HomeMy WebLinkAboutReso 128-16 City of Livermore Slurry Seal 2016 RESOLUTION NO. 128 - 16
A RESOLUTION OF THE CITY COUNCIL OF THE
CITY OF DUBLIN
APPROVING AN AGREEMENT BETWEEN THE CITY OF LIVERMORE AND CITY OF
DUBLIN TO INCLUDE CITY OF DUBLIN STREET
IMPROVEMENTS IN CITY OF LIVERMORE SLURRY SEAL 2016
PROJECT 2016-04 AND FOR THE CITY OF DUBLIN TO REIMBURSE
THE CITY OF LIVERMORE FOR THE PORTION OF WORK TAKING PLACE WITHIN THE
CITY OF DUBLIN
WHEREAS, the City of Dublin wishes to perform pavement maintenance work along Amador
Plaza Road between Dublin Boulevard and Amador Valley Boulevard; and
WHEREAS, the adopted City of Dublin Bicycle and Pedestrian Master Plan includes a Tier 1
project which includes installation of mid-block crosswalks, removal of on-street parking on the east
side and installation of bicycle lanes on Amador Plaza Road; and
WHEREAS, in lieu of bidding a small and relatively expensive slurry seal project for Amador
Plaza Road, the City of Dublin sought a partnership opportunity with the City of Livermore include
pavement maintenance of Amador Plaza Road in a future City of Livermore project; and
WHEREAS, the City of Livermore conducts an annual pavement maintenance project; and
WHEREAS, it is financially advantageous for the City of Dublin to add the Amador
Plaza Road maintenance work to the City of Livermore's Slurry Seal Project 2016; and
WHEREAS, the City of Livermore included the Amador Plaza Road maintenance work as an
alternate bid item to the City of Livermore's Slurry Seal Project 2016; and
WHEREAS, the City of Livermore did, on June 22, 2016, publically open, examine
and declare all sealed bids for the Slurry Seal Project 2016; and
WHEREAS, the City of Livermore did receive favorable bids for the pavement maintenance
of Amador Plaza Road; and
WHEREAS, the City of Livermore will conduct work in Dublin on behalf of the City for
Dublin; and
WHEREAS, the City of Dublin will reimburse the City of Livermore for the portion of work
taking place within the City of Dublin.
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Dublin
does hereby approve the Agreement between the City of Livermore and City of Dublin to include
City of Dublin Street Improvements in City of Livermore Slurry Seal
2016 Project 2016-04 and for the City of Dublin to reimburse the City of Livermore for the portion
of work taking place within the City of Dublin (Exhibit 1).
Page 1 of 2
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BE IT FURTHER RESOLVED that the City Council of the City of Dublin authorizes the City
Manager, or his/her designee to execute in the name of the City of Dublin, the Agreement and such
other documents, and to take such other and further action, as necessary and appropriate to carry
out the Intent of this Resolution.
PASSED, APPROVED AND ADOPTED this 19th day of July, 2016, by the following vote:
AYES: Councilmembers Biddle, Gupta, Hart, Wehrenberg, and Mayor Haubert
NOES: None
ABSENT: None
ABSTAIN: None
[ cnctArii jr.
Mayor
ATTEST:
6/14,-vo Cr-1
City Clerk
Reso No. 128-16,Adopted 7-19-16, Item 4.8 Page 2 of 2
AGREEMENT BETWEEN THE CITY OF LIVERMORE AND CITY OF DUBLIN TO
INCLUDE CITY OF DUBLIN STREET IMPROVEMENTS IN CITY OF LIVERMORE
SLURRY SEAL 2016 PROJECT 2016-04
This Agreement ("Agreement") is entered into on , 2016 by and between the
City of Livermore ("Livermore"), a California municipal corporation, and the City of
Dublin ("Dublin"), a California municipal corporation. When used in this Agreement, the
term "Parties" shall refer to and include Livermore and Dublin.
