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HomeMy WebLinkAboutScanned 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 three Years. Only projects in excess of $250,000 each qualify as similar for this project. 1. Project Title ADA and Parking Lot Repairs Contract Amount 250,000 Type of Work ADA and parking lot repairs, such as concrete stairs and asphalt work Client City of Orange Agency Project Manager Fong, Chi Kwan Phone (714) 480-7554 Date Completed 06/2022 $ Subcontracted 40 2. Project Title Campus Wide Improvements 3. Contract Amount 350,000 Type of work Concrete stairways, concrete ramps, concrete curbs, asphalt paving Client RCCD Agency Project Manager Bart Phone(951) 222-8962 Date Completed 04/01/2023 Subcontracted 40 Project Title 2,700,000 Contract Amount Type of Work Trenching for underground pipe, parking lot restriping, concrete curbs and sidwalks Client DGS Agency Project Manager David Phone 916-206-5604 Date Completed11/2022 % Subcontracted 25 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 hi current financial condition. Bidder's Signature 10 Each bidder shall possess a valid Contractor's License issued by the Contractor's State License Board at the time his/her bid is submitted. The class of license shall be 0"323 applicable to the work specified in the contract. Each bidder shall also have no less than three (3) years of experience in the magnitude and character of the work bid. Bidder Qualifications called for to be submitted at time of bid include, but are not necessarily limited to: 1. The Contractor shall have been in business under the same name and California Contractors License for a minimum of three (3) continuous years prior to the bid opening date for this Project. The license used to satisfy this requirement shall be of same type required by the contract . 2. License classification shall be as required by the contract specifications. 3. The Contractor shall have three (3) years of experience in the construction of ADA compliant curb ramps and CDBG work. 4. The Contractor shall perform at least 50% of contract with its own forces. 16. LISTING SUBCONTRACTORS: Each bidder shall submit a list of the proposed subcontractors on this project as required by the Subletting and Subcontracting Fair Practices Act (Government Code Section 4100 and following). Forms for this purpose are furnished with the contract documents. The name and location of business of any subcontractor who will perform work exceeding 1/2 of 1% of the prime contractor's total bid or ten thousand dollars ($10,000.00), whichever is greater, must be submitted with the bid. Any other information regarding the foregoing subcontractors that is required by City to be submitted may be submitted with the bid, or may be submitted to City up to 24 hours after the deadline established herein for receipt of bids. The additional information must be submitted by the bidder to the same address and in the same form applicable to the initial submission of bid. " 17. WORKER'S COMPENSATION: In accordance with the provisions of Section 3700 of the Labor Code, the Contractor shall secure the payment of compensation to his employees. The Contractor shall sign and file with the City the following certificate prior to performing the work under this contract: "I am aware of the provisions of Section 3700 of the Labor Code which require 11 compensation or to undertake self insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of 1091091 1S2:Fontract.11 The form of such certificate is included as part of the contract documents. 18. BID DEPOSIT RETURN: Deposits of three or more low bidders, the number being at the discretion of the City, will be held for ninety (90) days or until posting by the successful bidder of the Bonds required and return of executed copies of the Agreement, whichever first occurs, at which time the deposits will be returned after consideration of the bids. 19. EXECUTION OF CONTRACT: The bidder to whom award is made shall execute a written contract with the City on the agreement form provided, and shall secure all insurance and bonds as herein provided within ten (10) days from the date of written notice of the award. Failure or refusal to enter into a contract as herein provided, or to conform to any of the stipulated requirements in connection therewith shall be just cause for the annulment of the award and the forfeiture of the proposal guarantee. If the successful bidder refuses or fails to execute the Contract, the City may award the Contract to the next lowest responsible bidder or re -advertise. On the failure or refusal of the lowest responsible bidder or next lowest responsible bidder to execute the Contract, such bidder's guarantees shall be likewise forfeited to the City. 20. "OR EQUAL": Pursuant to Division 5, Chapter 4, Article 4 (commencing at #4380) Government Code, all specifications shall be deemed to include the words "or equal", provided however that permissible exceptions hereto shall be specifically noted in the specifications. 