HomeMy WebLinkAboutArmstrong_bid proposalEXPERIENCE 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 $500,000 each
qualify as similar for this project.
Project Title Gateway Park Improvements
Contract Amount $540 233.50
Improvements to the landscaping, irrigation
Type of Work and landscape walls at Gateway Park
Client City of Newport Beach
Agency Project Manager Tom Sandefur Phone 949 644 3321
Date Completed 07/23/2023 %Subcontracted
2. Project Title Cabrillo High School Structural Repairs(Bldg. 1100)
Contract Amount $1 186 000,00
Provide labor, materials & equipment for the structural repairs to bldg. 1100, ADA restroom
Type of Work upgrades to bldg.1000 other various upgrades at Cabrillo High School.
Client Long Beach Unified School District
Agency Project Manager Steven Ross Phone 562-997-7750 x 1418
Date Completed 04/22/2024 °/g Subcontracted 39%
3. Project Title Nutrition Services Seismic Upgrade Ph. 2
Contract Amount $837,000000
Voluntary seismic strengthening to provide wall achorage systems, steel braced frames, and freight
Type of Work elevator wall improvements to reduce the potential for structural damage in an earthquake.
Client Long Beach Unified School District
Agency Project Manager Sherry Turner Phone562-997-7550 x 1330
Date Completed 08/31/2023 °/g Subcontracted 15%
NOTE: If requested by the City, the bidder shall furnish a certified financial statement, references,
and other information sufficiently comprehensive to permit a ppraisal of his current financial
condition.
Bidder's Signature
1293492.1
BIDDER'S PROPOSAL
CITY OF DIAMOND BAR
MAPLE HILL PARK IMPROVEMENTS PROJECT
CITY PROJECT NO, FP23506D
Date July 11 20 24
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:
Armstrong Cal Builders Inc.
Shawn Salab President/CEQI Secrejary, Treasurer, Manager
(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 orcorporation.
(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.
(fl 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.
12
1293492.1
Accompanying this proposal is a certified or cashier's check or bidder's bond, payable to
the order of the City of Diamond Bar in the sum of
DOLLARS ($ )
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, orthe bidderwill be released from the bidder's bond.
PO Box 249 562-837-8130
Telephone of Bidder
Address of Bidder
Stanton CA 90680 Sign re of Bidder
City Zip Code
13
1293492.1
BID SCHEDULE
CITY OF DIAMOND BAR
CONTRACT DOCUMENTS AND SPECIFICATIONS
MAPLE HILL PARK IMPROVEMENTS PROJECT
CITY PROJECT NO. FP23506D
14
1293492.1
No Descnption Estimates Unit Prce
✓ amount
Quantity
Allow
5 concrete vvemwa
6 Retainin Wall at Handicap Re
7 Ram at Tot -Lot
8 ADA Ram In To Tot -Lot
g 8" x 18" Plav Area Curb _
10 18" Dee Pla Area Mulch
11 12" Concrete Banding
12 18" Concrete Bandin at Tot-L
Concrete Handicap Ramp at t
13 Stalls w/ Tact Tile Strip
14 3' Rock Cobble Sanding
15 6" Concrete Curb at Ram
16 6" Concrete Mow Curb
17 Galvanized Steel Guard Rail
Galvanized Steel Guard Rail
18 Ramp
19 Galvanized Steel Handrail at
.,A ir.nixinni7ed Steel Handrail at
at
25
26
36 18" S uare uram inn
37 18" Concrete "V" Gu
r I I ; I b t
T7Domestic W stet Lirn
nn tronntiron Water line
1
p t^
1 LS 8' 6as. " O
U0
607 SF ? • &0
1 LS 0 a
73 LF 2 . d•O 12
200 LF 9?5a."
123 CID
LF .Z S$ , C7'O 3ps - o
2 EA lk Lion
EA CtBow
2
1 LS i
1 LS S S S6
286 SF
24 LF e9 O offlO
1 LS 2
�yd 0.00.6to
1 EA
1 EA
6 EA r
3 EA 2 r
600 .
