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HomeMy WebLinkAboutBid Proposal_RESCBIDDER'S PROPOSAL CITY OF DIAMOND BAR INSTALLATION OF THREE (3), TWO POST GABLE SHELTERS ON THE CANYON LOOP TRAIL CITY PROJECT NO. FP17500 Date May18 , 2023 To the City Council of the City of Diamond Bar: -----The Undersigned hereby declares: (a) That the only persons or parties interested in this proposal as principals are the following: Richard Schultz, President (Sole Officer) (If the bidder is a corporation, give the name of the corporation and the name of its president, secretary, treasurer, and manager. If a co -partnership, give the name, under which the co -partnership does business, and the names and addresses of all co-partners. If an individual, state the name under which the contract is to be drawn.) (b) That this proposal is made without collusion with any person, firm or corporation. (c) That he has carefully examined the location of the proposed work and has familiarized himself with all of the physical and climatic conditions, and makes this bid solely upon his own knowledge. (d) That by submitting this Bidder's Proposal, he acknowledges receipt and knowledge of the contents of those communications sent by the City of Diamond Bar to him at the address furnished by him to the City of Diamond Bar when this proposal form was obtained. (e) That he has carefully examined the specifications, both general and detail, and the drawings attached hereto, and communications sent to him as aforesaid, and makes this proposal in accordance therewith. 14 1293492.1 (f) That, if this bid is accepted, he will enter into a written contract for the performance of the proposed work with the City of Diamond Bar. (g) That he proposes to enter into such Contract and to accept in full payment for the work actually done thereunder the prices shown in the attached schedule. It is understood and agreed that the quantities set forth are estimates and that the unit prices will apply to the actual quantities whatever they may be. Accompanying this proposal is a certified or cashier's check or idder's bon payable to the order of the City of Diamond Bar in the sum o 10% of the total bid. DOLLARS ($ 10% of the total bid. ) Said bidder's bond has been duly executed by the undersigned bidder and by a financially sound surety company authorized to transact business in this state. It is understood and agreed that should the bidder fail within ten (10) days after award of contract to enter into the contract and furnish acceptable surety bonds, then the proceeds of said check, or bidder's bond, shall become the property of the City of Diamond Bar; but if this Contract is entered into and said bonds are furnished, or if the bid is not accepted then said check shall be returned to the undersigned, or the bidder will be released from the bidder's bond. 1767 North Batavia Street 714-649-2627 Address of Bidder Telephone Bid r Orange, CA 92865 City Zip Code Signature of B\1GNer 15 1293492.1 BID SCHEDULE CITY OF DIAMOND BAR CONTRACT DOCUMENTS AND SPECIFICATIONS INSTALLATION OF THREE (3), TWO POST GABLE SHELTERS ON THE CANYON LOOP TRAIL CITY PROJECT NO. FP17500 ITEM ESTIMATED DESCRIPTION UNIT NO. QUANTITY UNIT WRITTEN IN WORDS PRICE AMOUNT INSTALLATION OF THREE (3), 1 1 1 TWO POST GABLE SHELTERS ON 388,960.0C $88,960.00 THE CANYON LOOP TRAIL MANDATORY BID SCHEDULE ITEMS: TOTAL AMOUNT BID (IN FIGURES)—> $88,960.00 TOTAL AMOUNT BID, SCHEDULE (WRITTEN IN WORDS): Eighty Eight Thousand Nine Hundred and Sixty Dollars. Bid Schedule Note: Bid Price indicated refers to all items illustrated on the plans and details, and delineated within the specifications installed and completely in place with all applicable portions of the construction documents and include all costs connected with such items including, but to necessarily limited to, materials, transportation, taxes, insurance, labor, overhead, and profit, for General Contractor and Subcontractors. All work called for on the construction documents are to provide a completed project with all systems operating properly and ready for use. Award will be based on the items of Bid Schedule. Therefore, Contractor shall completely fill out Bid Schedule. Accompanying this proposal is Bidder's Bond (Insert "$ 10%of the total bid cash", "cashier's check" "certified check" or "bidder's bond as the case may be) in the amount equal to at least ten percent (10%) of the total bid. The undersigned further agrees that in case of default in executing the required contract, with necessary bond, within 16 1293492.1 ten (10) days, not including Sundays and legal holidays, after having received notice that the Contract has been awarded and ready for signature, the proceeds of the security accompanying his bid shall become the property of the City of Diamond