21. EMPLOYMENT OF APPRENTICES: Attention is directed to Sections 1777.5, 1777.6 and 1777.7 of the California Labor Code and Title 8, California Administrative Code, Section 200 seq. to ensure compliance and complete understanding of the law regarding apprentices. The Contractor and any subcontractor under him shall comply with the requirements of said sections in the employment of apprentices; however, the Contractor shall have full responsibility for compliance with said Labor Code section, for all apprenticeable occupations, regardless of any other contractual or employment relationships alleged to exist. ` In addition to the above State Labor Code Requirements regarding the employment of apprentices and trainees, the Contractor and 12 all subcontractors shall comply with Section 5 a. 3, Title 29 Of the Code of Federal Regulations (29CFR). 22. EVIDENCE OF RESPONSIBILITY: Upon the request of the City, a bidder whose bid is under consideration for the award of the Contract shall submit promptly to the City satisfactory evidence showing the bidder's financial resources, his construction experience, and his organization and plant facilities available for the performance of the contract. 23. WAGE RATES• The Contractor and/or subcontractor shall pay wages as indicated in the "Notice Inviting Sealed Bids" section of these specifications. The Contractor shall forfeit as penalty to the City of Diamond Bar, two hundred dollars ($200.00) for laborers, workmen, or mechanics employed for each calendar day, or portion thereof, if such laborer, workman or mechanic employed is paid less than the general prevailing rate of wages herein referred to and stipulated for any work done under the proposed contract, by him, or by any subcontractor under him, in violation of the provisions of Labor Code, and in particular, Sections 1770 to 1781 inclusive. Copies of all collective bargaining agreements relating to the work as set forth in the aforementioned Labor Code are on file with the Department of Industrial Relations, Division of Labor Statistics and Research. 24. PERMITS, FEES AND LICENSES: The Contractor shall possess a valid business license prior to the issuance of the first payment made under this Contract. Any work required within Caltrans right-of-way will require a separate permit to be obtained by the Contractor. 25. TIME OF COMPLETION AND LIQUIDATED DAMAGES: Bidder must agree to commence work on or before the date of written "Notice to Proceed" of the City and to fully complete the project within thirty (30) working days thereafter. Bidder must agree also to pay as liquidated damages, the sum of seven hundred fifty dollars ($750.00) for each calendar day thereafter. 26. CLAIMS FILING AND PROCESSING: The City and Bidder agree to attempt to orally resolve any disputes which may give rise to a claim (hereafter, "Claim") that falls within the definition of Public Contract Code section 9204 (hereafter, "Section 9204"). If these efforts are unsuccessful, the City and Bidder shall process the Claim in accordance with Section 9204. In summary, if the Bidder decides to submit a Claim to the City, it shall be sent by registered or certified mail, return receipt requested, together with reasonable documentation to support the Claim. A Claim may include a Claim by a subcontractor or 13 a lower tier subcontractor meeting the requirements of Section 9204(d)(5). Within 45 days of receipt of the Claim, or any extension thereof agreed upon by the City and the Bidder, the 1091323City will conduct a reasonable review of the Claim and provide the Bidder with a written statement identifying what portion of the Claim is disputed and what portion is undisputed. Payment of any undisputed portion of the Claim shall be made within 60 days after the City issues its written statement. If the City does not provide a written statement within the time specified, the Claim shall be deemed rejected. If the Bidder disputes the City's written statement or if the Claim is deemed rejected, the Bidder may demand in writing by registered or certified mail to the City, return receipt requested, an informal conference to meet and confer in an effort to settle the disputed portion of any Claim. Within 30 days of receipt of such written demand, the City shall schedule a meet and confer conference. If any portion of the Claim remains in dispute after the conference, the City shall, within 10 City business days of the conclusion of the conference, provide the Bidder with a written statement identifying any portion that remains in dispute and any portion that is undisputed. Payment of any undisputed portion shall be made within 60 days after the City issues its written statement. Any remaining disputed portion shall be submitted to nonbinding mediation in accordance with Section 9204 (c) (2) (B) , unless the Bidder and City waive the mediation upon mutual written agreement. 