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2018/02/01 Moore Fence Company Owner Contractor Agreement - Menifee Public Works Yard SecurityCITY OF MENIFEE OWNER-CONTRACTOR AGREEMENT MENIFEE PUBLIC WORKS YARD SECURITY FENCE This Owner-Contractor Agreement ("Agreement") is made and entered into for the above referenced Project by and between the City of Menifee ("Agency"),and MOORE FDNCE COMPANY ("Contractor"), whose principal business address is 280 EAST ls'r'PERRIS. CA. 92570 on the lsr day of FEBRUARY. 201 8. In consideration of the mutual covenants and agreements set forth herein, the Agency and Contractor have mutually agreed as follows: CONSTRUCTION The Contractor agrees to do all the Work and fumish all the labor, services, materials and equipment necessary to construct and complete the Project in accordance with the Contract Documents (as hereinafter defined), including all work, labor, services, materials and equipment described and reasonably inferable from documents enumerated in Exhibit "A" attached hereto and incorporated herein by reference (such construction and fumishing of labor, service, materials and equipment hereinafter referred to as the "Work") in a good worker-like and substantial manner and to the satisfaction of the Agency, in connection with the: MENIFEE PUBLIC WORKS YARD SECURIT Y FENCE to be constructed on Murrieta Road in the City of Menifee, California. The term Contract Documents shall mean this Agreement, and all ofthe items enumerated in Exhibit "A" and all change orders or addenda issued by the Agency with respect thereto. Agency must consent in writing to any changes in the scope of Work. Exhibit "A" shall be deemed revised in accordance with any revisions for which Agency's consent has been issued. Any revisions to the scope of Work for which Agency's consent has not been issued shall be null and void. 2. CONTRACT PRICE Agency hereby agrees to pay and the Contractor agrees to accept as full compensation for all Work performed in accordance with these Contract Documents the Contract Price as set forth in Exhibit "B". Contract Price, attached hereto and incorporated herein by reference. Payments to the Contractor shall be made in the manner described in the Special Provisions. 3.TIME I:OR PERFORMANCE Time is of the essence in the performance of Work for this Agreement and all timing requirements shall be strictly adhered to unless otherwise modified by the Agency in accordance with these Bid and Contract Documents. The Contractor shall complete the Work in every detail to the satisfaction of the Agency, exclusive of maintenance periods, within the specified duration set forth in the Notice to Proceed. 4. DELAYS AND EXTENSIONS OF TIME See Section 6-6 ofthe Special Provisions 290/0i 1858-0008 76i15681 2 a02l05/18 Page I 5.LABOR CODE REQUIREMENTS Pursuant to Labor Code Section I 771 . I . the Contractor and all subcontractors shall be registered with the Department of Industrial Relations. Pursuant to Labor Code Section 1771.4, the Contractor is hereby notified that this Project is subject to compliance monitoring and enforcement by the Department of lndustrial Relations. [EFFECTIVE APRIL I , 201 5.] 6. NON-DISCRIMINATION In the performance of this Agreement. the Contractor shall not refuse or fail to hire or employ any qualified person, or bar or discharge from employment any person, or discriminate against any person, with respect to such person's compensation, terms, conditions or privileges of employment because of such person's race, religious status, sex or age. 7. AUTHORIZEDAGENCYREPRESENTATIVES On behalf of the Agency, the City Engineer of the City of Menifee shall be the Agency's authorized representative in the interpretation and enforcement of all Work performed in connection with this Agreement. The City Engineer may delegate authority in connection with this Agreement to his/her assigned designees. 8. WORKERS'COMPENSATIONINSURANCE a) By my signature hereunder, as Contractor, I certify that I am aware of the provisions of Section 3700 of the Labor Code, which requires 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 before commencing the performance of the Work of this Agreement. b) The Contractor shall require each subcontractor to comply with the requirements of Section 3700 of the Labor Code. Before commencing any Work, the Contractor shall cause each subcontractor to execute the following certification: "l am aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the Work of this Agreement." 