CITY OF WILLITS
Public Works and Engineering Department
380 East Commercial Street, Willits, CA
Voice: (707) 459-4605 • Fax: (707) 459-2481
July 9,2010
Mr. Bret McPhaul
Mendocino Construction
P.O. Box 1517
Services, Inc.
Willits, CA 95490
Re:
NOTICE TO PROCEED Construction
City of Willits Contract No.: 2010-01
Contract - West Commercial Street Rehabilitation
Project
Federal Aid Project No.: ESPL-5082(057)
Dear Mr. McPhaul:
Enclosed for your files, is a fully executed construction
contract for the above referenced project. Please also accept
this correspondence as acceptance of your contract document submittal and the issuance of your Notice to Proceed,
with construction in the not-ta-exceed amount of $400.901. The work is to commence on or before July 19. 2010,
and is to be completed on or before October 5.2010.
All work is to be done in accordance
Willits Instructions
with the project specifications
To Bidders & General Provisions.
titled Notice To Bidders. Proposal Book. City Of
City Of Willits Special Provisions. Caltrans Special Provisions.
City Of Willits Technical Specifications. Award Book. and Contract for the West Commercial Street Rehabilitation
Proiect. Contract No. 2010-01, the project plans titled West Commercial Street Rehabilitation Proiect. Contract No.
2010-01, dated February 25.2010,
The
City
is requesting
to
and your construction
meet
with
you
in the
Bid, dated May 10. 2010.
field,
to
conduct
the
Pre-Construction
Conference
on
Monday. June 12. 2010. at 10:00 A.M. I'd like to request that you bring your proposed traffic control plan to the
meeting. Please contact Jeremy Ronco at the number listed below, to confirm your availability.
I would also like to take this opportunity
contract.
1.
to highlight
some of the important
provisions
that are applicable
to this
Please be advised that federal posters need be posted for every worker to see at, or near the contractor's
office, at the construction site, or at the workers central gathering point.
2.
As this project is Funded thru the American Recovery and Reinvestment
your
monthly
pay
1204)(Rev.0412009)).
request
This
application,
form
is
the
available
htiD://www.dot.ca.Qov/hQ/construc/forms/cem1204.pdf.
ARRA
in
a
Monthly
fillable
Act (ARRA), you must summit, with
Employment
PDF
using
Record
the
((form
following
CEM-
web
link
A hard copy of the form is enclosed for your use.
The City will be unable to release payment without the submission of this form.
3.
Also as a part of your monthly submission,
Caltrans
Exhibit 16-Z. You may download
please submit the monthly DBE Trucking Verification
Form,
this form at http://www.dot.ca.Qov/hq/LocaIProqrams/lam/fonns/
Distribution:
Original·
Mendocino Construction Services, Inc.
Original-
Adrienne Moore, City Cieri<
Copy
- Project Management File
:r/I~ ~(!,
lapmforms.htm,
4.
but a hard copy has been provided with this notice.
The City also needs to collect from you, a completed Section 14. Federal Requirements for Federal-Aid
Construction Projects; the form has been enclosed with this notice. Please submit this form within 7
business days of this correspondence.
5.
The City has assigned the following staff to your project:
Resident Engineer:
Thomas M. Mannatt License No. C31931
City of Willits
Ph: (707) 459-7136
CI: (707) 841-7925
Email: TMannatt@WillitsCitV.com
Project Management Assistant:
Brandi Burtness
City of Willits
Ph: (707) 459-7143
Email: Bburtness@WiliitsCitv.com
Compliance Officer:
Paul Cayler
City of Willits
Ph: (707) 459-7112
Email: CavlerP@WillitsCitV.com
Please acknowledge
receipt and acceptance
of this notice by signing both copies in the space provided below.
one copy and return the other to Brandi Burtness at 380 E. Commercial
Keep
St., Willits, CA 95490.
~/11/f~
Thomas M. Mannatt
City Engineer
City of Willits
(707) 841-7925
Authorized signature:
Title:
f
Distribubon:
OriginalOriginalCopy
Mendocino Construcbon Services, Inc.
Adrienne Moore, City Clerk
- Project Management File
E
Agreement
Agreement
Agreemont
Local Assistance Procedures
STATE OF CALIFORNIA
Manual
- DEPARTMENT
EXHIBIT 16-Z
Monthly DBE Trucking Verification
OF TRANSPORTATION
MONTHLY DBE TRUCKING VERIFICATION
CP-CEM-2404(F)
CONTRACT
(NEW
NO.