Bar, and this proposal and the acceptance thereof may be considered null and void. R.E. Schultz Construction Inc. 5 18 23 NAME OF BIDDER (PRINT) SIGNATURE DATE 1767 North Batavia Street ADDRESS Orange, CA CITY 92865 714-649-2627 ZIP CODE TELEPHONE CSLB #1007195 - A, B, C-61/D34 STATE CONTRACTOR LICENSE NO. AND CLASSIFICATION I declare under penalty of Perjury of the laws of the State of California that the representations made herein are true and correct in accordance with the requirements of California Business and Professional Code Section 7028.15. CONTRACTOR SIGNATURE RIZED OFFICER 17 1293492.1 LIST OE SUBCONTRACTORS * BID OPENING DATE 5/18/23 PROJECT INSTALLATION OF THREE (3), TWO POST GABLE SHELTERS ON THE CANYON LOOP TRAIL PROJECT NO. FP17500 LOCATION Canyon Loop Trail r.T.TFNT Citv of Diamond Bar CONTRACTOR R.E. Schultz Construction, Inc. Name Under Which Subcontractor is Licensed License No. Address of Office, Mail, or Shop Percent of Total Contract Specific Description of Subcontract N/A -All work to be self -performed. * In compliance with the provisions of the Public Contract Code Section 4104, the undersigned bidder herewith sets forth the name, 18 1293492,1 location of the place of business, and California contractor license of each Subcontractor - who will perform work or labor or render service to the Prime Contractor, specially fabricates and installs a portion of the work or improvement necessary to complete construction contained in the plans and specifications, in an amount in excess of one-half (1/2) of one percent (1%) of the General Contractor's total base bid amount 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 (0.5%)of the Prime Contractor's total base bid or ten thousand ($10,000.00), whichever is greater, and the portion of the work which will be done by each Subcontractor. 19 1293492.1 DECLARATION OF ELIGIBILITY TO CONTRACT [Labor Code Section 1777.1; Public Contract Code Section 6109] The undersigned, a duly authorized representative of the contractor, certifies and declares that: 1. The contractor is aware of Sections 1777.1 and 1777.7 of the California Labor Code, which prohibit a contractor or subcontractor who has been found by the Labor Commissioner or the Director of Industrial Relations to be in violation of certain provisions of the Labor Code, from bidding on, being awarded, or performing work as a subcontractor on a public works project for specified periods of time. 2. The contractor is not ineligible to bid on, be awarded or perform work as a subcontractor on a public works project by virtue of the foregoing provisions of Sections 1777.1 or 1777.7 of the California Labor Code or another provision of law. 3. The contractor is aware of California Public Contract Code Section 6109, which states: (a) A public entity, as defined in Section 1100 [of the Public Contract Code], may not permit a contractor or subcontractor who is ineligible to bid or work on, or be awarded, a public works project pursuant to Section 1777.1 or 1777.7 of the Labor Code to bid on, be awarded, or perform work as a subcontractor on, a public works project. Every public works project shall contain a provision prohibiting a contractor from performing work on a public works project with a subcontractor who is ineligible to perform work on the public works project pursuant to Section 1777.1 or 1777.7 of the Labor Code. (b) Any contract on a public works project entered into between a contractor and a debarred subcontractor is void as a matter of law. A debarred subcontractor may not receive any public money for performing work as a subcontractor on a public works contract, and any public money that may have been paid to a debarred subcontractor by a contractor on the project shall be returned to the awarding body. The contractor shall be responsible for the payment of wages to workers of a debarred subcontractor who has been allowed to work on the project. 4. The contractor has investigated the eligibility of each and every subcontractor the contractor intends to use on this public works 20 1293492.1 project, and determined that none of them is ineligible to perform work as a subcontractor on a public works project by virtue of the foregoing provisions of the Public Contract Code Sections 1777.1 or 1777.7 of the Labor Code, or any other provision of law. 