Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
FS Contractors
|
| Vendor Number (3____ for AP and 00___ for AR) |
329257
|
| Vendor Contact Name |
Jose Angel Fierros
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Public works projects: PUBLIC WORKS/CONSTRUCTION
|
| Contract / Amendment Amount |
$199,525.00
|
| Is this a new agreement or an amendment to an existing agreement? |
New Agreement
|
| Supplemental Insurance (for Risk team only) |
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|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
Autho.pdf
|
| Upload Agreement or Amendment |
Agreement.pdf
|
| Upload Insurance Documents (COI, Endorsements, WOS, etc.) |
Insurance.pdf
|
| Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") |
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|
| Describe changes to Contract Template, if any (If none, type "None required") |
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|
| Add name of RFP / RFQ / RFB, if issued |
NOTICE INVITING SEALED BIDS FOR CONCRETE REPAIR PROGRAM– PHASEX CIP 2101, CDBG PROJECT NO. 602187-20
|
| Upload RFP / RFQ / RFB file here, if issued |
31_Appendix C (Detectable Warning Surface (Truncated Domes) Details & Technical Installation).pdf, 13_Statement Acknowledging Penal and Civil Penalties Concerning the Contractors Licensing Laws.pdf, 09_Noncollusion Affidavit.pdf, Bid Proposal.pdf, 20210112182904453 36_ CIP 2101 Bid Specification.pdf, 35_Appendix G Payroll Report & Statement of Compliance 2020.pdf, 34_Appendix F (Federal Wage Decision).pdf, 33_Appendix E.pdf, 32_Appendix D (Federal Labor Standards Provisions ).pdf, 30_Appendix B (Standard Drawings).pdf, 29_Appendix A (Location Map).pdf, 28_Contract Agreement _Pages D.pdf, 27_Certificate of Understanding and Autorization.pdf, 26_Fringe Benefit Statement.pdf, 25_Good Faith Efforts.pdf, 24_Local Agency Bidder DBE.pdf, 23_Section 3 Economic Opportunity Report.pdf, 22_Section 3 Business Certification.pdf, 21_Section 3 Resident Certification.pdf, 20_Section 3 Economic Opportunity Plan.pdf, 19_Notice of Section 3 Commitment.pdf, 18_Equal Employment Opportunity Commitment.pdf, 17_HUD Report of Additional Classification.pdf, 16_Non-Segregated Facilities Certification.pdf, 15_Federal Lobbyist Certification.pdf, 14_County Lobbyist Cerification.pdf, 12_Certification Of Non- Discrimination.pdf, 11_Bidder Voilation of Law Safety Questionnaire.pdf, 10_Bid Bond.pdf, 08_Certification.pdf, 07_Designator Of Sureties.pdf, 06_References.pdf, 05_Registration With The California.pdf, 04_Bidder's Information.pdf, 03_Bid Proposal.pdf, 02_Instructions to Bidders.pdf, 01_NOTICE INVITING SEALED BIDS CIP 2101 CDBG.pdf
|
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) |
Check A License - License Detail -CSLB.pdf, DIR.pdf, POwer of Attorney.pdf, Surety Bonds - List of Certified Companies.pdf, Contract Checklist.docx, Performance Bonds.pdf, Payment Bond.pdf, Compensation Insurance Certificate.pdf
|
Supplemental Risk Information
General Liability Details
| Policy Effective Date |
01/13/21
|
| Policy Expiration Date |
01/13/22
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
PNC, AI, WOS
|
Automobile Policy Details
| Effective Date |
08/26/20
|
| Expiration Date |
08/26/21
|
| Policy Amount |
$1,000,000.00
|
Workers Comp Policy Details
| Effective Date |
07/31/20
|
| Expiration Date |
07/31/21
|
| Policy Amount |
$1,000,000.00
|
| Endorsements |
WOS
|
Other Policy Details
| Other Policy Name 1 |
Pollution
|
| Effective Date 1 |
01/13/21
|
| Expiration Date 1 |
01/13/22
|
| Policy Amount 1 |
$5,000,000.00
|
| Other Policy Name 2 |
Excess Liability
|
| Effective Date 2 |
01/13/21
|
| Expiration Date 2 |
01/13/22
|
| Policy Amount 2 |
$8,000,000.00
|