(oj
loase Lease
Agroement
lease
Agreement
12/99)
0
B
Leaso
Commission
Paid and Addre ••
Name
PatrolHwy.
CA No.
$
with Or
Non-DBE
Company
California
Nan-DBE
Arrangement
Amount
if
applicable)
Date Paid'
.•Upon request all Lease Agreements
BUSINESS
ADDRESS
YEAR Truck
MONTH
No.
I
sholl
be
BUSINESS PHONE NO.
mode available. in accordance
with the Special Provisions.
I CERnFY THATTHEABOVE INFORMATION IS COMPLETEAND CORRECT
CONTRACTOR
C~M-2A04F (NEW 12/99)
LPP 04-('
I
REPRESENTATIVE'S SIGNATURE
COpy
DATE
TITLE
DISTRIBUTION:
ORIGINAL
- RESIDENT ENGINEER
Page 16-117
A.
\
Jt 12, 2004
EXHIBIT 16-Z
Local Assistance Procedures
Manual
Monthly DBE Trucking Verification
Form CP-CEM 2404 (F)(NEW 12/99)
MONTHLY DBE TRUCKING VERIFFICA nON
The top of Form CEM-2404(F) contains boxes to put in the Contract Number, the Month of the
reporting period and the Year of the reporting period.
The Form CEM-2404(F) has a column to enter the name of the Truck Owner, the DBE Cert. No. (if
DBE certified) and the Name and Address of the trucking company. The Form CEM-2404(F) also
requires the Truck No. and the California Highway Patrol CA No.
Form CEM-2404(F) is to be submitted prior to the 15th of each month and must show the dollar amount
paid to the DBE trucking company(s) for trucking work performed by DBE certified trucks and for any
fees or commissions of nonDBE trucks utilized each month on the project. The amount paid to each
trucking company is to be entered in the column called "Commission or Amount Paid," in accordance
with the Special Provisions Section 5-I.X.
Payment information is derived using the following:
I.) 100% for the trucking services provided by the DBE using trucks it owns, operates and
insures.
2.) 100% for the trucking services provided by the trucks leased from other DBE finns.
3.) The fee or commission paid to nonDBEs for the lease of trucks. The Prime does not receive
100% credit for these services because they are not provided by a DBE company.
The total dollar figure of this column is to be placed in the box labeled "Total Amount Paid." The
column "Date Paid" requires a date that each trucking company is paid for services rendered. The next
column contains information that must be completed if a lease arrangement is applicable. Located at the
bottom of the form is a space to put the name of the "Prime Contractor," their "Business Address" and
their "Business Phone No."
At the bottom of the form there is a space for the Contractor or designee "Contractor Representative's
Signature, Title and Date" certifying that the information provided on the form is complete and correct.
Page 16-118
August 12,2004
LPP 04-07
STATE OF CALIFORNIA'
DEPARTMENT OF TRANSPORTATION
AMERICAN RECOVERY and REINVESTMENT ACT (ARRA)
MONTHLY EMPLOYMENT REPORT
CEM-1204 (REV. 04/2009)
See instructions that fol/ow
1. CONTRACT
NUMBER
2. FEDERAL-AID
3. REPORT MONTH AND YEAR (mm/yyyy)
5. CONTRACTOR
14. CONTRACTING
NUMBER
AGENCY
NAME AND ADDRESS
EXISTING
6. EMPLOYMENT
NEW DATA
HIRES
HOURS
PAYROLL
EMPLOYEES
EMPLOYEES
EMPLOYEES
SUBCONTRACTOR
DIRECT, ON- PROJECT JOBS
SUBCONTRACTOR
NAME(S):
'''.~
PROJECT
~~.,'\, (i>:'.i:~~
" .,. ;1r~~i];;'
.:"Jil';~'.
