T&S Construction Co Bid FormsSECTION 00 41 00
BID FORMS
BID TO
SOUTH TAHOE PUBLIC UTILITY DISTRICT
for the Construction of
2024 FILTER REHABILITATION PROJECT
DOCUMENTS IN THIS SECTION CONSTITUTE THE BID FORMS. BIDDERS ARE TO
COMPLETE AND ATTACH THE DOCUMENTS CONTAINED IN THIS SECTION AS
INSTRUCTED IN SECTION 00 20 00, INSTRUCTIONS FOR BIDDERS, AND SUBMIT THE
COMPLETED BID PROPOSAL PACKAGE IN ITS ENTIRETY ELECTRONICALLY PRIOR TO
THE BID DEADLINE. BIDDER IS REQUIRED TO SUBMIT THE ORIGINAL DOCUMENTS
CONTAINED IN THIS SECTION WITHIN THE TIME STATED IN SECTION 00 10 00,
SOLICITATION — INVITATION TO BID (SEE SECTION 00 20 00, INSTRUCTIONS FOR
BIDDERS, PART 2.03)
Name of
Bidder: T4
t�r✓v�Sf^�ic/��.n ��.; .
Business
Address:
Sa.&I'ci-me,41V, Ci`I �1 "Z-9
Phone No:
To South Tahoe Public Utility District:
Pursuant to and in compliance with the Notice Inviting Bids and the other documents relating
thereto, the undersigned, Bidder, being fully familiarwith the terms of the Contract Documents, local
conditions affecting the performance of the Contract, the character, quality, quantities, and the
Scope of the Work, the cost of the Work at the place where the Work is to be done, hereby
proposes and agrees to perform within the time stipulated in the Contract, including all of its
component parts and everything required to be performed, and to furnish any and all of the labor,
material, tools, equipment, transportation, services, permits, utilities, and all other items necessary
to perform the Contract and complete in a workmanlike manner, all of the Work required in
connection with the construction of said Work, all in strict onformity with the Specifications and
other Contract Documents, including Addenda Nos.
for the prices hereinafter set forth.
Bids that are submitted via the District's electronic bidding system at the time set for opening of Bids
shall be irrevocable, and may not be withdrawn for a period of sixty (60) days after the date set for
the opening of the bids except as noted in Section 00 20 00, Part 3.14.
ELECTRONIC BID SCHEDULE PRICES:
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
1
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 specified are the DISTRICT'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 up to 25% more than or less than the bid quantity.
All representations made by Bidder in this Bid are made under penalty of perjury.
DATED: /l'/ ���► / 2-CZ'( BIDDER: Tf S 6&,7S ✓tfeliod ®�. C,
SIGNATURE
TITLE:��
FEBRUARY 2024 SECTION 00 4100
2024 FILTER REHABILITATION PROJECT BID FORMS
2
INFORMATION REQUIRED OF BIDDER
DEPARTMENT OF INDUSTRIAL RELATIONS REGISTRATION:
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. /iii
Contractor DIR Registration Number: / 00&,-e) 9 72-
LIST OF SUBCONTRACTORS:
In compliance with the Subletting and Subcontracting Fair Practices Act Chapter4 (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 work 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 Bidder's Total Bid Price or $10,000, whichever is greater. No additional time shall be
granted to provide the below requested information.
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.
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
3
ATTACH ADDITIONAL PAGES. IF NECESSARY
Work to be Performed
Subcontractor's CSLB
License #
Subcontractor's DIR
Registration #
Percent of
Total Contract
Subcontractor's Name and
Location of Business
1.
Coatings
853403
1000672005
8%
Polytech Industrial, Inc
PO Box 12407, Fresno, Ca 93777
2.
Welding
923542
1000032316
5%
Builtware Fabrication, Inc.
4569 Skyway Dr, Olivehurst, CA 95961
3.
4.
5.
6.
7.
8.
9.
10.
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
4
EQUIPMENT/MATERIAL SUPPLIER LIST:
The Bidder shall indicate below which Supplier the Bidder intends to use to furnish under the Bid
each item of equipment or material listed on this form by writing the supplier's name. Unless the use
of alternatives for a particular item has been restricted by these Contract Documents, the Bidder
may list any manufacturer whose product meets all of the requirements and technical criteria
specified. The listing of more than one supplier for each equipment/material to be furnished with the
words "and/or" will not be permitted.
