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..
The quantities specifiedare the DIST ICT's estimates and are approximate only, being given as a
basis for the comparison of Bids, The DISTRICT does not, expressly or by implication, agree that
the actual amount of work will correspond therewith. The total amount bid will be used to determine >
the lowest, responsive, responsible, Bidder.
Payment for each item will be based on the actual quantity of work performed times the item unit
contract price. Determinations of the 'actual quantities and classifications of unit price work
performed by the CONTRACTOR will be made by the DISTRICT and may be more or less than the
specified, estimated; quantities. Unless <otherwise indicated in the Bid Item Descriptions, the unit
price shall be valid for actual quantities Trap to % more than or less than the bid quantity.
All representations made by Bidder in this Bid are made under penalty of penury,
DATED: BIDDER: r r cr r °ate
j'n c, j'
SIG ATU
TITLE:- ; 1'
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
INFORMATION REQUIRED OF BIDDER
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11INWIRUMNUM I I'll, 111i - A
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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.
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LIST OF SUBCONTRACTORS:
In compliance with the Subletting and Subcontracting Fair Practices Act Chapter 4 (commencing at
Section 4100), Part 1, Division 2 of the Public Contract Code of the State of California and any
amendments thereof, Bidder shall set forth below: (a) the name and the location of the place of
business, (b) the California contractor license number, (c) the DIR public works contractor
registration number unless exempt pursuant to Labor Code Sections 1725.5 and 1771.1, and (d)
the portion of the work which will be done by each subcontractor who will perform work or labor or
render service to the Bidder in or about the construction of the or or improvement to be
performed under this Contract in an amount in excess of one-half of one percent (0.5%) of the
Bidder's Total Bid Price. Notwithstanding the foregoing, if the work involves the construction of
streets and highways, then the Bidder shall list each subcontractor who will perform work or labor or
render service to the Bidder in or about the work in an amount in excess of one-half of one percent
(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 info nriation.
If a Bidder fails to specify a subcontractor or if a contractor specifies more than one subcontractor
for the same portion of work, then the Bidder shall be deemed to have agreed that it is fully qualified
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
ATTACH►ITI L PAGES, IF NECESSARY
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 4
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MARCH 2026 SECTION
2026'I 3 `TRAIL ID FORMS
e) Fleet Compliance Certification
f) Bid Bond
g) Acknowledgement of Insurance Requirements
h) Certification by 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
Name,
Description of Completion
Project Contract
address,
Bidder's Work Date
Price
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 comprehensiveto permit
an appraisal of Bidders current financial condition.
The financial statement shall be in
accordance with Section 00 20 00, Part 3.01,D.
MARCH 2026
SECTION 00 4100
2026 PIONEER TRAIL
BID FORMS
WATERLINE PROJECT
10
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MARCH 2026 SECTION 00 4100
NONCOLLUSION DECLARATIONEXECUTED
Y
BIDDER AND SUBMITTED WITHI
The undersigned declares.'
VJ'1r-'
I am the (Position) o (Firm), the party
making the foregoing hid.
The bidis not made in the interest of, or on behalf of, any undisclosed person, partnership,
company, association, organization, or corporation. The bid is genuine and not collusive or share.
The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or
share bid. The bidder' has not directly or indirectly colluded„ conspired, connived, or agreed with any
bidder or anyone else to put in a sham bid, or to refrain from iddin. 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. All statements contained in the bid are true'. 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, to any ;corporation„ partnership,
company, association, organization, bid depository, or to any member or went thereof, to effectuate
a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership; joint
venture, limited liability company, limited' liability partnership; or any other entity, hereby represents
that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.
i declare under penalty of perjury under the laws ofth Stale of California that the foregoing is true
and correct and that this declaration is executed on date]„ at [city],
ti rstat.
ame of Bidder r tr
err
Signature
dame`
Title x+
MARCH 2026 SECTION oil 4100
2026 PIONEER TRAIL Blip FORMS
WATERLINE PROJECT 12
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MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL. BID FORMS
WATERLINE PROJECT 1
IRAN CONTRACTING ACT CERTIFICATION
(Public Contract Code section 2200 et seq.)
