HomeMy WebLinkAboutCity of Diamond Bar RFP Professional On-Call Civil Engineering and Architectural Services - MTGLPrepared for:
Attention: Nicholas Delgado, Engineering Technician
City of Diamond Bar
Public Works
21810 Copley Drive
Diamond Bar, California 91765
Due Date: May 26, 2023, 2:00 P.M.
Prepared by:
Steven Koch, Senior Vice President
P: 714‐632‐2999 | F: 714‐632‐2974 | C: 760‐420‐9200
Michelle Elliott, Owner/CEO
P: 714‐632‐2999 | F: 714‐632‐2974
Isaac Chun, P.E., G.E., Vice President/Geotechnical Engineer/Engineering Manager
P: 714‐632‐2999 | F: 714‐632‐2974
www.mtglinc.com
Response to Request for Proposals (RFP)
CITY OF DIAMOND BAR
PROFESSIONAL ON‐CALL CIVIL ENGINEERING
AND ARCHITECTURAL SERVICES
CAPACITY:
GENERAL ENGINEERING SERVICES – INSPECTION SERVICES
City of Diamond Bar
RFP – On‐Call Civil Engineering and Architectural Services MTGL #P‐23‐347
Capacity: General Engineering Services – Inspection Services May 26, 2023
TABLE OF CONTENTS
Table of Contents ............................................................................................................................................... 1
Cover Letter .................................................................................................................................................... 2‐3
Project Team ................................................................................................................................................. 4‐11
Firm’s Experience/References .................................................................................................................... 12‐17
Project Understanding ................................................................................................................................ 18‐21
Fee Schedule ............................................................................................................................................... 22‐23
W9 ............................................................................................................................................................... 24‐29
1 |PAGE
City of Diamond Bar
RFP – On‐Call Civil Engineering and Architectural Services MTGL #P‐23‐347
Capacity: General Engineering Services – Inspection Services May 26, 2023
OFFICE LOCATIONS
ORANGE COUNTY
CORPORATE BRANCH
2992 E. La Palma Avenue
Suite A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
SAN DIEGO
IMPERIAL COUNTY
7742 Arjons Drive
San Diego, CA 92126
Tel: 858.537.3999
Fax: 858.537.3990
INLAND EMPIRE
14467 Meridian Parkway
Building 2A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
OC/LA/INLAND EMPIRE
DISPATCH
800.491.2990
www.mtglinc.com
GEOTECHNICAL ENGINEERING
CONSTRUCTION INSPECTION
MATERIALS TESTING
ENVIRONMENTAL
May 26, 2023 MTGL #P‐23‐347
Attention: Nicholas Delgado, Engineering Technician
City of Diamond Bar
Public Works
21810 Copley Drive
Diamond Bar, California 91765
Subject: Response to Request for Proposals (RFP)
Professional On‐Call Civil Engineering and Architectural Services
Capacity: General Engineering Services – Inspection Services
MTGL, Inc. (MTGL) appreciates this opportunity to submit our response to the above subject
mentioned.
MTGL is interested to be part of your team, to provide professional on‐call civil engineering and
architectural services in the capacity general engineering services – inspection services.
We have the capabilities and proven experience to support the City of Diamond Bar (City) Public
Works. Below are highlights of our experience:
MTGL has over 29 years of extensive experience in providing geotechnical engineering,
materials testing, and construction inspection services for public works projects.
MTGL’s laboratories operate in strict accordance with ISO 17025 and are certified by: CCRL,
ASTM/AASHTO, USACE, Caltrans, DSA, and HCAI (OSHPD).
MTGL is certified as a W/MBE, SBE and DBE firm under CUCP 33843. MTGL is registered as a
public works contractor with the State of California under DIR 1000006646.
MTGL is familiar with the City’s standards for the successful completion of geotechnical
engineering, material testing and inspection services for City projects.
MTGL has experience with complex Federally Funded Projects and FHWA projects
administered by cities and counties through Caltrans Local Assistance Program as well as
FHWA funded projects administered by Transportation Funding Agencies.
Isaac Chun, P.E., G.E., Geotechnical Engineer/Engineering Manager, has over 29 years of
experience in providing services across the entire spectrum of geotechnical engineering and
materials testing.
MTGL’s technicians and inspectors are well‐trained and are typically multi‐certified
possessing ICC, AWS, Caltrans, and/or ACI.
MTGL and its staff members perform services by ensuring contract compliance with
approved plans and specifications, and conformance with Federal/State/Local applicable
code requirements, Caltrans Standard Specifications (latest edition), Standard Specifications
for Public Works “Greenbook,” and the City’s adopted Quality Assurance Program (QAP).
MTGL implements and maintains custom in‐house Quality Assurance and Control (QA/QC)
plans to ensure quality of the materials being used in the work.
MTGL uses subconsultants for geotechnical engineering, materials testing, and inspection
services that are not included in our fee schedule. Subconsultants will be pre‐approved by
the City.
2 |PAGE
City of Diamond Bar
RFP – On‐Call Civil Engineering and Architectural Services MTGL #P‐23‐347
Capacity: General Engineering Services – Inspection Services May 26, 2023
MTGL has a clear understanding of Safety Compliance requirements, with policies that provide a
desirable EMR Rating of 0.69.
MTGL can meet the City’s insurance requirements stated in the RFP Attachment 1 Sample Agreement
Section 10. Insurance.
Our core value is to work closely and communicate with the City and its project’s team members, as
applicable, to help ensure our scope of services are provided in a timely manner and are within our
authorized budget.
MTGL has proven its ability to respond quickly and effectively to any requested tasks for our clients.
Our goal is to provide continuity of personnel used throughout a project, quick response time to
requests, and accuracy of our reporting.
MTGL has experienced key personnel available to respond to questions or requests. Listed below is
their contact information.
Phone # | Fax #: P: 714‐632‐2999 | F: 714‐632‐2974
Engineers and geologists; Contact
person concerning the proposal,
technical, and authority signatory for
all final reports:
Isaac Chun, P.E., G.E. | ichun@mtglinc.com
Daniel Richardson, P.E. | drichardson@mtglinc.com
Greg Wilson, P.G., C.E.G. | gwilson@mtglinc.com
Contract authority signatory and to
bind MTGL all commitments: Michelle Elliott | melliott@mtglinc.com
Contact person during and after period
of RFP evaluation: Steven Koch | skoch@mtglinc.com
All services will be serviced at 2992 E. La Palma Avenue, Suite A, Anaheim, California.
We have read and reviewed thoroughly all the contents in the RFP, and fully understand its intent. We are willing
to enter into an agreement under the terms and conditions for the City of Diamond Bar Attachment 1 Sample
Agreement without exceptions. We acknowledged of receipt of Addendum Q and Set 1 dated May 23, 2023 and
Addendum 1‐PB Minor Edits to the Planet Bids General Response File date May 24, 2023.
It is MTGL’s goal to meet the quality and value expectations for the City of Diamond Bar with efficiency and cost
savings. We thank you for reviewing our submittal. Should you have any questions, or require additional
information, please do not hesitate to contact us.
Respectfully Submitted,
MTGL, Inc.
Steven Koch Michelle Elliott
Senior Vice President Owner/CEO
3 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
Legend:
MTGL and the City of Diamond Bar
MTGL
Administration
Technical
CITY OF DIAMOND BAR
PROFESSIONAL ON‐CALL CIVIL ENGINEERING AND ARCHITECTURAL SERVICES
CAPACITY: GENERAL ENGINEERING SERVICES – INSPECTION SERVICES
MICHELLE ELLIOTT
OWNER/CEO
CONTRACT
/ACCOUNTING (BILLING) PROFESSIONAL STAFF
ISAAC CHUN, P.E., G.E.
GEOTECHNICAL ENGINEER
/ENGINEERING MANAGER
GREG WILSON, P.G., C.E.G.
SENIOR ENGINEERING
GEOLOGIST/GEOTECHNICAL FIELD
SUPERVISOR
DANIEL RICHARDSON, P.E.
SENIOR PROJECT ENGINEER
JAY ROWERDINK, E.I.T.
STAFF ENGINEER
FIELD STAFF
SAUL CRUZ
FIELD SUPERVISOR
SPECIAL INSPECTOR
/FIELD TECHNICIAN
SUBCONSULTANTS
/SUBCONTRACTORS
LABORATORY
ROBERT SCHUBERT
LABORATORY MANAGER
STEVEN KOCH
SENIOR VICE PRESIDENT
DISPATCH
800‐491‐2990
PROJECT TEAM
With over 84 employees including engineers, field technicians and inspectors serving our projects daily, we have
the capabilities, experiences, and resources to provide and to perform on‐call as‐needed for geotechnical
engineering and material testing services for the City of Diamond Bar (City) upcoming projects.
MTGL will work and communicate closely with the City representatives, all project stakeholders and other relevant
persons. We will participate in pre‐construction meetings, field meetings, and construction progress meetings,
acceptance of work, final walk‐through meetings, as built plan completion meetings, and other administrative
meetings (if needed and/or requested).
MTGL’s key staff are full‐time employees, and they will be available through the extent proposed for the duration
of the project assigned. They will not be removed or replaced without the prior written approval of the City. If one
or more of the key staff should become unavailable, we will substitute other staff of at least equal competence
only after prior written approval by the City.
SUBCONSULTANT/SUBCONTRACTOR
Although MTGL has the capabilities and staff resources to fulfill all the requirements in‐house, MTGL will provide
subconsultant/subcontractor if the project requires related services that are outside of our fee schedule, with all
subconsultants/subcontractor being pre‐approved.
4 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
PROPOSED DUTIES
KEY PERSONNEL/TITLE CAPABILITES (SCOPE OF SERVICES)
Isaac Chun, P.E., G.E.
Geotechnical
Engineer/Engineering Manager
Primary point of contact.
Provides technical review of geotechnical recommendations to check for
compliance with the City Regulations.
Works on technical issues during design development.
Project Management; Document Review; Preparation of Final Report.
Authorized signatory for final reports.
Greg Wilson, P.G., C.E.G.
Senior Engineering Geologist
Assists geotechnical engineer/engineering manager for any related
geologic hazards and issues.
Project Management; Document Review; Preparation of Final Report.
Provides field supervision as necessary.
Daniel Richardson, P.E.
Senior Project
Engineer/Assistant Project
Manager
Assists geotechnical engineer/engineering manager for any related
geotechnical related and materials testing services and technical issues.
Project Management; Document Review; Prepare Preparation of Final
Report
Authorized signatory for final reports.
Jay Rowerdink, E.I.T.
Staff Engineer
Assists MTGL’s engineers and geologists with geotechnical related and
materials testing services.
Document review and prepare draft proposal and reports.
Perform fieldwork during investigations.
Robert Schubert
Laboratory Manager Oversee all aspects of all laboratory testing.
Saul Cruz
Field Supervisor
Support inspectors and technicians ensured all applicable codes were
compliance during inspections and testing.
Support dispatch department.
Special Inspectors/Field
Technicians
Performing field inspections and other quality control activities including
necessary materials testing as requested by the City.
Perform Materials testing: soil compaction testing, concrete, masonry,
batch plant, site structural steel testing (as needed), rebar testing, pull
and torque testing (as needed), paving tests as required by the plans and
specifications.
Collecting samples and testing their strength properties (soil, gravel,
asphalt, concrete, slurry seal).
Checking subgrade compaction for concrete and asphalt construction.