RECITALS
A. As part of Livermore's Pavement Management Program, Livermore conducts an
annual slurry seal project to resurface City streets. Dublin has requested that Livermore
include Dublin street improvements as part of that work.
B. Livermore has prepared Slurry Seal 2016 Project 2016-04 to seek bids for street
improvements in Livermore ("Project"). The request for bids sought proposals for work
in Livermore ("Livermore Work"). Additionally, the bid request included technical
specifications and requirements prepared by Dublin for slurry seal work on two streets
in Dublin as an optional additional Project component, entitled Schedule B of the Project
bid documents ("Dublin Work").
C. Livermore's request for bids specified that the Project contract, if awarded, would
be awarded to the bidder that submitted the lowest bid for the Livermore Work and that
Livermore would award the low-bidder's additional Dublin Work bid component if
authorized by Dublin.
D. Livermore has received and opened bids for the Project and Livermore staff has
identified Telfer Pavement Technologies, LLC ("Telfer") as the responsible bidder who
submitted the lowest bid for the Livermore Work. The Bid Form, Document 00410,
Submitted by Telfer as part of its Project bid shows its bid for the Livermore Work and
Dublin Work and is attached hereto as Exhibit A.
E. Dublin concurs in Livermore's staff identification of Telfer as the lowest
responsible bidder and finds Telfer acceptable to complete the Dublin Work.
F. By entering into this Agreement, Dublin authorizes Livermore to award Telfer's
bid proposal to undertake the Dublin Work. The purpose of this Agreement is to provide
the terms pursuant to which Livermore will administer the overall Project and the Dublin
will reimburse Livermore for the Dublin Work.
NOW, THEREFORE, in consideration of the performance of the terms and
conditions set forth in this Agreement, the parties agree as follows:
Livermore and Dublin Slurry Seal Agreement Page 1
AGREEMENT
1. Livermore Authority. Dublin authorizes Livermore to act as its agent to
award and administrate the contract for the Project including the Dublin Work.
Livermore will award the contract to perform the Dublin Work pursuant to the terms of
this Agreement. In so doing, Livermore is, acting as the agent of Dublin for construction
purposes only. Livermore will not maintain the Dublin Work improvements once the
construction work is completed.
2. Low Bid Requirements. Pursuant to the Public Contract Code, Livermore
will only award the Project to a responsible bidder that submits the lowest responsive
bid for the Project work. The bidder to whom Livermore ultimately awards the Project or
Livermore Work shall be referred to in this agreement as, "Contractor."
3. Term. This Agreement shall be effective from the date both parties have
signed it to July 1, 2017 unless terminated as set forth in this Agreement.
4. Dublin Directive to Award. By entering into this Agreement, Dublin
directs Livermore to award the bid for the Dublin Work and to proceed with the Dublin
Work. Livermore's City Council is not bound by Dublin's directive to award the Dublin
Work and may still determine not to award the bid for the Dublin Work and/or Project at
all, in which case this Agreement terminates. If Dublin has not approved and executed
this Agreement by July 20, 2016, Livermore will not award the Dublin Work.
5. Interagency Payment Limits. No Livermore funds shall be expended to
complete the Dublin Work and no Dublin funds shall be expended to complete of the
Livermore Work.
6. Administration Fee. If Livermore awards the Dublin Work, Dublin shall
pay Livermore $4,000 to compensate Livermore for the administrative services provided
by Livermore, which is approximately 5 percent of the anticipated cost of the Dublin
Work.
7. Livermore Standards. Although Livermore will endeavor to consult with
Dublin and make efforts to meet all reasonable Dublin requests, Dublin agrees
Livermore shall determine when the Dublin Work is complete and that Livermore
standards shall govern all of the Project work, including the Dublin Work.
