D._Bid_Proposal_Sheets_printable.pdf

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 11A3917

PROPOSAL TO THE STATE OF CALIFORNIA

DEPARTMENT OF TRANSPORTATION

APPROXIMATE MAGNITUDE OF WORK

$237,504.00

FOR: Cold Plane and Overlay with Rubberized Hot Mix Asphalt.

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 120090 1LSCONSTRUCTION AREA SIGNS

2 070030 1LSLEAD COMPLIANCE PLAN

3 120100 1LSTRAFFIC CONTROL SYSTEM

4 120103 1LSSTATIONARY IMPACT ATTENUATOR

VEHICLE

5 128651 2EA

PORTABLE CHANGEABLE MESSAGE

SIGN (EA)

6 130100 1LSJOB SITE MANAGEMENT

7 130300 1LSPREPARE WATER POLLUTION

CONTROL PLAN

8 130620 2EA

TEMPORARY DRAINAGE INLET

PROTECTION

9 390137 350TONS

RUBBERIZED HOT MIX ASPHALT (GAP-

GRADED)

DOTADM-1509 (REV 06/2023)

Contract Number 11A3917

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 374002 1TONSASPHALTIC EMULSION (FOG SEAL

COAT)

11 397005 1TONSTACK COAT

12 398200 2,640SQYD

COLD PLANE ASPHALT CONCRETE

PAVEMENT

13 810230 126EAPAVEMENT MARKER

(RETROREFLECTIVE)

14 840621 345LF

6" THERMOPLASTIC TRAFFIC STRIPE

(ENHANCED WET NIGHT VISIBILITY)

(BROKEN 17-7)

15 846007 580LF

6" THERMOPLASTIC TRAFFIC STRIPE

(ENHANCED WET NIGHT VISIBILITY)

YELLOW

16 846007 580LF

6" THERMOPLASTIC TRAFFIC STRIPE

(ENHANCED WET NIGHT VISIBILITY)

WHITE

17 846009 345LF

8" THERMOPLASTIC TRAFFIC STRIPE

(ENHANCED WET NIGHT VISIBILITY)

18 840516 1,460SQFT

THERMOPLASIC PAVEMENT MARKING

(ENHANCED WET NIGHT VISIBILITY)

19 870111 10EAINDUCTIVE LOOP DETECTOR/

REMOVE & REPLACE

20 141101 600LF

REMOVE YELLOW PAINTED TRAFFIC

STRIPE (HAZARDOUS WASTE)

21 710166 1LS

REMOVE/ REPLACE ASPHALT

CONCRETE OVERSIDE DRAIN

TOTAL

DOTADM-1509 (REV 06/2023)

Contract Number 11A3917

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