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 May 18 , 2013_, at Orange,, CA (place of execution) . Signature Dame : Richard Schultz Title: President, Sole Officer Name of Contractor: R.E. Schultz Construction, Inc. 21 1293492.1 BIDDER'S VIOLATION OF LAW/SAFETY QUESTIONNAIRE In accordance with Government Code Section 14310.5 and in conformance with Public Contract Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire: QUESTIONNAIRE Has the Bidder, any officer, principal or employee of the Bidder who has a proprietary interest in the business of the Bidder, ever been disqualified, removed, or otherwise prevented from bidding on or completing a federal, state or local government project because of violation of law or a safety regulation? YE NO X If the answer is yes, explain the circumstances in the following space: STATEMENT In conformance with Public Contract Code Section 10232, the Contractor, hereby states under penalty of perjury, that no more than on 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. NOTE: The above Statement and Ouestionnaire are part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. 22 1293492,1 CONTRACTOR'S INDUSTRIAL SAFETY RECORD Pro ect Identification CITY PROJECT NO. FP17500 INSTALLATION OF THREE (3), TWO MST GABLE SHELTERS ON TFIE CANYON LOOP TRAIL Bid Date 5/18/23 This information must include all construction work undertaken in the State of California by the bidder and any partnership, joint venture or corporation that any principal of the bidder participated in as a principal or owner for the last five calendar years and the current calendar year prior to the date of bid submittal. Separate information shall be submitted for each particular partnership, joint venture, corporation or individual bidder. The bidder may attach any additional information or explanation of data, which he would like, taken into consideration in evaluating the safety record. An explanation must be attached of the circumstances surroundina anv and all fatalities. ITEM 5 CALENDAR YEARS CURRENT PRIOR TO CURRENT YEAR YEAR 2018 2019 2020 2021 2022 TOTAL 2023 No. of Contracts 150 96 105 83 80 514 49 Total dollar amount of contracts in 1,000's $3 Mil $4 Mil $6 Mil $7 Mil $6 Mil $26 Mil $5 Mil No. of lost workday cases o 0 0 0 0 0 0 No. of lost work day cases involving permanent 0 1 0 0 0 1 0 transfer to another job or termination of employment No. of lost workdays 0 n 0 0 0 *The information required for this item is the same as required for columns 3 to 6, Code 10, occupational Injuries, Summary - Occupational Injuries and Illnesses, OSHA No. 102. The above information was compiled to me at this time and I declare information is true and accurate records. R.E. Schultz Construction, Inc. Name of Bidder (Print 1767 North Batavia St. Address Orange, CA 92865 City Zip Code from the records that are available under penalty of perjury that the within the limitations of these Signature �--� CSLB #1007195 - A, B, C-61/1)34 State Contractor's Lic. No. & Class 714-649-2627 Telephone 23 1293492,1 AFFIDAVIT FOR CO -PARTNERSHIP FIRM STATE \FCALIFORNIA )SS COUNTYLOS ANGELES ) sworn, deposes n That he is a memo being first duly d says: e of the co -partnership firm designated as which is the party makinvk the foregoing proposal or bid; that such bid is genuine and not collusi\shab m; that said bidder has not colluded, conspired, connived or agrectly or indirectly, with any other bidder or person to put ibid or that such other person shall refrain from bidding; andin any manner sought by collusion to secure any advantage agaCity of Diamond Bar or any person interested in the proposact, for himself or for any other person. That he has been and is ted with authority to make and sign instruments for the co-paby who constitute the other members of the co-parthership. Signature Subscribed and sworn to before me this day of WAS] Signature of Officer Administering Oath (Notary Public) 24 1293492.1 AFFIDAVIT FOR CORPORATION BIDDER STATE OF CALIFORNIA } }SS COUNTY OF LOS ANGELES } Richard Schultz being first duly sworn, deposes and says: That he is President Sole Officer of, R.E. Schultz Construction, Inc. a corporation which is the party making the foregoing proposal or bid; that such bid is genuine and not collusive or sham; that said bidder has not colluded, conspired, connived or agreed, directly or indirectly, with any other bidder or person to put in a sham bid or that such other person shall refrain from bidding; and has not in any manner sought by collusion to secure any advantage against the City of Diamond Bar or any person interested in the proposed contract, for himself or for any other person. J Signature Subscribed and sworn to before me this 16th day of M , 20 23 Signature of Officer Administering Oath (Notary Public) A'r+atary publlc or other officer completing this certificate verifies only the identify of the indiv€dital-who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document, State of California County of d Spbscribed and sworn t (or affirmed) before me on this ---14 day of P * =t h I 25 . , z� bye, �h,�-�i , .