Perform tests for sieve analysis, sand equivalent, and cleanness, as
needed.
Checking compaction of asphalt pavement and overlays.
Performing plant inspection at facilities supplying concrete and hot mix
asphalt, if needed.
Provide test results to the City.
Provide summary report of testing results.
Perform testing and sampling according to the City’s Quality Assurance
Plan (QAP) and Caltrans procedures.
Review and approved construction material submittals.
5 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
ISAAC CHUN, P.E., G.E.
Geotechnical Engineer/Engineering Manager
EXPERIENCE
Years of Experience: 29
Years with MTGL: 11
EDUCATION
B.S. Civil Engineering,
California State
Polytechnic University,
Pomona
LICENSES
/CERTIFICATIONS
State of California
Registered Civil
Engineer, RCE #59431
State of California
Registered
Geotechnical Engineer,
GE #2649
Isaac Chun is a Geotechnical Engineer and Engineering Manager with over 29
years of experience in the materials testing, construction inspection, and
geotechnical engineering industry. He has been providing a variety of quality
assurance/control services for numerous projects that include schools,
buildings, bridges, hospitals, light rail transit, airports, and highways.
As the Engineering Manager, he is responsible for oversight and administration
of all technical services including supervision of all technical staff, special
inspectors, and technicians. His extensive experiences and knowledge base
include geotechnical investigations, specialty pile design, seismic hazard
mitigation, resource evaluation and characterization, slope stability analysis,
settlement analysis, seepage analysis, performance testing, post‐construction
stability analysis, distress mapping, and soils characterization. His geotechnical
construction experience includes specification review and augmentation,
earthwork‐related remediation, deep pile inspection, CIDH inspection,
observation of ground improvement construction, and regulatory agency
compliance. He is proficient with AutoCAD, GStabl, RocScience Slide, Shaft, L‐
Pile, All‐Pile, Cliq, and SPT Liquefaction analysis.
RELEVANT PROJECT EXPERIENCE
CITY OF FULLERTON
303 W. Commonwealth Ave.
Fullerton, CA 92832
Contact/Phone
David Grantham, P.E.
P: 714.738.6853
City of Fullerton, On‐Call Professional
Engineering Services for Various Projects,
Fullerton, CA. Engineering Manager
providing geotechnical investigation. He is
providing final report which addresses the
sampling and inspection, and findings results
for each project.
CITY OF ANAHEIM
200 S. Anaheim Boulevard
Anaheim, CA 92805
Contact/Phone
Michelle Lee
C: 714.231.8377
City of Anaheim, On‐Call Material Testing,
Deputy Inspection, and Environmental
Engineering Services, Anaheim, CA.
Engineering Manager providing geotechnical
material testing and inspection services for
to support the City of Anaheim’s Department
of Public Works projects.
CITY OF BUENA PARK
6650 Beach Boulevard
Buena Park, CA 90622
Contact/Phone
Nabil S. Henein, Director of
Public Work/City Engineer
P: 714.562.3672
Nader Alqam,
Assistant Engineer
P: 714.562.3672
City of Buena Park, On‐Call Professional
Geotechnical and Material Testing Services,
Buena Park, CA. Engineering Manager
providing on‐call geotechnical and material
testing services including conduct
geotechnical observation, field testing,
laboratory work, and other geotechnical‐
related items, and other geotechnical and
material testing‐related tasks, as necessary.
6 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
GREG WILSON, P.G., C.E.G.
Geologist/Geotechnical Field Supervisor
EXPERIENCE
Years of Experience: 7
Years with MTGL: 6 Mos.
EDUCATION
B.S. Geology, University
of California, Los Angeles
LICENSES &
CERTIFICATIONS
State of California
Professional Geologist,
PG #9777
State of California,
Certified Engineering
Geologist, CEG #2776
Site Safety & Health
Officer (EM‐385‐1‐1)
CPN Radiation Safety
Certificate
Greg Wilson has recently joined with MTGL with over seven (7) years of
experience providing geotechnical engineering and consulting services in
California. He has worked on hundreds of geotechnical and geologic hazard
investigations of varying size and type; lightly loaded structures; new buildings;
pedestrian, rail, and motorized vehicle bridges; rehabilitation, reconstruction,
and new construction of streets and highways; airport taxiways and runways;
pipelines; hospitals; K‐12, and community college projects. He has extensive
experience drilling, logging, and sampling a wide variety of subsurface
excavations using a variety of methods, including but not limited to, truck‐
mounted drill rigs, limited access drill rigs, and tripod‐mounted drill rigs. He has
also logged, and sampled test pits and trenches excavated by hand, backhoes,
and excavators, and has excavated, logged, and sampled shallow borings using
hand augers and manual equipment.
He has been the responsible geologist in charge for many of the geotechnical
investigations he has worked on. Duties in this capacity generally include
reviewing the proposed improvements along with readily available geologic
and geotechnical information at the site to develop an appropriate scope of
work, assigning laboratory tests to evaluate pertinent engineering properties,
reviewing field and laboratory data, performing engineering analyses,
providing geotechnical conclusions and recommendations, and signing and
sealing the geotechnical report.
RELEVANT PROJECT EXPERIENCE
CITY OF DEL MAR
1050 Camino Del Mar
Del Mar, CA 92014
Contact/Phone
Joe Bride, P.E.
P: 858.755.9313
City of Del Mar Professional Consulting Services
Agreement, Del Mar, CA. Project Manager and
Geologist during a geotechnical investigation for
the design and construction of the Camino del
Mar Crossing project. Proposed improvements
consisted of trenchless pipeline construction for
the installation of a new water pipeline beneath
Camino del Mar and other ancillary
improvements.
CITY OF SAN DIEGO
525 B Street, Suite 750
San Diego, CA 92101
Contact/Phone
Serpil Yazar, P.E.
P: 619.533.4207
City of San Diego Euclid and Market Complete
Street Project, Slope Repair Phase, San Diego,
CA. Project Geologist during a geotechnical
investigation for the design of one mile of
roadway widening and green infrastructure
improvements including storm water catch
basins, permeable pavements, storm water
treatment Silva Cells, new sidewalk, and new
curb and gutter. Trenchless pipeline construction
is proposed along Euclid Avenue beneath the
existing MTS Trolley Line. Field geologist during
multiple phases (change orders) of slope repair
and fill slope reconstruction.
7 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
DANIEL RICHARDSON, P.E.
Senior Project Engineer
EXPERIENCE
Years of Experience: 10
Years with MTGL: 2
EDUCATION
B.S. Civil Engineering,
San Diego State
University, San Diego
LICENSES
/CERTIFICATIONS
State of California
Professional Civil
Engineer, CE #89379
Daniel Richardson has over nine (9) years of experience providing geotechnical
engineering services and has worked on hundreds of geotechnical investigations
of varying size and type; lightly loaded structures; new buildings; pedestrian, rail,
and motorized vehicle bridges; rehabilitation, reconstruction, and new
construction of streets and highways; airport taxiways and runways; light and
heavy rail; pipelines; hospitals; and K‐12 and community college projects. He has
experience drilling and logging geotechnical borings using various methods,
which are selected as appropriate for the type of project or the project’s access
restrictions. He has drilled for project’s using tripod‐mounted hollow‐stem auger
drill‐rigs. He has also logged test pits excavated by backhoes and excavators and
has excavated shallow borings using hand augers and hand tools.
Daniel has been the responsible engineer in charge for many of the geotechnical
investigations he has worked on. Duties in this capacity generally included
reviewing the proposed improvements along with readily available geologic and
geotechnical information at the site to develop an appropriate scope of work,
assigning laboratory tests to evaluate pertinent engineering properties,
reviewing field and laboratory data, performing engineering analyses, providing
geotechnical conclusions and recommendations, and signing and sealing the
geotechnical report.
RELEVANT PROJECT EXPERIENCE
CITY OF FULLERTON
303 W. Commonwealth Ave.
Fullerton, CA 92832
Contact/Phone
David Grantham, P.E.
P: 714.738.6853
City of Fullerton, On‐Call Professional
Engineering Services for Various Projects,
Fullerton, CA. Project Engineer during
geotechnical engineering services for the
project consisted of pavement rehabilitation
recommendations for three (3) separate
segments of residential street.
CITY OF TEMECULA
41000 Main Street
Temecula, CA 92590
Contact/Phone
Ryan Castillo
P: 951.694.6411
City of Temecula, Citywide Slurry Seal
Additional Scope, Temecula, CA. Project
Engineer during slurry seal inspection and
laboratory testing services for the project
consisted of citywide slurry seal program
2021/22, PW22‐02.
KIMLEY‐HORN & ASSOCIATES
401 B Street, Suite 600
San Diego, CA 92101
Contact/Phone
Juliana Richards, P.E., OSD
P: 619.234.9411
Osuna Trail Segment and Pedestrian Bridge
at San Dieguito River Park, San Diego, CA.
Senior Engineer during a geotechnical
memorandum to supplement the Preliminary
Foundation Report by Geocon for the
proposed project site is located
approximately 1,700 feet east of Via De La
Valle, and within the northern limits of the
City of San Diego south of the County of San
Diego.
8 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
JAY ROWERDINK, E.I.T.
Staff Engineer
EXPERIENCE
Years of Experience: 5
Years with MTGL: 5
EDUCATION
B.S. Civil Engineering,
San Diego State
University, San Diego
LICENSES
/CERTIFICATIONS
Engineer‐In‐Training
#168434;
ACI (Concrete Field‐
Testing Grade I);
Caltrans (CT 504, 518,
523, 539, 540, 543, 556,
557)
APNGA Portable
Nuclear Gauge Safety;
OSHA 30‐Hour Outreach
Training for the
Construction Industry
Jay Rowerdink has over five (5) years of experience with civil engineering
experience including field materials testing and site exploration/investigation
(findings), compiling and reporting data (groundwater details, lab testing,
compaction reports, and grading), and construction observation/monitoring to
assure compliance with recommendations.
He assists MTGL’s Principal Geotechnical Engineer, Isaac Chun, P.E., G.E., and
other engineers with anything related to geotechnical and materials testing
services. He is responsible and professional especially in regarding to materials
testing and inspection services. He will also be responsible for preparing and
submitting completed reports of all on‐site activities on daily basis.
He brings excellent documentation skills, along with an aptitude for identifying
construction difficulties early on and resolving those issues expeditiously. His
recent experience has allowed him to develop strong skills in working efficiently
and proactively on any project. His communication skills, diligence, and
dedication to his profession make him a great addition to any project team.
RELEVANT PROJECT EXPERIENCE
CITY OF FULLERTON
303 W. Commonwealth Ave.
Fullerton, CA 92832
Contact/Phone
David Grantham, P.E.
P: 714.738.6853
City of Fullerton, On‐Call Professional
Engineering Services for Various Projects,
Fullerton, CA. Staff Engineer in assisting
MTGL’s engineer providing field materials
testing and site exploration/investigation
(findings), compiling and reporting data (lab
testing) and construction observation,
monitoring to assure compliance with
recommendations.
CITY OF ANAHEIM
200 S. Anaheim Boulevard
Anaheim, CA 92805
Contact/Phone
Michelle Lee
C: 714.231.8377
City of Anaheim, On‐Call Material Testing,
Deputy Inspection, and Environmental
Engineering Services, Anaheim, CA. Staff
Engineer providing geotechnical material
testing and inspection services for to support
the City of Anaheim’s Department of Public
Works projects.
