Department of Public Works C-3 R-7182 City of Long Beach Division C – Bid Documents

BIDDER INFORMATION / SIGNATURE FORM

Signature** Legal Name of Company

Print Name / Title

Names of Other General Partners

State of Incorporation Names of Other Partners

State Where Registered as LLC City of Long Beach Business License

Number

Business Address (Actual Address -Not A City of Long Beach Business License Post Office Box) Expiration Date

Telephone Number / Fax Number Address on City Business License

Email Address of Individual to Contact

Contractor’s License Number DIR Registration Number

________ If Bidder is an individual, set forth his/her signature.

_______ If Bidder is a joint venture, set forth the name of the joint venture with the signature of an authorized representative of each venture.

________ If Bidder is a general partnership, set forth the signature of the general partner.

________ If Bidder is a limited partnership, provide names of other partners.

________ If Bidder is a limited liability company, set forth legal name of company with signature of a member or manager authorized to bind the company

________ If the Bidder is a corporation, set forth the legal name of the corporation with the signature of an officer of the corporation.

(Continued on Next Page)

Exbon Development Inc.

Hee Yang / Vice President

N/A

N/ACalifornia

N/A BU21309660

13831 Newhope St., Garden Grove, CA 92843

1000007770

714-539-2222 / 714-539-2223 bid@exbon.com

863384

13831 Newhope St., Garden Grove, CA 92843 x

3/25/2024

Department of Public Works C-4 R-7215 City of Long Beach Division C – Bid Documents

The following information will be used for statistical analysis only.

Is the Bidder a Disadvantaged Business (DBE)?___ If yes, certification No. _________ Is the Bidder a Minority-Owned Business? ______ Which racial minority? ___________ Is the Bidder a Women-Owned Business? _______ Is the Bidder a certified Small Business?_____ If yes, certification No._________

Where did your company first hear about this City of Long Beach Public Works project?

Long Beach Bid Portal

BIDDER’S QUALIFICATIONS

1. ORGANIZATION

1.1 How many years has your organization been in business as a licensed

Contractor?

1.2 How many years has your organization been in business under its present name?

1.2.1 Under what other names has

your organization operated?

1.3 If your organization is a corporation, answer the following:

1.3.1 Date of incorporation:

1.3.2 State of incorporation:

1.3.3 Corporate ID number:

1.3.4 President's name:

1.3.5 Agent for Service of Process:

1.4 If your organization is a partnership, answer the following:

1.4.1 Date of organization:

1.4.2 Type of partnership (if applicable):

1.4.3 Name(s) of general partner(s):

1.5 If your organization is individually owned, answer the following:

1.5.1 Date of organization:

1.5.1 Name of owner:

2. LICENSING

2.1 List jurisdictions and trade categories in which your organization is legally qualified to do business and indicate registration or license numbers, if applicable.

2.2 In the last 10 years, has your contractor’s license been revoked at any time? ____

17+ years

17+ years

N/A

4/13/2005

California

FEIN 20-2692623

Jae K. Jung

N/A

CSLB# 863384, A (General Engineering) B (General Building) C10 (Electrical)

C20 (HVAC) C39 (Roofing)

No

3. FINANCIAL RESOURCES

3.1 In the past five years, has a bonding company completed a contract on your behalf, or paid for completion because your firm was terminated or found in default? ________________________________________________________

4. EXPERIENCE

4.1 List classifications of work your organization typically performs with its own forces.

4.2 Claims and Suits (If the answer to any of the questions below is yes, please attach specifics.)

4.2.1 Has your organization ever failed to complete any work awarded to it?

4.2.2 Are there any judgments, claims, suits or arbitration proceedings pending against your organization or its officers within the last five (5) years, or such actions related to labor compliance, prevailing wages, or the Department of Industrial Relations within said period?

4.2.3 Has your organization filed any law suits or requested arbitration related to construction within the last five (5) years?

4.3 Has your firm, or any firm with which any of your company’s owners, officers, partners, or employees was associated, been debarred from bidding on, accepting, or performing any government agency or public works project(s), either as a prime contractor or subcontractor? ___________________________________________________

4.4 On a separate sheet, list major construction projects your organization has in progress.

Indicate name of the project, project description, Contract amount, owner, architect/engineer, percent complete and scheduled completion.

4.4.1 Indicate total value of work in progress and under Contract:

4.5 On a separate sheet, list all projects your organization has completed in the past five years. Indicate name of project, project description, Contract amount, owner, owner's phone number, project manager, completion date, and percentage of the cost of the work performed with your own forces. (’None’, ‘N/A’ or its equivalent is not an acceptable response and will be a basis for disqualifying your bid as non-responsive.)

4.5.1 Indicate average annual value of construction work performed during the past five years:

No

Framing, Carpentry, Drywall, Painting, Doors, Windows, Roofing

No

No

No

No

Attached

$35MM

Attached

$48MM

4.4 List Major construction projects

Project Name Project Description Owner Architect/Engineer Contract Amount Comple�on %

(Task Based) Estimated Comp. Date

Repair HVAC Interior B10210 HVAC & Interior Renovation Nellis Airforce Base ACG Design 4,531,417 63.79% 9/4/2023

Repair/Addition Comm Node B64 & B1052 Building Renovation Nellis Airforce Base ACG Design 2,910,653 54.96% 6/11/2023

Renovate Bldg 1005 Building Renovation Nellis Airforce Base ACG Design 4,754,721 97.15% 2/28/2023

Eureka Armory Renovation Building Renovation Military Department Office of the Adjutant General Teter LLP 4,851,511 94.91% 2/28/2023

Desert HS Modernization Roofing & Sheet Metal Muroc Joint Unified School District WLC Architect 3,058,842 100.00% 9/30/2022

HVAC/Fire Suppression Upgrade for Creech AFB Building Renovation Nellis Airforce Base ACG Design 1,120,000 15.96% 11/5/2023

Carson Library Fire Alarm Replacement Building Renovation County of Los Angeles Owen Group LP 1,893,251 75.91% 8/31/2023

Repair Electrical Infrastructure B124 B775 B415 Repair Electrical Nellis Airforce Base ACG Design 3,600,245 23.41% 12/21/2023

PA Remodel Construction Building Renovation California State University Bakersfield Darden Architects, Inc 5,102,630 97.02% 3/31/2023

