17
CALTRANS STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION BID FOR BUILDING CONSTRUCTION IN KERN COUNTY AT MOJAVE AT THE MOJAVE HIGHWAY-MAINTENANCE-~TATIONAT 2211 - NADEAU STREET In District 06 on.Route 5713 UNDER Notice to Bidders and Special Provisions dated September 21,--2015 Project plans approved February 17, 2015 Standard Specifications dated 2010 Standard Plans dated 2010 Identified by Contract No. 06-0R0604 06-Ker-5713 Project ID 0614000003 6 Bids open Wednesday, October 14, 2015 Dated September 21, 2015 AADD Contract No. 06-0R0604 Page 1

CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

Embed Size (px)

Citation preview

Page 1: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

CALTRANSSTATE OF CALIFORNIA

DEPARTMENT OF TRANSPORTATIONBID FOR

BUILDING CONSTRUCTION INKERN COUNTY AT MOJAVE AT THE MOJAVE HIGHWAY-MAINTENANCE-~TATIONAT 2211 -NADEAU STREETIn District 06 on.Route 5713

UNDER

Notice to Bidders and Special Provisions dated September 21,--2015Project plans approved February 17, 2015Standard Specifications dated 2010Standard Plans dated 2010

Identified by

Contract No. 06-0R0604

06-Ker-5713

Project ID 0614000003

6

Bids open Wednesday, October 14, 2015 Dated September 21, 2015

AADD

Contract No. 06-0R0604 Page 1

Page 2: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 06-0R0604 Project ID: 061400000~Bidder Name: BRM Construction Bidder ID: VC1200005058BID TO THE DEPARTMENT OF TRANSPORTATIONDES-OE-OI02.1

Name of Bidder BRM ConstructionBidder ID VC1200005058Business Street Address 50 Marguerite Dr.(Include even if P.O. Box is used)Business P.O. BoxCity, State, Zip Hollister, CA, 95023Telephone No. 406-261-5359Fax-No. 8663232836Contractor License NO.851190California Department of Industrial Relations Registration number**Checksum DCDC32FC

1000013631

1. Bidder agrees, if this bid is accepted, to enter into a contract with theDepartment, in the form included in the Standard Specifications, to performthe work provided in the Contract under the terms of the Contract for. theprice or prices bid.

For a lump sum or unit price based bid, Bidder additionally agrees toperform the work within the number of working days shown on the Noticeto Bidders.

For a cost plus time based bid ana contract without a plant establishmentperiod, Bidder additionally -agrees -tu-perform-the-work--wrthrn-the -number--- -----

of working days bid.

For a cost plus time based bid ana contract with a plant establishmentperiod, Bidder additionally agrees to perform the non+plant establishmentwork within the number of working days bid for non+plant establishment

work.2. Bidder has and acknowledges the following addenda:O

3. Bidder submits this bid with one of the following forms of bidder's securityequal to at least 10 percent of the bid: Bidder's Bond

4. Bidder!s signature is an affirmation of the included certifications. Bidderis cautioned that making a false certification may result in one or more ofthe following:

4.1 Criminal prosecution4.2 Rejection of the bid4.3 Rescission of the award4.4 Termination of the Contract

PRINTED NAME:Bill Opp ANDTITLE OF PERSON SIGNING:Contract Administrator

BY (Authorized signature) DATE SIGNED ( Do not type)

Page 3: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

Contract No. 06-0R0604 Page 3

Page 4: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 06-0R0604 Project ID: 0614000003Bidder Name: BRM Construction Bidder ID: VC1200005058

+------------------------------------------------------------------------------+I Estimated I I II Item Item Item I Quantityl Unit Price I Item Total II No. Code Description IUnit of II II IMeasure I -I- I+------------------------------------------------------------------------------+I 1130100 JOB SITE I I _ I11 IMANAGEMENT LUMP SUM I LUMP SUM I 40,000.001

IlLS I 1 I+------------------------------------------------------------------------------+I 1130200 PREPARE WATER I I I12 IpOLLUTION CONTROL LUMP SUM I LUMP SUM - ---1-----485,001I I PROGRAM LS I I I+------------------------------------------------------------------------------+I 1130640 TEMPORARY FIBER I I I13 IROLL 250.01 2.801 700.001

