Groveland_Modular_Bathroom_Project_(Addendum_#5_Revision).pdf

Groveland Modular Bathroom Project

Invitation For Bid (IFB (NPW) #IFB (NPW)-2025-0015)

Tuolumne County

General Services Agency

Issued: Tuesday, January 14, 2025

INVITATION FOR BID (IFB (NPW) No. IFB

(NPW)-2025-0015)

GROVELAND MODULAR BATHROOM PROJECT

Deadline for Submission of Proposals: Thursday, February 13, RESPONSES MUST BE SUBMITTED ELECTRONICALLY TO:

https://procurement.opengov.com/portal/tuolumnecountyca

Table of Contents

1. Notice

2. Scope of Work

3. Bid Submittals

4. Proposed Schedule

5. Award of Contract

6. Protest/Appeal Process

7. Bonds

8. Agreement Term

9. Non-Discrimination

10. General Conditions for Invitation for Bids

11. Bid Form

Attachments:

A - CONSTRUCTION SPECIFICATION DOCUMENTS

B - SAMPLE AGREEMENT-IFB(NPW)-2025-0015-2025

C - COUNTY APPROVED PLANS

D - COUNTY ISSUED PERMIT

E - COUNTY APPROVED ACCESSIBLE SITE PLAN AND ELECTRICAL

F - COUNTY APPROVED BUILDING CALCS

G - COUNTY APPROVED PLOTS

1. Notice

The County of Tuolumne through its General Services Agency is seeking bids from qualified contractors to install a prefabricated bathroom structure within an existing parking lot located adjacent to the Tesla charging station on County-owned property located at 11880 Ponderosa

Lane in Groveland California. Site work will include, but will not be limited to saw-cutting/asphalt removal and edge protection (remaining asphalt), surface scarification, excavation, fill placement, sub-base preparation, base rock installation. Concrete surface installation, surface striping, and signage installation for accessible vehicle parking. Temporary and permanent best management practices for erosion control measures, concrete washout, and continuous good housekeeping practices. Site utilities will include a sewer connection, water connection, drainage system, and electrical connection (all underground). No bid alternatives are associated with this project.

These services must be provided within a three (3) month term, with the option of one (1) thirty

(30) day term not to extend past June 15, 2025. Said services must meet all applicable Federal, State and/or Local regulations. The payment of prevailing wages is required.

Prior to award of the contract, the Contractor shall possess a Class Class B Contractor’s License issued by the California State Licensing Board. Failure of the bidder to obtain the required license before award of the contract constitutes a failure to execute the contract. The Contractor and any subcontractors shall be registered with the Department of Industrial Relations. Please see https://www.dir.ca.gov/ for more information.

BACKGROUND

The Tesla charging station located adjacent to this project attracts many patrons, necessitating a bathroom facility. In an effort to meet the needs of the community the County secured funding through a grant source.

SELECTION PROCESS

Qualified Contractors interested in providing these services should obtain an Invitation For Bids

(IFB) on Tuolumne County’s e-Procurement platform, https://procurement.opengov.com/portal/tuolumnecountyca. The Invitation for Bids includes a description of the services to be provided, required forms and documents, a copy of a sample agreement and the bid forms. Bids must be submitted by the due date below to be considered.

Bids must be submitted by: 8:00 am on Thursday, February 13, 2025 https://www.dir.ca.gov/

2. Scope of Work

2.1. Prefabricated Bathroom Installation

The County of Tuolumne through its General Services Agency is seeking proposals from qualified vendors for improvement plans to install a prefabricated bathroom structure within an existing parking lot located adjacent to the Tesla charging station on Ponderosa Lane in

Groveland, California.

2.2. Site Work

Site work will include, but will not be limited to saw-cutting/asphalt removal and edge protection

(remaining asphalt), surface scarification, excavation, fill placement, sub-base preparation, base rock installation.

2.3. Surface Work

Concrete surface installation, surface striping, and signage installation for accessible vehicle parking.

2.4. Erosion Control

Temporary and permanent best management practices for erosion control measures, concrete washout, and continuous good housekeeping practices.

