Contract No. 12A1742

STATE OF CALIFORNIA·DEPARTMENT OF TRANSPORTATION

BID PROPOSAL FOR UNIT BID ITEMS ADM-1509 (7/97) Pg. 3 of 3

Item Cost Item Unit of Estimated Unit Price Item Total No. Code Measure Quantitv (In Figures) (In Figures)

27 820807A RETROREFLECTIVE

SQFT 139 ( 1

<3 7 b, oo SHEETING (TYPE XI) l3. 51)

28 872130 MODIFY COMMUNICATION

LS LUMP <tS<ooo . oo SYSTEM SUM

29 999990 MOBILIZATION LS LUMP 3 ~ ooo. 0'0 SUM

TOTAL ~ 98',7 14- 10

1. If the bidder is awarded the contract and refuses to execute the contract forms presented for signature within the time and manner required, the bidder will be liable to the Department of Transportation for actual damages resulting to the Department therefrom or 10% of the amount bid, whichever is less. Should the bidder fail to pay these damages, the Department may list the bidder as in default and ineligible to bid future Department projects.

2. The bid of any Contractor who is currently in default with the Department on a contract already awarded may be regarded as non-responsive and may be rejected. Default is defined as being within a period of liquidated damages on uncompleted work or under notice to begin or complete a contract where work has not commenced within the time limit set forth in that notice or was suspended without valid cause, or failure to perform the required work in a manner satisfactory to the Engineer.

BUSINESS NAME (PRINT OR TYPE) DATE

1ruitfi~ Loof5 C,rq ~ -fl ii i~ ( \r1c. ~-(3.-1&'

BY(MUSTB3~P~ N) TITLE BUSINESS PHONE

A-VP 714 - 510 - L/ O;L ~ BUSINESS ADDRt:-::iS (STREET/P.O. BOX, CITY, STATE) ZIP BUSINESS FAX

q4ro s. £-rvi'lraA o/ ~+. I Anctht[yn 92-~0 ~ ll~-S:;,2..0 -l/027 SMALL BUSINESS STATE CONTRACTOR'S STATE CONTRACTOR'S LICENSE BOARD FED 1.0. NO. I SOC. SEC. NO.: CERTIFICATION NO.: LICENSE BOARD LICENSE LICENSE CLASSIFICATION:

NO.: 33-D527(o5 O 00 1 <o~ 9 t (oS-1 q S-0 ~ !O I l3~

DEPARTMENT OF INDUSTRIAL RELATIONS REGISTRATION NUMBER:

100 ooo ~7qt.f I

6

Contract No. 12A1742

STATE OF CALIFORNIA-DEPARTMENT OF TRANSPORTATION

BID PROPOSAL FOR UNIT BID ITEMS ADM-1509 (7/97) Pg. 1 of 3

PROPOSAL TO THE ST ATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION

APPROXIMATE MAGNITUDE OF WORK

$ 251,836.00

For: IN ORANGE COUNTY IN THE CITY OF COSTA MESA, AT THE LOOP ON RAMP FROM HARBOR Blvd TO NB ROUTE 405

The undersigned, as bidder, declares that the only persons or parties interested in this proposal as principals are those named herein; that th is proposal is made without collusion with any other person, firm or corporation; and the bidder has carefully examined the proposed form of contract and the plans therein referred and the bidder proposes and agrees, if this proposal is accepted, that the bidder will contract with the State of California to provide all necessary labor, materials, tools or equipment and to do all the work specified in the contract, in the time and manner therein prescribed, and that the bidder will take full payment therefore the following unit prices:

Item Cost Item Unit of Estimated Unit Price Item Total No. Code Measure Quantity (In Fiqures) (In Fiqures)

1 120090 CONSTRUCTION AREA SIGN LS LUMP lf, l{ 00. 00 SUM

2 120100 TRAFFIC CONTROL SYSTEM LS LUMP bZ>r ooo. oo SUM

3 128652 PORTABLE CHANGEABLE LS LUMP

3, Joo. oo MESSAGE SIGN SUM

4 130100 JOB SITE MANAGEMENT LS LUMP 1,s-00. 00 SUM

5 130200 PREPARE WATER LS LUMP

7 oO. oD POLLUTION CONTROL PLAN SUM

6 130620 TEMPORARY DRAINAGE EA 4 C:, 00. oo :J..(~00. 00 INLET PROTECTION

7 141120 TREATED WOOD WASTE LB 1040 .2.5"0 :2., foOO . 00

8 150742 REMOVE ROADSIDE SIGN EA 8 !3S: oo 11 oqo_ oo

9 390137 RUBBERIZED HOT MIX TON 232 146.oO 33, Q?:). oo ASPHALT (GAP-GRADED)