9. ENTIRE AGREEMENT; CONFLICT The Contract Documents comprise the entire agreement between the Agency and the Contractor with respect to the Work. In the event of conflict between the terms of this Agreement and the bid of the Contractor, then this Agreement shall control and nothing herein shall be considered as an acceptance ofthe terms olthe bid conflicting herewith. IO. MAINTENANCE OF AGREEMENT DOCUMENTATION Contractor shall maintain all books, documents. papers. employee time sheets. accounting records and other evidence pertaining to costs incurred and shall make such materials available at its office at all reasonable times during the term of this Agreement and for three (3) years from Page 2290/011858-0008 764t6El 2 a02l05/lE the date of final payment under this Agreement. for inspection by Agency and copies thereof shall be fumished to Agency ifrequested. II. INDEPENDENTCONTRACTOR At all times during the term of this Agreement, Contractor shall be an independent contractor and shall not be an employee, agent, partner orjoint venturer of the Agency. Agency shall have the right to control Contractor insofar as the results of Contractor's services rendered pursuant to this Agreement; however, Agency shall not have the right to control the means by which Contractor accomplishes such services. 12. LICENSES AND PERMITS Contractor represents and declares to Agency that it has all licenses, permits, qualifications and approvals of whatever nature which are legally required to practice its profession. Contractor represents and warrants to Agency that Contractor shall, at its sole cost and expense. keep in effect at all times during the term of this Agreement, any licenses, permits, qualifications or approvals which are legally required for Contractor to practice its profession. I3. GOVERNING LAW. VENUE This Agreement and the Contract Documents shall be construed under and in accordance with the laws ofthe State of California, and the appropriate venue for any action or proceeding arising from this Agreement and/or the Contract Documents shall be had in the Superior Court of Riverside. Temecula Branch 14. COUNTERPARTS This Agreement may be executed in any number of counterparts, each of which shall for all purposes be deemed to be an original. I5. FAI,SE T]LAIMS Contractor acknowledges that if a lalse claim is submitted to the Agency, it may be considered fraud and Contractor may be subject to criminal prosecution. Contractor acknowledges that the False Claims Act, California Govemment Code sections 12650, et seq., provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include within their scope false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. [n the event the Agency seeks to recover penalties pursuant to the False Claims Act, it is entitled to recover its litigation costs, including attomeys' fees. Contractor hereby acknowledges that the fiting of a false claim may the Contractor to an administrative debarment proceeding wherein Contractor may be prevented from furher bidding on public contracts for a period ofup to five (5) years. I have read and understood all ofthe provisions of this Section 15, above: ffi (r.,rtr"l) 290/01 I 858-0008 7645681 2 a02l05/18 Page 3 I6. ACREEMENTMODIFICATION This Agreement and the Contract Documents may not be modified orally or in any manner other than by an amendment in writing and signed by the Agency and the Contractor. IN WITNESS WHEREOF this Agreement is executed as of the date first written above. AGENCY: CONTRACTOR: CITY IFE M REF By: APPRO STO RM By: By: Armando illa, City Manager Name: Its: By: t, By:Name: Its 9tcryl11r-1 ATTEST: A.M anwanng.City Cl Contractor's City Business License No. 4 ts to< State Contractor License No. & Class )ttc 6 lsr Sf Street Address /-trrts cl Q>stct City, State. Zip Code [NOTE: ln the event the Contractor is a Corporation, the signatures of two separate persons holding different offices must be provided.l 290/03 t858-0006 7645681.2 a02/05'18 Page 4 //r./j.-.' t 6tfr ey fI Melching, rn;|fL.*"t a- .1'1 Jzi ,,.)