2.5. Site Utilities

Site utilities will include a sewer connection, water connection, drainage system, and electrical connection (all underground).

3. Bid Submittals

Firms or individuals interested in performing the requested services should complete the following steps needed for a successful bid:

A. Review the IFB and associated documents/attachments.

B. Review the attached sample contract including insurance requirements.

C. Complete and submit the Bid Form.

Sealed bids must be received by the Tuolumne County NO LATER THAN 8:00 am on

Thursday, February 13, 2025. Bids are to submitted as follows:

Bids must be submitted electronically using the County’s e-Procurement platform, https://procurement.opengov.com/portal/tuolumnecountyca. Bids will be received only as instructed above, and must be received before 8:00 am on Thursday, February 13, 2025. Bids shall not be submitted via hard copy (hand delivered or mailed), facsimile, nor via email and shall not be accepted or considered. It is the sole responsibility of the Bidder to properly upload their Bid so that it is received by the time and date required. Any Bid received after said time and/or date or in any other format other than as instructed herein, cannot be considered and will not be accepted. The County’s e-Procurement Platform records the time stamp for every Bid properly submitted in the system. Once a Bid is submitted in the e-procurement platform, the

Bidder will receive an email confirmation, and the Bid status will show as “Submitted.”

4. Proposed Schedule

4.1. Summary

The County of Tuolumne through its General Services Agency is seeking bids from qualified contractors to install a prefabricated bathroom structure within an existing parking lot located adjacent to the Tesla charging station on County-owned property located at 11880 Ponderosa

Lane in Groveland California. Site work will include, but will not be limited to saw-cutting/asphalt removal and edge protection (remaining asphalt), surface scarification, excavation, fill placement, sub-base preparation, base rock installation. Concrete surface installation, surface striping, and signage installation for accessible vehicle parking. Temporary and permanent best management practices for erosion control measures, concrete washout, and continuous good housekeeping practices. Site utilities will include a sewer connection, water connection, drainage system, and electrical connection (all underground). No bid alternatives are associated with this project.

Attachments to this release include Attachment A-Construction Specifications Documents, Attachment B-Sample Agreement, Attachment C-County Approved Plans, Attachment D-

County Issued Permit.

4.2. Background

The Tesla charging station located adjacent to this project attracts many patrons, necessitating a bathroom facility. In an effort to meet the needs of the community the County secured funding through a grant source.

4.3. Contact Information

Michael Roberson

Assistant Director

9 Calaveras Street

Sonora, CA 95370

Email: mroberson@co.tuolumne.ca.us

Phone: (209) 533-5533

Department:

General Services Agency

Department Head:

Maureen Frank

General Services Agency Director

4.4. Timeline

Release Project Date January 14, 2025 mailto:mroberson@co.tuolumne.ca.us tel:(209)533-5533

Pre-Proposal Meeting (Mandatory) January 23, 2025, 9:00am

11880 Ponderosa Lane, Groveland CA 95321

Question Submission Deadline February 7, 2025, 12:00pm

Proposal Submission Deadline February 13, 2025, 8:00am

Bid Opening February 13, 2025, 8:05am

Protest/Appeal Deadline February 27, 2025, 8:00am

Contractor Selection Date/Contract

Executed (Tentative)

March 4, 2025

5. Award of Contract

The award of the contract, if it is to be awarded, will be to the lowest responsible bidder whose bid complies with all the requirements prescribed. Such award, if made, will be made within sixty (60) days after the opening of the bids, unless an extension is agreed to by the lowest responsible bidder. The award of the contract will be subject to the availability of funds. The

County reserves the right to reject any or all bids and to waive any irregularities in the bidding.

Contractors may not withdraw their bids for a period of sixty (60) days after the date on which the bids are due. The selected Contractor shall be required to sign the County Agreement, a sample of which is attached to this IFB.

6. Protest/Appeal Process

The following procedure is provided in the event that a bidder wishes to protest the IFB process or appeal the recommendation to award a contract for Groveland Modular Bathroom Project once the Notices of Award/Non-Award have been issued.