HMA-OPEN GRADED (OPEN 10 390401 GRADED FRICTION TON 247 II g_ OD ;;_ q, llf 0. oo

COURSE)

11 397005 TACK COAT TON 3 11 /w~OO 3, Lf qs--_ oo 12 398200 COLD PLANE ASPHALT

SQYD 1800 g_ g_r ts; <[Jo. oo CONCRETE PAVEMENT

4

Contract No. 12A1742

STATE OF CALIFORNIA·DEPARTMENT OF TRANSPORTATION

BID PROPOSAL FOR UNIT BID ITEMS ADM-1509 (7 /97) Pg. 2 of 3

Item Cost Item Unit of Estimated Unit Price Item Total No. Code Measure Quantity (In FiQures) (In FiQures)

13 810120 REMOVE PAVEMENT

EA 99 2.. YO 1-37. GO MARKER

14 820107 DELINEATOR (CLASS I) EA 60 Ce Leo 3, 6~0. oo FURNISH SINGLE SHEET

15 820750 ALUMINUM SIGN (0.063"- SQFT 7.5 l 8.00 l 3 >. oO UNFRAMED)

16 820840 ROADSIDE SIGN (ONE POST) EA 16 ?.3S:W ~360. 00

17 820850 ROADSIDE SIGN (TWO

EA 1 Ir 715". 00 l 17J5".00 POST)

6" THERMOPLASTIC

18 840621 TRAFFIC STRIP (ENHANCED

LF 935 .?.. ~ ~ 2;/05_7~ WET NIGHT VISIBILITY)(BROKEN 17-7)

6" THERMOPLASTIC 19 846007 TRAFFIC STRIP (ENHANCED LF 3077 .3.S-0 10,709. s-o

WET NIGHT VISIBILITY) 8" THERMOPLASTIC

20 846009 TRAFFIC STRIP (ENHANCED LF 370 "5.00 l, '-3>"0. oo WET NIGHT VISIBILITY)

21 846030 REMOVE THERMOPLASTIC LF 4382 \.0~ 7(?30 , 50 TRAFFIC STRIPE

22 846035 REMOVE THERMOPLASTIC SQFT 351 q . ~) 3, 3((o_ 1> PAVEMENT MARKING

PAVEMENT MARKER

23 850111 (RETROREFLECTIVE)

EA 99 I I. oo l, ogt oD (ENHANCED WET NIGHT VISIBILITY)

FURNISHED SINGLE SHEET ALUMINUN SIGN (0.063"-

24 820755A UNFRAMED) FOR SQFT 94 .io.2S- 1 qo3.~o

RETROREFLECTIVE I

SHEETING (TYPE XI)

FURNISHED SINGLE SHEET ALUMINUM SIGN (0.063" -

~ 7)_ OD 25 820785A FRAMED) FOR SQFT 25 17 RETRO REFLECTIVE SHEETING (TYPE XI)

FURNISH SINGLE SHEET ALUMINUM SIGN (0.080"-

z7.✓qf 4 S-9. oo 26 820795A UNFRAMED) FOR SQFT 20 RETRO REFLECTIVE SHEETING (TYPE XI)

5

STATE OF CALIFORNIA · DEPARTMENT OF TRANSPORTATION

SUBCONTRACTOR LIST DES-OE-0102.2C (REV.03/2015)

Contract No. 12A1742

Bidding Firm: _ --r--'-r'---'a.-'--'f-'--'f '-'-1=C/------><=L=o-'-'-o +-=ps=---c,,r=---'-ac.,,--'fL---f......,1µ...· I=" h'-'-~9-1-/ ---=I= vt,~ C_. ----------

CA State Public Works Percentage of

Bid Items Bid Item Business Name and Location Contractor Contractor

Numbers Subcontracted Description of Portion of Work License Number Registration Number (Whole Numbers)

