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Resolution No. 2010-109 (3)RESOLUTION NO. 2010-109 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF VERNON DIRECTING THAT CONTRACTING PROCEDURES SET FORTH IN SECTION 2.29-4 OF THE VERNON CITY CODE BE FOLLOWED FOR CONTRACT NO. CS-0020 FOR 26TH STREET IMPROVEMENTS AND AUTHORIZING THE CITY CLERK TO GIVE NOTICE INVITING SEALED BIDS WHEREAS, there has been presented to the City Council of the City of Vernon the proposed bid package for Contract No. CS-0020 for 26th Street Improvements ("Contract No. CS-0020"); and WHEREAS, the City Council of the City of Vernon has determined that it is in the best interest of the City of Vernon that the contracting procedures set forth in Section 2.29-4 of the Vernon City Code be followed for Contract No. CS-0020. NOW, THEREFORE,.BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF VERNON AS FOLLOWS: SECTION 1: The City Council of the City of Vernon hereby finds and determines that the recitals contained hereinabove are true and correct. SECTION_2: The City Council of the City of Vernon hereby directs staff to follow the contracting procedures set forth in Section 2.29-4 of the Vernon City Code for Contract No. CS-0020. SECTION 3: The City Council of the City of Vernon hereby authorizes the City Clerk to issue written notice inviting sealed bids for Contract No. CS-0020, in accordance with Section 2.29-4 of the Vernon City Code and in substantially the form attached as Exhibit A, and authorizes the Director of Community Services & Water, or his designee, after obtaining the approval of the City Attorney, to make modifications to the notice as he deems necessary that are consistent with the intent of this Resolution. SECTION 4: The City Clerk of the City of Vernon shall certify to the passage, approval and adoption of this resolution, and the City Clerk of the City of Vernon shall cause this resolution and the City Clerk's certification to be entered in the File of Resolutions of the Council of this City. APPROVED AND ADOPTED this 2nd day of August, 2010. AI'TES izy uierx Name: Hilario Gonzales Title: Mayor -lea= 2 STATE OF CALIFORNIA ) ) ss COUNTY OF LOS ANGELES ) I, Willard G. Yamaguchi, City Clerk of the City of Vernon, do hereby certify that the foregoing Resolution, being Resolution No. 2010-109, was duly passed, approved and adopted by the City Council of the City of Vernon at a regular meeting of the City Council duly held on Monday, August 2, 2010, and thereafter was duly signed by the Mayor or Mayor Pro-Tem of the City of Vernon. r Executed this day of August, 2010, at Vernon, California. illard Y m hi, City Clerk (SEAL) 3 NOTICE INVITING SEALED PROPOSALS (BIDS) NOTICE IS HEREBY GIVEN that the City of Vernon, (hereinafter "City") invites and will receive sealed proposals (bids) up to the hour of two (2) o'clock p.m. on Wednesday, September 22, 2010 (according to the clock in the City Clerk's office), for the furnishing to said City of all transportation, equipment, materials, labor, supplies and services necessary for Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26'h Street Improvements. Proposals (Bids) shall be submitted to: City Clerk City of Vernon 4305 Santa Fe Avenue Vernon, CA 90058 At said time, the bids will be opened in public and announced at the offices of the City. Bids shall conform to and be responsive to the requirements for Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements and must be accompanied by a bid bond. The City Council of the City reserves the right to reject any and all bids. Copies of the Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements are on file and may be examined in the office of the City located at: mailed). 2010. Community Services & Water Department 4305 Santa Fe Avenue Vernon, CA 90058 Copies maybe obtained from said office with a nonrefundable deposit of $30.00 per set ($45.00 if Dated at the office of the City Clerk of the City of Vernon, this _ day of WILLARD YAMAGUCHI, CITY CLERK of the City of Vernon, California - A-1 - CITY CLERK'S OFFICE INTEROFFICE MEMORANDUM DATE: August 4, 2010 TO: Kevin Wilson, Director of Community Services & Water FROM: Willard Yamaguchi, City Clerk RE: Resolution No. 2010-109 — A Resolution of the City Council of the City of Vernon Directing that Contracting Procedures Set Forth in Section 2.29-4 of the Vernon City Code be Followed for Contract No. CS-0020 for 26t" Street Improvements and Authorizing the City Clerk to Give Notice Inviting Sealed Bids Transmitted herewith is a copy of Resolution No. 2010-109 referenced above, which was approved by City Council on August 2, 2010. Thank you. WY:dj c: Resolution No. 2010-109 NOTICE INVITING SEALED PROPOSALS (BEDS) NOTICE IS HEREBY GIVEN that the City of Vernon, (hereinafter "City") invites and will receive sealed proposals (bids) up to the hour of two (2) o'clock p.m. on Wednesday, September 22, 2010 (according to the clock in the City Clerk's office), for the furnishing to said City of all transportation, equipment, materials, labor, supplies and services necessary for Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements. Proposals (Bids) shall be submitted to: City Clerk City of Vernon 4305 Santa Fe Avenue Vernon, CA 90058 At said time, the bids will be opened in public and announced at the offices of the City. Bids shall conform to and be responsive to the requirements for Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements and must be accompanied by a bid bond. The lowest bid shall be determined in accordance with Section 20103.8(c) of the Public Contract Code. The City Council of the City reserves the right to reject any and all bids. Copies of Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements are on file and may be examined in the office of the City located at: Community Services & Water Department 4305 Santa Fe Avenue Vernon, CA 90058 Copies may be obtained from said office with a nonrefundable deposit of $30.00 per set ($45.00 if mailed). Dated at the office of the City Clerk of the City of Vernon, this 7"' day of AllevT 2010. WILLARD Y of the City of Cl CITY CLERK MAMM of Vp Gs�VELY �NOJ z COMMUNITY SERVICES & WATER DEPARTMENT OFFICE MEMORANDUM TO: Mark Withworth, Interim City Administrator FROM: Samuel Kevin Wilson, Director of Community Services & Water DATE: July 22, 2010 SUBJECT: Request for approval to advertise `26"' Street Improvements' Project Contract No. CS-0020 Herewith for your consideration is Contract No. CS-0020, `26"h Street Improvements' project. The project consists of cold in place recycling of existing deteriorated asphalt concrete pavement, repaving with 2" thick new asphalt concrete overlay on 261h Street and the southeast street corner widening including traffic signal relocation and modification at the intersection of 26'h Street and Soto Street. The CityAttorney's office has reviewed and approved said Contract No. CS-0020 Specifications (see attached e-mail). It is recommended that this contract be approved and authority be granted to advertise for bids on August 2, 2010. SKW/pc Enclosures Chan, Pin From: Katrina Gonzales [KGonzales@rwglaw.com] Sent: Thursday, May 06, 2010 4:15 PM To: Chan, Pin Subject: RE: 26th STREET IMPROVEMENTS - CONTRACT NO. CS-0020 Hi Pin, The revised bid package looks good. Let me know if you need anything else. Thanks, Katrina > Katrina C. Gonzales > Richards I Watson I Gershon > 355 South Grand Ave., 40th floor > Los Angeles, CA 90071 > phone:, 213.626.8484 > fax: 213.626.0078 > kgonzales(arwglaw.com -----Original Message ----- From: Chan, Pin [mailto:PChan@ci.vernon.ca.us] Sent: Thursday, May 06, 2010 2:42 PM To: Katrina Gonzales Cc: Wilson, Kevin Subject:,RE: 26th STREET IMPROVEMENTS - CONTRACT NO. CS-0020 Hi Katrina, Attached document is a revised '26th Street Improvements' Contract per your mark up. If you have any questions, please contact me. Thanks Pin Chan,.Project Engineer City of Vernon, Community Services and Water 4305 Santa Fe Avenue Vernon, CA 90058 (323) 583-8811 X 318'(Tel), (323) 826-1435 (Fax) pchan(@ci.vernon.ca.us -----Original Message ----- From: Katrina Gonzales [mailto:KGonzales@rwglaw.com] Sent: Monday, May 03, 2010 12:11 PM To: Chan, Pin Subject: RE: 26th STREET IMPROVEMENTS - CONTRACT NO. CS-002 Hi Pin, I left you a voicemail message when you'were out to lunck There is no difference between the red and blue corrections -- the blue corrections were made at a later date and'our program changes the font color if we make changes to a document that 1 Please let me know if you have any questions. Thanks, Katrina Katrina C. Gonzales Richards, Watson & Gershon 355 S. Grand Avenue, 40th Floor Los Angeles, CA 90071 213.626.8484 ext. 305 (phone) 213.626.0078 (fax) NOTICE: This communication may contain privileged or other confidential information. If you are not the intended recipient of this communication, or an employee or agent responsible for delivering this communication to the intended recipient, please advise the sender by reply email and immediately delete the message and any attachments without copying or disclosing the contents. Thank you. 3 NOTICE INVITING SEALED PROPOSALS (BIDS) NOTICE IS HEREBY GIVEN that the City of Vernon, (hereinafter "City") invites and will receive sealed proposals (bids) up to the hour of two (2) o'clock p.m. on Wednesday, September 22, 2010 (according to the clock in the City Clerk's office), for the furnishing to said City of all transportation, equipment, materials, labor, supplies and services necessary for Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26`b Street Improvements. Proposals (Bids) shall be submitted to: City Clerk City of Vernon 4305 Santa Fe Avenue Vernon, CA 90058 At said time, the bids will be opened in public and announced at the offices of the City. Bids shall conform to and be responsive to the requirements for Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements and must be accompanied by a bid bond. The City Council of the City reserves the right to reject any and all bids. Copies of the Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements are on file and may be examined in the office of the City located at: Community Services & Water Department 4305 Santa Fe Avenue Vernon, CA 90058 Copies may be obtained from said office with a nonrefundable deposit of $30.00 per set ($45.00 if mailed). 2010. Dated at the office of the City Clerk of the City of Vernon, this _ day of WILLARD YAMAGUCHI, CITY CLERK of the City of Vernon, California - A-1 - CITY OF VERNON CALIFORNIA 26th STREET IMPROVEMENTS CITY CONTRACT No. CS-0020 FEDERAL AID PROJECT ID No. ESPL-5139 (011) MANDATORY PRE -BID MEETING: SEPTEMBER 08, 2010, 9:00 A.M. BID OPENING DATE: SEPTEMBER 22, 2010, 2:00 P.M. <% XUEL WILSON, P.E. DIRECTOR OF COMMUNITY SERVICES & WATER COMMUNITY SERVICES & WATER DEPARTMENT 4305 SANTA FE AVENUE VERNON, CA 90058 (323) 583-8811 TABLE OF CONTENTS Page A. NOTICE INVITING SEALED PROPOSALS (BIDS) ............................................................... A-1 B. INFORMATION FOR BIDDERS 1. General ......... .......... ................, .................. .......... ;................... B-1 2. Contract Documents ..'.. ......... ........ ......... ............ ....... ....................... ...... ............ B-1 3. License ...: ......................................................................... ....................... B-1 4. Proposals ........ ........ .. ........ ............. ... .... B`-1 5. Contract and Bonds ............................................. ......... ......... .................. ............ B-2 6. Addenda ............................................. ....... ....... ... B-3 7. Withdrawal of Bid ..... ....... ...... ... ... . ...... .. .. . B-3 8. Award or Rejection of Bids ........ .......... ........ ......... ......... ............... ............ ............ B-3 9. Bidders Interested in More Than One Bid ......... ......... ......... ......... ......... .......... ........... B-3 10. Insurance and Financial Requirements ... ....... ......... .................. .. ,...... ........: ............ B-3 11. Preliminary Estimate .... .................. ......... ......... ........................................................ B-3 12. Deductive Items ...................... ......... ......... .................. ....... ......,............ B-4 13, A Mandatory Pre -bid meeting and Tour of the Site ... ..........................................................' B-4 14. Project Description .... .................. ....I............ ......... .........I............................. B-4 15. Project Map ... ... B-6 C. BID FORM PROPOSAL TO THE CITY OF VERNON 1. Proposal ..... ........ .......... ................ .................. ......... ..................... C-1' 2. Bid Prices .... ......... .......................... ......... .......... ........ ,........ ............ C-2 3. Materials .......... ........ I ................................. ...................... ..... ......... ....4....... C-15 4. Subcontractors ............. ......... .................. ......... ........ ......... ........... .......... C-1'6 5. Deposit of Security .. . ... ....... , C-17 6. Bonds ............. ......... ......... ......... .......... ... C-17 7. Withdrawal ............. ......................................... ................... ......... ............ C-17 8. Principals .... ......... ......... ......... ..................... ......... C-17 9. License and Signature .... ......... ..................... ..................... .......... ........ ..... ............ C-18 10. Bidder's Qualifications .., ......... .................................................. ......... ......... , ........... C-19 11. Contractor's Acknowledgement of Insurance Requirements ........... ......... ............ ;........ C-20 12. Federal Highway Administration Requirement, Certification and Disclosure Forms ............... C-21 Section 14, Federal, Requirements (Exhibit 12-E, Attachment A, FR-1 & FR-2) ................... C-22 Equal Employment Opportunity Certification (Exhibit 12-E, Attachment C) ....................... C-24 Public Contract Codes (Statements and Questionnaire) ......................................................... C-25 Noncollusion Affidavit (Exhibit 12-E, Attachment D) .......................................................... C-27 Debarment and Suspension Certification (Exhibit 12-E, Attachment E) ............................... C-28 Nonlobbying Certification for Federal -Aid Contracts (Exhibit 12-E, Attachment F) ............ C-29 Disclosure of Lobbying Activities (Exhibit 12-E, Attachment G) ......................................... C-30 Article I., Section 2, Proposal Requirements (Exhibit 12-E, Attachment H) ........................ C-33 Subcontractor and DBE Records (Exhibit 12-E, AttachmentJ) ............................................. C-38 Federal Requirements (ARRA) (Exhibit 12-E, Attachment L) .............................................. C-40 Bidder's List of Subcontractors (DBE and NON -DBE) (Exhibit 12-G) ........................... C-44 Local Agency Bidder - UDBE Commitment Form (Exhibit 15-G (1)) ................. ........... C-46 Local Agency Bidder - DBE Information Form (Exhibit 15-G (2)) .......I ........................... C-48 UDBE Information —Good Faith Efforts (Exhibit 15-H) ...................................................... C-50 Final Report -Utilization of DBE, First -Tier Subcontractors (Exhibit 17-F) .......................... C-53 Disadvantaged Business Enterprises (DBE) Certification Status Change (Exhibit 17-0) ...... C-55 Data Universal Numbering System (D-U-N-S) Number ......................................................... C-57 D. CONTRACT Page Article1. GENERAL................................................................................................................... D-1 Section1. Scope of Work................................................................................................................. D-1 Section 2. Term of Contract............................................................................................................D-1 Section3. Consideration..............................................................: D-1 ................................................. . Section4. Payments..................................................................................:............................... D-1 Section 5. Contract Documents........................................................................................................ D-2 Section 6. Compliance with Provisions of Law............................................................................... D-3 Section 7. Costs and Attorney's Fees.............................................................................................. D-3 Section8. Notices......................:........................................................................................... D-3 Section 9. Conflict with Plans and Specifications........................................................................... D-3 Section10. Assignment.................................................................................................................. D-3 Section11. Paragraph Headings........................................................................................................ D-3 Section 12. Authority of the City's Representative........................................................................... D-4 Article 2. WAGES, HOURS AND WORKING CONDITIONS .................................................. D-4 Section 13. General Prevailing Wages................................................................................................ D-4 Section14. Hours of Work.................................................................................................................. D-4 Section15. Apprentices.................................................................................................................. D-4 Section 16. Subcontractors......................:.......................................................................................... D-4 Section17. Discrimination................................................................................................................. D-5 Section 18. Safety......................................................... .. D-5 Section 19. Competence of Workers .................... :.............................. ................................................. D-5 Article 3. INSURANCE, INDEMNIFICATION AND BONDS ................................................... D-5 Section 20. Insurance.................................................................................................................. D-5 Section 21. Indemnification..............:...........:..........................:......................................................... D-6 Section 22. Workers' Compensation.................................................................................................. D-6 Section 23. Labor and Material Bond ............................................. :........ ...... D-6 .................................... Section 24. Performance Bond.......................................................................................................... D-6 Article4. PERFORMANCE........................................................................................................... D-6 Section 25. Time for Completion....................................................................................................... D-6 Section 26. Force Majeure.................................................................................................................. D-6 Section 27. Utility Relocation............................................................................................................ D-7 Section28. Public Convenience........................................................................................................ D-7 Section29. Excavations............................................................ ......................... I............................ D-8 Section30. Extra Work.................................................................................................................. D-8 Section31. Clean-Up.................................................................................................................. D-9 Section32. Materials.................................................................................................................. D-9 Section 33. Permits and Licenses.......:............................................................................................... D-9 Section 34. Land and Rights of Way................................................................................................. D-10 Section 35. Plans and Drawings.......................................................................................................... D-10 Section 36. Shop Drawings Submitted by the Contractor................................................................. D-10 Section 37. Supervision by the Contractor........................................................................................ D-11 Section 38. Inspection of Work........................................................................................................ D-11 ii Section 39. Correction of Defective and/or Unauthorized WorkPage ........:............................................ D-ll Section 40. Errors or Discrepancies Noted by the Contractor ... D-1 .......................................... Section 41. Equipment ............. .......... D-12 Article 5. MISCELLANEOUS ........................ ..................... D-12 Section 42. Damages for Delay .......... D-12 .......................... Section 43. Guarantee D-13 ........................................................................................... Section 44. Risk of Loss Prior to Final Acceptance ............. D-13 ................................. Section 45. Termination ............... D-13 . .............................................................................. . .................... Section 46. Records, Inspection, and Audit ................ .... D-14 ............. Section 47. Standard Specifications ........................................... D-14 ................................................................ Section 48. Independent Contractor ...................................................... D-15 ................................. Section 49. Waiver .................................................................. D-15 Section 50. Governing Law ........... ............................................................ Section 51. City Not Obligated..to..Third. Partie.s ..............D-15... .................................................. ........... D-15 Section 52. Dispute Resolution ............ D-15 Section 53. Assignment of Unfair Business Practices ............................ D-16 .................:.......:............... Section 54. Entire Agreement ................. ...... D-16 ................................. Section 55. Headings and Captions D-16 .......................................................................... Section 56. Authority to Execute this Contract. ................ .... D-16 ........................................................ Section 57. Severability .......................D-16 ................................................................ . ......................... Section 58. Counterpart and Duplicate Original ................................ . ................. D-17 ............................ Section 59. Survival of Terms ............... D-17 ....................................................................:......... E. BOND FORMS AND INSURANCE REQUIREMENTS ...................:. . Workers' Compensation Certificate ........................ E-2 Performance Bond ..................: .... E-3 ........................................................................................ Labor and Material Bond ....... E-5 ........................................:...................................... Insurance Schedule .............. E-7 Documentation Required ........................................................... Proof of Insurance, Approval as to Form ........................... .............................................................. E-8 Sample Irrevocable Letter of Credit ................ . E-9 F. CITY OF VERNON SPECIAL PROVISIONS ......................... I. GENERAL .......... F-1 Standard Specifications....................................................... ......... F-1 Examination of the Site ............ .................... . F-1 ...............................................................:. .............. Mobilization ...................... F-1 Traffic Control F-1 Prohibited Parking in Work Area ................................ ................................................................. .................................. F-2 ...........................:.................................. Construction Schedule............................................................. F-2 .................................................. Construction Hours .............. F-3 Construction Signs................................................................. Construction Activities Coordination .......... F-3 Material Submittals F-4 ........................................................ Material and Equipment Storage Areas ................... .......................... F-4 ............................................... Quality Assurance Program (QAP) F-4 ......................................,................................. iii Page Public Convenience...........................:................................................................................... F-4 Dust Control .................................................. .......................... F-4 ................:.................. TemporaryWater Meter............................................................................................................... F-5 Protection of existing Utility Mains and Service Laterals.................................................................. F-5 Private or Public Property Damage ................................ .... F-5 Cost Associated with Railroad Companies............................................................................ .. F-5 Cleaning of the Construction Site during Construction..................................................................... F-6 Final Cleaning of Construction Site and Restoration.......................:................................................ F-6 Construction Surveying............................................................................................................... F-7 Survey Monument Replacement....................................................................................................... F-7 Benchmark Replacement............................................................................................................... F-7 Unclassified Excavation............................................................................................................... F-7 Storm Water Pollution Prevention Plan (SWPPP)............................................................................ F-8 UnitPrices..........................:.................................................................................... F-9 Sanitary Facilities............................................................ .. F-9 Goals for Under-utilized DBE (UDBE) & Disadvantaged Business Enterprise (DBE) ................... F-9 First Monthly Invoice Submittal to the City by the Contractor......................................................... F-9 II. CONCRETE IMPROVEMENTS........................................................................................... F-9 General............................................................................................................... F-9 Concrete Curb Ramp........................................................................ ..... F-10 ................................... Truncated Dome Specifications...............................................................................................:......... F-10 Concrete Curb & Gutter, and Median Curb...................................................................................... F-11 Concrete Sidewalk, Median Slab and Walkway............................................................................... F-11 Concrete Driveway............................................................................................................... F-11 Street Corner Concrete Curb Return Widening................................................................................. F-12 HighEarly Strength Concrete........................................................................................................... F-12 Placing High Early Strength Concrete Pavement............................................................................... F-13 Concrete Joints and Keyways............................................................................................................ F-13 III. COLD RECYCLING OF RECLAIMED ASPHALT PAVEMENT .................................... F-13 General............................................................................................................... F-13 Just -In -Time Training (JITT)............................................................................................................... F-14 MixDesign........................................................................... ............................... F-14 Renting or leasing of a lot for Cold Central Plant.............................................................................. F-15 Material............................................................................................................... F-15 MaterialAcceptance ........................... .................... :............................................................... F-17 ConstructionMethod............................................................................................................... F-18 Measurement and Payment.............................................................................................................. F-25 APPENDIX "A " - Determining Percent of Emulsified Recycling Agent .......................................... F-25 IV. NEW ASPHALT CONCRETE PAVING........................................................................... F-29 Material............................................................................................................... F-29 Latex Rubber Additive............................................................................................................... F-30 TackCoat Application............................................................................................................... F-31 Field Testing of Sub -Grade, CMB and AC Pavement Relative Compaction .................................... F-31 Sub -Grade Stabilization............................................................................................................... F-32 Header Cutting Along Edge of Gutter Uniform or Various Thicknesses Cold Planning............................................................................... F-32 1V Page Asphalt Concrete Base (Leveling) Course....................................................................................... F-32 Asphalt Concrete Pavement Reconstruction .................................................................................... Adjust Manhole Frame and Cover to Grade F-33 ..................................................................................... Lower and Re -raise (Double Adjusts) Manhole Frame and Cover to Grade ................................... F-33 F-33 Replace Locking Manhole Frame and Cover with Non -Locking .................................................... F-34 V. TRAFFIC SIGNAL AND STRIPING IMPROVEMENTS:................................................. F-34 Existing Traffic Signal Relocation and Modification...................................................................... F-34 TrafficDetector Loop . ............................................................................................................... Sign and Post for Parking, Traffic, and Street F-35 .................................................................................. Temporary Traffic Line F-35 Lane Marking.................................................:..........:..................:............. Re -Stripe Pavement Marking and Install Pavement Marker .....:...... ... F-35 F-35 G. FEDERAL HIGHWAY ADMINISTRATION REQUIREMENTS (SPECIAL PROVISIONS) PART 1 — GENERAL PROVISIONS SECTION 2 SCOPE AND CONTROL OF WORK 2-1 Award and Execution of Contract................................................._................................... G-3 2-1.1 Local Agency Bidder — DBE Information and UDBE Information ........................ G-3 2-3.4 Performance of Subcontractors...................................................................................... G-3 SECTION 4 - CONTROL OF MATERIALS 4-2 Buy America Requirements............................................................................................. G-4 SECTION 6 - PROSECUTION, PROGRESS, AND ACCEPTANCE OF THE WORK 6-1 Construction Schedule and Commencement of the Work ................................................ G-4 6-1.2 Commencement of the Work.................................................................................. G-4 6-1.2.1 Labor Compliance Preconstruction Conference .................................................. G-4 6-1.2.2 Preconstruction Documents................................................................................. G-4 SECTION 7 - RESPONSIBILITIES OF THE CONTRACTOR 7-14 Required Contract Provisions Federal Aid Construction Contracts (FHWA Form 1273). G-5 SECTION 9 — MEASUREMENT AND PAYMENT 9-3 Payment............................................................................................................................ G-25 9-3.5 Prompt Progress Payment to Subcontractors........................................................... G-25 9-3.6 Prompt Payment of Withheld Funds to Subcontractors ........................................... G-25 SECTION 10 —CONTRACT ASSURANCE 10-1 General............................................................................................................................. G-25 H. QUALITY ASSURANCE PROGRAM (QAP) I. FEDERAL MINIMUM WAGE RATES J. STANDARD PLANS v NOTICE INVITING SEALED PROPOSALS (BIDS) NOTICE IS HEREBY GIVEN that the City of Vernon, (hereinafter "City") invites and will receive sealed proposals (bids) up to the hour of two (2),o'clock p.m. on Wednesday, September 22, 2010 (according to the clock in the City Clerk's office), for the furnishing to said City of all transportation, equipment, materials, labor, supplies and services necessary for Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26'h Street Improvements. Proposals (Bids) shall be submitted to: City Clerk City of Vernon 4305 Santa Fe Avenue Vernon, CA 90058 At said time, the bids will be opened in public and announced at the offices of the City. Bids shall conform to; and be responsive to the requirements for Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements and must be accompanied by a bid bond. The lowest bid shall be determinedin accordance with Section 20103.8(c) of the Public Contract Code. The City Council' of the City reserves the right to reject any and all bids. Copies of Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements are on file and may be examined in the office of the City located at: Community Services & Water Department 4305 Santa Fe Avenue Vernon, CA 90058 Copies may be obtained from said office with a nonrefundable deposit of $30.00 per set ($45.00 if mailed). Dated at the office of the City Clerk of the City of Vernon, this day of 2010. WILLARD YAMAGUCHI, CITY CLERK of the City of Vernon, California - A-1 - B. INFO1�2MATION FOR 13IDDERS 1. General The work hereunder must be done in strict conformity with the plans and specifications adopted and approved by the City for Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (O11)) 26th Street Improvements. 2. Contract Documents (a) The Contract Documents shall consist of the following: Notice Inviting Sealed Proposals (Bids) Information for Bidders Bid Form Proposal Bid Bond Contract Performance Bond Labor and Material Bond Proof. of Insurance Workers' Compensation Certificate Special Provisions Detailed Plans and Specifications Standard Specifications and Drawings (b) All terms and conditions contained in the Contract Documents shall become a part of the Contract entered into between the successful bidder and the City. The City Council of the City reserves the right to reject any and all bids, and to waive any and all irregularities in any bids. 3. License A bid submitted by a Contractor who is not licensed in accordance with the provisions of Division III, Chapter 9, of the Business and Professions Code of the State of California will not be considered for award. 4. Proposals (a) Bids must be made in accordance with the following instructions: (1) Bids shall be made on the Bid Form Proposal furnished by the City as a part of Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements. All bids shall be properly executed with the signatures of all signatorieswritten in longhand. All blank items shall be filled in. Numbers shall be spelled out and written in Arabic figures. If the words and Arabic figures are different, the words shall be used and the Arabic figures disregarded: Erasures, interlineations or other corrections shall be authenticated by affixing next to the mark or correction, or in the margin immediately adjacent thereto, the initials of the signatory(ies) to the bid. If the unit price and the total amount set forth by a bidder, for any item, are not in the Bid Form Proposal, the unit price alone shall be considered as representing the bidder's intention, and the totals shall be corrected to conform thereto. (2) Bidders must submit bids on all of the schedules set forth in the Bid Form Proposal. (3) Bids shall not contain any recapitulation of the work to be done. Alternative proposals will not be considered except as specified. Oral, telegraphic and/or telephonic proposals or modifications will not be considered. (4) Bids shall be accompanied by a cashier's check, a certified check, or bidder's bond in an B-1 - amount equal to 10% of the bid, made payable to or for the benefit of (as the case may be) the City of Vernon. Said check or bond shall be given as a guarantee that the bidder will enter into Contract No. CS- 0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements if awarded the work. The check or the bid bond may be forfeited to the City if the successful bidder: (1) refuses or fails to execute the Contract within fifteen (15) calendar days after receipt of written notice from the City that the Contract is ready for signature, or (2) refuses or fails to furnish the required Contract bond and/or proof of insurance coverage within thirty (30) calendar days after the City has provided written notice of award. If no bid is accepted by the City Council, or if the successful bidder executes and delivers the necessary Contract - Documents to the City, then the City will return all checks and bonds received by it within ten (10) days after the execution of said Contractor within ten (10) days after being requested to do so by the unsuccessful bidder. (b) Before submitting a bid, bidders shall: read Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements, especially the Special Provisions, and all other Contract Documents with care; visit the site of the work, and; be fully informed about all the existing conditions and limitations. The bidder should also be fully aware of the bond and insurance requirements as to the successful bidder. The bid shall specify the amounts to cover the cost of all items included in Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements. No allowance will be made because a bidder failed to examine the Contract Documents or obtain the requisite knowledge about the project prior to submitting its bid. (c) Bids shall be sealed in an envelope marked: Contract No. CS-0020 (Federal Aid Proiect ID 'No. ESPL-5139 (611)) 26lb Street Improvements Bids shall be addressed to the City Clerk of the City and shall bear the name of the bidder. Bids shall be delivered to the City Clerk on or before the day and hour for the opening of bids as set in the Notice Inviting Sealed Proposals (Bids). It is the SOLE responsibility of the bidder to see that the bid is delivered and received before the scheduled closing time for receipt of bids. Anybid received after the scheduled closing time shall be returned to the bidder unopened. (d) The City shall have a period of sixty (60) days after the opening of the bids within :which to accept or reject any or all of the bids. 5. Contract and Bonds (a) The form of Contract that the successful bidder, as the Contractor, will be required to execute is included in the Contract Documents, and should be examined -by the bidder with care. The Contract, bonds and other documents to be executed by the Contractor shall be executed in original triplicate stamped according to law. One original shall be filed with the City and the others with the appropriate City departments. (b) At the time the Contract is executed, the successful bidder will be required to furnish and maintain the following: (1) a Labor and Material Bond in an amount equal to 100% of the Contract.price and (2) a faithful Performance Bond in an amount equal to 100% of the Contract price. The bonds shall be secured from a surety company that the City finds acceptable. The surety's name must be on file with the County Clerk of Los Angeles County and/or the California Department of Insurance as an approved and financially sound surety company, authorized to transact business in this state. The bonds shall meet all of the requirements and contain all of the conditions specified in Sections 3247 and 3248 inclusive, of the Civil Code, and other applicable provisions of the law and/or regulations of the State of California. (c) If the successful bidder fails to execute the Contract, file the required bonds, and/or file proof of insurance coverage as required by the Contract Documents, the award of the Contract may be annulled by the City and the bid bond forfeited. B-2 - 6. Addenda Any addenda issued before the time in which to submit bids expires, and included as a part of the Contract Documents furnished to the bidder for preparation of its bid, shall be covered in the bid and shall be a part of the Contract. 7. Withdrawal of Bid Any bidder may withdraw its bid either personally or by a signed written request any time prior to the scheduled time for opening of the bids (but not after). 8. Award or Rejection of Bids - The Contract will be awarded to the lowest responsible bidder complying_with.these instructions and with the NoticeInvitingSealed Proposals (Bids). The City, however, reserves the right to reject any and all bids or to waive any irregularities in bids received. If, in the judgment of the City, a bid.contains prices for the various items within the bid that appear to be unrealistically low, or if the bidder is not considered responsible, the bid may be rejected. , 9. Bidders3nterested in More Than One Bid No person, firm or corporation shall be allowed to make or file, or be interested in more than one bid for the same work, unless alternative bids are permitted. A person, firm or corporation that has submitted a subproposal to a bidder or quoted prices on material to a bidder, may submit a subproposal or quote prices to other bidders. 10. 'Insurance and Financial Requirements (a) Before entering into the Contract, the successful.bidder shall furnish evidence that workers' compensation insurance, public liability, property damage insurance, and all other insurance specified in the insurance schedule set forth at pages E-7 and E-8 have been procured. The insurer must be an insurance company admitted in and authorized to do business in California and maintain a rating that is acceptable to the City. The insurance procured must be maintained in full force and effect for the entire duration of the Contract. (b) Before the Contract is awarded, any bidder upon request shall furnish a recent statement of said bidder's financial condition and previous construction experience or such other evidence of the bidder's qualifications, as maybe required by the City. If not previously provided to the City, the successful bidder shall furnish a recent statement of its financial condition and previous construction experience or such other evidence of its qualifications before entering into the Contract. 11. Preliminary Estimate The preliminary estimate of quantities of work to be done and material to be furnished, as shown in the Contract Documents, are approximations and are given as a basis for the comparison of bids. The City does not expressly, or by implication, agree that the actual amount of work will correspond with the preliminary estimates. The City reserves the right to increase or decrease the quantity of any item or portion of the work or to omit portions of the work, as it deems necessary or expedient. The successful bidder shall not at any time after the submission of the bid have any claim for damages as a result of lowering of anticipated profits or the loss of profits because of any difference between the quantities of work actually done and those stated in its bidding sheets. Each bid item should be priced to carry its pro-rata share of the costs, overhead and profit. Bidders are cautioned against unbalancing their bid by including more than a pro-rata share of overhead and profit in any bid item. 12. Deductive Items Attention should be paid to Deductive Bid Items. These items have been listed in the Bid Price section of the Bid Form Proposal. All items will be totaled and included in the comparison of bids made by the City. The City has the option of deducting the Deductive Bid Items from the total bid price prior to awarding the Contract. 13. A Mandatory Pre -Bid Meeting and Tour of the Site A mandatory pre -bid meeting and tour of the project site for the prime contractors has been set at the office of the Community Services & Water Department, City Hall; 4305 Santa Fe Avenue, Vernon, California for Wednesday, September 08, 2010, 9:00 a.m. A tour of the project site will start right after the mandatory pre -bid meeting. Sub -contractors are invited and encouraged to attend the pre -bid meeting for the purpose of familiar with the project and networking with the prime contractors but not mandatory. 14. Project Description Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements project involves the following bids: (1) Base Bid (2) Additive Alternate Bid "A" (3) Additive Alternate Bid `B" (4) Additive Alternate Bid "C" (1) Base Bid (A) Various Streets Pavement Improvements. (a) 26th Street from Santa Fe Avenue to 1,400' east of Soto Street. (b) Harriett Street from north City boundary to 261h Street. (c) Soto Street from north City boundary to 700' south of 26th Street. A 6 feet wide header will be cut along all the existing edge of concrete gutters. Deteriorated existing pavement on 26`h Street and Harriett Street will be treated for 4 inches deep existing asphalt pavement Cold In -place Recycling (CIR) and/or Cold Central Plant Recycling (CCPR). The process of CCPR consist of uniform cold planning the existing deteriorated pavement to specified depth, transport them to a nearby Cold Central Plant lot and then crush and size the cold planed asphalt concrete material to conform with an approved mix design gradation. Then, the crushed and sized material shall be processed in a mixing unit with new emulsified recycling agent, water and additives, and blended to become a homogeneous mixture to produce recycled asphalt concrete which will be transported and placed back on the previously uniform cold planed street pavement surface within the same day. After curing of recycled asphalt concrete pavement, an overlay of 2-inch thick latex modified asphalt concrete will be installed on the streets per plans. All the utility valve covers will be adjusted to grade as part of the paving operations. All the manhole frames and covers within the project limits will be adjusted to grade after the final overlay paving. Existing locking type manhole frames and covers will be replaced with new non -locking type manhole frames and covers. The contractor will place temporary striping of traffic lane lines immediately after recycled asphalt concrete base paving and again after the final 2" overlay asphalt concrete paving of the streets. Final re -striping of traffic lane lines and replacement of damaged traffic loops are part of the contract. 14 feet widening along east side of the Soto Street in front of the JC Sale property (about 700 feet) shall be part of the improvements at the 26`h Street and Soto Street intersection. Existing triangle concrete median located at the southeast corner of Soto and 26`h Street shall be removed and reconstructed at a slightly different location. 26`h Street west bound lane at Soto Street intersection approach shall be reconstructed with B-4 - new concrete pavement to prevent from future rutting. Deteriorated existing pavement in the intersection and four approaches shall be cold planed from 4 to 6 inches deep and repaved with 4 to 5 inches thick new asphalt concrete per plans to lower the street cross section slopes for smoother vehicle ride. Proposed concrete curbs, gutters, driveways and sidewalks will be constructed along the east side of Soto Street as shown on the plans. (B) Soto Street at 261h Street southeast corner traffic signal relocation and modification. The existing traffic signal facilities located on the existing triangle concrete median at the southeast corner of Soto Street and 26th Street shall be relocated to a new triangle concrete median located at a slightly (7' southerly) different location and modify the traffic signal per plan and specifications. Remove and relocate or salvage or dispose the existing traffic signal poles, equipment, controller cabinet with soft ware as directed by the City and replace with necessary new pole, equipment, material, cabinet with soft ware per plan and specifications. (2) Additive Alternate Bid "A" (A) Westerly Soto Street south of 26th Street Pavement Improvements. Deteriorated existing pavement along west side of the Soto Street shall be uniformly cold plane 2 inches deep and overlay with 2 inches thick new asphalt concrete per plan. Existing manholes and valves shall be adjusted to finished grade. The contractor will place temporary striping of traffic lane lines immediately after the 2 inches overlay asphalt concrete paving of the streets. Final re -striping of traffic lane lines is part of the contract. (3) Additive Alternate Bid `B" (A) Along 26th Street east of Soto Street (Station 35+25 to 40+50) Pavement Improvements. Deteriorated existing pavement along 26th Street east of Soto Street shall be uniformly cold recycled to 4 inches deep and repaved with 4 inches thick cold recycled reclaimed asphalt concrete per plan. Existing manholes and valves shall be adjusted to finished grade. The contractor will place temporary striping of traffic lane lines immediately after 4 inches recycled asphalt concrete base paving and again after the final 2" overlay asphalt concrete paving of the streets. Final re -striping of traffic lane lines is part of the contract. (4) Additive Alternate Bid "C" (A) Along 261h Street east of Soto Street (Station 40+50 to 46+25) Pavement Improvements. Deteriorated existing pavement along 26t" Street east of Soto Street shall be uniformly cold recycled to 4 inches deep and repaved with 4 inches thick cold recycled reclaimed asphalt concrete per plan. Existing manholes and valves shall be adjusted to finished grade. The contractor will place temporary striping of traffic lane lines immediately after 4 inches recycled asphalt concrete base paving and again after the final 2" overlay asphalt concrete paving of the streets. Final re -striping of traffic lane lines is part of the contract, 15. Proiect Map O v Z 0 Lo � � J j U N O UJ O m Z Z p N O x ° U Q. } � ~ N Q 3/N 0 s 3� J VIA vps — / U Q �Ld LU uj �- m m N IL N W � U g O S Y 'N� o A sp OVOM A3NMOa oun67VW a w ?