// L1 (tzsrp EXHIBIT A CONTRACT DOCUMENTS Scope of Work Construction Plans and Exhibits City of Menifee Special Provisions (2017 Specifications) Standard Specifications for Public Works Construction (Greenbook latest edition) City of Menifee Standard Plans 290/031858-0008 7645681.2 a02l05/18 Page 5 EXHIBIT B CONTRACT PRICE The Contract Price for performing all Work described in the Contract Documents. including labor, materials. services and equipment is the total amount of all lump sum items and of all unit price sums, determined by multiplying the unit price for each item times the actual quantity of each such item, as determined by the Agency. Thetotalcontractamountisfor@inthenot{o-exceed amount of: $29.593,41 (Twenty-Nine Thousand Five Hundred Nine8 Three and Fortv One Cents). 290/011858{008 764t681 2 a02/05/18 Page 6 CITY OF MENIFEE INFORMAL BID REqUEST The work to be done is described in these Bid and Contract Documents for the above stated Project. The general Scope of Work is as follows: DESCRIPTION OF WORK The Work to be done under this Contract shall include the furnishing all labor, materials, methods or processes, implements, equipment, coring, tools, and machinery necessary for and appurtenant to the construction and completion ofthe Work in accordance with the Contract. All work shall be done in accordance with The Standard Specifications for Public Works Construction 2015 edition, the latest Edition of the City of Menifee Special Provisions and the City of Menifee Standard Details. The work generally consists of but not limited to the following: 1. lnstalling new security chain-link fence with privacy windscreen, tube steel fence, tube steel roll gate, tube steel double swing gate, and tube steel pedestrian gate where shown. 2. Repair section of existing chain-link fence and install 3-strand barbed wire on existing chain-link fence. LOCATTON(S) OF WORK The work to be constructed will be at the Menifee Public Works Yard at 27860 Bradley Road in Menifee, CA 92586. GENERAT The Agency does not warrant, represent, or guarantee the accuracy, completeness, or adequacy of information provided from any third party source. The Agency shall not be responsible or liable in any way whatsoever for any loss or damages of whatever kind, nature, or scope, including, but not limited to, time, money or goodwill arising from errors, inaccuracies, or omissions in any documents and/or information retrieved from any third part source. MENIFEE PUBLIC WORKS YARD SECURITY FENCING PUBLIC NOTICE lS HEREBY GIVEN that the City of Menifee hereinafter referred to as the Agency, invites informal bids for the above stated Project and will receive such bids in the offices of the Agency, at City Hall,2971.4 Haun Rd, Menifee, California 92586 up to the hour of !!1Q!!-[!!., on JANUARY 26, 2018. Bids received after the hour and date will not be accepted and shall be returned unopened. Bids shall be written cleally and legibly in ink in conformance with the lnstruction to Bidders. All bids shall be submitted to the Agency's front desk in a sealed envelope plainly marked on the outside with ..SEALED INFORMAL BID FOR MENIFEE PUBTIC WORTS YARD . DO NOT OPEN W|TH REGUIAR MAIT.'' lf using Federal Express or other such service for bid submittal, the contents of the submittal must be noted on the outside of that envelope as stated above. The successful Bidder must comply with all prevailing wage laws applicable to the Project. Pursuant to Section 1773 of the Labor Code, the general prevailing wage rates in the county, or counties, in wh ich the work is to be done have been determined by the Director of the California Department of lndustrial Relations. These wages set forth in the General prevailing Wage Rates for this proiect are available at the California Department of lndustrial Relations' lnternet web site at https://www,dir.ca.gov/opr[DPreWageDetermination.htm ln accordance with the provisions of the California Labor Code, contractors or subcontractors may not perform work on a public works project with a subcontractor who is ineligible to perform work on a public pro.iect pursuant to Section 1777.1 or Section 7777.f7 of the California Labor Code. Any contract on a public works project entered into between a contractor and a debarred subcontractor is void as a matter of law. A debaned subcontractor may not receive any public money for performing work as a subcontractor on a public works contract. Any public money that is paid or may have been paid to a debarred subcontractor by a contractor on the Project shall be returned to the Agency. The Contractor shall be responsible for the payment of wages to workers of a debarred subcontractor who has