Grtobivl Gnllir'onrnwt.J '-/ I i;- t DO·/. w PG f I

J o,\;, , , -k, Ne,~rf, Il'\e,. '67'547'6

P, o. Box t,19 1000005"273 7 CrQl't1'{~ 15-f.

l'\!l g h-\ \-

hvn Wh IN cA q272,.) PrepQf'~ -rr-e<cl-e.J tvoc

5vfUf"( PC\v~t l\111r-l 1n,9s 8,13, (Oo;. f.e, ~ v e i-- Tu r'i) , 5 h ->3!'2. C'/Yfe>5 st. 77fi30b 100000\470 1Y-27 I Oo · . tviar~r L- 5-+f r~lhj CYfre,$5 c..A q ob3o .sigris Cct.\ l¾e,>< GV13i~,~ q-11 100-;. tvhb-etr \+MA 1.. 71o4 S. V1stq l'r:J0· ~g_s-q r1/ I 00000~3"80 i1 (rart;'lf, 'fO { T lie. ):: (.oaf Bl1i0Yn i~tvn ti+ qi 31 ~ t0O-1. Co Id P /((.t,tQ,,fl>~h.J f ,____.

ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information, call (916)445-1233,

TTY 711, or write to Records and Forms Management. 1120 N Street, MS-89. Sacramento, CA 95814.

3

CONTRACT NO. 12Al 742

STATE OF CALIFORNIA• DEPARTMENT OF TRANSPORTATION

CERTIFIED DVBE SUMMARY DES-OE-0102.5 (REV 12/2010)

DISTRICT-COUNTY-ROUTE: _ _;_1_1 __ 40:;- 11. ~

CONTRACT NO. : _ _ _ _ 1_2._A_ l 7_4_~- - ------- -----TOTAL BID: --~-L_g_~,__7_1_~--(_0 ___________ _ BID OPENING DATE: ___ ~_ - _/_lf_.,_:2,_0_! ~-------------

BIDDER'S NAME: T r-q f-tf v Loo ps ua0k-fillin,31

Inc-. DVBE PRIME CONTRACTOR CERTIFICATION1 ___ _ _ ___ _ _ ______ _

Bid Item Number

Description of Work to be Subcontracted to DVBE or Materials

to be Supplied by DVBE 2

S~ Pf l1 €lecJr1'cJ Mqwia)_~

\A) PG r I Jo k >i~ MgMt ,..-.a~J \J)oo4

For Caltrans

Only

DVBE (Name, Telephone No., and Certification No.)

Qru2, 1\MQ, \Jt,ld-y SJes 711- qs3-S70D

D\/66 ~ l~34'.>~o

G [ o bJ tf'l v Iron Y°Vll2-rd.J ~tt\-woi 'f:. 1 Iri c_ .

800 - 1.30- i,q4'--/ PVB6 {t 2~ 70<;;

$ Amount

$ l fol? (!)U I •

Names of first tier DVBE subcontractors and their items of work listed must be consistent with the names and items of work in the Subcontractor List (Pub Cont Code§ 4100 et seq.) submitted with the bid. Identify second and lower tier subcontractors on this form.

Total Claimed Participation $ :J... f I l/Cf'-/. iY

1. DVBE prime contractors must enter their DVBE reference number or their OBA name as listed with Department of General Services (DVBE prime contractors are credited with 100 percent DVBE participation and need not complete the above table) .

2. If 100% of an item is not performed or supplied by the DVBEs, describe the exact part, including the planned location of work to be performed, of item to be performed or supplied by DVBE.

3. The bidder's DVBE information shall include the names of DVBE firms and/or DVBE joint venture partners to be used, that will participate, with a complete description of work or supplies to be provided by each, the dollar value of each DVBE transaction, and a written confirmation on company letterhead from the DVBE that ii is participating in the contract. A copy of the DVB E's quote will serve as written confirmation that the DVBE is participating in the contract.

Signatuj ~

(Area Code) Telephone Number

\( im ['Jg4 j eA') , Contact Person '

,. ~ %

Date

(Type or Print)

ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.

Tustin, CA 92780

www.onetimeutility.com

Name / Address

Traffic Loops Crackfilling Inc. 946 S. Emerald St. Anaheim , CA 92804

Ship To

TBD.

One Time Utility Sales, Inc. reserves the right to revoke this quotation at any time. Quoted prices are subject to change without notice in the event of an increase in raw material or energy costs from our manufactured. All clerical, typographical and mathematical errors are subject to correction.

