Laserfiche WebLink
Local Assistance Procedures Manual <br />Accompanying this proposal is Bidder's Bond <br />(NOTICE: INSERT THE WORDS"CASH($ 10% BidI,, ,,SHIERS CHECK," <br />"CERTIFIED CHECK. "OR "BIDDERS BOND, "AS THE CASE MAY BE) <br />in amount equal to at least ten percent of the total of the bid. <br />The names of all persons interested in the foregoing proposal as principals are as follows: <br />Exhibit 12-H <br />Sample Bid <br />IMPORTANT NOTICE: If bidder or other interested person is a corporation, state legal name of corporation, also names <br />of the president, secretary, treasurer, and manager thereof ifa copartnership, state true name offirm, also names of all <br />individual copartners composing firm; if bidder or other interested person is an individual, state first and last names in full. <br />Licensed in conformance with an act providing for the registration of Contractors, <br />License No. 267073 <br />A, C-12 <br />ADDENDA <br />This Proposal is submitted with respect to the changes to the contract included in addenda number/s <br />(Fill in addenda numbers if addenda have been received and insert, in this Proposal, any Engineer's Estimate <br />sheets that were received as part of the addenda.) <br />By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the <br />foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and <br />that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission <br />Regulations (Chapter 5, Title 2 of the California Administrative Code). By my signature on this proposal I further certify, <br />under penalty of perjury under the laws of the State of California and the United States of America, that the Noncollusion <br />Affidavit required by Title 23 United States Code, Section 112 and Public Contract Code Section 7106; and the Title 49 Code <br />of Federal Regulations, Part 29 Debarment and Suspension Certification are true and correct. <br />LPP 18-01 <br />Date: I I 1 3 /0070 <br />Sign <br />Here 6DI�li`I�-�3.U9'QISOtJ (�Title )U IG� PI��IO�NT <br />Signature and Title of Bidder <br />Business Address 400 E Sixth Street Corona., CA 92879 <br />Place of Business 400 E Sixth Street Corona, Ca 92879 <br />Place of Residence 400 E Sixth Street Corona Ca. 92879 <br />Page 14 of 22 <br />January 2019 <br />20E-44 <br />