Multi Buildings at Beale AFB Roofing Beale Airforce Base Not Applicable (N/A) 1,794,978 100.00% 1/30/2023

Encinitas ROW Fencing Fencing North County Transit District T.Y. Lin International 2,355,394 100.00% 9/9/2022

PE Building Women Locker Room Remodel Building Renovation California State University Bakersfield KSA Group Architects 1,839,766 98.96% 11/4/2022

Well 7 Phase 2 Water Main and Chemical Equipment Building Site Work California State University Fresno Provost & Pritchard Consulting Group 3,164,722 95.24% 3/1/2023

Duct Cleaning Los Angeles City Mission Pierce Southwest and West CollegesDuct Cleaning Los Angeles Community College District LACCD Internal PE 5,534,308 100.00% 8/31/2022

LAVC Gold Creek Fire Damage Repairs - Ecological Restoration Ecological Restoration Los Angeles Community College District YKD Landscape Architecture Urban Design 2,163,150 29.50% 7/27/2025

Del Mar ROW Fencing Fencing North County Transit District RedHawk Services 1,316,371 0.00% 3/20/2023

Simpson Salazar Library DAS Installation Building Site Work California State University Los Angeles WP Electrical 994,359 1.11% 4/8/2023

Main Jail ADA Upgrade County of Fresno County of Fresno Darden Architects, Inc 955,797 2.00% 6/30/2023

Main Base Chapel Roof B2435 Roofing Beale Airforce Base Not Applicable (N/A) 1,493,060 7.87% 4/30/2023

Edwards Bldg 1600 Roofing Edwards Airforce Base Not Applicable (N/A) 4,300,000 0.00% 5/15/2023

Car Counting System Building Site Work California State University Fullerton CSUF Internal A/E Team 1,241,251 0.00% 6/1/2023

CSU Fresno Baker Hall Bathroom Modernization Building Renovation California State University Fresno SVA Architects 2,104,435 0.00% 8/4/2023

4.5 All projects

Project Name Project Description Owner Owner Contact Owner PM Completion Date Contract Amount Self Perform %

Multi Buildings at Beale AFB Roofing & Sheet Metal Beale Airforce Base 530-634-9093 SSgt Roman Pavlovich 12/9/22 1,889,451.00 15%

PE Building Women Locker Room Remodel Building Renovation California State University Bakersfield 661-654-3182 Andrew Duncan 11/4/22 1,889,564.30 20%

Prob-BJN-CCTV Install Site Work County of Los Angeles 213-974-1234 Craig Jellison 10/27/22 740,857.37 5%

Encinitas ROW Fencing Fencing North County Transit District 760-966-6773 Tracey Foster 9/12/22 2,486,075.33 5%

Desert HS Modernization Roofing & Sheet Metal Muroc Joint Unified School District 909-532-5210 Daryl Van Dran 9/6/22 3,058,841.79 85%

Parking Lot Improvement Site Work California State University Fullerton 657-278-3421 Felipe Meza 9/6/22 602,795.30 5%

MH Exterior Paint Building Renovation California State University Fullerton 657-278-3421 Felipe Meza 8/29/22 832,371.05 15%

Repair Replace Fire Control Panels and Pump Motors, F780 Site Work Vandenberg Airforce Base 805-606-8291 Stella Davis 7/12/22 876,016.61 5%

Repair Replace Fire Control Panels and Pump Motors, F780 Site Work Vandenberg Airforce Base 805-606-8291 Stella Davis 7/12/22 832,215.77 5%

Warren E Thornton Youth Center Roof Repair Roofing & Sheet Metal County of Sacramento 916-709-3914 Kenton Matchell 6/1/22 849,879.16 90%

Duct Cleaning Los Angeles City Mission Pierce Southwest and West CollegesDuct Cleaning Los Angeles Community College District 213-891-2360 Frank Padilla 5/15/22 5,534,307.61 3%

LAUSD Carson Senior High School Roof Roofing & Sheet Metal Los Angeles Unified School District 213-241-0457 Cynthia Vargas 4/22/22 1,439,858.91 85%

Sewer Improvement Areas B-1 3 4 6 Site Work California State University Fresno 559-278-4240 Tinnah Medina 3/18/22 814,922.38 5%

PLS Paint WNE Walls Painting California State University Fullerton 657-278-3421 Felipe Meza 2/11/22 613,712.16 10%

CSULA Duct Cleaning Duct Cleaning California State University Los Angeles 323-343-3000 Michael Murray 12/15/21 1,102,682.19 3%

ELAC Campus Wide Duct Cleaning Duct Cleaning Los Angeles Community College District 213-891-2000 Steven Paine 12/13/21 3,932,997.64 3%

Sewer Improvements Phase 4 Site Work California State University Fresno 559-278-4240 Tinnah Medina 12/8/21 1,366,318.83 20%

East Engineering 204 Building Renovation California State University Fresno 559-278-4240 Tinnah Medina 12/8/21 1,138,734.07 15%

SSPA Exterior Renovation Building Renovation California State University Long Beach 562-985-7882 Sandra Vigo 9/7/21 604,838.40 10%

Valley College Transportation and Accessibility Phase 2 Building Renovation Los Angeles Community College District 714-345-7655 Michael Dobrotin 8/30/21 918,390.86 20%

Seismic Retrofit Site Work California State University Bakersfield 661-654-3182 Andrew Duncan 8/6/21 621,813.34 5%

ADA Barrier Removal Dorsey HS Site Work Los Angeles Unified School District 213-241-1000 Sergua Pirali 8/4/21 977,649.46 10%

Health Center - Icardo Plaza ADA Improvements and Road RepairsSite Work California State University Bakersfield 661-654-3182 Andrew Duncan 7/31/21 1,554,740.92 8%

MH Surge Space Building Renovation California State University Fullerton 657-278-2011 Joel Gonzalez 5/10/21 1,052,053.20 20%

Repair Active Vehicle Barrier, Area II Gate Site Work Nellis Airforce Base 702-652-9116 Patrick W. Mock 5/7/21 2,868,357.18 15%

MC Add Alter AFRL MSL Space RSCH ENG B8483 Building Renovation Edwards Airforce Base 661-277-9519 Charles C McKinley 4/28/21 798,915.64 10%

Gymnasium Lobby Restroom ADA Upgrade Building Renovation California State University Stanislaus 209-667-3122 Debbie DaRosa 4/8/21 761,710.53 10%