I I ILF I I I+------------------------------------------------------------------------------+I 1130900 TEMPORARY I I I I14 ICONCRETE WASHOUT I LUMP SUM I LUMP SUM I 600.001

1 I I LS I I I+------------------------------------------------------------------------------+I 1150768' REMOVE ASPHALT I I -I I15 ICONCRETE PAVEMENT (CY) I 200.01 54.001 10,800.001

I I ICY I I I+------------------------------------------------------------------------------+I 1198010 IMPORTED BORROW I - - 1-- -- - I16 I (CY) 210.01 50.001 10,500.001

I I ICY I I I+------------------------------------------------------------------------------+I 1390132 HOT MIX ASPHALT I I17 I (TYPE A) 210.01 159.64 33,524.401I I 1TON I . I+--------------------------------------------------------------- --------------+I 1560248 FURNISH SINGLE I I18 I SHEET ALUMINUM SIGN 2.01 500.00 1,000.001I I (0.063"-UNFRAMED) ISQFT I I+--------------------------------------------------------------- --------------+I 1566011 ROADSIDE SIGN - I I I19 lONE POST I 1.01 575.00 575.001I I lEA I I+--------------------------------------------------------------- --------------+I 1735000 PARKING BUMPER I _I

110 I (PRECAST CONCRETE) 8.01 34.00 272.001

I I lEA I I+--------------------------------------------------------------- --------------+I 1840666 PAINT PAVEMENT 1 I111 IMARKING (2-COAT) 95.01 10.00 950.001

I I ISQFT I I+------------------------------------------------------------------------------+I 1994650 BUILDING WORK I I112 I LUMP SUM I LUMP SUM 668,593.601II LS I I+------------------------------------------------------------------------------+

Contract No. 06-0R0604 Page 4

Page 5: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 06-0R0604 Project ID: 0614000003Bidder Name: BRM Construction Bidder ID: VC1200005058

ItemDescription

ItemCode

ItemNo.

+------------------------------------------------------------------------------+Estimated I I

I Quantityl Unit Price Item Total IIUnit of . I IIMeasure I I

+------------------------------------------------------------------------------+I .. I II Total Bid I $768,000. 00 I

+-----------------------------------"-------------------------------------------+

Contract No. 06-0R0604 Page 5

Page 6: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 06-0R0604 Project ID: 0614000003Bidder Name: BRM Construction Bidder ID: VC1200005058

DES-OE-0102.2C (REV 03/2015)

Bidding Firm: BRM Construction

List this sub? Yes

1) Business Name Sturgeon Services InternationalLocation City Bakersfield State CACalifornia Contractor License Number 464120Public Works Contractor Registration Number 1000002348Portion of Work Subcontracted:

Item % Description390132 4.36 Grading Supply and install HMA Fog seal, ,striping

List this sub? Yes

2) Business Name All Glass & Plastics,Location City Lancaster State CACalifornia Contractor License NumberPublic Works Contractor RegistrationPortion of Work Subcontracted:

Inc.

236685Number 1000018312

Item % Description994650 5.44 Supply and Install Storefront & windows

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 06-0R0604 Project ID: 0614000003Bidder Name: BRM Construction Bidder ID: VC1200005058

DES-OE-0102.2C (REV 03/2015)

Bidding Firm: BRM Construction

List this sub? Yes

4) Business Name Sturgeon Services InternationalLocation City Bakersfield State CA

Page 7: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

California Contractor License .NumberPublic Works Contractor RegistrationPortion of Work Subcontracted:

464120Number 1000002348

Item % Description994650 5.05 Lead and Asbestos Abatement

Page 8: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

Contract No. 06-0R0604 Page 8

Page 9: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 06-0R0604 Project ID: 0614000003Bidder Name: BRM Construction Bidder ID: VC1200005058REQUEST FOR SMALL BUSINESS PREFERENCE OR NON-SMALL BUSINESS PREFERENCEDES-OE-0102.7 (REV 02/2010)

COMPLETE ONE OF THE FOLLOWING:

*8mall Business Preference

The undersigned requests small business preference and certifies,under penalty of perjury, that the firm meets the requirements of 2 CA Code ofRegs. 1896 et seq. and is certified as a small business at the time and day ofbid opening or has submitted a complete application to the Department ofGeneral Services (DGS) and is subsequently certified. The complete applicationand any required substantiating documentation must be received by DGS by5:00 p.m. on bid opening date.

