RFB - JOB ORDER CONTRACT (JOC) 372 C-16 FIRE PROTECTION CONTRACTOR AND C-10 ELECTRICAL CONTRACTOR

-- PART 2 -- DOCUMENTS TO BE EXECUTED BY OFFEROR

PART II

DOCUMENTS TO BE EXECUTED BY OFFEROR

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PART 2 -- DOCUMENTS TO BE EXECUTED BY OFFEROR

BID FORM

COUNTY OF SAN DIEGO
RFB NO. 13169 FOR
JOB ORDER CONTRACT (JOC) NO. 372 FOR
C-16 FIRE PROTECTION AND A C-10 ELECTRICAL CONTRACTOR

Name of Offeror.

Business Address,

LOCATION
The work to be performed under this Contract is located in the vicinity of County of San Diego, State of
California.

Said work is to be performed in accordance with the Contract Documents including the Bidding
Information, Contract forms, General and Supplemental Conditions, Drawings, Specifications and Addenda
Numbers 5 , and

By signing this bid on the signature portion hereof, the undersigned, as Offeror, under penalty of perjury
deposes and says: that the only persons or parties interested in this bid as principals are those named herein;
that Offeror has not, either directly or indirectly, entered into any agreement, participated in any collusion,
or otherwise taken any action in restraint of free competitive bidding in connection with said bid; that the
undersigned has carefully examined the location of the proposed work, the annexed proposed form of
Contract, and the Plans, Special Provisions and Specifications therein referred to, and the undersigned
proposes, and agrees if this bid is accepted, that the undersigned will furnish the required Bonds and
Contract with the County, in the form and copy of the Contract annexed hereto, to provide all necessary
machinery, tools, apparatus and other means of construction, and to do all the work and furnish all the
materials specified in the Contract, in the manner and time therein set forth, and that the undersigned will
take in full payment therefor the following unit and lump sum prices, to wit:

I. Adjustment Factors. Offeror bids two Adjustment Factors that will be applied against the
prices set forth in the Simplebid(TM) Unit Price Book. These Adjustment Factors will be used to
price out fixed price work orders by multiplying the Adjustment Factor by the Unit Prices and
quantities.

II. | Base Period 12 months from Notice of contract award or expenditure of the $2,500,000
maximum value of the contract, whichever occurs first.

Item 1- Unit work requirements to be performed during Normal Working Hours, defined as 6:00 am to 6:00
pm Monday through Friday excluding County Holidays, as ordered by the County in individual Job Orders
against the Contract.
1,
Utilize four decimal places (EXAMPLE: 1.2345)

Item 2- Unit work requirements to be performed during Other Than Normal Working Hours as ordered by
the COUNTY in individual Job orders against the contract. (Note: Item 2 may not be lower than or equal
to Item 1)
2.
Utilize four decimal places (EXAMPLE: 1.2345)

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PART 2 -- DOCUMENTS TO BE EXECUTED BY OFFEROR

NONCOLLUSION DECLARATION TO BE EXECUTED BY OFFEROR AND SUBMITTED WITH
BID

(Title 23 United States Code Section 112 and
Public Contract Code Section 7106)

The undersigned declares:
Tam the of. , the party making the foregoing bid.

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. Offeror has not
directly or indirectly induced or solicited any other bidder to put in a false or sham bid. Offeror 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. Offeror has not in any manner, directly or indirectly, sought by
agreement, communication, or conference with anyone to fix the bid price of Offeror 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. Offeror 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 an Offeror 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 Offeror.

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 ___ [date], at___[city],__[state]."

