PLACENTIA LIBRARY DISTRICT –

HVAC SCREENS

PLACENTIA LIBRARY DISTRICT

REQUEST FOR PROPOSAL (RFP)

GENERAL CONTRACTING SERVICES

RFP NO.: 2026-01

PLACENTIA LIBRARY DISTRICT

411 E. Chapman Ave.

Placentia, CA 92870

Carlo Maskarino

Business Manager

(714) 528-1906 Ext. 216 cmaskarino@placentialibrarydistrict.ca.gov

Approved for Release:

Jeanette Contreras

Library Director

Placentia Library District

Mission Statement: Placentia Library District inspires, opens minds, innovates, and connects our community.

District Goals:

• Strengthen connections and expand community relationships.

• Provide equitable access.

• Adapt to community needs.

• Cultivate thriving collections of resources.

• Provide and promote relevant library services.

• Maintain fiscal responsibility and integrity.

• Support and empower staff.

• Provide an inviting, pleasant, and safe place to explore.

INTRODUCTION

The Placentia Library District (“District”) hereby requests bids from qualified contractors for the construction of HVAC SCREENS for the District’s HVAC units. The successful bidder shall have the knowledge, expertise, staff resources, licenses and availability to provide construction services for this project.

DISTRICT OVERVIEW

Primarily known as a bedroom community, the City of Placentia, which is nestled in northern Orange

County, is a family-oriented community of approximately 51,000 residents. Placentia serves an area of approximately 6.7 square miles and has retained the small-town image that has remained since settlers arrived more than 100 years ago.

The Placentia Library District is an independent special district serving the residents of Placentia and surrounding communities. It is governed by a board of five trustees directly elected by the public. The district has been serving the community since 1919 and now provides a variety of services including a large physical and digital catalog, virtual and in-person library programs, literacy services, gathering space, public computer stations, passport processing, a library of things (LOTs), and learning opportunities.

The District is open seven days a week – Monday through Thursday, 9:00 a.m. – 8:00 p.m.; Friday and

Saturday, 9:00 a.m. – 5:00 p.m.; Sunday 1:00 p.m. – 5:00 p.m.

RFP BID PACKAGE

• RFP

• Appendix A Contractor Application Form

• Plan Documents of HVAC Screening Project

SCOPE OF WORK

The District is soliciting bids from qualified professional contractors to perform the following, but not limited to, scopes of work below:

HVAC Screens

A proposed HVAC Screen is to be installed around the library’s HVAC units located on the roof and ground floor on the north side of the library. These HVAC Screens will comprise of steel posts and acrylic wall panels.

General Scope for Acrylic Wall Panels Around HVAC Units

• Install steel posts and acrylic wall panels (frost finish) around HVAC units per HVAC screen plans.

o Recommendation to use ePlastics for acrylic wall panels provider

George Williams – Manufacturing Sales

Direct: (858) 266-1584

Office: (858) 560-1551

5535 Ruffin Road

San Diego, CA 92123 gwilliams@eplastics.com

• New concrete on 1/S-301 with existing need to be cut out and replaced once columns are bolted

• Epoxy bolting into existing footing and walls with required inspection

• Cutting and Patching

• Site BMP’s and Privacy Screen

Other

• Site Security: The Contractor shall be responsible for the complete security of the site while the job is in progress and until the job is completed.

• Inspections: General Contractor is to arrange inspections as necessary.

• Cleanup: Each subcontractor is held responsible for cleaning up of the work of his trade by the

General Contractor. However, the General Contractor shall be held solely responsible for continuous cleanup as the job progresses.

• Bid must include obtaining city permits, plan checks, business licenses, plans, and the like.

Placentia Library District will pay or reimburse for permitting, but it is the Contractor's responsibility to pull permits.

• Prevailing Wage: The awarded Contractor and subcontractors shall pay not less than the higher of the two rates contained in the current general prevailing wage rate(s) established by the Director of the Department of Industrial Relations of the State of California, (as set forth in the Labor Code of the State of California, commencing at Section 1770 et seq.), or by the Secretary of Labor (as set forth in the Davis-Bacon Act, 40 U.S.C. 267a, et seq.)

• Before mobilization, Dig-Alert must be contacted and follow instructions as provided by Dig-Alert.

BID FORMAT GUIDELINES

Respondents to this RFP must comply with the following bid submission requirements:

Provide one (1) unbound copy, five (5) bound copies, a sealed fee proposal, and one (1) electronic copy of the Submittal.