Phone: (714)953-5700 Fax: (714)953-5720

Quote Date Quote#

6/13/18 2618

Rep Job#

AR 12Al742

Subtotal $18,556.70

Sales Tax (7.75%) $1,438.14

Total $19,994.84

STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES PROCUREMENT DIVISION

DISABLED VETERAN BUSINESS ENTERPRISE DECLARATION$ STD, 643 (Rev. 6/2006)

lnstru\ltions; The disabled veteran (DV) owner(s) and DV manager(s) of the Disabled Veteran Elusiness Enterprise (DVBE) must complete thfs <leclaratlon when a DVBE contractor or subcontractor will provide materials, supplies, services or equlpment [MIiitary and Veterans Code Section 999,2]. Violations are misdemeanors and punishable by Imprisonment or fine and Violators are liable for civil p$nalties. All signatures are made under eenalty of periu!Y.

$ECTION1

Name of certified DVBE: ONE TIME mrtIT¥ SALES DVBE Ref. Number: "'1""6,""4"'"56"'0'----

Descriptlon (materials/supplles/services/equipment proposed): UNDERGgoUNnt.ELllqTRLSJILICOfill2:BOcTrON wrLITY

Solicitation/Contract Number: 12. A 17'1:J. SCPRS Ref. Number:._. -=-=-c==-.,.,__.,..,., __ _ (FOR STATE USE ONLYl

Sl;OTION:t

APPLIES TO ALL DVBEs. Check only Q!1! box In S<1¢lion 2 and provide original signatures.

0 I (we) declare lh.1!1 the DVBE is not a broker or agent. as defined in MIiitary and Veterans Code Section W92 (b), of materials, supplle~, services or equipment l[sted above. Also,. complete $action 3 bel.ow if renting equipment.

D Pursuant to Military and Veterans Code Section 999:2 (f), I {we) declare that the DVBE i$ e broker or agentfbr the pr!ncip!JllS} listed below gr on an attached §heet/s). (Pursuant to Military and veterans Code ft99,2 (e), Stale fund$ expended for equipment rented from equipment brol<,;rs pursuant to contmats awarded under 1/ris section shall ll.Qt be credited. toward the 3-percant DVE!Fi Mrli/:/iP?!ion goal.)

All DV owners and managers of the DVBE (attach additional pages with ~r,•tent signature J!lOJi'.\11 for each person to sign):

BRIAN mttroT P~- ~~" .__,,,..,,.6..,,·-,...1_s,...-1._t-<Print•d Nam" of nv Owner/Manager) (Signature ofDV Owner/ Manager) (Date $fgned)

(Prlnl<ld Nama of DV Owner/Manager)

Firm/Principal for whom the DVBE Is acting as a broker or agent: (If more tMi1 one f¢m, list M exll? sheets,)

F\rm/Princlpal Phone; ______ Address:

(Signature or DV OwnWManagerJ

.(Prlnt.t>r type Name)

APPLIES TO All DVBEs THAT RENT EQUlPMeNT AND DeCLARe THE OVSE IS NOT A BROKER,

(Dato Signed)

0 Pursuant t<> Military and Veterans Code (>i;!c(lon 999.2 (c), (d) and (g), lam (wa are) the bV(s) wtth at least 51 % ownership of I.he PVBE, or a DV manager(s) of1he DVBE. The DVBE maintains oertlffcatlon requirements In accordance with Military and Veterans Code Secllbn 999 et. seq.

D The undersigned owner(s1 ownfs\ at least 51% of lhe quan!ll~ end value of each plece qf egujpmentihat will be rented for use fn the contract Identified above, I (weJ, the DV .owners of the e~aipment, ha111e eul>mlt!ed l<> the administering agency my (our) personal federal tax return(s) atrtme.of certification and annually thereafter as defined In Military and Vetllrans Gode 999.2,. subsections (c) and (g). Fal/1.Jra by /ht1 disabled veteran equipment owner(s) to submit their personal federal tax ratum(sJ to the administering agency as defined 1n Military and Vereran1> Code QIJ9.2, sllbsec/ions (c) and(g), will rasu/t In the DVBE belng deemed an equlpmentbrokar.