� 1293492.1 ,,proved to me on the basis ofsatisfactory a 'dence to b the ,person s} who ap red before me. SiEr€blrr� {Seafj ° r 3HAT,rnia Notary pdblii __- - - Orange CoCajifounty z Camrrtission 7 2286389 A n`v MY,omm, Expires may 23, 2Q23 AFFIDAVIT FOR INDIVIDUAL BIDDER %ATEFOCALfFORNZA)SS Y OF LOS ANGELES } duly sworn,\Qeposes and says: , being first That he is e party making the foregoing proposal or bid; that such bid is genui and not collusive or sham; that said bidder has not colluded, conspire connived or agreed, directly or indirectly, with any other bidder or erson to put in a sham bid or that such other person shall refrain f m bidding; and has not in any manner sought by collusion to secure any dvantage against the City of Diamond Bar or any person interested in t proposed contract, for himself or for any other person. Subscribed and sworn to before me this day of Signature Signature of Officer Administering Oath (Notary Public) 26 1293492.1 PAV40w.7a\IPP41M OAM1i3"MM IMMto) 0*1 STATE OF CALIFORNIA } )SS C61QNTY OF LOS ANGELES ) , being first duly swon, deposes and says: That he of, one of the partie submitting the foregoing bid as a joint venture and that he has been an is duly vested with the authority to make and sign instruments for and behalf of the parties making said bid who are: that such bid is genuine and not collusive or sham; that said bidder has not colluded, conspired, connive or agreed, directly or indirectly, with any other bidder or person to p\has sham bid or that such other person shall refrain from bidding; ot in any manner sought by collusion to secure any advantage he City of Diamond Bar or any person interested in the proposct, for himself or for any other person. Subscribed and sworn to before me this day of Signature 20 Signature of Officer Administering Oath (Notary Public) BOND No. 27 1293492.1 BID BOND NO. 11-327-518 KNOW ALL PERSONS BY THESE PRESENTS that, WHEREAS the City of Diamond Bar ("City"), has issued an invitation for bids for the work described as follows: Installation of Three (3), Two Post Gable Shelters Project No. on the Canyon Loop Trail WHEREAS R.E. Schultz Construction,Inc. 1767 N Batavia St, Orange, CA 92865 (Name and address of Bidder) ("Principal"), desires to submit a bid to Public Agency for the work. WHEREAS, bidders are required under the provisions of the California Public Contract Code to furnish a form of bidder's security with their bid. NOW, THEREFORE, we, the undersigned Principal, and U.S. Specialty Insurance Company, 801 S Figueroa St #700, Los Angeles CA 90017 (Name and address of Surety) ("Surety") a duly admitted surety insurer under the laws of the State of California, as Surety, are held and firmly bound unto Public Agency in the penal sum of Ten Percent of the Amount Bid In Dollars( 10% ), being not less than ten percent (10o) of the total bid price, in lawful money of the United States of America, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the hereby bounded Principal is awarded a contract for the work by City and within the time and in the manner required by the bidding specifications, entered into the written form of contract included with bidding specifications, furnishes the required bonds, one to guarantee faithful performance and the other to guarantee payment for labor and materials, and furnishes the required insurance coverages, then this obligation shall become null and void; otherwise, it shall be and remain in full force and effect. 32 1293492.1 NO. 11-327-518 In case suit is brought upon this bond, Surety further agrees to pay all court costs incurred by City in the suit and reasonable attorneys' fees in an amount fixed by the court. Surety hereby waives the provisions of California Civil Code § 2845. IN WITNESS WHEREOF, each of which shall for all purposes be deemed an original hereof, have been duly executed by Principal and Surety, on the date set forth below, the name of each corporate party being hereto affixed and these presents duly signed by its undersigned representative(s) pursuant to authority of its governing body. Dated: Mav 18, 2023 "Principal" R.E. Schultz Construction.Inc "Surety" U.S. Specialty Insurance Company i By: By: F G` Its Q17e5� eF1 Blake A . Pfister, Attorney -in --Fact By. Its By:___''? Its Note: This bond must be dated, all signatures must be notarized, and evidence of the authority of any person signing as attorney -in - fact must be attached. (Sea1) 1293492.1 33 (Seal) CALIFORNIA ALL-PURPOSE ACKWWLEDPaM ENT CWIL CODE § 1189 A notary public or q#w officer cwpW" this cartfcate verb only the iderrtityr of the mdWuai who shgned thu domwitto which tills coffaft Is attaeW, and not tee trutflfk rAm, accuracy, or validity of that dochi wds State of California ) County of .,. ,, Q r a n a e On May 11, 2023 beforeme, Lianne Nahina, Notary Public � Date Here Insert Name and Title of the Officer personally appeared 81 a k e A. Pfister Names) of aiggnar(s) who proved to me on the basis