Low BidderSTATE OF CALIFORNIA. DEPARTMENT OF TRANSPORTATION

DBE • COMMITMENTDES-OE-0102.10D (REV 1212014)

10-21-15 A10:28

CONTRACT NO:05.1G1904

BID AMOUNT:

$BID OPENING DATE:

1,185,850.00

10/15/15BIDDER'S NAME:

Peterson.Chase Gen Eng Con'st IncDBE GOAL FROM CONTRACT %:

12DBE PRIME CONTRACTOR CERTIFICATION1: TOTAL NUMBER OF ALL SUBCONTRACTS (DBE & NON-DBE) TOTAl VALUE OF ALL SUBCONTRACTS (DBE & NON-DBE)

o o

BIDITEM NO.

ITEM OFWORKAND DESCRIPTION OFSERVICES TO BE SUBCONTRACTED OR

MATERIALS TO Be PROVlDE02

WORK CATEGORY

COOEW

NAME OF OBEs(Must be certified on the date bids lire

opened. Include Cdrans' Certi~C8tiOl1no., OBeaddren, and phone number. Show 2nd and

lowBr tier subcontractors)

AMOUNT(~

6.9 Furnish Sign Panels (60%) C0600G&C Equipment Corp. #8201875 W. Redondo Beach Blvd #207 $462,005.21

(310) 515-6715

Showell DBE firms being claimed for credit, regardless of tier. Attach written confirmallon fromeach DBE shown stating that it will be participating in the contract to perform the specific wornshown for the specific amoont agreed to. Total CIllImed

Participation

$ 462,005.21

38.64 %The names of the 1st tier DBE subcontractors and Items ofwork must be consistent with theSubcontractOr list (Pub Cont Code ~ 4100 et seq.).

The bidder ackn01l\/ledges that Ills committed to use the

'Each DBE prime contractor must enter ils certification number and show all work to be DBES7hOv.n on I arm to meel the contract goal (49performed by DBEs, including work performed by its own forces. 26.53).

21f 100% of an item is nol to be performed or furnished by the DSE, describe the exact patlon of' ) /the item to be performed or furnished. . lr'I3Use Work Category Codes from the California Unified Certification Program database.

Dick VogelsPerson to Contact (Please Type or Print)

ADA NoticeFor Individuals with sensory disabilities, this dOaJment is available in alternate formats, For information, CliO (91a) 445-1233,TTY 711, or write to Records end Forms Milnegemerrt, 1120 N Street, MS-a9. SilcfiIlmento, CA 95814.

Contract No. 05-1G19041

STATE OF CALIFORNIA. DEPARTMENT OF TRANSPORTATION

DBE CONFIRMATIONDES-QE-0102,1:3 (N8N 3/2015)

Corttadno05-1G1904

G & C Equipment Corp

John BrawdyOBE",<tileel'onmI1~(

820Peterson-Chase

Nome orPl'iIOO r,ontrllct~(ir<llt!<>r."ll"'m lt1otlld<ler

~la!1'l" or l""Pfe •• nll!lliv.>01bid<ler ~f~,11Iltl';o)l"ttdct'Jr

10/15/15Data <lUcl~'(I'1l'!(""",oed l<ltM bidclel(j( ~r.tn!"""tractor

EI<~ttOl1llnumr:.... lIem ol....,!I<ond dewlption O!seNlce. 100tle wbron1raded <:rrmterlllls 10oe provided' Am~nt

6-9 Furnish Sign Panels }770 O\)9

Ilr 100% of an item Is nat to be performed a I\Jrnj,;hed by the DRE, de~cribe the 0ll(1lC1portion o'the Totar $770 ClOGlIem to be perfllfTll"d or Iurnlshftd

A, In lIuthorized rlljlreslfitllU"'1 are. c.rtlfied dWIdve!nb!ged bu'llnosllIIntetpr!sll, I ecnfirm thai my businllSlS Willi torllllded by l~ bldder orprimo (;(lntruttor shown abevv rvgardlnglhv emtrIId. shown abO\le.lrthebii:lderi, aw!!fded thv conlr1lct, my bU!lII'lM!; wlIenter Inlo II CClntrllclulllIlgreemenlwlth the b1lkler or prime conttllctor 10 perform \h, type lindd~lllf Ilmount ofWprk ~hown on the OBE CQmlTitmenl form.

I cortlfy under PIll1ll!!:yof ,,,,r)Lrrythlltthl i'or'lIOl'Ig II 11'111lind corroet

. ~l-LjY~ CS,~~(oprtr'l~nlooye

lei/slrrDelo r i

ADA N<ltlu: f(Oh<iIrI~uafS \'f'11l$en$CllYd'5w;j~6S. ttn t\c)nflllrt iB•••."lIable in ~1I~rTlllletcn!1Bl'i for,,,r<mJSlla, ca' [91~1~54--&11()O(TODI91('I) 1!5~-388GorwrltB ReaJrOS Md FOOIlsM'''"[!efTlet1t. 1110 N Slr",,~ MS..fl9, S3cram~rto, CA 9.'i8T-l..