Disabled Veteran Owner(s) of!he DVBE (llttoch a<ldUiort~I page$ l'lffh •1~$'.!f• b1Ml<$ m.J:Po •'!Jo}:

BRIAN ELLIOT _..,7}:;._;;.~----=-----(Prtnf<><l Name) (Signa!UCE>) (Date s19ned).

35-240-9515 501 GARFIELD ST Sl\ljTA ANA, CA 9270J, (Andress ofOwne~

714 ·SS3·57Pj/ (Telephone) (tax ldentlficalion Number of Owner)

Disabled Veteran Manas:er(s) Qf the DVBE (attach addillonal pages wltll sufficient slgnatura blocks for each i,er•onto sign):

(P~nted Name of DV Manager) (Signature of DV Manage~ (Date siljned)

Paga_of_

SAFETY COURSES OFFERED BY SafetyGENJTM

Crane Training CCO Written Exams CCO Practical Exams

Traffic Control Coning & Flagging Awareness

Safety Orientation for Construction

Scaffold Safety Awareness

Fall Protection Awareness

Trench Saf-ety Competent Person A warcness

Trench Rescue

Confined Space

Confined Space Rescue

Urban Search & Rescue

Respirator Training & Fit Testing

CPR & First Aid

Crane Operator Awareness

Forklift Training Awareness

Aerial Lift Awareness

Hearing Conservation Training

DOT HM 126F/181 Awareness

Emergency Response Awareness/ Refresher Operational Technician Specialist

HAZWOPER Awareness/ Refresher Supervisor Waste Site Worker

Household Hazardous Waste

Asbestos Training

Lead Training

24 Hr SWPPP Training

GLOBAL ENVIRONMENTAL NETWORI(, INC. ENVIRONMENTAL, SAFETY & CONSTRUCT/ON ENGINEERING SERVICES

Main Office; Box 8068, Fountain Valley, CA. 92728-8068 Additional Locations: Oakland/ Fresno I Santa Cruz/ Santa Maria/ Santa Ana/ Bakersfield

www.My-DVBE.com Phone: 800-23 0-6944

License No. 878478 - A/ 1-Iaz email: GENI@SafetyGeni.com Fax: 714-479-0809

CA DVBE I SBE No. 24765 Expiration Date: 02/29/2020

Est. DVBE/$252K

DIR Registration No. 1000005273

GENI Ref. No. 12Al 7 42 (50) Working days

Bid Date: 06/14/18 June 13, 2018

SUBJECT: CA DVBE / SBE QUOTATION - CALTRANS # 12Al742

OVERLAY THE LOOP ON RAMP FROM NB HARBOR BLVD TO NB ROUTE 405 12-ORA-405-PM 11.4

*** Acceptance of This Bid is good for 30 Days from Bid Date. ***

Item a > Lead Compliance Plan. for ADL Disturbed Soil 1•5•7

I) Lead Plan for Stripe Removal (Certified by CIH) Item b > Lead Compliance Plan for Disturbance of painted surfaces 1•

5•7

1) Lead Plan only (Certified by CII-I) Pg. 61 of Specifications 14-11.13A

Item c > Lead Compliance Plan for both a and b Disturbance 1•5•7

1) Lead Plan only (Certified by CIH)

Item 4 > Job Site Management (JSM -partial -Training Services) 1~·7

Lump Sum_ JSM Package - Option I

This Job Site Management package includes a project specific JSM binder that an experienced Water Pollution Control Manager can use to assist them in meeting the project's Job Site BMP training I Management requirements.

Additional JSM Services:

$765.00

$765.00

$1,275.00

$185.00

> Water Pollution Control Manager (WPCM): Est 225.00/Wk GEN! can be your WPCM for this project- Option 1: QSP field work from one ofGENl's seven CA offices. Fol' bidding purposes only estimate at $225,00/wk with Col'rective Action (2035's) Sheets included in price. Price includes CEM 2040 and once per week inspection documented on CEM 2030. Pre/During/Post will be an additional cost at $225.00/day

Item 5 > Prepare Water Pollution Control Program (WPCP) 1•3•6•7

Lump Sum (Est. up to 4 Engineering Drawings) Option I .A - Plan Written by a Q!>P

Pricing is when GEN! is hired as the WPCM. See Additional JSM services in above line item:

Option 1.B - Plan Written by a QSP and GENI is not the WPCM ** Note: Any Down drains, Di's, vehicle pullouts or other items Caltrans may

require will need to be provided by the customer at their own expense

Item 7 > Prepare Treated Wood Waste Plan (TWWP) (partial) 1•6•7

I) TWW plan only

$575.00**

$625.00**

$625.00

SUPERSCRIPT NOTES

GENI - PROPOSAL PROJECT#: 12Al742

PAGE3OF4

t. GEN! carries the following insurance: $2,000,000 General Liability / Pollution, $1,000,000 Auto I Workman's Compensation insurance and an umbrella of $2 Million over GL/ Auto/WC.