been allowed to work on the Project. The Agency reserves the right to reject any or all bids, to waive any irregularity(ies), and to take all bids under advisement for a period of sixty (60) calendar days after the date the bids are publicly opened. All costs incurred by bidders as a result of preparing bids under this Notice lnviting Bids shall be the sole responsibility of each bidder. This Notice Inviting Bids neither creates nor imposes any obligation upon lhe Agency to enter into a contract. Bidder shall be a licensed contractor pursuant to the Business and Professions Code and shall be licensed in the appropriate classification(s) of contractor's license(s), for the work bid upon, and shall maintain the license throughout the duration of the Contract. Eidders must possess a current State of California "A" Contractor's License and/or "C-13" Agenry will accept bids only from Bidders that (along with all subcontractors listed in the bid) are currently registered and qualified to perform public work pursuant to Labor Code Section 1725,5. Sublect to Labor Code Sections 1771.1(c) and (d), any Bid from an unregistered Bidder or that includes an unregistered subcontractor shall be returned and not considered; provided that if Bidder is a joint venture (Business & Professions Code Section 7029.1) or if federal funds are involved in the Contract (Labor Code Section 1771.1(a)1, Agency may accept a non-complying Bid provided that Bidder and all listed subcontractors are registered at the time of contract award. BIDDER'S PROPOSAL The undersigned hereby proposes to furnish any and all labor, materials, and equipment for the MENIFEE PUBUc WoRKS YARD SECURITY FENcING. and appurtenant work in connection therewith, said work to be done and materials to be furnished in strict conformity with the plans, specifications, all other referenced documents and all codes and regulations the prices shown on this proposal. The undersigned has examined the location of lhe proposed work, and is famitiar with the plans and specifications and the local conditions at the place the work is to be done, and also understands that the proiect will be completely constructed in turn-key condition acceptable to the Owner be for the price of the proposal, including allfees and sales tax upon any materials so furnished, The undersigned has also carefutly checked all of the figures given and understands that the Owner will be responsible for any errors or omissiors on the part ofthe undersigned in submitting this proposal. The contractor con{irms that his/her bid is submitted with respect to the changes to the contract included in all addenda issued bythe Owner. The undersigned has examined the current State of California schedule ol prevailing wage rates for the types ofwork to be done on this proiect and agrees to pay not less than these rates. The undersigned hereby proposes to fumish any and all labor, materials, and equipment to construct the MENIFEE PUBLICWORKS YABO SECURIIY FENCING. and appurtenant work in connection therewith in strict conformity wath the plans, specifications, all other referenced documents and all codes and regulations for the prices and amounts presented in this proposal. Bid Forms/Documentation Requirements Checklist BIDDER'S PROPOSAL BID SCHEDUTE IORM CERTITICATE REGARDING CONTRACTOR'S I.ICTNSE CERTIFICATION OF NON-DISCRIMINATION AND AFFIRMAT3VE ACTION NON{OLLUSION AFFIDAVIT DESTGNATION OF SUBCONTRACTOR5 CONIRACTOR'S CERTIFICITE OF WORKER'S COMPENSATION ]NSURANCE COPY OF DEPARTMENT OF CA DEPT OF INDUSTRIAT REIATIONS (DIRI RECISIRATION EtraEtr tr M m -./ Receipt is hereby acknowledged ofAddenda No.(s) -,/ BID FORM -IUENIFEE PUBLTC WORKS YARD SECURTTY FENCING All Bidders are REQUIRED to use unit prices where indicated and to complete this schedule. All items shall be complete and in place per Plans and these Bid and Contract Documents. Minimum Specifications are: Tube Fence . 7%" X 14 gauge top and bottom rails r %" X 16 tauge pickets @ 4" on center . 2" square X 14gauge posts . Gates are 2" square X 14 gauge top rail and gate uprights . 2" X 4' X 14 Cau8e bottom rails . %'X 15 gauge pickets @ 4" on center . V track for slide gate will be bolted into existing concrete drtveway . L2" X24" consete footings . All fence and gates are to be powder coated black . All coring in included in tube steel fence Chain-link Fence . 