Equipment/Material Supplier Manufacturer
1. Filter Media Filtco Filtco
2. Valves Pace Supply DeZurik
3. Protective Coatings Polytech Tnemec
4. Piping, fittings, and specials Pace Supply EBAA
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
5
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FEBRUARY 2024 SECTION 00 4100
2024 FILTER REHABILITATION PROJECT BID FORMS
6
BIDDER'S GENERAL INFORMATION:
The Bidder shall furnish the following information. Additional sheets shall be attached as required.
Failure to complete Item Nos. 1 through 7, at the time of bid submittal will cause the bid to be non-
responsive and may cause its rejection. Bidders shall submit Item Nos. 8 and 9 if requested by the
OWNER prior to award of contract. No award will be made until all of the Bidder's General
Information (i.e., Items 1 through 7, inclusive and Items 8 and 9, if requested) is delivered to and
accepted by the OWNER.
(1) Bidder's Name and
//Address:
nC�C�,�S�l1�LLCTi�ea,. L/�E
(2) Bidder's Telephone Number: 01-36S-Z_
(3) Bidder's Preferred Email Address: Ani�ogo 9/621 Ji e, Lai,?
(4) Bidder's CSLB License: Primary Classification A . 6- n,,el / 60 sP,yee,,y,.?!CZ_
State License No. 3Qlr?7-t3
Expiration Date: M-30 - 20Z_5
Supplemental Classifications held, if any:
Name of Licensee, if different from (1) above:
, /// %�
,p N-;6?-1 , / �5
(5) Name of person who inspected site or proposed Work for your firm:
Name: Tod-- I-.e-e- Date of Inspection:
(6) Name, address, and telephone number of surety company and agent who will provide the
required bonds on this contract:
L+ f 7yLl10 e✓S (Gs e11y Y 6, % Ce/ f4J �i h✓� C'Leb
AI ¢ a'
��' ��» ✓' Su✓�h � /�,�%ems, i �� �o Goa � ®r , 5 � >, �c�s ��ll l/� 9.s`G,e CS9/d) 31s=,9 :S_T
(7) Complete and sign the forms:
a) Noncollusion Declaration
b) Iran Contracting Act Certification
c) Public Works Contractor Registration Certification
d) Contractor's Certificate Regarding Workers' Compensation
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
7
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:
FEBRUARY 2024 SECTION 00 4100
2024 FILTER REHABILITATION PROJECT BID FORMS
8
Name,
Description of
Completion
Project
Contract
address,
Bidder's Work
Date
Price
telephone #
of Owner
1.
�1oewfi
Cam) ����✓ 1�4,��Sru,�/�.f
Lts M 0%4e,r
1 z91 r . Ilat/y is
L z 1 d3vl �i.S°�rof r�'Af
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it �
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To
�f ����®��
�GC✓Z't�pellaol� Siz3
yUG'u it ��G�1a✓v�a41�
2.
�'welvP�t,9ijtf
°01211-2371-
VGWA-
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S NHE1v,I,PAu, pry=tn
p
l
3.pil
�Il $�Pcoxl
14S 3 t`/Qwe
tp
11WC't0�a�
�y wQQ �/
$ L .7 fG� 63
Seif oendYfrG�SES?y
(�e+(i�2°S e*44jt 9✓i J
/ �
%
4.
twg �04e 113
Ive,.✓ LAN Sk'lloo/
by�
,�� 6Z jJ%��/,
�e�u7s�.�,�4 Sc>�,
ert�
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/ b
6✓✓� F. 1, J'ilnr.l
s" (Y 4-� Pie
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e�7�iy-aze
(I � �ev✓ d���Slc��ay
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�� w CSCS)
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L lzCtr ltilce tjcrlCl, (� �Cv W4rl�Se (O7 �✓ , P� P ;�
17 2 91ZC 7,0
(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 shall be in
accordance with Section 00 20 00, Part 3.01.D.