SIGNATURE OF OFFEROR

DATE

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PART 2 -- DOCUMENTS TO BE EXECUTED BY OFFEROR

is
2

Name:
Title:

pes 10172008

REPRESENTATIONS AND CERTIFICATIONS (PC601)

'The following representations and certifications are to be completed, signed, and returned with the offer (the term "offer" includes
chee este ee ot a Oe pee eral ies and/or services). bs ane

BUSINESS TYPE
OFor-profit DNon-proft_ Government
INTERLOCKING DIRECTORATE

In accordance with Board of Supervisors Policy A-79, Offeror
certifies it is not a non-proft that has entered into a subcontract
with a related for-profit entity where an interlocking

contracts
such relationships must be approved by the Board of Supervisors.
List Attached? Yes 0
BUSINESS REPRESENTATION
Offeror represents as a part of this offer the following information
the ownership, operation, and control of its business:

3.4. Are you a local business as defined by Board P1
C'Yes ONo If answer to 3.1 is yes, list qualifyi
address:

32 Are you a small business (or Social Equly Enterprise) as 5.

defined by Board Px B53

Otves O aia aaa Taal a2s you

Complete the Small Local Business Self Certification.

Do you intend to utilize any subcontractors to perform

work on this agreement *Yes 2 No

3.4. Provide your BuyNet Supplier ID 7

DEBARMENT, SUSPENSION, AND RELATED MATTERS

4.1. Offeror certifies to the best of its knowledge that neither it nor
any of its officers:

3.3.

any state, local, or federal department or agency.
. Have within a three (3; period preceding this
certification been oeala of or had a onil or
administrative judgment rendered against them for. the
commission of fraud or a criminal offense or civil action
in connection with obtaining, attempting to obtain, or
performing a public (federal, State, or local) transaction;
Violation of federal or State anti-trust statutes or

statements, receiving stolen property; physical, financial
or sexual abuse or misconduct with a patient or client,
or medical negligence or malpractice.
42 Exoept as alowed for in Secon 426, Offeror hereby
cerifies to the best ofits knowledge that neither it nor any of

its officers:

424 Are presently indicted for or otherwise criminally or
civilly charged by a government entity (federal, state, or
local) with the commission of any of the offenses
enumerated in paragraph 4.1.2 of this certification.

4.22 Are presently the target or subject of any investigation,
'accusation, or charge related to the conduct of business
by any federal, state, or local agency or law
enforcement, licensing. certification. labor standards,

ipational safety. ethics, or compliance
4.23 Are proposed for debarinent by any state, Toca or feceal

or agency.
Have a judgment rendered against them by a body
described in 4.2.2 that is unsatisfied.

Have within a three (3) year period preceding this
certification (i) been found in violation or had a judgment
rendered against them resulting from the type of
investigation, accusation, or charge described in 4.2.2 or (ii)
had one or more public transactions (federal, state, or local)
terminated for cause or default.

Mf Oferor i unable to certty any of Sectons 42.1 nrough
4.25. it certifies that it has disclosed and attached to
Represoreaane snd Garthootone the eoson(eht comet
deo $0, The ciclosure must include the Secon) specisc
relevant facts including dates.

424
425

426

Offeror certifies to the best of its knowledge that, other than as

Gscosed in an atached separate sheet, X and ts proposed
agents, and consultants have not previously

cohtaeacd wit the County io perform work on ortelated totes projec

(e.g. preparing related studies or recommendations, components of

the statement of work, or plans and specifications).

Disclosure Attached? Yes >

CURRENT COST OR PRICING

Offeror certifies to the best of its knowledge that cost and/or pricing

data submitted with this offer, or specifically identified by reference

if actual submission of the data is impracticable, are accurate,

'complete, and current as of the date signed below.

INDEPENDENT PRICING

Offeror certifies that in relation to this offer:

7.1. The prices in this offer have been arrived at independently,

ny
any County employee(s) or consultant(s) involved in this or

related procurements;

72, Uniese otherwise recaired by law. the proes that have been
quoted in this offer have not been knowingly disclosed by the
Offeror and will not knowingly be disclosed by the Offeror prior
to opening, in the case of a bid, or prior to award. in the case
of 2 proposal. directly or indirectly to any other Offeror or to
'any competitor or with any County es or
consultant{s) involved in this or related procurements; and

7.3. No attempt has been made or will be made by the Offeror to
induce any other person or firm to submit or not to submit an
offer for the purpose of restricting competition.