2" X 9 gauge knuckle twist fabric . I 5/8" schedule 40 top rails o 2 3/8" schedule 40 line posts @ 10'on center . 2 7/8' schedule 40 terminal posts . 12" x 30" concrete footings . All materials to have galvanized finish . Windscreen to be knitted polyethylene privacy screen 88% blockage color black Barbed Wire . 3-Wire barbed wire 16 X 16 gauge . 2-strand . 4-points, . Attached to vertical bracket on top of existing posts . All materials to have galvanized finish BID SCHEDULE A Bid ltems shall includo ths fumishing all labor, msterials, methods or process€s, implements, equiprnent, coring. lools, and machinery necessary for and appurtenant to the construclion and completion ol the Work in accordance with the Contraci. All woIk shall be done in accordence with The Standard Specilic€tions for Pubfic Works Construction 2015 edition, the latest Edit'ron of the Caty of Menifee Special Provisions and lhe City of Menifee Standard Details. TOTAL BID AMOUNT (in numbers 3 ffo.3 TOTAL BID AMOUNT (in words): lars and *n-*Cents Contractofs lnitials ITEM No OESCRIPTION UNIT ESTIMAITD OUANTITY UNIT PRICE EXTENDED ITEM AMOUNT 1 lnstall8' Tube Steel Fence LF 165 6e '/q /o, 3oa, sr 2 lnstall 22'wide X 8'height Tube Steel Roll Gate EA 1 't, toz sb al, tog,xG 3 lnstall 20' wide x 8' height Tube Steel Double Swing Gate EA 1 3,{G{ao ={&5-.60 4 lnstall 4' wide X 8' height Tube Ste€l Pedestrian Gate EA 1 2,ctci3.9{37qt 6{ 5 lnstall 8' Chain-link Fence t-F 220 s<. o'1 ?-??t.24 6 lnstallS'Windscreen tF 220 1,a t 2 't5. 3r 7 Install 3-wire Barbed Wire onto existing Chain-Link Fence LF 300 Q.1{ 8 Repair exiting Chain-Link Fence and Posts per Site Plan 50 c7g'. )a 12b1. 'z TOTAT 39 rSo.s3 Jot{ 1> LF ITEM No DESCRIPIION UNIT ESTIMATED QUANTITY UNIT PRICE EXTENOED ITEM AMOUNT 1 lnstall 6" Tube Steel Fence LF 165 t? 48 xq{-7. b7 2 lnstall 22'wide X 6' height Tube Steel Roll Gate EA 1 3f ?t.o.31'lK.o'r 3 lnstall 20'wide X 6'height Tube Steel Double Swing Gate 1 3a-n,oa'3?11.oa 4 lnstall4' wide X 6'height Tube Steel Pedestrian Gate EA 1 23c/t.2Q 5 lnstall 6' ChainJink Fence t_F 220 3r.?r,{6oe.o7 6 lnstall6'Windscreen tF 220 s: 5(e 1t12. .3{ 7 lnstall 3-wire Barbed Wire onto existing Chah-Link Fence tF 300 b.7 {4o+{. clJ 8 Repair exiting Chain-link tence and Posts per Site Plan LF 50 q! 3<a2b1 rZ TOTAL 79,{13.<1t BIO SCHEDULE B Bid Items shall include the tumishing all labor, materials, methods or processes, implements, equipmenl, coring, tools, and machinery necessary for and appurt€nant lo the construction and completion of the Work in accordance with the Contract. All work shall be done in accordance rvith The Standard Sp€cmcatons tor Public Works Construction 2015 edition, the lalest Edition of th6 City ot Menifee Special Provisions and lhe city ot Menifee Standad Details TOTAL BID AMOUNT (in numbers):2fl , Sc| 3.9r TO AL BIO AMOUNT (in words): ollars Y.l,\lL I Aa hn)41- cenrsaa ContractoCs lnitials ln the event of a variation between the unit price and extended total, the unit price will be used and the corrected extension will be considered as the amount bid. lf the bid is illegible and cannot be reconciled it will be considered non-responsive and will not be considered for award. The lowest responsive bidder shall be determined by comparing sum of the base bid amount(s) with thatof alladditiveor alternative bids (if any) of bidders deemed bythe Ownerto be responsive in all other aspects. lf equal low bids are received from responsible and responsive bidders the selection shall be made by drawing lots, or other similar random blind method selected by the owner. lf only one responsive bid is received from a responsible bidder the award shall not be made unless the price can be determined to be reasonable based on an analysis by the Owner. The Owner's determination as to the reasonableness of any such bid shall be final. All bids received shall be recorded on an abstract (tabulation) of bids. and then made available for public inspection. The quantities listed in the bid proposalare provided to give a general indication of the scope of the work and for the comparison of bids. No warranty is made, either expressed or implied. that the actual quantities of work to be done will correspond therewith. ltem numbers followed by "(S)' are designated as specialty items. EA J3z/t. eQ By signing and submitting this bid the Contractor confirms that they are famlliar with the work site and all existing conditions that may affect their work and