8. Livermore Responsibilities. Livermore shall do all of the following:
(a) Award and administer the construction contract for the entire
Project including the Dublin Work, including payments, price quote requests, work
directives, change orders, and other construction documents. Livermore will consult with
Dublin about matters involved with the Dublin Work, but Livermore is authorized to
make decisions concerning the Project including the Dublin Work.
Livermore and Dublin Slurry Seal Agreement j Page 2
(b) File a Notice of Completion for the entire Project and, at Project
completion, the City Council of Livermore shall determine whether to accept the work
conducted in Livermore for maintenance.
(c) Notify Dublin when Livermore files a Notice of Completion for the
Project.
(d) Pay the Contractor for completed construction of the Livermore
Work. Forward the invoices for payments to Dublin for the Dublin Work.
(e) Assign Dublin all of Livermore's rights and cooperate with Dublin to
enable Dublin to pursue warranty claims and defective work claims on behalf of Dublin
against the Contractor following Project completion.
9. Dublin Obligations. Dublin shall do all of the following:
(a) Attend the preconstruction meeting for the Project.
(b) Obtain any necessary regulatory permits required for the Dublin
Work at Dublin's expense.
(c) Coordinate the schedule for Dublin Work with the Contractor.
(d) Provide notice required by Dublin or any law or regulation to any
person or entity entitled to notice of the Dublin Work.
(e) Inspect the Dublin Work and coordinate any necessary material
testing with the Contractor and pay for all material testing costs.
(f) Participate with Livermore in negotiating any change orders for the
Dublin Work with the Contractor. Dublin agrees that Livermore shall be the final
decision-maker concerning any change orders concerning any of the Project work.
(g) Provide any information Contractor requires concerning the Dublin
Work as part of a properly-submitted Request for Information.
(h) Provide Livermore timely written notice when the Dublin Work is
substantially complete including a list of any punch list of items remaining outstanding
on the Dublin Work. If Dublin has not provided this information when desired by
Livermore, Livermore shall provide written notice to Dublin seeking the information. Ten
calendar days after sending this notice, Livermore may proceed to determine whether
the Dublin Work is substantially complete and may provide Contractor a punch list of
outstanding Dublin Work to be completed, a copy of which shall be provided to Dublin.
(i) Notify Livermore when all punch list work items for the Dublin Work
have been completed. If Dublin has not provided this information when desired by
Livermore, Livermore shall provide written notice to Dublin seeking the information. Ten
calendar days after sending this notice, Livermore may proceed to determine whether
Livermore and Dublin Slurry Seal Agreement Page 3
the punch list items for the Dublin Work is complete, a copy of which shall be provided
to Dublin.
(j) Make payments for the Dublin Work to Livermore, to be provided to
the Contractor pursuant to the terms of the Project contract, in the amount provided in
the Project bid, subject to authorized change orders, plus the Administrative Fee of
$4,000 as set forth above. Livermore shall make all payments owed to the Contractor
for all Project work and provide Dublin copies of invoices and payments for the Dublin
Work. Dublin shall refund Livermore for payments Livermore makes for the Dublin
Work. Dublin's payments shall be made payable to the City of Livermore, reference
Slurry Seal 2016 Project 2016-04 on the payments. Payments shall be made within 30
calendar days of the date Dublin receives invoices from Livermore.
(k) Notify Livermore in writing regarding any warranty issues
concerning the Dublin Work. The warranty period for the Dublin Work shall extend one
year from the date the entire Project is accepted by the Livermore City Council.
(I) Inspect any warranty repairs made to the Dublin Work and notify
Livermore in writing if repairs are unacceptable within five calendar days of a repair.
(m) Dublin shall be responsible to accept the Dublin Work for public
maintenance.
10. Indemnity and Liability.
(a) Dublin agrees that in exchange for Livermore's agreement to
administrate the bidding, award, and construction of the Dublin Work, that Dublin's sole
remedy for any damage arising out of Livermore's performance of its obligations is a
claim for specific performance.