27. CONFLICT OF INTEREST: In the procurement of supplies, equipment, construction and services by sub -recipients, the conflict of interest provision including, but not limited to, 2 CFR part 200, Subpart B, 200.112, 24 CFR Part 570.611 and 24 CFR part 85, Section 85.36 (b), respectively, shall. apply. No employee, officer or agent of the sub -recipient shall participate in selection or in award of administration of a contract supported by Federal funds if a conflict of interest, ' real or apparent, would be involved. 14 BIDDER'S PROPOSAL CITY OF DIAMOND BAR AREA 5 RESIDENTIAL NEIGHBORHOOD ADA CURB RAMP IMPROVEMENT PROJECT CDBG PROJECT NO. 602671-24 CIP PROJECT NO. SI254 Date 03/03 , 2025 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: Naz Azam (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. is (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 bidder's bond, payable to the order of the City of Diamond Bar in / th sum of/ _ ,4a jjllckr DOLLARS ($ o 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. 4304 w 149th St 3107135160 Address of Bidder Tel phone of Bidder Lawndale 90260 /k--- City Zip Code ignature of Bidder 16 BID SCHEDULE CITY OF DIAMOND BAR CONTRACT DOCUMENTS AND SPECIFICATIONS AREA 5 RESIDENTIAL NEIGHBORHOOD ADA CURB RAMP IMPROVEMENT PROJECT CDBG PROJECT NO. 602671--24 CIP PROJECT NO. SI254 BID SCHEDULE ITEM EST. DESCRIPTION UNIT NO. QUANT. UNIT WRITTEN IN WORDS PRICE AMOUNT 1 1 LS CONSTRUCTION STAKING AND l�Jd ? Ja J MONUMENT PRESERVATION REMOVE EXISTING IMPROVEMENTS AND CONSTRUCT 2 6 EA CURB RAMP PER SPPWC STD. r PLAN 111-5, INCLUDING v MOBILIZATION, TRAFFIC CONTROL, AND PUBLIC SAFETY REMOVE EXISTING CURB AND 3 179 LF GUTTER AND CONSTRUCT CURB AND GUTTER PER SPPWC STD.. ,00 PLAN 120-3 / REMOVE EXISTING SIDEWALK 4 318 SF AND CONSTRUCT CONCRETE 00 SIDEWALK PER SPPWC STD PLAN 113-2 r REMOVE PAVEMENT SURFACE, 5 818 SF BASE, AND SUBGRADE, AND INSTALL 4-FT WIDE HMA PLUG v REMOVE EXISTING 6 1 LS CONFLICTING YELLOW CROSSWALK PAINT AND 6doo bl/O� RESTORE STRIPING AND RED ICJ CURB PAINT BID SCHEDULE ITEMS: TOTAL AMOUNT (IN FIGURES) --a 17 I M i I I Sl,so BID SCHEDULE TOTAL AMOUNT (WRITTEN IN WORDS):&��eJ 4 #,," " y� ,�r3 h/ 4�z- � 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 documentsr are to provide a completed project with all systems operating properly and ready for use. Award of the project shall be determined based on ithe lowest responsible bidder. Therefore, the Contractor shall completely fill out the Bid Schedule. rid � Accompanying this proposal is n /l n (Insert "$ A& , "cashier's check", "certified the case may be) in the amount (10%) of the total bid. I. cash", check", or ,"bidder',s bond" as equal to at least ten percent 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. AZA Construction Inc NAME OF BIDDER (PRINT) 4304 w 149th st ADDRESS SIGNATURE 18 03/03/2025 DATE LaWndale CITY 90260 3107135160 ZIP CODE TELEPHONE 1091323 Class A, B, C36 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 requirem is of California Business and Professional Code Section 7028.15. 7 Ai CONTRACTOR SI OR AUTHORIZED OFFICER 19 LIST OF SUBCONTRACTORS * BID OPENING DATE 03/03/2025 PROJECT ADA Curb Ramp Improvement PROJECT NO. b LOCATION Diamond Bar, CA CLIENT City of Diamond Bar CONTRACTORAZA Construction Inc Name Under Which Subcontractor is Licensed License No. Address of Office, bail, or Shop Percent of Total Contract Specific Description of Subcontract ABC Resources, Inc1527 538680, W State Street 5% Striping Ontario, CA 917E2-4034 MZB Engineering 1084559 1192 Athlone Lane 10% Traffic Control Corona CA 92882. * In compliance with the provisions of the Public Contract Code Section 4104, the undersigned bidder herewith sets forth the name, location of the place of business, and California contractor 20 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 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 bid or ten thousand ($10,000.00), whichever is greater, and the portion of the work which will be done by each Subcontractor. 21 DECLARATION OF ELIGIBILITY TO CONTRACT [Labor Code Section 1777.1; Public Contract Code Section 61091 The undersigned, a duly authorized representative of the contractor, certifies and declares that: I. 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 22 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 Marchand , 202 5, at LowndateCA90260 (place of execution) . signature Name: Alf 1M AS'GVq Title: ?fa,6-1 4r- Name of Contractor: AZA Construction Inc 23 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? YES 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 Questionnaire 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 ma subject the certifier to criminal prosecution. 