of satisfactory evidence to be the person(4) whose name(s) is/AV subscribed to the within instrument and acknowledged to me that he/MWWO/ executed the same in 00.01oft auftwized capacfty@W, and that by hW#M~ signature(b) on the instrument the person*, or tee en* _upon buff of which ft person* acted, exemited the iris#. umeft I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ey �L°�'"F LIANNE NAHINA COMM. a 2314283 X w w c � NOTA.Ry PUBUC.CALIFORNA X � ORANGE COUNTY Signature of Notary Public MY COMM, Exp, DEC 5, "23 Place Notary Seal Above ©P"ONAL Though this section Is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Dion of AftacW Doamee4 Title or Type of Document, Bid Bond 11 - 3 2 7 - 51 8 Document DOW:May 18, 2023 Number of Pages: 2 Signer($) Other Than Named Above: N / A , N o n e ICapacitY ) C need by "s) Stner's Name: Blake A. Pfister 0 Corporate Officer — Tiile(s): ® Partner e 0 Limited 0 General © Individual IN Attorney in Fact i3 Trustee D Guardian or Conservaior Other: Signer is Representing: U.S. Specialty Insurance Company Signer's Name: -----__ ® Corporate Officer -- Title(s): Partner --- 0 Limited ❑ General Individual 0 Attorney in Fact Tnistee 0 Guardian or Consavator * Other: Signer Is Representing: 02014 National Nobuy Association • www.Nationafttary,org • 1-800-US NOTARY (1-800-876-6827) Item #5907 TKIfJMARINE _ HCC POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S. SPECIAL LY IN�URAN F COMPANY = KNOW AL[ZMSN BY=THESE PRESENTS: That AmericanContractors California corporaton _Texas Bo Oft Company, an assumed name of American 'Contractors Indemnity CompaWUnWd States Surety Company, a Maryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the "Companies"), do by these presents make, constitute and appoint: --Blake A. Pfister of Mission Viej o, California its true and lawful Afforney(s) m fact EMft3n tholrs��aratl�capacity if more than one pis married; above, with fulEptiMr and auft ty hereby conferred in its name, p196"riTstead, Wexecute, acknowledge. and deliver any and all bond"cst nizanceg undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed *****Five Million***** Dollars --- (-***$5,000,000.00***-).- This -Power of Attorney shall expire without -further action on -January 3131,2024-This Power of Attorney is granted under and -by authority of the following resolutions adopted by the Boards of Directora0the Companies: @e rEEesOlveOa the President, any Vice -Presidents aoy Assistant Vice-PresidenUny Secretpry areniy�i �sistant Secretaryr a a and is hereby _ - v✓ested w7th full� omairand authority to appoint anyone or more suitable persons g Attar�r2a ra resent and act for and`on bgKilf of_ -the Szommpany subject to the following provisions.; - - - Attomey-in-Fact maybe given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling .or -terminating the Company's liability thereunder, andany such instruments so executed by any such Attorney -in -Fact shall be binding_upon -ahe Company lg ped by the PresidenCand saaled andiefli by the Corporate Secretary BErf dMiinifi t the signature ofany-adhonzed-officer and seal of the Company heretofore or hereafter affixed to any p iiiKofsttft orb _=eertifloateTelatiarthereto by facsimile,�jr�ttorney or certificate bearing facsimile'signature or facsimile seal s ah Lbl evaltidand=_binding upon the Company with respect to any bond or undertaking to which it is attached. - IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 2314 day of September, 2021. AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS B�NDINWCOMPANY — - - UNITED STATES SURETY COMPANY U.S. SPECIAlf"SURANCEOOMPANY - 3'*RpcioMb*9b SOaC'!'p.RP98URFt Mate of California 4'�'j "t*Og , /� *tO}�} aA" ''i`n�"*r — F. 4Yi NMWOMH �p$Wi1 � 1Y FO Count of Los Angeles t s z 4 r t . .?e .w•, 1n. =m�,. a,, a � s .� � By: Y 9 A Notary Public or other officer completing this cerfihcate verifies only the identity of tog individual who signed the docum�ntto m i whtchThis Fertificate is attached, and�rotfhe�nrthCutnessLaccuracy or validity of,thi3t dgctt pntl, On this 23rd day of September, 2D21, bbforeere, D. Littlefield, a notakyiputlic, personally "'appeared Darnel L AgullarVee President of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrumenttheperson, or the entity upon behalf of which the person acted, executed the instrument. l9perhfumdW RENALTY OF PERJURY under the laws of the State of California=thy theforeffing paragraph is trueandfdorfpcEZ - 6. U"rTLFr1El0 WITNESS my hand and offig4l seal. > ; -xvllrarnlP v . mr u. m. cAMT"na+n ] I,]UE4 Signature (seal) 1_Kio Lot Assistant Secretary o Amencan Jcontracfdfisi Indemnity Company, Texas Bonding Company Un t States Surety— Company and U.S.