D._Price_Quote_Proposal_Sheets_f.pdf
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- Solicitation number
- 05A2987
About this file
This is a Price Quote Proposal Sheet issued by the California Department of Transportation (Caltrans) for Contract Number 01A6626, a culvert replacement project (Hum-101-111.2, EA 01-0P2404) located in Santa Barbara County. The project encompasses the removal and replacement of culverts and associated drainage infrastructure, with an approximate magnitude of work valued at $204,000.00. The scope includes 23 line items covering site preparation, traffic control, environmental compliance, earthwork, drainage inlet protection, structural concrete, corrugated steel pipe installation, and miscellaneous materials and labor. Specific quantities include 150 linear feet of 24-inch corrugated steel pipe, 6 linear feet of 36-inch corrugated steel pipe inlet, removal of two existing culverts, and installation of protective measures such as 40 linear feet of temporary silt fence, 70 linear feet of fiber rolls, and 27 linear feet of temporary check dams.
This solicitation is designated as a SB Minor B contract requiring the contractor to maintain Small Business certification under section 2-1.05. The bid cap is established at $461,000.00 per Public Contract Code 10105(b), with bids exceeding this amount subject to rejection. Bid submittals must be submitted by email only to tammy.p.tran@dot.ca.gov; hard copy bids will not be accepted. Payment bonds and insurance are required at the time of award for the successful bidder. The proposal form requires the bidder to declare the absence of collusion, confirm examination of contract documents and plans, and commit to providing all necessary labor, materials, tools, and equipment to complete the work as specified. The bidder must provide unit pricing for each line item, with the total contract price to be calculated from these submissions.
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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 01A6626
PROPOSAL TO THE STATE OF CALIFORNIA
DEPARTMENT OF TRANSPORTATION
APPROXIMATE MAGNITUDE OF WORK
$204,000.00
FOR: Hum-101-111.2 Replace Culverts (EA 01-0P2404)
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 013357 1LSAUTOMATED FLAGGER ASSISTANCE
DEVICE
3 120100 1LSTRAFFIC CONTROL SYSTEM
4 128652 1LS
PORTABLE CHANGEABLE MESSAGE
SIGN (LS)
5 130100 1LSJOB SITE MANAGEMENT
6 130201 1LS
WATER POLLUTION CONTROL
PROGRAM
7 130610 27LFTEMPORARY CHECK DAM
8 130620 2EATEMPORARY DRAINAGE INLET
PROTECTION
9 130680 40LFTEMPORARY SILT FENCE
10 130900 1LSTEMPORARY CONCRETE WASHOUT
11 170103 1LSCLEARING AND GRUBBING (LS)
DOT ADM-1509 (REV 02/2025)
Contract Number 01A6626
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 192053 6CYSTRUCTURE EXCAVATION (TYPE Z-2)
(AERIALLY DEPOSITED LEAD)
13 198010 6CYIMPORTED BORROW (CY)
14 205035 10CYWOOD MULCH
15 210350 70LFFIBER ROLLS
16 510094 1.5CY
(F) - STRUCTURAL CONCRETE,
DRAINAGE INLET
17 665024 150LF
24" CORRUGATED STEEL PIPE (.109"
THICK)
18 700639 6LF36" CORRUGATED STEEL PIPE INLET
(.109" THICK)
19 710130 2EAREMOVE CULVERT (EA)
20 710150 2EAREMOVE INLET
21 750001 499LB(F) - MISCELLANEOUS IRON AND
STEEL
22 820112 4EAMARKER (CULVERT)
23 820220 3EAREMOVE MARKER
TOTAL
DOT ADM-1509 (REV 02/2025)
Contract Number 01A6626
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.
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.
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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