24 CONTRACTOR'S INDUSTRIAL SAFETY RECORD Project Identification ADA Curb Ramp Improvement Bid Dat e 03-03-2025 ta n in This information must include all construction work unde Venturetor he State of California by the bidder and any partnership, joint participated in as a corporation that any principal of the bidder ears and the current principal or owner for the last three calendar y calendar year prior to the date of bid submittal. Separa rate information shall be submitted for each particular partnership,, attach any additional corporation or individual bidder. The bidder may taken into information or explanation of data, which he would like,,t explanation must be consideration in evaluating the safety record. An attached of the circumstances surrounding any and all fatalities. 3CALENDAR YEARS CURRENT ITEM YEAR PRIOR TO CURRENT YEAR 2025 2022 2023 2024 TOTAL 0 r Contracts 4 5 g 17 dollar amount of 0 cts in 1,000's 570,000 500,000 450.000 f lost workday 0 0 0 0 0 f Post work day ing permanent 000 er to 0 0 er job ornation ofo ment No. of lost workdays 0 k7=::±= 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 from the records that are available to me at this time and I declare under penalty of perjury that the information is true and accurate within the limitations of these records. l� AZA Construction Inc U Name of Bidder {Print Signature 4304 w 149th at 1091323 Class A. B, C36 Address Lawndale 90260 City Zip Code State Contractor's LiC. No. & Class 3107135160 Telephone 25 AFFIDAVIT FOR CORPORATION BIDDER STATE OF CALIFORNIA ) ) SS COUNTY OF LOS ANGELES ) NAZ AZAM duly sworn, deposes and says: That he is PRESIDENT of, AZA Construction Inc being first 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. ignature Subscribed and sworn to before me this M day of u r 20 2 Signature o Officer Administering Oath (Notary Public) 27 0,—JIN Y. GONG Comm,12492700NOTARY PUBLIC•CALWORNIALOS ANGELES COVITr ur Cowin W Juv 18. 202B"' I BID BOND BOND No, 72714222 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: AREA 5 RESIDENTIAL NEIGHBORHOOD ADA CURB RAMP IMPROVEMENT PROJECT CDBG PROJECT NO. 602611-24 CIP PROJECT NO. SI254 WHEREAS Aza Construction 4304 W 149th S Lawndale CA 90260 (Name and a dress 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 WESTERN SURETY COMPANY 151 N. Franklin, 17th Floor, Chicago, IL 60606 (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% ) , 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. 34 rn 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 faxed by the court. Surety hereby waives the provisions of California Civil Code 5 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: March 4. 2025 "Principal" Aza Constnx bon "Surety" By: In By: is By: Its By: WESTERN SURETY COMPANY Its 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. (Seal) +'4��y114i111!!1!!i!I!! ,, ► ld 0 ,,I�,�1 NIf11111f1114j1,',� 35 (Seal) ACKNOWLEDGMENT OF SURETY (Corporate Officer) STATE OF SOUTH DAKOTA COUNTY OF MINNEHAHA se On this 4th daffy of March 2025 ,before me, a Notary Public in and for said County, personally appeared C- Bendt, Assistant Secretary personally known to me, who being by me duly sworn, did say that he/she is the aforesaid officer of WESTERN SURETY COMPANY, a corporation duly organized and existing under the laws of the State of South Dakota, that the seal affixed to the foregoing instrument is the corporate seal of said corporation, that the said instrument was signed, sealed and executed on behalf of said corporation by authority of its Board of Directors, and further acknowledge that the said instrument and the execution thereof to be the voluntary act and deed of said corporation. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal the day and year last above written. Icy commission expires: i J. GORDON i i L NOTARY PUBLIC • i SOUTH DAKOTA(Mi �VtitiyMti�htititi4hti�vtititititititi My Commission Expires May 27, 2029 Form F11692 11-2020 U40'r4mv-0— N Notary Pttbhc Western Surety Company POWER OF ATTORNEY - CERTIFIED COPY Bond No. 72714222 Know All Men By These Presents, that WESTERN SURETY COMPANY, a corporation duly organized and existing under the laws of the State of South Dakota, and having its principal office in Sioux Falls, South Dakota (the "Company"), does by then a presents make, constitute and appoint C . Bendt its true and lawful attorney(s)-in-fact, with full power and authority hereby conferred, to execute, acknowledge and deliver for and on its behalf as Surety, bonds for: Principal: Aza Construction Obligee: CITY OF DIAMOND BAIL Amount: $1, 000, 000.00 and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Vice President, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said attornsy(s)•in- fact may do within the above stated limitations. Said appointment is made under and by authority of the following bylaw of Western Surety Company which remains in full force and effect. "Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President or by such other officers as the Board of Directors may authorize- The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other abligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporate seal under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th day of April, 2022: "RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by diptal signatures and to ratify and confirm the use of a digital or otherwise electronic -formatted corporate seal, each to be considered the act and deed of the Company." If Bond No 72714222 is not issued on or before midnight of June 4 th, 2025 , all authority.ma marlin_ this Power of Attorney shall expire and terminate. =Vi�xtriess Whe"rJestern Surety Company has caused these presents to be signed by its Vice President, Larry fasten, and its 4th d March 2025 carpuiraiesaihis ay of WESTERN SURET COMPANY MWTC-OF &SCTf 1 D 5fTA arty Kasten, Vice President COUMTj oft-UNN-.Vf --EUiAf On this *'• 4 th daffy of March , in the year 2025 , before me, a notary public, personally appeared Larry Hasten, who being to me duly sworn, aelmowledged that he signed the above Power of Attorney as the aforesaid officer of WESTERN SURETY COMPANY and acknowledged said instrument to be the voluntary act deed of said corporation. S. GREEN s N4TARY YUSiiC SEA Notary Public - South Dakota 50V7H DAKOTA My Commission Expires February 12, 2027 e ulidernign o cer of Western Surety Company, a stock corporation of the State of South Dakota, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable, and furthermore, that Section 7 of the bylaws of the Company as set forth in the Power of Attorney is now in force. In testimony whereof, I have hereunto set may hand and seal of Western Surety Company this 4 th day of March 2025 WESTERN SURE COMPANY Larry Kasten, Vice Presi ent To validate bond authenticity, go to MWWCXWurety.eom > Owner/Obligee Services > Validate Bond Coverage, Form F6306-5-2M CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 i,# attached, and not the truthfulness, a0wracy, or validity of that document State of California County of On (q q".;, z N } bcforo me, LIL L_� Personally appeared ate. who Proved to me on the basis of satisfactory evidence to be the person(s) whose names) Ware subscribed to the within instrument and acknowledged toa that helshe/they executed the same In histherttheir authorized capacity(les), and Mat by hiStherltheir signature(s) on the instrument the person(s), or the entity upon behalf of which the persons) aid, executed the instrument 1 c8fy under PENALTY OF PERJURY under the laws of the State of Califiomia that the foregoing paragraph Is true and correct. M3wnd a)jd offildal seal. ADDITIONAL OF THE ArrACm DOCUI MT (illy ardeaQip�otl of aitachad doaanat� OfPapes DmmmtDaly CAPACrry CLAIMED BY THE SIGNER ❑ Individual (s) 0 Corporate officer B ❑ Pa3rtnar(s) V Attorney -in -Fact p TMOW(s) p Other 2019 Vstwslon wwwJVduyC(asga co n 8004rf3-M5 _----------- JiN Y. GONG GOMM.# 24927�0 1n NOTARY PUBUC•CAUFORNIA =! My COMM NGE�EXP. JUCY 18,Y2028'' (N Bo sail) INSTRUCTIONS FOR COWLETING THIS FORM 1lblalo�e aoarplies tividi earrwtt Calj�faraia aladiAp ��►9 tvotalotgatta� (fme&d shoteld be emphted and aawJjed to the dommu rt, fi*M ot4er=W may be wuipleted jor dactptta* bmgsw as tid Adeeo 10W law. a mw tag aloes sa n4*w die CaVerada n aary jb A21am C,d&xk aviary • State sad C=q bftm dm mast be lase Shia lmd COMY Whm ffis dw ment dSmr(s)PMUMBYWaned behre dwnctuypabBc forty mowkdVumt • Date of mOW&R lac mat be the date dbam tits a4per(a) PAY appd wbkh MAW also be !ba same date &a aelmorvledgment is eaanplaeed • MW notary public moat pint hie or her naam as it appears wihin lda or bar oomu&doa ftm ved by a comma and than your We (nousypubB4 • Pant the name(.) of doenmeot apes(:) who panaodly appew st tir time of notarindon. • Indicate die ootaeot QinQniar ar phnml f r ma by ommioa offf bacataat ti>m (i.a; 1WdA ii W is has) or cholha the actaeot f=L AQ= io aamu tlyiod a" this 1a6otxaatlon may lead tox4ecdm of document mwdic& • The nola y coal impmadon atcet be clear and photogropbio4y zoprodanD& Impraadon mast mat owier had or Batm if and hupmesion mundSM Va eed if a rANdentwupem%othetwiae0000plateadslerent adbwwb4paect$etm • 84pet re of the wAary public mwt match the dp wwe on life with tie adlsoe of the cs>anty etc& tir AddidonW bArnutdoa b ubt mpdred but ocidd help to acttate ibis ad'lmoaiedpmnst h not "Asmad or attached to a dill mw document ♦ iudlato We or We of aitaohod doaxnant; nmaber of p gm sad data O 7adiaa a the mpu* C IaW by the d1w. if ft clshAad Capacity $ a oogw0 a of m, indioata the title (i.a C20. CM 3aa waeY). • Saaun� attach this dootmant to the trued docutnmt witit a stints, CZRTIFICATION 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: 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. FIRMAZA Construction Inc TITLE OF OFFICER IGNING PRESIDENT S I GNATURE DATE 03-03-2025 Please include any additional information available regarding equal opportunity employment programs now in effect within your company: NIA 36 CERTIFICATION WXTH REGARD TO THE PERFORMANCE OF PREVIOUS CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS The bidder, propose 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 k, 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. AZA Construction Inc (COMPANY) BY: - PRESIDENT (TITLE) DATE: 03-03 , 2025 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. 