that they have read and agree to all the terms, conditions and requirements contained or referenced herein and that all the aforementioned has been included in the bid prices listed above including items of work that may not have a specific pay line item and that there shall be no additional costs to the Owner. WARNING: lf an addendum or addenda have been issued by the Owner and not noted above as being received by the bidder, this 8id may be rejected. Complete the following: Moors Fence Company Legal name of the business Corporation Buslness Tvpe (Corporation, Partnershlp, Sole Proprietor) DBA (ifany) Scotl Moor8, President Name and title of the owner Scott Mooro, Secretary Name and tltle ofsecond partner or orficer 280 E 1st St., Penis, CA 92570 BusinessAddress 951-657-3005 Telephone number 951-657-6442 Facslmile number rebecca@moorefence.net Emall address of prlmary contact Company web address 1-fr"l( Slgnature of Ptime Contractor Dat€Signature of P.lme Contractor Scott Moore President Print name and tltle Prlnt name and tltle (lf the Pdme Controclor is o cotpototion two signotutes ol corporcte olficets ore rcqulred.) Date 1 2 CERTIFICATE REGARDING CONTRACTOR'S TICENSE Contractor is required to possess one of the following State Contraqtor's [icense: State of California Class "A" and/or "C-13"Contractor's License. A failure to possess the required license, a failure to truthfully set forth the following information, or a failure to execute this Certificate renders the proposal nonresponsive and requires the City to reject the proposal. (Business and professions Code Section (7028.1s) Contractor declares, under penalty of perjury, that he possesses the required Contractor,s license(s) which: a. Bears the license number(s):915105 b. Exp ;1s5 6n; 05/312018 3 l-fr,19 SlEnature of Prlme Contractor Scott Moore, President Oate Si8nature oi Prime Contractor Date Prlnt name and title Ptint name and title ([the P me Contractor is a corporotioo two ignoturcs of cotporote office$ o.e required.) This required license determination has been made by the Owner. Any Contractor holding a different license who feels he is qualified to bid on this work must so advise the owner at least seven (7) days prior to the bid opening. A review of the contemplated work will be made and the Owner's decision as to the required license will be final. CERTIFICATION OF NON.DISCRIMINATION AND AFFIRMATIVE ACTION As suppliers of goods or services to the City of Menifee, the firm listed below certifies that it does not discriminate in its employment with regard to race, medical condition, color, marital status, reliEion, sex, handicap or national origin; that it is in compliance with all federal, state and local directives and executive orders regarding non-discrimination in employment; and that it agrees to demonstrate positively and aggressively the principle of equal opportunity in emptoyment. please refer to pan 1 of General Provisions, Section 7.2. We agree specifically: To establish or observe employment policies which affirmatively promote opportunities for minority persons at alljob levels. To communicate this policy to all persons concerned, including all company employees, outside recruiting services, especially those serving minority communities, and to the minority communities at large. 3. To take affirm ve steps to hire minority employees within the company. Moore Fence company Signat ute 1 2. President Firrn 1t24nx8 Title Date Please include any additional informatlon regarding equal opportunity employment programs now in effect within your company. DESIGNATION OF SUBCONTRACTORS ln compliance with the provisions of the Subletting and Subcontracting Fair Practices Act (Section 41OO et sec of the Government Code of the state of California) the undersigned Bidder has set forth below the full name and the location of the place of business of each Subcontractor who will perform work or labor or render service to the Prime Contractor in or about the construction of the work or improvement, or a Subcontractor licensed by the State of California who, under subcontract to the Prime Contractor, specially fabricates and installs a portion of the work or improvement according to detailed drawinBs contained in the plans and specifications to which the attached bid is responsive, and the portion of the work which will be done by each Subcontractor for each subcontract in excess of one-half