About this file

This is a Price Quote Proposal form from the California Department of Transportation (Caltrans) for Contract Number 02A2380, which is a culvert rehabilitation project with an approximate magnitude of work valued at $356,000. The document outlines 22 line items for construction work including traffic control systems, portable radar speed feedback signs, automated flagger assistance devices, job site management, water pollution control, and various materials and installations.

The project requires significant materials and infrastructure components including 2,800 square feet of straw, 18 cubic yards of hot mix asphalt, 74 linear feet of hot mix asphalt dike, corrugated steel pipes of various sizes (50 LF of 18", 350 LF of 24", and 6 LF of 36"), concrete backfill, structural concrete for drainage inlets, and 2,133 pounds of miscellaneous iron and steel. The form includes spaces for unit pricing and total costs for each line item, as well as fields for contractor information including business name, license numbers, DIR registration number, and small business certification details. The document notes that failure to execute the contract after award may result in damages of 10% of the bid amount or actual damages, whichever is less.

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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 02A2380

PROPOSAL TO THE STATE OF CALIFORNIA

DEPARTMENT OF TRANSPORTATION

APPROXIMATE MAGNITUDE OF WORK

$356,000.00

FOR: CULVERT REHABILITATION

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 120100 1LSTRAFFIC CONRTOL SYSTEM

3 129152 2EA

PORTABLE RADAR SPEED FEEDBACK

SIGN SYSTEM

4 128651 2EAPORTABLE CHANGEABLE MESSAGE

SIGN

5 129162A 2EA

AUTOMATED FLAGGER ASSISTANCE

DEVICE

6 130100 1LSJOB SITE MANAGEMENT

7 130201 1LSPREPARE WATER POLLUTION

CONTROL PROGRAM

8 130900 1LSTEMPORARY CONCRETE WASHOUT

9 198010 38CYIMPORTED BORROW (CY)

DOTADM-1509 (REV 06/2023)

Contract Number 02A2380

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 210420 2,800SQFTSTRAW

11 390132 18CYHOT MIX ASPHALT (TYPE A)

12 394073 74LF

PLACE HOT MIX ASPHALT DIKE

(TYPE A)

13 394090 75SQYDPLACE HOT MIX ASPHALT

(MISCELLANEOUS AREA)

14 510094F 9.6CY

STRUCTURAL CONCRETE

(DRAINAGE INLET)

15 610300F 18CYCONCRETE BACKFILL (PIPE TRENCH)

16 665018 50LF18" CORRUGATED STEEL PIPE

(0.109" THICK)

17 665024 350LF

24" CORRUGATED STEEL PIPE

(0.109" THICK)

18 700639 6LF

36" CORRUGATED STEEL PIPE INLET

(0.109" THICK)

19 705015 2EA24" STEEL FLARED END SECTION

20 721100A 1EARESET ROCK SLOPE PROTECTION

21 750001F 2,133LBMISCELLANEOUS IRON AND STEEL

22 820112 14EAMARKER (CULVERT)

DOTADM-1509 (REV 06/2023)

Contract Number 02A2380

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.

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

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