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
9
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FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
10
NONCOLLUSION DECLARATION TO BE EXECUTED
BY
BIDDER AND SUBMITTED WITH BID
The undersigned declares:
am the pir P 51'Grerrf
making the foregoing bid.
(Position) of
(Firm), the party
The bid is 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 sham.
The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or
sham 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 bidding. 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 agent 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 of the State of California that the foregoing is true
and correct and that this declaration is executed on /#-,-,1,�m!V[date], at [city],
[state].
Name of Bidder
Signature ��
Name ��� ��
/d�G, 7"S' r 0%
y✓' �s
Title
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
11
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FEBRUARY 2024 SECTION 00 4100
2024 FILTER REHABILITATION PROJECT BID FORMS
12
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:
12/ 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 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.
❑ The amount of the Contract payable to the Contractor for the Project does not
exceed $1,000,000.
Signature: 2 ��Ae
Printed Name:Ar-ii ur z- 5,o%r7,e//a
Title: Pre s Je 4
Firm Name:
/� ¢�..
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.
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
13
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 http://www.dir.ca.gov/Public-
Works/PublicWorks.html 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 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
Name of Bidder: r� v1S f,/LtC�ior, Cam,, 6f�!
DIR Registration Number: / 10000&-2 711__
DIR Registration Expiration:
Small Project Exemption: Yes or ✓No
Unless Bidder is exempt pursuant to the small project exemption, Bidder further acknowledges:
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
Signature
Name and Title
✓rG, ��`' zG Z
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."
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
15
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FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
16
CONTRACTOR'S CERTIFICATE REGARDING WORKERS' COMPENSATION
I am 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 before commencing the
performance of the work of this Contract.
Name of Bidder / Q� �✓�c� �� �a.-Z;;,
Signature
Name and Title A46,r��l�?
Dated 9�+" 1>
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
17
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FEBRUARY 2024 SECTION 00 4100
2024 FILTER REHABILITATION PROJECT BID FORMS
18
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 perjury, that the option checked below relating to the
Bidder's fleet, and/or that of their subcontractor(s) ("Fleet") is true and correct:
M The Fleet is subject to the requirements of the Regulation, and the appropriate
Certificate(s) of Reported Compliance have been attached hereto.
❑ 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.
0 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)(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
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).
❑ The Fleet does not fall under the Regulation or are otherwise exempted and a detailed
reasoning is attached hereto.
Name of Bidder: Tf s-c4el/c>�'7 a. -,
Signature:
Name: / 1✓���J'� /s _�,/ai.��-�
Title:
Date:
&
1 Zo
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
19
V.G � I
CALIFORo
A JAIA Calendars I A-Z Index
DOORS Home I Message Center I Other Tools a -ROAR Hi Art, Log Out
Owner Information Vehicle &Engine VDECS Compliance snapshot
Engine Repower Low -Use Agricultural Vehicle FundingI Non Standard Engine Non Diesel Engine Long -Term Rental
DOORS ID: 3234 Company Name: T & S CONSTRUCTION CO, INC. Fleet Type: Off -Road Diesel
-- DOORS Disclaimer --
Fleet Compliance Snapshot
As of Today (March 6, 2024) v Refresh Fleet Data
Your fleet, as currently reported, has met the off -road regulation performance
requirements through the January 1, 2024 compliance date because it has
earned BACT credits that will be applied towards the required BACT amounts
through the January 1, 2024 compliance date.
Please see the Compliance Summary table below for details.
`This determination is based on the make up of your CURRENT Fleet in DOORS, which includes age and horsepower of engines, retrofits (if any), vehicles sold (credits, if any), exempt vehicles such
as Low -Use (if any), subfleels (if any), and other credits (if any).
Current Fleet Statistics
Fleet Size:
Medium
Number of Vehicles:
In Fleet Average:
Low -Use:
Exempt Not Low -Use:
Vehicles in Funding Contracts:
37
12
0
0
Vehicles in Fleet:
49
Horsepower (in fleet average):
4,960
Total Fleet Horsepower:
6,733
First Compliance Date:
January 1, 2017
"" Total family horsepower is the sum of the horsepower of any parent company, subsidiary, or other fleet
related to the current fleet. Click the "Show Fleet Family" option button on the reporting home page for more
information.
