENT

DOT ADM-1509 (REV 02/2025)

Contract Number 07A6214

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.

12 130201 1LS WATER POLLUTION CONTROL

PROGRAM

13 130570 187SQYDTEMPORARY COVER

14 130710 4EA

TEMPORARY CONSTRUCTION

ENTRANCE

15 130900 1LSTEMPORARY CONCRETE WASHOUT

16 190105 66.9CY

ROADWAY EXCAVATION (TYPE Z-2

AERIALLY DEPOSITED LEAD)

17 198010 22.5CYIMPORTED BORROW

18 390132 7.7TONHOT MIX ASPHALT (TYPE A)

19 394090 53.7SQYD

PLACE HOT MIX ASPHALT

(MISCELLANEOUS AREA)

20 510094F 1.14CY

STRUCTURAL CONCRETE DRAINAGE

INLET

21 510502F 12.3CYMINOR CONCRETE (MINOR

STRUTURE)

22 650014 3.5LF18" REINFORCED CONCRETE PIPE

23 710120 1EAREMOVE DRAINAGE FACILITY

24 721431 1.33CYCONCRETE (CONCRETE APRON)

25 723095 47.1CY

ROCK SLOPE PROTECTION (20 LB,

CLASS I, METHOD B)

DOT ADM-1509 (REV 02/2025)

Contract Number 07A6214

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.

26 729011 85.4SQYDROCK SLOPE PROTECTION FABRIC

(CLASS 8)

27 750001F 363LBMISCELLANEOUS IRON AND STEEL

28 839521F 71LFCABLE RAILING

29 839755 71LFREMOVE CABLE RAILING

30 200002 1LSROADSIDE CLEARING

31 202004 140.3LBIRON SULFATE (LB)

32 202006 22.4CYSOIL AMENDMENT

33 202038 1,122EAPACKET FERTILIZER

34 204035 1,122EAPLANT (GROUP A)

35 204099 1LSPLANT ESTABLISHMENT WORK

36 205035 36.7CYWOOD MULCH

37 206400 1LS

CHECK AND TEST EXISTING

IRRIGATION FACILITIES

38 206560 1LSCONTROL AND NEUTRAL

CONDUCTORS

39 206562 5EA1" REMOTE CONTROL VALVE

DOT ADM-1509 (REV 02/2025)

Contract Number 07A6214

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.

40 206921 1EASOLAR POWERED IRRIGATION

CONTROLLER

41 208445 16EATREE WELL SPRINKLER ASSEMBLY

42 208448 38EARISER SPRINKLER ASSEMBLY

43 208562 1EACAM COUPLER ASSEMBLY

44 208575 1EA2" GATE VALVE

45 208595 1,220LF

1'' PLASTIC PIPE (SCHEDULE 40)

(SUPPLY LINE)

46 208596 20LF1 1/4" PLASTIC PIPE (SCHEDULE 40)

(SUPPLY LINE)

47 208605 820LF

2" PLASTIC PIPE (CLASS 315)

(SUPPLY LINE)

48 208606 20LF

2 1/2" PLASTIC PIPE (CLASS 315)

(SUPPLY LINE)

49 208683 1EABALL VALVE

50 208688 120LFPVC PIPE CONDUIT

TOTAL

DOT ADM-1509 (REV 02/2025)

Contract Number 07A6214

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.

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.

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

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