Small Business Certification (Reference) Number: 1374760

Date: 10/12/15 Signature: _

*Non-Small Business Preference

The undersigned non-small business preference and notifiesthe Department on the Certified Small Business Listing for the Non-SmallBusiness Preference form that it commits to subcontract at least 25 percent ofits.bid" amount with one or more firms that meets the requirements of 2 CA Codeof Regs. 1896 et seq. and the firms are certified as small businesses at thetime and day of bid opening or have submitted a complete application and aresubsequently certified by the Department of General Services (DGS). Thecomplete application and any required substantiating documentation must bereceived by DGS by 5:00 p.m. on bid opening date. List these firms on theCertified Small Business Listing for the Non-Small Business Preference form.

Date: Signature : _

Contract No. 06-0R0604 Page 9

Page 10: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 06-0R0604 Project ID: 0614000003Bidder Name: BRM Construction Bidder ID: VC1200005058CALIFORNIA COMPANY PREFERENCEDES-OE-l02.9 (REV 11/2008)

This form must be completed by all bidders. Failure of a non-California companyto fill out and sign this form may be cause for rejection of its bid.Eligibility for a reciprocal preference for a California company is waived ifthe California company fails to complete and sign this form under penalty ofperjury.

The undersigned certifies that it is a nCalifornia company" as defined in PubCont Code • 6107 and meets one of the following (enter requested information)

1. I am a California company which has its principal place of business inCalifornia.

or2. I a California company which has its principal place of business in

a state in which there is no local contractor preference on constructioncontracts.Name of State:

a "California company. I!

is in:

No. :or

it is not

or3. I a California company which has its principal place of business in

a state in which there is a local contractor preference and my company haspaid not less than $5,000 in sales or use taxes to California forconstruction related activity for each of the 5 years immediately precedingthe submission of the bid.Name of State:California Sales or Use Tax

The undersigned certifies that4. I a California company.

My principal place of business(Enter state or country)

Describe any and all bid preferences provided to your company by the stateor country in which your company has its principal place of business.(Attach additional sheets if necessary.)Describe:

I certify under penalty of perjury under the laws of the State of Californiathat the foregoing is true and correct.

DATE Signature of Bidder _

Contract No. 06-0R0604 Page 10

Page 11: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 06-0R0604 Project ID: 0614000003Bidder Name: BRM Construction Bidder ID: VC1200005058OPT OUT OF PAYMENT ADJUSTMENTS FOR PRICE INDEX FLUCTUATIONSDES-OE-OI02.12A (REV. 8/2012)

To opt out of payment adjustments for price index fluctuations as specified,complete this form.

I opt out of the payment adjustments for price index fluctuations.

Enter Date and Name to opt out of payment adjustments .forprice indexfluctuations.

Date: 10/12/15 Bidder's Name: BRM Construction

Signature : ~ ~~ _

Contract No. 06-0R0604 Page 11

Page 12: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 06-0R0604 Project ID: 0614000003Bidder Name: BRM Construction Bidder ID: VC1200005058

UNDOCUMENTED ALIENS EMPLOYMENT

Under Pub Cont Code. 6101, the Bidder certifies compliance with state andfederal law respecting the employment of undocumented aliens.

NONCOLLUSION

NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID

Under PCC 7106 and 23 USC 112, the bidder declares as follows:State of CA County of StanislausName: Bill Opp,being first duly sworn, deposes and says that he or she isContract Administrator ofBRM Constructionthe party making the foregoing bid that the bid is not made in the interestof, or on behalf of, any undisclosed person, partnership, company, association,organization, or corporation; that the bid is genuine and not collusive orsham, that the bidder has not directly or indirectly induced or solicited anyother bidder to put in a false or sham bid, and has not directly or indirectlycolluded, conspired, connived, or agreed with any bidder or anyone else to putin a sham bid, or that anyone shall refrain from bidding, that the bidder hasnot in any manner, directly or indirectly, sought by agreement, communication,or conference with anyone to fix the bid price of the bidder or any otherbidder, or to fix any overhead, profit, or cost element of the bid price, orof that of any other bidder, or to secure any advantage against the public bodyawarding the contract of anyone interested in the proposed contract, that allstatements contained in the bid are true, and, further, that the bidder hasnot, directly or indirectly, submitted his or her bid price or any breakdownthereof, or the contents thereof, or divulged information or data relativethereto, or paid, and will not pay, any fee to any corporation, partnership,company association, organization, bid depository, or to any member or agentthereof to effectuate a collusive or sham bid.