CITY OF LYNWOOD
C/O TRANSTECH ENGINEER
13367 Benson Avenue
Chino, CA 91710
Contact/Phone
Ali Cayir, P.E.
P: 909‐595‐8599
ali.cayir@transtech.org
City of Lynwood Residential Street
Improvement, Lynwood, CA. Staff Engineer
during materials testing services for the
residential street improvement project
consisted of the street surfaces were paved
with asphalt concrete and, in certain areas,
underlain by aggregate base or placed on
subgrade with some binding material.
9 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
ROBERT SCHUBERT
Laboratory Manager
EXPERIENCE
Years of Experience: 15
Years with MTGL: 6
LICENSES
/CERTIFICATIONS
ACI (Aggregate Testing
Level 1, Concrete Strength
Testing, Concrete
Laboratory Testing Level
1, Aggregate Base Testing,
Concrete Field‐Testing
Grade I, Masonry
Laboratory Testing)
Caltrans (CT 105, 125AGG,
125HMA, 201, 202, 205,
216, 217, 226, 227, 229,
306, 504, 518, 521, 523,
523.1, 523.2, 539, 540,
543, 556, 557);
AASHTO/ASTM (T11, T27,
R47, R76, T166, T176,
T209, T255, T269, T275,
T308, T329, T335)
NICET #145834 Materials
Testing (Level II: Asphalt,
Concrete; Level III: Soils)
APNGA (USDOT Hazmat,
Nuclear Gauge Safety)
OSHA 10
Robert Schubert has over 15 years of experience in the construction industry.
His background provides him with a wide range of experience in testing and
inspection which includes concrete, soil, concrete masonry units, reinforcing
steel, fireproofing, and aggregates. He has in‐depth knowledge of standard test
methods published by ASTM, AASHTO and Caltrans.
He is knowledgeable of all relevant standard compliance and code
requirements. He brings excellent documentation skills, along with an aptitude
for identifying construction difficulties early on and resolving those issues
expeditiously.
He has successfully self‐performed in third‐party accreditation audits from
agencies such as AASHTO Materials Reference Laboratory (AMRL), Cement and
Concrete Reference Laboratory (CCRL), Caltrans, Division of the State Architect
(DSA), and the United States Army Corps of Engineers (USACE).
RELEVANT PROJECT EXPERIENCE
CITY OF FULLERTON
303 W. Commonwealth Ave,
Fullerton, CA 92832
Contact/Phone
David Grantham, P.E.
P: 714.738.6853
Tiffany Foo, P.E.
P: 714.738.6321
City of Fullerton, On‐Call Professional
Engineering Services for Various
Projects, Fullerton, CA. As Laboratory
Supervisor, he ensures that all required
testing of soil and asphalt samples were
performed in accordance with standard
test methods of American Society of
Testing and Materials (ASTM), American
Association of State Highway and
Transportation Officials (AASHTO), and
California Department of Transportation
(CTM) as specified in the project
specifications and the City of Fullerton
standards
CITY OF LYNWOOD
c/o Transtech Engineers
13367 Bensen Ave,
Chino, CA 91710
Contact/Phone
Ali Cayir, P.E.
P: 909.595.8599
City of Lynwood, Residential Street
Improvement, Lynwood, CA. Laboratory
Technician for the project consisted of
the street surfaces were paved with
asphalt concrete and, in certain areas,
underlain by aggregate base or placed
on subgrade with binding material.
CITY OF ANAHEIM
200 South Anaheim Blvd.,
Anaheim, CA 92805
Contact/Phone
Michelle Lee
P: 714.765.5176
City of Anaheim, State College
Boulevard Improvements from Ball
Road to SR91 Freeway, Anaheim, CA.
Laboratory Supervisor during materials
testing services included AC and PCC
placement inspection, testing, and
compaction testing.
10 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
SAUL CRUZ
Field Supervisor/DSA Project Inspector Class 2/Special Inspector
EXPERIENCE
Years of Experience: 11
Years with MTGL: 6
LICENSES/CERTIFICATIONS
DSA (Masonry #6023,
Shotcrete #6176, Project
Inspector Class 2 #6228)
AWS #16060251(CWI)
ASNT Course #103A
Ultrasonics 1
ICC #8112015 (Structural
Steel and Bolting,
Structural Welding,
Structural Masonry,
Spray‐applied
Fireproofing, Reinforced
Concrete, Prestressed
Concrete, California
Commercial Mechanical,
Master of Special
Inspection, California DSA
Shotcrete)
ACI #1322996 (Concrete
Field‐Testing Grade I,
Adhesive Anchor
Installation, Masonry
Field‐Testing);
PCI Quality Control
Personnel Certification
Technician (Level I
#17141, Level II #17142)
City of Los Angeles
#P038816 (Steel)
Face F‐Number
Measurement;
IFC Firestop Special
Inspection (ICC Course
10472);
IFC Hands‐on Multi‐
manufacture 4+ Firestop
Product Training (ICC
Course 12429);
APNGA Radiation Safety
Officer;
APNGA Portable Nuclear
Gauge Safety and USDOT
Hazmat ( Hazmat
Refresher Training)
Saul Cruz is a Multi‐Certified Inspector and DSA Project Inspector Class 2 with
extensive experience with source, fabrication, mechanical splicing, structural
connections, and other materials fabrication inspection. He is certified in every
construction related inspection category. His among inspection a variety
experience of construction extends methods to fabrication of structure types
including; MSE Walls, Steel Frames for Towers and Bridge Formwork, Reinforced
Concrete Elements, Mechanical Vessels, Earth Retaining Structures, Drainage
Facilities, and Pipes and other hollow structural sections. His experience on
projects ranging from small to large facilities construction. He has a good
understanding of the compliance with DSA and OSHPD.
He is also the Assistant Safety Manager. His responsibilities are to ensure
compliance with applicable federal, state, and local regulations pertaining to
health, safety, and environmental issues. Communication is one of his keys to
maintaining projects on track. He provides training and direction for our staff
and anticipate an increase of inspection coverage with the adequate
information.
RELEVANT PROJECT EXPERIENCE
CITY OF MANHATTAN BEACH
3621 Bell Avenue
Manhattan Beach, CA 90206
Contact/Phone
Helen Shi, Senior Civil Engineer
P: 310‐802‐5354
hshi@citymb.info
City of Manhattan Beach, Traffic Signal
Modification – Sepulveda Boulevard/8th
Street, Manhattan Beach, CA. Field
Supervisor, responsible for operations with
technicians to ensure all applicable codes
are compliance during inspections and
testing activities for the project consisted of
traffic signal modification for the Sepulveda
Boulevard at 8th Street.
FRONTIER‐KEMPER/TUTOR
PERINI, JV
15900 Olden Street
Sylmar, CA 91342
Contact/Phone
Doc Kim, P.E.
Project Quality Manager
P: 818‐362‐2062
dkim@frontierkemper.com
Metro Westside Purple Line Extension
Section 3 – Tunnels, Los Angeles, CA. Field
Supervisor, responsible for operations with
inspectors and technicians ensured all
applicable codes were compliance during
inspections and testing activities for the
project consists of two (2) bored subway
tunnels, 13,680 LF excavated using Earth
Pressure Balance TBMs.
RAILWORKS TRACK SERVICES
12740 Lakeland Road, Suite B
Santa Fe Springs, CA 90670
Contact/Phone
Nelson Tong
P: 562‐447‐8671
nelson.tong@railworks.com
Metro Blue Line Track/System
Refurbishment, Los Angeles, CA. Field
Supervisor, responsible for operations with
inspectors and technicians ensured all
applicable codes were compliance during
inspections and testing activities for the
project refurbishment of the Blue Line track
and signal system to enhance safety and
provide upgrades to the oldest light rail line
in the Los Angeles area.
11 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
FIRM’S EXPERIENCE/REFERENCES
Our experience extends to projects directly overseen by nearly every type of oversight agency, funding agency,
service agency, utility company, construction administration organization, government, and many other public
agencies.
MTGL also services related projects in the City’s Capital Improvement Plan (CIP), including sidewalk replacement,
ADA ramp construction, secondary road rehabilitation, curb and gutter replacement, and arterial road‐related
construction projects.
MTGL previously work with the City of Diamond Bar on the Summitridge Park Community/Senior Center project
in March 2003 to December 2004.
RELATED EXPERIENCE
CITY OF ANAHEIM ON‐CALL MATERIAL TESTING,
DEPUTY INSPECTION, AND ENVIRONMENTAL
ENGINEERING SERVICES
Anaheim, California
MTGL is providing On‐Call Professional Services for material testing,
deputy inspection, and environmental engineering services to
support the City of Anaheim’s Department of Public Works projects
including, but not limited to deputy inspection, material testing,
system testing, geotechnical analysis and testing, environmental
assessments, review of environmental reports, sample testing,
inspector record, review of submittals, report preparation, and
training of City staff.
The following projects are:
Euclid Street Improvements HSIPL‐5055
(have not started yet)
MA West Anaheim Water Valve Replacement Project
o April 2022 – June 2022
State College Boulevard Improvements from Ball Road to SR91
Freeway
o January 2022 – January 2022
City of Anaheim
200 South Anaheim Boulevard
Anaheim, CA 92805
Client Contact:
Rudy Emami, P.E.
Director of Public Works
P: 714‐765‐5176
Raul Garcia
Construction Services Manager
P: 714‐765‐5176
Jose Cortez, P.E.
P: 714‐765‐5039
Michelle Lee, E.I.T.
P: 714‐231‐8377
miclee@anaheim.net
12 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
ON‐CALL PROFESSIONAL GEOTECHNICAL AND
MATERIAL TESTING SERVICES
Buena Park, California
MTGL is providing on‐call professional surveying, geotechnical and
material testing services for the City of Buena Park including the
following scope of services:
Geotechnical observation, field testing, laboratory work, reports,
and other geotechnical‐related items.
Field exploration and site reconnaissance.
Review of various plans for geotechnical compliance.
Preparation of design and construction/field geotechnical
recommendations and reports.
Attend field meetings, construction material plant checks, and
other discipline‐related field activities.
Provided third‐party plans, specifications, and estimate reviews
related to the subject disciple.
Claims evaluation and site/forensic investigation.
The following projects are:
21‐22 Annual Slurry Seal Project 631
2022‐2023 Annual Slurry Seal
City of Buena Park
6650 Beach Boulevard
Buena Park, CA 90622
Client Contact:
Nabil S. Henein
Director of Public Works – City
Engineer
P: 714‐562‐3672
Nader Alqam, Assistant Engineer
P: 714‐562‐3698
nalqam@buenapark.com
Jason Tran, E.I.T.
Assistant Engineer
P: 714‐562‐3680
jasontran@buenapark.com
13 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
JURUPA COMMUNITY SERVICES DISTRICT
ON‐CALL PROFESSIONAL SERVICES
Jurupa Valley, California
MTGL has an agreement with the Jurupa Community Services
District to provide on‐call professional services.
INSPECTION SERVICES
Provide construction inspection work to ensure conformance
with the project documents.
Conduct field reviews.
Attend pre‐construction and project meetings.
Maintain daily reports, and document work progress.
Verify all tests are conducted and passed satisfactorily.
Review work performed and process pay estimates.
Final punch List and walkthrough with Contractor
GEOTECHNICAL SERVICES
Design/Consulting Services
Project soil analysis and recommendations on soil
improvement.