of one percent of the Prime Contractor's total bid. The Bidder understands that if he fails to specify a subcontractor for any portion of the work to be performed under the contract in excess of one-half of one percent of his bid, he shall be deemed to have agreed to perform such portion of the work with contractor's own forces. Substitution shall not be allowed, except in cases of public emergency or necessity, and then only after a finding, reduced to writing as a public record of the City, setting forth the facts constituting the emergency or necessity. lf no subcontractors are to be employed on the project, enter the word "NONE". Item # Subcontractor Name / License No. N/A Bid ltem No. Amount of Subcontract Use on additiondl sheet ond anoch if necessory. Number of sheets dttoched Ior listed subconttoctots_ Percentage (%)oftotal contract amount that is subcontracted o/o (Do not include specialty items in the calculotion.) Signed this _da f .2018 t-/-r-ly Signature of Prlme Contractor scott Moore. President Date Signature of Prime Contractor Date Print name and title Print name and title (tthe Prime Contructor is a coryorotion. two signotures o! cotporcte olflce$ dre rcqulrcd.) COI{TRACTOR'S CERTIFICATE OF WORKER'S COMPENSATION INSURANCE Section 3700 of the Labor Code provides in part as follows: (a)By being insured against liability to pay compensation to one or more insurers duly authorized to write compensation insurance in this state. (b)By securing from the Director of lndustrial Relations a certificate of consent to self-insure, which may be given upon furnishing proof satisfadory to the 0irector of lndustrial Relations of ability to self-insure and to pay any compensation that may become due to his employees. Moore Fence Company (Lega I Name of Bidde r) By: Title: President (ln accordance with Article 5, commencing at Section 1860, Chapter 1, Pan 7, Division 2, of the labor Code, the above certificate must be signed and filed with the awarding body prior to performing any work under this contract.l "Every employer except the state shall secure the payment of compensation in one or more of the following ways: I am aware of the provisions of Section 3700 of the Labor Code, which require every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. I further certify that if I should contract or subcontract with any person, including firm or company, to do all or any part ofthe work for which this proposal covers, I shall assure compliance by that contractor or subcontractor with the provisions of Section 3700 of the Labor Code. Scott Moore NON.COLTUSION AFFIDAVIT The undersigned, in submitting a bid for performing the following work by Contract, being duly sworn. deposes and states: That he/she has not, either directly or lndirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding and has not accepted any deposit from any Subcontractor or Materialman through and bid depository, the bylaws, rules and regulations of which prohibit or prevent the Contractor from considering any bid from any Subcontrador or Materialman, which is not processed through said bid depository, or which prevent any Subcontractor or Materialman from bidding to any Contractor who does not use the facilities or accept bids from or t -'w bid deposilory in connection with this Contract. Signature of Prime Contractor Signature ime Contractor Scott Moore, President Scott Moore, Secreta Prlnt name and tltle Print name and tltle (lf the Prime Contrcctot is a cotporatian two signofurcs of corporota olficers orc .equircd.) 2E0 E lst St-. Penis, CA 92570 1t24t2018 Date Business address 39822 Wellsley Court, Temeorla, CA 92591 Place of residence Subscribed and sworn to before me this day of 2016 Notary Public in and for the County of State of (NOTE: AFFIDAVIT MU5T BE ATTACHED TO BIDDER'S PROPOSAT) 1t24t2018 Date notary public or other officer completing this rtificate verifies only the idenilty of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or of that document.li State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this 24 day of January 2o_!q_, by Scott Moore proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. t.MAI{EGGIO como slho , ?.t33695 ,{oE, Pulllc . Camorni. Rlyllld. County r9 (Seal)tgn :25i Logal Nam6 R6gislration Numb€r County City License Typ€/Numbe(s) MOORE FENCE COMPANY INC 1000005075 RIVERSIDE PERRIS CSLB:915105 losnuzorz 06/30/2018 lRegstration Date