37 NON -COLLUSION DECLARATION (TO BE EXECUTED BY BIDDER AND SUBNITTED WITH BID) The undersigned declares: I am the PRESIDENT of AZA Construction Inc , 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 tMfol Wrrect and that this dec aration is executed on ^%_'G_ aL [date], at [city], �A [state] . AZA Construction Inc Business Name Signa tur4 of Bidder (must be notarized) 4304 w 149th st Lawndale ca 90260 Business Address Attach Notary Acknowledgment Form to this form when submitting 38 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT the Identity A notary public or other officer completing this cert3flen tO is attached, of the individual who signed the document to which and not the truthfulness, accuracy, or validity of that document. State of Callf0mla } County of tv S } On 4 Z lz t, L Y before me, personally appearedA-7—cnn who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) islare subscribed to the within instrument and acknowledged to me that helshelthey executed the same in hislherttheir authorized capadty(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. d� J!N T GONG WITNESS =doffldal , comml C9A2700 �+ lG5 ANGELE3 C9UNiY � MY CGuµ EXP JULV 18, 2028 �F Nat" Pub c S4ukbtra (Notary Kblic AL OPTIONAL INFORMA OF THE ATTACHED DOCUMENT (Tills ar desaW of daahW dmalssant) hMeOr00aPMOrWAMNdoL1l Wta &#AM Nwber of Pages Domneni DdiL_ CAPACITY CLAIMED BY THE SIGNER 0 Individual (a) ❑ Corporate Officer (TIHe) ❑ Partner(s) ❑ Atiomey-ln-Fact El Trustees) ❑ other 20115 Version www.NotwyO seta xarn 80&473-NO INSTRUCTIONS FOP, COMPLETING THM FORM Mrform eompoles WA csormt Cal{jornro statutes reaa" iv notary wor&w mrd jjneak4 rhoudd be eooepl wd mid attached to the doc uttant AckwwkdSww ftom other stata nV be oMPldafor doc ama befit scut Ao thct state so koff as the wwding does not requkv the Calrfmda Dowry to WalaAi C.alj mdd rA&wy law. Stu* Ind Convey iofasmation neat bo iha St be end County wbere the document d6er(s) pemondlY wearedl -A - the notarypubfic for aclmowledgmenti . Date of notulzadcn must be the data that the dSa(s) ply Npeared rdich must also be &a same data the aclono lodgment is complaW& • The notary public must print hie or her name a it appeeus within bis at ha oommiasim followed by a comma and d= your bale (mtwy public • P* t the namc(s) of dommed sipw(s) who pesaonellp appear at the time of noudz edom • ladieaoe dsa Conroe( sinigplar or pbuil &m by off 4-co o¢eet isms CLe. lrvshellha� is hre) ar + ems the caoseat foams Fsdhtre to ameotlyr indt a (Las tnfataaatiao may lead to sejecdca of donswent raootdins. . The uotay ad impression want be dents and photognwbiody agrodaable. IeaprwIM mat act owe( twd or lives. If said impmrioun muclps, rwaad if a asf ==t R=permits, otherwise ooaspiefe a different admowiedammt fo = a Si patze of the notary public neat mseah she aianuxe on file with the aface of the county Ck& o Additional k bruadon is nbt te3quired but aenld b* io man thin a knowledrunt is not misused or attrahe d to a diffirmt domme t, 4 Indicate title or We of Wached doaommt, mamba of p Ws and date. O Indicsta the capwhy chimed by the deter. If the claimed spa* is z corps of =. indicate the title (La. CEO, M% secsauy). • Seaurely.tnoh tlds doeumenem the:ssned doatsaantwith astaple. NOTICE TO BIDDERS COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) COMPLIANCE DOCUMENTS FOR CONSTRUCTION CONTRACTS of LESS Then $200,000 A Bidder is required to familiarize itself with the Information provided on the following pages. Failure to comply with and/or meet the requirements may result in a bid being determined incomplete or non- responsive. A bidder is required to submit the following Compliance forms with its Bid Proposal: 1: County Lobbying Certification 2: Request for Additional Classification and Rate 3: Contractor's List of Proposed Subcontractors 4: Worker's Compensation Certification 5: Non -Segregated Facilities Certification 6: Past Performance Certification 7: Notice of Equal Employment Opportunity Commitment 8: Non Collusion Declaration 9: Federal Lobbying Certification Name of Firm: Address: State: �GLJ COUNTY LOBBYIST CODE CHAPTER 2.160 COUNTY ORDINANCE NO.93-0031 CERTIFICATION w Zip Code: O26 d Telephone Number: t l p } 7 f S/ C O Acting on behalf of the above named firm, as its Authorized Official, I make the following Certification to the Los Angeles County Development Authority (LACDA). 1) It is understood that each person/entity/firm who applies for a Los Angeles County Development Authority contract, and as part of that process, shall certify that they are familiar with the requirements of the Los Angeles County Code, Chapter 2.160 (Los Angeles County Ordinance 93-0031) and; 2) That all personstentities/firms acting on behalf of the above named firm have and will comply with the County Code, and; 3) That any person/entity/firm who seeks a contract with the Los Angeles County Development Authority shall be disqualified therefrom and denied the contract and, shall be liable in civil action, if any lobbyist, lobbying firm, lobbyist employer or any other person or entity acting on behalf of the named firm fails to comply with the provisions of the County Code. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making orentering into contract with Los Angeles County and the Los Angeles County Development Authority. Authorized Official: (conurworlSubcowwtor) By: (signxrure) Mk) U.S, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT HUD FORM 4230A REPORT OF ADDITIONAL CLASSIFICATION AND RATE ¢MRAWOVMPANM, Mi (Ali (F►P Anlow) 1. FROM and Ac0see of rtpin►stlinp eyancy) 1. PROJECT NAME A/ND,NUMBER /�� %!{ -, ' , � �- , � �, � � �� � J�� Cur 1�r�• Y�m� r� �,►�.f - 3. CATION OF PROJECTCTrP fr , County end State) O(u A CA tylon jr-, r 14, BRIEF DESCRIPTION OF PROJECT 1-�V f Aj)Aka ��1 i0, 6. CHARACTER OF CONSTR TION ❑ Building ❑ Residential �, (� r 1-) Alf ❑ Heavy LR Other (9pecIfy) ❑ Highway 6, WAGE DECISION NO. (indude moditication number, N any) DATE of WAGE DECISION: 7. WAGE DECISION EFFECTIVE DATE (LOCK -IN): ❑ COPY ATTACHED 1/11114 6- WORK CLASSIFICATION S) HOURLY WAGE RATES BASIC WAGE FRINGE BENEFIT($) (if any) 9. PRIME CONTRACTOR (name, add G� dry t-V(,+ K b� VV 1 `{f 7 S� 9a. 10. SUBCONTRACTORIEMPLOYER, IF APPLICABLE (name, address) o / [I Agree [I Disagree �/r� / 9b. SIGNATURE , D Vr �f Check All That Apply:! ❑ The work to be performed by the additional classification(s) is not performed by a classification in the applicable wage decision. ❑ The proposed classification is utilized in the area by the construction industry. ❑ The proposed wage rate(s), including any bona fide fringe benefits, bears a reasonable relationship to the wage rates contained in the wage decision. ❑ The interested parties, including the employees or their authorized representatives, agree on the classification(s) and wage rate(s). ❑ Supporting documentation attached, including applicable wage decision. Check One: ❑ Approved, meets all criteria. DOL confirmation requested. ❑ One or more classifications fall to meet all criteria. DOL decision requested. FOR HUD USE ONLY LR2000: Agency Representative Date (Typed name wid signature) Phone Number HUD-4230A (619) PREVIOUS EDITION IS 06SOLET'E- E i V ce O ri R z O V o O D 4 � Lf� oCL Z h�� ro q 11 WORKER'S COMPENSATION CERTIFICATION I certify, by my signature below, that I am aware of the provisions of Section 3700 of the California Labor Code. §3700 requires every employer be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that code. I further certify that I will comply with such provisions before commencing the performance of the work of this contract. Date: 07Z Q`-Z.20 2 Project Name: Company Name: Address: Print Name: Akq Title: %1 Signature: A� Project Number: Lo z 6-,�t/ — Z�— rbL�— I e r0V G►'Y2h- NON -SEGREGATED FACILITIES CERTIFICATION Federally Assisted Construction Projects The federally assisted construction contractor certifies that he/she DOES NOT and WILL NOT: 1. Maintain or provide, for his/her employees, any segregated facilities at any of hismer establishments. 2. Permit his/her employees to perform their services at any location, under his/her control, where segregated facilities are maintained. The federally assisted contractor agrees that a breach of this certification is a violation of the Equal Opportunity Clause in this contract. As used in this certification, the term segregated facilities means any waiting room, work areas, restrooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color, or national origin, because of habit, local custom, or otherwise. The federally -assisted contractor agrees that (except where he/she has obtained identical certifications from proposed subcontractors for specific time periods) he/she will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity Clause, and that he/she will retain such certifications in his/her files. NOTE: The penalty for making false statements in offers are prescribed in 18 U.S.C. 1001. Date: o3l�z wqf Project Number: b o Ul Company: C4 Address: z- /_f1_1 5 T Ywn' M I-f__ 69 Title PAST PERFORMANCE CERTIFICATION Vlrrtlt regard to performance of previous contracts or subcontracts subject to the Equal Opportunity Clause and filing of required reports The bidder, ❑proposed sub -contractor, hereby certifies that he/she ❑has, 0 as not, participated in a previous contract or subcontract subject to the Equal OpportRa-s YClause, as required by Executive Orders 10925, 11114, or 11246, and that he/she ❑has, not, filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance (OFCCP), 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. Date: Project Number: ContractAward: $ Awarding Agency: Contractor Name: Total Number of Employees Affiliate Company: By: Title: 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). 