&0
206 LF
42 LF
14 CY f) D
41072 EA a
2 r� Q od
2 EA 2 va a aia. one)
79 LF
175 LF a 3
118 LF i.i 2Ar .a
MPannel
ktlow Preventer w/ Ca e
l Meter
l PannelLi htPannelourt Li ht Pannelmestic Water Meter
+vita a�
50
51
52
53
54
2
tH
1
EA
1
LS
1
LS
1
LS
1
LS
9,150
�r
1
EA
9,150
SF
9,150
SF
7,512
SF
183
EA
97
EA
7
EA
F�a
SF
MANDATORY BID SCHEDULE ITEMS:
TOTAL AMOUNT BID (IN FIGURES)—> Ellf7c?or73�, PO
TOTAL AMOUNT BID, SCHEDULE (WRITTEN IN WORDS):
IVtne O ed Tim rw Th,�vtSa.,� �Ser Hum -vet
rn !
Bid Schedul ote: Bid Price indicate 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 10%
(Insert' $ cash", "cashier's check", "certified check", or
i ers on 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 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.
NAME OF BIDDER (PRINT)
ADDRESS
Rtantnn
.TURF
CA 90680
CITY ZIP CODE
17
1293492.1
TE
562-837-8130
1-ELEPHONE
LIST OF SUBCONTRACTORS
BID OPENING DATE 07/11/2024
PROJECT Maple Hill Park Improvement Project PROJECT NO, FP23506D
LOCATION 1355 Maple Hill Road Diamond Bar CA 91765
CLIENT City of Diamond Bar
CONTRACTOR Armstrong Cal Builders Inc.
arne unuoi .•,,,�, - -- - - of
Subcontractor is No.
Licensed & Place of Business
Team GUcc F
cohfrr c't'^ g
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Scup-e I n G•
CrocSfow»
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1)0
of of
Total Subcontract
Contract
�•encirl j
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614 e I:frl «I
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Prc�ab ��
* In compliance with the provisions of the Public Contract Code Section 4104, the undersigned
ccbiddr ontra for herewith
cense of each Subcontractor — who will perform work or labors or California
19
1293492.1
990992 A B
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 the requirements
� nts of CallfOr"lla Business
and Professional Code Section 7028.15.
Shawn Salah Pres ent/CEO `� v
CONTRACTOR SIGNATURE OR AUTHO D OFFICER
m
1293492.1
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(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
poonthe Contractor's total
whack bid
dlt or ten thdoneousand
dh 10,00ot ae for hichever is greater, and
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:
The cntractor the
1 wh choprohibit la acontract Sections
ware of orsubcontractor dwho 7has fbeen Cfound ' Labor byhLabor
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 po rfs ns of Sectionubcont 1ctoo�r
on a public works project by virtue of the foregoing p
1777
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
rks
Code to bid on, bbl c works projectperform hall contain a provision prohibiting publicactor on, a contractor
project. Every p
a public works project with a subcontractor who is
from performing work on
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
ctorwho has been allowed to work on he project porkers of a
debarred subcontra
ty of each and
every subcontractor the
4 The contractor has contractor intends to use eongthis public worksated the ) project wand dete m ned that none of them
is ineligible to perform work as a subcontractor on a public works project by virtue of the
FIE
1293492.1
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 f foregoing is
true and correct. Executed this day of J'1 11
(place of execution).
Name: Shawn Salah
Title: President/CEO
Name of Contractor:
Armstrong Cal Builders 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 101621 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?
YES
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:
this Statement and Questionnaire.
certifier to criminal prosecution.
1293492.1
2z
CONTRACTOR'S INDUSTRIAL SAFETY RECORD
Project Identification PF23506D
Bid Date 07/11/2024
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 ri 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 surrounding any and
all
ITEM
No. of Contracts
Total dollar amount
of
No. of lost workday
No. of lost work day
cases
involving permanent
transfer to
another job or
termination of
19
N/A � $500K
N/A I N/A
EARS
5 CALENDAR Y
$850K �$750K
N/A I N/A
CURRENT
$8.343M I$1o.443M1 $4.140M
No. of lost worKda s NiH ���„ -
*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 from the records that are available to me at this time and I
information is true and accurate within the limitations of
declare under penalty of perjury that the
these records.