• The electronic copy will only be accepted via email in the following programs: Microsoft Office

Suite or PDF.

• Electronic copy shall be emailed to administration@placentialibrary.org with appropriate subject line.

• Faxed Bids will not be received or considered.

The Placentia Library District shall have no obligation and will not reimburse responding firms for any expenses incurred in preparing bids in response to this RFP.

A. RECEIPT OF BIDS. Bids must be received no later than 5:00 p.m. (P.S.T) on Monday, October

19, 2026. Bids will not be accepted after this deadline. Bids shall be delivered to and marked as set forth below:

Placentia Library District

Administration

411 E. Chapman Avenue

Placentia, CA 92870

Email: administration@placentialibrarydistrict.ca.gov

RE: RFP HVAC SCREENING PROJECT

B. AWARD OF CONTRACT. The Contract may be awarded at the District’s Board of Trustee’s meeting as is scheduled for 6:30P.M. on Monday, October 26, 2026.

C. DELIVERY OF BIDS. It is the responsibility of the bidder to see that any bid that is hand delivered, sent through the mail, or by any other delivery method, has sufficient time to be received by the Placentia

Library District by the due date and time. Late bids will not be accepted.

D. LOCATION OF WORK. The work to be performed is located at the Placentia Library District, 411 E. Chapman Avenue, Placentia, CA 92870.

E. COMPLETION OF WORK. Time is of the essence. All WORK must be completed within 85 consecutive calendar days from date stated in the Notice to Proceed.

F. DESCRIPTION OF WORK. The WORK includes, but not limited to, the Scope of Work as described above and throughout the contract plans.

G. OBTAINING CONTRACT DOCUMENTS. The successful Bidder will be required to enter into the District’s standard public works contract.

H. BID SECURITY. Each Bid shall be accompanied by cash, a certified or cashier's check or Bid

Bond in the amount of not less than 10 percent (10%) of the Total Bid Price payable to the Placentia Library

District as a guarantee that the Bidder, if its Bid is accepted, will promptly obtain the required Bonds and

Insurance and execute the Agreement. A Bid shall not be considered unless one of the forms of Bidder's security is enclosed with the Bid. If the Bidder to whom the WORK has been awarded and to whom the request has been made refuses or fails to enter into said contract and provide the required bonds within the specified time, the check shall be forfeited to the District for the principal and surety on the bond shall be liable to the District for the principal amount thereof in accordance with its terms. If the bidder that provides the most value to the District is not accepted by the District within the time specified under "Award of

Contract," or for such further period of time as may be agreed upon in writing between the District and the

Bidder concerned, or if the Bidder to whom the contract is awarded executes and delivers to the District the mailto:administration@placentialibrary.org required contract documents, the amount of the certified or cashier's check will be returned to the Bidder.

Attention is directed to the requirement noted on contract bonds that the Attorney-in-Fact attach a certified copy of the Power of Attorney. If the Bidder elects to furnish a bid bond as the Bidder’s bid security, the

Bidder shall use the bid bond form bound herein, or one conforming substantially to it in form and acceptable to the District.

I. CONTRACTOR TERMINATION. The District may terminate the Contractors performance of the

Contract for cause if:

1. Contractor fails promptly to being the Work under the Contract Documents; or

2. Contractor refuses or fails to supply enough properly skilled workers or proper materials; or

3. Contractor fails to perform the Work in accordance with the Contract Documents, including conforming to applicable standards set forth therein in constructing the Project, or refuses to remove and replace rejected materials or unacceptable Work; or

4. Contractor discontinues the prosecution of the Work (exclusive of work stoppage: (i) due to termination by District; or (ii) due to and during the continuance of a Force Majeure event or suspension by District); or

5. Contractor fails to resume performance of Work which has been suspended or stopped, with a reasonable time after receipt of notice from the District to do so or (if applicable) after cessation of the event preventing performance; or

6. Any representation or warranty made by Contractor in the Contract Documents or any certificate, schedule, instrument, or other document delivered by Contractor pursuant to the

Contract Documents shall have been false or materially misleading when made; or

7. Contractor fails to make payment to Subcontractors for materials or labor in accordance with the respective Contract Documents and Applicable Law; or

8. Contractor disregards laws, ordinances, or rules, regulations, or orders of a public authority having jurisdiction; or

9. Contractor otherwise is guilty of breach of a provision of the Contract Documents; or

10. Contractor becomes insolvent, is adjudicated bankrupt, or makes a general assignment for the benefit of creditors and fails to provide the District with adequate assurances of Contractors ability to satisfy its contractual obligations.