CHILD SUPPORT COMPLIANCE ACT

Under Pub Cont Code. 7110, the contractor acknowledges that:1. The contractor recognizes the importance of child and family support

obligations and shall fully comply with all applicable state and federallaws relating to child and family support enforcement, including, but notlimited to, disclosure of information and compliance with earningsassignment orders, as provided in Chapter 8 (commencing with section 5200)of Part 5 of Division 9 of the Family Code; and

2. The contractor to the best of its knowledge is fully complying with theearnings assignment orders of all employees and is providing the names ofall new employees to the New Hire Registry maintained by the EmploymentDevelopment Department.

Contract No. 06-0R0604 Page 16

Page 13: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

STATE OF CALIFORNIA DEPARTMENr OF TRANSPORTATIONContract No.: 06-0R0604 Project ID: 0614000003Bidder Name: BRM Construction Bidder ID: VC1200005058

NATIONAL LABOR RELATIONS BOARD

Under Pub Cont Code. 10232, the contractor, swears under penalty of perjury,that no more than one final unappealable finding of contempt of court by afederal court has been issued against the contractor within the immediatelypreceding two year period because of the contractor's failure to comply with anorder of a federal court which orders the contractor to comply with an order ofthe National Labor Relations Board.

VIOLATION OF LAW OR A SAFETY REGULATION

Under Pub Cont Code. 10162, the Bidder must complete, under penalty ofperjury, the following questionnaire:

Has the Bidder, any officer of the Bidder, or any employee of the Bidder whohas a proprietary interest in the Bidder, ever been disqualified, removed, orotherwise prevented from bidding on, or completing a federal, state, or localgovernment project because of a violation of law or a safetyregulation? NoIf the answer is yes, explain the circumstances in the following space.

ANTITRUST LAW

Under Pub Con Code. 10285.1, the Bidder declares under penalty of perjuryunder the laws of the State of California that the Bidder Has Notbeen convicted within the preceding three years of any offenses referred to inthat section, including any charge of fraud, bribery, collusion, conspiracy, orany other act in violation of any state or federal antitrust law in connectionwith the bidding upon, award of, or performance of, any public works contract,as defined in Pub Cont Code. 1101, with any public entity, as defined in PubCont Code. 1100, including the Regents of the University of California or the.Trustees of the California State University. The term IIBidderll includes anypartner, member, officer, director, responsible managing officer, orresponsible managing employee thereof, as referred to in Section 10285.1.

If the Bidder has been convicted of an offense within the past 3 years, providethe conviction details including the date and ultimate resolution of eachconviction in the space below.

PERMITS, LICENSES, AGREEMENTS, CERTIFICATIONS, AND RAILROADRELATIONS AND INSURANCE REQUIREMENTS

Bidder acknowledges that permits, licenses, agreements, certifications, and therequirements in the document titled "Railroad Relations and InsuranceRequirementsll are components of the Contract under section 5-1.02 of theStandard Specifications.

--------------------------------------------------------------------------------Contract No. 06-0R0604 Page 17

Page 14: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONContract No.: 06-0R0604 Project ID: 0614000003Bidder Name: BRM Construction Bidder ID: VC1200005058

BIDDER RESPONSIBILITY QUESTIONNAIRE

Failure to truthfully answer the following questions will result in a findingthat the bid is nonresponsive. The Bidder must complete, under penalty ofperjury, the following questionnaire:

1. Within the past 10 years, has the Bidder been found to be a nonresponsiblebidder by any public entity, including federal, State, local, or regionalentities?No

2. Within the past 10 years, have any of the Bidder's officers or employeeswith a proprietary interest in the Bidder been determined to be anonresponsible bidder by a public entity, including federal, State, local orregional entities?No

3. Is there any officer or employee of the Bidder who now has or has had anyproprietary interest in another company that bid or bids on public worksprojects whose company has been determined to be a nonresponsible bidder byany public entity, including federal, State, local, or regional entities?No

4. If the answer to any of the 3 preceding questions is yes, disclose allpertinent details of the determination of nonresponsibility, including:

4.1. Date of each nonresponsibility determination

4.2. Name of each public agency issuing the nonresponsibility determinationand a contact person at that agency who would have information about thedetermination

4.3. Contract number for each nonresponsibility determination

END CERTIFICATIONS

Contract No. 06-0R0604 Page 18

Page 15: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONBIDDER'S BONDDES-OE 0102.3(REV 3/2008)Contract No. 06-0R0604

Bond No.