Any protest must be submitted in writing to General Services Agency, 9 Calaveras Street, Sonora, CA 95370, Attention: Michael Roberson

The protest must be submitted before 5:00 p.m. of the tenth (10th) business day following the date of the Notice of Award.

The protest must contain a complete statement of the basis for the protest. The protest must include the name, address, telephone number and e-mail address of the person representing the protesting party.

The procedure and time limits are mandatory and are the proposer’s sole and exclusive remedy in the event of a bid protest.

Proposer’s failure to comply with these procedures shall constitute a waiver of any right to further pursue the protest, including filing a Government Code claim or legal proceedings.

Upon receipt of written protest/appeal, the General Services Agency Director will review and provide an opportunity to settle the protest/appeal by mutual agreement, will schedule a meeting to discuss or issue a written response to advise of an appeal/protest decision within five (5) business days of receipt of the appeal/protest.

7. Bonds

Submit one of the following forms of bidder's security equal to at least ten (10) percent of the bid:

A. Cash

B. Cashier's check

C. Certified check

D. Signed bidder's bond by an admitted surety insurer

Bid bonds shall be underwritten by an admitted surety. The County reserves the right to determine the acceptability of the surety.

A payment and performance bond is required for any public works contract in excess of twenty-five thousand dollars ($25,000).

8. Agreement Term

The Agreement term shall be for a period of three (3) months. County may, at its option and upon Contractor’s concurrence, extend the term for a period of not more than one (1) thirty (30) day term not to extend past June 15, 2025, or until said services are no longer required, whichever is sooner.

9. Non-Discrimination

County will never exclude any person from participation in, deny any person the benefits of, or otherwise discriminate against anyone in connection with the award and performance of any contract on the basis of race, religion, creed, medical condition, color, marital status, ancestry, sex, age, national origin or disability. In addition, County requires that any Contractor hired by

County to perform any work activity does not discriminate against any employee or applicant for employment because of race, religion, creed, medical condition, color, marital status, ancestry, sex, age, national origin or disability.

10. General Conditions for Invitation for Bids

10.1. Safety

Contractor shall comply with all applicable provisions of the California Occupational Safety and

Health Act of 1973, including any amendments thereto, and the rules, standards, orders and regulations prescribed by the Occupational Safety and Health Standards Board and the Division of Industrial Safety of the California Department of Industrial Relations. Contractor shall further comply with all other applicable safety laws, ordinances and regulations. Contractor shall provide proof of compliance, if requested by the County.

10.2. Wage Rates

Pursuant to Section 1773 of the Labor Code, the general prevailing wage rates in the County in which the work is to be done have been determined by the Director of the California Department of Industrial Relations. These wages are set forth in the General Prevailing Wage Rates for these services, available at the County of Tuolumne Public Works and available from the California

Department of Industrial Relations’ Internet web site at https://www.dir.ca.gov/.

10.3. DIR Registration and Notice

To be qualified to bid on, be listed in a bid proposal or engage in the performance of any public work contract subject to Labor Code section 1720, contractors and subcontractors must be registered with the Department of Industrial Relations. Please see http://www.dir.ca.gov/Public-

Works/PublicWorks.html for more information. No contract will be entered into without proof of the contractor’s and subcontractors’ current registration with the Department of Industrial

Relations to perform public work. If awarded a contract, the bidder and its subcontractors, of any tier, shall maintain active registration with the Department of Industrial Relations for the duration of the Agreement.

These services are subject to compliance monitoring and enforcement by the Department of

Industrial Relations. Each contractor and subcontractor must furnish certified payroll records to the Labor Commissioner at least monthly. It is the bidder’s sole responsibility to evaluate and pay the cost of complying with all labor compliance requirements under this contract and applicable law.

The County is required to provide notice to DIR of any public work contract subject to prevailing wages within thirty (30) days of the award. Upon notice, the County will provide the DIR project number to the Contractor.

