D._Bid_Proposal_Sheets_f_.pdf
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- Solicitation number
- 05A2813
About this file
This is a bid proposal form from the California Department of Transportation (Caltrans) for a culvert replacement project with an approximate magnitude of $240,000. The project includes 19 line items covering various aspects of construction work, including lead compliance planning, traffic control systems, water pollution control, and multiple culvert installations. Specific quantities include 36 days of portable radar speed feedback sign system operation, 47 linear feet of 18" alternative pipe culvert, 48 linear feet of 24" alternative pipe culvert, 50 linear feet of 36" alternative pipe culvert, and 145 linear feet of culvert removal.
The form requires bidders to provide unit prices for each line item and total costs, along with their business information, contractor's license details, DIR registration number, and small business certification number if applicable. Contractors who are currently in default with Caltrans may have their bids rejected as non-responsive, and those who refuse to execute contract forms after award may be liable for damages up to 10% of the bid amount or actual damages, whichever is less.
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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 05A2813
PROPOSAL TO THE STATE OF CALIFORNIA
DEPARTMENT OF TRANSPORTATION
APPROXIMATE MAGNITUDE OF WORK
$240,000.00
FOR: Culvert Replacement
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 070030 1LSLEAD COMPLIANCE PLAN
2 120090 1LSCONSTRUCTION AREA SIGNS
3 120100 1LSTRAFFIC CONTROL SYSTEM
4 120207 36DAYPROTABLE RADAR SPEED FEEDBACK
SIGN SYSTEM
5 128652 1LS
PORTABLE CHANGEABLE MESSAGE
SIGN (LS)
6 129161 36EA
AUTOMATED FLAGGER ASSISTANCE
DEVICE DAY
7 120103 36DAYSTATIONARY IMPACT ATTENUATOR
VEHICLE
8 130100 1LSJOB SITE MANAGEMENT
9 130201 1LS
WATER POLLUTION CONTROL
PROGRAM
DOTADM-1509 (REV 06/2023)
Contract Number 05A2813
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.
10 130900 1LSTEMPORARY CONCRETE WASHOUT
11 193006 14CY
STRUCTURE BACKFILL (SLURRY
CEMENT)
12 390136 11TONMINOR HOT MIX ASPHALT
13 510501 9CYMINOR CONCRETE (FINAL PAY)
14 610108 47LF18" ALTERNATIVE PIPE CULVERT
15 610112 48LF24" ALTERNATIVE PIPE CULVERT
16 610121 50LF36" ALTERNATIVE PIPE CULVERT
17 710132 145LFREMOVE CULVERT (LF)
18 710152 2EAREMOVE HEADWALL
19 820112 4EAMARKER (CULVERT)
TOTAL
DOTADM-1509 (REV 06/2023)
Contract Number 05A2813
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.
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.
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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