Groundwater investigation and control.
Foundation engineering and inspection for structures, i.e.,
footing and slab.
Construction Support Service
Compaction testing/inspection.
Laboratory testing of soils and aggregates.
Equivalent Tests.
Final compaction and quality compliance report including
pavement inspection and testing including preparation of
pavement structural section based upon laboratory.
R‐value, sieve analysis, and sand equivalent testing.
Jurupa Community Services District
11201 Harrel Street
Jurupa Valley, CA 91752
Client Contact:
Keith Backus, Project Manager
P: 951‐685‐7434
kbackus@jcsd.us
Duration:
August 22, 2022 – August 25, 2025
14 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
CITY OF LA CAÑADA‐FLINTRIDGE
La Cañada‐Flintridge, California
MTGL has an agreement for contract services with the City of La
Cañada‐Flintridge to provide on‐call geotechnical engineering
services on an as‐needed basis, which shall include, but not limited
to, the following.
Perform geologic and geotechnical investigations.
Provide all material source inspection, sampling and
testing by a qualified materials engineer.
Perform laboratory testing and geotechnical analyses of
representative soils borings. Typical laboratory tests
include, but not limited to, grain size analysis, in‐situ
density, moisture content, sand equivalency, maximum
density/optimum moisture content, direct shear strength
and R‐value.
Observation, measurement of temperature, sampling and
laboratory testing for the evaluation all Asphalt Concrete
(AC) and Asphalt Rubber Hot Mix (ARHM pavement at the
site.
Perform field density testing using nuclear gauge during
construction.
Prepare daily field reports.
Define the parameters for controlled fill, backfill, subgrade
preparations, over‐excavation and re‐compact, utility
trenches, etc.
Prepare geotechnical report based on the findings during
the site investigation and shall include, but not limited to,
soils borings (location, type and depth), laboratory testing
of soil samples, site conditions, mitigation measures,
recommendations, etc. Provide direction for any special
surface and/or subgrade soil treatments required.
City of La Cañada‐Flintridge
One Civic Center Drive
La Cañada‐Flintridge, CA 91011
Client Contact:
Maged El‐Rabaa
City of Engineer
P: 818‐790‐8880
Nasser Shoushtarian
Senior Civil Engineer
P: 818‐790‐8880
Duration:
February 8, 2022 – Current
15 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
Brookhurst Street Bridge Fairview Road Bridge I405‐SR73 Connector Magnolia Street Bridge
Santa Ana River
Overcrossing/Euclid Street
Talbert Avenue Bridge Ward Street Bridge Warner Avenue Bridge
ORANGE COUNTY TRANSPORTATION
AUTHORITY (OCTA) DB INTERSTATE 405
IMPROVEMENT PROJECT
(SR73 TO I ‐605), 12‐OH1004
MTGL is contracted by Jacobs Project Management to provide
materials testing and inspection services including reinforced
concrete, concrete paving, concrete batch plant, asphalt batch
plant, concrete compression tests, concrete flexural testing,
concrete sampling, asphalt sampling, soils compaction, compaction
with nuclear gauge, and laboratory testing.
The purpose of the project is to increase freeway capacity, improve
traffic and interchange operations, and enhance road safety to meet
state and federal standards. The project is in conjunction with the
construction of the design‐build (DB) of I‐405 improvement
between State Route 73 (SR73) and I‐605.
MTGL is providing services for the expansion and new construction
of overcrossings including the following:
Brookhurst Street Bridge
Fairview Road Bridge
Talbert Avenue Bridge
Euclid Street Bridge
Magnolia Street Bridge
Warner Avenue Bridge
Ward Street Bridge
I‐405‐SR‐73 Express Lanes Connector
JACOBS PROJECT MANAGEMENT
2600 Michelson Drive, Suite 500
Irvine, CA 92612
Client Contact:
Ken Bui, P.E.
(714)400‐7988
Construction Cost:
$1.9 billion
Duration:
June 2017 ‐ Present
16 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
City of Temecula
43200 Business Park Drive
Temecula, CA 92590
Client Contact
Shawna Bennetts,
Associate Civil Engineer
P: 951‐506‐5167
Shawna.bennetts@temeculaca.gov
Ryan Castillo
Supervising Public Works Inspector
P: 951‐693‐3964
Ryan.castillo@temeculaca.gov
COMPLETE CITYWIDE RESIDENTIAL STREET
SLURRY SEAL PROGRAM (RESIDENTIAL
ROADWAYS SLURRY SEAL INSPECTION AND
TESTING) | Duration: August 2021‐ November 2021
CITYWIDE PAVEMENT REHABILITATION
PROGRAM PW19‐08 BUTTERFIELD STAGE AND
PAUBA ROAD
Duration: July 2021‐December 2021
Removal and recompacting of roadway including high performance
asphalt specifications.
REFERENCES
1
CLIENT NAME AND
ADDRESS
CITY OF ANAHEIM
200 South Anaheim Boulevard, Anaheim, California 92805
CLIENT CONTACT
INFORMATION
Michelle Lee, E.I.T. | P: 714‐231‐8377 | miclee@anaheim.net
Jose Cortez, P.E. | P: 714‐765‐5039
2
CLIENT NAME AND
ADDRESS
CITY OF BUENA PARK
6650 Beach Boulevard, Buena Park, California 90622
CLIENT CONTACT
INFORMATION
Nader Alqam, Assistant Engineer | P: 714‐562‐3698 | nalquam@buenapark.com
Jason Tran, E.I.T. | P: 714‐562‐3680 | jasontran@buenapark.com
3
CLIENT NAME AND
ADDRESS
CITY OF TEMECULA
43200 Business Park Drive, Temecula, California 92590
CLIENT CONTACT
INFORMATION
Ryan Castillo, Supervising Public Works Inspector
P: 951‐693‐3964 | ryan.castillo@temeculaca.gov
4
CLIENT NAME AND
ADDRESS
CITY OF LA CAÑADA‐FLINTRIDGE
One Civic Center Drive, La Cañada‐Flintridge, California 91011
CLIENT CONTACT
INFORMATION
Maged El‐Rabaa, P.E., City Engineer
P: 818‐790‐8882 x205 | cityengineer@lcf.ca.gov
17 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
PROJECT UNDERSTANDING
We understand that the City of Diamond Bar (City) RFP for Professional Civil Engineering and Architectural Services
is to retain multiple firms to provide consulting services to augment the City’s professional capabilities and to
provide high quality, timely expertise, as needed for a period of three (3) years commencing July 1, 2023 with the
option to extend an additional two (2) years.
Our approach and scope of work as follows:
For new projects needing construction materials inspection and testing services, we first do a thorough review of
the project’s plans and specifications along with the construction schedule to identify the scope of work needed
and for an approximate frequency and duration. Our scope of work will be tailored to address the improvement
project’s inspection and testing requirements, which can include observation and testing of grading excavation
and backfill, aggregate base, asphalt concrete, and PCC concrete placement.
MTGL is fully capable of providing soil and materials testing services required for the successful completion of City
projects.
Once communication is established with city representatives, our project manager and field supervisor will begin
the scheduling for testing and material sampling.
INSPECTION AND TESTING REQUESTS
Our dispatchers and laboratory staff currently use QESTLab, a program designed to mainstream our projects with
scheduling, field reporting, material sampling, and testing. QESTLab allows our document control to remain in on
one platform.
The city representative can contact our scheduling dispatch department for inspection and testing requests. Our
friendly dispatcher will take the call and collect as much as information as possible as regarding the inspection and
testing, or if an email request is submitted our dispatcher will respond confirming the inspection and testing has
been reserved.
SOIL COMPACTION AND GRADING
Our services will consist of compaction testing of the backfill and paved areas on site and within the street right of
way. MTGL's services will consist of performing in‐place density tests by the Caltrans nuclear gauge method CT
231 or CT 375 to determine water content, maximum density, and optimum moisture.
Trench backfill compaction tests will be taken at locations and frequencies in accordance with guidelines provided
by applicable requirements. In addition, subgrade compaction testing of paved areas on‐site and within the street
right of way will be taken at locations and frequencies in accordance with guidelines provided by the City. Test
locations will be selected by our technician at locations that represent the surface appearance of the subgrade at
the time of testing.
Additionally, MTGL's services will provide observations and testing of excavation during grading, rough grading
operations, soil tests, and submittal of a soil grading report. Our technician will observe rough grading operations
on a full‐time basis. Water content, in‐place density (compaction), maximum density and optimum moisture,
expansion index, and soluble sulfate test will be performed at a frequency and at locations selected by the soil
engineer.
During the courses of construction, we will notify the City in writing, with a copy to the contractor, if in our opinion,
any time the work is not in conformance with the plans and specifications. Upon completion of the work, we will
prepare a final report for the city which will summarize our observations and the results of all tests performed.
The final report will contain recommendations and opinions regarding the conformance of the completed rough
grading to the intent of the plans, soil engineering reports, and specifications signed by a California Registered
Geotechnical Engineer.
18 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
CONCRETE MATERIAL TESTING
Our services will consist of continual concrete inspection during the concrete placement, for conformance to
approved plans, specifications, and building codes. During concrete placement, our inspector will fabricate four
(4)compression test specimens for every 150 cubic yards of concrete placed.
MTGL will provide testing at different intervals per request or project requirements. Test cylinders will be cured in
our laboratory until they are tested in accordance with ASTM C192. A compression test will be performed in
accordance with ASTM C39 at seven (7) and 28 days, respectively, or by the City requirement.
ASPHALTIC CONCRETE TESTING
Our services will also include laboratory testing of the aggregate base and asphaltic concrete. Services will include
Hveem stabilimeter, sieve analysis, sand equivalents, and R‐value testing of aggregate base. Tests will be
performed on materials sampled at random locations and at frequencies based on the project specifications.
Testing requirements for oil content of asphalt can be met with our Rapid Ignition Oven, providing real‐time results
to batch plants supplying asphalt.
STRUCTURAL STEEL INSPECTION
For structural steel inspection, our supervisor reviews welding procedures for compliance with code and project
requirements. During the fabrication, our inspector will observe the fabrication practices and ensure the materials
follow the project requirement. Visually inspect the weld and generate a welding report associated with each
member welded. Field welding will also be observed by a certified inspector providing daily field reports indicating
the progress of the steel erection, bolting, and decking.
LABORATORY AND FIELD TEST RESULT DISTRIBUTION
A list of contacts is created for the distribution of daily inspection reports, field tests, laboratory test reports, and
engineering letters issued by MTGL at specified dates. Field inspectors utilize QESTField, an application designed
for the creation of field reports and tracking hours for accounting purposes. Reports are signed electronically on
the inspector's device and distributed at the end of the inspection. Our inspectors are also equipped with a link to
the project's relevant documents such as project specifications, approved drawings, tests conducted in the
field/lab, previously issued daily field reports, and contact information for site contacts.
CONTROL OF NON‐CONFORMING WORK
MTGL has a policy and procedure that is implemented if non‐compliances are identified by our inspector, the
report will be distributed right away to the general contractor, subcontractor, engineer, and client. MTGL will hold
the inspection report as non‐compliance. MTGL's engineering manager will follow these steps:
Evaluate the significance of the nonconforming work.
Immediately address the issue.
Determine the acceptability of the nonconforming work.
Re‐test the work (with the client's approval).