Coyote Canyon Landfill Flare Refurbishment Site Work County of Orange 949-728-3055 Hunter Smith 4/6/21 789,279.62 5%

SHS Remodel Summer 2020 Building Renovation California State University Long Beach 562-985-4111 Monica Amalfitano 3/19/21 600,331.41 5%

RPR Remodel Restrooms & Janitor Closets Bldg 1440 Building Renovation Edwards Airforce Base 661-277-9519 Charles C McKinley 3/11/21 739,947.18 15%

PLS Roofing Roofing & Sheet Metal California State University Fullerton 657-278-3421 Felipe Meza 3/9/21 694,332.65 85%

RP-1 & TP-1 Building Roof Replacement FM20002 Roofing & Sheet Metal Inland Empire Utilities Agency 909-993-1723 Matthew A Poeske 2/26/21 1,312,510.79 80%

MC Add Alter Acft Rsch Eng B1199 Building Renovation Edwards Airforce Base 661-525-8889 Sandy Guite 2/23/21 938,819.17 50%

Baseball Clubhouse Facility Ground Up Construction California Polytechnic San Luis Obispo 805-756-7252 Austin Creel 2/13/21 7,311,464.53 60%

Well 7 Site Work California State University Fresno 559-278-4240 Tinnah Medina 1/19/21 819,591.67 5%

California School for the Deaf Building P Roof Roofing & Sheet Metal California Department of General Services 916-375-4745 Tara Marconi 1/7/21 1,414,177.37 60%

Construct Addition/Repair Green Flag B1730 Site Work Nellis Airforce Base 702-652-4003 Salton George 12/21/20 1,900,271.64 10%

Pasadena Roof Restoration at PCHC and CHAP Roofing & Sheet Metal City of Pasadena 626-744-3920 Sharon Killoran 12/14/20 725,958.36 80%

Armory Renovation Bakersfield Building Renovation California Military Department 916-854-3690 Thomas E Clarke 12/3/20 2,505,208.37 15%

Repair Roof Bldg 195 Roofing & Sheet Metal Mountain Home Airforce Base 208-828-3870 Elijah D Clay 10/9/20 937,772.40 80%

Hemet USD West Valley HS Roofing Repair Roofing & Sheet Metal Hemet Unified School District 951-765-5100 Andy McGuire 9/21/20 692,373.23 90%

Repair Hangar Doors B285 Building Renovation Nellis Airforce Base 702-652-9116 Patrick W. Mock 9/10/20 1,636,441.00 10%

SAUSD Santiago Elementary Roofing & Upgrades Roofing & Sheet Metal Santa Ana Unified School District 714-558-5501 Orlin L Williams 9/3/20 750,350.08 90%

Van Ness Elementary School ADA Improvements Site Work Los Angeles Unified School District 213-241-3486 Miguel Perez 8/31/20 2,948,644.99 10%

Electrical Distribution Upgrade Electrical California State University Bakersfield 661-654-3182 Andrew Duncan 8/28/20 808,130.76 5%

North Annex Jail Lobby Revisions - ADA Upgrade Building Renovation County of Fresno 559-600-4477 Roger Davidson 8/7/20 671,034.24 10%

RPR RESTROOMS IFAST B1020 Building Renovation Edwards Airforce Base 661-277-9519 Charles C McKinley 7/29/20 686,975.34 10%

Angeles Mesa Remove and Replace Deteriorated Roof Roofing & Sheet Metal Los Angeles Unified School District 818-654-3592 Mark Fairhurst 6/12/20 1,327,599.17 95%

Westport Heights Remove and Replace Deteriorated Roofing Roofing & Sheet Metal Los Angeles Unified School District 818-654-3592 Mark Fairhurst 6/12/20 909,978.63 90%

Cleveland Charter HS Replace Roofing on Gym Roofing & Sheet Metal Los Angeles Unified School District 818-654-3592 Mark Fairhurst 6/12/20 742,890.88 90%

Gulf Elementary School Existing Canopy Structural Repair Building Renovation Los Angeles Unified School District 213-241-1000 Owen Cheung 5/1/20 613,870.79 10%

Northridge MS ADA Barrier Removal Site Work Los Angeles Unified School District 310-463-1485 Jonathan Goodman 4/30/20 1,738,723.37 10%

West Lothian Roof Replacement Roofing & Sheet Metal University of California Riverside 951-827-1012 John Franklin 4/3/20 920,412.59 90%

Campus Wide Digital Signage Site Work California State University Fullerton 657-278-3421 Felipe Meza 2/18/20 761,848.37 5%

CPP Student Housing Replacement Phase 1 Roofing & Sheet Metal California Polytechnic Pomona 559-772-1727 Dominic Nelson 12/17/19 1,394,858.00 95%

Equestrian Center Building Building Renovation California State University Fresno 559-278-4240 Sara Mitchel 11/6/19 1,684,338.79 10%

Bulldog Electrical Upgrades Lighing Upgrade California State University Fresno 559-278-4240 Sara Mitchel 10/22/19 3,539,955.70 5%

Crown College Residence Hall Roofing & Sheet Metal University of California Santa Cruz 408-202-6789 Joseph Teutonico 8/30/19 1,751,773.00 90%

Edwards CTF Compound Roofing & Sheet Metal Edwards Airforce Base 619-233-7900 Shandy Coffman 8/22/19 2,777,900.00 90%

Bulldog Turf Replacement Site Work California State University Fresno 559-278-4240 Sara Mitchel 8/18/19 1,820,000.00 5%

RPR Interior SFS HQ B2419 Building Renovation Edwards Airforce Base 661-277-9519 Charles C McKinley 8/1/19 661,534.99 10%

Altus B 395 Roofing & Sheet Metal Altus Airforce Base 580-481-7251 Michael L West 7/18/19 703,112.76 85%

Altus B228 Roofing & Sheet Metal Altus Airforce Base 580-481-7251 Michael L West 7/11/19 1,132,496.82 20%

Santa Maria Crisis Stabilization Unit Site Work County of Santa Barbara 805-681-4200 Robert Ooley 6/25/19 728,167.88 5%

Sewer and Storm Drain Upgrade Site Work California State University Fresno 559-278-4240 Lorrie Westcott 6/24/19 2,813,334.94 5%

Reroof at Stearns Park Community Center Roofing & Sheet Metal City of Long Beach 562-570-6634 Patrick H West 6/14/19 897,236.56 90%