10.4. Public Record

All bids submitted in response to this IFB shall be deemed public record. If Contractor desires to claim portions of its bid exempt from disclosure, Contractor shall clearly identify those portions with the word “Confidential” printed on the lower right-hand corner of the page. County will consider Contractor’s request for exemption from disclosure; however, County will make a decision based upon applicable laws. An assertion by Contractor that the entire bid, or a large portion of such, is exempt from disclosure will not be honored.

https://www.dir.ca.gov/ http://www.dir.ca.gov/Public-Works/PublicWorks.html http://www.dir.ca.gov/Public-Works/PublicWorks.html

10.5. Basis for Award

The lowest responsive bidder will be determined by the total of the Base Bid Schedule. Bids that are mathematically and/or materially unbalanced may be disqualified at the discretion of the

County.

Bidder shall provide a bid for Base Bid. Failure to provide a bid for the Bid Schedule will be proof that the bid is non-responsive. Award of Base Bid will be made at the discretion of the

County, subject to the availability of funds.

11. Bid Form

Services requested to be accomplished and referred to herein are to provide The County of

Tuolumne through its General Services Agency is seeking proposals from qualified vendors for improvement plans to install a prefabricated bathroom structure within an existing parking lot located adjacent to the Tesla charging station on Ponderosa Lane in Groveland California. Site work will include, but will not be limited to saw-cutting/asphalt removal and edge protection

(remaining asphalt), surface scarification, excavation, fill placement, sub-base preparation, base rock installation. Concrete surface installation, surface striping, and signage installation for accessible vehicle parking. Temporary and permanent best management practices for erosion control measures, concrete washout, and continuous good housekeeping practices. Site utilities will include a sewer connection, water connection, drainage system, and electrical connection

(all underground). in the County. The work shall be in accordance with the Invitation for Bids –

Groveland Modular Bathroom Project ID IFB (NPW)-2025-0015 issued Tuesday, January 14, 2025.

Rates proposed are for the entire work required for providing all labor, equipment, tools, and materials affiliated with The County of Tuolumne through its General Services Agency is seeking proposals from qualified vendors for improvement plans to install a prefabricated bathroom structure within an existing parking lot located adjacent to the Tesla charging station on Ponderosa Lane in Groveland California. Site work will include, but will not be limited to saw-cutting/asphalt removal and edge protection (remaining asphalt), surface scarification, excavation, fill placement, sub-base preparation, base rock installation. Concrete surface installation, surface striping, and signage installation for accessible vehicle parking. Temporary and permanent best management practices for erosion control measures, concrete washout, and continuous good housekeeping practices. Site utilities will include a sewer connection, water connection, drainage system, and electrical connection (all underground). in the County during the agreement period.

If this bid is accepted and the undersigned fails to enter into the agreement and provide insurance as specified herein within eight (8) days, not including Sundays and legal holidays, after

Contractor has received notice from County that the Agreement has been awarded, County may, at its option, determine that Contractor has abandoned the Agreement and thereupon this bid and the acceptance thereof shall be null and void.

The undersigned, as Contractor, declares that the only person or parties interested in this Bid as principals, are those named herein; this Bid is made without collusion with any other person, firm, or corporation; it has carefully examined the locations of the proposed work and the proposed form of Agreement, and, it proposes and agrees that, if this bid is accepted, it will contract with the County of Tuolumne, in the form of the copy of the Agreement annexed hereto, to provide all necessary labor, equipment, tools, materials (except as otherwise specified in the

Agreement), and incidentals necessary to accomplish the services specified in the Agreement in the manner and time therein prescribed and according to the requirements of the Engineer or his designee as therein set forth, and that it will take in full payment therefore the following item prices, to wit.

1. Enter your valid CA Contractors State License Board (CSLB) number

Please enter your License Number here. This will be verified against the state database

2. Enter your valid CA Contractors State License Board (CSLB) Expiration date

3. Enter your valid CA Contractors State License Board (CSLB) Classifications

4. Enter your California Department of Industrial Relations (DIR) Registration number*

Please enter your Public Works Contractor DIR Number. This will be verified against the state database.

*Response required

5. BIDDER'S BOND*

A bidder's bond, cash, certified check, cashier's check, or letter of credit from a bank in an amount of at least ten percent (10%) of the amount bid, is required for bids over $25,000. The

County of Tuolumne reserves the right to reject any or all bids and to waive any irregularities in the bidding. Please download, complete and upload attachment to this section.

