D._Price_Quote_Proposal_Sheets_f.pdf
PDF 217 KB Posted
- Solicitation number
- 11A4312
- Issued by
- Imperial County, Imperial City, Imperial Beach City, California
About this file
This is a Price Quote Proposal Sheet issued by the California Department of Transportation (Caltrans) for a pavement rehabilitation project at the Agriculture Inspection Station on westbound Interstate 8 in Imperial County under Contract Number 11A4312. The project involves 18 line items covering lead compliance planning, traffic control systems, roadway excavation, aggregate base installation, hot mix asphalt placement, concrete pavement, pavement markings, and traffic striping. Quantities include 10 cubic yards of roadway excavation, 700 tons of hot mix asphalt, 2,311 square yards of cold plane asphalt concrete pavement removal, 5 cubic yards of jointed plain concrete pavement, and various pavement marking and striping items totaling approximately 1,400 linear feet of thermoplastic traffic stripe and 250 linear feet of enhanced wet night visibility striping. The project has an approximate magnitude of work valued at $352,000.00. Bid submittals must be submitted by email only to Jomlonglak.Kamaay@dot.ca.gov, and any bid exceeding $461,000.00 will be rejected per Public Contract Code Section 10105(b).
This is designated as a Small Business (SB) Minor B contract requiring the contractor to be certified as a small business under Section 2-1.05, with no established DVBE contract goal but encouragement for DVBE participation. Payment bonds and insurance will be required at the time of award if the company is selected as the low bidder. The proposal sheet requires bidders to provide unit prices for each line item with total costs calculated in figures. Bidders must include their business name, authorized person signature, contractor's license information, federal ID or social security number, and Department of Industrial Relations registration number. The form incorporates privacy notices under the Federal Privacy Act and California Information Practices Act, and bidders agree that electronic signatures are legally binding. Contractors currently in default with Caltrans may have their bids rejected as non-responsive.
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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 11A4312
PROPOSAL TO THE STATE OF CALIFORNIA
DEPARTMENT OF TRANSPORTATION
APPROXIMATE MAGNITUDE OF WORK
$352,000.00
FOR: Pavement Rehabilitation of Agriculture Inspection station on westbound I-8 in Imperial County .
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 70030 1LSLead Compliance Plan
2 120100 1LSTraffic Control System
3 120103 5DayStationary Impact Attenuator Vehicle
4 128651 2EAPortable Changeable Message Sign
5 130100 1LSJobsite Management
6 130201 1LSPrepare Water Pollution Control Plan
7 190101 10CYRoadway Excavation
8 260203 3CYClass 2 Aggregate Base
9 390132 700TONHot Mix Asphalt (Type A) - LSM
10 397005 3TONTack Coat
11 398200 2,311SQYDCold Plane Asphalt Concrete Pavement (0.4')
DOT ADM-1509 (REV 02/2025)
Contract Number 11A4312
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 401050 5CYJointed Plain Concrete Pavement
13 810230 200EAPavement Marker (Retroreflective)
14 840515 850SQFT
Thermoplastic Pavement Marking
(Including Gore Area)
15 840621 250LF
6" Thermoplastic Traffic Stripe
(Enhanced Wet Night Visibility) (Broken 17-7)
16 846009 1,400LF
6'' Thermoplastic Traffic Stripe (Enhanced
Wet Night Visibility)
17 846013 270LF
12'' Thermoplastic Traffic Stripe
(Enhanced Wet Night Visibility) White (Gore Area)
18 847196 1,550LFContrast Stripe Paint (2 Coat))
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 11A4312
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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