F-35C Hangar Modernization Roofing Department of the Navy, Naval Facilities Engineering Command Southwest760-691-6011 Albert Reyes 3/30/19 1,069,128.83 95%

Hugh Gillis Hall Roof Replacement Project Roofing & Sheet Metal San Jose State University 408-924-1000 Ashraf Fouad 3/5/19 1,326,101.54 80%

High Ropes Challenge Course at SRC Site Work California State University Bakersfield 661-654-3287 Ed Hewitt 2/15/19 659,381.71 5%

Lothian East Roof & Roof Equipment Replacement Roofing & Sheet Metal University of California Riverside 951-827-4064 Blythe R Wilson 11/28/18 1,960,238.68 90%

MC Site Prep CDC Playground Site Work Edwards Airforce Base 661-277-9519 Charles C McKinley 11/13/18 761,106.49 5%

Baseball Bleacher Addition Site Work California Polytechnic San Luis Obispo 805-756-7252 Austin Creel 10/24/18 1,152,924.48 5%

Communication East Loop Site Work California State University Fresno 559-278-4360 Rod Gleghorn 10/3/18 707,798.73 5%

MC Construction Platforms Range Building Renovation Edwards Airforce Base 661-277-9519 Charles C McKinley 8/24/18 670,433.65 8%

Salk Elementary School Roofing & Sheet Metal Magnolia School District 714-527-4525 Annette M Cleveland 8/20/18 873,838.78 90%

Parking Lot Repairs (PR1800,84,85) Site Work California State University Fullerton 657-278-3421 Felipe Meza 8/17/18 956,961.88 10%

Randolph B 905 Roofing & Sheet Metal Randolph Airforce Base 210-652-5131 Sharla J. Miner 8/9/18 654,757.26 85%

RPR Windows AFTC HQ B1 Building Renovation Edwards Airforce Base 661-277-9519 Charles C McKinley 7/17/18 702,208.28 5%

Norco B 575 Roofing & Sheet Metal Naval Sea Systems Command 619-778-6236 Corwyn Alexander 7/16/18 664,904.00 80%

Randolph B 499 Roofing & Sheet Metal Randolph Airforce Base 210-652-5131 Sharla J. Miner 7/11/18 642,880.00 85%

Edwards B 1615 Roofing & Sheet Metal Edwards Airforce Base 661-810-8775 Arcadio Garcia 7/3/18 1,895,150.00 85%

Replace HVAC System B1610 HVAC Vandenberg Airforce Base 805-606-8291 Stella Davis 6/22/18 621,909.00 5%

MC Lift Station & WW Lines PIRA Site Work Edwards Airforce Base 661-277-9519 Charles C McKinley 6/18/18 651,914.30 5%

MC Equipment Pad and Fence B1020 Site Work Edwards Airforce Base 661-277-9519 Charles C McKinley 6/14/18 799,572.24 5%

OCWR Coyote Canyon Viewshed Site Work County of Orange 949-728-3055 Hunter Smith 5/15/18 819,025.57 5%

Sewer & Storm Drain Pumps Site Work California State University Fresno 559-278-4240 Lorrie Westcott 5/8/18 843,741.54 10%

East LA Occupational Center Roofing & HVAC Los Angeles Unified School District 213-503-6319 Samir Mehrotra 3/14/18 1,095,125.76 50%

Natural Gas Upgrade Site Work California State University Fresno 559-278-4240 Lorrie Westcott 2/19/18 1,819,330.93 5%

B 15061 & 13150 Roofing & Sheet Metal Camp Pendleton 760-725-8222 Alfred Simpson 1/25/18 680,339.60 85%

5. MINIMUM QUALIFICATIONS

5.1 The minimum acceptable experience to be qualified for this project is as follows:

5.1.1 The Contractor, as a Prime Contractor for a public agency, must have completed at least three (3) tenant improvement projects at public facilities of similar scope to this project within the last three calendar years (from the date of the bid opening) and at least two (2) of the referenced projects must have had a hard cost value of at least $3,000,000 each.

5.2 List project(s) to satisfy minimum qualifications noted above. ’None’, ‘N/A’ or its equivalent is not an acceptable response and will be a basis for disqualifying your bid as non-responsive.:

Project Name:

Agency/Owner:

Project Manager:

Phone Number:

Contract Amount:

Scope of Work:

Name of Project:

Project Manager:

Phone Number:

Name of Project:

Project Manager:

Phone Number:

PA Remodel Construction California State University, Bakersfield Edward Hewitt 664-654-3287 $5,220,664.07 This Project was a Complete Interior Renovation of the Existing Building including Flooring, Walls, Ceiling, Mechanical, Electrical, Plumbing and Telecommunication.

Addition of an Entry Canopy and Site Work Related To The New Plaza, project also includes Fire Alarm modifications and the addition of a new Fire Sprinkler System.

Baseball Clubhouse Facilities California Polytechnic, San Luis Obispo Austin Creel 805-756-7252 $7,311,464.53 This project was performed total renovation of 2 story multi use spaces, including offices, and team locker rooms and showers.

PE Building Women Locker Room Remodel California State University, Bakersfield Edward Hewitt 664-654-3287 $1,890,046.00 This project consisted of demolition of select interior improvements and construction of new interior improvements including modification of existing fire alarm system.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Executed this day of , 20____ at , California by:

Company/Contractor Name

Signature

Signer’s Name (print/type)

Title (print/type)

2nd June 23 Garden Grove

Hee Yang

Vice President

BOK Mechanical Screen System

TPO Roofing System, Sheet Metal

Rev 02/09/17

LIST OF SUBCONTRACTORS

In accordance with the requirements provided in the "Subletting and Subcontracting Fair Practices Act" Division 2 Part 1, Chapter 4 of the California Public Contract Code, the Bidder shall set forth hereon the name, the location of the place of business, Department of Industrial Relations registration number, and the California contractor license number of each subcontractor who will perform work or labor or render service to the prime contractor in or about the construction of the work or improvement, or a subcontractor licensed by the State of California who, under subcontract to the prime contractor, specially fabricates and installs a portion of the work or improvement according to detailed drawings contained in the plans and specifications, in an amount in excess of one‐half of 1 percent of the prime contractor's total bid or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one‐ half of 1 percent of the prime contractor's total bid or ten thousand dollars ($10,000), whichever is greater. The prime contractor shall set forth thereon the portion of the work (type and dollar value) that will be done by each subcontractor. The prime contractor shall list only one subcontractor for each portion as defined by the prime contractor in his or her bid. Information requested, other than the sub contractor's name, location of business, contractor license number and the portion of work that will be done by each subcontractor may be submitted by the prime contractor within 24 hours after the deadline for submission of bids.