� 3nN3nv 3nN3AV vwly 333a31nNNN��3ddAV V21S O o z v_r 3nN3AV 3VM 01AS OLDS 133H1.S OLOS (n _ W F - o" 2V 3ntc. V 3'nIA3S (n 'OAl9 OLiI3Vd o Z N < w VA2l3NIW F 0 a 3nN3AV 3d V1NVS y 3nN3AV 3A V1NVS ti w - to Z �� 0 w w 0 W t7i 13 > N Y� SSON 3NNOHIMVH 0 I� 1332115 VO3WVN B-6 C. BID FORM PROPOSAL TO THE CITY OF VERNON 1. Proposal WORK TO BE PERFORMED: �i Name of Bidder: Business Address: Phone Number: ID No. The site of the work to be performed and referred to herein is in the County of Los Angeles, California. The work to be performed will be in accordance with the specifications and Contract Documents of Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements. TO THE CITY COUNCIL OF THE CITY OF VERNON: Pursuant to and in compliance with the Notice Inviting Sealed Proposals (Bids) and other documents relating thereto, the undersigned bidder, having become familiar with the terms of the Contract, and the cost of the work at the place where the work is to be done, hereby proposes and agrees to perform the Contract "base - bid" within 60 working days and add 5 working days each for additive alternate bids `A', `B' and `C' after issuance of a "Notice to Proceed" or commencement of work, whichever occurs first, including all of its component parts and everything required to be performed, and to provide and furnish any and all of the labor, materials, tools, expendable equipment, and all utility and transportation services necessary in order to perform the Contract and complete in a workmanlike manner all of the work required as specified in Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements, all in strict conformity with the plans and specifications and other Contract Documents, including Addenda Numbers , and on file in the office of the City Clerk. The undersigned, as bidder, declares that the only persons or parties interested in this proposal as principals are those named herein, and that this proposal is made without collusion with any person, firm or corporation. The bidder proposes and agrees that if this proposal is accepted, the bidder will execute a Contract with the City that is in substantially the same form as the Contract set forth in the Contract Documents. The 126'h Street Improvements' project consists of "base -bid" and "additive alternate bids `A', `B' and `C"' which maybe selected if the "base -plus -alternates" price is within budget The City will choose additive alternate bid or bids according to the priority order of `A', `B' and `C' in which the alternates will be considered and the award will be based on the lowest responsive bid considering the sum of the base bid and those additive alternates which are within budget C-1 2. Bid Prices The undersigned, as bidder, agrees that the bidder will accept in full payment thereof the following lump sum and unit prices, to wit: Perform all the work as specified herein and shown on the Plans and Special Provisions of Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements including Plans P2640, P2640-A, P2640-13, P2640-C, T2642 and T2651. The total bid price amount includes furnishing all labor, materials, equipment, mobilization, traffic control, disposal of all removals, permits, fees, overhead, profit and taxes associated with the Contract No. CS-0020 (Federal Aid Project ID No. ESPL-5139 (011)) 26th Street Improvements with all of the work in place and in working order according to the Plans and Special Provisions. BASE BID (261h STREET FROM SANTA FE AVENUE TO 300' EAST OF SOTO STREET AND SOTO STREET FROM NORTH CITY LIMIT TO 700' SOUTH OF 261h STREFT) Item No. 1 Unclassified excavation — sawcut, removal and disposal of asphalt pavement, concrete, aggregate base & soil, approximately 1,393 cubic yards at: per cubic yard (words) per cubic yard (figures) (figures) Item No. 2 Header cutting and disposal of asphalt concrete (6' wide) along the edge of concrete gutter, approximately 3,970 linear feet at: per linear foot (words) per linear foot (figures) (figures) Item No. 3 Uniform Cold Plane Cutting and Disposal, 2" deep, approximately 20,110 square feet at: per square foot (words) per square foot (figures) (figures) C-2 Item No. 4 Variable Cold Plane Cutting and Disposal, 2" to 4" deep, approximately 8,982 square feet at: per square foot (words) per square foot (figures) _ (figures) Item No. 5 Variable Cold Plane Cutting and Disposal, 4" to 6" deep, approximately 39,340 square feet at: per square foot (words) per square foot (figures) (figures). Item No. 6 Cold Recycling existing asphalt concrete, 4" deep (by Cold In -place Recycling (CIR) and/or Cold Central Plant Recycling (CCPR) methods), approximately 8,302 square yards at: per square yard (words) per square yard (figures) (figures) Item No. 7 Emulsified Recycling Agent for asphalt concrete Cold Recycling; approximately 58 tons at: per ton (words) per ton (figures) (figures) C-3 Item No. 8 Additive for asphalt concrete Cold Recycling, approximately 29 tons at: per ton (words) per ton (figures) (figures) Item. No. 9 Construct 10"thick High Early Strength concrete pavement with wire mesh, complete in place, approximately 3,871 square feet at: per square foot (words) per square foot (figures) (figures) Item No. 10 Construct 8" thick Crushed Miscellaneous Base (CMB), complete in place, approximately 19,367 square feet at: per square foot (words) per square foot (figures) (figures) Item No. 11 Construct Asphalt Concrete Pavement B-PG70-10, complete in place; approximately 1,572 tons at: per ton d (wor s) per ton J (figures) (figures) C-4 Item No. 12 Construct 2" thick Latex Modified Asphalt Concrete overlay C2-PG70-10, complete in place, approximately 2,770 tons at: . per ton (words) per ton (figures) Item No. 13 Construct 3.5" thick Concrete Sidewalk or Median Slab per City Std. Plan PV582, approximately 6,917 square feet at: per square foot (words) per square foot (figures) (figures) Item No. 14 Construct 8" high Concrete Curb & Gutter per City of Vernon Std. Plan No. PV582 including 6" thick CMB, 2' (two feet) wide gutter, complete in place, approximately 904 linear feet at: per linear foot (words) per linear foot (figures) Item No. 15 Construct 8" high Concrete Median Curb per City of Vernon Std. Plan No. PV582 including 6" thick CMB, complete in place, approximately 165 4inear feet at: per linear foot (words) per linear foot (figures) (figures) C-5 Item No. 16 Construct Truncated Dome 4' X 3' (glue down type) on concrete walkway per Revised Caltrans Standard Plan RSP A88A, complete in place, 6 each at: each (words) each (figures) (figures) Item No. 17 Construct 8" thick Concrete Curb Ramp (handicap wheelchair access) including Truncated Domes per Revised Caltrans Standard Plan RSP A88A, complete in place, 2 each at: each (words) each (figures) Item No. 18 Construct 8" thick High Early Strength Concrete Driveway per City of Vernon Standard Plan No. PV693, complete in place, approximately 1,386 square feet at: per square foot (words) per square foot (figures) (figures) Item No. 19 Adjust existing Manhole Frames and Covers to grade complete in place, approximately 15 each at: each (words) each (figures) $ (figures) C-6 Item No. 20 Double adjusts (once before uniform cold planning to lower and once after final paving to raise at the intersection) existing Manhole Frames and Covers to grade complete in place, approximately 9 each at: each (words) each (figures) (figures) Item No. 21 Remove and replace existing locking manhole frame and cover with new Standard Non -locking Manhole Frame & Cover according to the City of Vernon Standard Plan SV1363 and adjust to grade, complete in place, approximately 11 each at: (words) (figures) each each (figures) Item No. 22 Furnish and install all pavement markings for entire project including striping, legends, markings, arrows, letters, limit lines, crosswalks with two coats of water based Pervo paint or approved equal and reflective markers, blue markers on all Repaved Streets and Street Corner Improvements per plans, complete in place, 1 lump sum at: per lump sum (words) per lump sum (figures) Item No. 23 Furnish & Install 6' diameter, 4" deep, Type " E", round traffic signal loop including `home runs", complete in place and in working order per Caltrans Standard Plan ES-513, 24 each at: each (words) each (figures) (figures) C-7 Item No. 24 Furnish and install traffic signal relocation and modification for existing traffic. signal system located at southeast corner of 261h Street and Soto Street intersection according to the plan, specifications and State of California Department of Transportation Standard Plans and Specifications (2006 Edition), complete in place and in working order, 1 lump sum at: per lump sum (words) per lump sum (figures) (figures) Item No. 25 Furnish and install Standard Construction Sign (4' X 6') per City of Vernon Std.`Plan MV2217, complete in place; approximately 5 each at: each (words) each (figures) - (figures) It is understood that the foregoing quantities are approximate only and are solely for the purpose of facilitating the comparison of bids, and that the Contractor's compensation will be computed upon the basis of the actual quantities in the complete work, whether they be more or less than those shown. C-s ADDITTVE ALTERNATE BID "A" (ALONGWESTERLY OF SOTO ST. SOUTH OF 26"' ST. Item No. 1A Uniform Cold Plane Cutting and Disposal, 2" deep, approximately 21,244 square feet at: per square foot (words) per square foot (figures) (figures) Item No. 2A Construct 2" thick Latex Modified Asphalt Concrete overlay C2-PG70-10, complete in place, approximately 258 tons at: per ton (words) per ton (figures) (figures) Item No. 3A Adjust existing Manhole Frames and Covers to grade complete in place, approximately 2 each at: each (words) each (figures) (figures) Total, Additive Alternate Bid `A' Item Nos. lA through 3A inclusive: (words) (figures) Total, `Base Bid' plus Additive Alternate Bid `A' inclusive: (words) (figures) C-9 ADDITIVE ALTERNATE BID "B" (ON 26ca ST. EAST OF SOTO ST) STA. 35+25 TO 40+50 Item No. 1B Header cutting and disposal of asphalt concrete (6' wide) along the edge of concrete gutter, approximately 952 linear feet at: per linear foot (words) per linear foot (figures) (figures) Item No. 2B Various Cold Plane Cutting and Disposal, 2" to 4" deep, approximately 1,825 square feet at: per square foot (words) per square foot (figures) (figures) Item No. 3B Cold Recycling existing asphalt concrete, 4" deep (by Cold In -place Recycling (CIR) and/or Cold Central Plant Recycling (CCPR) methods), approximately 1,295 square yards at: per square yard (words) per square yard (figures) (figures) Item No. 4B Emulsified Recycling Agent for asphalt concrete Cold Recycling, approximately 9 tons at: per ton (words) per ton (figures) (figures) C-lo Item No. 5B Additive for asphalt concrete Cold Recycling, approximately 4.5 tons at: per ton (words) per ton (figures) (figures) Item No. 6B Construct 2" thick Latex Modified Asphalt Concrete overlay C2-PG70-10, complete in place, approximately 244 tons at: per ton (words) per ton (figures) (figures) Item No. 7B Adjust existing. Manhole Frames and Covers to grade complete in place, approximately.5 each at: each (words) each (figures) (figures) Item No. 8B Furnish and install all pavement markings for entire project including striping, legends, markings, arrows, letters, limit lines, crosswalks with two coats of water based Pervo paint or approved equal and reflective markers, blue markers on all Repaved Streets per plans, complete in place, 1 lump sum at: per lump sum (words) per lump sum (figures) (figures) C-11 Total, Additive Alternative Bid `B' Item Nos. IB through 8B inclusive: (words) (figures) Total, Base Bid, plus Additive Alternative Bid `A' plus Additive Alternative Bid `B' inclusive: (words) (figures) ADDITIVE ALTERNATE BID "C" (ON 26" ST. EAST OF SOTO ST) STA. 40+50 TO 46+25 Item No. 1C Header cutting and disposal of asphalt concrete (6' wide) along the edge of concrete gutter, approximately 1,039 linear feet at: per linear foot (words) per linear foot (figures) (figures) Item No. 2C Various Cold Plane Cutting and Disposal, 2" to 4" deep, approximately 1,289 square feet at: per square foot (words) per square foot (figures) (figures) C-12 Item No. 3C Cold Recycling existing asphalt concrete, 4" deep (by Cold In -place Recycling (CIR) and/or Cold Central Plant Recycling (CCPR) methods), approximately 1,413 square yards at: per square yard (words) per square yard (figures) J $ (figures) Item No. 4C Emulsified Recycling Agent for asphalt concrete Cold Recycling, approximately 10 tons at: per ton (words) per ton (figures) (figures) Item No. 5C Additive for asphalt concrete Cold Recycling, approximately 5 tons at: per ton (words) per ton (figures) (figures) Item No. 6C Construct 2" thick Latex Modified Asphalt Concrete overlay C2-PG70-10, complete in place, approximately 293 tons at: per ton (words) per ton (figures) (figures) C-13 Item No. 7C Adjust existing Manhole Frames and Covers to grade complete in place, approximately 4 each at: each (words) each (figures) (figures) Item No. 8C Furnish and install all pavement markings for entire project including striping, legends, markings, arrows, letters, limit lines, crosswalks with two coats of water based Pervo paint or approved equal and reflective markers, blue markers on Repaved Street pavement per plans, complete in place, 1 lump sum at: per lump sum (words) per lump sum (fieures) (figures) Total, Additive Alternative Bid `C' Item Nos. 1C through SC inclusive: (words) (figures) Total, Base Bid, plus Additive Alternative Bid `A', plus Additive Alternative Bid `B' plus Additive Alternative Bid `C' inclusive: (words) (figures) It is understood that all of the above foregoing quantities are approximate only and are solely for the purpose of facilitating the comparison of bids, and that the Contractor's compensation will be computed upon` the basis of the actual quantities in the complete work, whether they be more or less than those shown. C-14 4. Subcontractors The bidder as general contractor hereby identifies the subcontractors on the job for each particular trade or subdivision of the work with each firm name and principal location of the mill, shop or office when the value of the work, labor or service performed is in excess of one-half of one percent of the total bid. The bidder agrees that there shall be no substitution of subcontracting except upon compliance with the "Subletting and Subcontractors Fair Practices Act" (Public Contract Code Sections 4100, et set.). (Instruction: List only one subcontractor for each such portion.) DIVISION OF PRINCIPAL WORK OR TRADE NAME OF FIRM OR CORPORATION LOCATION C-16 5. Deposit of Security ACCOMPANYING THIS PROPOSAL is (insert the words "Cashier's Check", "Certified Check", or "Bidder's Bond") in an amount equal to ten percent (10%) of the total of the bid, payable to or for the benefit of the City (as the case may be). The undersigned deposits the required security as a bid proposal guarantee and agrees that it shall be forfeited to the City as liquidated damages in case this bid proposal is accepted by the City, and the undersigned fails to execute the Contract. 6. Bonds The undersigned agrees to provide the City with a Performance Bond and Labor and Material Bond in. the form set forth in the Contract Documents within seven (7) calendar days after the date of mailing of the acceptance. The surety will be one that the City finds acceptable. 