Fleet Target and Average Emission Rates (g/bhp-hr)
January 1, Year
2017
2018
2019
2020
2021
2022
2023
2024
Target
4.9
4.4
3.7
3.1
2.5
1.9
1.6
1.6
Average
6.5
5.5
4.7
4.3
2.4
2.3
1.9
1.9
tdeyono zuz j, rleet target Kates will no longer decrease each year, but will still be recalculated
using the final year target values to account for changes in fleet composition.
Requirements
Your Current Fleet Average:
1.9
By using your credit, your fleet can comply through:
2024
in which case your unused credit would be:
224 hp
To be in compliance each year, the Fleet average must be lower than or equal to the fleet target, OR the Fleet must meet the required BACT amount. For more information, please
see the FAQs on Fleet Average and BACT.
Compliance Summary
Compliance Date
Begin Credit
Credit Use/Expired
End Credit
In Compliance?
Compliance Method
BACT Requirement
2017-01-01
851
356
495
yes
Credit Used
8 % ' 4,452 = 356
2018-01-01
495
472
23
yes
Credit Used
10%4,721 = 472
2019-01-01
534
485
49
yes
Credit Used
10 % ' 4,852 = 485
2020-01-01
653
464
189
yes
Credit Used
10% * 4,645 = 464
2021-01-01
189
0
189
yes
met fleet average
na
2022-01-01
1,278
514
764
yes
Credit Used
10% " 5,141 = 514
2023-01-01"
814
524
290
yes
Credit Used
10% " 5,248 = 524
All existing BACT credits expire after the 1/1 /2023 compliance date.
2024-01-01
774
550
224
yes
Credit Used
10% " 5,507 = 550
2025-01-01
224
0
224
no
Action Needed
10% " 4,960 = 496
2026-01-01
224
0
224
yes
met fleet average
na
Recent Year Fleet Size
Year
1 2014
1 2015
1 2016
1 2017
1 2018
1 2019
1 2020
1 2021
1 2022
1 2023
2024
Fleet Size
Medium I
Medium
I Medium
I Medium
I Medium
Medium
I Large
I Large
I Large
Imediumimedium
View Snapshot Calculation Detail
View Sold Vehicles With No Credit
The Early Credit FAQ provides an explanation of the early credits (which are credits 2449.1(b)13 —18), and shows example calculations.
If you have questions about this page, please contact ARB at doors@arb.ca.gov or call 1(877) 59-DOORS.
Back to Top I All ARB Contacts I A-Z Index
Vv AIR CA SOU crS eonxo
A J A I A Calendars I A-Z Index
DOORS Home I Message Center I Other Tools I Hi Art, Log Out
Owner Information Vehicle &Engine VDECS Compliance Snapshot
Engine Repower Low -Use Agricultural Vehicle Funding Non Standard Engine Non Diesel Engine Long -Term Rental
DOORS ID: 3234 Company Name: T & S CONSTRUCTION CO, INC. Fleet Type: Off -Road Diesel
ROAR Requirements
To comply with the In -Use Off -Road Diesel -Fueled Fleets Regulation, fleets must submit a Responsible Official Affirmation of Reporting (ROAR) annually by March 1 to the
California Air Resources Board (CARB) during the following years: 2012 to 2023 for large fleets, 2016 to 2023 for medium fleets, and 2018 to 2028 for small fleets.
The ROAR must be submitted by a fleet to affirm that the fleet's reported information is accurate and the fleet is in compliance with the In -Use Off -Road Diesel -Fueled Fleets
Regulation. The requirements that must be met in order for this affirmation to be valid are described in title 13, section 2449(g)(1) and (2).
For more information, please check out the a -ROAR User Guide.
Submit ROAR Electronically for Year 2024
ROAR Requirement Checklist
2024 ROAR has been processed.
p/J
1a. The fleet is currently in compliance with medium fleet performance requirements
C7
1b. The Compliance Snapshot was viewed within the last 60 minutes.
e�
2. Vehicle and Engine Information complete
3. Contact Information and Responsible Official Contact Information provided
Additional Information
4. The low -use hour meter readings and low -use outside hour logs have been reported to CARB.
Low -use hour meter readings received./ No low use outside hours log required at this time.
