D._Price_Quote_Proposal_Sheets_f.pdf

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Attached to
SB Minor B 10A2889 - Replace CCTV, detector loops, controllers and routers in  Amador County and Stanislaus County
Solicitation number
10A2889
Issued by
Amador County, Stanislaus County, Amador City, Amador Pines CDP, California

About this file

This is a Price Quote Proposal Sheet for Unit Items issued by the California Department of Transportation (Caltrans) for Contract Number 12A2365, which concerns enhancement of existing pavement delineation, signing, and signals. The project encompasses 39 line items with an approximate total magnitude of work valued at $384,355.00. Work items include lead compliance planning, construction area signs, traffic control systems, stationary impact attenuator vehicles, temporary pedestrian access routes, portable changeable message signs, job site management, water pollution control programs, and various materials handling tasks. The proposal requires bidders to provide unit pricing for each item, including labor compliance plan, temporary construction elements, asphalt and concrete work, pavement marker installation and removal, roadside sign installation and removal, thermoplastic traffic striping and pavement markings, and modifications to signal and lighting systems as well as ramp metering systems. Quantities range from single items (2 ton of hot mix asphalt, 5 cubic yards of imported borrow) to larger quantities (5,400 linear feet of thermoplastic traffic stripe, 3,100 square feet of thermoplastic pavement marking).

The bidder must complete the proposal form with unit prices for each item and provide a total bid amount. Bidders must certify that the proposal is made without collusion and that they have examined the contract form and project specifications. The form requires completion of business information including contractor's license number, state contractor's license classification, federal ID or social security number, and Department of Industrial Relations registration number. Submission requires an authorized person's signature, with the form noting that electronic signatures constitute legal binding equivalents to handwritten signatures. If a bidder is awarded the contract and refuses to execute required contract forms, the bidder will be liable for actual damages or 10 percent of the bid amount, whichever is less, and may be listed as in default and ineligible for future Caltrans projects.

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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 12A2365

PROPOSAL TO THE STATE OF CALIFORNIA

DEPARTMENT OF TRANSPORTATION

APPROXIMATE MAGNITUDE OF WORK

$384,355.00

FOR: ENHANCE EXISTING PAVEMENT DELINEATION, SIGNING, AND SIGNALS.

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 120090 1LSCONSTRUCTION AREA SIGNS

3 120100 1LSTRAFFIC CONTROL SYSTEM

4 120103 1DAY

STATIONARY IMPACT ATTENUATOR

VEHICLE

5 124000 1LSTEMPORARY PEDESTRIAN ACCESS

ROUTE

6 128652 1LS

PORTABLE CHANGEABLE MESSAGE

SIGN (LS)

7 130100 1LSJOB SITE MANAGEMENT

8 130201 1LSWATER POLLUTION CONTROL

PROGRAM

9 141120 440LBTREATED WOOD WASTE

10 153248 430SQFT

REMOVE CONCRETE

(MISCELLANEOUS) (SQRT)

11 198010 5CYIMPORTED BORROW (CY)

DOT ADM-1509 (REV 02/2025)

Contract Number 12A2365

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 390132 2TONHOT MIX ASPHALT (TYPE A)

13 398001 50SQFT

REMOVE ASPHALT CONCRETE

PAVEMENT (SQFT)

14 730045 3CYMINOR CONCRETE (GUTTER) (CY)

15 731504 2CYMINOR CONCRETE (CURB AND

GUTTER)

16 731521 2CYMINOR CONCRETE (SIDEWALK)

17 731623 3CYMINOR CONCRETE (CURB RAMP)

18 731840 30LFREMOVE CONCRETE (CURB AND

GUTTER)

19 780433 300SQFTPAINT CURB (2-COAT)

20 810120 260EAREMOVE PAVEMENT MARKER

21 810230 260EAPAVEMENT MARKER

(RETROREFLECTIVE)

22 820130 2EAOBJECT MARKER

23 820270 11EA

REMOVE ROADSIDE SIGN (WOOD

POST)

24 820280 1EAREMOVE ROADSIDE SIGN (METAL

POST)

25 820300 12EA

REMOVE ROADSIDE SIGN (STRAP AND

SADDLE BRACKET METHOD)

DOT ADM-1509 (REV 02/2025)

Contract Number 12A2365

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.

26 820750 190SQFTFURNISH SINGLE SHEET ALUMINUM

SIGN (0.063"-UNFRAMED)

27 820760 150SQFT

FURNISH SINGLE SHEET ALUMINUM

SIGN (0.080"- UNFRAMED)

28 820780 20SQFT

FURNISH SINGLE SHEET ALUMINUM

SIGN (0.063''-FRAMED)

29 820790 90SQFTFURNISH SINGLE SHEET ALUMINUM

SIGN (0.080''-FRAMED)

30 820810 50LB METAL (ROADSIDE SIGN)

31 820840 12EAROADSIDE SIGN - ONE POST

32 820850 2EAROADSIDE SIGN - TWO POST

33 820860 23EA

INSTALL SIGN (STRAP AND SADDLE

BRACKET METHOD)

34 840502 5,400LF

THERMOPLASTIC TRAFFIC STRIPE

(ENHANCED WET NIGHT VISIBILITY)

35 840516 3,100SQFT

THERMOPLASTIC PAVEMENT

MARKING (ENHANCED WET NIGHT

VISIBILITY)

36 846030 5,400LF

REMOVE THERMOPLASTIC TRAFFIC

STRIPE

37 846035 5,000SQFT

REMOVE THERMOPLASTIC PAVEMENT

MARKING

38 872133 1LSMODIFYING SIGNAL AND LIGHTING

SYSTEMS

39 872134 1LS

MODIFYING RAMP METERING

SYSTEMS

DOT ADM-1509 (REV 02/2025)

Contract Number 12A2365

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.

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.

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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