• A one time fifty-dollar ($50.00) processing fee will be added to all contracts requiring insurance endorsements for General Liability, Workman's Comp and/ or Auto Insurance.

• Insurance endorsements requiring CG2010#### or similar insurance and Primary wording will be charged ao additional Two Hundred Seventy Five Dollar ($275.00) processing fee.

2• Lease / Rentals: All items property of GEN! and its Subcontractors; Sign installation excludes aoy cutting or coring of asphalt; Prices based on quantities noted. Customer is responsible for all vandalized, damaged or loss of equipment and completion of our indemnification agreement form. GEN! shall be named as an additional insured and loss payee under the end users insurance policy. All construction area sign bids include installation and removal of signs only when noted on our bid line item.

3• Caltrans allocation of DVBE Credit 100%. Credit for participation of a DVBE subcontractor, supplier, or broker will be I 00 percent provided such DVBE is performing a commercially useful function.

5• Option 1: Lead Compliance Plan certified by a CIH: Option 2: Includes option I and 2 hr. lead training for up to 10 personnel: Option 3: includes options I & 2 and air monitoring on same day as training, laboratory testing for up to eight 8 hour TWA san1ples ( 48 hr turn-around if required); Report Preparation by the CIH.

Additional Work: Air Monitoring for heavy metals (IH Technician @ $75.00/Hr, CIH @ $145.00/Hr both requiring 8 consecutive hrs min), Laboratory Analysis (at cost plus 20%); Price includes one move-in and rental of equipment. Additional move-in will be charged at $TED plus hourly personnel and equipment rates. Call for published rate sheet.

6• Price includes submittal of Three (3) copies of the Final WPCP delivered via FedEx ground. NOTE: GEN! does not provide draft copies of its WPCP. Occasionally corrections and or additions will be necessary due to a multitude of reasons, upon the contractor becoming aware of any potential or required correction they are to provide a written request to GENI for our review and plan update if necessary. Corrections/ additions to the plan due to errors or omissions on behalf of the contractor or the Agency may be billed to the contractor as time and material as noted below as T&M. Engineered designs required by a registered Civil Engineer are not part of this contract. This bid does not include any associated filing fees or the design/ layout of dewatering, recycling or batch plant BMP systems/ drawings.

Maintenance of WPCP billing rates will be billed as Time & Material (T&M): T&M will be billed at a standard rate of $92.50/hour for non-Civil Engineering services and $145.00 / hour for Registered Civil Engineering services with all services being billed in ½ hour increments. Additional manuals: billed at $75 .00 for the initial manual and $45.00 for each consecutively assembled manual. Material / additional expenditures will be billed at cost plus $50.00 or cost plus 20 percent which ever is greater.

7• Unless specifically stated in this bid proposal the customer will pay for all additional shipping charges at cost plus a 15% handling fee.

8• (n/a) week minimum, GEN! does not hold a C-31 License and cannot place equipment on site. Delivery I pick-up are not included in base price. When contracted to deliver or pick up equipment it is to delivered / picked up at contractor's facility or project yard. Rental is time out,. not time used. Delivery times cannot be guaranteed. ALL LEASES ARE SUBJECT TO AVAILABILITY. Prices are for this project only. Regular pricing will be $1,375.00 (CMS) and $585.00 (Arrow board) per month for each piece of rental equipment if the minimum weeks are not met or exceeded.

9· Unless otherwise noted price does not include Sales Tax or F.O.B. costs if applicable. 10• Please contact GENT to set up an account with our firm to lease or purchase items off our web site or listed within this bid.

Accounts are due and payable within 30 days of purchase. Interest charged at the rate of 1.65% per month.