Armstrong Cal builders Inc.
Name of Bidder (Print
PO Box 249
Address
Stanton CA 90680
City Zip Code
1293492.1
990992 A 13 T
State Contractor's Lic. No. & Class
562 837 8130
Telephone
23
N/A
STATE OF CALIFORNIA
AFFIDAVIT FOR CO -PARTNERSHIP FIRM
COUNTY OF LOS ANGELES
)SS
being first duly sworn, deposes and says:
That he is a member of the co -partnership firm designated as
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
collusion to secure any
nst the
Citybidding;
Diam Diamond Bar or any person and has not in any rinte intersought ested the proposed contract, forahim elf orntage lfor any
other person.
That he has been and is duly vested with authority to make and sign instruments for the co-
partnership by
who constitute the other members of the co -partnership.
Signature
Subscribed and sworn
to before me this
1293492.1
day of 20
Signature of Officer Administerin (Not ry Public)
11
STATE OF CALIFORNIA
AFFIDAVIT FOR CORPORATION BIDDER
COUNTY OF LOS ANGELES
Shawn Salah
)SS
being first duly sworn, deposes and says:
That he is PresidenUCEO
of, Armstron Cal Builders 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.
Subscribed and sworn
to before me this
Signature of
I293492.1
Sig
zs
ing Oath
Public)
notary public or other officer completing mis
;rtificate verifies only the identity of the individual
no signed the document to which this certificate
attached, and not the truthfulness, accuracy, or
State of C Orange
County of g
Subscribed and sworn to (or affirmeshawnfsalahme on this
day of July 20 24 , by
proved to me on the basis of satisfactory evidence to be the
person(s) who appeared before me.
JO•AN GUINO AEEVEs
Notary Public • California
Orange County
Commission d 2436731
My Comm. Expires Jan 31, 2027
10th
N/A AFFIDAVIT FOR INDIVIDUAL BIDDER
STATE OF CALIFORNIA )
)SS
COUNTY OF LOS ANGELES )
being first duly sworn, deposes and says:
That he 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.
Signature
Subscribed and sworn
to before me this
Signature of Officer Administering Oath
(Notary Public)
26
1293492.1
N/A AFFIDAVIT FOR JOINT VENTURE
STATE OF CALIFORNIA )
)SS
COUNTY OF LOS ANGELES )
being first duly sworn, deposes and says:
That he
of,
one of the parties submitting the foregoing bid as a joint venture and that he has been and is
duly vested with the authority to make and sign instruments for and on 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,
with any other bidder or person to put in a sham bid or
connived or agreed, directly or indirectly,
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.
Signature
Subscribed and sworn
to before me this
1293492.1
day of , 20
Signature of Officer Administering Oath
(Notary Public)
BOND No
BID BOND
KNOW ALL PERSONS BY THESE PRESENTS that,
WHEREAS the City of Diamond Bar ("City"), has issued an invitation for bids for thework
described as follows:
nnnnie Hill Park Improvements Project City
WHEREAS Armstrong Cal Builders Inc.
f•T
("Principal"), desires to submit a
me and address of Bidder)
to Public Agency for the work.
No.FP23508D
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 Employers Mutual Casualty Company
16150 N Arrowhead Fountains Drive Suite 350, Peoria, AZ 85382
(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 amount bid
Dollars($ 10% 1, being not less than ten percent (10%) 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.
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.
32
1293492.1
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: July 1, 2024
"Principal"
Armstrong Cal Builders I
::2ji
By: SNaum Sc,�a� t t'pcticti IC�u
Its
By:
Its
"Surety"
Its
Note: This bond must be dated, all signatures must be notarized, and evidence of the authority
of any person signing as attorney4n4act must be attached.