(b) Dublin and Livermore agree that they are not indemnifying each
other for claims, harms, or damages of any kind arising out of or related to this
Agreement. Instead, indemnification for the Project work shall be provided to Livermore
pursuant to the terms of the contract it enters into with the Contractor, for which
Livermore will request insurance and performance, payment, and maintenance bonds.
Livermore agrees that Dublin may pursue any claim related to the Dublin Work against
the Contractor which Livermore could pursue directly against the Contractor in court and
pursuant to the dispute resolution provisions of the contract for the Project.
(c) To the extent not adjudicated as the legal responsibility of the
Contractor, Dublin and not Livermore shall be responsible for any third party claim for
personal injury or money damages related to or arising out of the Dublin Work.
(d) To the extent not adjudicated as the legal responsibility of the
Contractor, Livermore and not Dublin shall be responsible for any third party claim for
personal injury or money damages related to or arising out of the Livermore Work.
Livermore and Dublin Slurry Seal Agreement Page 4
(e) Livermore represents and warrants that the Contractor will be
contractually required to name the City of Dublin, its officials, employees, agents and
volunteers as additional insureds and all such insurance will remain in effect until the
Project has been accepted for maintenance by Livermore and Dublin, for the work in
their respective cities.
11. Termination. Until the Dublin Work commences, Livermore may terminate
this Agreement for any reason at Livermore's sole discretion by providing thirty (30)
days' written notice to Dublin.
12. Notices. Wherever this Agreement requires notice or demand be given,
such notice or demand shall be made in writing and forwarded by registered mail or
overnight delivery, addressed as follows:
City: City Engineer
ATTN: Project 2016-04
City of Livermore
1052 S. Livermore Avenue
Livermore, California 94550
Dublin: Andrew Russell
City of Dublin
100 Civic Plaza
Dublin, CA 94568
Any party may change such address or contact person by written notice by registered
mail to the other.
13. Modification. This Agreement may only be modified or amended by
written agreement signed by both parties hereto.
14. Entire Agreement. This instrument, including any attachments hereto,
constitutes the entire agreement of the parties relating to the subject matter of this
Agreement and correctly sets forth the rights, duties and obligations of each party to the
other.
15. Partial Invalidity. If any provision or portion of this Agreement shall be
deemed invalid, it is agreed that such invalidity shall affect only such provision or portion
thereof, and the remainder of this contract shall remain in force and effect.
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Livermore and Dublin Slurry Seal Agreement Page 5
IN WITNESS WHEREOF, the parties to this Agreement have executed this
Agreement as of the dates set forth below.
City of Livermore City of Dublin
By: By:
Marc Roberts Christopher L. Foss
Livermore City Manager Dublin City Manager
Date: Date:
Approved as to form: Approved as to form:
By: By:
Livermore. City Attorney John D. Bakker, City Attorney
ATTEST: ATTEST:
Susan Neer, Livermore City Clerk ;Caroline Soto, Dublin City Clerk
2673282.7
{
Livermore and Dublin Slurry Seal Agreement Page 6
DOCUMENT 00410
BID FORM
CITY OF LIVERMORE
2016 Slurry Seal Project
City Project No.2016-04
Re: Contract#2016-04,2016 Slurry Seal Project
1. The undersigned Bidder proposes and agrees,if this Bid is accepted,to enter into an agreement with the City of
Livermore, a political subdivision of the State of California ("City") in the form included in the Contract
Documents, Document 00520 Agreement, to perform and furnish all Work as specified or indicated in the
Contract Documents for the Contract Sum and within the Contract Time indicated in this Bid and in accordance
with all other terms and conditions of the Contract Documents.
2. Bidder accepts all of the terms and conditions of the Contract Documents and the Invitation to Bid and
Instructions to Bidders, including without limitation, those dealing with the disposition of Bid Security. This
Bid will remain subject to acceptance for 90 calendar days after the day of Bid opening. Bidder will sign and
submit the Agreement,Bonds and other documents required by Document 00200 Instructions to Bidders by the
time and in the manner set forth in Document 00200 Instructions to Bidders.