Contact the client via telephone or email.
QUALITY ASSURANCE AND QUALITY CONTROL (QA/QC) PROGRAM
We maintain our effective QA/QC Program to measure and verify testing performance throughout the course
of the project.
We ensure that data requirements are met for accuracy, precision, and completeness during the use of our
proven methodologies.
We will provide flexibility to allow controlled changes in routine methodology to meet specific contract
requirements.
Our staff are trained to recognize mistakes as early as possible to provide correction for any factors that
adversely affect the quality of the work.
We monitor operational performance of the testing on a routine basis, and provide corrective action as
needed to meet requirements.
We maintain complete records of field observation, sample taking and submittal, laboratory performance,
and completed analyses to verify resulting data.
19 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
In depth site review and client contact in order to determine equipment type (limited access rig, truck
mounted drill rig, hand auger, etc.) and location of investigatory borings/excavations.
Private utility location prior to any excavation or drilling, in addition to the required notification of DigAlert
USA.
MTGL will conduct daily field meetings between project management team and field team in order to ensure
crew is familiar with requirements of QA program and how those requirements apply to specific project.
Experienced MTGL personnel will complete field boring logs as the work is being performed so that existing
site conditions can be identified as accurately as possible.
Any issues observed during work will be recorded on daily reports. These issues will be identified by equipment
of issue, location of issue, description of issue, date and time of issue, and resolution. If resolution cannot be
immediately identified, the work may require a stoppage until the issue can be resolved with the input of the
project management team, principal engineer, and the client. Continued poor performance or multiple
deficiencies will constitute grounds to replace equipment or contract personnel.
Any out‐of‐scope work identified will not be completed without direction from the client. If a task is
determined to be out‐of‐scope, the principal‐in‐charge will be informed, and a contract amendment request
will be prepared in a timely manner.
Any documents provided as a summary of work or report will have gone through, at minimum, two (2)
reviews by MTGL staff in order to identify discrepancies between the data in the report and the information
which was obtained from the field work by the time it has been delivered to the City. All figures, maps,
drawings, and tables are examined by MTGL’s engineers to ensure relevance and accuracy.
MTGL actively monitors and tracks staff certifications and conducts in‐house training for field and laboratory
personnel.
Our laboratory manager is responsible for the training program and maintenance of all training records. Per
corporate policy, the laboratory supervisor completes a “Technician Training and Evaluation Record” for
each technician and copies of the results of all training are distributed to the Registered Engineer for review.
Training records are retained in the laboratory office. All materials technicians are trained prior to
performing test procedures not previously performed.
METHOD OF CONSULTANT’S PROJECT REPORTING (PROJECT MANAGEMENT APPROACH)
Communication
Our core value is to work closely with and to communicate regularly with the city/owner and other prime team
members. Our engineers, inspectors and field technicians value good communication and dialogue with the City
Representative and rest of the project team.
Our communication for service starts from the City Representative, on the project who will determine the need
for testing and inspection as defined in the plans and specifications. Although we request notice of 24 hours for
material testing or inspection requests, our dispatch department will process the requests for the following day’s
service up to 4:00 PM the day prior. We also make every possible attempt to cover last‐minute requests with our
first available technician.
In‐House Resources
MTGL uses the following in‐house resources:
Computer Capabilities: HP Elite Desktop with Microsoft Windows version.
Software and Program Applications: Microsoft Applications (Word, Excel, Access, Outlook, Power point);
Adobe (Acrobat .pdf, Illustrator, Photoshop, InDesign); AutoCad, Web Verizon Text, Deltek Database,
Geosystem, SharePoint, SpectraQEST.
Electronic Record Keeping: Internal Server, Geosystem for soils report, and cloud‐based file storage.
Communication: Telephone, Fax Machine, Cell Phone, Microsoft Outlook (eMail), Web Verizon Text.
Laboratory Equipment: A list is available upon request.
20 |PAGE
City of Diamond Bar
RFP – On-Call Civil Engineering and Architectural Services MTGL #P-23-347
Capacity: General Engineering Services – Inspection Services May 26, 2023
Accounting System
Billing is performed on a weekly basis along with labor compliance reports. Daily reports are submitted with each
billing as backup to our invoicing. We monitor re‐testing of any failed tests to assist the City in regaining costs for
inspection of failing tests due to the contractor and subcontractors’ inadequate work.
MTGL utilizes a project‐based software system to ensure accountability and
cohesiveness of all financial transactions and fiscal requirements. Our
Accounting System (Deltek Vision) is specifically designed to support the
complete lifecycle of the project. Vision’s customizable dashboards help
measure and track critical financial project functions.
From project initiation all the way to project execution and evaluation, Vision
provides measurable benefits that included improved client customization and
streamlined financial management. Our accounting system is the ideal tracking
system for the quality oversight industry, ensuring cohesiveness of all areas of
project management, budget tracking, and labor compliance.
Deficiency Log
Any deficiency found will be immediately brought to the City’s representative, construction manager, the
Contractor and if applicable, the sub‐contractor involved. If the deficiency is not resolved within 72 hours, we will
distribute a deficiency log to all parties involved. We will proactively work with the party responsible for the
deficiency to ensure that it is resolved.
Invoicing
MTGL can submit invoices on a weekly/monthly basis that will itemize each task performed, the number of hours
worked per person/consultant, the rate per hour for each person/consultant, total contract amount, percent
complete for specified work items, and the remaining contract amount, along with labor compliance reports.
21 |PAGE
PROFESSIONAL SERVICES UNIT RATE LAB TESTING ‐ CONCRETE UNIT RATE
Staff Engineer / Geologist HR $ 115.00 C39 Compressive Strength ‐ Concrete Cylinders (6" x 12") EACH $ 35.00
Project Manager/Engineer/Geologist HR $ 135.00 C39 Compressive Strength ‐ Cores (6" Max. Diameter)EACH $ 55.00
Principal Engineer/Geologist HR $ 175.00 C78 Flexural Strength ‐ Beams (6" x 6")EACH $ 60.00
Draftsperson HR $ 70.00 C157 Concrete Shrinkage (Set of 3)SET $ 350.00
Administrative (Per Monthly Invoice)5%C174 Handling Charge ‐ Cylinders Not Broken/Hold EACH $ 65.00
Project Setup Fee $ 200.00 C192 Concrete Trial Batch w/ Lab Testing EACH $ 1,100.00
Certified Payroll (Per Pay Period) $ 95.00 C469 Modulus of Elasticity EACH $ 150.00
C495 Comp. Strength ‐ Lightweight Concrete Fill EACH $ 45.00
FIELD INSPECTION PERSONNEL UNIT RATE Handling Charge ‐ Beams Not Broken/Hold EACH $ 50.00
ICC Special Inspector HR $ 105.00 C496 Tensile Strength, Splitting EACH $ 75.00
Soils/Asphalt Technician HR $ 105.00 C567 Unit Weight (Hardened Lightweight Concrete)EACH $ 50.00
AWS/CWI Welding Inspector HR $ 105.00 C1140 Shotcrete Panel Test EACH $ 300.00
NDT Inspector HR $ 135.00 Core Trimming (In Laboratory)EACH $ 55.00
Field/Lab Supervisor HR $ 135.00
DSA Masonry/Shotcrete Inspector HR $ 125.00 LAB TESTING ‐ ASPHALT UNIT RATE
L.A. Deputy Grading Inspector HR $ 145.00 D1188 Core Density Parafilm Coated EACH $ 85.00
L.A. City Special Inspector HR $ 145.00 D1560 Stabilometer ‐ HVEEM EACH $ 290.00
Multi‐Certified Inspector HR $ 135.00 D1561 Max Density ‐ HVEEM EACH $ 195.00
Pull l Torque Testing Technician HR $ 105.00 D2172 Asphalt Content by Solvents EACH $ 250.00
Batch Plant (Concrete or Asphalt) Technician HR $ 105.00 D3910 Wet Track Abrasion EACH $ 195.00
Firestopping Inspection HR 180.00$ D5444 Gradation of Extracted Agg EACH $ 275.00
Floor Flatness / Levelness (Inc. Equipment)DAY $ 1,500.00 D6307 Asphalt Content by Ignition EACH $ 245.00
Prestressed/Post Tensioned Inspector HR $ 105.00 D6926 Max Density ‐ Marshall EACH $ 295.00
Concrete, Masonry, Asphalt Coring or Sawing QUOTE D6927 Stability and Flow ‐ Marshall EACH $ 375.00
Travel Time HR Tech Rate T209/D2041 Theoretical Maximum Density EACH $ 150.00
Mileage MILE $ 0.58 T324 Hamburg Wheel EACH $ 1,000.00
CT 370 Moisture Content EACH $ 70.00
LAB TESTING ‐ SOIL UNIT RATE
D422 Hydrometer Analysis EACH $ 175.00 LAB TESTING ‐ MASONRY UNIT RATE
D422 Sieve Analysis of Soil EACH $ 200.00 C109 Mortar ‐ 2" Cube Compressive Strength EACH $ 40.00
D558 Soil Cement ‐ Maximum Density EACH $ 300.00 C140 Block ‐ Compressive Strength EACH $ 75.00
D559 Soil Cement ‐ Sample Preparation EACH $ 100.00 C140 Block ‐ Moisture & Absorption EACH $ 80.00
D854 Specific Gravity of Soils EACH $ 125.00 C140 Block ‐ Unit Weight & Measurements EACH $ 275.00
D1140 Materials Finer than #200 (Sieve)EACH $ 60.00 C426 Block ‐ Linear Shrinkage EACH $ 180.00
D1557 Maximum Density EACH $ 290.00 C780 Mortar ‐ (2" x 4") Cylinders Comp. Strength EACH $ 35.00
D1883 California Bearing Ratio (CBR)EACH QUOTE C1019 Grout Prisms ‐ Compressive Strength EACH $ 35.00
D2216 Soil Moisture Content by Mass EACH $ 25.00 Handling Charge (Cylinders/Cubes/Prisms) Not Broken/Holds EACH $ 75.00
D2419 Sand Equivalent EACH $ 110.00 C1314 CMU Grouted Prisms ‐ Comp. Strength (< 8" x 8" x 16")EACH $ 180.00
D2434 Permeability EACH QUOTE C1314 CMU Grouted Prisms ‐ Comp. Strength (> 8" x 8" x 16")EACH $ 245.00
D2435 Consolidation EACH $ 225.00 C67 Brick ‐ Boil EACH $ 90.00
D2435 Consolidation with Time Rate EACH $ 275.00 C67 Brick ‐ Compressive Strength EACH $ 50.00
D2844 R‐Value & Expansive Pressures 3 Points $ 250.00 C67 Brick ‐ Moisture & Absorption EACH $ 85.00
D2937 Moisture & Density (Ring Samples)EACH $ 30.00
D3080 Direct Shear EACH $ 200.00 LAB TESTING ‐ STEEL UNIT RATE
D4318 Plasticity Index of Soils EACH $ 145.00 Steel Chemical Analysis/AWS Weld:Macroetch/Fracture/Bend Test EACH QUOTE
D4829 Expansion Index of Soils EACH $ 135.00 A325 High Strength Bolt, Nut & Washer Conformance (Per Assembly) EACH 180.00$
CT 216 CA Impact Max Density EACH $ 225.00 A370 Brinell & Rockwell Hardness Test EACH $ 80.00
CT 216 CA Impact Rock Correction EACH 95.00$ A370 Nelson Stud Tensile EACH $ 195.00
A370 Rebar Bend & Tensile Test No. 11 Bar & Smaller EACH $ 45.00
LAB TESTING ‐ AGGREGATES UNIT RATE A615/706 Bend Test No. 11 Bar and Smaller EACH $ 60.00
C40 Organic Impurities in Fine Agg EACH $ 95.00 A615/706 Tensile No. 11 Bar and Smaller EACH $ 65.00
C88 Soundness by Sodium Sulfate EACH $ 315.00 A615/706 Tensile No. 14 Bar and Larger EACH QUOTE
C123 Percent Lightweight Particles EACH $ 215.00 A416 Prestressing Wire, Tension EACH $ 170.00
C127 Specific Gravity (Coarse Agg)EACH $ 130.00 Sample Preparation (Cutting)EACH $ 80.00
C128 Specific Gravity (Fine Agg)EACH $ 150.00 A416 Prestressing Cable (7 Wire) ‐ Yield & Tensile EACH $ 170.00
C131 Abrasion ‐ Los Angeles Rattler EACH $ 235.00 E605 Fireproofing Unit Weight EACH $ 60.00
C136 Sieve Analysis (Combined Agg)EACH $ 130.00
C136 Sieve Analysis (Fine or Coarse Agg)EACH $ 110.00 EQUIPMENT CHARGES UNIT RATE
C142 Clay Lumps & Friable Particles EACH $ 135.00 Air Meter DAY $ 30.00
C535 Abrasion (Large Agg) ‐ Los Angeles Rattler EACH $ 235.00 Dye Penetrant Equipment DAY $ 50.00
C566 Moisture Content by Drying EACH $ 25.00 Emissivity Test Kit EACH $ 50.00
CT 227 Cleanness Value EACH $ 230.00 Ground Rod Equipment DAY $ 50.00
D3744 Durability Index EACH $ 180.00 Jacking Assembly DAY $ 65.00
D5821 Flat & Elongated Particles EACH $ 200.00 Magnetic Particle Equipment DAY $ 50.00
T335 Crushed Particles EACH $ 170.00 Nuclear Density Gauge DAY $ 70.00
Pachometer DAY $ 55.00
LAB TESTING ‐ Misc.UNIT RATE Sand Cone Kit DAY $ 50.00
C67 Roofing Tile Absorption EACH $ 65.00 Schmidt Hammer DAY $ 45.00
C67 Roofing Tile Strength Test EACH $ 60.00 Skidmore‐Wilhelm Bolt Cell DAY $ 65.00
Torque Wrench DAY $ 50.00
Sample Pickup Charges UNIT RATE Ultrasonic Equipment DAY $ 45.00
Pick up Sample Trip Charge (4hr Minimum)HR $ 65.00 Outside Services
Weekend Sample Pick Up Charge (2hr Minimum)HR $ 80.00
MTGL Fee Schedule for Prevailing Wages July 1, 2022 - June 30, 2024
CITY OF DIAMOND BAR
Cost +20%
22 |PAGE
Minimum Field Hourly Charges Travel Charges & Mileage
For Field Technicians, Special Inspectors or any on-site (field) materials testing services:
4 hours: 4-hour minimum charge up to the first four hours of work.