(Seal)
tz9349z.t 33
(Seal)
STATE OF CALIFORNIA
IIDEpA RTMENT OF INSURANCE No
SAN FRANCISCO
Amended
Certificate ®f Authority
THIS IS TO CERTIFY THAT, pursuant to the Insurance Code of the State of Cnhfm nin,
Mutual Casualty Company
L'mployers
Of Des Moines, Iowa
agmtized undw• the
talus of
Iowa , subject to its Articles of Incorporation or
otherf nidainental olgaaizational dowanents, is hereby authorized to transact within the Slate, subject to
all prnvisiolls of this Certhcate, the follolyirtg classes of insura leer Fire, Marine,
Surety, Disability, Plate Glass, Liability, workers' Compensation,
Common Carrier Liability, Boiler and Machinery, Burglary, Sprinkler,
Team and Vehicle, Automobile, Aircraft, and Miscellaneous
as such classes are now or pray hereafter be defined in the Insurance Laws of fire State of Cal{'fbrnia.
THIS CERTIFICATE it expressly condiliolted upon the holder hereof rtoly and hereafter being in
fill/ compliance with all, and not in violation ofany, of rile applicable laws and lawful requirements made
under authority of the laws of the State of California as long as such laws or regnirentents are Ill effect
and applicable, and as such laws and requirements now are, or may hereafter be changed or amended.
IN WITNESS WHEREOF, effective ns of the 4 th of ---
March 2003 ,(have hereunto
day
set my hand and caused my official seal to be aglxed this
4th day of March 2003
��'
lay
for
NOTICE:
Quuliticnlion with the Secretary oCStale masl6e accomplished ns reauimd by
aher issuance of This Certifwnle of Authority. Failure to do so Will he n violntir
grounds for revoking this CcrtiOcntc of Authority pursuant to the convennnts mode In the application lhereFor ono me
conditions contained herein. osvoo osaat
vnum aw
p.0. Box 712 • Des Molnes, Iowa 50306.0712
�mc.
INSURANCE
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
KNOW ALL MEN BY THESE PRESENTS, that.
1. Employers Mutual Casualty Company, an Iowa Corporation
2. EMCASCO Insurance Company, an Iowa corporation
C m an of Providence an Iowa Corporation
q. Ill!note EMCASCO Insurance Company, an Iowa Corpsketa Fire insurance oration
6. MC Property & Casualty Company, an Iowa Coa North r poraCorporation
tion
3. Union insurance o p y o
hereinafter referred to severally as "Company and collectively as "Companies", each does, by these presents, make, constitute and appoint:
Adriana Valenzuela, Cynlhla J. Young, Kassandra De Leon
its true and lawful attorney -in -fact, with full power and authority conlerrod to sign, seal, and execute the Surety Bond:
Any and All Bonds
and
to bin of scald attorney pursuanno t ro the and to the same extent authority hereby given tee hereby inrefstruments
lled and were
conermsigned by the duly allthodzed officers of each such Company, and all
The aulhorlry hereby granted shall expire October 1 oth
AUTHORITY FOR POWER OF ATTORNEY
hiit regularly scheduled is made of dexecutedeeeh company duly called and held In lgggof the tollowing resolution of the Boardsppof Directors of each of the Companies at the
of �m
eirs Mutual
Com
shall have
the Treasurer and the I
pRESOLVED: The ower and authority r to atppolnt attorneys and Chief In faotttive land authorizes theice rm tooexecutte on behalf of each company and to remove alllach he seat of the Company hereto, bonds
and undertakings, recognizances, contracts of van to him ocher Attomeys•in fact and other shall have power and authority, s bjeottIn the nature thereof; and o the terms and limitations ns of tuch he ipower of aitotmey
and revoke the power and authority g
Issued to them, to execute and deliver on behalf of the Company, end to a0ach the seal of the Company thereto, bonds and undertakings, recognizances, contracts o
Indemnity and otherwritings obligatory In the nature thereoi,a lid a�nyA nrb h00ein made by an oilice of Employers Mutual Casualty Compeniy hell be fully and in all
s h earin upon
2025 ,unless sooner revoked.
the Company, shall be valid
IN WITNESS THEREOF, the Companies have roused these presents to
22nd day o
September , 2622 .