Please download the below documents, complete, and upload.

• Bidder's_Bond_TEMPLATE.pdf

*Response required

6. CERTIFICATIONS*

The bidder’s execution and endorsement by confirming this statement as part of the Bid Form shall also constitute an endorsement and execution of the following certifications which are a part of this document.

☐ Please confirm

*Response required

7. EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION*

Please download the below documents, complete, and upload.

• EQUAL_EMPLOYMENT_OPPORTUNIT...

*Response required

8. SMALL BUSINESS STATUS*

This small business questionnaire is included for statistical reporting only, and your answer neither affects your bid on this contract, nor will it be cause for penalty.

Are you certified as a “Small Business” by the Office of Small Business of the Department of

General Services of the State of California?

☐ Yes

☐ No

☐ Unsure

*Response required https://government-project.s3.us-west-2.amazonaws.com/26151/4bea532f-dab8-4798-9432-4b9994d5589a_Bidder%27s_Bond_TEMPLATE.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4J42EUKAK%2F20250211%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250211T201929Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEMT%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJIMEYCIQCY4X2mYLTQ3IrBp14uT7jTL0Cl313AXLwalolxNGxwkwIhAPUQys6Vx4fM1V0HCBc2Hx5BwVD0NhIQkEPXZTuLptQ1KowFCN3%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEQAhoMODkyMzY0Njg3NjcyIgwn6ksbwkc7xdv030kq4ATSrSa9uwFmMJGGVqDCxS8R%2BL7MiZsZU9CGiR3Ijvct%2BdoW12iy5qSM6N5mW56JSg%2BOfHhBiD9YegRK3Zt6wfFRCOVd%2FdaZQCGgCVelUOLc%2B1rCsJgMqopzQ57LsdjfBlQrsIc%2FnTsH9N9DvcYo%2BD4lN6kJNUqyhIGv%2FGSz%2BEkoByyH1t3IG%2Bj7wK1nOJrmbGf05hpfWv5EULFBiA5zQDtV4IhN4XKDnIBSS2tgYynbSaVB%2Fz%2FB8f4ISOoxc9783lYnMkPfYcuSUc5OReQylXAS9FDLBGRXIagC0i10M5MvZT7mteVwM6k20aFnlzThstKPnmXMuDSTGAiWX8vNcus0aG3Fu8TB6l72D%2BESUHe%2BPGCC1TC7s94I1or8btof017rrzHA8leB1pizIavDTzK54TZ9VHxofiMKrWwLiEquZM4k3HrNTw1F5RqiEArLY4c7XbqTjvmtEbMcPtFpPp8fieP0rsUi9FRDED%2B5ynJqTvGvefyCRS6sVuxDzlKbwJg2PyZx%2F9Nn6sivEM9sZ54ahErg1xZdLIr53iXw%2FlqrMeZc2AHCaD%2F3NVFKttMbaH5Bpw6Pla48ogfaqmBYwwj0XbI%2FfbDit5rXqFVLvZcJT20zhczdYEvcJzLa7yhdEafce8Ii6pm2toQie8CZYx2nkhIUQBVnyNIfPxxAM5gZJKMMKwA0nW9%2FQhTeNmYm%2Fqvxr8UX6FkvlcfRRa3uyfQ0wJ%2FlA%2BwqP7eEOZlX1KBc%2F1rx6Lyr9zCIzcSgycbikTfJ5yRfEr4BkffByPD86HnSLUSuAJql8tz9kuwdWHnFwDCh4K69BjqaAU4aYubgfuBPdQ36hG1bgL81AUMoEZBdlUeVnZ6MXno4%2FrXO7RAdX%2FJV%2BowstpJ0