8 hours: 8-hour minimum charge for over four hours of work, up to eight hours.
Project time accrued includes portal to portal travel time.
Scheduling & Cancellations
• A 24-hour notice is required when scheduling an inspection or technician.
• A two-hour show -up charge will be applied to any service canceled the same day of service.
• Verbal request will be considered authorization to perform billable work. Client shall designate
member(s) of staff who have authority to request services and notify MTGL in writing of their
authorized representative. Otherwise all service requests are billable.
Overtime Rates Laboratory Testing
• Work performed in excess of 8 hours per day and / or up to eight (8) hours on Saturdays will be
billed at 1.5 times the unit rate.
• Work performed on Sunday, recognized holidays, or in excess of eight (8) hours on Saturdays will
be billed at 2.0 times the unit rate.
• A 20% surcharge will be applied for laboratory tests performed on a Saturday or Sunday.
• Work performed by field or laboratory staff outside of normal business hours ( 5:00 AM - 5:00
PM) will be subject to the above overtime rates.
• A 2-hour minimum material sample pick-up charge with an hourly rate of $65 will be billed in
addition to the prices quoted for testing.
• Quoted laboratory test rates assume samples are free of hazardous materials. Handling and
testing of samples containing hazardous materials may include additional costs.
Administrative Charges Weekend Sample Pick-Ups
• All admintstrative costs including report distribution are billed at 5% of the monthly invoice
total.
• Certified payroll requests will have a processing fee applied for each project, billed at $ϵ5 per
payroll week.
In order to be in strict conformance with testing standards, it may be required that weekend pick-
ups be performed (e.g. concrete specimens cast on Friday must be picked up during weekend to
be in conformance with ASTM C31 requiring specimens to be moved to their final curing location
within 48 hours of casting.) Applicable charges for weekend work will apply when this is required.
Should these charges not be authorized then MTGL will not be held responsible for any negative
consequences for non-conformance .
Anticipated Costs
Terms of Payment• MTGL estimates a budget to assist the client with code required inspections and testing based
upon information provided by the client. MTGL’s ability to perform within the estimated budget
relies heavily on the accuracy of the information provided, as well as the cooperation of client’s
management staff.
• Project actual budget totals may vary. Estimated budget hours are based upon 40 hours a
week, 8 hours a day, Monday-Friday. Client shall monitor the percentage of work remaining to
assure inspections and testing is not greater than the estimated budget and adjusts the
contractor’s labor and scheduling to maintain the work completion schedule.
• Client recognizes and agrees that any “anticipated costs,” “budget estimates,” or the like that
may be prepared by MTGL are NOT “guaranteed maximums,” “lump sums;” or “not-to-exceed
totals”. Client will be invoiced for all work performed and only for work performed based on
MTGL's working conditions and hours as an attachment to their contract.
•ĚĂŝůLJƌĞƉŽƌƚĨĞĞŽĨϭͬϮŚŽƵƌǁŝůůďĞŝŶǀŽŝĐĞĚĂƚĂƉƉůŝĐĂďůĞƌĂƚĞĨŽƌĨŝĞůĚƐĞƌǀŝĐĞƐ͘
• Additionally, any weekly overtime hours, Saturday or Sunday, double shift, and/or night shift
differential for shop steel inspection are NOT included in MTGL’s proposal.
• Invoices for all services willl be submitted monthly. These invoices are due in full upon
presentation to client. Invoices outstanding over 45 days are considered past due and will be
subject to a finance charge of 1.5% of the unpaid balance each month.
• All invoice errors or necessary corrections shall be brought to the attention of MTGL within 30
days of receipt of invoice. Thereafter, customer, acknowledges invoices are correct and valid.
• MTGL reserves the right to terminate its services to a customer without notice if all invoices are
not current. Upon such termination of services, the entire amount accrued for all services
performed shall immediately become due and payable. Customer waives any and all claims
against MTGL, its subsidiaries, affiliates. servants and agents for termination of work on account of
these terms.
• In the event of any litigation arising from or related to any agreement to provide services
whether verbal or written, the prevailing party shall be entitled to recover from the non-prevailing
party all reasonable costs incurred, including staff time. court costs, attorney fees and all other
related expenses in such litigation. Additionally, in the event of a non- adjudicative settlement of
litigation between the parties or a resolution of dispute by arbitration, that same process shall
determine the prevailing party.
Reimbursable Expenses & Outside Services
• Heavy equipment, subcontractor fees and expenses, supplemental insurance, travel,
shipping, outside reproduction, and other reimbursable expenses will be invoiced at cost plus
20%.
• Outside services will be billed at cost plus 20% unless billed directly to and paid for by Client.
Please note that ĨŝĞůĚƐĞƌǀŝĐĞ rates will increase Ăƚ6йJuly 1st of 2024 for cost of living
increases.
• For projects outside a 50-mile radius from the nearest MTGL facility, $0.58 per excess mile to
and from the project will be charged for inspectors and technicians.
• When project related equipment is required to be transported to and from the project site, time
and mileage for inspectors and field technicians will be billed on a portal to portal basis.
• For all projects, $0.58 per mile rate and applicable travel time will be charged portal to portal for
engineers, consultants, and supervisors from the laboratory to the project site and return.
Our professional engineering, geology, and inspection services are performed in accordance with the current standards of practice in the industry. No other warranty or representation,
express or implied, is made or intended.
ĂƐŝƐŽĨŚĂƌŐĞƐand Contract Terms
The charges for services and General Terms and Conditions set forth below will govern the provision of services and will constitute the contract terms between the Owner or Owner’s
Representative (Client) and MTGL, Inc unless the Client and MTGL, Inc. have executed a written contract with respect to such services, in which case the terms and provisions of the written contract
shall ƐƵƉĞƌƐĞĚĞ.
23 |PAGE
Form W-9
(Rev. October 2018)
Department of the Treasury
Internal Revenue Service
Request for Taxpayer
Identification Number and Certification
a Go to www.irs.gov/FormW9 for instructions and the latest information.
Give Form to the
requester. Do not
send to the IRS.Print or type. See Specific Instructions on page 3.1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
2 Business name/disregarded entity name, if different from above
3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the
following seven boxes.
Individual/sole proprietor or
single-member LLC
C Corporation S Corporation Partnership Trust/estate
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a
Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check
LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
Other (see instructions) a
4 Exemptions (codes apply only to
certain entities, not individuals; see
instructions on page 3):
Exempt payee code (if any)
Exemption from FATCA reporting
code (if any)
(Applies to accounts maintained outside the U.S.)
5 Address (
Palma Avenue, Suite A
Anaheim, California 92806
33 0580168
05/25/2023
24 |PAGE
Form W-9 (Rev. 10-2018)Page 2
By signing the filled-out form, you:
1. Certify that the TIN you are giving is correct (or you are waiting for a
number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt
payee. If applicable, you are also certifying that as a U.S. person, your
allocable share of any partnership income from a U.S. trade or business
is not subject to the withholding tax on foreign partners' share of
effectively connected income, and
4. Certify that FATCA code(s) entered on this form (if any) indicating
that you are exempt from the FATCA reporting, is correct. See What is
FATCA reporting, later, for further information.
Note: If you are a U.S. person and a requester gives you a form other
than Form W-9 to request your TIN, you must use the requester’s form if
it is substantially similar to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. person if you are:
• An individual who is a U.S. citizen or U.S. resident alien;
• A partnership, corporation, company, or association created or
organized in the United States or under the laws of the United States;
• An estate (other than a foreign estate); or
• A domestic trust (as defined in Regulations section 301.7701-7).
Special rules for partnerships. Partnerships that conduct a trade or
business in the United States are generally required to pay a withholding
tax under section 1446 on any foreign partners’ share of effectively
connected taxable income from such business. Further, in certain cases
where a Form W-9 has not been received, the rules under section 1446
require a partnership to presume that a partner is a foreign person, and
pay the section 1446 withholding tax. Therefore, if you are a U.S. person
that is a partner in a partnership conducting a trade or business in the
United States, provide Form W-9 to the partnership to establish your
U.S. status and avoid section 1446 withholding on your share of
partnership income.
In the cases below, the following person must give Form W-9 to the
partnership for purposes of establishing its U.S. status and avoiding
withholding on its allocable share of net income from the partnership
conducting a trade or business in the United States.