3. In submitting this Bid,Bidder represents:
(a) Bidder has examined all of the Contract Documents and of the following Addenda (receipt of all of
which is hereby acknowledged).
Date Number
6/(0/6.
G,1 t'1 I 1 -
(b) Bidder has visited the Site and performed all tasks, research, investigation,reviews, examinations,analysis, and given
notices,regarding the Project and the Site,as set forth in Document 00520 Agreement,Article 5.
4. Based on the foregoing,Bidder proposes and agrees to fully perform the Work within the time stated and in strict accordance with
the Contract Documents for the following sum of money listed in the following Bid Schedule;
BID FORM
City of Livermore DOCUMENT 00410—PAGE 1
Project 2016-04-add 1
SCHEDULE OF BID PRICES
All bid items, including lump sums,unit prices, additive alternates and deductive alternates must be filled in completely. Quote in words
and numerals where requested.
Base Bid Schedule-Slurry Seal/Micro-surface-Livermore Streets
Item Description Est. Unit Unit Cost Total Cost
Quantity
1. Site Preparation/Mobilization 1 LS ./17) C U,� t � „tic OVA)•
Traffic Control&Construction Area
2. ��1 LS Ju c-11)1 , L, ;
Signs
ti,�
3. Crack Seal 1 LS 0 0UU,�o ( 1t0 I � '
[,3 C t, < S K
4. AC repair(2"Type A, 3/4" max) 3,666 ' SF t < '
5. AC repair(4"Type A, 3/4" max) 12,555 SF b , C<Ci 1 c° •
_
0-b
6. AC repair(6"Type A, 3/4" max) 6,570 SF L(u , <C6
1-(7. AC repair(8"Type A, 3/4" max) 1,218 SF 1 S,Z� l6 r CS-0•
Lt(
8. Type II Slurry Seal 1,736,265 SF t•3 171-c/Thq
uS
8a. Type I.Slurry Seal 133,007 SF (7 • 1 S Vl M c'
9. Type II Micro Surfacing 769,671 SF
vi «D) C1-tut e-1
-Li-
10. Double Type II Micro Surfacing 164,941 SF 0, 41' b631 ,'VI<>-
u t,
11. Adjust 24" Manhole Cover to Grade 6 EA tip. Vv I ('1'�'
Adjust Water Valve Box or Cii) '"o
Adjust lti�>.
12. Monument"Box Cover to Grade and 8 EAR �' i
clean out water valve box
Install Truncated Dome Panel at Ex
13. 42 EA ,v - s�
ADA Ramp
14. Install New Concrete ADA Curb 3 EA SO''SL \ 1 c 0' ''-6
Ramp
t' iro
15. Replace Concrete Curb and Gutter 59 LF D - S--; 0`c-
16. Paint Curb 23 LF 2 uv t_t �, • e c
BID FORM
City of Livermore DOCUMENT 00410—PAGE 2
Project 2016-04-add 1
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1.7. Detail 10 7,734 LF ,-c \ 7, lt41-i
18. Detail 22 15,432 LF V-l'(> i r r 5 I ,11 u
19. Detail 25 11,205 LF 0 ,41 S ,.A)-(, '35
20. Dekai1.2713 2,848 LF r
21. Detail 29. 1,290 LF '1'' , Z? r
22. Detail'32 985 LF 2 p.S 6( '
23.. ' Detail 37B 200 LF O .< t I✓L ' w
24. Detail 3,8 1,465 LF 0 As-- l ,-o •1 c
25. Detail 39 9,053 LF U ' 6 S c , .
26. Detail 39A - 792 LF 0. (9S c A
27. 4" Stripe (thermoplastic) ' 314 LF 0 :IS 1 c
28. 12" Stripe_(thennoplastic) 6,811 LF •1 S tiS r SAC l-1'S
29. Legends(thermoplastic). 4,996 SF' '4- c elA 1 q '
30. Reflective Fire Hydrant Markers 95 EA v,7_,,, t v k e l(-(0 •b o
(Type D or G).
