ATTACHMENT 4 BID/BIDDER CERTIFICATION SHEET

Invitation For Bid lFB Number 59AI054

Page 1 of 2

y an individual who is authorized to bind the bidding firm contractually shall s ign the Bid/Bidder Certification Sheet. The signature must indicate the title or position that the individual holds in the firm. This Bid/Bidder Ce1tification Sheet must be signed and returned along with all "required attachments" as an entire package with original signatures. The bid must be transmitted in a sealed envelope in accordance with IFB instructions.

A. Our all-inclusive bid is submitted in a sealed envelope marked "Bid Submittal - Do Not Open". B. All required attachments are included w ith this certification sheet. C. I have read and understand the DVBE participation requirements and have included documentation

demonstrating that I have met the participation goals. D. The signature affixed hereon and dated certifies compliance with all the requirements of this bid document. The

signature below authorizes the verification of this ce1tification. E. The signature and date affixed hereon certifies that this bid is a firm offer for a 90-day period.

Au Unsigned Bid/Bidder Certification Sheet May Be Cause for Bid Rejection

I. Company Name

Blankinship & Associates, Inc.

2b. Emai l Address mike@h2osci.com 3. Address

2. Telephone Number

(530)757-0941

2a. Fax Number

(530)757-0940

1615 5th Street, Suite A, Davis, CA 95616

Indicate your organization type: 4. D Sole Proprietorship 5. D Partnership 6. IX] Corporation

l.nd icate the applicable employee and/or corporation number:

7. Federal Employee TD No. (FEIN) 68-0459547

Indicate the Department oflndustrial Relations information: 9. Contractor Registration Number 1000017753

Indicate applicable license and/or certification information: I 0. Contractor's State Licensing

Board Number

12. Bidder' Name (Print) Michael Blankinship

14. Signature

N/A

16. Are you certified with the Department of General E nterprise Services (OSDS) as: a. Small Business Enterprise Yes [X] No D If yes, enter certification number:

1058460

8. California Corporation No. C2261030

11. PUC License N umber CAL-T-

13. Title

President

15. Date

5/23/2018

N/A

Office of Small Business and Disabled Veteran Business

b. Disabled Veteran Business Enterprise Yes D No IX] Jfyes, enter your service code below:

NOTE: A copy of your Certification is required to be included if either of the above items is checked "Yes".

Date appl ication was submitted to OSDS, if an application is pending:

17. Are you a Non-Small Business committing to the use of25% Certified Small Business Subcontractor Participation? Yes D No Ix]

If Yes, complete and return the Bidder D eclaration form, GSPD-05-105 with your bid.

Sc-ace ar Calif ornla~partrnent of G.enerar ~ ,v ices,. Pro<u,~l'Tl:flt txvision GSPD--05-10 5 (EST =s)

ATTACHMENT 2

BIDDER DECLARATION

1. Prfme bidder Information {Review attached Bidder Declaration Instructions prior to completion of this form}:

TBD ber 59Al054 AQTeement Num I of 2

o Page

IF I' 61 #--5"9 ;1/ OS-"/ Solidt~tia, Number

a. Identify current California certlffcatl on(s) {MB, SB, 58/NVSA, DVBE}: SM, MB or None __ (lf »None; go to Item #2)

b. WIii subcontractors be used for this contTact ? Yes .x_ No _ (If yes, Indica te t he distinct e lement of work your firm w lll per form In this contract e.g., 11st the p ro posed products p roduced by your firm, state lf you r firm owns t he transportation veh icles that wlll deliver the products to the State, Identify w hich solicited services your firm will perform , etc.). Use addltlo na I sheets, as necessary. Blankinship & Associates (B&A) w ill provide: project management, human risk evaluation, and vegetation management expertise.

B&A owns the vehicles that will deliver products to the State. Please see Attachment 4 for DGS certification for all team members.

c. If you are a California certified DVBE: (1) Are you a broker or agent? Yes _ No __

N/A (2) If the contract lnclL1des equipm ent rental, does your company own at least 5 1 % of the equlpm ent p rovided In th is contract (qL1antlty and value)? Yes _ No __ N/ A _

2. If no subcontractors wi ll be used, skip to certification below. Otherwise, list all subcontractors for this contract. (Attach addltlonal pages If necessary):

Subcontractor flame. Contact Per~on, Subcontractor Address CA Certification Work per-formed or goods provided Corresponding Good 51% Phone Number & Fax Number & Email Address (MB, SB, DVBE or None) for this contract %ofbld price Standing? Rental?

