HomeMy WebLinkAboutBid Forms 2026 Pioneer 042326_Redacted
All applicable sales taxes, State and/or Federal and any other special taxes, patent rights, or
royalties are included in the prices quoted in this Bid.
All representations made by Bidder in this Bid are made under penalty of perjury.
DATED: BIDDER:V$'ACi'�verr-c,, Co,)5-cr-vc--no�i
SIGNATURE
BY: A vi r7 q V,',l c,
TITLE: Pr",dO-"+
'ZIECTION 00 41 Of
BID FORMS
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Bidder hereby certifies that it is aware of the registration requirements set forth in Labor Code
sections 1725.5 and 1771.1 and is currently registered as a contractor with the Department of
Industrial Relations,
Contractor DIR Registration Number: 100006q3Y8
LIST OF SUBCONTRACTORS:
(0.5%) of the Bidders Total Bid Price or $10,000, whichever is greater, No additional time shall be
granted to provide the below requested information.
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to perform that portion of work and that it shall perform that portion itself,
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 3
MARCH 2026 SECTION 00 41 04
2026 PIONEER T6RAiL BID FORMS
WATERLINE PROJECT d
MARCH 2O26 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 7
e) Fleet Compliance Certification
0 • Bond
g) Acknowledgement of Insurance Requirements
h) Certification • Contractor's Insurance Broker
(8) List five (5) projects completed as of recent date involving work of similar type and
complexity:
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 9
Project Contract
Price
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Description of
address,
Bidder's Work
telephone#
of Owner
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(8) The experience resume of the person who will be designated chief construction
superintendent or on -site construction manager.
(9) A financial statement, references, and other information, sufficiently comprehensive to permit
an appraisal of Bidder's current financial condition. The financial statement $hall be in
accordance with Section 00 20 00, Part 3.01I.D.
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 10
I
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL SILT FORDS
WATERLINE PROJECT II
NONCOLLUSION DECLARATION TO BE EXECUTES
BY
BIDDER AND SUBMITTED WITH BID
The undersigned declares:
I am the Frr6;Je^'J-- (Position)of Con&rrvC,37V4,, =,ne. .(Firm), the party
making the foregoing bid.
I declare under penalty of perjury under the laws of th St-4e of California that the foregoing is true
and correct and that this declaration is executed on Li7 (date], at EL- PM"-J+'JU fcity],
C ,, L I Cc rw (state].
Marne ofBidder r r
A 49 A 77 L) C
Signature
Name Atlmi c - L, ewYZA-
Title
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 12
■ D I I 101Z:l
MARCH 2026 SECTION 00 4100
026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 13
Imargly . 4 11 a
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1WHILemetwMaimans # I -
X, The Contractor is not:
(1) identified on the current list of person and entities engaged in investment activities in
Iran prepared by the California Department of General Services in accordance with
subdivision (b) of Public Contract Code Section 2203 or
(2) a financial instruction that extends, for 45 days or more, credit in the amount of
$20,000,000 or more to any other person or entity identified on the current list of
persons and entities engaging in investment activities in Iran prepared by the
California Department of General Services in accordance with subdivision (b) of
Public Contract Code Section 2203, if that person or entity uses or will use the credit
to provide goods or services in the energy sector in Iran.
The amount of the Contract payable to the Contractor for the Project does not]
exceed $1,000,000,
Signatur ,
� -
Printed Name: A tu-cm c - \./ '.1 C ,IJ V e'ry
Title: Pr-esj-del�
Firm Name: Vi'rl C-'� Lerro,,- Cots-crva-r-zo-i
Date:, Olt
Of Ice Trie UontracT 11777TTIL, W2 I S L I %a to[ 111ell!w"Mil
contracts for three years.
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAJL BID FORMS
WATERLINE PROJECT 14
MARCH 2026 SECTION 00 41 00
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 15
�lI rI i ;I � au -Tic azlli
with the Department of Industrial Relations. See ht 1E,/1www.dir.ca,qov1PubUc-
Works/PublicWorks,htrni for additional information.