Name Type of Work

Address

City Dollar Value of Subcontract $

Phone No.

License No. DIR Registration No. ___________________________________

License No. DIR Registration No. __________________________________

Gama Contracting Services, Inc Abatement & Demolition

1835 Floradale Ave.

South El Monte, CA 91733 121,445.00

(626) 442-7200

780316 1000000934

Marne Construction Division 3, Division 32, & Bid Add' 1 - Gym

2111 S Santa Fe St

Santa Ana, CA 92705

(714) 935-0995 x 141

215,644.00

683843 1000005945

J.A. Lynch Masonry, Inc. Bid Add' 1 - Gym (CMU)

7102 Thomas Street

Buena Park, CA 90621 75,700.00

(714) 522-5662

284159 1000000637

386,310.00

Letner Roofing Co.

1490 N. Glasell

Orange, CA 92867

(714) 633-0030

689961 1000001006

Big Bear Electric Inc

Po Box 3001

Big Bear City, CA 92314

(714) 633-0030

972582 1000002330

Low Voltage

70,000.00

Section 09 91 23 Interior Painting

In accordance with the requirements provided in the "Subletting and Subcontracting Fair Practices Act" Division 2 Part 1, Chapter 4 of the California Public Contract Code, the Bidder shall set forth hereon the name, the location of the place of business, Department of Industrial Relations registration number, and the California contractor license number of each subcontractor who will perform work or labor or render service to the prime contractor in or about the construction of the work or improvement, or a subcontractor licensed by the State of California who, under subcontract to the prime contractor, specially fabricates and installs a portion of the work or improvement according to detailed drawings contained in the plans and specifications, in an amount in excess of one‐half of 1 percent of the prime contractor's total bid or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one‐ half of 1 percent of the prime contractor's total bid or ten thousand dollars ($10,000), whichever is greater. The prime contractor shall set forth thereon the portion of the work (type and dollar value) that will be done by each subcontractor. The prime contractor shall list only one subcontractor for each portion as defined by the prime contractor in his or her bid. Information requested, other than the sub contractor's name, location of business, contractor license number and the portion of work that will be done by each subcontractor may be submitted by the prime contractor within 24 hours

License No. DIR Registration No. __________________________________

Roy E. Whitehead, Inc. Division 8 - Doors, Frames and Hardware2245 Via Cerro

Riverside, CA 92509

(951) 682-1490

255108

128,124.00

1000004967

Stephanie's Windows, Inc.

2495 N. Sierra Way

San Bernadino, CA 92410

(909) 997-4410

Division 8 - Windows & Glass

35,000.00

1066422 1000758358

Commercial Interior Resources Division 3 - RPC Polished Concrete Carpet, Wall Base, Bid Add' - Gym Athl Rubber Flooring1761 Reynolds Avenue

Irvine, CA 92614 60,045.00

(949) 752-1470

511928 1000007670

Rebekah & Company

291 Bonnie Ln Suite 101

Corona, CA 92882

(951) 479-5671

1000819 1000008659

Section 09 66 23 - Epoxy

Terrazzo Flooring

112,942.00

Armour's Custom Painting

9212 El Molino Circle

Fountain Valley, CA 92708

(714) 588-1388

49,960.00

535500

Section 09 91 13 Exterior Painting

1000037838

In accordance with the requirements provided in the "Subletting and Subcontracting Fair Practices Act" Division 2 Part 1, Chapter 4 of the California Public Contract Code, the Bidder shall set forth hereon the name, the location of the place of business, Department of Industrial Relations registration number, and the California contractor license number of each subcontractor who will perform work or labor or render service to the prime contractor in or about the construction of the work or improvement, or a subcontractor licensed by the State of California who, under subcontract to the prime contractor, specially fabricates and installs a portion of the work or improvement according to detailed drawings contained in the plans and specifications, in an amount in excess of one‐half of 1 percent of the prime contractor's total bid or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one‐ half of 1 percent of the prime contractor's total bid or ten thousand dollars ($10,000), whichever is greater. The prime contractor shall set forth thereon the portion of the work (type and dollar value) that will be done by each subcontractor. The prime contractor shall list only one subcontractor for each portion as defined by the prime contractor in his or her bid. Information requested, other than the sub contractor's name, location of business, contractor license number and the portion of work that will be done by each subcontractor may be submitted by the prime contractor within 24 hours

License No. DIR Registration No. __________________________________

Sav-On-Signs

3929 E. Anaheim St., Long Beachm CA 90804

(877) 493-5065

13,000.00

741289 1000002568

Section 101400 - Signage

Bird Solutions International P.O. Box 927

CA 92085

(760) 758-9747

11,634.00

Stafford Environmental Services, Inc.

1000004257

Section 108113 Bird Control Devices

Heritage Window Coverings Section 122413 Roller Windows Shades

12,850.00

17902 Georgetown Lane

Huntington Beach, CA 92647

(714) 842-4415

770557 1000003274

ABQ, Inc. Division 22 - Plumbing

6200 Canoga Ave # 205

Woodland Hills, CA 91367 385,000.00

(310) 299-6251

1081727 1000833272

Los Angeles Air Conditioning, Inc.