-Specialty InsurariceMMmMA0(prey certify that the above and foregoing1s a true and correct cow of a Power �rney-ezecuted by said Compantes,11hidFri"till`in full force and effect, furthermore, the resolutions of theBoards of Directors=, set out in the Power of Attorney are in full force and effect. In1Witness Whereof, I have hereunto set myhandand affixed the seals of said Companies at Los Angeles, California this -day Of— y Corporate Seals - optpPpro, 3 6 pIN°C* Pt�58TRFp3 ' ,6a - Bond N 1'1-327-5'1 8>°t ltcge o' z y — _ x a of1tt v - 4 evaowaeo £ v s b 2v j," a t t' Agency N0. 3074` c:&P�q �r°j° ` .. *, s. Kioto, A�ssi Secretary o ,N oiKi„ amum„,,s'" .Doom, *ot„"" --_ — - - H6G'SMARPM9/26P visit tmhowwrti/surety for more information ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ba--5�R!L ) On psi i QI Z-o before me,S t-tl<enh • P-- I�h�ii k'3 Ou e - (insert name and title of the officer) personally appeared i\ i c h-, vdl • 5 !� h ct I fiZ who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. . I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. suKEru R. nNnrr Notary Public -California Orange County; �� Commission A 2286389 sue"' My Cornet. Expires May 23, 2023 Signature r (Seal) •r CERTIFICATION OF NON—DISCRIMINATION AND AFFIRMATIVE ACTION As suppliers of goods or services to th listed below certifies that it does not with regards to race, religion, sex, or compliance with all federal, state, and orders regarding non-discrimination in pursue an affirmative course of action action guidelines. We agree specifically: e City of Diamond Bar, the firm discriminate in its employment national origin; that it is in local directives and executive employment; and that it will as required by the affirmative 1. To establish or observe employment policies which affirmatively promote opportunities for minority persons at all job levels. 2. To communicate this policy to all persons concerned including all company employees, outside recruiting services, especially those serving minority communities, and to the minority communities at large. 3. To take affirmative steps to hire minority employees within the company. FIRM R.E. Schultz Construction, Inc. TITLE OF OFFICER SIGNING Presid Sole Officer SIGNATURE �!/� DATE 5/18/23 Please include any additional information available regarding equal opportunity employment programs now in effect within your company: R.E. Schultz Construction, Inc. is an Equal Opportunity Employer. Employment opportunities at R.E. Schultz Construction, Inc. are based upon one's qualifications and capabilities to perform the essential functions of a particular job. All employment opportunities are provided without regard to race, religion, sex, pregnancy, childbirth or related medical conditions, national origin, age, veteran status, disability, genetic information, or any other characteristic protected by law. This Equal Employment Opportunity policy governs all aspects of employment, including, but not limited to, recruitment, hiring, selection, job assignment, promotions, transfers, compensation, discipline, termination, layoff, access to bene its and training, and all other conditions and privileges of employment. e Company will provide reasonable accommodations as necessary and where required by law so long as the accommodation does not pose an undue hardship on the business. This policy is not intended to afford employees with any greater protections than those which exist under feera ,sae or local law. R.E. Schultz Construction, Inc. requires the reporting of all instances of discrimination and harassment, and prohibits retaliation against any individual who reports discrimination, harassment, or participates in an investigation of such 1293�392rt. R.E. Schultz Construction, Inc. will take approp4ate disciplinary action, up to and including immediate termination, against any employee who violates this policy. CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS The bidder X , proposed subcontractor , hereby certifies that he has X , has not , participated in a previous contract or subcontract subject to the Equal Opportunity Clause, as required by Executive Orders 10925, 11114, or 11246, and that he has X , has not , filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filing requirements. R.E. Schultz Construction, Inc. (COMPANY) lA President, Sole Officer (TITLE) DATE: May 18 , 2023 NOTE: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7 (b) (1), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the Equal Opportunity Clause. Contracts and subcontracts which are exempt from the Equal Opportunity Clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt). Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7 (b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period of such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. 