As required by California Public Contract Code Section 2204, the Contractor certifies subject to
penalty for perjury that the option checked below relating to the Contractor's status in regard to the
Iran Contracting Act of 2010 (Public Contract Code Section 2200 et seq.) is true and correct:
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.
E] The City has exempted the Contractorfrom the requirements of the Iran Contracting
Act of 2010 after making a public finding that, absent the exemption, the City will be
unable to obtain the goods and/or services to be provided pursuant to the Contract,
El The amount of the Contract payable to the Contractor for the Project does not
exceed $1,000,000.
Signature, -
_,--
Printed Name: vi, 4 C- 1,6[ V eXr2;11�
Title.
FirmName: -r,7c.
19
Date:
Note: In accordance with Public Contract Code Section 2205, false certification of this form shall be
reported to the California Attorney General and may result in civil penalties equal to the greater of
$250,000 or twice the Contract amount, termination of the Contract and/or ineligibility to bid on
contracts for three years.
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 14
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ARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL Blot FORMS
WATERLINE PROJECT 1
PUBLIC WORKS CONTRACTOR REGISTRATION CERTIFICATION
Pursuant to Labor Code sections 1725.5 and 1771.1, all contractors and subcontractors that wish to
bid on, be listed in a bid proposal, or enter into a contract to perform public work must be registered
with the Department of Industrial Relations. See httr)://wwrtYw.dir.ca.qov/Public-�
Works/ PublidWorks. Mini 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 Industdal Relations to perform public
work.
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
NameofBidder;
CI R Registration Number- J00oo6wsye
DI R Registration Expiration: 6. 30 7
Small Project Exemption: Yes or No
Unless Bidder is exempt pursuant to the small project exemption, Bidder further acknowledges,
I . 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 submitthis form or comply with any of the above requirements may result
in a finding that the bid is non -responsive,
lame ofBidder Viwic_i L)eWf'-4^, z> 4,s -w r-v CT-7 0-1
Signature C.
Name and Title A C
Dated 'if I A3 Z9,6
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
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MARCH 2026 SECTION 00 4100
026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 1
CONTRACTOR'S "
ION
l are aware of the provisions of section 3700 of the Labor Code which require every employer to be
insured against liability for workers' compensation or to undertake self-insurance in accordance with
the provisions of that code, and I will comply with such provisions'hefore commencing the
performance of the work of this Contract.
Name of Bidder ,` ,
Signature Cy
Nerve and `I""ie ,(-
Dated- q A3A
MARCH 2026 SECTION
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT
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MARCH0 SECTION 00 4100
2026 PIONEER lL BID FORMS
FLEET COMPLIANCE CERTIFICATION
Bidder hereby acknowledges that they have reviewed the California Air Resources Board's
policies, rules and regulations and are familiar with the requirements of Title 13, California Code
of Regulations, Division 3, Chapter 9, effective on January 1, 2024 (the "Regulation"). Bidder
hereby certifies, subject to penalty for pe(Jury, that the option checked below relating to the
Bidder's fleet, and/or that of their subcontractor(s) ("Fleet") is true and correct:
>I The Fleet is subject to the requirements of the Regulation. At the District's request,
W-,hin 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).
ri The Fleet is exempt from the Regulation under section 2449.1 (f/(2), and a signed
description of the subject vehicles, and reasoning for exemption has been attached
hereto,
Ll Bidder and/or their subcontractor is unable to procure R99 or R1 00 renewable diesel
fuel as defined in the Regulation pursuant to section 2449. 1 (f)(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).
r] The Fleet is exempt from the requirements of the Regulation pursuant to section
2449(i)(4) because this Project has been deemed an Emergency, as defined under
section 2449(c)(18). Bidder shall only operate the exempted vehicles in the emergency
situation and records of the exempted vehicles must be maintained, pursuant to section
2449(i)(4).