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 that4l CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the U.S. Department of the Interior or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. SF-100 (EEO-1) must be filed bv; (A) All private employers who are: (1) Subject to Title VII of the Civil Rights Act of 1964 (as amended) with 100 or more employees. (2) Subject to Title VII who has fewer than 100 employees, if the company is owned or affiliated with another company, or there is centralized ownership, control or management so that the group legally constitutes a single enterprise, and the entire enterprise employs a total of 100 or more employees. (B) All federal contractors (private employers), who: (1) Are not exempt as provided for by 41 CFR 60-1.5 (2) Have 50 or more employees, and a. Are prime contractors or first -tier subcontractors, and have a contract, subcontract, or purchase order amounting to $50,000 or more; or b. Serve as a depository of Government funds in any amount, or c. Is a financial institution, which is an issuing, and paying agent for U.S. Savings Bonds and Notes. EQUAL EMPLOYMENT OPPORTUNITY COMMITMENT TO: rcme-#* e' `�1rh (Name of Labor Union, Workers Representatwe, etc. 561 t (m C'0.1 ALL (Address) Name of Business (Contractor): Project Name:. zQA L)rb-Jig&y2 Project Number: / � Z¢ The Undersigned currently holds a contract with / 0 h won ,involving funds of the U. S. Government, or a subcontract with a rime contractor holding such contract. You are advised that under the provisions of the above contract or subcontract, and in accordance with Executive Order 11246, the undersigned is obligated not to discriminate against any employee or applicant for employment because of race, color, religion, sex or national origin. This obligation not to discriminate in employment includes, but is not limited to the follow: 1. Hiring, placement, upgrading, transfer or demotion; 2. Recruitment, advertising or solicitation for employment; 3. Treatment during employment; 4. Rates of pay or other forms of compensation; 5. Selection for training, including apprenticeship; and 6. Layoff or termination. This notice is furnished to you pursuant to the provisions of the above contract or subcontract and Executive Order 11246. Copies of this notice will be posted by the undersigned in conspicuous places available to employees or applicants for employment. (Pent Name) UV 04,12(Date) By: (s�gn.n�re) (Tale) California Public Contract Code requires every bid on every public works contract of a public to include a declaration under penalty of perjury under the laws of the State of California, in the following form: NONCOLLUSION DECLARATION TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID The undersigned declares: [f OWN- N-,co Sryvo w 1 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. 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]." 03/W?.5- 44VV4u1e / GA FEDERAL LOBBYIST CERTIFICATION Name of Firm: _ / /�7C4 L0/? Address: G l P/ /y I �' .. „ 5�4_ State: Zip Code: v Telephone Number: (�/� ) .. -7/ Acting on behalf of the above named firm as its Authorized Official, I make the following Certification to the U. S. Department of Housing and Urban Development and the Los Angeles County Development Authority (LACDA). 1} No Federal appropriated funds have been paid by or on behalf of the above named firm to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of and Federal grant, loan or cooperative agreement, and any extension, continuation, renewal, amendment, or modification thereof, and; 2) if any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee or any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with this Federal contract, grant loan, or cooperative agreement, the above named firm shall complete and submit Standard Form-LLL, Disclosure Form to Report Lobbying", in accordance with its instructions, and; 3) The above name firm shall require that the language of this certification be included in the award documents for all sub -awards at all tiers (including subcontracts, sub -grants, and contracts under grants, loans, and cooperative agreement) and that all sub -recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into the transaction imposed by Section 1352 Title 31, U. S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Authorized Official: A_74k CdA S--p^i/ C��� (comworlsa"aftwo<) (Dale) By: (Title) C I T Y O F DIAMOND BAR C A L I F 0 A N I A DEPARTMENT OF PUBLIC WORKS OFFICIAL NOTICE Request for Bids AREA 5 RESIDENTIAL NEIGHBORHOOD ADA CURB RAMPS IMPROVEMENT PROJECT CDBG PROJECT NO.602671-24 CIP PROJECT NO. SI254 ADDENDUM NO. 1 The following changes to the Request for Bids (RFB) for the above project shall be incorporated into the RFB. The Contractor shall sign this page as acknowledgement of receipt of Addendum No. 1 and attach it to the bid. 2/25/2025 David G. Liu, P.E. Date Director of Public Works/City Engineer Co tractor's Authorized Signature