Ardea Consulting 1 O First Street

Joe Sullivan Woodland, CA 95696 SB, MB Ecological Risk Assessment 25% Yes NIA P: (530) 669-1645 birdtox1@ardeacon.com F: (530) 669-1674

Horizon Water and Environrr ent Michael Stevenson 266 Grand Avenue, Ste 210

SB CEQA Compliance 25% Yes NIA P: (510) 986-1852 Oakland, CA 94610 F: (510) 433-8961 michael@horizonh2o.com

Ecotech Resources, Inc. QA/QC, Geospatial John Root 2403 Byron Street

DVBE 5% Yes NIA P: (510) 528-3975 Berkeley, CA 94702 Analysis, Administration

F: NIA

CERTIFICATION: By signing the bid response, I certify under p enalty of perjury that the information provided is true and correct.

1/;thae/'%,,J td•·t I/{ 1ijb,/~< 1,.. s/1rD/;t Page 1 of 1

STAIB OF CALIFORNIA· DEPARTMENT OF TRANSPORTATION

BID PROPOSAL ATTACHMENT 1 ADM-1412 (REV. Il/2015)

CONTRACTOR'S NAME (Please Print):

ITEM UNIT OF

ITEM NO.

MEASURE

Herbicide Selection Methodology Evaluation including all reports, I Lump Sum training, assistance, deliverables and incidentals descnDed in this

Agreement.

TOTAL THIS PROPOSAL

TOTAL

$262,000

$262,000

TBD Agreement Number 59Al054

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STATE OF CALIFORNIA - DEPARTMENT OF GENERAL SERVICES PROCUREMENT DIVISION

DISABLED VETERAN BUSINESS ENTERPRISE DECLARATIONS STD. 843 (Rev. 512008) Instructions: The disabled veteran (DV) owner(s) and DV manager(s) of the Disabled Veteran Business Enterprise (DVBE) must complete this declaration when a DVBE contractor or subcontractor will provide materials, supplies, services or equipment [Military and Veterans Code Section 999.2]. Violations are misdemeanors and punishable by imprisonment or fine and violators are liable for civil penalties. All signatures are made under penalty of perjury.

SECTION 1

Name of certified DVBE: Ec otech Resour ces , Inc .

Description (materials/supplies/services/equipment proposed):

Solicitation/Contract Number: IFB#59A1054 Herbicides

SECTION2

DVBE Ref. Number: ...a1""1""'5~49a..0_3"------

Envir onmenta l con sult ing services.

SCPRS Ref. Number:_ =CC""'C'"'"""'."::'."'C""'"~--c---:---­(FOR STATE USE ONLY)

APPLIES TO ALL DVBEs. Check only Q!!! box In Section 2 and provide original signatures.

IZ1 I (we) declare that the DVBE is not a broker or agent, as defined in Military and Veterans Code Section 999.2 (b), of materials, supplies, services or equipment listed above. Also, complete Section 3 below if renting equipment.

0 Pursuant to Military and Veterans Code Section 999.2 (f), I (we) declare that the DVBE is a broker or agent for the principal(s) listed below or on an attached sheet(s). (Pursuant to Military and Veterans Code 999.2 (e), state funds expended for equipment rented from equipment brokers pursuant to contracts awarded under this section shall not be credited toward the 3-percent DVB£ participation goal.)