ADDITIONAL DISCLOSURES

Offeror shall reportin writing to the County Department of Purchasing

or ntl terminaton or exoraton of any resuling corrals)

CERTIFICATION
'The information furnished in Paragraphs 1 through 8 and in the accompanying offer is certtfied to be factual and correct as of the date submitted
and this certification is made under penalty of perjury under the laws of the State of California.

Date:

Company/Organization:

SUBMIT THIS FORM AS DIRECTED IN THE SOLICITATION DOCUMENTS OR WITH THE OFFER:

PART 2 -- DOCUMENTS TO BE EXECUTED BY OFFEROR

NONDISCLOSURE INDEMNIFICATION AGREEMENT

IF OFFEROR SUBMITS EXHIBIT CONFIDENTIAL/PROPRIETARY, THE FOLLOWING NONDISCLOSURE
INDEMNIFICATION AGREEMENT MUST BE COMPLETED, SIGNED AND RETURNED WITH THE OFFER
This indemnification agreement ("Agreement") is made and entered into by and between the County of San Diego

("County") and Offeror Company/Organization Name:
("Offeror") with reference to the following facts:

WHEREAS the County may receive a request for disclosure of Offeror's submission under the California Public Records
Act, Government Code Section 6250, et seq.; and

WHEREAS, Offeror has included in its submission an exhibit entitled "EXHIBIT - CONFIDENTIAL/PROPRIETARY"
containing records that Offeror has determined to constitute trade secrets or other proprietary information exempt from
disclosure under the California Public Records Act; and

WHEREAS the County requires defense and indemnity from Offeror for the County's ongoing non-disclosure of
Offeror's EXHIBIT-CONFIDENTIAL/PROPRIETARY:

NOW, THEREFORE, for good and valuable consideration and the mutual promises contained herein, the parties agree to
the following:

L The above recitals are incorporated herein by this reference.

2. Except as otherwise = provided herein, =the County" will not release Offeror's - EXHIBIT-
CONFIDENTIAL/PROPRIETARY based on Offeror's representation that the records contained therein are
proprietary and exempt from disclosure under the California Public Records Act and/or are trade secrets as that
term is defined in Government Code Section 6250, et seq. Notwithstanding the foregoing, however, the County
may release Offeror's EXHIBIT-CONFIDENTIAL/PROPRIETARY in the event of any of the following:

a. Offeror fails to comply with the terms and conditions of this Agreement; or

b. Offeror provides the County with written notice that some or all of the records may be released; or

c. A court of competent jurisdiction orders the County to release the records and the County has exhausted or
waived its appeal rights.

3 To the fullest extent allowed by law, the County shall not be liable for, and Offeror shall defend and indemnify
County and its Board of Supervisors, officers, directors, employees and agents of County (collectively "County
Parties"), against any and all claims, demands, liability, judgments, awards, fines, mechanics' liens or other liens,
labor disputes, losses, damages, expenses, charges or costs of any kind or character, including attorneys" fees
(whether incurred by County attorneys or attorneys employed by County) and court costs (hereinafter collectively
referred to as "Claims"), related to Offeror's EXHIBIT-CONFIDENTIAL/PROPRIETARY.

4. Offeror waives any and all claims in law or equity and hereby releases the County Parties from any and all claims,
deductibles, self-insured retentions, demands, liability, judgments, awards, fines, mechanics' liens or other liens,
labor disputes, losses, damages, expenses, charges or costs of any kind or character, including attorneys' fees and
court costs, which arise out of or are in any way connected to Offeror's EXHIBIT-
CONFIDENTIAL/PROPRIETARY.

TO BE COMPLETED BY AN AUTHORIZED REPRESENTATIVE OF THE OFFEROR

Offeror Company/Organization Name:

Authorized Representative Name:

Authorized Representative Iitle:

Signature: Date:

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NOTE:

PART 2 -- DOCUMENTS TO BE EXECUTED BY OFFEROR

FOR;,

Accompanying this bid is

(NOTICE: Insert the words "cash ($ )." "cashier's
check," "certified check," or "bidder's bond," as the case may be.) in amount equal to 10% of the
maximum contract value.

