D._Bid_Proposal_SheetsF.pdf
PDF 193 KB Posted
- Solicitation number
- 0000033744
- Issued by
- Sacramento County, Sacramento City, West Sacramento City, California
About this file
This is a Price Quote Proposal form from the California Department of Transportation (Caltrans) for Contract Number 03A3917 to install a CCTV HM90 Pole. The project has an approximate magnitude of work valued at $410,000 and includes 12 line items covering lead compliance, construction area signs, traffic control systems, portable changeable message signs, automated flagger assistance devices, job site management, water pollution control, temporary check dams, drainage inlet protection, fiber rolls, concrete washout, and camera systems.
The form requires bidders to provide unit pricing for each line item and includes specific quantities such as 4 automated flagger assistance device days, 27 linear feet of temporary check dam, 200 linear feet of temporary fiber roll, and various lump sum items. Bidders must provide their business information, contractor license details, small business certification number, federal ID/SSN, and Department of Industrial Relations registration number. The document notes that if a winning bidder refuses to execute the contract, they will be liable for actual damages or 10% of the bid amount, 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 03A3917
PROPOSAL TO THE STATE OF CALIFORNIA
DEPARTMENT OF TRANSPORTATION
APPROXIMATE MAGNITUDE OF WORK
$410,000.00
FOR: Install CCTV HM90 Pole
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 128652 1LSPORTABLE CHANGEABLE MESSAGE
SIGN
5 129161 4EA
AUTOMATED FLAGGER ASSISTANCE
DEVICE DAY
6 130100 1LSJOB SITE MANAGEMENT
7 130201 1LSWATER POLLUTION CONTROL
PROGRAM
8 130610 27LFTEMPORARY CHECK DAM
9 130620 2EA
TEMPORARY DRAINAGE INLET
PROTECTION
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
PRICE QUOTE PROPOSAL FOR UNIT ITEMS
DOTADM-1509 (REV 06/2023)
Contract Number 03A3917
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 130640 200LFTEMPORARY FIBER ROLL
11 130900 1LSTEMPORARY CONCRETE WASHOUT
12 871300 1LSCAMERA SYSTEMS
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.
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
File details come from the government source that posted it. Updated .