J. AWARD OF CONTRACT. The contract will be awarded to the bidder that brings the most value to the District. The District, however, reserves the right, after opening, to reject any and all bids, or to waive any minor informality in a bid.

K. PERFORMANCE AND PAYMENT BONDS. The successful bidder will be required to furnish, prior to award of the Contract, a Performance Bond in the amount of one hundred percent (100%) of the

Total Bid Price, and a Payment (Material and Labor) Bond in the amount of one hundred percent (100%) of the Total Bid Price. Such bonds shall remain in full force and effect for a period of one (1) year following the date of filing the Notice of Completion.

L. CONTRACTOR’S LICENSE CLASSIFICATION. Subcontractors must possess the appropriate licenses for each specialty subcontracted. The Bidder, in its bid, shall disclose its license type, number, and expiration date. Failure to provide the specified license shall render the Bid as non-responsive and shall act as a bar to award of the Contract to such Bidder.

M. REFERENCE FOR MATERIAL. In accordance with § 3400 of the California Public Contract

Code, the Bidder will be provided a period of not less than 35 days after award of the contract for submission of data substantiating a request for an “or equal”.

N. BIDS TO REMAIN OPEN. The Bidder shall guarantee the Total Bid Price for a period of 90 calendar days from the date of bid opening.

O. CALIFORNIA PREVAILING WAGE RATE REQUIREMENTS. The District has been advised by the State of California Director of Industrial Relations of its determination of the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the WORK is to be performed for each craft or type of work needed to execute the Contract (“General

Prevailing Wage Rates”). It shall be mandatory upon the CONTRACTOR to whom the WORK is awarded and upon any subcontractor under the CONTRACTOR to pay not less than said specified rates to all workmen employed by them in the execution of the WORK. All Bidders shall take notice of the following requirements and notices pursuant to the California Labor Code:

• No contractor or subcontractor may be listed on a bid proposal for a public works project unless registered with the Department of Industrial Relations pursuant to Labor Code section 1725.5 [with limited exceptions from this requirement for bid purposes only under Labor Code section 1771.1(a)].

• No contractor or subcontractor may be awarded a contract for public work on a public works project unless registered with the Department of Industrial Relations pursuant to Labor Code section 1725.5.

The Bidder shall submit proof of public works contractor registration or qualification for an exemption at the time the bid is submitted. The District will not accept a bid in which the Bidder as the contractor or any listed subcontractors are not registered in accordance with Labor Code Sections

1725.5 and 1771.1.

• The wages set forth as the General Prevailing Wage Rates for this project will be posted at the job site. It is the responsibility of the CONTRACTOR to determine the correct scale.

• This project is subject to compliance monitoring and enforcement by the Department of Industrial

Relations.

P. SECURITY SUBSTITUTIONS FOR MONEYS WITHHELD TO ENSURE BIDDER’S

PERFORMANCE. In accordance with Section 22300 of the State of California Public Contract Code, the

Contractor at his request and expense, will be permitted to substitute equivalent securities for any monies withheld to ensure performance. Refer to applicable portions of and the Escrow Agreement for Security

Deposits in Lieu of Performance Retentions included with the Contract Documents. Earnings will not be retained.

Q. WARRANTY. Minimum of 1 year for parts, 1 year for labor and workmanship, or referenced in the contract documents, whichever is in favor of the Placentia Library District.

R. PROJECT ADMINISTRATION. All communications relating to this WORK, including any request for a pre-bid site visit shall be directed to the District prior to opening of the Bids at the following.

Placentia Library District

411 E. Chapman Ave.

Placentia, CA 92870

Telephone: (714) 528-1906 x216

Email: cmaskarino@placentialibrarydistrict.ca.gov

Attention: Carlo Maskarino, Business Manager

S. DISTRICT'S RIGHTS RESERVED. The District reserves the right to reject any or all bids, to waive any informality in a bid, and to make awards to the lowest responsive, responsible bidder as it may best serve the interest of the District.