All DV owners and managers of the DVBE (attach additional pages with sufflcle t sl nature bloeks tor each person to sign):

~~~.u..i---- ¥2. s /J'? John J . Root (Printed Name of DV Owner/Manager}

(Printed Name of DV Owner/Manager)

Firm/Principal for whom the DVBE is acting as a broker or agent: (If more than one firm, list on extra sheets.)

(Signature of DV Owner/Manager)

(Print or Type Name)

Firm/Principal Phone: 510 - 528-3975 Address: 2403 Byron Street , Berkeley, CA 94702

SECTION3

APPLIES TO ALL DVBEs THAT RENT EQUIPMENT AND DECLARE THE DVBE IS NOT A BROKER.

1 (Date Signed)

(Date Signed)

0 Pursuant to Military and Veterans Code Section 999.2 (c), {d) and (g), I am (we are) the 0V{s) with at least 51% ownership of the DVBE, or a DV manager(s) of the DVBE. The DVBE maintains certification requirements in accordance with Military and Veterans Code Section 999 et. seq.

D The undersigned owner(s) own/s) at least 51 % of the quantity and value of each piece of equipment that will be rented for use in the contract identified above. I (we), the DV owners of the equipment, have submitted to the administering agency my (our) personal federal tax return(s) at time of certification and annually thereafter as defined in Military and Veterans Code 999.2, subsections {c) and (g). Failure by the disabled veteran equipment owner(s) to submit their personal federal tax retum(s) to the administering agency as defined in Military and Veterans Code 999.2, subsections (c) and (g), will result in the DVBE being deemed an equipment broker.

Disabled Veteran Owner(s) of the DVBE (attach addltlonal pages with sl nature

John J . Root (Printed Name)

2403 Byron Street, Be rkeley, CA 94 702 (Address of Owner)

510 - 528- 3975 (Telephone)

27-0531608 (Tax Identification Number of Owner)

Disabled Veteran Manager{s) of the DVBE (attach additional pages .flhi\!lftatl!Jre blocks for each person to sign):

-r-........_,=-r--:J-~:+--~-- s (ofre ~/Jd)? John J. Root (Printed Name of DV Manager}

Page -1. of _l

PRINT CLEAR

May 23, 2018

Blankinship and Associates 1615 5th Street, Suite A Davis, CA 95616

RE: Herbicide Selection Methodology Evaluation

Dear Mike:

I have reviewed the scope of services for the Herbicide Selection Methodology Evaluation as described in the Invitation for Bid (IFB) #59A1054 and estimate that the cost to complete the services pertaining to ecological risk assessment is up to $60,000.

Please call me with any questions at (530) 669-1645.

Sincerely,

Joseph P. Sullivan , Ph.D. Certified Wildlife Biologist

I O f irst 5 t reet , W oodla nd, CA 95695

fho ne : 5)0-669- 16+ 5

e -mail: b irdtox 1@ardeacon.com

May 25, 2018

Mike Blankinship Blankinship & Associates, Inc. 1615 5th Street, Suite A Davis, CA 95616

Dear Mike,

266 Grand Avenue, Suite 210, Oakland, CA 9461 O P.O. Box 2727; Oal<land, CA 94602, 510-986-5420

l<evin@horizonh2o.com

I have reviewed the scope of services for the Herbicide Selection Methodology Evaluation as described in the Invitation for Bid (IFB) #59A1054 and estimate that the cost to complete the services pertaining to CEQA compliance is up to $60,000.

We appreciate the opportunity to work with Blankinship & Associates. If you have any questions, please contact me at ken@horizonh2o.com or 510-986-1851.

Sincerely,

Kenneth Schwarz, Ph.D. Principal/Member

Horizon Water and Environment is a California Limited Liability Company

Ecotech# Resources, Inc.

Environmental Project Management and Consulting

Mike Blankinship Blankinship & Associates, Inc. 1615 5th Street, Suite A Davis, CA 95616

Subject: Caltrans IFB #59A1054 Herbicide Selection Methodology Evaluation

Dear Mike,

May 24, 2018

Ecotech Resources, Inc. is pleased to commit our services to Blankinship & Associates, Inc, for Caltrans I FB #59A 1054 Herbicide Selection Methodology Evaluation. I have reviewed the scope of services and estimate that the cost to complete the services pertaining to quality assurance, quality control, geospatial analysis, and administration is up to approximately $13,000.

The Ecotech team includes no former employees of the State of California, Department of Transportation, and we have not identified any conflict of interest issues as described under Caltrans Statement of Qualifications Submittal Instructions and General Contract Process Information (Rev. 06/20/16) Section VI - Conflict of Interest Concerning Consultant(s).

Ecotech Resources, Inc. is certified as a Disabled Veteran Business Enterprise (DVBE) firm by State of California Department of General Services (DGS). Our State of California DGS certification number is #1154903.

We look forward to teaming with you on this effort. If you have any questions, please call me at (510) 528-3975 or email me at jroot@ecotechresources.com.

Sincerely,

John J. Root President

Ecotech Resources, Inc. - Certified DVBE & SDVOSB - 2403 Byron Street Berkeley, CA 94702 - www.ecotechresources.com