• In the case of a disregarded entity with a U.S. owner, the U.S. owner
of the disregarded entity and not the entity;
• In the case of a grantor trust with a U.S. grantor or other U.S. owner,
generally, the U.S. grantor or other U.S. owner of the grantor trust and
not the trust; and
• In the case of a U.S. trust (other than a grantor trust), the U.S. trust
(other than a grantor trust) and not the beneficiaries of the trust.
Foreign person. If you are a foreign person or the U.S. branch of a
foreign bank that has elected to be treated as a U.S. person, do not use
Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see
Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign
Entities).
Nonresident alien who becomes a resident alien. Generally, only a
nonresident alien individual may use the terms of a tax treaty to reduce
or eliminate U.S. tax on certain types of income. However, most tax
treaties contain a provision known as a “saving clause.” Exceptions
specified in the saving clause may permit an exemption from tax to
continue for certain types of income even after the payee has otherwise
become a U.S. resident alien for tax purposes.
If you are a U.S. resident alien who is relying on an exception
contained in the saving clause of a tax treaty to claim an exemption
from U.S. tax on certain types of income, you must attach a statement
to Form W-9 that specifies the following five items.
1. The treaty country. Generally, this must be the same treaty under
which you claimed exemption from tax as a nonresident alien.
2. The treaty article addressing the income.
3. The article number (or location) in the tax treaty that contains the
saving clause and its exceptions.
4. The type and amount of income that qualifies for the exemption
from tax.
5. Sufficient facts to justify the exemption from tax under the terms of
the treaty article.
Example. Article 20 of the U.S.-China income tax treaty allows an
exemption from tax for scholarship income received by a Chinese
student temporarily present in the United States. Under U.S. law, this
student will become a resident alien for tax purposes if his or her stay in
the United States exceeds 5 calendar years. However, paragraph 2 of
the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows
the provisions of Article 20 to continue to apply even after the Chinese
student becomes a resident alien of the United States. A Chinese
student who qualifies for this exception (under paragraph 2 of the first
protocol) and is relying on this exception to claim an exemption from tax
on his or her scholarship or fellowship income would attach to Form
W-9 a statement that includes the information described above to
support that exemption.
If you are a nonresident alien or a foreign entity, give the requester the
appropriate completed Form W-8 or Form 8233.
Backup Withholding
What is backup withholding? Persons making certain payments to you
must under certain conditions withhold and pay to the IRS 24% of such
payments. This is called “backup withholding.” Payments that may be
subject to backup withholding include interest, tax-exempt interest,
dividends, broker and barter exchange transactions, rents, royalties,
nonemployee pay, payments made in settlement of payment card and
third party network transactions, and certain payments from fishing boat
operators. Real estate transactions are not subject to backup
withholding.
You will not be subject to backup withholding on payments you
receive if you give the requester your correct TIN, make the proper
certifications, and report all your taxable interest and dividends on your
tax return.
Payments you receive will be subject to backup withholding if:
1. You do not furnish your TIN to the requester,
2. You do not certify your TIN when required (see the instructions for
Part II for details),
3. The IRS tells the requester that you furnished an incorrect TIN,
4. The IRS tells you that you are subject to backup withholding
because you did not report all your interest and dividends on your tax
return (for reportable interest and dividends only), or
5. You do not certify to the requester that you are not subject to
backup withholding under 4 above (for reportable interest and dividend
accounts opened after 1983 only).
Certain payees and payments are exempt from backup withholding.
See Exempt payee code, later, and the separate Instructions for the
Requester of Form W-9 for more information.
Also see Special rules for partnerships, earlier.
What is FATCA Reporting?
The Foreign Account Tax Compliance Act (FATCA) requires a
participating foreign financial institution to report all United States
account holders that are specified United States persons. Certain
payees are exempt from FATCA reporting. See Exemption from FATCA
reporting code, later, and the Instructions for the Requester of Form
W-9 for more information.
Updating Your Information
You must provide updated information to any person to whom you
claimed to be an exempt payee if you are no longer an exempt payee
and anticipate receiving reportable payments in the future from this
person. For example, you may need to provide updated information if
you are a C corporation that elects to be an S corporation, or if you no
longer are tax exempt. In addition, you must furnish a new Form W-9 if
the name or TIN changes for the account; for example, if the grantor of a
grantor trust dies.
Penalties
Failure to furnish TIN. If you fail to furnish your correct TIN to a
requester, you are subject to a penalty of $50 for each such failure
unless your failure is due to reasonable cause and not to willful neglect.
Civil penalty for false information with respect to withholding. If you
make a false statement with no reasonable basis that results in no
backup withholding, you are subject to a $500 penalty.
25 |PAGE
Form W-9 (Rev. 10-2018)Page 3
Criminal penalty for falsifying information. Willfully falsifying
certifications or affirmations may subject you to criminal penalties
including fines and/or imprisonment.
Misuse of TINs. If the requester discloses or uses TINs in violation of
federal law, the requester may be subject to civil and criminal penalties.
Specific Instructions
Line 1
You must enter one of the following on this line; do not leave this line
blank. The name should match the name on your tax return.
If this Form W-9 is for a joint account (other than an account
maintained by a foreign financial institution (FFI)), list first, and then
circle, the name of the person or entity whose number you entered in
Part I of Form W-9. If you are providing Form W-9 to an FFI to document
a joint account, each holder of the account that is a U.S. person must
provide a Form W-9.
a. Individual. Generally, enter the name shown on your tax return. If
you have changed your last name without informing the Social Security
Administration (SSA) of the name change, enter your first name, the last
name as shown on your social security card, and your new last name.
Note: ITIN applicant: Enter your individual name as it was entered on
your Form W-7 application, line 1a. This should also be the same as the
name you entered on the Form 1040/1040A/1040EZ you filed with your
application.
b. Sole proprietor or single-member LLC. Enter your individual
name as shown on your 1040/1040A/1040EZ on line 1. You may enter
your business, trade, or “doing business as” (DBA) name on line 2.
c. Partnership, LLC that is not a single-member LLC, C
corporation, or S corporation. Enter the entity's name as shown on the
entity's tax return on line 1 and any business, trade, or DBA name on
line 2.
d. Other entities. Enter your name as shown on required U.S. federal
tax documents on line 1. This name should match the name shown on the
charter or other legal document creating the entity. You may enter any
business, trade, or DBA name on line 2.
e. Disregarded entity. For U.S. federal tax purposes, an entity that is
disregarded as an entity separate from its owner is treated as a
“disregarded entity.” See Regulations section 301.7701-2(c)(2)(iii). Enter
the owner's name on line 1. The name of the entity entered on line 1
should never be a disregarded entity. The name on line 1 should be the
name shown on the income tax return on which the income should be
reported. For example, if a foreign LLC that is treated as a disregarded
entity for U.S. federal tax purposes has a single owner that is a U.S.
person, the U.S. owner's name is required to be provided on line 1. If
the direct owner of the entity is also a disregarded entity, enter the first
owner that is not disregarded for federal tax purposes. Enter the
disregarded entity's name on line 2, “Business name/disregarded entity
name.” If the owner of the disregarded entity is a foreign person, the
owner must complete an appropriate Form W-8 instead of a Form W-9.
This is the case even if the foreign person has a U.S. TIN.
Line 2
If you have a business name, trade name, DBA name, or disregarded
entity name, you may enter it on line 2.
Line 3
Check the appropriate box on line 3 for the U.S. federal tax
classification of the person whose name is entered on line 1. Check only
one box on line 3.
IF the entity/person on line 1 is
a(n) . . .
THEN check the box for . . .
• Corporation Corporation
• Individual
• Sole proprietorship, or
• Single-member limited liability
company (LLC) owned by an
individual and disregarded for U.S.
federal tax purposes.
Individual/sole proprietor or single-
member LLC
• LLC treated as a partnership for
U.S. federal tax purposes,
• LLC that has filed Form 8832 or
2553 to be taxed as a corporation,
or
• LLC that is disregarded as an
entity separate from its owner but
the owner is another LLC that is
not disregarded for U.S. federal tax
purposes.
Limited liability company and enter
the appropriate tax classification.
(P= Partnership; C= C corporation;
or S= S corporation)
• Partnership Partnership
• Trust/estate Trust/estate
Line 4, Exemptions
If you are exempt from backup withholding and/or FATCA reporting,
enter in the appropriate space on line 4 any code(s) that may apply to
you.
Exempt payee code.
• Generally, individuals (including sole proprietors) are not exempt from
backup withholding.
• Except as provided below, corporations are exempt from backup
withholding for certain payments, including interest and dividends.
• Corporations are not exempt from backup withholding for payments
made in settlement of payment card or third party network transactions.
• Corporations are not exempt from backup withholding with respect to
attorneys’ fees or gross proceeds paid to attorneys, and corporations
that provide medical or health care services are not exempt with respect
to payments reportable on Form 1099-MISC.
The following codes identify payees that are exempt from backup
withholding. Enter the appropriate code in the space in line 4.
1—An organization exempt from tax under section 501(a), any IRA, or
a custodial account under section 403(b)(7) if the account satisfies the
requirements of section 401(f)(2)
2—The United States or any of its agencies or instrumentalities
3—A state, the District of Columbia, a U.S. commonwealth or
possession, or any of their political subdivisions or instrumentalities
4—A foreign government or any of its political subdivisions, agencies,
or instrumentalities
5—A corporation
6—A dealer in securities or commodities required to register in the
United States, the District of Columbia, or a U.S. commonwealth or
possession
7—A futures commission merchant registered with the Commodity
Futures Trading Commission
8—A real estate investment trust
9—An entity registered at all times during the tax year under the
Investment Company Act of 1940
10—A common trust fund operated by a bank under section 584(a)
11—A financial institution
12—A middleman known in the investment community as a nominee or
custodian
13—A trust exempt from tax under section 664 or described in section
4947
26 |PAGE
Form W-9 (Rev. 10-2018)Page 4
The following chart shows types of payments that may be exempt
from backup withholding. The chart applies to the exempt payees listed
above, 1 through 13.
IF the payment is for . . .THEN the payment is exempt
for . . .
Interest and dividend payments All exempt payees except
for 7
Broker transactions Exempt payees 1 through 4 and 6
through 11 and all C corporations.
S corporations must not enter an
exempt payee code because they
are exempt only for sales of
noncovered securities acquired
prior to 2012.
Barter exchange transactions and
patronage dividends
Exempt payees 1 through 4
Payments over $600 required to be
reported and direct sales over
$5,0001
Generally, exempt payees
1 through 52
Payments made in settlement of
payment card or third party network
transactions
Exempt payees 1 through 4
1 See Form 1099-MISC, Miscellaneous Income, and its instructions.
2 However, the following payments made to a corporation and
reportable on Form 1099-MISC are not exempt from backup
withholding: medical and health care payments, attorneys’ fees, gross
proceeds paid to an attorney reportable under section 6045(f), and
payments for services paid by a federal executive agency.
Exemption from FATCA reporting code. The following codes identify
payees that are exempt from reporting under FATCA. These codes
apply to persons submitting this form for accounts maintained outside
of the United States by certain foreign financial institutions. Therefore, if
you are only submitting this form for an account you hold in the United
States, you may leave this field blank. Consult with the person
requesting this form if you are uncertain if the financial institution is
subject to these requirements. A requester may indicate that a code is
not required by providing you with a Form W-9 with “Not Applicable” (or
any similar indication) written or printed on the line for a FATCA
exemption code.