iPIII
J;.o^voRMF,'''
SEAL°a's` ��,�1663 ;0 1953 r,
i a�.,,; "s'os sown ,'o c s y''.,
,.`�r,UPaNcpeo QWNSUP?, F O .•`OVSV.O(0 e,'
3'SEAL! SEAL,SEAL Sg
OzF
'o
rPIF1F, IOWP Y'. ''''~ONIF CPMtlEP` OMES \6?,`•
ofsuchotilcer,whelhermadeheretoforeorhereafier,w ereverapp 9.
on the Company with the same force and effect as though manually affixed,
ach by their officers as shown, and the Corporate seals to be hereto aldxed this
e ident & CEO Tod�ecullve Vica President
1; Imam, President Chief Legal Olffoer & Secretary of
nies 21 3, 4, 6 & 6 Companies 1, 2, 31 41 6 & 6
Onlhis 2znd day of September 2022 beforemeallotaryPuIt" lcinendtorlheState
of Iowa, personally appeared Scoil fl. Jean and Totld Strother, who, being by me duly swum,
did say that They are, and are known to me to be the CEO, Chairman, President, Executive
Vt 0 President, Chief Legal 0"" r andlor Secretary, respectively, of each of the Companlea
above; that the seals afilxed to This instrument are the seals of said corporations; that said
Instrument was signed and sealed on behalf of each of the Companies by outharlly of their
Ih ex
respeurns
ctive Boards of Directors; and Ihal the sso lot Iaid Scott R. Jean and Todd Strother, as such
and he ve unowl age and deed of Ion 0 f the Coas rmpailleso be their voluntary act and deed,
My Commission Expires October 10, 2025,
Notary Publ in and tot the State Iowa
CERTIFICATE
I, Ryan J. Springer, Vice President of the Com�anles, dosepiemtieiity Ih 2027 b are and correctandare still fo full farce and etfecthe Companies, and
this Power of Attorney Issued pursuant thereto on 22n day of l 2024
In Testimony Whereof I have subscribed my name slid affixed the facsimile seal of each Company this 1 s//tp, day of July
!N/,fw 1.!`VlcePresidenl
7835 (9.22) n000o00-NA J0565 000 AEC 000000 "For verfflcetlon of the authenticity of the Power of Attorney you may call (515) 345.7546;'
CALIFORNIA ALL=PURPOSE ACKNOWLEDGMENT Civil Code § 1189
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
+r•„+hf„InPcs. accuracv or validity of that document.
State of California )
ss
County of Orange )
On 2024 before me, C L. Hernandez Notary Public, personally appeared
Kassandra De Leon, who proved to me on the basis of satisfactory evidence to be the persons)
whose name(s) is/afe subscribed to the within instrument and acknowledged to me that
WsheA4+ey executed the same in Wher{t4& authorized capacity4ee4, and that by
krisf herA4eir signatures) on the instrument the person(s), or the entity upon behalf of which the
persons) 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.
C L tIERNAY0f2 �
4on yPublic - California
J
Los Arinjei e; Counntty
f' romml stun 6 2414371 q `
J hVy Comm Expires Sep 27 Z026 Signatur
(Seal) f C. L. Hernandez, Notary P Iic
CALIFORNIA ACKNK)WLEDOMEPlT
CIVIL CODE Q 1189
�iGonH#I�aBs<f'.Y%rY,li' Y77161i�#31L�e76:HsC+4C,'f�"P6:c'4fAfi,�#�;11nptFr4Gl'sL'4',:E"li:t'r7ili.f'6iL#9:Y,<Fs& - Y3�stV' Y'aN}Ai4fY9341�e�,'kH�as�`L'S-1�17>¢1
Anotarypublicorother officer completing this certificateverifiesonly the dentityofthe Individual who signedthedocument
I which this certificate Is attached, and not the truthfulness, accuracy, or validity Of that documonl.
State of California l
County of orange J
Jo -an Gulno Reeves, Notary Public
On
h July 2024
10tbefore me,
Date
persortaliy appeared
Salah
Here Insert Name and Title of the Olflcer
of
who proved to me on the basis of satisfactory eJidence o be the person )whose Harr
to the within instrument and acknowledged to me tha&/she/they executed the same
authorized capacity(lefb), and that by his/her/their signaturXs) on the. Instrument the pot
upon behalf of which the personlR{ acted, executed the instrument.