No bid will be accepted nor any contract entered into without proof of the contractor's and
subcontractors' current registration with the Department of Industrial Relations to perform publi*
wor6_
Bidder hereby certifies that it is aware of the registration requirements set forth in Labor Code
sections 1725.5 and 1771.1 and is currently registered as a contractor with the Department of
Industrial Relations. 1
Name of Bidder: A -7,1 C.
DIR Registration Number.- J000061i312?
DIR Registration Expiration: 6.30 . ';t% 7
Small Project Exemption: Yes or =
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1 . Bidder shall maintain a current DIR registration for the duration of the project.
2, Bidder shall include the requirements of Labor Code sections 1725.5 and 1771.1 in
its contract with subcontractors and ensure that all subcontractors are registered at
the time of bid opening and maintain registration status for the duration of the
project.
3. Failure to submit this form or comply with any of the above requirements may result
in a finding that the bid is non -responsive,
Name of Bidder 'V`I C_ I L) elrf' r-v cr-7 o-q Xri C.
Signature C.
Name and Title A C-- e, r
Dated.
1 If the Project is exempt from the contractor registration requirements pursuant to the small project exemption under Labor Code
Sections 1725.5 and 1771.1, please mark 'Yes" in response to "Small Project Exemption.'
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 16
0
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 17
0 MAN "I,
the provisions of that code, and I will comply with such provisions before commencing the
performance of the work of this Contract.
Name of Bidder Vj' n c- � q%,,,errrA, C & -nS -Ut, L/ c, T7 0 ,j i In Cc.
Signature
Marna and Title Avsr;'l
Dated 31,R ro
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 18
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
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\/The Fleet is subject to the requirements of the Regulation. At the District's request,
/within 48 hours after the Bid Opening, the Bidder must submit the most recent, valid
Certificates of Reported Compliance ("CRC") for the Bidder's fleet and for the fleet(s) of
its listed subcontractors (including any applicable leased equipment or vehicles).
The Fleet is exempt from the Regulation under section 2449. 1 (fl(2), and a signed
description of the subject vehicles, and reasoning for exemption has been attached
hereto.
-- Bidder and/or their subcontractor is unable to procure R99 or R100 renewable diesel
fuel as defined in the Regulation pursuant to section 2449.1 (f]I(3). Bidder shall keep
detailed records describing the normal refueling methods, their attempts to procure
renewable diesel fuel and proof that shows they were not able to procure renewable
diesel (i.e, third party correspondence or vendor bids).
The Fleet is exempt from the requirements of the Regulation pursuant to section
f,449(i)(4) because this Project has been deemed an Emergency, as defined under —
Qection 2449(c)(18). Bidder shall only operate the exempted vehicles in the emergency
cituation and records of the exempted vehicles must be maintained, pursuant to sectiom
2449(i)(4).
The Fleet does not fall under the Regulation or are otherwise exempted and a detailed
reasoning is attached hereto.
tic -isr -r-vc.
Name of Bidder: C-,qT7ol C-.
Signature:
Name: Av&-u-l*,l c
Title. fr
Date:
MARCH 2026 SECTION 00 41 00
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 20
WiffilaTTICTa
MARCH 2026 SECTION 00 441 00
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 21
The makers of this bond are, — Vinciguerra Construction, 111C. as
Principal, and GreaL Anieric�-11111su,-'ance Coin,pany as Surety, are
held and firmly bound unto SOUTH TAHOE PUBLIC UTILITY DISTRICT, hereinafter called
"Owner," in the penal sum TEN PERCENT (10%) OF THE TOTAL BID PRICE of the Principal
submitted to Owner for the work described below., f
the United States, well and truly to be made, we bind ourselves, our heirs, executors,
administrators, successors, and assigns, jointly and severally, firmly by these presents.
y•ipiiii
tCfWj7-dj rarlfl IfTlive-U all
U11 1 lef 1M it if W-V UITI US requireo oy Me
Contract Documents; then this obligation shall be null and void. Otherwise, this bond will remain in
full force and effect.