1293492.1 NON -COLLUSION DECLARATION (TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID) PROJECT NAME: INSTALLATION OF THREE (3), TWO POST GABLE SHELTERS ON THE CANYON LOOP TRAIL The undersigned declares: R.E. Schultz Construction, Inc, I am the President, Sole Officer 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 5/16/23 [date] , at Orange [City] , CA [state] . R.E. Schultz Construction, Inc. F7� Richard Schultz Business Name Signature of B' er (must be notarized) 2 1293492.1 Business Address Attach Notary Acknowledgement Form to this form when submitting. 3 1293492.1 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of -®ems' ) On �:d I C. before me, Su Ke-- +4 - �. j3�9 1 I %�Q �6 J" (insert name and title of the officer personally appeared :5j=-hg I T'Z who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. . I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature&JCA (Seal) SIIHETU R, UHATI" �. Notary PIANIC- Callfornia z x Orange County Commission y 2286389 }yq� My Comm. Expires May 23 2023 EXPERIENCE STATEMENT To be responsive, the bidder must list below a minimum of three public agencies for which bidder has performed similar work within the past five years. only projects in excess of $50,000 each qualify as similar for this project. 1. Project Title Elementary School Shade Structure Project @ 15 School Sites Contract Amount 51,243,807.00 Type of Work Installation of shade structures. Client Palm Springs Unified School District Agency Project Manager Kent Hems Phone 760-883-2710 Date Completed 9/2019 % Subcontracted 0% 2. Project Titie Furnish & Install Shade Shelters Group lA & 113 Contract Amount $894,205.00 Type of Work Furnish and install shade shelters. Client -';anDiggo Unified School District Agency Project Manager Jim LeBeau Phone 858-361-7503 Date Completed 12/2020 % Subcontracted 4% 3. Proj ect Title Shade Structure Replacement at Manzanita Park Project 333 Contract Amount $55,650.00 Type of Work _Shade Structure Re lap cement Client City of Cypress Agency Project Manager Nick ManRkalakiri Phone (714) 229-6746 Date Completed 312023_ o Subcontracted 0% NOTE: If requested by the City, the bidder shall furnish a certified financial statement, references, and other information sufficiently comprehensive to permit an appraisal of his urrent financial condition. Bidder's Signature 9 1293492.1 QQ "'�7 Request for Taxpayer Give Form to the Form (Rev. October2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service ► Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. R.E. Schultz Construction, Inc. 2 Business name/disregarded entity name, if different from above �P 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the Y 4 Exemptions codes apply only to P� { PPY Y C following seven boxes, certaln entities, not individuals; see o- o ❑ Individual/sole proprietor or ❑ C Corporation ✓❑ S Corporation ❑ Partnership ❑ Trust/estate instructions on page 3}: aiLa single -member LLC Exempt payee code (if any) CL ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► o Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting w LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is LLC that is disregarded from the for U.S. federal Otherwise, code if an { y} a o another not owner tax purposes. a single -member LLC that w is disregarded from the owner should check the appropriate box for the tax classification of its owner. y ❑ Other (see instructions) ► (Applies to accounts m infalned outside the U.S) y5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional) m rn (optional) JED Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box, The TIN provided must match the name given on line 1 to avoid social security number backup withholding. For individuals, this is generally your social security number (55N). However, for resident alien, sole proprietor, or disregarded entity, see the instructions for Part 1, later. For other _ m - entities, it is your employer identification number (EIN). If you do not have a number, see Now to get a TIN, later. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and j Employer identification number Number To Give the Requester for guidelines on whose number to enter. Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for fart II, later. Sign Signature of Date ► 1 /10/2023 General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1099 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat, No. 10231X Form W-9 (Rev. 10-2018) A077'952'1 -7 Q7 Certificate of Amendment Of Articles of incorporation The undersigned certify that: FILED Secretary of state State of California JAN 0 7 2016 ( i 1 Q, 1. They are the President and the Secretary, respectively, of RES ENTERPRISES, INC., a California corporation. 2. Article I. of the Articles of incorporation of this corporation is amended to read as follows: The name ofthe corporation Is R.E. Schultz Construction Inc. 3. The foregoing amendment of Articles of Incorporation has been duly approved by the board of directors. 