We _ _ _

____________________________________ as Principal, and

as Surety are bound unto the State of California, Department of Transportation,hereafter referred to as "Obligee", in the penal sum of ten percent (10%) ofthe total amount of the bid of the Principal submitted to the Obligee for thework described below, for the payment of which sum we bind ourselves, jointlyand severally,

THE CONDITION OF THIS OBLIGATION IS SUCH,_ THAT:

WHEREAS, the Principal is submitting a bid to the Obligee, forBUILDING CONSTRUCTION INKERN COUNTY AT MOJAVE AT THE MOJAVE HIGHWAY MAINTENANCE STATION AT 2211NADEAU STREETIn District 06 on Route 5713for which bids are to be opened at 1727 30th Street, Sacramento CA 95816 on10-14-15.

NOW, THEREFORE, if the Principal is awarded the contract and, within the timeand manner required under the specifications, after the prescribed forms arepresented to him for signature, enters into a written contract, in theprescribed form, in accordance with the bid, and files two bonds with theObligee, one to guarantee faithful performance (if specified in the contract)of the contract and the other to guarantee payment for labor and materials asprovided by law, then this obligation shall be null and void; otherwise, itshall remain in full force.

In the event a suit is brought upon this bond by the Obligee and judgementis recovered, the Surety shall pay all costs incurred by the Obligee in suchsuit, including a reasonable attorney's fee to be fixed by the court.

Dated: , 20

Principal_________ _ _ _

Surety__________ _ _

By _

Attorney-in-Fact

Contract No. 06-0R0604 Page 19

Page 16: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

Correspondence or claims relating to this bond should be sent to the surety atthe following address:

CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT

State of California

County of

On this _____________ before me,

Date Here insert Name and Title of the Officer

personally appeared

Name(s) of Signer(s)

who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me--that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s) on the instrument the person(s), or theentity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of Californiathat the foregoing paragraph is true and correct.

WITNESS my hand and official seal

SIGNATURE

Signature of Notary Public

(SEAL)

Contract No. 06-0R0604 Page 20

Page 17: CALTRANS 6 STATE OF CALIFORNIA …dot.ca.gov/hq/esc/oe/bidsub/files/06-0R0604_bb_BRM Const.pdfSTATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Contract No.: 06-0R0604 Project ID: 061400000~

Surety 2000

[.$URER21i1HJ._~ J':NSlJllANt:E Doa.Mev. MAI\!A~ ••• • M

state of California, Department of Transportation - Chris Rice

Bond Number: SCA15519620

Contractor InformationPrincipal: BRM Construction 406-261-5359Address: 50 Marguerite Dr. Hollister California 95023 United StatesContractor's State Vendor ID Number: VC120000S058

Owner/Obligee InformationBond Form: Bid Bond in accordance with Contract SpecificationsOwner I Obligee: State of California, Department of TransportationAddress: 1727 30th Street, Bidders' Exchange, MS 26 Sacramento California95816 United States

Bond InformationSurety: Travelers Casualty and Surety Company of AmericaRider Present: Click bere to view

Amount of Bid security: 10%Contract ID Number: 06-0R0604Description of Job: Construct Crew Room, Site Work; Construct new 200 SQ FT crewoffice, Demolish existing office, Minor paving

View AMBe:;t Information view Syrety profile TreasuryUS

Prima~ Agency:Warren G. Bender Co.Power of Attorney LImited to: unlimitedExecutedExecuted By:Todd J. Sorensen - 10/13/2015 5:23:47 PM ET iPhone: 916-380-5300Email: [email protected]

Know all men oy these presents that Travelers Casualty and Surety Company ofAmerica, a Corporation duly organized under the laws of the State of Connecticut, areheld and firmly bound unto the above owner/obligee by this transmission. The suretyagrees to waive the Statute of Fraud defense and further agrees that the owner/obligeeis a third party beneficiary of the waiver for the purposes of enforcing this bid bond.

privacy POliCY

https://legacy .surety2000 .comiOwnerBondView.asp?OwnerID=P06123656

Page 1 of 1

10/15/2015