The names of all persons interested in the foregoing bid as principals are as follows:

IMPORTANT NOTICE. If Offeror or other interested person is a corporation, state legal name of
corporation, also names of the president, secretary, treasurer and manager thereof; if a co-partnership, state
true name of firm, also names of all individual copartners composing firm; if Offeror or other interested
person is an individual, state first and last names in full.

Licensed in accordance with an act providing for the registration of Contractors,
License No. Classification (s) Exp. Date

I hereby certify, under penalty of perjury, that the foregoing bid to the Board is true and correct.

( Legal Name of Offeror
SIGN (
(
HERE ( by (SEAL)
( Signature
(
Title

If Offeror is a corporation, the legal name of the corporation shall be set forth above together with the
signature of the officer or officers authorized to sign contracts on behalf of the corporation; if Offeror is a
co-partnership, the true name of the firm shall be set forth above together with the signature of the partner
or partners authorized to sign contracts on behalf of the co-partnership; and if Offeror is an individual, his
signature shall be placed above. If signature is by an agent, other than an officer of a corporation or a
member of a partnership, a Power of Attorney must be submitted with the bid; otherwise, the bid may be
disregarded as irregular and unauthorized.

Business Name

Business address

Telephone(___), Fax()
E-Mail address
Dated 20 sat California.

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PART 2 -- DOCUMENTS TO BE EXECUTED BY OFFEROR

BOND NO.
BIDDER'S BOND
KNOW ALL MEN BY THESE PRESENTS:

That we

as

PRINCIPAL, and

as SURETY, are held and firmly bound unto the COUNTY OF SAN DIEGO a political subdivision of the
State of California, hereinafter called the County, in the penal sum of $250,000 of the Principal above
named, submitted by said Principal to the County 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 and successors, jointly and severally, firmly by these presents.

In no case shall the liability of the surety hereunder exceed the sum of $250,000.

THE CONDITION OF THIS OBLIGATION IS SUCH,
That whereas the Principal has submitted the above-mentioned bid to the County of San Diego for certain
construction specifically described as follows, for which bids are to be opened on May 13, 2026 for Request

for Bids (RFB) 13169 for Job Order Contract 372 for C-16 Fire Protection and C-10 Electrical Contractor.

NOW THEREFORE, if the aforesaid principal shall not withdraw said bid within the period
specified therein after the opening of the same, or, if no period be specified, within sixty (60) days after
said opening, and shall within the period specified therefore, or, if no period be specified, within ten (10)
days after the prescribed forms are presented to him for signature, enter into a written contract with the
County, in the prescribed form, in accordance with the bid as accepted, and file the two bonds with the
County, one to guarantee faithful performance and the other to guarantee payment for labor and materials,
as required by law, then this obligation shall be null and void; otherwise, it shall be and remain in full force
and virtue.

In the event suit is brought upon this bond by the County and judgment is recovered, the surety
shall pay all costs incurred by the Owner in such suit, including a reasonable attorney's fee to be fixed by
the court.

IN WITNESS WHEREOF, We have hereunto set our hands and seals on this day
of 2026
(SEAL) (SEAL)
(SEAL) (SEAL)
Surety Principal

27

PART 2 -- DOCUMENTS TO BE EXECUTED BY OFFEROR

ATTORNEY-IN-FACT ACKNOWLEDGEMENT OF SURETY

STATE OF )
) ss
COUNTY OF )
On this day of in the year 2026 before me

a notary public in and for said County and State
personally appeared known to me (or proved to me on the
basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument as the
attorney-in-fact of the the corporation named as Surety in said

instrument, and acknowledged to me that he subscribed the name of said corporation thereto as Surety, and
his own name as attorney-in-fact.

NOTE: (a) Signature of those executing for Surety
must be properly acknowledged. Notary Public In and for the County of
(b) The Attorney-in-fact must attach
a certified copy of Power of Attorney.

State of California

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