00%Contract No, .05-1 G1904

2

lowSTATE OF CALIFORNIA. DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATIONDE5-0E-0102,11A (REV 1212014)

/l8'-f:d 10-21-15Al0:53 mVD

I dQ-~hase GeneralEngineeeringBidder'SNa~~J~~n, Inc.Coo',,,'No.OS-1G1904

Page 1 of3

1. List items afwork thll Bidder made evailablBle aBE firms. Identifj ~emsofwak the Bidder mi!1lt otherwise perform wrth its own forces, items that have been brokendown into eeonomicalr)' fllilsible uni~to mcilit!lte DBE pllrticipetion, and items for which the Bidder hillS established ftexible time f!'lllnes for performance lind delivery schedullils in IIrnl!lnnef lh81 encourages lind facilitates DBE participation, For each item listed, shOoY the dollar value lind percentage of the total cOn!rllct. The Bidder must demonwllte thatsufficient work to meet the goal Well>mllde llvailllble to DBE firms.

Bidder Normllily Item Broken Down to Estllblished Flexible Timefrllmesttem of Work Olfered, Services Offered, or for Performence and Delivery Amount Percentllge of

Meteriels SuppliedPerforms ttem Facilitate Pllrticipation

SchedJles III Totel BidYesMo Yesl1'loYes/No

NONE DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

DYES DNO DYES DNO DYES DNO

Contract No. 05-1G19043

STATE OF CALIFORNIA. DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATIONDES-OE-0102.11A (REV 121"2014)

10-21-15A 10:53 RCVD

Peterson-Chase General EngineeeringBidder's NamJ;:onstruction, Inc.C",(cod No.' OS-lG1904

Page 2 of 3

2. List the nemes of certified DBEsend ell the dl!ltes on which they were solicited to bid on Ihis project. Include the items of work offered lind the dllles lind methods used for followingup in~ialend follow-up solic~etions to determine with certeinty Whether the DBEs were interested. Attach copies ofsolicilations. e-mail messages, telephone records, fax confirmlltions,etc.

Nllme of DBE Solicited Dllte of Initial Solicitation Items of Work Offured Foliow Up Methods end Deles

NONE

I

3. For eech ~em of work made available. indicl!lte whether the Bidder prcyided p1ens lind specificetions speci~c to the ilems of work being offured,lisllhe selected ~rm and its status lIS aDBE. the DBEs Ihl!lt provided quoles, Iheprice quete for ellch ~rm, lind the price diffurence fl:lr each DBE iUhe selected ~rm is net II DBE. Provide copies of each DBE end Non-DBEquote submitted to the Bidder whenever a Non-DBE ~rm was selected over a DBE fl:lr work on the Contract.

Provided Plans!Neme of Seiected DBEor Quale Pri~ Difference

Items of Work Specincations fl:lrWork OfferedFirm Non-DBE Neme .of Rejected Firm to) ($)YeslNo

NONE DYES DNO

DYES DNO

DYES DNO

.

DYES DNO

DYES DNO

DYES DNO

DYES DNO

DYES DNO

DYES DNO

If lhe firm selected for the ~em is not e DBE, provide the rellsons fl:lr Iha selection on II separate sheel and altech nllmes, addresses, and phone numbers fl:lr the firms listed above.Provide evidence es to why edditionaillgeements could net be reached for OBEs 10perform work.

Contract No. 05-1G19044

10-21-15A 10:53 RCVD

STATE OF CALIFORNIA. DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATIONDE&-OE-0102.11A (REV 1212014)

Peterson-Chase General EngineeeringBidder's NamJ;:onstruction, Inc.Coot,,,, No.. 05-1G1904

Page30f3

4. Describe the Bidder's outreaeh efforts to identify end selicR the interest of ell certified OBEs thet have the cepabilrty to perform the work of the Contract. Provide copies of supportingdocuments.

Dliseription of Outreach Deles Location (if epplicilble) Rll$uns

NONE

,

5, Describe the Bidder's efforts made to provide interested DBEs with adequate Information e.bout the ~ens, speci~celions. end requirements ofthe Conlillet to usis! them inflilSponding to II solieillltion. Identify the DBE, assisted. the type of informetion provided, end the date of the contracts. Provide copies of supporting documents.

I~OillE

6. Describe the Bidde~s efforts made to lISsist interested DBE~ in obtaining bonding, lines of credit, or inSUl'llnce. Identify the DBEs assisted, the type of anistance offered, and thedates. Provide copies of supporting documents.