7. Withdrawal The bidder acknowledges that it may withdraw its bid either personally or by a signed written request any time prior to the scheduled time for opening of the bids Once the bids are opened, the bidder agrees that its bid will not be withdrawn for, a period of sixty (60) days after the time set for the opening thereof. 8. Principals The names of all persons interested in this Bid Proposal as principals are as follows: C-17 9. License and Signature The undersigned is licensed in accordance with California Business and Professions Code, License No. Name of bidder: Signature of bidder: Title: Dated: NOTE: The complete and proper legal name of the bidder shall beset forth above. If the bidder is a corporation, two signatures are required, as follows: (1) the chairman of the board, the president, or any vice- president, and (2) the corporate secretary, any assistant corporate secretary, the chief financial officer, or any assistant treasurer. If the bidder is a limited liability company, signatures are required of two members or managers unless otherwise provided in the company's articles of organization. If the bidder is a partnership, signatures are required of the partner or partners authorized to sign contracts on behalf of the partnership. C-18 10. Bidder's Oualifications The Bidder must have a minimum of five (5) years of experience as an ongoing business enterprise in the specific type of work indicated in the proposal. The following contracts which show experience in work of similar scope to that covered in the proposal and which have been satisfactorily completed in the past five (5) years are: YEAR NAME OF FIRM AND ENGINEER LOCATION CONTRACT AMOUNT The Bidder, as a contractor, has never failed to satisfactorily complete an awarded contract, except as follows: I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct. Executed at on this day of ; 2010. By: Name: C-19 11. Contractor's Acknowledgement of Insurance Requirements The Contractor acknowledges that the Insurance Schedule contained in section "r" has been reviewed, that a copy thereof has been submitted to an authorized insurance agent or broker, and that the proof of insurance required therein will be submitted within thirty (30) days after notification of the acceptance of the Contractor's bid. The Contractor understands that the Contract will not be executed by the City until all proof of insurance have been received and approved as to form by the Legal Counsel. The Contractor agrees that failure to submit the required proof of insurance within said thirty (30) days shall constitute grounds at the City's discretion for awarding the Contract to the next lowest bidder and for forfeiting the Contractor's bid bond. Date: Contractor Name: Signature: Title: 12. FEDERALHIGHWAY ADMINISTRATION REQUIREMENT CERTIFICATION AND DISCLOSURE FORMS All section references found in C-22 to C-56 are contained in the Caltrans Local Assistance Procedures Manual, available at htip://www.dot ca. o�v/h /Local Programs/lam/lqpm.htm C-21 Local Assistance Procedures Manual EXHIBIT 12-E 1'SE Cheel jiff I zors eijoi ' ° tlachmnent`A, SECTION 14. FEDERAL REQUIREMENTS FOR FEDERAL -AID CONSTRUCTION PROJECTS GENERAL. —The work herein proposed will be financed in whole or in part with Federal funds, and therefore all of the statutes, rules and regulations promulgated by the,Federal Gov- ernment and applicable to work financed in whole or in part with Federal funds will apply to such work. The "Required Contract Provisions, Federal -Aid Construction Contracts, "Form FHWA 1273, are included in this Section 14. Whenever in said required contract provisions references are made to "SHA contracting officer," "SHA resident engineer," or "authorized representative of the SHA," such references shall. be construed to mean "Engineer as defined in Section 1-1.18 of the Standard Specifications. PERFORMANCE OF PREVIOUS CONTRACT. —In ad- dition to the provisions in Section II, "Nondiscrimination," and Section VII, "Subletting or Assigning the Contract," of the re- quired contract provisions, the Contractor shall comply with the following: The bidder shall execute the CERTIFICATION WITH RE- GARD TO THE PERFORMANCE OF PREVIOUS CON- TRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS located in the proposal. No request for subletting or assigning any portion of the contract in excess of . $10,000 will be considered under the provisions of Section VII of the required contract provisions unless such request is accompanied by the CERTIFICATION referred to above, executed by the proposed subcontractor. NON -COLLUSION PROVISION. —The provisions in this section are applicable to all contracts except contracts for Federal Aid Secondary projects. Title 23, United States Code, Section 112, requires as a condi- tion precedent to approval by the Federal Highway Administrator of the contract for this work that each bidder file a sworn statement executed by, or on behalf of, the person, firm, association, or corporation to whom such contract is to be awarded, certifying that such person, firm, association, or corporation has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with the submitted bid. A form to make the non -collusion affidavit statement required by Section 112 as a certification under penalty of perjury rather than as a swom statement as permitted by 28, USC, Sec. 1746, is included in the proposal. PARTICIPATION BY DISADVANTAGED BUSINESS EN- TERPRISES IN SUBCONTRACTING. —Part 26, Title 49, Code of Federal Regulationsapplies to this Federal -aid project. Pertinent sections of said Code are incorporated in part or in its entirety within other sections of these special provisions. Schedule B—Information for Determining Joint Venture Eli- gibility FR-1 (This form need not be filled in if all joint venture firms are DBE owned.) I. Name of joint venture 2. Address of joint venture 3. Phone number of joint venture 4. Identify the firms which comprise the joint venture. (The DBE partner must complete Schedule A.) a. Describe the role of the DBE firm in the joint venture. b. Describe very briefly the experience and business qualifications of each non -DBE joint venturer: Nature of the joint venture's business 6. Provide a copy of the joint venture agreement. 7. What is the claimed percentage of DBE ownership?. 8. Ownership of joint venture: (This need not be filled in if described in the joint venture agreement, provided by question 6.). Revised 3-95 08-07-95 C-22 EXHIBIT 12-E Local Assistance Procedures Manual �AttachmeIzt A a f S&E Checklist Instructions a. Profit and loss sharing. ............................................. b. Capital contributions, including equipment. ......................................................... Name of Firm Name of Firm c. Other applicable ownership interests. 9. Control of and participation in this contract. Identify by "firm" ......................................................................... Signature S.i. ature.........:............. name, race, sex, and those individuals (and their titles) who are responsible for day-to-day management and policy ...................................................................................................... decision_ making, including, but not limited to, those with Name Name prime responsibility for: a. Financial decisions b, Management decisions, such as: . 1. Estimating 2. Marketing and sales 3. Hiring and firing of management personnel 4. Purchasing of major items or supplies c. Supervision of field operations Note: —If, after filing this Schedule B and before the comple- tion of the joint venture's work on the contract covered by this regulation, there is any significant change in the information submitted, the joint venture must inform the grantee, either di- rectly or through the prime contractor if the joint venture is a subcontractor. Affidavit "The undersigned swear that the foregoing statements are cor- rect and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to grantee current, complete and accurate information regarding ac- tual joint venture work and the payment therefor and any pro- posed changes in any of the joint venture arrangements and to permit the audit and examination of the books, records and files of the joint venture, or those of each joint venturer relevant to the joint venture, by authorized representatives of the grantee or the Federal funding agency. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Revised 3-95 08-07-95 FR-2 ...................................................................................................... Title Title .............................................................. .................................. Date Date Date State of County of On this day of , 19 _, before me appeared (Name) to me personally known, who, being duly sworn, did execute the foregoing affi- davit, and did state that he or she was properly authorized by (Name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission expires [Seal] Date State of County of On this day of , 19 , before me appeared (Name) to me personally known, who, being duly swom, did execute the foregoing affidavit, and did state that he or she was properly authorized by (Name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission expires [Seal] C-23 Local Assistance Procedures Manual EXUTBIT 12-E PS&E Checklist Instructions Attachment C (THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH AREA PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder proposed subcontractor hereby certifies that he has , has not , participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts, which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contractor subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-24 PUBLIC CONTRACT CODE Public Contract Code Section 10162 Questionnaire In conformance with Public Contract Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire: Has the bidder, any officer of the bidder, or any employee of the bidder who has a proprietary interest in the bidder, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government -project because of a violation of law or a safety regulation? Yes No If the answer is yes, explain the circumstances in the following space. C-25 Public Contract Code Section 10232 Statement In conformance with Public Contract Code Section 10232, the Contractor, hereby states under penalty of perjury, that no more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the immediately preceding two year period because of the Contractor's failure to comply with an order, of a federal court which orders the Contractor to comply with an order of the National Labor Relations Board. Note: The above Statement and Questionnaire are part of the Bid. Signing this Bid on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. Public Contract Code Section 10285.1 Statement In conformance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985), the bidder hereby declares under penalty of perjury under the laws of the State of California that the bidder has , has not been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or Federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in,,Public Contract Code Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University. The term "bidder" is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.1. Note: The bidder must place a check mark after "has" or "has not" in one of the blank spaces provided. The above Statement is part of the Bid. Signing this Bid on the signature portion thereof shall also constitute signature of this Statement. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. Cad►• G1 Local Assistance Procedures M.9niral 1JX trTT 12-E PS&B Checklist Instructions Attachment D Noncollusion Affidavit (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY of VERNON DEPARTMENT OF COMMUNITY SERVICES AND WATER In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, .communication; or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository; or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Noncollusion Affidavit. Bidders are cautioned that making a false certification may subject the. certifier to criminal prosecution. C-27 Los�a! Assist �3„r� }'�,,ce��e-es lE'Irfn��al. PS&E Checklist instructions EXRIpIT 12-E Attachment E DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, and manager: • Is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; • Has not been suspended, debarred, voluntarily excluded or determined ineligible by any " federal agency within the past 3 years; • Does not have a proposed debarment pending; and • Has not been indicted, convicted, or had a\civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud -or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. C-28 Local Ass;stance Procedures Manual EXHIBIT 12-E PS&E Cheeldist Instructions Attachment F NONLOBBYING CERTIFICATION FOR FEDERAL -AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100;000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. C-29 3Local Assistance Procedures Manual PS&E Checklist Instructions EXI-11I3IT 1<-.E Attachment G DISCLOSURE OF LOBBYING ACTIVITIES ("(IAiTAT T7TT? TTSTC L`/IrJTA •rn T TO—T inn T ---- - i',Ivt '_ T T v 111DJ rURJUNIVI 1U'51 U.�'.t_ ISJL 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a. contract ❑ a.. bid/offer/application Fla. initial b. grant b. initial award b. material change c. cooperative agreement c. post -award d. loan For Material Change Only: e. loan guarantee year quarter f. loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime: Prime El Subawardee Tier if known Congressional District, if known 6. Federal Department/Agency: 8. Federal Action Number, if known: 10. a. Name and Address of Lobby Entity (If individual, last name, first name, MI) Congressional District, if known 7. Federal Program Name/Description: CFDA Number, if applicable 9. Award Amount, if known: b. Individuals Performing Services (including address if different from No. I Oa) (last name, first name, MI) (attach Continuation Sheet(s) if necessary) Amount of Payment (check all that apply) 13. Type of Payment (check all that apply). $ actual planned a. retainer / b. one-time fee Form of Payment (check all that apply): c. commission 8 a. cash d. contingent,fee b. in -kind; specify: nature e deferred value f. other, specify Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for Payment Indicated in Item 11: (attach Continuation Sheet(s) if necessary) 15. Continuation Sheet(s) attached: Yes. FNo 16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. print Name: 1352. This information will be reported to Congress semiannually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject Title: to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Telephone No.: Date: Federal Use Only: Authorized for Local Reproduction Standard Form - LLL C-30 3Local Assistance Procedures Manual PS&E Checklist Instructions EXHIBIT 12-E Attachment G INSTRUCTIONS FOR COMPLETION OF SF-LLL, . DISCLOSURE OF LOBBYING ACTIVITIES ' This disclosure form shall be completed by the reporting entity, whether subawardee or prime federal recipient, at the initiation or receipt of covered federal action or a material change to previous filing pursuant to title 31 U.S.C. Section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management information. and Budget for additional 1. Identify the type of covered federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered federal action. 2. Identify the status of the covered federal 'action. , 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter itl which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered federal action. 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address, city, State and zip code of the prime federal recipient. Include Congressional District, if known. 6. Enter the name of the federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the federal program name or description for the covered federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8. Enter the most appropriate federal identifying number available for the federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9. For a covered federal action where there has been an award or loan commitment by the Federal agency, enter the federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, State and zip code of the lobbying entity engaged by the reporting entity, identified in item 4 to influenced the covered federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-31 3I,ocal Assistance Prose€ -u-es NJ,1,1ugl EXI-1.1 ti 12-E PS&E Checklist Instructions Attachment G 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in -kind contribution, specify the nature and value of the in -kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact. with federal officials. Identify the federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether of not. a continuation sheet(s) is attached. 