T. LIQUIDATED DAMAGES. Failure of the Contractor to complete the work within the time allowed will result in damages being sustained by the Library District. Such damages are, and will continue mailto:cmaskarino@placentialibrarydistrict.ca.gov to be, impracticable and difficult to determine. For each day in excess of the time specified for completion of the work (as adjusted by any Change Orders), the Contractor shall be liable to the City for the sum stated as liquidated damages below.

Failure to comply with these provisions will result in assessment of Liquidated Damages in the amount of

$1,500.00 per day. The Library District will deduct the total amount of these Liquidated Damages from the Contractor’s final progress payment or project retention monies without further notification to the

Contractor.

U. MONTHLY PAYMENT APPLICATIONS. On the workday following the designated closure date for preparation of progress estimates, the Contractor shall submit to the Construction Manager a written progress estimate based on the contract unit prices or the work that has been satisfactorily completed. The

Construction Manager will review the estimate and approve it or notify the Contractor of any exceptions.

The Construction Manager will determine and prepare the partial and final payments. If the Contractor fails to submit a written progress estimate, the Construction Manager will determine the quantity of work performed. No such progress estimate will be required, nor payment be made when the total number of working days is twenty-five (25) or less or when the value of the work totals less than $500.00. Progress payment will, when properly completed as specified, be paid within thirty (30) calendar days of submittal, and it is understood that any delay in the preparation, approval and payment of these demands will not constitute a breach of contract on the City.

V. AS-BUILT DRAWINGS. The Contractor shall maintain a "Record" set of Drawings and

Specifications on the job site at all times, including all executed addenda, change orders, and field orders.

This set of “Record Drawings” shall be separate, clean, blueline prints reserved for the purpose of showing a complete picture of the work actually constructed. These drawings shall be kept current with the construction, submitted on a monthly basis, and for the purpose of attaining a correct set of As-Built plans.

All final locations determined in the field and any deviations from the Plans and Specifications shall be marked in red on this “Record” set of plans to show the As-Built conditions. Upon completion of all work, and before final payment, these “Record” drawings with all applicable As-Built notes shall be signed by the Contractor, dated, and returned to the Engineer for review and acceptance. Reviewed and accepted

“Record” drawings are a condition for final acceptance. Progress payments may be withheld pending the receipt and approval of any outstanding As-builts.

W. CHANGE ORDERS. Agreement on any Change Order or Written Amendment to Contract shall be a full compromise and settlement of all adjustments to Contract Time and Contract Sum, and compensation for any and all delay, extended or additional field and home office overhead, disruption, acceleration, inefficiencies, lost labor or equipment productivity, differing site conditions, construction interferences and other extraordinary or consequential damages (hereinafter called "Impacts"), including any ripple or cumulative effect of said Impacts on the overall Work under the Contract arising directly or indirectly from the performance of Work described in the Change Order or Written Amendment to Contract.

By execution of any Change Order or Written Amendment to Contract, Contractor agrees that the Change

Order or Written Amendment to Contract constitutes a complete accord and satisfaction with respect to all claims for schedule extension, Impacts, or any costs of whatsoever nature, character or kind arising out of or incidental to the Change Order or Written Amendment to Contract. No action, conduct, omission, product failure or course of dealing by the Library District shall act to waive, modify, change, or alter the requirement that (i) Change Orders, Construction Change Directive, or Written Amendment to Contract must be in writing, signed by the Library District and Contractor and; (ii) that such written Change Orders, Construction Change Directives, or Written Amendment to Contract are the exclusive method for effectuating any change to the Contract Sum and/or Contract Time.

The cost or credit to the Library District resulting from a change in the Work shall be determined by Library

District by one or more of the following methods:

1. Mutual acceptance of a lump sum properly itemized and supported by sufficient substantiating data to permit evaluation;

2. Unit prices stated in the Contract Documents or subsequently agreed upon;

3. By cost, as defined in (a), (b), (c) and (d) below, properly itemized and supported by sufficient substantiating data to permit evaluation, plus agreed to markup for overhead and profit as defined in (e) below. Such costs shall be itemized by craft directly allocable to the change in the Work:

a) Cost of materials, including cost of transportation and delivery;

b) Cost of labor, including social security, and unemployment insurance, and fringe benefits required by agreement and Workers' Compensation insurance;

c) Rental value of equipment and machinery (at current Caltrans Equipment rates), exclusive of hand tools;

d) Sales tax; insurance; permit costs and bond premiums;

e) Mark-up to Contractor, Subcontractors, and Sub-subcontractor for overhead, profit and other expenses which are not specifically included in (a) through (d) above shall not exceed the following amounts:

i. Fifteen (15%) of the cost of that portion of the Extra Work to be performed by the

Contractor with its own forces.

ii. Fifteen percent (15%) of the cost of that portion of the Work to be performed by a

Subcontractor or Sub-subcontractor with its own forces, plus 5% for the Contractor.