NONE

7. Describe the Bidder's efforts made to anist interested DBEs in obtaining neeesse.ry equipment, supplies, materials, or relllled assistenca or services, excluding supplies andaquipmant the DBE purcheses or leases from the prime contrector or its atTiliate. Iden~fy the aBEs essistOO, the type of essistance offered, and the dales. Provide copies of supportingdocuments. List efforts made to assist interested aBEs in obtaining bonting. lines of cred~, insurance, necessary equipmen~ supplies. materials, or ralated lISsistance or services.excluding supplies and equipmentthe aBE subcontractor purchases or leas8$ wom the prime contractor or ~s affiliate. Identify the DBE assisted, the assistance offered, and tI1e date,Provide copies or supporting documents.

NONE

8, List the names of agencies and the dates on which they were contacted to provide essisteance in contacting, recruiting, end using DBE firms, If the agencies were contacted in writing,p,o,ride copies or supporting documents.

NONE

Include additionel data to support a demonstrlliion of good fll~h efforts,

I\IONE

NOTE: USE ADDITIONAL SHEETS OF PAPER iF NECESSARY.

ADA Notice For indiYiQ.Jals with sensory disabilities, this document is llvailable in alternate formats. For information, call (916) 445-1233,TTY 711, or write to Roeo,ds lind Forms Management, 1120 N Street, MS-S9, Sacramento, CA 95814.

Contract No. 05-1G19045

GC G & C Equipment Corp, Inc. (CA)

1875 West Redondo Beach BlvdSte 102Garden~ CA 90247

Phone: (310)515-6715 Fax: (310)515-5046

QuoteProject Date Estimate #

10/1512015 QO-20601

Name 1Address

Estimator

P.O. No. Terms

Net 30

Ship To

CADOT# 05-101904

Valid Until

1111412015

Rep

IEB

FOB

CS (1")

CS(1") j>'CS(T) , ,CS'(T)::""

FORMEDPANEL(OVERHEAD)FOR BIDITEM# 6 14.70 346,920.00TTYPEXII"typE'1tLAMtNATED FORTYPEXI/-BIDrrEr>f#,7,';17<:;;: 1>" 24.'15,':;. 225;561.00T0.080"UNFRAMEDFORTYPEXI BIDITEM# 8 9.45 1,890.00TFURN\SH,TJPE'X1,SHEETING':":,:';',':, , BID ITEM# 9:''7:; '" ", j"138,600:00T

Subtotal

Sales Tax (8.0%)

Total

Signature

$712,971.00

$57,037.68

$770,008.68

05

ti:tIt:rans$STATE OF CALIFORNIA

DEPARTMENT OF TRANSPORTATION

FORMS FOR

BIDFOR CONSTRUCTION ON STATE HIGHWAY IN MONTERY, SAN BENITO, SAN LUIS

OBISPO, SANTA BARBARA, AND SANTA CRUZ COUNTIES AT VARIOUS LOCATIONS

In District 05 On Route 1,9,17,41, 46, etc

Under

Notice to Bidders and Special Provisions dated September 21, 2015

Project plans approved May 18, 2015

Standard Specifications dated 2010

Standard Plans dated 2010

To be submitted conjointly with

Electronic Bid book dated September 21, 2015

Identified by

Contract No. 05-1G1904

05-Mon,SBt,SLO,SB,SCr.1,9,17,41, 46, etc-various

Project 10 0514000123

Federal-Aid ProjectACSTP-000C(408)E

Bids open Thursday, October 15, 2015 Dated September 21,2015MOD

October 20, 2015

State of CaliforniaDepartment of Transportation1727 30th Street, MS -43Sacramento, CA 95816

Via "GSO" Overnight

Attn: Office Engineer. BIDDER DBE COMMITMENT AND GOOD FAITH EFFORT DOCUMENTATION

Re: Project Name:Location:Contract #:Bid Date:PIC Bid #:

REMOVE AND REPLACE SIGN PANELS05.MON,SBT,SLO,SB,SCR.1 ,9,17,41 ,46.VAR05.1G190410/15/20155272

Gentlemen:

Please find enclosed the DBE Commitment and Good Faith Effort documentation for the above referencedcontrac!.

If you have any questions please call Dick Vogels at 949-252-0441.

Sincerely,Peterson-Chase Construction, Inc.

Ka i GoglanianAdministrative Ass!.

Enclosure

Dbeforrn,ltr1792 Kaiser Avenue • Irvine, California 92614-5706 • 949/252.0441 • FAX 949/252.0266

License No. 615876

10/20/2015

Ship FromPETERSON CHASE G.E.C., INCPETERSON CHASE1792 KAISER AVEIRVINE, CA 92614

Ship ToCALTRANSOFFICE ENGINEER1727 30TH STREET, MS-43SACRAMENTO, CA 95816

COD: $0.00Weight: 0 Ib(s)Reference:05-1G1904 DBE FORMSDelivery Instructions:PLEASE DELIVER AFTER 8AMSignature Type: REQUIRED

800-322-5555 www.gso.com

Tracking #: 529659162

1111111111111111111111111111111111111

SMFSACRAMENTON95816A

1111111111111111111111111111111111111111111

43801145

PDS

A

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