r trx
�
31. Tree Triiiiniing 72 - EA ' '� • ;-1•)70 t IjD
Remove Existing Striping and U `�� c ' v�
32' Pavement Msrldngs 1 LS �� t ' \� ' '
0-v
'Subtotal Base Bid Sch: l t K)11\\. i I'C�c •
Deductive Bid Schedule A-Project 2007-22,Livermore Citywide Curb and Gutter Replacement
•
Item Description Est. Unit 'Unit Cost Total Cost
Quantity
_ -. ( a
33. Site PreparationlMobilization 1 LS � 01 c' ' U b
BID FORM
City of Liven„ore DOCUMENT 00410—PAGE 3
Project 201.6-04 add 1
•
1
i
�
34. Traffic Control&Construction Area 1 LS 1 t c w u'b 1 U1)'ev
Signs
C ti6
35. Replace concrete curb &gutter 308 LF J . 1L i l?u..
6
36. Remove tree(between 12" and 18" 1 EA `,SC-CI . `iC S 6 '
diameter)at 4329 Drake Ct
Total of Items 1 through 36(written): 1
•01tiG mil 4'1,- ow S'(,1/4),0,,(1,1 A-w il 1\,,ovk,Sco l" lit.e, km,1,-t Sul t1 i,)
.151v<, (A, a r C
V S ow tiv
0 1 o' ect s . I T 0'1 ti �� ,
umber: 1
i N
Additive Bid Schedule B-Micro-surface-Amador Plaza Rd,Dublin
Est,
Item Description Qnant J Unit Unit Cost Total Cost
37. Site.Preparation/Mobilization I I LS 5 0-1)' 1c D-10'
38 Traffic Control&Construction Area 1 LS 27 , 61) u.0 �
-'1 l�c�U u
Signs
39. Crack Seal 1 LS l al) ,u to 1ot 'u
1
1 1\ .S
40. AC repair(6"Type A,3/4"max) 14281 SF 1 " n O ki c�
V vy
41. Type II Micro Surfacing 90000 SF 0.� 1 A , '
42. Detail 22 335 LF ,- S. - S °I—
43. Detail 24,25,27b 213 LF 0 . b v kiA
�,o
44. Detail 28 496 LF �t S ILb
45. Detail 31 12581 LF i S "
l
46. Detail 3 l
8- 434 LF • 1 1A11
1'1'15 b-1)47: Detail 38A 177 .LF ` • 11 1
48. Detail.39 3817 LF 0- ' I �— I`'l Gt
BID FORM
City of Livermore DOCUMENT 00410—PAGE 4
Project 2016.04-add 1
49. Detail 39A 84 LF U
trc
50. 12" Stripe-(Thermoplastic) 180 LF °l ' 1'S 1 ‘'QC
51, Legends (Thermoplastic) 1052 SF �j
52, Reflective_Fire Hydrant Markers (Type 5 EA l/ ' u Ti LO- >.5v
D OR G) J
53 Remove existing striping and 1 LS 1.1 t M I L (51n),LC'
pavement markings
54. Install new sign on new post 24 BA q '`r U — t b N'
55. Relocate existing sign to existing new 9 EA � •to 1- .1'G t; ,`a
1/6 lb
post
" - CIO . .-1
56. Paint Curb 420 LF
Subtotal Sch.B: C(;
Lit L]'i- ,'0
5. The contract award,if awarded,will be based on the lowest bid for the combined total of the Base Bid Schedule plus Deductive
Bid Schedule A(Items 1-36). The City reserves the right to exclude Deductive.Bid Schedule A or add Additive Bid Schedule B
prior to award.