fNprYRlADy7XYOoWeytSFnEyKwjzHDwd3gOfse2jKhgAJHk0P%2BKS1%2BdomaEV6aCcwjCXJXZbafrl9QDrgrJFuMEbZIlslzPKHoz2vY90rd%2F7lezS12qEmqZQYsEDao3ry5FRZtnq3hgO%2FZs%3D&X-Amz-Signature=bbd715a31e083333a84c0992ac122eeb430c6afdd4d61e33af4a551280f94885&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Bidder%27s_Bond_TEMPLATE.pdf%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/21721/f429c40b-f0c0-484c-85cd-8b394263352d_EQUAL_EMPLOYMENT_OPPORTUNITY_CERTIFICATION.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4J42EUKAK%2F20250211%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250211T201929Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEMT%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJIMEYCIQCY4X2mYLTQ3IrBp14uT7jTL0Cl313AXLwalolxNGxwkwIhAPUQys6Vx4fM1V0HCBc2Hx5BwVD0NhIQkEPXZTuLptQ1KowFCN3%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEQAhoMODkyMzY0Njg3NjcyIgwn6ksbwkc7xdv030kq4ATSrSa9uwFmMJGGVqDCxS8R%2BL7MiZsZU9CGiR3Ijvct%2BdoW12iy5qSM6N5mW56JSg%2BOfHhBiD9YegRK3Zt6wfFRCOVd%2FdaZQCGgCVelUOLc%2B1rCsJgMqopzQ57LsdjfBlQrsIc%2FnTsH9N9DvcYo%2BD4lN6kJNUqyhIGv%2FGSz%2BEkoByyH1t3IG%2Bj7wK1nOJrmbGf05hpfWv5EULFBiA5zQDtV4IhN4XKDnIBSS2tgYynbSaVB%2Fz%2FB8f4ISOoxc9783lYnMkPfYcuSUc5OReQylXAS9FDLBGRXIagC0i10M5MvZT7mteVwM6k20aFnlzThstKPnmXMuDSTGAiWX8vNcus0aG3Fu8TB6l72D%2BESUHe%2BPGCC1TC7s94I1or8btof017rrzHA8leB1pizIavDTzK54TZ9VHxofiMKrWwLiEquZM4k3HrNTw1F5RqiEArLY4c7XbqTjvmtEbMcPtFpPp8fieP0rsUi9FRDED%2B5ynJqTvGvefyCRS6sVuxDzlKbwJg2PyZx%2F9Nn6sivEM9sZ54ahErg1xZdLIr53iXw%2FlqrMeZc2AHCaD%2F3NVFKttMbaH5Bpw6Pla48ogfaqmBYwwj0XbI%2FfbDit5rXqFVLvZcJT20zhczdYEvcJzLa7yhdEafce8Ii6pm2toQie8CZYx2nkhIUQBVnyNIfPxxAM5gZJKMMKwA0nW9%2FQhTeNmYm%2Fqvxr8UX6FkvlcfRRa3uyfQ0wJ%2FlA%2BwqP7eEOZlX1KBc%2F1rx6Lyr9zCIzcSgycbikTfJ5yRfEr4BkffByPD86HnSLUSuAJql8tz9kuwdWHnFwDCh4K69BjqaAU4aYubgfuBPdQ36hG1bgL81AUMoEZBdlUeVnZ6MXno4%2FrXO7RAdX%2FJV%2BowstpJ0fNprYRlADy7XYOoWeytSFnEyKwjzHDwd3gOfse2jKhgAJHk0P%2BKS1%2BdomaEV6aCcwjCXJXZbafrl9QDrgrJFuMEbZIlslzPKHoz2vY90rd%2F7lezS12qEmqZQYsEDao3ry5FRZtnq3hgO%2FZs%3D&X-Amz-Signature=1e559dea961a4ee91876a4e0d2addd7795d96bfed2580a6a312c51794132a524&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22EQUAL_EMPLOYMENT_OPPORTUNITY_CERTIFICATION.pdf%22&x-id=GetObject

9. PUBLIC CONTRACT CODE*

These Statements and Questionnaire are part of the Bid Form. Confirming this statement shall also constitute signature of these Statements and Questionnaire. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution.