1.6. The certifying official shall sign and date the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send continents regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. SF-LLL-Instructions Rev.06-04-90<<ENDIFn C-32 Local Assistance Procedures Manual EXHIBIT 12-E Attacinnent H ARTICLE I. - SECTION 2. PROPOSAL REQUIREMENTS AND CONDITIONS 2-1.01 GENERAL The bidder's attention is directed to the provisions in Section 2, "Proposal Requirements and Conditions," of the Standard Specifications and these special provisions for the requirements and conditions which the bidder must observe in the preparation of the proposal form and the submission of the bid. In addition to the subcontractors required to be listed in conformance with Section 2-1.054, "Required Listing of Proposed Subcontractors," of the Standard Specifications, each proposal shall have listed therein the portion of work that will be done by each subcontractor listed. A sheet for listing the subcontractors is included in the Proposal. The form of Bidder's Bond mentioned in the last paragraph in Section 2-1.07, "Proposal Guaranty," of the Standard Specifications will be found following the signature page of the Proposal In conformance with Public Contract Code Section 7106, a Noncollusion Affidavit is included in the Proposal. Signing the Proposal shall also constitute signature of the Noncollusion Affidavit. The contractor, sub recipient or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 CFR Part 26 in the award and administration of DOT assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the recipient deems appropriate. Each subcontract signed by the bidder must include this assurance. Failure of the bidder to fulfill the requirements of the Special Provisions for submittals required to be furnished after bid opening, \including but not limited to UDBE and DBE submittals or escrowed bid documents, where applicable, may subject the bidder to a determination of the bidder's responsibility in the event of being the apparent low bidder on future public works contracts. 2-1.015--FEDERAL LOBBYING RESTRICTIONS. --Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier sub recipient of a Federal -aid contract to pay for any person for influencing or attempting to influence a Federal agency, or Congress in connection with the awarding of any Federal -aid contract; the making of any Federal grant or loan, or the entering into of any cooperative. agreement. If any funds other than Federal funds have been paid for the: same purposes in connection with this Federal -aid contract, the recipient shall submit an executed certification and, if required_, submit a completed disclosure form as part,of the bid documents. A certification for Federal -aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Bid book. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Bid book. Signing the Bid book shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower -tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower -tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure :form previously filed by the Contractor, subcontractors and any lower -tier contractors. An event that materially affects the accuracy of the information reported includes: C-33 Local Assistance Procedures Manual EXHIBIT 12-E Attachment H (1) A cumulative increase if $25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or (2) A change in the person(s) or individual(s) influencing or attempting to influence a covered Federal action; or (3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. 2-1.02 DISADVANTAGED BUSINESS ENTERPRISE (DBE).-- This contract is subject to Part 26, Title 49, Code of Federal Regulations entitled "Participation by Disadvantaged Business Enterprises in Department of Transportation Financial Assistance Programs." The Regulations in their entirety are incorporated herein by this reference. The UDBE requirements are specified in Section 2-1.02B of these special provisions. Bidders shall be fully informed respecting the requirements of the Regulations and Caltrans' Disadvantaged Business Enterprise (DBE) program developed pursuant to the Regulations; particular attention is directed to the following matters: A. A DBE must be a small business concern as defined pursuant to Section 3 of the U.S. Small business Act and relevant regulations promulgated pursuant thereto. B. UDBE is a firm meeting the definition of a DBE as specified in 49 CFR and is one of the following groups: 1. Black American 2. Asian -Pacific American 3. Native American 4. Women C. A DBE may participate as a prime contractor, subcontractor, joint venture partner with a prime or subcontract, vendor of material or supplies, or as a trucking company. D. A UDBE bidder, not bidding as a joint venture with a non -DBE, will be required to document one or a combination of the following: 1. The bidder is a UDBE and will meet the goal by performing work with its own forces. 2. The bidder will meet the goal through work performed by UDBE. subcontracts, suppliers or trucking companies. 3. The bidder, prior to bidding, made adequate good faith efforts to meet the goal. E. A DBE joint venture partner must be responsible for specific contract items of.work, or clearly defined ,portions thereof. Responsibility means actually performing, managing and supervising the work with its own forces. The DBE joint venture partner must share in the capital contribution, control, management, risks and profits of the joint venture commensurate with its ownership interest; F. A DBE must perform a commercially useful function, i.e., must be responsible for the execution of a distinct element of the work and must carry out its responsibility by actually performing, managing and supervising the work; G. DBEs must be certified by California Unified Certification Program (CUCP). Listings of DBEs certified by the CUCP are available from the following sources: C-34 Local Assistance Procedures Manual EXIIIBIT 12-E Attachment H 1. The Caltran's "Civil Rights" web site at: http://www.dot.ca.gov/hq/bep 2. The Caltran's DBE Directory. This Directory may be obtained from the Department of Transportation, Materiel Operations Branch, Publication Distribution Unit, 1900 Royal Oaks Drive, Sacramento, California 95815,Telephone: (916) 445-3520. H. Credit for materials or supplies purchased from DBEs will count towards DBE credit, and if a DBE is also a UDBE, purchases will count towards the UDBE goal under the following conditions:. 1. If the materials or supplies are obtained from a DBE manufacturer, count 100 percent of the cost of the materials or supplies. A DBE manufacturer is a firm that operates or maintains a factory or establishment that produces, on the premises, the materials, supplies, articles, or equipment required under the contract and of the general character described by the specifications: 2. If the materials or supplies are purchased from a DBE regular dealer, count 60 percent of the cost of the materials or supplies. A DBE regular dealer is a firm that owns, operates or maintains a store, warehouse, or other establishment in which the materials, supplies, articles or equipment of the general character described by the specifications and required under the contract are bought, kept in stock, and regularly sold or leased to the public. in the usual course of business. To be a DBE regular dealer, the firm must be an established, regular business that engages, as its principal business and under its own name, in the purchase and sale or lease of the products in question. A person may be a DBE regular dealer in such bulk items as petroleum products, steel, cement, gravel, stone; or asphalt without owning, operating, or maintaining a place of business as provided in this paragraph, if the person both owns and operates distribution equipment for the products. Any supplementing of regular dealers' awn distribution equipment shall be by a long-term lease agreement and not on an ad hoc or contract -by -contract basis. Packagers, brokers, manufacturers' representatives, or other persons who arrange or expedite transactions are not DBE regular dealers within the meaning of this. paragraph. . 3. If the DBE is neither a manufacturer nor a regular dealer, count only the entire amount of fees or commissions charged for assistance in the procurement of the materials and supplies, or fees or transportation charges for the delivery of materials or supplies required on a job site, provided the fees are reasonable and not excessive as compared with fees charged for similar services. I. Credit for. DBE trucking companies will be as follows: 1. The DBE must be responsible for the management and supervision of the entire trucking operation for.which it is responsible on a particular contract. 2. The DBE must itself own and operate at least one fully licensed, insured, and operational truck used on the contract. 3. The DBE receives credit for the total value of the transportation services it provides on the contract using trucks it owns, insures, and operates using drivers it employs. 4. The DBE may lease trucks from another DBE firm including an owner -operator, who is certified as a DBE. The DBE who leases trucks from another DBE receives credit for the total value of the transportation services the lessee DBE. provides on the contract. 5. The DBE may also lease trucks from a non -DBE firm including from an owner -operator. The DBE who leases trucks from a non -DBE is entitled to credit only for the fee or commission it receives as a result of the lease arrangement. The DBE does not receive credit for the total value of the transportation services provided by the lessee, since these services are not provided by a DBE; 6. For the purposes of this paragraph, a lease must indicate that the DBE has exclusive use of and control over the truck. This does not preclude the leased truck from working for others during the term of the lease with the consent of the DBE, so long as the lease gives the DBE absolute priority for use of the leased truck. Leased trucks must display the name and identification number of the DBE. J. Bidders are encouraged to use services offered by financial institutions owned and controlled by DBEs: 2-1.02A UDBE GOAL The Underutilized Disadvantaged Business Enterprise (UDBE) goal for this project is 3.6% percent. It is the bidder's responsibility to verify that the firm is certified as of the date of bid opening. Listings of DBEs certified by the CUCP are available at http://www.dot.ca.gov/hq/beq. Click the "Find a Certified Firm" link. C-35 Local Assistance Procedures Manual EXHIBIT 12-E (tachaeent H 2-1.0211 UDBE AND DBE COMMITMENT SUBMITTALS Bidders shall submit UDBE information on the "LOCAL AGENCY BIDDER/PROPOSER — UDBE COMMITMENT" form included in the bid. If the form is not submitted with the bid, remove the form from the bid package before submitting the bid. If the UDBE commitment is not submitted with the.bid, the apparent successful bidder (low bidder), the second low bidder, and the third low bidder must complete and submit UDBE commitment to the City of Vernon. The UDBE commitment must be received by the City of Vernon no later than 4:00 p.m. on the 4"' business day after bid opening. Other bidders do not need to submit UDBE commitment unless requested to do so by the City of Vernon. It is the bidder's responsibility to make enough work available to UDBEs and to select those portions of the work or material needs consistent with the available UDBEs to meet the goal for UDBE participation or to provide information to establish that, prior to bidding, the bidder made adequate good faith efforts to do so. Bidders shall submit written confirmation from each UDBE stating that it is participating in the contract. Bidders shall include confirmation with the UDBE commitment submittal. A copy of.a UDBE's quote will serve as written confirmation that the UDBE is participating in the contract. Failure to of the bidder to submit the required UDBE commitment within the time specified herein will be grounds for finding the bid nonresponsive. If the bidder has not met the UDBE goal, the bidder must submit good faith efforts (GFE) documentation with the bid to establish that, before the bid, the bidder made adequate GFE to meet the goal. Only GFE directed towards obtaining participation by UDBEs will be considered. If the bidder does not submit GFE documentation with the bidder's bid, this documentation must be received by the City of Vernon no later than 4:00 p.m. on the 4tn business day after bid opening. Bidders are cautioned that even though their "LOCAL AGENCY BIDDER — UDBE COMMITMENT form indicates they will meet the UDBE goal, they should also submit their GFE documentation, within the time specified herein, to protect their eligibility for award of the contract in the event the City of Vernon finds that the goal has not been, met. If it is determined that GFE documentation is needed to determine a bidder's eligibility for award, failure of the bidder to have submitted the GFE documentation by the time specified herein will be grounds for finding the bid or proposal nonresponsive. The GFE documentation must include the following information and supporting documents, as necessary: A. Items of work the bidder has made available to UDBE firms. Identify those items of work the bidder might otherwise perform with its own forces and those items that have been broken down into economically feasible units to facilitate UDBE participation. For each item listed, show the dollar value and percentage of the total contract. It is the bidder's responsibility to demonstrate that sufficient work to meet the goal was made available to UDBE firms. B. The names of certified UDBEs and the dates on which they were solicited to bid on the project. Include the items of work offered. Describe the methods used for following up initial solicitations to determine with certainty if the UDBEs were interested, and the dates of the follow up. Attach supporting documents such as copies of letters, memos, facsimiles sent, telephone logs, telephone billing statements, and other evidence of solicitation. Bidders are reminded to solicit certified UDBEs through all reasonable and available means and provide sufficient time to allow UDBEs to respond. C-36 Local Assistance Procedures Manual EXHIBIT 12-E A, ', o I Fi I,-41s T4 C. For each item of work made available, the UDBEs that provided quotes, the selected firm and its status as a UDBE, the price quote for each firm, and the name, address and telephone number for each firm. If the firm selected for the item is not a UDBE, provide the reasons for the selection. D. The names and dates of each publication in which a request for UDBE participation for the project was placed by the bidder. Attach copies of the published advertisements. E. The names of agencies and the dates on which they were contacted to provide assistance in contacting, recruiting and using UDBE firms. If the agencies were contacting in writing, provide copies of supporting documents. F. Descriptions of the efforts made to provide interested UDBEs with adequate information about the plans, specifications, and requirements of the contract to assist them in responding to a solicitation. If the bidder has provided information, identify the name of the UDBE assisted, the nature of the information provided, and date of contact. Provide copies of supporting documents, as appropriate. G. . Descriptions of efforts made to assist interested UDBEs in obtaining bonding, lines of credit, insurance, necessary equipment, supplies and materials (excluding supplies and equipment which the UDBE subcontractor purchases or leases from the prime contractor or its affiliate). If such assistance was provided by the bidder, identify the name of the UDBE assisted, nature of the assistance offered, and date. Provide copies of supporting documents, as appropriate. H. Any additional data to support a demonstration of GFE. Submit the DBE Information on the "Local Agency Bidder — DBE Information"form included with the bid. If the form is not submitted with the bid, remove the form from the Proposal` before submitting the bid. The purpose of the form is to collect data required under 49. CFR 26. Even if no DBE participation will be reported, the successful bidder must execute complete and return the form. If the DBE Information is not submitted with the bid, the apparent successful bidder (low bidder), the second low bidder, and the third low bidder must complete and submit the DBE Information to: 4305 Santa Fe Avenue Vernon, CA 90058 The DBE Information must be received by the Agency no later than 4:00 p.m. on the 4u, business day after bid opening. Other bidders do not need to submit DBE Information unless requested to do so by the Agency. If requested by the Agency, the DBE Information of the other bidders must be received by the Agency within 4 business days of the request unless a later time is authorized by the Agency. The bidder's "LOCAL AGENCY BIDDER - DBE INFORMATION" form should include the names, addresses and phone numbers of DBE firms that will participate, with a complete description of work or supplies to be provided by each, and the dollar value of each DBE transaction. When 100 percent of a