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This is a Price Quote Proposal form from the California Department of Transportation (Caltrans) for Contract Number 11A4111, with an approximate magnitude of work valued at $297,557.00. The project involves upgrading the drainage system in San Diego County along Westbound State Round 54 at Interstate 805 Northbound connector. The scope includes construction area signs, traffic control systems, job site management, water pollution control, portable changeable message signs, street sweeping, asphalt concrete dike removal, temporary railing installation, traffic drums, roadway excavation, concrete pipe installation, aggregate base work, structure backfill, minor concrete work, and various other construction elements.

The work includes specific quantities such as 180 linear feet of 18" reinforced concrete pipe, 135 cubic yards of roadway excavation, 40 cubic yards of Class 2 aggregate base, 28.5 tons of hot mix asphalt, and 1,600 square feet of rolled erosion control product. The proposal form requires bidders to provide unit prices and total costs for 26 distinct line items. Bidders must include their business information, contractor license details, small business certification number if applicable, and Department of Industrial Relations registration number. The form includes provisions regarding contract execution and default conditions.

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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 11A4111

PROPOSAL TO THE STATE OF CALIFORNIA

DEPARTMENT OF TRANSPORTATION

APPROXIMATE MAGNITUDE OF WORK

$297,557.00

FOR: Upgrade drainage system in San Diego County along Westbound State Round 54 at Interstate 805 Northbound connector.

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 120100 1LSTRAFFIC CONTROL SYSTEM

3 130100 1LSJOB SITE MANAGEMENT

4 130200 1LSPREPARE WATER POLLUTION

CONTROL PROGRAM

5 128651 4EA

PORTABLE CHANGEABLE MESSAGE

SIGN

6 130201 1EAPREPARE WPCP

7 130730 1LSSTREET SWEEPING

8 398100 180 LF

REMOVE ASPHALT CONCRETE DIKE

(TYPE F)

9 129000 480LFTEMPORARY RAILING (TYPE K)

DOTADM-1509 (REV 06/2023)

Contract Number 11A4111

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 120195 5EATRAFFIC DRUM

11 190101 135CYROADWAY EXCAVATION

12 650014 180LF18" REINFORCED CONCRETE PIPE

13 260203 40CYCLASS 2 AGGREGATE BASE

14 193006 36CY

STRUCTURE BACKFILL (SLURRY

CEMENT)

15 510502 10.2CY

MINOR CONCRETE (MINOR

STRUCTURE)

16 750001 652LBMISCELLANEOUS IRON AND STEEL

17 374002 0.5TON

ASPHALTIC EMULSION (FOG SEAL

COAT)

18 397005 1TONTACK COAT

19 394077 180LFPLACE HOT MIX ASPHALT DIKE (TYPE

F)

20 390132 28.5TONHOT MIX ASPHALT (TYPE A)

21 120103 5DAY

STATIONARY IMPACT ATTENUATOR

VEHICLE

22 129100 1EATEMPORARY CRASH CUSHION

MODULE

DOTADM-1509 (REV 06/2023)

Contract Number 11A4111

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.

23 723070 8CYROCK SLOPE PROTECTION (150 LB,

CLASS III, METHOD B)

24 690964 40LF18" PLASTIC PIPE DOWNDRAIN

25 729012 28SQYD

ROCK SLOPE PROTECTION FABRIC

(CLASS 10)

26 210280 1,600SQFTROLLED EROSION CONTROL

PRODUCT (BLANKET)

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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