'~{.j;
DBE
W'j~ ~ ~S
~~i;;1~;'
D
>
'"'\'
fDATE
IDATE
CONTRACTOR: (Signature and Title)
E AND SUBCONTRACTOR
TOTALS (NEW + EXISTING)
ACTOR
SUBTOTALS
D
'---COpy
DISTRIBUTION:
ADA Notice
Original·
Project Files
Copy·
For individuals with sensory disabilities, this document is available in alternate formats.
and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Contractor
For information call (916) 654-6410 or TDD (916) 654-3880 or write Records
STATE OF CALIFORNIA'
DEPARTMENT OF TRANSPORTATION
AMERICAN RECOVERY and REINVESTMENT ACT (ARRA)
MONTHLY EMPLOYMENT REPORT
CEM-1204 (REV. 0412009)
INSTRUCTIONS FOR COMPLETING MONTHLY EMPLOYMENT REPORT FORM
BOX 1. Contract Number: The state-assigned project number or 10; district and expenditure authorization (EA).
BOX 2. Federal-aid Project Number: The state-assigned federal-aid project number.
BOX 3. Report Month and Year: The month and year covered by the report. Reported as "mm/yyyy."
BOX 4. Contracting Agency: The name of the contracting agency. For state projects, enter Caltrans. For non-state projects, enter the name of
the contracting agency (federal agency, tribe, MPO, city, county, and so forth).
BOX 5. Contractor Name and Address: The name and address of the contractor must include the firm name, street address, city, state, and zip
code.
BOX 6. Employment Data
Subcontractor Name(s): The name of each subcontractor active on the project for the reporting month. If the subcontractor is a
Disadvantaged Business Enterprise (DBE), check the box.
Employees: The number of new hires and existing employees on the contractor's workforce that month, and the number of new hires
and existing employees for each of the active subcontractors that month. Do not include material suppliers. Report all data as whole
numbers ..
Hours: For the reporting month, the total time spent, including overtime hours, on the specified project by the contractor's and active
subcontractors' new hires and existing employees.
Payroll: The total dollar amount of the basic hourly rate paid by the contractor on the specified project for all employees for the
reporting month and the total dollar amount of the basic hourly rate of pay paid by each active subcontractor that month. The basic
hourly rate does not include fringe benefits such as vacation, health and welfare, pension and others. Report all data to the nearest
whole dollar.
BOX 7. Certified by Contractor
Name: The contractor representative or person responsible for certification of the information included on the form. By completing the
form, the authorized representative certifies knowledge of the hours worked and employment status for all employees. The contractor is
responsible for maintaining data that supports the employment form and for making that data available to the state if it requests
supporting materials.
Date: The date that the contractor completed the employment form is reported as "mm/dd/yyyy:
BOX 8. Reviewed by Contract Administrator (to be completed by the state or authorized representative)
Name: State representative, such as the resident engineer or contract manager, or authorized project representative responsible for
reviewing the submitted form.
Date: The date that the state representative reviewed the form is reported as "mm/dd/yyyy."
-SEGTION 14: CAL TRANS - FEDERAL
REQUIREMENTS
FOR FEDERAL-AID
CONTRUSTION
PROJECTS
SECTION
14. FEDERAL
REQUIREMENTS
FOR FEDERAL-AID
GENERAL.-The
work herein proposed will be financed in
whole or in part with Federal funds, and therefore all of the
statutes, rules and regulations promulgated by the Federal Government and applicable to work financed in whole or in part with
Federal funds will apply to such work. The "Required Contract
Provisions, Federal-Aid Construction Contracts, "Form FHW A
1273, are included in this Section 14. Whenever in said required
contract provisions references are made to "SHA contracting
officer," "SHA resident engineer," or "authorized representative of
the SHA," such references shall be construed to mean "Engineer"
as defined in Section 1- I.18 of the Standard Specifications.
PERFORMANCE
OF PREVIOUS
CONTRACT.-In
dition to the provisions in Section II, "Nondiscrimination,"
Section VII, "Subletting or Assigning the Contract," of the
quired contract provisions, the Contractor shall comply with
following:
adand
rethe
The bidder shall execute the CERTIFICATION WITH REGARD TO THE PERFORMANCE
OF PREVIOUS CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL
OPPORTUNITY
CLAUSE
AND
THE
FILING
OF
REQUIRED REPORTS located in the proposal. No request for
subletting or assigning any portion of the contract in excess of
$10,000 will be considered under the provisions of Section VII
of the required contract provisions unless such request is
accompanied by the CERTIFICATION
referred to above,
executed by the proposed subcontractor.
NON-COLLUSION
PROVISION.-The
provisions in this
section are applicable to all contracts except contracts for Federal
Aid Secondary projects.