contract item of work is not to be performed or furnished by a DBE, a description of the exact portion of that work to be performed,or furnished by that DBE should be included in the DBE information, including the planned location of that work. A bidder certified as a DBE should describe the work it has committed to performing with its own forces as well as any other work that it has committed to be performed by DBE subcontractors, suppliers and trucking companies. The bidder is encouraged to provide written confirmation from each DBE that the DBE is participating in the contract. A copy of a DBE's quote will serve as written confirmation that the DBE is participating in the contract. If a DBE is participating as a joint venture partner, the bidder is encouraged to submit a copy of the joint venture agreement. C-37 EXHIBIT 12-F 5-1.1_ SUBCONTRACTOR AND DBE RECORDS The Contractor shall maintain records showing the name and business address of each first -tier subcontractor. The records shall also show the name and business address of every DBE subcontractor, DBE vendor of materials and DBE trucking company, regardless of tier. The records shall show the date of payment and the total dollar: figure paid to all of these firms. DBE prime contractors shall also show the date of work performed by their own forces along with the corresponding dollar value of the work. Upon completion of the contract, a summary of these records shall be prepared on "Final Report — Utilization of Disadvantaged Business Enterprises (DBE), First -Tier Subcontractors" (Exhibit 17-F/Form CEM-2402) and certified correct by the Contractor or his authorized representative, and shall be furnished to the Engineer. The form_ shall be furnished to the Engineer within 90 days from the date of contract acceptance. The amount of $10,000 will be withheld from payment until a satisfactory form is submitted. Prior to the fifteenth of each month, the Contractor shall submit documentation to the Engineer showing the amount paid to DBE trucking companies. The Contractor shall also obtain and submit documentation to the Engineer showing the amount paid by DBE trucking companies to all firms, including owner -operators, for the leasing of trucks. If the DBE leases trucks from a non -DBE, the Contactor may count only the fee or commission the DBE receives, as a result of the lease'arrangement. The Contractor shall also obtain and submit documentation to the Engineer showing the truck number, owner's name, California Highway Patrol CA number, and if applicable, the DBE certification number of the owner of the truck for all trucks used during that month. This documentation shall be submitted on "Monthly DBE Trucking Verification" Form CEM-2404(F). CERTIFICATION STATUS 5-1.2. DBE If a DBE subcontractor is decertified during the life of the project, the decertified subcontractor shall notify the Contractor in writing with the date of decertification. If a subcontractor becomes a certified DBE during the life of the project, the subcontractor shall notify the Contractor in writing with the date of certification. The Contractor shall furnish the written documentation to the Engineer. Upon completion of the contract, "Disadvantaged Business Enterprises (DBE) Certification Status Change" Form CEM-2403(F) indicating the DBE's existing certification status shall be signed and certified correct by the Contractor. The certified form shall be furnished to the Engineer within 90 days from the date of contract acceptance. 5-1.3 PERFORMANCE OF UDBES The UDBEs listed by the Contractor in response to the provisions in Section 2-1.02B, "UDBE and DBE Commitment Submittals," and Section 3, "Award and Execution of Contract," of these special provisions; which are determined by the Agency to be certified DBEs, shall perform the work and supply the materials for which they are listed, unless the Contractor has received prior written authorization to perform the work with other forces or to obtain the materials from other sources. Authorization to use other forces or sources of materials may be requested for the following reasons: A. The listed UDBE, after having had a reasonable opportunity to do so, fails or refuses to execute a written contract, when such written contract, based upon. the general terms, conditions, plans and specifications for the project, or on the terms of such subcontractor's or supplier's written bid, is presented by the Contractor. B. The listed UDBE becomes bankrupt or insolvent. C-38 EXHIBTT 12-E Attachment J 1. C. The listed UDBE fails or refuses to perform the subcontract or furnish the listed materials. D. ` The Contractor stipulated that a bond was a condition of executing a subcontract and the listed UDBE subcontractor fails or refuses to meet the bond requirements of the Contractor. E. The work performed requires a contractor license and the UDBE does not have a valid contractors license under Contractors License Law. F. The work performed by the listed UDBE subcontractor is substantially unsatisfactory and is not in substantial conformance with the plans and specifications, or the subcontractor is substantially delaying or disrupting the progress of the work. In conformance with the Federal DBE regulations Sections 26.53(f)(1) and 2,6.53(f)(2) Part 26, Title 49 CFR: A. The Contractor shall not terminate for convenience a UDBE subcontractor listed in response to Section 2-1.0213, "UDBE Commitment Submittal," of these special provisions and then perform that work with its own forces, or those of an affiliate without the prior written consent of the Engineer. B.. If a UDBE subcontractor is terminated or.fails to complete its work for any reason, the Contractor will be.required to make good faith efforts to. substitute another UDBE subcontractor for the original UDBE subcontractor, to the extent needed to meet the contract goal. Good faith efforts must adhere to Section 2 1.0213, "UDBE Commitment Submittal" of these special provisions. The requirement in Section 2-1.02A, "UDBE Goal," of these special provisions that UDBEs must be certified on the date bids are opened does not apply to UDBE substitutions. However, replacement UDBEs must be certified atthe time the Contractor requests substitution. The Contractor shall not be entitled to any payment for such work or material unless it is performed or supplied by the listed UDBE or by other forces (including those of the Contractor) pursuant to prior written authorization of the Engineer. C-3 9 Local Assistance Procedures Manual EXHIBIT 12-E A-11achowni L 5-1._ FEDERAL REQUIREMENTS (AMERICAN RECOVERY AND REINVESTMENT ACT) Under the American Recovery and Reinvestment Act (ARRA) of 2009, 9 USC § 902: SEC. 902. ACCESS OF GOVERNMENT ACCOUNTABILITY OFFICE. (a) ACCESS. —Each contract awarded using funds made available in this Act shall provide that the Comptroller General and his representatives are authorized— (1) to examine any records of the contractor or any of its subcontractors, or any State or local agency administering such contract, that directly pertain to, and involve transactions relating to, the contract or subcontract; and (2) to interview any officer or employee of the contractor or any of its subcontractors, or of any State or local government agency administering the contract, regarding such transactions. (b) RELATIONSHIP TO EXISTING AUTHORITY. —Nothing in this section shall be interpreted to limit or restrict in any way any existing authority of the Comptroller General. Under ARRA of 2009, 9 USC § 1515(a): SEC. 1515. ACCESS OF OFFICES OF INSPECTOR GENERAL TO CERTAIN RECORDS AND EMPLOYEES. (a) ACCESS. —With respect to each contract or grant awarded using covered funds, any representative of an appropriate inspector general appointed under section 3 or 8G of the Inspector General Act of 1978 (5 U.S.C. App.), is authorized— (1) to examine any records of the contractor or grantee, any of its subcontractors or subgrantees, or any State or local agency administering such contract, that pertain to, and involve transactions relating to, the contract, subcontract, grant, or subgrant; and (2) to interview any officer or employee of the contractor, grantee, subgrantee, or agency regarding such transactions. (b) RELATIONSHIP TO EXISTING AUTHORITY. —Nothing in this section shall be interpreted to limit or restrict in any way any existing authority of an inspector general. Immediately notify the Engineer if you have been contacted by the U.S. Comptroller, Inspector General, or their representatives. 5-1.5_ MONTHLY EMPLOYMENT REPORT (AMERICAN RECOVERY AND REINVESTMENT ACT) For the purpose of complying with the American Recovery and Reinvestment Act of 2009, submit a completed Monthly Employment Report form by the 5th of each month for the previous month. If you fail to submit a complete and accurate report, the City withholds 2 percent of the monthly progress estimate. The City does not withhold more than $10,000 or less than $1,000. The City releases the withhold upon submission of the completed form. C-40 STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION MONTHLY EMPLOYMENT REPORT CEM-1204 (NEW 03/2009) DLA Modified AMERICAN RECOVERY AND REINVESTMENT ACT (ARRA) MONTHLY EMPLOYMENT REPORT 1. CONTRACT NO. 2. FEDERAL -AID PROJECT NUMBER (From special provisions) 3. FIRST DAY OF REPORTING PERIOD (mm/dd/yy): 4. REPORT MONTH (mm/yy) 5. CONTRACTING AGENCY 6. CONTRACTOR NAME AND ADDRESS 7. EMPLOYMENT DATA EMPLOYEES HOURS PAYROLL - - . - - NEW HUWS EXISTING- EMPLOYEES NEW HIRES EXISTING EMPLOYEES NEW HIRES EXISTING EMPLOYEES PRIME CONTRACTOR DIRECT, ON -PROJECT JOBS SUBCONTRACTOR DIRECT, ON -PROJECT JOBS SUBCONTRACTOR NANIE(S): DBE El El PRIME AND SUBCONTRACTOR SUBTOTALS PRIME AND SUBCONTRACTOR TOTALS (NEW + EXISTING) 8. CERTIFIED BY CONTRACTOR: (Signature and Title) DATE TO BE COMPLETED BY AGENCY OR AUTHORIZED REPRESENTATIVE 9. REVIEWED BY CONTRACT ADMINISTRATOR: (Signature and Title) DATE COPY DISTRIBUTION: Original - Resident Engineer Copy - Contractor Copy — Caltrans District Local Assistance Engineer ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654-3880 or write Records and Forms Management, 1120N Street, MS-89, Sacramento, CA 95814, STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION MONTHLY EMPLOYMENT REPORT CEM-1204 (NEW 03/2009) DLA Modified C-41 INSTRUCTIONS FOR COMPLETING ARRA MONTHLY EMPLOYMENT REPORT FORM BOX 1. Contract Number. The state -assigned project number or ID: district and expenditure authorization (EA). BOX 2. Federal -aid Project Number. The state -assigned federal -aid project number. BOX 3. First Day of Reporting Period. The first day of reporting period is the first day of the first payroll period of the month. If the beginning of the month splits the payroll period, then the report will include dates from the prior month as necessary to complete the payroll period. BOX 4. Report Month. The month and year covered by the report. Reported as "mm/yy". (e.g. May 2009 would be coded as "05/09." ). BOX 5. Contracting Agency. The name of the contracting agency. For state projects, enter Caltrans. For non -state projects, enter the name of the contracting agency (federal agency, tribe, MPO, city, county, etc.). BOX 6. Contractor Name and Address. The name and address of the contractor shall include the firm name, street address, city, state, and zip code. BOX 7. Employment Data. Subcontractor Name(s). The name of each subcontractor that was active on the project for the reporting month. Employees. The number of new hires and existing employees on the contractor's workforce that month, and the number of new hires and existing employees for each of the active subcontractors that month. Do not include material suppliers. Reported as a whole.number. Hours. The total hours on the specified project for the new hires and existing employees on the contractor's workforce that month, and the total hours for the new hires and existing employees for each of the active subcontractors that month. Reported as a whole number. Payroll. The total dollar amount of wages paid by the contractor that month for employees on the specified project, and the. total dollar amount of wages paid by each of the active subcontractors that month. Rounded to the nearest whole dollar and reported as a whole number. Refer to Section 9-1.03A(1), "Labor," of the Standard Specifications. Prime and Subcontractor Subtotals. The subtotal for number of employees, hours and payroll for new hires and existing employees for the contractor and listed subcontractor(s). Prime and Subcontractor Totals (New + Existing). The total number of employees, hours and payroll for the contractor and listed subcontractor(s). BOX 8. Certified by Contractor. Name. Contractor representative or person responsible for certification of the information included on the form. By completing the form, the authorized representative certifies that they are knowledgeable of the hours worked and employment status for all employees. Contractors are.responsible to maintain data to support the employment form and make it available to the state should it request supporting materials. Date. The date that the contractor completed the employment form. Reported as "mm/dd/yy." BOX 9. Reviewed by Contract Administrator. (To be completed by the local agency or authorized representative.) Name. Local agency representative, such as the resident engineer or contract manager, or authorized project representative responsible for reviewing the submitted form. Date. The date that the state representative reviewed the form. Reported as "mm/dd/yy." C-42 Local Assistance Procedures Manual EXHIBIT 12-E 11S&E Checks is#. Iais€ruction s , #€.al�arneri# L 5-1.4 SUBCONTRACTING Attention is directed to the provisions in Section 8-1.01, "Subcontracting," and these special provisions. Pursuant to the provisions in Section 1777.1 of the Labor Code, the Labor Commissioner publishes and distributes a list of contractors. ineligible to perform work as a subcontractor on a public works project. This list of debarred contractors is available from the Department of Industrial Relations web site at: http://www.dir.ca.gov/DLSE/Debar.html.. The provisions in the third paragraph of Section 8-1.01, "Subcontracting," of the Standard Specifications, that the Contractor shall perform with the _Contractor's own organization contract work amounting to not less than 50 percent of the original contract price, is not changed by the Federal Aid requirement specified under "Required Contract Provisions Federal -Aid Construction Contracts" in Section 14 of . these special provisions that the Contractor perform not less than 30 percent of the original contract work with the Contractor's own organization. Each subcontract and any lower tier subcontract that may in turn be made shall include the "Required Contract Provisions Federal-AidConstruction Contracts" in Section 14 of these special provisions. Noncompliance shall be corrected. Payment for subcontracted work involved will be withheld from progress payments due, or to become due, until correction is made. Failure to comply may result in termination of the contract. C-43 b C7 ce WW Pa a W PW b a C C C O G O C O C C C O C C O O G G C O G O G O C C C O G O C O T �[ d ds ifl s9 sa v3 :. % 6S o vs v v vs v3 i1 v ds oI En Gq 1v = vi s9 F» o s2 - vi ifl In . ds Rg v v v v n v v v v n v v v v n v v v v n s a %,R . 0 0 0 i a w 0 Lx, N N N N A J-4 z MA W = 0 u O LLI C, 0 Cd Z- c cql CdV) Z 0 IM6 0 0 Cd VIP 0 cl 0 ml Q r o O o O O O O .0. .0 c's O;n 17 Ge) 6s V V Gn V v) V G-S A Gol� Gq V V (19 V Eln V 69 A v v v c) V A G') v V V V 69 0 1:1 R El El 101 EI,E] D ED] ED] IEI ED] El El El O b. �Zql . 