5. The agricultural hour logs have been reported to CARB.
No agricultural vehicles were reported.
6. The Vehicle Funding data have been reported to CARB.
No funded vehicles were reported.
7. Other reporting issues.
No other reporting issues.
Responsible Official: Anthony Spinella Contact Name: Art Spinella
Responsible Official Email: anthony@916pipe.com Contact Email: arttsconstruction@hughes.net
Responsible Official Phone: (916) 869-1164 The contact person will no longer receive the PIN for the a -ROAR.
I further understand that by requesting a PIN, I agree to receive and send information to CARB in an
electronic format, and I attest that I have the ability to access the information in the electronic format
Check Here that will be used.
To proceed to the a -ROAR page, click on the button below. DOORS will send to the Responsible
Official an email containing the PIN that you will need to electronically sign the a -ROAR. The PIN is
unique to the fleet. You have already submitted the 2024 ROAR.
Step 1 of 2: Request PIN and Proceed to e-ROAR Page You have already submitted the 2024 ROAR.
Alternative way to file ROAR:
Print and complete the ROAR form (pdf).
Then, either scan the completed form(s) and email them to doors@arb.ca.gov, or mail the completed form(s) to:
Attention: Off -Road Diesel Reporting
MSCD, Mail Stop 5B
Air Resources Board
PO Box 2815
Sacramento, CA 95812
Is Designated Official form is optional, only to be used if the responsible official is designating an alternate person
be the signatory of the affirmation of reporting form.
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FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
20
BID BOND
KNOW ALL MEN BY THESE PRESENTS,
The makers of this bond are, T & S Construction Co., Inc. as
Principal, and Travelers Casualty and Surety Company of America 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, for the payment of which sum in lawful money of
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.
THE CONDITION OF THIS OBLIGATION IS SUCH that whereas the Principal has submitted the
accompanying bid dated March 7 , 20 24 for South Tahoe Public Utility
District, 2024 Filter Rehabilitation Project.
If the Principal does not withdraw its bid within the time specified in the Contract Documents; and if
the Principal is awarded the Contract and provides all documents to the Owner as required by the
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 affect its obligation under this
bond, and Surety does hereby waive notice of such changes.
In the event a lawsuit is brought upon this bond by said Owner and judgment is recovered, the
Surety shall pay all litigation expenses incurred by the Owner in such suit, including reasonable
attorney's fees, court costs, expert witness fees and expenses.
By their signature hereunder, Surety and Principal hereby confirm under penalty of perjury that
Surety is an admitted surety insurer authorized to do business in the State of California.
IN WITNESS WHEREOF, the above -bound parties have executed this instrument under their
several seals this 1st day of March 20 24 , the name and corporate seal of
each corporation.
(Corporate Seal)
(Corporate Seal)
(Attach Attorney -in -Fact Certificate)
FEBRUARY 2024
2024 FILTER REHABILITATION PROJECT
T & S Construction Co., Inc.
Contractor/ Principal
Title �1Z'StG1�
Travelers Casualty and Surety Company of America
Surety
By
Attorney -in -Fact
Title Dona Lisa Buschmann, Attorney -In -Fact
SECTION 00 41 00
BID FORMS
21
Notary Acknowledgment
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
truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
COUNTY OF
On , 20_, before me, , Notary Public, personally
appeared NAInO(8) of 81011et(6) , who proved to me on the basis of satisfactory
evidence to be the persons) whose name(s) is/are subscribed to the within Instrument and acknowledged to me
that he/she/they executed the same in his/her/their authorized capaoity(ies), and that by his/her/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 California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
Signature of Notary Public
OPTIONAL
Though the information below is not required by law, It mey 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
i Individual
I Corporate Officer
Titles)
I Partner(s) I Limited
I General
I Attorney -In -Fact
i . Trustee(s)
I Guardian/Conservator
I I Other,
Signer is representing:
Name Of Person(s) Or Entlty(les)
Title or Typo of Document
Number of Pages
Date of Document
Signer(s) Other Than Named Above
NOTE: This acknowledgment is to be completed for Contractor/Principal.