1714 LINDBERGH CT

LA VERNE, CA 91750

909-596-7077

208872

Bid Additive 1 - Gym Electrical

422,500.00

1000000594

Division 23 - HVAC

Bid Additive 1 - Gym Electrical

In accordance with the requirements provided in the "Subletting and Subcontracting Fair Practices Act" Division 2 Part 1, Chapter 4 of the California Public Contract Code, the Bidder shall set forth hereon the name, the location of the place of business, Department of Industrial Relations registration number, and the California contractor license number of each subcontractor who will perform work or labor or render service to the prime contractor in or about the construction of the work or improvement, or a subcontractor licensed by the State of California who, under subcontract to the prime contractor, specially fabricates and installs a portion of the work or improvement according to detailed drawings contained in the plans and specifications, in an amount in excess of one‐half of 1 percent of the prime contractor's total bid or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one‐ half of 1 percent of the prime contractor's total bid or ten thousand dollars ($10,000), whichever is greater. The prime contractor shall set forth thereon the portion of the work (type and dollar value) that will be done by each subcontractor. The prime contractor shall list only one subcontractor for each portion as defined by the prime contractor in his or her bid. Information requested, other than the sub contractor's name, location of business, contractor license number and the portion of work that will be done by each subcontractor may be submitted by the prime contractor within 24 hours

License No. DIR Registration No. __________________________________

Conti Corporation Division 26 - Electrical

14 Morgan

Irvine, CA 92618 330,298.00

1067502 1000009634

TRL Systems

(949) 813-9819

695 S Glenwood Place

Burbank, CA 91506

(800) 266-1392

413747 1000006431

Section 283100 Fire Alarm and

Detection System

50,551.00

On Point Land Surveying, Inc

1000003100

1906 Orange Tree Lane Suite 240

Redlands, CA 92374 45,360.00

(909) 792-2221

Land Surveying

Lawrence Doors

4525 Littlejohn St

Baldwin Park, CA 91706

(626) 962-4163

13,003.60

Bid Additive 1 - Gym

Overhead Coiling Doors

574446 1000006213

New Star Constructrion Services, Inc.

2231 Cape Cod Way Santa Ana, CA 92703

(714) 441-0070

1037776

Section 06 40 23 - Architectural

Interior Woodwork

182,353.00

1000056859 hee.yang Typewriter N/A

1000061450

Plaster, and Bid Additive 1 - Gym

Interior Drywall, Shaftwall and Finish, 1039698

(714) 714-0855

Santa Ana, CA 92707

3885 S. Main St.

Jordan Drywall, Inc.

In accordance with the requirements provided in the "Subletting and Subcontracting Fair Practices Act" Division 2 Part 1, Chapter 4 of the California Public Contract Code, the Bidder shall set forth hereon the name, the location of the place of business, Department of Industrial Relations registration number, and the California contractor license number of each subcontractor who will perform work or labor or render service to the prime contractor in or about the construction of the work or improvement, or a subcontractor licensed by the State of California who, under subcontract to the prime contractor, specially fabricates and installs a portion of the work or improvement according to detailed drawings contained in the plans and specifications, in an amount in excess of one‐half of 1 percent of the prime contractor's total bid or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one‐ half of 1 percent of the prime contractor's total bid or ten thousand dollars ($10,000), whichever is greater. The prime contractor shall set forth thereon the portion of the work (type and dollar value) that will be done by each subcontractor. The prime contractor shall list only one subcontractor for each portion as defined by the prime contractor in his or her bid. Information requested, other than the sub contractor's name, location of business, contractor license number and the portion of work that will be done by each subcontractor may be submitted by the prime contractor within 24 hours

License No. DIR Registration No. __________________________________

C G Acoustics, Inc.

31100 Busby Rd

Winchester, CA 92596

Section 09 51 00 - Acoustical Ceilings

33,280.00

(951) 458-0011

951228 1000039217

JNJ Tile Co. Inc.

9713 Orange Ter.

Pico Rivera, CA 90660

Section 93 00 00 Tile

51,000.00

(562) 942-0519

665139 1000006128

254,145.00

Jpus Builders Corp

18000 Studebaker Rd Ste 700

Cerritos

657-263-2411

1082431

Carpentry, Misc. Earthwork, 280,605.00

1001009656

Revised 1-1-12: PCC 7106

NONCOLLUSION DECLARATION TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID

The undersigned declares:

I am the _______________ of __________________, the party making the foregoing bid.

The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on ________________________ [Date], at ________________________[City], ___________________ [State].

Vice President Exbon Development Inc.

June 2, 2023

Garden Grove California

WORKERS’ COMPENSATION CERTIFICATION

In accordance with California Labor Code Sections 1860 and 3700, I certify that I am aware of the provisions of Section 3700 which requires every employer to be insured against liability for worker’s compensation or to undertake self-insurance in accordance with said provisions before commencing the performance of the Work of this contract.

Contractor’s Name:

Signature of Contractor, or a corporate officer of Contractor, or a general partner of Contractor

Title: _______________________

Date: ______________________

6/2/2023

CITY OF LONG BEACH

CERTIFICATION OF SITE EXAMINATION

Each bidder shall be fully informed of the conditions relating to the construction of the work and the employment of labor thereon. Failure to do so will not relieve Contractor of the obligation to furnish all material and labor necessary to carry out the provisions of the Contract Documents.

Each bidder shall examine the site for the work described herein. Bidders shall attend a mandatory pre-bid inspection of the building and site, conducted by the City, if specified by the Special Provisions. Failure to attend the mandatory pre-bid inspection shall be cause for rejection of the bid.

This is to certify that I have examined the site and the bid is complete and there will be no additional payment for failure to examine the site thoroughly.

Date of Site Examination Company

Printed Name of Company Representative

Signature of Representative

Date

Hee Yang, Vice President

5/3/2023

INFORMATION TO COMPLY WITH LABOR CODE SEC. 2810

To comply with Labor Code Sec. 2810, Contractor shall complete and submit this Information Sheet which shall be incorporated into and be a part of the Contract:

1)

A.

B.

C.

D.

2)

A.

B.

C.

D.

E.

3)

4)

5)

6)

7)

8)

Workers’ Compensation Insurance:

Policy Number: ______________________________________________

Name of Insurer (NOT Broker): _________________________________

Address of Insurer: __________________________________________

Telephone Number of Insurer: __________________________________

For vehicles owned by Contractor and used in performing work under this Contract:

VIN (Vehicle Identification Number): ______________________________

Automobile Liability Insurance Policy Number: ______________________

Name of Insurer (NOT Broker): _________________________________

Address of Insurer: ___________________________________________

Telephone Number of Insurer: __________________________________

Address of Property used to house workers on this Contract, if any: __________

Estimated total number of workers to be employed on this Contract: __________

Estimated total wages to be paid those workers: __________________________

Dates (or schedule) when those wages will be paid: _______________________

(Describe schedule: For example, weekly or every other week or monthly)

Estimated total number of independent contractors to be used on this Contract:_

Taxpayer’s Identification Number: _____________________________________

BNUWC0158047

StarNet Insurance Company

P.O. BOX 9190, DES MOINES, IA 50306-9190

800-866-2308

5XYPG4A38KG432939

GMI043800

NATIONAL SPECILATY INSURANCE COMPANY

1900 L Don Dodson Drive Bedford, TX 76021

800-877-4567

13831 Newhope Street, Garden Grove, CA 92843

$200,000

Weekly

20-2692623

Rev 10-24-13

Exbon Development Inc. 6/2/2023

Rev 10-24-13

5/26/2022

LONG BEACH SBE PROGRAM (LBSBE) ACKNOWLEDGEMENT

REQUIRED OF ALL PROPOSERS/BIDDERS

(This acknowledgment will become part of the contract for the selected Proposer/Bidder)

The selected Proposer/Bidder’s performance towards goal attainment will be monitored throughout the duration of the contract, and the business enterprise achievement levels will be calculated at the end of the contract term.