F! The Fleet does not fall under the Regulation or are otherwise exempted and a detailed
reasoning is attached hereto.
Name of Bidder: \11 A Ci C1VC-rf'Z1%— Co-iS-Cr-vC,,T70-n
Signature:
Name: A v �` ,
Title:
q I ;t3LA(
Date,
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 20
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MARCH 2026 :. SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 21
BID 13OND
PRESENTS,
Vinciguerra Construction, Inc.
each corporation.
(Corporate Seal) Austin Via!errs 1 ix�cz rr� �ai�sir�xc i�rra, Ire�
Contractor/ Principal
rite President
Great Ameriqa4-1�asurance
(Corporate Seal) 5SUj;j�Rolbert M assero
Attomey-ln-Fa
(Attach Attomey-in-Fact Certificate) Titi
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 22
\MT
n fficial `l,
T. Fr} r7ha
r��s�ar;a FFs[ic - a f
imadafa` ''
C�tv�rn9�sid5 2
tay parr er. � , 2� 7 Signature of Notary Public
OPTIONAL
1
i
I
Though the information below is not required by lase, it may prove valuable to persons relyi ` on the db
and could prevent fraudulent removal and reattachment of this form t nOther d ument.
CAPACITY CLAIMED Y SIGNER DESCRIPTIONF ATTACHED 00
Individual }
Corporate Officer
President rib s) TWe or Type of Document
k
C]Partner(s) 0 Limited
General NUMDer Or Pages
j Attorney -In -Fact
i
k
c Trustee(s)
o Guardian/Conservator ��� of Cir�ctamer�t
Other:
Signer is representing: f
Name Of Person(s) Or Erft(i s)
7
Signer(s) Other Thaii Named Abo
i
a
NOTE: This nd led en is to be completedfor Contra rl rin p , I.
CH 02 SECTION 0 11
MAR0 PIONEER TRAIL its F
CAPACITY1DESCRIPTION F ATTACHED DOCI
D Individual
n Corporate Officer
T` e) T-ft or Type of Document,
Partner(s) E Limited
El General Number of Pages
W Attorney -In -Fact
o Trustee(s)
o Guardian/Conservator Date of Document
p Other
Signer is representing:
Narm Of Person(s) Or ty(les)
Signer(s) OtherThan Named Above
NOTE: This acknowledgment is to be completedfor the Attom y-in-Fact. The Power-of-Aftorney t
representafives of the bonding company must also be attached.
ARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL 1310 FORMS
WATERLINE PROJECT i 2
4
i
Adrnanlstl
re Ice: 301 E 4TH STREET & CINCINNATI, tell 4
s authorized by O
is not more than
13-369- 0 Q'S'
3�i23�
No. 0 21462
teed the limit stated below.
Name Address Limit of Pc
0' ALL OF ALL
I CI JA & SON, CALIFORNIA $1170=0'
s corporate seal hereunto affixed this 16TH day of MAY 2925
GREAT AMERI AN INSURANCE COMPANY
�t ivisit raal Senior'V= president
JC?HN l „ WEBSTER (877- 77-240 )
HAMILTON $ ss;
I figv of MAY 9n9g; k-f.,— .- ,w—— .., 14— . a s✓er aye ar baarr�r w r� ,
iat he signed his name thereto by lake authority„
�k
to
AM
30
by authority of the following resolutions adopted by the Board of directors of Great Americal
onsent dated June 9, 2008.