Surety, for value received, hereby stipulates and agrees that no change, extension of time,
alteration or addition to the terms of the Contract Documents shall affeGt its obligation under this
bond, and Surety does hereby waive notice of such changes,
5 01IM111 a rZIMPS 11-
IN WITNESS WHEREOF, the above -bound parties have executed this instrument under their
several seals this , �th day of __A lyiil 20 26 , the name and corporate seat of
each corporation.
Austin Vfficiuerra / Vinciguerra Construction, Inc.
Contractor/ Principal
By
Great
AnericF
baac
surance C
c-)rnma
RoertA'�assero
fttomey-in-
Title_Att0rne"_In-Fct e
W19"MIAMOMM
BID MR
Notary Acknowledgment
A notary public or other officer completing this certificate
verifies only the identity of the individual who si2ned the
document to which this certificate is attached, an not the
truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
COUNTY OF Amador
On Alpril -8. 2026 , before me, T. Portzer Notary Public, personally
appeared Austin Vinciguerra who proved to me on the basis of satisfactory
Name(s) of SignerM
evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me
that he/shetthey executed the same in histher/their authorized capacity(ies), and that by'his/her/thair signature(s)
on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certffy under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
true and correct.
WTIC hart fficial seal.
T. POKMER
tescar Public - Calliamia
A-.d- C-Inty rr"""'ien W zqzuvto
-signature of Notary Public
my Comr . Expires Jun 20, 2027
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another do . cument.
[] Individual
R Corporate Officer
President Title()
Partner(s) l-imited
General
Ei Attorney -In -Fact
o Trustee(s)
o Guardian/Conservator
Ei Other:
Signer is representing:
Name Of Person(s) Or Erft(ies)
MEMICEM03=
WMA-4517=911111;=
ilimen is to oe cut"IFIRM - - - 11 0
MARCH 2026 SECTION 00 41 00
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 23
A notary public or other officer completing this certificate
verifies only the identity of the individual who signed the
document to which this certificate is attached, an not the
truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
COUNTY OF Amador
On April 8 2026 , before me,
appeared Robert Manassero
T*p" 17714711
T. Portzer , Notary Public, personally
proved to me on the basis of satisfactory
evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me
that helshetthey executed the same in his/her/their authorized capacity(ies), and that by histher/their signature(s)
on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph is
true and correct.
WITNESS my
C '""2
Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
Cj Individual
[] Corporate Officer
Title(s)
C3 Partner(s) 0 Limited
0 General
@ Attorney -In -Fact
0 Trustee(s)
Ej Guardian/Conservator
Ei Other-,
Signer is representing:
Z=i=
Date of Document
Signer(s) Other Than Named Above
NOTE: This acknowledgment is to be completed for the Aftomey-in-Fact. The Power-of-Aftomey to local
representatives of the bonding company must also be attached.
GREAT AMERICAN INSURANCE COMPANY
Administrative Office: 301 E 4TH STREET 0 CINCINNATI, OHIO 45202 0 513-369-5000 0 -F-A� 513-723-214'0
The number of persons authorized by TWO
this power of attorney is not more than No. o 21462
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY, a corporation organized al
existing under and by virtue of the laws of the State of O.rio. j�oeskere'tgAi4ji.4-f2tp- nawqtiff ffn �-.*it
RON ME S.
W
�-uthority shall not exceed the limit stated below.
R =.
Address Limit of Power
ALL OF ALL
JACKSON, CALIFORNIA S100=0'000
It is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written
personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least
thirty (30) days prior to the modification or revocation.
This Power of Attorney revokes all previous powers issued on behalf of the attorneys) -in -fact named above.
IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by
its appropriate officers and its corporate seal hereunto affixed this 16TH day of MAY 1 2025
Attest GREAT AMERICAN INSURANCE COMPANY
Assgstan, Secretary
',,6ivi.sional Senior Vice PrcsidenC
JOHN K. WEBSTER (877-377-2405)
On this 16TH day of MAY 2025 before me personally appeared JOHN K. WEBSTER,
me known, bein dul sworn oses; and sa s that h de
SUSAN A KOHORST
Noury Public
pS
State of Ohio
My Comm. Expires
May 18, 2030
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great Americ
Insurance Company by unanimous written consent dated June 9, 2008. 1
RESOLVED: That the Divisional President, the several Divisional Senior Vice Presidents, Divisional Vice Presidents and Divisional Assistant
Vice Presidents, or any one of them, be and hereby is authorized, from time to time, to appoint one or more Attorneys -in -Fact to execute on
behalf of the Company, as surety, any and all bonds, undertakings and contracts of suretyship, or other written obligations in the nature thereof;
to prescribe their respective duties and the respective limits of their authority and to revoke any such appointment at any time.
RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary
of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond, undertaking,
contract of suretyship, or other written obligation in the nature thereof, such signature and seal when so used being hereby adopted by the
Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same
force and effect as though manually affixed,
A I 5r*T.Vd-*7V
1, STEPHEN C. BE HA, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power
of Attorney and the Resolutions of the Board of Directors of June 9, 2008 have not been revoked and are now in full force and effect.
-4'
Signed
and sealed this day of '2
Asmstant Secretary
S11901(10/24)
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL SICK FORMS
WATERLINE PROJECT 25
This Document Must Be Fullv Executed Bv Contractor
and Submitted With The Bid
The CONTRACTOR shall furnish, prior to Notice to Proceed, Insurance Certificates and
Endorsements as set forth in Section 00 20 00, Part 2.08.D and Section 00 73 00, Supplementary
Conditions, Part 2.01. No other insurance documents shall be accepted in substitution of, nor in
addition to, those set forth in Section 00 20 00, Instructions for Procurement. Insurance
0-" [WFIVAUJIM
The CONTRACTOR shall not commence work underthis Contract until all insurance required under
this heading is obtained in a form acceptable to OWNER, nor shall the CONTRACTOR allow any
Subcontractor to commence work on a subcontract until all insurance required of the Subcontractor
has been obtained.
1, V-5 1-1,1 V1 I V e, the
V; ri c- j'cl L/ e, r(- ry n
(insert Title)
of
6"Ucr-T710-r,
'J (Name of Company or Corporation or Owner)
S11,9nature of President, Secretary,
iI or
MARCH 2026 SECTION 00 41 00
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 26
LARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL SIB FORMS
WATERLINE PROJECT 7
CERTIFICATION BY CONTRACTOR'S INSURANCE BROKER
This Document Must be Fullv Executed Bv Contractor's
Insurance Broker and Submitted V`Vith the Bid
Robert Manassero, Manassero Insur-anc.e Agency am an authorized representative of
(individual's name and brokerage name)
Great American 111SUrance Cornpany This company is the insurance broker
(Insurance Company)
for Vinciguerra Construction, Inc. ("Contractor")
(Contractor)
By my signature below, I hereby attest to the following:
1 I have reviewed the insurance requirements for the South Tahoe Public Utility
DistricVs 2026 Pioneer Trail Waterline Project ("Project"), including the requirements set forth in
Section 00 73 00, Supplementary Conditions, Part 2.01 of the Contract Documents.
2The Contractor is eligible to be insured for the policies necessary to satisfy t
insurance requirements for the Project. I
menT, - Fit nq OT coverage ana does not moclity and/or alter the
terms and conditions of the insurance policies issued t9 -Contractb—r
Date: April 8, 2026
(signature of authofizWl�pre-sentativ(7)
for Robert Manassero for Great American Insurance Co.
7
A notary public or other officer completing this cartificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
)ss.
County of Amador
On April 8, before me, T . Portzer.-Notary personally appeared
Ro ert mana ssero " who proved to me on the basis of satisfactory evidence to be the
11111MI -4- "A I -A
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
seal.t7g
_M and and official - caiifornia
A-adlnr Coonty
WT117 commission 0 24501065
rotary Public
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 28
ARCH 2026 SECTION 00 41 00
2926 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 2