Any reduction, increase, or other change to the SBE, VSBE, or LSBE Subcontract amounts stated on the submitted SBE-2 LBSBE Commitment Form without prior written approval of the City is considered an unauthorized subcontractor substitution, and the awarded Proposer/Bidder may be subject to a penalty. A subcontract dollar value increased or reduced solely as the result of a Change Order issued by the City to add or delete from the original scope of work shall not be subject to a penalty for an unauthorized subcontractor substitution.

Proposers/Bidders must list all LBSBE program certified subcontractors on the SBE-2 Form and include all requested information. The City will verify subcontractor SBE/VSBE/LSBE status during the responsiveness review.

PENALTIES:

Violation of the LBSBE Program Participation Instructions and Ordinance (ORD-11-0010) may result in financial penalties.

The City may withhold up to 10% of a progess payment until the contractor/consultant is brought into compliance.

REPORTING REQUIREMENTS:

The selected Proposer/Bidder shall submit monthly progress reports to the City Labor Compliance Division or their authorized representative. This report will list the SBE, VSBE, and/or LSBE subcontractors utilized during the reporting period. The City will not process or pay selected Proposer/Bidder’s subsequent invoices if the Subcontractor Utilization Reports are not submitted monthly as directed by Labor Compliance or their representatives.

The Contractor must submit the Final Subcontracting Report within fifteen (15) calendar days after a request for the report by the City.

CERTIFICATION

The Bidder/Proposer certifies that he/she has read and understood the LBSBE Program Participation Instructions and further certifies that, if awarded the Contract, he/she shall fully comply with the City's LBSBE Program.

Company Name, Address and Phone Number

Signature of Officer or other Authorized Representative Date

Print Name and Title of Officer or Other Authorized Representative

Project Title / Bid Number

Solicitation Name:___________________________________

Solicitation Number:_________________________________

This solicitation has the following combined LBSBE Goal_________%:

If awarded the contract, the selected Proposer/Bidder commits to achieving the LBSBE combined goal assigned to the solicitation by committing subcontracts as stated on the SBE-2 LBSBE Commitment Form submitted with the bid/proposal. If the contractor did not demonstrate goal attainment, then Good Faith Efforts shall be completed and submitted with the bid/proposal

LBSBE Attachment A

LBSBE Attachment A

Bidder/Proposer shall submit this Attachment A and Attachment B (SBE-2 Form) of these Bidder Instructions with their bid/proposal. If Attachment B does not demonstrate goal attainment, Attachment C (GFE) shall also be submitted with supporting documentation.

5.93 suji.ham Typewriter Fire Station 14 Workforce Privacy Project suji.ham Typewriter 3005010091 (R-7215 & B-4808) suji.ham Typewriter Exbon Development Inc. 13831 Newhope Street, Garden Grove, CA 92843 suji.ham Typewriter 6/2/2023 suji.ham Typewriter Hee Yang, Vice President suji.ham

Fire Station 14 Workforce Privacy Project, 3005010091 (R-7215 & B-4808)

Completed by: Bidder/Proposer Contact (please print or type) Phone #

Signature Date Email

BID #: Project Name: Date:

Combined SBE/VSBE/LSBE Goal % Assigned to Contract:

Prime base bid amount:

Prime Contractor/Consultant Name:

Business Name, City, State, Contact Person, Phone #

Indicate

“SBE”,"VSBE"

Indicate if Prime, Sub or Supplier

Brief Description of Work $ Value of contract

% of Total Prime

Base Bid

Ex #1: ABC Land Surveyors Long Beach, CA Mr. Joe Smith,

(562) 555-1212

VSBE,LSBE 1st tier sub Land surveying $100,000 20%

COLB SBE-2 FORM

LBSBE PROGRAM AWARDEE COMMITMENT PLAN

If awarded the contract, the Prime commits to subcontracting out to the following LBSBE certified businesses in order to meet or exceed the project specific combined LBSBE goal. If you as the Prime are LBSBE certified, be sure to include your business on the list. You must list all LBSBE certified subcontractors/subconsultants. LBSBE status will be verified by City staff. Fill out all fields. Failure to provide complete and legible information on this form may result in your business not receiving full credit. Utilize multiple copies if needed.

and/or,"LSBE"

LBSBE Attachment B

LBSBE Attachment B

Responses to the following questions will be verified by City Staff:

1)Have you committed to subcontracting out to a COMBINATION of SBE, VSBE, and LSBE businesses? Yes No

2)Have you demonstrated attaining the project specific LBSBE goal ? Yes No

3) If no to #2 above, did you submit Good Faith Effort as part of your bid/proposal? Yes No

SECTION 1

SECTION 2

TOTAL: $__________ _______%

5.93% hongkyun.yoon Typewriter Gama Contracting services, Inc.

South El Monte, CA 91733 Jose Sergio Duenas, (626) 442-7200 hongkyun.yoon Typewriter 3.6% hongkyun.yoon Typewriter

SBE

hongkyun.yoon Typewriter Subcontractor hongkyun.yoon Typewriter Abatement & Demolition hongkyun.yoon Typewriter $149,990.00 hongkyun.yoon Typewriter Marne Construction Santa Ana, CA 92705 Ernie Moreno, (714) 935-0995 x 141 hongkyun.yoon Typewriter

SBE

hongkyun.yoon Typewriter Subcontractor hongkyun.yoon Typewriter Concrete - Div 3 Exterior Improvement - Div 32 hongkyun.yoon Typewriter $115,618.00 hongkyun.yoon Typewriter Jordan Drywall, Inc.