4� '- I Al I 00- LAPM Exhibit 15-G(1) Local Aan,cy Bidder-AMBE Comniitrnent (Construction Contracts) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM AGENCY: LOCATION: PROJECT DESCRIPTION: TOTAL CONTRACT AMOUNT: $ ID DATE: BIDDER'S NAME: ONTRACT GOAL: ITEM OF WORK AND DESCRIPTION R SERVICES TO BE SUBCONTRACTED OR MATERIALS O BE PROVIDED DBE Cert. No. AND EXPIRATION DATE NAME OF UDBEs (Must be certified on the date bids are opened - include UDBE address and phone number ONTRACT DOLLARAMOUNT ITEM NO. DBE For Local Agency to Complete: Local Agency Contract Number: Federal Aid Project Number: Federal Share: Total Claimed Participation % ontract Award Date: Local Agency certifies that all information is complete and accurate. Print Name Signature Date Local Agency Representative (Area Code) Telephone Number: Signature of Bidder Date (Area Code) TeL No. For Caltrans Review: Print Name Signature Date Caltrans District Local Assistance Engineer Person to Contact (Please Type or Print) Local Agency Bidder - UDBE Commitment (Rev 03/09) miry - = - ui a -py tu MQ i uluu s LisuicL i-mat Assistance Engineer kuLAE) witnm 1J days or award. Failure to send a copy to the DLAE within 15 days of award may result in de -obligation of funds for this project. (2) Copy -- Include in award package to Caltrans District Local Assistance (3) Original — Local agency files C-46 LAPM Exhibit 15-G(1) INSTRUCTIONS - LOCAL AGENCY BIDDER-UDBE COMMITMENT (CONSTRUCTION CONTRACTS) (Revised 03/09) ALL BIDDERS: PLEASE NOTE: It is the bidder's responsibility to verify that the UDBE(s) falls into one of the following groups in order to count towards the UDBE contract goal: 1) Black American; 2) Asian -Pacific American; 3) Native American; 4) Women. This information may be submitted with your bid proposal. If it is not, and you are the apparent low bidder or the second or third low bidder, it must submitted and received as specified in the Special Provisions. Failure to submit the required UDBE commitment will be grounds for finding the proposal nonresponsive UDBE is a firm meeting the definition of a DBE as specified in 49 CFR and is one of the following groups: l . Black American 2. Asian -Pacific American 3. Nation: American 4. Women The form requires specific information regarding the construction contract: Agency, Location, Project Descriptions, Federal Aid Project Number (assigned by Caltrans-Local Assistance), Total Dollar Contract Amount, Bid Date, Bidder's Name, and Contract Goal. The form has a column for the Contract Item Number. (or Item No's) and Item of Work and.Description or Services to be Subcontracted or Materials to be provided by DBEs. The DBE should provide,a certification number to the Contractor. Notify the Contractor in writing with the date of the decertification if their status should change during the course of the contract. The form has a column for the Names of DBE certified contractors to perform the work (must be certified on.the date bids are opened and include DBE address and phone number). Enter DBE prime and subcontractors certification number. Prime contractors shall indicate all work to be performed by DBEs including work performed by its own forces. IMPORTANT: Identify all DBE firms being participating in.the project, regardless of tier. Names of the First Tier DBE Subcontractors and their respective item(s) of.work listed should be consistent, where applicable, with the names and.items of work in the "List of Subcontractors" submitted with your bid. Provide copies of the DBEs' quotes, and if applicable, a copy of joint venture agreements. pursuant to the Subcontractors Listing Law and the Special Provisions. There is a column for the total DBE dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 160%" of item is not to be performed or furnished by the DBE, describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE)," of the Special Provisions (construction contracts); to determine how to count the participation of DBE firms. Exhibit 15-G (2) must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local Agencies should complete the Contract Award Date and Federal Share fields and verify that all information is complete and accurate before signing and sending a copy of the form to the District Local Assistance Engineer within 15 days of award. Failure to submit a completed and accurate form within the 15-day time period may result in the de -obligation of funds on this project. District DBE Coordinator should verify that all information is complete and accurate. Once the information has been verified, the District Local Assistance Engineer signs and dates the form. C-47 LAPM Exhibit 15-G(2) Local Agency Bidder -DBE Information (Construction Contracts) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM AGENCY: LOCATION: PROJECT DESCRIPTION: TOTAL CONTRACT AMOUNT: s ID DATE: BIDDER'S NAME: CONTRACT GOAL: ITEM OF WORK AND DESCRIPTION OR SERVICES TO BE SUBCONTRACTED OR MATERIALS TO BE PROVIDED DBECert.No. D EXPIRATION DATE NAME OF DBEs Must be certified on the date bids are opened - include UDBE address and phone number CONTRACT DOLLAR AMOUNT ITEM NO. DBE For Local Agency to Completer Local Agency Contract Number: Federal Aid Project Number: Federal Share: Total Claimed Participation - ontract Award Date: Local Agency certifies that the DBE certification(s) has been verified and all information is complete and accurate. Print Name Signature Date Local Agency Representative (Area Code) Telephone Number: Signature of Bidder Date Area Code Tel. No. ( ) For Caltrans Review: Print Name Signature Date Caltrans District Local Assistance Engineer Person to Contact (Please Type or Print) Local Agency Bidder - DBE Commitment (Rev 03/09) k,) wl,y — i'aA vi semi a wpy w uic �.anrans urstn(;t i.ocai .vssistance rngmeer (uLAP,) wttmn a days of award. Failure to send a copy to the DLAE within 15 days of award may result in de -obligation of funds for this project. (2) Copy -- Include in award package to Caltrans District Local Assistance (3) Original — Local agency files WK LAPM Exhibit 15-G(2) INSTRUCTIONS - LOCAL AGE, NCY BIDDER -DBE. IN OI�AIA`I iON (CONSTRUCTION CONTRACTS) (Revised 03/09) ALL BIDDERS: The form requires specific information regarding the construction contract: Agency, Location, Project Descriptions, Federal Aid Project Number (assigned by Caltrans-Local Assistance), Total Dollar Contract Amount, Bid Date, Bidder's Name, and Contract Goal. The form has a column for the Contract Item Number (or Item No's) and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs. The DBE should provide a certification number to the Contractor. Notify the Contractor in writing with the date of the decertification if their status should change during the course of the contract. The form has a column for the Names of DBE certified contractors to perform the work (must be certified on the date bids are opened and include DBE address and phone number). Enter DBE prime and subcontractors certification number. Prime contractors shall indicate all work to be performed by DBEs including work performed by its own forces. IMPORTANT: Identify all DBE firms being participating in the project, regardless of tier. Names of the First Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable, with the names and items of work in the "List of Subcontractors" submitted with your bid. Provide copies of the DBEs' quotes, and if applicable,_ a copy of joint venture agreements. pursuant to the Subcontractors Listing Law and the Special Provisions. There is a column for the total DBE dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special,Provisions. (If 100% of item is not to be performed or furnished by the DBE, describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE)," of the Special Provisions (construction contracts); to determine how to count the participation of DBE firms. Exhibit 15-G (2) must be signed and dated by the person.bidding. Also list a phone number in the space provided and print the name of the person to contact. Local Agencies should complete the Contract Award Date and Federal Share fields and verify that all information is complete and accurate before signing and sending a copy of the form to the District Local Assistance Engineer within 15 days of award. Failure to submit a completed and accurate form within the 15-day time period may result in the de -obligation of funds on this project. District DBE Coordinator should verify that all information is complete and accurate. Once the information has been verified, the District Local Assistance Engineer signs: and dates the form. C-49 Local Assistance Procedures Manual Exhibit 15-H UDME Information - Good Faith Effort EXHIBIT 15-H UDBE INFORMATION - GOOD FAITH EFFORTS Federal -aid Project No. ESPL — 5139 (Ol 1) Bid Opening Date The City of Vernon established an Under-utilized Disadvantaged Business Enterprise (UDBE) goal of 3.6 % for this project. The information provided herein shows that a good faith effort was made. Lowest, second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder — UDBE Commitment" form indicates that the bidder has met the UDBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g.; a UDBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder — UDBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section_ entitled "Submission of UDBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for UDBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement B. The names and dates of written notices sent to certified UDBEs soliciting bids for this project and the dates and methods used for following up initial solicitations to determine with certainty whether the UDBEs were interested (please attach copies of solicitations, telephone records, fax confirmations, etc.): Names of UDBEs Solicited Date of Initial Solicitation Follow Up Methods and Dates C. The items of work which the bidder made available to UDBE firms, including, where appropriate, any breaking down of the contract work items (including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate UDBE.- C-50 Exhibit 15-H UDBE Nfoi-madon - Good ltaitli l ff.)I•t Local Assistance Procedures Manual participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate UDBE participation was made available to UDBE firms. Items of Work Bidder Normally Breakdown of Items Amount Percentage Performs Item M Of (Y/N) Contract D. The names, addresses and phone numbers of rejected UDBE firms; the reasons for the bidder's rejection of the UDBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each UDBE if the selected firm is not a UDBE: Names, addresses and phone numbers of rejected UDBEs and the reasons for the bidder's rejection of the UDBEs: Names, addresses and phone numbers of firms selected for the work above: E. " Efforts made to assist interested UDBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to UDBEs: F. Efforts made to assist interested UDBEs in obtaining necessary equipment, supplies, materials, or related assistance or services, excluding supplies and equipment the UDBE subcontractor purchases or leases from the prime contractor or its affiliate: G. The names of agencies, organizations, or groups contacted to provide assistance in contacting, recruiting and using UDBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): C-51 Focal Assistance Procedures Manual Name of Method/Date Results Agency/Organization of Contact H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): ]Exhibit 15-H 1JDBE Information - Good Faith Effort NOTE: USE ADDITIONAL SHEETS OF PAPER IF,NECESSARY C-52 ti wv z W� O b c C> J o � w U gaol z Ea O U 0 a .O 4 Zz ro O1 E � U z o � � _6 z LL � O Y} U) "" 0 z s N c � O u, 0 ¢ g m z Z w 0 ,IL � AG' Lli w ui 0 w Z co n Q w O a. z O > 13 4 +�. uJ t 090.. `�5 '0R N L U w - Z' r0 Z w tJ M C) p '? W o Z L4 F N Q w u ILN > rn v w u. z LL Uq W W N CC O w o vl I1. rr U U 1 LL 0 - �WJ F Q ua O OU W o yr t9 � to w co 0 W ¢a w r f- F O W mO U V) V) VT Vi is - % vt m z lFl tFs - to N- LY LU W aOn z wo 6 C5 z¢ z m W Q m Um z o 7 OR °a F Laa W, R3 CAa a o3 H z a E c r m " N � G U Q W NE a� Y m m w U y E m N Q ro 4 M ao Lz m4zW 11 wA 7 •9 ° ra w ear vi ur u> ya a v> yr ur. wa mr V) o C O L u t C (n (a 4n IA V) -� a � V O � a a0.. 4 N � 17L Ut to eA eq 4 w W A Od m. O 49 V). UA fA 1H CO. U) y N E =s O� �o ~ am va 0 W " d E 4s Wyyn N m o � E A �v 9 ^�a ©a �W s C m 0 y a u ~ U zLL ro n O "u STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION FINAL REPORT - UTILIZATION OF DISADVANTAGED BUSINESS ENTERPRISES (DBE), FIRST -TIER SUBCONTRACTORS CEM-2402F (REV 02/2008) The form requires specific information regarding the construction project: Contract Number, County, Route,. Post Miles, Federal Aid Project number, the Administering Agency, the Contract Completion Date and the Estimated Contract Amount. It requires the prime contractor name and business address. The focus of the form is to describe who did what by contract item numbers and descriptions, asking for specific dollar values of item work completed broken down by subcontractors who performed the work, both DBE and non -DBE work forces. DBE prime contractors are required to show the date of work performed by their own forces along with the corresponding dollar value of work. The form has a column to enter the Contract Item No. (or Item No's) and description of work performed or materials provided, as well as a column for the subcontractor name and business address. For those firms who are DBE; there is a column to enter their DBE Certification Number. The DBE should provide their certification number to the contractor and notify the contractor in writing with the date of the decertification if their status should change during the course of the project. The form has six columns for the dollar value to be entered for the item work performed by the subcontractor.. 'The Non -DBE column is used to enter the dollar value of work performed for firms who are not certified DBE. The decision of which column to be used for entering the DBE dollar value is based on what program(s) status the firm is certified. This program status is determined by the California Unified Certification Program by ethnicity, gender, ownership and control issues at time of certification. To confirm the certification status and program status, access the Department of Transportation Civil Rights website at http://www.dot.ca.gov/hgibep or by calling (916) 324-1700 or the toll free number at (888) 810-6346. Based on this DBE Program status, the following table depicts which column to be used: DBE Program Status Column to be used. If program status shows DBE only with no other programs listed. DBE If program status shows DBE, Black American. BA UDBE If program status shows DBE, Asian -Pacific Islander APA UDBE If program status shows DBE, Native American NA UDBE If program status shows DBE, Woman W UDBE If a contractor performing work as a DBE on the project becomes decertified and still performs work after their decertification date, enter the total value performed by this contractor under the appropriate DBE identification column. If a contractor performing work as a non -DBE on the project becomes certified as a DBE, enter the dollar value of all work performed after certification as a DBE under the appropriate identification column. Enter the total of each of the six columns on Form CEM-2402(F). Any changes to DBE certification must also be submitted on Form CEM-2403(F). Enter the Date Work Completed as well as the Date of Final Payment (the date when the prime contractor made the "final payment" to the subcontractor for the portion of work listed as being completed). The contractor and the resident engineer sign and date the form indicating that the information provided is complete and correct. C-54 Hi s EXHIBIT 17-0 Local Assistance Procedures Manual dvaniaged business Entc rp iscs Certifec.at atl Sta'us Cizana e. Form CP-CEM 2403(F) (New 10/99) DISADVANTAGED BUSINESS ENTERPRISES (DBE) CHANGE IN CERTIFICATION STATUS REPORT The top of the form requires specific information regarding the construction project: Contract Number, County, Route, Post Miles, the Administering Agency, the Contract Completion Date, and the Estimated Contract Amount. It requires the Prime Contractor's name and Business Address. The focus of the form is to substantiate and verify the actual DBE dollar amount paid to contractors on federally funded projects that had a changed in Certification status during the course of the completion of the contract. The two situations that are being addressed by CP-CEM 2403(F) are, if a firm certified as a DBE and doing work on the contract during the course of the project becomes Decertified, and if a non -DBE firm doing work on the contract during the. course of the project becomes Certified as a DBE. The form has a column to enter the Contract Item No (or Item Nos.) as well as a column for the Subcontractor's Name, Business Address, Business Phone, and contractor's Certification Number. The column entitled Amount Paid While Certified will be used to enter the actual dollar value of the work performed by those contractors who meet the conditions as outlined above during the time period they are Certified as a DBE. This column on the CP-CEM-2403(F) should only reflect the dollar value of work performed while the firm was Certified as a DBE. The column called Certification/Decertification Date (Letter attached) will reflect either the date of the Decertification Letter sent out by the Civil Rights Program or the date of the Certification Certificate mailed out by the Civil Rights Program. There is a box to check that support documentation is attached to the CP-CEM-2403 (F) form. There is a Comments section for any additional information that may need to be provided regarding any of the above transactions. The, CEM-2403(F) has an area at the bottom where the Contractor and the Resident Engineer sign and date that the information provided is complete and correct. There is a Comments section for,any additional information that may need to be provided regarding any of the above transactions. The CEM-2403(F) has an area at the bottom where the Contractor and the Resident. Engineer sign and date that the information provided is complete and correct. C-56 CITY OF VERNON DATA UNIVERSAL NUMBERING SYSTEM (D U-N-S) NUMBER CONTRACT NUMBER: CONTRACTOR NAME: BUSINESS ADDRESS (D-U-N-S Number Location): STREET: CITY: STATE: ZIP CODE: D-U-N-S Number: Contact Name: Telephone No: C-57