6. Subcontractors and their sub-bids for work included in all bid items and additive or deductive alternates are listed on the attached
Document 00432 Subcontractors List.
7. The undersigned understands that the City reserves the right to reject this bid.
8. If written notice of the acceptance of this Bid, hereinafter referred to as Notice of Awardt is mailed or delivered to the
undersigned Bidder within the time described in Section 2 above or at any other time therea er before it is withdrawn, the
undersigned will execute and deliver the documents required by Document 00200 Instruction to Bidders including, but not
limited to, Document 00520 Agreement, Document 00610 Construction Performance Bond, ocument 00612 Construction
Labor and Material Bond,and Document 00614 Maintenance Bond,all within the time and in themanner specified in Document
00200 Instructions to Bidders.
9. Notice of Award or request for additional information may be addressed to the undersigned at the address set forth below.
10. The undersigned herewith encloses a cashier's check or certified check of or on a responsible bank in the United States, or a
corporate surety bond furnished by a surety authorized to do a surety business in the State of California, in the amount of ten
percent(10%)of the total of Bid Items 1-56 and made payable to City of Livermore.
11. The undersigned agrees to commence work under the Contract Documents on the date established by the Contract Documents
and to complete all work within the time specified in Document 00520 Agreement.
12. The undersigned agrees that,in accordance with Document 00700 General Conditions,liquidated damages for failure to complete
all work in the contract within the time specified in Document 00520 Agreement shall be as set forth in Document 00520
Agreement.
13. The names of all persons interested in the foregoing Bid as principals are: 3-t 't CIA ',.Uoc,
BID FORM
City of Livermore DOCUMENT 00410—PAGE 5
Project 20I6-04-add I
ij
Telfer Pavement Technologies, LLC
EIN 47-3748889
Owner Information
sl
1. Ergon Asphalt&Emulsions, INC.
2829 Lakeland Drive
Jackson,MS. 39232
(601) 933-3515
2. Telfer Tank Line, INC.
211 Foster Street
Martinez, CA. 94553
(925)228-1515
3. Telfer Enterprises, INC.
211 Foster Street
Martinez, CA. 94553
(925) 228-1515
4. Asphalt Service Co.
211 Foster Street
Martinez, CA. 94553
(925)228-1515
5. Continental Western Transportation Co., INC.
9235 Harris Plant Road
San Diego, CA. 92145
(858)268-1151
Officers:
1. Michael Stephen Telfer,President&General Manager
2. John Albin Telfer,Executive Vice President
3. Daniel Irving Frankel,Vice President of Operations
4. Kenneth Camp Chambless, Chief Financial Officer
•
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(IMPORTANT NOTICE: If Bidder or other interested person is a corporation,give the legal name of corporation,state where
incorporated, and names of president and secretary thereof; if a partnership, give name of 'firm and names of all individual
co-partners composing the firm;if Bidder or other interested person is an individual,give first and last names iii full).
Licensed in accordance With an act for the registration of Contractors,and with license
number: 100 53l t-1
Contractor Department of-hidustrial Relations(DIR)iminbe,.per SB 854: ( OOt 2"-7 et O'1
I certify(oi-declare)under penal _off pe:jury under the la s of the.State of California-that the:foregoing is true and correct.
i
.
Signature of Bidder
•
NOTE: If Bidder is a corporation, set forth the legal name of the corporation together with the signature of the officer or officers
authorized to sign contracts on behalf of the corporation, If Bidder is a partnership;set forth the name of the firm together with the
signature of the partner or partners authorized to sign:contracts on behalf of the partnership.
Business Address:
t--\s22 paOc-e✓ A e . S`1■-4am 35D
Nth iPllao / CA x5652
Telephone Number(s): 16)35 3 - 17 5 6
Date of Bid: 6/2-2/2Q/6
END OF DOCUMENT
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BID FORM
City ofLivermure DOCUMENT 00410-PAGE 6
Project 2016-04-add 1