Title 23, United States Code, Section 112, requires as a condition precedent to approval by the Federal Highway Administrator
of the contract for this work that each bidder file a sworn
statement executed by, or on behalf of, the person, firm, association, or corporation to whom such contract is to be awarded,
certifying that such person, firm, association, or corporation has
not, either directly or indirectly, entered into any agreement,
participated in any collusion, or otherwise taken any action in
restraint of tree competitive bidding in connection with the
submitted bid.
A form to make the non-collusion affidavit
statement required by Section 112 as a certification under penalty
of perjury rather than as a sworn statement as permitted by 28,
USC, Sec. 1746, is included in the proposal.
PARTICIPATION
BY DISADVANTAGED
BUSINESS
ENTERPRISES
IN SUBCONTRACTING.-Part
26, Title 49,
Code of Federal Regulations applies to this Federal-aid project.
Pertinent sections of said Code are incorporated in part or in its
entirety within other sections of these special provisions.
Schedule
gibility
B-Information
for Determining
Joint Venture
Eli-
CONSTRUCTION
PROJECTS
(This form need not be filled in if all joint venture firms are
DBE owned.)
1. Name of joint venture
2. Address of joint venture
3. Phone number of joint venture
4. Identify the firms which comprise the joint venture. (The DBE
partner must complete Schedule A.)
_
a.
Describe the role of the DBE firm in the joint venture.
b.
Describe very briefly the experience and business
qualifications of each non-DBE joint venturer:
5. Nature of the joint venture's business
a.
Provide a copy of the joint venture agreement.
b.
What is the claimed percentage of DBE ownership?
6. Ownership of joint venture. (This need not be filled in
if described in the joint venture agreement, provided
by question 5)
a.
Profit and loss sharing.
b.
Capital contributions,
c.
Other applicable ownership interests
including equipment.
FR-l
West Commercial St. Rehabilitation Project - Contract No. 2010-01
159
j
SEGTION 14: CALTRANS· FEDERAL REQUIREMENTS FOR FEDERAL·AID CONTRUSTION
PROJECTS
7. Control of and participation in this contract. Identify by
name, race, sex, and "firm" those individuals (and their ~ities) who are responsible for day-to-day management and
policy decision making, including, but not limited to, those
with prime responsibility for:
a.
Name of Firm
Name of Firm
Signature
Signature
Name
Name
Title
Title
Date
Date
Financial decisions
b.
Management decisions, such as:
i.
ii.
Estimating
Marketing and sales
Date
State of
iii.
-------------------
Hiring and firing of management personnel
County of
iv.
_
Purchasing of major items or supplies
On this
__
day of
, 19 --.J before me
appeared (Name)
c.
, to me personally known,
Supervision of field operations
who, being duly sworn, did execute the foregoing affidavit, and
did state that he or she was properly authorized by (Name of
Note.-If,
after filing this Schedule 8 and before the completion of the joint venture's work on the contract covered by this
regulation, there is any significant change in the information
submitted, the joint venture must inform the grantee, either directly or through the prime contractor if the joint venture is a
subcontractor.
Affidavit
firm)
to execute the affidavit
and did so as his or her free act and deed.
Notary Public
_
Commission expires
_
[Seal]
"The undersigned swear that the foregoing statements are correct and include all material information necessary to identify
and explain the terms and operation of our joint venture and the
intended participation by each joint venturer in the undertaking.
Further, the undersigned covenant and agree to provide to
grantee current, complete and accurate information regarding actual joint venture work and the payment therefor and any proposed changes in any of the joint venture arrangements and to
permit the audit and examination of the books, records and files
of the joint venture, or those of each joint venturer relevant to
the joint venture, by authorized representatives of the grantee or
the Federal funding agency. Any material misrepresentation
will be grounds for terminating any contract which may be
awarded and for initiating action under Federal or State laws
concerning false statements."
Date
State of
--------------------
County of
On this
_
_
day of
appeared (Name)
______
~,
19 --.J before me
to me personally known,
who, being duly sworn, did execute the foregoing affidavit, and
did state that he or she was properly authorized by (Name of
firm)
to execute the affidavit
and did so as his or her free act and deed.
Revised 3-95
08-07-95
Notary Public
Commission expires
_
[Seal]
FR-2
West Commercial St. Rehabilitation Project - Contract No. 2010-01
160