— areal-. esVMjaal ly =a ;' '�Vl vly cu ry saf lu all euul lu's, Vl1UarU;(Klfi,95 t8FlV COnMaCTS OT SSlrerysnp, or orner wrhtten oosrgations to the nature
to prescribe their respective duties and the respective limits of their authority, and to revoke any such appointment at any there,
RESOLVED FURTHER., That the Company sealand the signature of any of the aforesaid officers and any Secretary orAssistant;
Of the Company may be affixed by facsimile to any power of attorney:or certificate of either given for the execution of any bored, una
contract of suretyship, or other written obligation in the nature thereof, such signature and seal when'so used being hereby adopte
Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with i
farce and effect as though manually affixed,
CERTIFICATION
1, STEPHEN C. BERAHA, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoir
of Attorney and the Resolutions of the Board of Directors of June 9,' 008 have not been revoked and are now In full force and eff
Signed and sealed this day of
Assistant Secretm
END OF BID BOND
MARCH 2026 SECTION 00 4100
2026 PIONEER TRAIL BID FARMS
ACKNOWLEDGMENT OF INSURANCE REQUIREMENTS
This Document Must Be gall Executed contractor
and Submitted With The` id
The following insurance requirements have been adopted by The South Tahoe Public utility District
hereinafter designated the "OWNER," and shall be applicable to this Contract`
Insurance Reouirement Summary
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 shallbe accepted in substitution of, nor in
addition to, those set forth in Section 00 20 00, Instructions for Procurement. Insurance
requirements and coverage will be in accordance with Section 00 73 00, Supplementary Conditions,
Part 2.01.
The CONTRACTOR shall not commence work i rnderthis Contract until all insurance required under
this heading is obtained in a form acceptable to OWNER, nor shall the CONTRACTOR alloy any
Subcontractor to commence work on a subcontract until all insurance required of the Subcontractor
has been obtained.
I'V 3 -rin y ! the Prea
(Insert Title)
of i a r°
erne of Company or Corporati6n or Owner)
certify that the Insurance Requirements Summary has been read and understood and that as a
material consideration of our bid, we are able to provide the document and coverage specified.
Signature of President, Secretary,
Manager, Owner, or Representative
Date:
MARCH2026 SECTION 00 41 a
2026 PIONEER TRAIL BID FORMS
WATERLINE PROJECT 26
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MARCH 2026 SECTION CIO
2026 PIONEERTRAIL BID FORMS
CERTIFICATION BY T INSURANCE
This Document Must be Fu!1y Executed Sy Contractor's
Insurance Broker and Submitted With the Bid
I, Robert i a assero, Manassero Insurance Agency am an authorized representative of
(individual'name and brokerage name)
Great Arner c.an Insurance Cornl2any This company is the insurance broker>
(Insurance Company)
for Vinciguerra Construction, Inc.. ("Contractor').
(Contractor)
By my signature below, I hereby < attest to the following.
I have reviewed the insurance requirements for the South Tahoe public Utility
District's 2026 pioneer Trail Waterline Project ("Project'), including the requirements set forth in
Section 00 73 00, Supplementary Conditions, Fart 2.01 of the Contract Documents.
The Contractor is eligible to be insured for the policies necessary to satisfy the
insurance requirements for the Project.
This certification is not intended to be Minding of coverage and does not Modify and/or alter the
terms and conditions of the insurance policies issued to atra r.
Date: ril 8,2026
( ignature of auth representative'
for Robert Manassero for Great American Insurance Co.
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, and not the tnAhtuiness, accuracy, or validity of that document,
State of California
) s.
County of Arnador �
On Aril 8, 2026 before me, T. Portzer. otary _ , personally appeared
who proved to rite on the basis of satisfactory evidence to be the
person(s) whose name(s) is/are subscribed to tree within instrument and acknowledged to me that heJshe#they
executed the same in his/her/their authorized pacity(ies), and that by his/her/their signature(s) on the
instrument the pe ns), or the entity upon behalf of which the person(s) acted, executed the instrument.
l certify tinder PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
and and official sea(. a iG titsrn�x�srsws rs�€sx�+�aizrr�rcxrri�iyf
yrrii Ca
.n2150
J�t220,027
Noary Public 0-Y
MARCH CH 2026 SECTION 00 Alt o0
2026 PIONEER TRAIL BID FORM
WATERLINE PROJECT 2
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2026 PIONEER TRAIL BITS FORMS
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