Should you have any questions about the quotation please contact the undersigned,

STATE OF (;ALIFORNIA- DEPARTMENT OF GENERAL SERVICES PROCUREMENT OIV1$10N

DISABLED VETERAN BUSINESS ENTERPRISE DECLARATIONS STD. 843 (Rev. 5/!lOOO) Instructions: The dlsabled veteran (DV} owner(s) and DV manager(s) ofthe Disabled Veterliiln Business Enterprise (DVBE) must' complete this declaration when a DVBE contractor or subcontractor will provide maierials, supplies, services or equipment [Military and Veterans Code S<1cllon 999.2). Violations are.misdemeanors and punishable by Imprisonment or fine and violators are liable fornlvll pena~les. AH signatures are made under penalty of perjury.

SECTION 1

Name of oertlfled DVBE: Global Environmental Network, Inc. DVBE Ref; Number: .:2:.:4"'7""0s,_ __ _

Description (materials/supplles/service$1equltrment proposed):

Solicltatlon/Contract Number: .,1"'21,.,,_· 1._7.,4""2 _______ _

SECTION 2

Environmental and sa-fetv -S>e,-;r;v:ices

SCPRS Ref. Number:_. _________ _ (FOR STATE USE ONLY)

APPLIES TO ALL O\fSEs. Check only pne box in Section 2 and provide orlgih!il signatures.

IZl I .(we) declare thatthe DVBE la not.a broker .oragent. as defined in MIiitary im.d Veterans Code Section 99:9.2 (bJ. of materials, supplies, services or equipment listed above .. Also, complete $eotion 3 below If renting equlpment.

D Pursuant to Military and Veterans Code,$eotion 99~.2 (f), I (we) declare that the DVBE Is a broker or aQ§nt for the prlnclpa/($) listed below or on an attacheq sheel{s). (Pursuantto Military and Veterans Code .999.2 (e), State funds expended for equipment rented from (l(JIJ/pment brokers pur$U!ill11 to con./r<Jots award9d under this section shall !).Q[ be credited toward the 3-percentDVBE partici(113fion goat,)

All DVowners and ma. nagers of the DVBE (;:rtlaoh additional. pages,wlth s•fflclont•3"' bl~person. to $lgn);

'CX)~ c. \¼ it L \J. \\;mJ.J trJL ~- ., \ · . £-;3 '"/ g (Prh1tad Name ofDV Owner/Manager) ~ura-0f DV Owner/ Manager) · (Date -Signed)

(Printed Name of IJVOwner/Manager) (Si;Jhalure of DV Owner/Manager) (Data Signed)

Firm/Principal for whom the DVBEi Is acting as a. broker or agent: Qr more !1,an one firrn,Jlst on extra shests.) (Pflnt orType Name)

Flrm/PMnclpal Phone: _____ _ Address:

. _ SIECTIO_N 3 APPUEiS TO ALL DVEIEs THAT ~ENT EQlJIPMENTAND DECLARE TH.E OVEIE IS NOT AB.ROKER.

D Pursuant to Military and Veterans Code Section 999.2 (c), (cl) and (fl), I am (we are) the DV(s} with al lea&t 51 % ownership of the DVBE, or a DV manager(s) of the DVBE. TheDVBEmaintalns certlfici,tlon requirements In accordance with Military and Veterans Code Section 999 et. seq.

D The undersigned owner(s) own{s) at leas\ 51% of the guantlly and value of each place of equlpment that will be rented for use ln the contract lden!ifled above. 1 (we), the DVowners of the equipment, tJave submitted to the administering agency my {our) personal federal tax refurn(s) et time of certification and annually thereafter as defined in Military end Veterens Gode 999,2, subsections (c) and (g). FEJi/ura by the disabled veteran equipment own&r(s) to submit their persona/federal taxte!urn(s) to the i;dmini!starlng agency as def/Md rn Military andVeterans Code 999.2, subsections (c) and {g), wt// rasulfin the DVBE being deemed an eq1;1ipment broker, ·

Disabled Veteran Owner(s} of the DVBE (attach additional pages with signature bloc~sfor<,aoh person to sign):

(Plinted Name) (Signature) (Date Signed)

(Address of owner) (Telephono) (Tax Jdontlficafl"'1 NumberofOWner)

Disiabled Veteran Manager(s) of the DVBE (attach additional pages with sufflclont slgmiture blocks for each person .to sign):

(Printed Name olDV Manager) (Slgnalure of DV Manager) (Date Signed)

Page_of_