☐ Please confirm

*Response required

10. PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT*

In conformance with Public Contract Code section 10285.1 (Chapter 376, Stats. 1985), the bidder hereby declares under penalty of perjury that the bidder

"Has" or "Has Not" been convicted within the preceding three (3) years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code section 1101, with any public entity, as defined in Public Contract Code section 1100, including the Regents of the University of California or the Trustees of the California State University. The term “bidder” is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.1.

The bidder shall place a check mark after “has” or “has not” in one of the blank spaces provided.

The above Statement is part of the Bid Form. Signing this Bid Form on the signature portion thereof shall also constitute signature of this Statement. Bidders are cautioned that making false certification may subject the certifier to criminal prosecution.

“I declare under penalty of perjury under the laws of the State of California that the statement made in the foregoing statement is true and correct.”

☐ Has

☐ Has Not

*Response required

11. PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE*

In accordance with Public Contract Code section 10162, the bidder shall complete, under penalty of perjury, the following questionnaire:

Has the bidder, any officer of the bidder, or any employee of the bidder who has a proprietary interest in the bidder, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or a safety regulation?

If the answer is yes, explain the circumstances in the following space:

☐ Yes

☐ No

*Response required

12. PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE CONTINUED...*

If the answer was "yes" above, explain the circumstances here (or type N/A).

*Response required

13. PUBLIC CONTRACT SECTION 10232 STATEMENT*

In conformance with Public Contract Code section 10232, the Contractor, hereby states under penalty of perjury, that no more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the immediately preceding two year period because of the Contractor’s failure to comply with an order of a federal court which orders the Contractor to comply with an order of the National Labor Relations Board.

☐ Please confirm

*Response required

14. NONCOLLUSION DECLARATION*

Please download the below document, complete, and upload.

This Noncollusion Declaration is part of the Bid Form. Signing this Bid Form on the signature portion thereof shall also constitute signature of this Noncollusion Declaration. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution.

• NONCOLLUSION_DECLARATION.pdf

*Response required

15. PUBLIC WORKS CONTRACTOR REGISTRATION CERTIFICATION*

Pursuant to Labor Code sections 1725.5 and 1771.1, all contractors and subcontractors that wish to bid on, be listed in a bid proposal, or enter into a contract to perform public work must be registered with the Department of Industrial Relations. See http://www.dir.ca.gov/Public-

Works/PublicWorks.html for additional information.

No contract will be entered into without proof of the contractor’s and subcontractors’ current registration with the Department of Industrial Relations to perform public work.

Bidder hereby certifies that it is aware of the registration requirements set forth in Labor Code sections 1725.5 and 1771.1 and is currently registered as a contractor with the Department of

Industrial Relations.

Bidder further acknowledges:

A. Bidder shall maintain a current DIR registration for the duration of the Agreement.

B. Bidder shall include the requirements of Labor Code sections 1725.5 and 1771.1 in its contract with subcontractors and ensure that all subcontractors are registered at the time of bid submittal and maintain registration status for the duration of the Agreement.