Santa Ana, CA 92707 Joseph Jason Jordan, (714) 714-0855 hongkyun.yoon Typewriter

SBE

hongkyun.yoon Typewriter Subcontractor hongkyun.yoon Typewriter Interior Drywall Shaftwall & finish hongkyun.yoon Typewriter $167,180.00 hongkyun.yoon Typewriter 3.2% hongkyun.yoon Typewriter 2.5% suji.ham Typewriter 3005010091 (R-7215 & B-4808) suji.ham Typewriter Fire Station 14 Workforce Privacy Project suji.ham Typewriter 6/2/2023 suji.ham Typewriter Exbon Development Inc.

hongkyun.yoon Typewriter Roy E. Whitehead, Inc.

Riverside, CA 92509 Larry Christopher Bagley (951) 682-1490 hongkyun.yoon Typewriter

SBE

hongkyun.yoon Typewriter Subcontractor hongkyun.yoon Typewriter Door & Frame hongkyun.yoon Typewriter $106,124.00 hongkyun.yoon Typewriter Commercial Interior Resources Irvine, CA 92614 Kenneth Daniel Hurd, (949) 752-1470 hongkyun.yoon Typewriter

SBE

hongkyun.yoon Typewriter Subcontractor hongkyun.yoon Typewriter RPC Polished Concrete hongkyun.yoon Typewriter $57,691.00 hongkyun.yoon Typewriter 2.3% hongkyun.yoon Typewriter 1.2% suji.ham Typewriter X suji.ham Typewriter X suji.ham Typewriter Hee Yang, Vice President suji.ham Typewriter 714-539-2222 suji.ham Typewriter 6/2/2023 suji.ham bid@exbon.com

Completed by: Bidder/Proposer Contact (please print or type) Phone #

Signature Date Email

BID #: Project Name: Date:

Combined SBE/VSBE/LSBE Goal % Assigned to Contract:

Prime base bid amount:

Prime Contractor/Consultant Name:

Business Name, City, State, Contact Person, Phone #

Indicate

“SBE”,"VSBE"

Indicate if Prime, Sub or Supplier

Brief Description of Work $ Value of contract

% of Total Prime

Base Bid

Ex #1: ABC Land Surveyors Long Beach, CA Mr. Joe Smith,

(562) 555-1212

VSBE,LSBE 1st tier sub Land surveying $100,000 20%

COLB SBE-2 FORM

LBSBE PROGRAM AWARDEE COMMITMENT PLAN

If awarded the contract, the Prime commits to subcontracting out to the following LBSBE certified businesses in order to meet or exceed the project specific combined LBSBE goal. If you as the Prime are LBSBE certified, be sure to include your business on the list. You must list all LBSBE certified subcontractors/subconsultants. LBSBE status will be verified by City staff. Fill out all fields. Failure to provide complete and legible information on this form may result in your business not receiving full credit. Utilize multiple copies if needed.

and/or,"LSBE"

LBSBE Attachment B

LBSBE Attachment B

Responses to the following questions will be verified by City Staff:

1)Have you committed to subcontracting out to a COMBINATION of SBE, VSBE, and LSBE businesses? Yes No

2)Have you demonstrated attaining the project specific LBSBE goal ? Yes No

3) If no to #2 above, did you submit Good Faith Effort as part of your bid/proposal? Yes No

SECTION 1

SECTION 2

TOTAL: $__________ _______%

5.93% suji.ham Typewriter 3005010091 (R-7215 & B-4808) suji.ham Typewriter Fire Station 14 Workforce Privacy Project suji.ham Typewriter 6/2/2023 suji.ham Typewriter Exbon Development Inc.

hongkyun.yoon Typewriter Sav-On-Signs Long Beach, CA 90804 Jane Kelleher, (877) 493-5065 hongkyun.yoon Typewriter

SBE

hongkyun.yoon Typewriter Subcontractor hongkyun.yoon Typewriter Signage hongkyun.yoon Typewriter $9,414.00 hongkyun.yoon Typewriter 0.2% hongkyun.yoon Typewriter Stafford Environmental Services, Inc.

PO Box 927, CA 92085 Jeff Stafford, (760) 758-9747 hongkyun.yoon Typewriter 0.1% hongkyun.yoon Typewriter

SBE

hongkyun.yoon Typewriter Subcontractor hongkyun.yoon Typewriter Bird Control Devices hongkyun.yoon Typewriter $11,634.00 hongkyun.yoon Typewriter Suttles Plumbing & Mechanical Corp Simi Valley, CA 93065 Stephanie Anne Aguilar, (818) 718-9779 hongkyun.yoon Typewriter

SBE

hongkyun.yoon Typewriter Subcontractor hongkyun.yoon Typewriter Plumbing & Utilities hongkyun.yoon Typewriter $113,500.00 hongkyun.yoon Typewriter On Point Land Surveying, Inc.

Redlands, CA 92374 Tony Smith, (909) 792-2221 hongkyun.yoon Typewriter

SBE

hongkyun.yoon Typewriter Subcontractor hongkyun.yoon Typewriter Land Surveying hongkyun.yoon Typewriter $5,200.00 hongkyun.yoon Typewriter 0.2% hongkyun.yoon Typewriter 2.4% hongkyun.yoon Typewriter New Star Construction Services, Inc.

Santa Ana, CA 92703 Beshoy Wagdy, (714) 441-0070 hongkyun.yoon Typewriter 3.2% hongkyun.yoon Typewriter

SBE

hongkyun.yoon Typewriter Subcontractor hongkyun.yoon Typewriter Interior Woodwork hongkyun.yoon Typewriter $149,180.00 suji.ham Typewriter Hee Yang, Vice President suji.ham Typewriter bid@exbon.com suji.ham Typewriter 714-539-2222 suji.ham Typewriter 6/2/2023 suji.ham Typewriter X suji.ham

X

CERTIFICATION OF COMPLIANCE WITH THE

EQUAL BENEFITS ORDINANCE

Section 1. CONTRACTOR/VENDOR INFORMATION

Name: _____________________________ Federal Tax ID No.: ____________

Address: ________________________________________________________

City:________________________________State: _______ZIP: ____________

Contact Person: ______________________Telephone: ___________________

Email: ______________________________Fax: ________________________

Section 2. COMPLIANCE QUESTIONS

A. The EBO is inapplicable to this Contract because the Contractor/Vendor has no employees. _____Yes _____No

B. Does your company provide (or make available at the…