A—An organization exempt from tax under section 501(a) or any
individual retirement plan as defined in section 7701(a)(37)
B—The United States or any of its agencies or instrumentalities
C—A state, the District of Columbia, a U.S. commonwealth or
possession, or any of their political subdivisions or instrumentalities
D—A corporation the stock of which is regularly traded on one or
more established securities markets, as described in Regulations
section 1.1472-1(c)(1)(i)
E—A corporation that is a member of the same expanded affiliated
group as a corporation described in Regulations section 1.1472-1(c)(1)(i)
F—A dealer in securities, commodities, or derivative financial
instruments (including notional principal contracts, futures, forwards,
and options) that is registered as such under the laws of the United
States or any state
G—A real estate investment trust
H—A regulated investment company as defined in section 851 or an
entity registered at all times during the tax year under the Investment
Company Act of 1940
I—A common trust fund as defined in section 584(a)
J—A bank as defined in section 581
K—A broker
L—A trust exempt from tax under section 664 or described in section
4947(a)(1)
M—A tax exempt trust under a section 403(b) plan or section 457(g)
plan
Note: You may wish to consult with the financial institution requesting
this form to determine whether the FATCA code and/or exempt payee
code should be completed.
Line 5
Enter your address (number, street, and apartment or suite number).
This is where the requester of this Form W-9 will mail your information
returns. If this address differs from the one the requester already has on
file, write NEW at the top. If a new address is provided, there is still a
chance the old address will be used until the payor changes your
address in their records.
Line 6
Enter your city, state, and ZIP code.
Part I. Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. If you are a resident alien and
you do not have and are not eligible to get an SSN, your TIN is your IRS
individual taxpayer identification number (ITIN). Enter it in the social
security number box. If you do not have an ITIN, see How to get a TIN
below.
If you are a sole proprietor and you have an EIN, you may enter either
your SSN or EIN.
If you are a single-member LLC that is disregarded as an entity
separate from its owner, enter the owner’s SSN (or EIN, if the owner has
one). Do not enter the disregarded entity’s EIN. If the LLC is classified as
a corporation or partnership, enter the entity’s EIN.
Note: See What Name and Number To Give the Requester, later, for
further clarification of name and TIN combinations.
How to get a TIN. If you do not have a TIN, apply for one immediately.
To apply for an SSN, get Form SS-5, Application for a Social Security
Card, from your local SSA office or get this form online at
www.SSA.gov. You may also get this form by calling 1-800-772-1213.
Use Form W-7, Application for IRS Individual Taxpayer Identification
Number, to apply for an ITIN, or Form SS-4, Application for Employer
Identification Number, to apply for an EIN. You can apply for an EIN
online by accessing the IRS website at www.irs.gov/Businesses and
clicking on Employer Identification Number (EIN) under Starting a
Business. Go to www.irs.gov/Forms to view, download, or print Form
W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to
place an order and have Form W-7 and/or SS-4 mailed to you within 10
business days.
If you are asked to complete Form W-9 but do not have a TIN, apply
for a TIN and write “Applied For” in the space for the TIN, sign and date
the form, and give it to the requester. For interest and dividend
payments, and certain payments made with respect to readily tradable
instruments, generally you will have 60 days to get a TIN and give it to
the requester before you are subject to backup withholding on
payments. The 60-day rule does not apply to other types of payments.
You will be subject to backup withholding on all such payments until
you provide your TIN to the requester.
Note: Entering “Applied For” means that you have already applied for a
TIN or that you intend to apply for one soon.
Caution: A disregarded U.S. entity that has a foreign owner must use
the appropriate Form W-8.
Part II. Certification
To establish to the withholding agent that you are a U.S. person, or
resident alien, sign Form W-9. You may be requested to sign by the
withholding agent even if item 1, 4, or 5 below indicates otherwise.
For a joint account, only the person whose TIN is shown in Part I
should sign (when required). In the case of a disregarded entity, the
person identified on line 1 must sign. Exempt payees, see Exempt payee
code, earlier.
Signature requirements. Complete the certification as indicated in
items 1 through 5 below.
27 |PAGE
Form W-9 (Rev. 10-2018)Page 5
1. Interest, dividend, and barter exchange accounts opened
before 1984 and broker accounts considered active during 1983.
You must give your correct TIN, but you do not have to sign the
certification.
2. Interest, dividend, broker, and barter exchange accounts
opened after 1983 and broker accounts considered inactive during
1983. You must sign the certification or backup withholding will apply. If
you are subject to backup withholding and you are merely providing
your correct TIN to the requester, you must cross out item 2 in the
certification before signing the form.
3. Real estate transactions. You must sign the certification. You may
cross out item 2 of the certification.
4. Other payments. You must give your correct TIN, but you do not
have to sign the certification unless you have been notified that you
have previously given an incorrect TIN. “Other payments” include
payments made in the course of the requester’s trade or business for
rents, royalties, goods (other than bills for merchandise), medical and
health care services (including payments to corporations), payments to
a nonemployee for services, payments made in settlement of payment
card and third party network transactions, payments to certain fishing
boat crew members and fishermen, and gross proceeds paid to
attorneys (including payments to corporations).
5. Mortgage interest paid by you, acquisition or abandonment of
secured property, cancellation of debt, qualified tuition program
payments (under section 529), ABLE accounts (under section 529A),
IRA, Coverdell ESA, Archer MSA or HSA contributions or
distributions, and pension distributions. You must give your correct
TIN, but you do not have to sign the certification.
What Name and Number To Give the Requester
For this type of account:Give name and SSN of:
1. Individual The individual
2. Two or more individuals (joint
account) other than an account
maintained by an FFI
The actual owner of the account or, if
combined funds, the first individual on
the account1
3. Two or more U.S. persons
(joint account maintained by an FFI)
Each holder of the account
4. Custodial account of a minor
(Uniform Gift to Minors Act)
The minor2
5. a. The usual revocable savings trust
(grantor is also trustee)
b. So-called trust account that is not
a legal or valid trust under state law
The grantor-trustee1
The actual owner1
6. Sole proprietorship or disregarded
entity owned by an individual
The owner3
7. Grantor trust filing under Optional
Form 1099 Filing Method 1 (see
Regulations section 1.671-4(b)(2)(i)
(A))
The grantor*
For this type of account:Give name and EIN of:
8. Disregarded entity not owned by an
individual
The owner
9. A valid trust, estate, or pension trust Legal entity4
10. Corporation or LLC electing
corporate status on Form 8832 or
Form 2553
The corporation
11. Association, club, religious,
charitable, educational, or other tax-
exempt organization
The organization
12. Partnership or multi-member LLC The partnership
13. A broker or registered nominee The broker or nominee
For this type of account:Give name and EIN of:
14. Account with the Department of
Agriculture in the name of a public
entity (such as a state or local
government, school district, or
prison) that receives agricultural
program payments
The public entity
15. Grantor trust filing under the Form
1041 Filing Method or the Optional
Form 1099 Filing Method 2 (see
Regulations section 1.671-4(b)(2)(i)(B))
The trust
1 List first and circle the name of the person whose number you furnish.
If only one person on a joint account has an SSN, that person’s number
must be furnished.
2 Circle the minor’s name and furnish the minor’s SSN.
3 You must show your individual name and you may also enter your
business or DBA name on the “Business name/disregarded entity”
name line. You may use either your SSN or EIN (if you have one), but the
IRS encourages you to use your SSN.
4 List first and circle the name of the trust, estate, or pension trust. (Do
not furnish the TIN of the personal representative or trustee unless the
legal entity itself is not designated in the account title.) Also see Special
rules for partnerships, earlier.
*Note: The grantor also must provide a Form W-9 to trustee of trust.
Note: If no name is circled when more than one name is listed, the
number will be considered to be that of the first name listed.
Secure Your Tax Records From Identity Theft
Identity theft occurs when someone uses your personal information
such as your name, SSN, or other identifying information, without your
permission, to commit fraud or other crimes. An identity thief may use
your SSN to get a job or may file a tax return using your SSN to receive
a refund.
To reduce your risk:
• Protect your SSN,
• Ensure your employer is protecting your SSN, and
• Be careful when choosing a tax preparer.
If your tax records are affected by identity theft and you receive a
notice from the IRS, respond right away to the name and phone number
printed on the IRS notice or letter.
If your tax records are not currently affected by identity theft but you
think you are at risk due to a lost or stolen purse or wallet, questionable
credit card activity or credit report, contact the IRS Identity Theft Hotline
at 1-800-908-4490 or submit Form 14039.
For more information, see Pub. 5027, Identity Theft Information for
Taxpayers.
Victims of identity theft who are experiencing economic harm or a
systemic problem, or are seeking help in resolving tax problems that
have not been resolved through normal channels, may be eligible for
Taxpayer Advocate Service (TAS) assistance. You can reach TAS by
calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD
1-800-829-4059.
Protect yourself from suspicious emails or phishing schemes.
Phishing is the creation and use of email and websites designed to
mimic legitimate business emails and websites. The most common act
is sending an email to a user falsely claiming to be an established
legitimate enterprise in an attempt to scam the user into surrendering
private information that will be used for identity theft.
28 |PAGE
Form W-9 (Rev. 10-2018)Page 6
The IRS does not initiate contacts with taxpayers via emails. Also, the
IRS does not request personal detailed information through email or ask
taxpayers for the PIN numbers, passwords, or similar secret access
information for their credit card, bank, or other financial accounts.
If you receive an unsolicited email claiming to be from the IRS,
forward this message to phishing@irs.gov. You may also report misuse
of the IRS name, logo, or other IRS property to the Treasury Inspector
General for Tax Administration (TIGTA) at 1-800-366-4484. You can
forward suspicious emails to the Federal Trade Commission at
spam@uce.gov or report them at www.ftc.gov/complaint. You can
contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338).
If you have been the victim of identity theft, see www.IdentityTheft.gov
and Pub. 5027.
Visit www.irs.gov/IdentityTheft to learn more about identity theft and
how to reduce your risk.
Privacy Act Notice
Section 6109 of the Internal Revenue Code requires you to provide your
correct TIN to persons (including federal agencies) who are required to
file information returns with the IRS to report interest, dividends, or
certain other income paid to you; mortgage interest you paid; the
acquisition or abandonment of secured property; the cancellation of
debt; or contributions you made to an IRA, Archer MSA, or HSA. The
person collecting this form uses the information on the form to file
information returns with the IRS, reporting the above information.
Routine uses of this information include giving it to the Department of
Justice for civil and criminal litigation and to cities, states, the District of
Columbia, and U.S. commonwealths and possessions for use in
administering their laws. The information also may be disclosed to other
countries under a treaty, to federal and state agencies to enforce civil
and criminal laws, or to federal law enforcement and intelligence
agencies to combat terrorism. You must provide your TIN whether or
not you are required to file a tax return. Under section 3406, payers
must generally withhold a percentage of taxable interest, dividend, and
certain other payments to a payee who does not give a TIN to the payer.
Certain penalties may also apply for providing false or fraudulent
information.
29 |PAGE
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Anaheim, California 92806
P: 714‐632‐2999
F: 714‐632‐2974
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P: 951‐653‐4999
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San Diego, California 92126
P: 858‐537‐3999
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www.mtglinc.com
800‐491‐2990