,•,„ Notary
GUINO REEVES
ll a Notaary Public •California
y = Orange County
V. Commission k 2436731
to
R to My Comm. Expires Jan 31, 2027
Rlace Notary Seal and/or StompAbove
subscribed
or the entity
1 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
OPTIONAL
of Notary
Completing this Informdtlon can tleter alteratlo%the documents
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
l'Itle ar Type. of Document:
Document Date: Number of Pages:
SIgril other Than Named Above:
Capecity(ies) Claimed by Signers)
.Corporate
Signer's Name:
Officer — Tltle(s):
❑ Partner — q Limited ❑ Ganeraf
❑ Individual. ❑ Attorney In Fact
❑ Trustee q Guardian or Conservator
❑ Other:
Signer Is Representing:
lillillilis
IN iiiiiiiiiiiliiiiii
I L+F �t• 2 2 ` i' i' i'I � i
A
Signer's Name:
❑ Corporate Officer — Title(s):
a Partner — ❑ Limited ❑General
q Individual ❑ Attorney in Fact
q Trustee ❑ Guardian or Conservator
q Other:
Signer is Representing:
CERTIFICATION OF NON-DISCRIMINATION AND AFFIRMATIVE ACTION
As suppliers of goods or services to the City of Diamond Bar, the firm listed below certifies that
it does not discriminate in its employment with regards to race, religion, sex, or national origin;
that it is in compliance with all federal, state, and local directives and executive orders regarding
non-discrimination in employment; and that it will pursue an affirmative course of action as
required by the affirmative action guidelines.
We agree specifically:
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
outside recruiting services, especially the
minority communities at large,
ll company employees
concerned including a,
se serving minority communities, and to the
3. To take affirmative steps to hire minority employees within the company.
FIRM Armstrong Cal Builders Inc.
TITLE OF OFFICER SIGN
TE 07/11 /2024
SIGNA
Please include any additional information available regarding equal opportunity employment
programs now in effect within your company:
N/A
1293492.1 34
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 , proposed subcontractor , hereby certifies that he has , 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 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.
Armstrong Cal Builders Inc. _
(COMPANY)
BY: Shawn Salah
President/CEO
(TITLE)
DATE: July 11 , 2024.
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 contractor
he required
subcontract subject to the Executive
rders and have not filed he award of contracts tand subcontract sshould note
unless such
that 41 CFR 60-1.7 (b) (1) prevents
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.
35
1293492.1
NON -COLLUSION AFFIDAVIT
TO: THE CITY OF DIAMOND BAR:
STATE OF CALIFORNIA )
)SS
COUNTY OF LOS ANGELES )
Shawn Salah _, being first duly
sworn, deposes and says that he or she is President of
Armstrong Cal builders Inc. , the party making the foregoing bid, that the bid is not made in the
interest of or on behalf of, any undisclosed person, partnership, company association,
organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder
has not directly or indirectly induced or solicited another bidder to put in a false or sham bid, and
has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone
else to put in a sham bid, or that anyone shall refrain from bidding; that 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, or to secure any advantage against the public body
awarding the contact or anyone interested in the proposed contract; that all statements contained
in the bid are true; and further, that 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, or paid, and will not pay, any fee to any corporation, partnership, company
association, organization, bid depository, or to any member or agent thereof effectuate a
collusive or sham bid.
E`
STATE OF CALIFORNIA )
)SS
COUNTY OF LOS ANGELES )
Subscribed and sworn to before me this_day of 320
Notary Public in and for the County of
Orange ,State of California
36
1293492.1
notary public or other officer completing this
rtificate verifies only the identity of the individual
3o signed the document to which this certificate
attached, and not the truthfulness, accuracy, or
State of California
County of Orange
Subscribed and sworn to (or affirmed) before me on this loth
day of July 20 24 by Shawn Salah
proved to me on the basis of satisfactory evidence to be the
persons) who appeared before me.