4. The corporation has issued no shares. We further declare under penalty of perjury under the laws of the State of California that the matters set forth in this certificate are true and correct of our own knowledge. DATE: J �)'oj (' Richard Schultz, Presi nt Richard Schultz Secret Senders Contact Information: Richard Schultz 2914 E. Katella Ave #102 Orange CA 92867 714-649-2627 Entity #C3779421 transcript Of !� t�91 thean8 *.a full, true an41 oo �(� c�Rfo°r ecord fn tho arstody of ft mfa Sacforary or stale's office. Date: ALEX Ai1tLLr1 5ecreta ry of Stets !!n CONTRACTORS STATE LICENSE BOARD !!:2. 0 C)Contractor's License Detail for License # 1007195 DISCLAIMER: A license status check provides information taken from the CSLB license database, Before relying on this information, you should be aware of the following limitations. CSO rompW,,l disclos,r ,restricted by I8 (HIP 7124.61 If Ibis en l ityi—hjec: to a.hki lolaidI diStos5 ciir40n linkthdtwill appear below ter more In lanna Non. Click I-. 1pr a dehrdiimr of ifl ld-.W dcVon.. Onl;centunion related-Apdgmnnls rvp—d m L51.5 a disclosed Ia.LP 7011.1:1. ar6rlr.�lians are nvY listetl unless the cen[rac:vr 1141de aci wah the leans. Qne to r:orL.Ivad, there may be releuarrt iniormativn lM1al M1asnat,. haenenlered inm the lkc inch W,,- Data current as of 5/18/20231:22:01 PM RE SCHULTZ CONSTRUCTION INC .1767 N BATAVTA ST ORANGE, CA WHG5 Busines3 Phone 14umbec17L4) 644-2427 Entity Corpmalinn Issue Date 09120/2015 Expire Date 9913012023 L1fcr15� f�itl This license is current and active. All information below should be reviewed. A-GEN`.RALENGVIE£RING r C-51/034-PREFABRICATED EQUIPMENT 1 9 - GEN=_RAL BUILDING Gias�;il�.ahan. Ban,yirn,i fn'orrna pn Ceinti aster's Bond This lirnnse filed a Conbador's Bond with AI.IEfICAN CO'ITRACTOR51NDEIANFn COMPANY. Bond Numbers 100320462 Bond Amount: 525,00n Effective Date: 01/01/2023 CanU-I. 's Bond History Bond of QNalifyiog Individual r This license filed Bond of Qualifying Individual number 2D07317181or CHRISI.EETHOMAS in Hilo amountof S25,00n with AMERICAN CON TRACTORS INDESI NIT) COMPANY. Effective Data: 03/071223 BQI's Bond History r The qualifying individual RICHARD EARL SCHULTZ cenified that ho/she owns 10percent in more of Nlevoting stocklmembership interest of this company; therefore, Lhe Bond of Qualifying Individual Ts not required - Effective Date; 06/24/1016 BQI's Bond History y;+'orke3 <;ampan5a5oli This license has workers—persation insurance with the INSHRANCF COMPANY OF TI IE WEST Policy Number:Iy5D50h9120171 Effective Data: 04/1412022 Expire Date04714R024 WorkersCompensation History r Persannel listed on this license (current nrdfsassodntedl are listed on ocher licenses. El_:, �_ To-, Cu.�l�' 7n� rIi Ilse P. I Copyright L7 2023 State of California :ontractor Information Legal Entity Name R.E. SCHULTZ CONSTRUCTION, INC Legal Entity Type Cmpomtion Status Active Regbtretlon Number 1000033385 Rai istmtlon armed. data 7/1/2022 Registratlon expiration date 6/30/2024 Mailing Md.. 1767 N. BATAAA SL ORANGE 92865 CA United States of America Physical Address 1767N. BATAAA Si ORANGE 92865 CA United States of Americo Email Address Trade Name/DBA R.E. SCHULTZ CONSTRUCTION, INC License Mambeds) CSL8:1007195 CSLB:755160 corporation Number. Federal Employment Identlrcatlon Number. President Name: Ace President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Mama: Agent of service Mailing Address: Richard Schrdlz Richard! Schultz 1767 N Batavia St Orange 92865 C4 United States of America Workers Compensation Do you lease employees through Professional No Employer Organization (PECi Please provide your current workers compensation Insurance information below: PEO PEO PEO PEO lnformetioni Phone Email Insured by Carrier Policy Holder Name: R E SCHULTZ CONSTRUCTION, INC. Insurance Carrier: Insurace Company Cr The West Policy Number: WSD5065120-00 Inception date: 4/14/2022 Expiration Date: 4/14/2023 Registration History Effective Dale Expiration Di 5/25/2018 6/30/2019 5117/2017 6/30/2018 5/3/2016 6/3012017 12/2912015 6130/2016 7/112019 6/3012021 7/112021 6/30/2022 7/1/2022 6/30/2024 Lm 0 CL W0le t U m N a CERTIFICATE OFACHIEVEMENT Awarded to; Rick Schultz Has completed the RECREATION INSTALLATION SPECIALIST CERTIFICATION COURSE This certificate of achievement is valid for the above individual who has successfully passed the required training as set by the National Playground Contractors Association, Inc. 2022-1272 Certificate Number RISC •NPCA1 Recreation Installation Speciatist C F R T I F I C A T 10 N NATIONAL PLAYGROUND CONTRACTORS ASSOCIATION WG. 12/31 /2024 Expiration Date Edward Miller, Jr., NPCAI Chairman 12/31 /2021 Issue Date