FEBRUARY 2024 SECTION 00 4100
2024 FILTER REHABILITATION PROJECT BID FORMS
22
(See Attached)
Notary Acknowledgment
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
truthfulness, accuracy, or validity of that document,
STATE OF CALIFORNIA
COUNTY OF
On 20--___, before me, , Notary Public, personally
appeared , who 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 he/she/they executed the same in his/her/their authorized capaclty(les), and that by his/her/their signature(s)
on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument,
certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
Signature of Notary Public
OPTIONAL
Though the lnformatlon 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
i Individual
i Corporate Officer
Titlo(s) Title or Type of Doeument
I. Partner(s) I Limited
I General Number of Pages
I Attorney -in -Fact
i Trustee(s)
i . Guardian/Conservator Date or Dooument
i Other:
Signer Is representing:
Name Of Person(s) Or Entity(les)
SIgner(s) Other Than Named Above
NOTE: This acknowledgment Is to be completed for the Attorney -In -Fact. The Power -of -Attorney to local
representatives of the bonding company must also be attached,
FEBRUARY 2024 SECTION 00 4100
2024 FILTER REHABILITATION PROJECT BID FORMS
23
ACKNOWLEDGMENT
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 truthfulness, accuracy, or
validity of that document.
State of California
County of Placer
On March 1, 2024
before me, Kathy Rangel, Notary Public
(insert name and title of the officer)
personally appeared Dona Lisa Buschmann
who 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 he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/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 California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature
(Seal)
K HY WOE'
COMM. N 2344558 i
NCTANY PUBLIC oC11LIF011NIA
PLACER COUNTY
Comm. Ex . FEB. 11, 2025
Travelers Casualty and Surety Compiany of America
„AV,LERS7' Travelers Casualty and Surety Company
St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of Amorloa, Travelers Casualty and Surety Company, and
St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein
collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Dona Lisa Busehmann of
ROSEVILLE , California , their true and lawful Attorney(s)-In-Fact to sign, execute, seal and
acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory In the nature thereof on behalf of
the Companies In their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or
guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this Instrument to be signed, and their corporate seals to be herato affixed, tills 21st day of April,
2021.
(�(
Go
�
State of Connecticut_ _
By: ,
City of Hartford as, Robert L, Rana , enior Vice President
On this the 21st day of April, 2021, before me personally appeared Robert L, Raney, who acknowledged himself to be the Senior
Vies President of each of (lie Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the
purposes [herein contained by signing on behalf of said Companies by himself as a duly authorized officer.
IN WITNESS WHEREOF, I hereunto set my hand and official seal. r W AL
k4"
NbrAHY
My Commission expires the 30th day of June, 2026 olo.
ruati.ic ---W Anna P. Nowik, Notary Public
Mn,in"
This Power of Attorney Is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of
the Companies, which resolutions are now In full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice
President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint
Attorneys-In,Faot and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority
may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of Indemnity, slid other writings
obligatory In the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may
remove any such appointee and revoke the power given him or her; and it Is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or
any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided
that each such delegation Is In writing and a copy thereof is filed in the office of the Secretary; and It Is
FURTHER RESOLVED, that any bond, recognizance, contract of Indemnity, or writing obligatory In the nature of a bond, recognizance,
or conditional undertaking shall be valld and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive
Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the
Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;
or (b) duly executed (under seal, If required) by one or more Attorneys -In -Fact and Agents pursuant to the power prescribed In his or her
certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and It Is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President,
any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to
any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretarles or Attorneys -In -
Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of
Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed
and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or
understanding to which it is attached,
I, Kevin E, Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing Is a
true and correct copy of the Power of Attorney executed by said Companies, which remains In full force and effect.
Dated this 1 st day of March , 2024 ,
01(
y��aF�tY Aye{L' �'M
O 0 a�4f , AH��! �� N
� T 1
�n E. Hughes, As�cretary
To verlfy the authentic/ty of th/s Polder of Attorney, please cal/ us at I-900-4.2,X-3890.