https://government-project.s3.us-west-2.amazonaws.com/21721/e671ce11-79d5-4e1d-ac59-afb481767e0a_NONCOLLUSION_DECLARATION.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4J42EUKAK%2F20250211%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250211T201929Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEMT%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJIMEYCIQCY4X2mYLTQ3IrBp14uT7jTL0Cl313AXLwalolxNGxwkwIhAPUQys6Vx4fM1V0HCBc2Hx5BwVD0NhIQkEPXZTuLptQ1KowFCN3%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEQAhoMODkyMzY0Njg3NjcyIgwn6ksbwkc7xdv030kq4ATSrSa9uwFmMJGGVqDCxS8R%2BL7MiZsZU9CGiR3Ijvct%2BdoW12iy5qSM6N5mW56JSg%2BOfHhBiD9YegRK3Zt6wfFRCOVd%2FdaZQCGgCVelUOLc%2B1rCsJgMqopzQ57LsdjfBlQrsIc%2FnTsH9N9DvcYo%2BD4lN6kJNUqyhIGv%2FGSz%2BEkoByyH1t3IG%2Bj7wK1nOJrmbGf05hpfWv5EULFBiA5zQDtV4IhN4XKDnIBSS2tgYynbSaVB%2Fz%2FB8f4ISOoxc9783lYnMkPfYcuSUc5OReQylXAS9FDLBGRXIagC0i10M5MvZT7mteVwM6k20aFnlzThstKPnmXMuDSTGAiWX8vNcus0aG3Fu8TB6l72D%2BESUHe%2BPGCC1TC7s94I1or8btof017rrzHA8leB1pizIavDTzK54TZ9VHxofiMKrWwLiEquZM4k3HrNTw1F5RqiEArLY4c7XbqTjvmtEbMcPtFpPp8fieP0rsUi9FRDED%2B5ynJqTvGvefyCRS6sVuxDzlKbwJg2PyZx%2F9Nn6sivEM9sZ54ahErg1xZdLIr53iXw%2FlqrMeZc2AHCaD%2F3NVFKttMbaH5Bpw6Pla48ogfaqmBYwwj0XbI%2FfbDit5rXqFVLvZcJT20zhczdYEvcJzLa7yhdEafce8Ii6pm2toQie8CZYx2nkhIUQBVnyNIfPxxAM5gZJKMMKwA0nW9%2FQhTeNmYm%2Fqvxr8UX6FkvlcfRRa3uyfQ0wJ%2FlA%2BwqP7eEOZlX1KBc%2F1rx6Lyr9zCIzcSgycbikTfJ5yRfEr4BkffByPD86HnSLUSuAJql8tz9kuwdWHnFwDCh4K69BjqaAU4aYubgfuBPdQ36hG1bgL81AUMoEZBdlUeVnZ6MXno4%2FrXO7RAdX%2FJV%2BowstpJ0fNprYRlADy7XYOoWeytSFnEyKwjzHDwd3gOfse2jKhgAJHk0P%2BKS1%2BdomaEV6aCcwjCXJXZbafrl9QDrgrJFuMEbZIlslzPKHoz2vY90rd%2F7lezS12qEmqZQYsEDao3ry5FRZtnq3hgO%2FZs%3D&X-Amz-Signature=1a46860851683aa0ff8bae602adcb0fcda6128f5ab759218f13399e52310af9e&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22NONCOLLUSION_DECLARATION.pdf%22&x-id=GetObject

C. Failure to submit this form or comply with any of the above requirements may result in a finding that the bid is non-responsive.

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16. DEBARMENT AND SUSPENSION CERTIFICATION CONTINUED*

Title 49, Code of Federal Regulations, Part 29

The bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, and manager:

• Is not currently under suspension, debarment, voluntarily exclusion. or determined ineligibility by any federal agency;

• Has not been suspended, debarred, voluntarily excluded or determined ineligible by any federal agency within the past 3 years;

• Does not have a proposed debarment pending; and

• Has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.

If there are any exceptions to this certification, insert the exceptions in the following space.

Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action (or type N/A).

Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Bid Form. Signing this Bid Form on the signature portion thereof shall also constitute signature of this Certification.

*Response required

17. LIST OF PRINCIPALS*

The names of all persons interested in the foregoing bid as principals are as follows:

*Response required

18. LEGAL NAME OF CORPORATION*

IMPORTANT NOTICE. If bidder or other interested person is corporation, state legal name of corporation, also names of the president, secretary, treasurer, and manager thereof; if a co-partnership, state true name of firm, also names of all individual copartners composing firm; if bidder or other interested person is an individual, state first and last names in full.

19. THIS CONFIRMATION CONSTITUTES BIDDER'S SIGNATURE*

By my signature on this Bid Form, I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code sections

10162, 10232 and 102851.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations

(Chapter 5, Title 2 of the California Administrative Code). By my signature on this Bid Form, I further certify, under the penalty of perjury under the laws of the State of California and the

United States of America, that the Noncollusion Declaration required by Title 23 United States

Code, Section 112 and Public Contract Code section 7106; and the Title 49 Code of Federal

Regulations, Part 29 Debarment and Suspension Certification are true and correct.

The Contractor’s license number and expiration date are stated under penalty of perjury.

Licensed in accordance with an act providing for the registration of contractors.

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20. Cost Proposal*

Please upload Cost Proposal here.