JO•AN GUINO REEVES
Notary Public - Camornia
Orange County
Commission ; 2436731
Comm. Expires Jan X 11
CITY OfF466
MAMOND BAR
CALI
DEPARTMENT OF PUBLIC WORKS
OFFICIAL NOTICE
Maple Hill Park Improvement Project
CIP# FP23506D
ADDENDUM NO. 1
The following changes to the contract documents, specifications, and plans for the
above project shall be incorporated into the Request for Bids (RFB).
The Contractor shall sign this page as acknowledgement of receipt of Addendum No. 1
and attach it to the bid.
07/03/2024
David G. Liu, P.E. Date
Director of Public Works/City Engineer/
(Evcown Scat.
Contractor's Authorized Signplure
Request for Taxpayer
9
Give Form to the
Do
arm
Identification Number and Certification
requester. not
iev, october2oia)
send to the IRS.
treasury ► Go to wwrw.trs.gov/FormW9 for Instructions and the latest information.
Items,
darnel
Revenue Service
ev nue
1 Name (as shown on your Income tax return). Name Is required on this line; do not leave this line blank.
ARMSTRONG CAL BUILDERS INC.
2 Business name/disregarded entity name, If different from above
ro
3 Check appropriate box for federal tax classification of the person whose name is entered on line t. Check only one of the
4 Exemptions (codes apply only to
certain sea
following seven boxes.
Inst ucti nssion page 3)•viduals;
a
c
o
❑ C Corporation 0 S Corporation ❑ Partnership ❑Trust/estate
❑ Individual/sole proprietor or P
Exempt code (II any)
single -member LLC
payee
e o
:�
❑ Limited liability company. Enter the lax classification (C=G corporation, S=S corporation, P=Partnership)►
Do not check
Exemption from FATCA reporting
0 2
Note: Check the appropriate box In the line above for the tax classification of the single -member owner.
a single -member LLC that Is disregarded from the owner unless the owner of the LLC Is
code (If any)
1'a
LLC If the LLC Is classified as member LLC that
LLC that not from the owner for U.S. ltax
ciassi cation
IL u
another of its owner.
m the owner should check the appropriate box foded
Is disregarded frois
r the tax
(AppNea loeccounamefnfeinedaulzldo lho U.S.1
E
y
❑Other (sae insluctlons)►
Requester's name and
address (optional)
00
6 Address (number, street, and apt, or suite no.) See Instructions.
8031 MAIN
account number(s) here (optional
Taxpayer Identification Number (TIN)
Social security
number
g avoid
Enter N In the appropriate box. The TIN provided must match the name given on Tine 1
for
backup
pyour ve a
withholding. For Individuals, this is generally your social security number (SSN). However,
with For
_ m -�
resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later. other
... hova a n„mhwr. Awe How to set a
entitles, it Is your employer iaenuucauun 1 1�„ �u6i t",.r „ r�� or
TIN, later. Employer Identification number
Note: If the account is In more than one name, see the Instructions for line 1. Also see What Name and
Number To Give the Requester for guidelines on whose number to enter. m
Under of perjury, I certify that:
1. The number shown on this form is my correct taxpayer Identlflcatlon number (or I am waiting for a number to be
Issued to me); end
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 (a) 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 rt 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,
, payme
other than Interest nd dividends you arcured property,
not a qulred cancellation n the certifications, contributions
you must providlretirement arrangement e your or correct TIN. See the Instructions forgenera11Parrt 11, ter
Slyn Signature of
"ere U.S. parson►
General 1 nstry � Frrls'
Section references 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 ww v.Irs.gov1FormW9.
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 Identlflcatlon number ('TIN), adoption
taxpayer Identification number (ATIN), or employer Identlflcatlon 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 Jimlled to, the following.
• Form 1099-INT (Interest earned or paid)
Date► �� �✓
• Form 1099-DIV (dividends, including those from stocks or mutual
funds)
• Form f 099-MISC (various types of Income, prizes, awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other -
transactlons by brokers)
• Form 1 o99-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (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. 10291X Form W-9 (Rev. 10-2019)