Please refer to the above-pantedAttorney(s)-fir-Fact and the detalls of the bond to which this PowerofAttorney is attached.
END OF BID BOND
FEBRUARY 2024 SECTION 00 4100
2024 FILTER REHABILITATION PROJECT BID FORMS
24
ACKNOWLEDGMENT OF INSURANCE REQUIREMENTS
This Document Must Be Fully Executed By Contractor
and Submitted With The Bid
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 Requirement 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 shall be 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 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.
of w/ fs
the
(Insert Title)
(Name of Company or Corporation 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 PresidWint, Secretary,
Manager, Owner, or Representative
Date: ! d ic��e�i► ��� L�'Z'
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
25
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FEBRUARY 2024 SECTION 00 4100
2024 FILTER REHABILITATION PROJECT BID FORMS
. 26
CERTIFICATION BY CONTRACTOR'S INSURANCE BROKER
This Document Must be Fully Executed By Contractor's
Insurance Broker and Submitted With the Bid
" nJ LA"kx /' ,rn an authorized representative of
(Individual's name and brokerage namen
c�.This company is the insurance broker
(Insurance Company)
for %d s (.04S-/rZ4r_T7o/v CC -I .T*-C. ("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
District's 2024 Filter Rehabilitation Project ("Project"), including the requirements set forth in
Section 00 73 00, Supplementary Conditions, Part 2.01 of the Contract Documents.
2. 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 binding of coverage bes not modify and/or alter the
terms and conditions of the insurance policies issued to or.
Date: 3bl 2oZ
(Signature of authorized representative)
for /7K5-lv��{i•.,�+ /i1) «-(�
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 truthfulness, accuracy, or validity of that document.
State of California )
ss.
County of ���`��'`�� f`' )
On before me, = L?U l/Uc fY I,S{ryCs;f �d�t ytf�+hli�. nersonally gnnPgr,-rI
Jv'� ) - i\r) J,TI O0 , who 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 he/she/they
executed the same in his/her/their authorized capacity(ies), and that by his/her/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 California that the foregoing paragraph
is truce -a d correct.
--V171Tftl y hand and official seal. MI ANNE MEUSB RGER
COMM. # 2383664 s
NOTARY PUBLIC-CALIFORNIA=
Notary Public SACRAMENTO CO.-,
<.aw� EXP. DEC 15, 2025 oops
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
27
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FEBRUARY 2024 SECTION 00 4100
2024 FILTER REHABILITATION PROJECT BID FORMS
28
DESCRIPTION OF BID ITEMS
The Bid Schedule includes the work to rehabilitate Filter Nos. 3 and 4 and associated
appurtenances including the one year warranty period on parts, labor, and materials.
The costs for any Work shown or required in the Contract Documents, but not specifically identified
as a line item are to be included in the related line items and no additional compensation shall be
due to Contractor for the performance of the Work.
The estimated quantities for Unit Price items are for purposes of comparing Bids only and the
District makes no representation that the actual quantities of work performed will not vary from
the estimates. Final payment shall be determined by the Engineer from measured quantities of
work performed based upon the Unit Price.
General Note: Distances and measurements, except elevations and structural dimensions, shall
be made on horizontal planes.
Bid Schedule items 1 through 7 are presented to indicate major categories of work for the purpose
of comparative bid analysis and payment breakdown for monthly progress payments. Bid Items are
not intended to be exclusive descriptions of the work categories. The CONTRACTOR shall
determine and include in his pricing all materials, labor, and equipment necessary to complete each
Bid Item (work phase) as shown and specified in the Contract Documents whether specifically
described in the following or not.
Bid Item 1 - Mobilization and Demobilization: includes but is not limited to: obtaining of bonds,
insurance and financing, movement of equipment, materials and personnel to and from the job site,
supervision, certificates, permits, submittals and RFIs, utilities, site maintenance, cleanup, dust
control and work incidentals to the contract not specifically identified under the remaining items or
costs incurred prior to beginning work and after completion of work on the various contract items.
The cost for this item shall not exceed 10 percent (10%) of the total bid without documented
justification, nor shall the CONTRACTOR submit for payment of all of the funds under this item until
demobilization has been completed.