Total combined Contractor, Subcontractor, and Sub-subcontractor fee shall not exceed

20%.

f) Cost of Extra Work shall not include any of the following:

i. Superintendent(s)

ii. Assistant Superintendent(s)

iii. Project Engineer(s)

iv. Project Manager(s)

v. Scheduler(s)

vi. Estimator(s)

vii. Incidental Drafting or Detailing

viii. Small tools (Replacement value does not exceed $300)

ix. Office expenses including staff, materials and supplies

x. On-Site or off-site trailer and storage rental and expenses

X. BASELINE & MONTHLY SCHEDULE UPDATES. Unless otherwise provided in the Agreement or Technical Specifications, within fourteen (14) calendar days after the Date of Commencement, Contractor shall submit a Baseline Project Schedule. The Baseline Project Schedule shall be in a detailed precedence Critical Path Method (CPM) or Microsoft (i.e. Primavera P6 or Microsoft Project) type format satisfactory to the Library District, which shall also: (i) provide a graphic representation of all activities and events that will occur during performance of the Work; (ii) identify each phase of construction and maintenance; and (iii) set forth dates that are critical in ensuring the timely and orderly completion of the

Work in accordance with the requirements of the Contract Documents (hereinafter referred to as Milestone

Dates). At a minimum the Project Schedule shall depict the schedule for Work on a discipline by discipline and trade by trade basis and tasks within each discipline and trade. The Project Schedule shall be shown in

Working Days, and include: (i) proposed activity sequences and durations; (ii) Milestone Dates for receipt and approval of pertinent information, including Library District-supplied information and approvals by public authorities having jurisdiction over the Project; (iii) dates for preparation and processing of Shop

Drawings, Product Data, and Samples; (iv) dates for delivery of materials or equipment requiring long-lead time procurement; (v) Library District's occupancy/use requirements showing portions of the Project having occupancy priority; (vi) the estimated date of Substantial Completion and Final Completion; and (vii) other information reasonably required by the Library District. Upon review and acceptance by the Library

District of the Baseline Project Schedule, the Baseline Project Schedule shall be deemed part of the Contract

Documents. If not accepted, the Baseline Project Schedule shall be promptly revised by the Contractor in accordance with the recommendations of the Library District and re-submitted for acceptance.

1) Monthly Updates. With each Application for Payment submitted by Contractor (other than the

Final Application for Payment), the Contractor shall submit to the Library District an updated

Project Schedule revised to include, at a minimum:

a) Monthly update/status of electronic database shall include recording of all Actual Start Dates and Actual Finish Dates and status of activities in progress.

b) Review of “planned” versus “actual” work force allocations and progress for the preceding month.

c) Reviews of revisions, added or deleted work and how those activities are being integrated into the Contractor’s work plan.

d) Review of the Contractor’s interface and coordination with other work on the Project.

e) Review of all impacts to the Work during the preceding month and to date, Contractor evaluation of those impacts and any recovery plans or remedial actions required to comply with the contract schedule.

If the Contractor does not submit an updated Project Schedule with an Application for Payment, the Library

District may withhold payment, in whole or in part. In the event any update to the Project Schedule indicates any delays to the Contract Time that are the fault of Contractor or others for whom Contractor is responsible, the Contractor shall propose an affirmative plan to correct the delay, including overtime and/or additional labor, if necessary. In no event shall any Project Schedule Update constitute an adjustment in the Contract Time, any deadline, or the Contract Sum unless any such adjustment is agreed to by the Library

District and authorized pursuant to Change Order, Construction Change Directive, or Written Amendment to Contract.

Y. BI-WEEKLY COORDINATION / SITE MEETINGS. Construction meetings shall be held at the jobsite as scheduled by the Library District’s Project Manager or as requested by the Contractor. 3-Week

Look Ahead schedules shall be provided by the Contractor prior to the Bi-Weekly Coordination Meetings to be reviewed at each meeting. They will show the previous 1-week of completed activities, as well as an additional 3-week look ahead of upcoming activities.

