D._Price_Quote_Proposal_Sheets-f.pdf
PDF 217 KB Posted
- Solicitation number
- 02A2485
- Issued by
- Trinity County, Trinity Center CDP, Trinity Village CDP, California
About this file
This is a price quote proposal form issued by the California Department of Transportation (Caltrans) for a culvert rehabilitation project in Trinity County under contract number 02A2485. The project encompasses 19 line items including lead compliance planning, traffic control systems, portable changeable message signs, temporary radar speed feedback sign systems, automated flagger assistance devices, job site management, water pollution control program preparation, temporary concrete washout facilities, straw application, hot mix asphalt placement, structural concrete work for drainage inlets, minor concrete work, concrete backfill for pipe trenches, corrugated steel pipe installation in 18-inch and 24-inch diameters, steel flared end sections, miscellaneous iron and steel work, and culvert markers. The project has an approximate magnitude of work valued at $356,000.00, with quantities ranging from single items to 5,310 square feet of straw and 483 linear feet of 24-inch corrugated steel pipe.
This is a Small Business (SB) Minor B contract requiring bidders to be certified small businesses under section 2-1.05, with no mandatory Disadvantaged Veterans Business Enterprise (DVBE) participation goal but encouraging such participation. Bid submittals must be submitted by email only to kimberly.reap@dot.ca.gov, and any bids exceeding $461,000.00 will be rejected per Public Contract Code 10105(b). Payment bonds and insurance will be required at the time of award if the company is selected as the low bidder. Bidders must provide unit prices for each line item, with the total bid amount comprising the sum of all item totals. The proposal form requires authorized company representatives to certify that the bid is made without collusion and that the bidder has examined all contract documents and plans.
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Text version
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
PRICE QUOTE PROPOSAL FOR UNIT ITEMS
DOT ADM-1509 (REV 02/2025)
Americans with Disabilities Act (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
Pursuant to the Federal Privacy Act (5 U.S.C, Section 552 et seq.) and the Information Practices Act of 1977 (IPA) (Civil Code Sections 1798 et seq.) declares that the right to privacy is a personal and fundamental right protected by the California and United States Constitutions. Please be advised that this form requests personal information. The term “personal information” means any information that is maintained by an agency that identifies or describes an individual, including, but not limited to, the individual’s name, social security number, physical description, home address, home telephone number, education, financial matters, and medical or employment history. It includes statements made by, or attributed to, the individual. (Civil Code, § 1798.3, subdivision (a).)
Information Collection and Access: California law requires the following information to be provided when collecting information from individuals.
(See, for example, Civil Code, § 1798.17.)
Agency Name and Division Within the Agency Requesting the Information:
California Department of Transportation, Division of Procurement and Contracts, Office 2
Title of Official Responsible for Information Maintenance:
Support Staff, Protest and Policy at the Division of Procurement and Contracts at (279) 234-2382, or in writing at Office 2, 1727 30th Street, MS 65, Sacramento, CA 95816, or by email at NonIT.Contracts@dot.ca.gov
Maintenance of the Information Authorized By:
California Constitution, Article 1, Section 1 Government Code Section 11015.5 Health Insurance Portability and Accountability Act (HIPAA) of 1996 – Privacy Rule Information Practices Act (Civil Code Section 1798 et seq.)
Public Records Act (Government Code Section 6250 et seq.) State Administrative Manual (SAM) Section Privacy - 5310 et seq.
Statewide Information Management Manual (SIMM) 5310-A and 5310-B National Institute of Standards and Technology (NIST) Special Publication 800-53
Consequences of Not Providing All or Any Part of the Requested Information:
Disclosure of this information is mandatory. Failure to provide information will prevent eligibility in the program and delay or prevent the processing of this form.
Principal Purpose(s) for Which the Information Will Be Used:
The request for personal information is to facilitate processing this form and review eligibility for the program.
Known Disclosures:
The information shall be disclosed to authorized California Department of Transportation employees and the information will remain confidential.
Right of Access to Records:
Individuals have the right to access information provided and may request a correction or deletion of records. Exceptions may include, but are not limited to, investigations and public transparency laws. Personal Information will only be disclosed as permitted by the Information Practices Act, Civil Code, §§ 1798–1798.83, or as otherwise required by law. To request access to, or to request correction or deletion of, information provided in this form you may contact the Official Responsible for Information Maintenance identified above.
DOT ADM-1509 (REV 02/2025)
Americans with Disabilities Act (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.
Contract Number 02A2485
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 CONTROL SYSTEM
3 128651 2EA
PORTABLE CHANGEABLE MESSAGE
SIGN
4 129152 2EA
TEMPORARY RADAR SPEED
FEEDBACK SIGN SYSTEM
5 129161A 2EAAUTOMATED FLAGGER ASSISTANCE
DEVICE
6 130100 1LSJOB SITE MANAGEMENT
7 130201 1LS
PREPARE WATER POLLUTION
CONTROL PROGRAM
8 130900 1LSTEMPORARY CONCRETE WASHOUT
9 210420 5,310SQFTSTRAW
10 390132 5.3TONHOT MIX ASPHALT (TYPE A)
11 394090 39SQYDPLACE HOT MIX ASPHALT (MISC AREA)
DOT ADM-1509 (REV 02/2025)
Contract Number 02A2485
Item Number
Cost Code
Item Unit of
Measure Estimated Quantity
Unit Price (In Figures)
Item Total (In Figures)
Americans with Disabilities Act (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.
12 510094 F 3CYSTRUCTURAL CONCRETE,
DRAINAGE INLET
13 510502 F 2.4CY
MINOR CONCRETE (MINOR
STRUCTURE)
14 610300 F 5.1CYCONCRETE BACKFILL (PIPE TRENCH)
15 665018 44LF18" CORRUGATED STEEL PIPE (.109"
THICK)
16 665024 483LF
24" CORRUGATED STEEL PIPE (.109"
THICK)
17 705015 1EA24" STEEL FLARED END SECTION
18 750001 F 717LBMISCELLANEOUS IRON AND STEEL
19 820112 14EAMARKER (CULVERT)
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.
I agree that by providing my electronic signature for this form, I agree to conduct business transactions by electronic means and that my electronic signature is the legal binding equivalent to my handwritten signature. I hereby agree that my electronic signature represents my execution or authentication of this form, and my intent to be bound by it.
DOT ADM-1509 (REV 02/2025)
Contract Number 02A2485
Item Number
Cost Code
Item Unit of
Measure Estimated Quantity
Unit Price (In Figures)
Item Total (In Figures)
Americans with Disabilities Act (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.
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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