The CONTRACTOR's payment for this item shall be by the lump sum.
Bid Item 2 — Demolition, Disposal, and Vessel Modifications: includes but is not limited to: removal
and proper disposal of filter media and support gravel from Filter Nos. 3 and 4, removal and proper
disposal of piping identified for replacement in Filter Nos. 3 and 4; installation of manways in Filter
Nos. 3 and 4 at the locations indicated on the Contract Drawings, and installation of lugs for piping
supports at locations shown on Contract Drawings.
The CONTRACTOR'S payment for this item shall be by the lump sum.
Bid Item 3 — Support Gravel and Filter Media: includes but is not limited to: procurement,
installation, and testing of support gravel and filter media in Filter Nos. 3 and 4.
The CONTRACTOR'S payment for this item shall be by the lump sum.
Bid Item 4 — Interior Coating of Vessel: includes but is not limited to: procurement, surface
preparation, and installation of protective coatings on the interior of Filter Nos. 3 and 4.
FEBRUARY 2024 SECTION 00 41 00
2024 FILTER REHABILITATION PROJECT BID FORMS
29
The CONTRACTOR'S payment for this item shall be by the lump sum.
Bid Item 5 — Vessel Interior Piping: includes but is not limited to: procurement and installation of
new influent header, surface wash header, fixed -grid surface wash system and supports, and
underdrain laterals in Filter Nos. 3 and 4, as shown on the Contract Drawings.
The CONTRACTOR'S payment for this item shall be by the lump sum.
Bid Item 6 — Filter Gallery Valving: includes but is not limited to: demolition and disposal of existing
valves in filter gallery, procurement and installation of valving in the filter gallery as identified in
Contract Documents, including temporary pipe supports, pneumatic tubing and cylinders, operators
and coati ng/recoating.
The CONTRACTOR'S payment for this item shall be by the lump sum.
Bid Item 7 — Contingency Work: includes a lump sum amount of $25,000 for this bid item that shall
be paid on a TIME AND MATERIALS BASIS, only with prior written approval by the Engineer. This
item is to address work within the project area that have not been identified in the plans,
specifications, and reports provided to the Contractor for bidding. Contractor shall draw upon the
allotted amount through the submittal and District -approval of documented costs for materials,
equipment, labor and subcontractors in conformance with the Contract Documents. If the total
amount of this bid item is exceeded, additional as -needed work will be addressed as Change Work
under the Contract. Work under this Bid Item shall include all work required to address the unknown
condition.
The CONTRACTOR'S payment for this item shall be on a time and materials basis, only with
prior written approval of the Engineer.
END OF SECTION
FEBRUARY 2024 SECTION 00 4100
2024 FILTER REHABILITATION PROJECT BID FORMS
30
CONSTRUCTION OF
2024 FILTER REHABILITATION PROJECT
FOR
SOUTH LAKE TAHOE PUBLIC UTILITY DISTRICT
THE BID SCHEDULE IS TO BE COMPLETED ELECTRONICALLY IN THE ELECTRONIC
BIDDING SYSTEM AMD IS INCLUDED HERE FOR INFORMATION PURPOSES ONLY.
BID SCHEDULE: (Refer to Bid Descriptions for a more detailed description for each of the
following bid items)
Item
Description
Approx.
Quantity
Unit
No.
Qua i
Price
Amount
1.
Mobilization and demobilization
including bonds and insurance, and
cleanup (Note: this lump sum figure:
1
cannot exceed 10 percent of the total
cost of the total bid (excluding this
b
item).
{
2.
Demolition, Disposal, and Ve ;NZO
Modifications.
1
3.
Su ort Gravel and Fie is �'`
pp
S
;, s,
4.
Interior Coating of ,
LS
5.
Vessel Interior P'
LS
1
6.
Filter Galle
7.
Continge: Y:
25,000
$25,000
: � L`�`�L7 a. -old � � • • ,� � i � . `�
N-N
.:�CHEDULE
t
FEBRUARY 2024
2024 FILTER REHABILITATION PROJECT
SECTION 00 41 00
BID FORMS
31