Z. SUBMITTALS, RFI’s AND ADMINISTRATION DOCUMENTATION. Contractor shall submit all submittals, RFI’s and project correspondence electronically, via email, to the Districts Construction

Manager. Submittals requirements referenced on the project plans show the “at minimum” requirements.

The District may request additional submittals for site materials at no additional cost.

AA. CONTRACTOR PARKING. All crew members working on this project shall park their personal vehicles along All American Way. Only delivery trucks or equipment trucks will be permitted to park onsite or within the loading dock area.

AB. HOURS OF OPERATION. The Contractor will be permitted to work on site during the hours of

7:00 AM and 5:00 PM

Minimum Qualifications

The information requested in this section should describe the qualifications of the firm or entity, including similar services within the past five years that are similar in size and scope to demonstrate competence to perform these services. Information shall include:

• Names of key staff that participated on named projects and their specific responsibilities with respect to RFP, Contract Amount, Type of work, Client, Date Completed, and Percent

Subcontracted.

• A summary of your firm’s or entity’s demonstrated capability, including length of time that your firm has provided the Work being requested in this Request for Bids.

• List of Sub-Contractors: Name Under Which Subcontractor is Licensed, License No, Address of

Office, Mail or Shop, Percent of Total Contract, Specific Description of Subcontracting.

• Bid Schedule of Values inclusive of: Item No, Estimated Quantity, Unit, Description Written in

Words, Unit Price, Total Amount. The Contractors SOV shall be submitted and approved prior to the first payment request.

Proposers shall provide at least three references that have received similar installations from your firm. The

District reserves the right to contact any of the organizations or individuals listed. Information provided shall include:

• Client Name

• Project Description

• Project start and end dates

• Client project manager name, telephone number, and e-mail address

SCHEDULE (SUBJECT TO CHANGE AS REQUIRED)

Release of Request for Proposal Friday, September 18, 2026

Deadline for Written Questions Wednesday, October 14, 2026

Bids Due Monday, October 19, 2026

Board of Trustees Consideration of

Recommendation

Monday, October 26, 2026

Staff & Contractor Engagement for

Transition Period

Tentative Wednesday, October 28, 2026

Contract Scheduled to Begin Tentative Wednesday, November 4, 2026

Questions

Questions about this RFP must be directed in writing, via email to Administration at administration@placentialibrarydistrict.ca.gov and cmaskarino@placentialibrarydistrict.ca.gov, on or before Wednesday, October 14, 2026, by 5:00 p.m. The District reserves the right to amend or supplement this RFP prior to the proposal due date. All amendments, responses to questions received, and additional information will be posted to the Placentia Library District official website, www.placentialibrary.ca.gov, under “Request for Bids” and other sites where the RFP is posted. Proposers should check this webpage daily for new information. The District will endeavor to answer all written questions in a timely order. The

District reserves the right not to answer all questions. No questions other than written will be accepted, and no response other than written will be binding upon the District.

mailto:administration@placentialibrarydistrict.ca.gov mailto:cmaskarino@placentialibrarydistrict.ca.gov

I have reviewed this RFP and acknowledged its contents and in submitting a bid, I understand the requirements for such submission and the scope of the work that is required to be performed.

Dated: ___________________________ By: __________________________________

Name: ________________________________

Title: _________________________________

APPENDIX A

REQUEST FOR BIDS

HVAC SCREENING PROJECT

Contractor Application Form

Legal Contractual Name: __________________________________________________________

Contact Person for Agreement: _____________________________________________________

Corporate Mailing Address: __________________________________________________________

City: ______________________________ State: _________ Zip Code: _______________________

E-Mail Address: _____________________________________________________________________

Phone: ____________________________________________Fax: _____________________________

Contact Person for Bids: _______________________________________________________

Title: _______________________________________________________________________________

E-Mail Address: _____________________________________________________________________

Business Telephone: ________________________________________________________________

Business Fax: _______________________________________________________________________

Website: ___________________________________________________________________________

Is your business: (check one)

CORPORATION

LIMITED LIABILITY PARTNERSHIP

INDIVIDUAL

SOLE PROPRIETORSHIP

PARTNERSHIP

UNINCORPORATED ASSOCIATION

Federal Tax Identification Number: __________________________________________________

City of Placentia Business License Number: __________________________________________

Expiration Date: ____________________________________________________________________

(If none, you must obtain a Placentia Business License prior to performance of the contract.)

Contractor’s License Number: _________________________________________________________