FORM R&P 201-5M-1 2-72(t-28-45)

SCHEDULE OF WORK AND PRICES (Continued)

PROPOSAL - SIGNATURE PAGE

~(N=a=m~e~o~f~C~o~nt~ra=ci=o~rj_M_e_tr_o_B_u_i_ld_e_r_s_&_E_n_g_in_e_e_rs_G~ro_u_p_,_L_t_d_.~~~~~~-agree~)~beginwo~andcompl~elt on or before the dates set therefore in the specifications.

(Name of Contractor) Metro Builders & Engineers Group, Ltd. agree(s), furthermore, that in case of Contractor default in executing the required Contract, with necessary bonds, within the time fixed by the Instructions to Bidders, the proceeds of the check or bond accompanying this bid shall become the property of the City of Los Angeles.

(a) INDIVIDUAL (Sign here if individual)

(Signature) _N_/_A _____________________________ _

(Address) ________________________________ _

(b) CO-PARTNERSHIP

Name of co-partnership firm _N_l_A ___________________________ _

(Address) ______________________________ _

(Signatures of co-partners) _____________________________ _

1.

(Address) _______________________________ _

2.

(Address) ________________________________ _

3.

(Address) -------------------------------

(c) CORPORATION

Name of corporation Metro Builders & Engineers Group, Ltd.

(Address) 2610 Avon St, Newport Beach, CA 92663

*(Sign here if corporation) F ouad Houalla, President Title st officer of corporation

(Corporate seal to be affixed here)

*Approved signature methods for corporations: (a) Two signatures: One by the Chairman of the Board of Directors, President or any vice president and One by the Secretary,

assistant secretary, chief financial officer or any assistant treasurer; or (b) One signature by corporate designated individual together with the properly attested resolution of the Board of Directors

authorizing the person to sign .

MUST BE SUBMITTED WITH THE BID Van Ness Rec. Ctr. - Pool and Bathhouse Replacement (WO. E170392F)

5

SCHEDULE "A" SUBCONTRACTORS AND SUPPLIERS

The Prime Contractor shall perform, with its own organization, Contract work amounting to at least 20 percent of the Base Bid Price, unless otherwise instructed.

PROJECT TITLE Van Ness Recreation Centre Pool And Bath House W.O. No./PRJ No. I NAME OF PERSON COMPLETING THIS FORM Reolacement E l70392F Fouad Houalla

BIDDER (NAME OF FIRM) Metro Builders & Engineers Group, Ltd. ADDRESS I CITY I STATE I ZIP CODE 2610 Avon St, Newpot Beach, CA 92663

CONTRACTOR'S LICENSE NO. LICENSE CATEGORIES EXPIRATION DATE YEARS IN TELEPHONE No. 949-515-4350

597589 A/B/C-10 7/3112018 BUSINESS 3

0 FAX No. 949-515-4351

Type of Ownership: D Sole Ownership ~ Corporation Is Bidder any of the following as defined in the Business Inclusion Program? D Partnership D Joint Venture Check all that apply.

MBE D WBE D SBE D EBE D DVBED

DOLLAR PARTICIPATION OF ALL SUBCONTRACTORS AND SUPPLIERS List all subcontractors and suppliers who will do work on this project, regardless of the amount of money involved. (Ordinance No. 150,595. Los Anqeles Administrative Code Section 10.14 "Provisions Pertaininq to Listinq of Subcontractors."; Business Inclusion Program, Page 15 et seq.) .

DESCRIPTION OF BASE BID WORK TO BE PROVIDED DIRECTLY BY PRIME DOLLAR VALUE OF BASE BID TO BE PERFORMED BY PRIME BIDDER: BIDDER:

$

SUBCONTRACTORS SUB SUPPLIER CONTRACTOR DESCRIPTION OF WORK OR SUPPLIES DOLLAR VALUE OF OR SUPPLIERS LICENSE NO. TO BE PROVIDED w w w w w w SUBCONTRACTOR or CD CD CD CD CD > CD

NAME, ADDRESS, TELEPHONE NO. ~ s (/) w 0 0 SUPPLllER (note if add/deduct item)

·_,.:·\.,,_ ~

r\" 0- .( ''t De~·'1-V"\L, ell D ve~b. ~ d-.. t t r> o<:._ et \ Base: $ l'tC1 \ 3<>1

\ "-'\. t>'-1'-{ Lle!f"(" )c.... ~.\-- O\<bct ob(, () ~ e 't- F\. \,Z -"Cf 'fu u U ~ , ~ e,C-1 \c\ \lo·,.-, p C1 "()-..I tA q ~ ;>6 \,..) ..._; Acid 's: $ D

Ded's: $ a b '2.-6 .- 1..S )- - 3, <6 b I

·,~.~~t'..f.~~~ .• ',_ ._,;:~· . ,~-\.r·· ..... ~1--.;

~......._d..o'T r ~ t.. · ~ D q~ i i'"'AV'"'r'-\V\-0! {) 0 ~ \ Base: $ 2 i~)~ ,(

t:Z,oo~ !)u"'6'~re A" e <t,11.-'2..ti c; ~lf)ID ly ~ \~~H0i~1 C') . .,_ x ~

f;,.,A. M0"1~ 1 t~ C'.l 1').3,1 ' . v Acid 's: $ o ,

Ded's: $ O · 61.k ... YSS--bt)S-o

(CONTINUED ON NEXT PAGE) PERCENTAGE OF MBE/WBE/SBE/EBE/DVBE PARTICIPATION Total combined dollar value of MBE/WBE/SBE/EBE/DVBE subcontractors and suppliers portions f work. Do not include prime bidder's portion unless it is a Joint Venture, in which case the value of work to be performed by e of the Joint Venturer's who is an MBE, WBE, SBE, EBE or DVBE may be included. TOTALMBE'SAMOUNT $ i.35oooo = _Jk_:_S° _%

TOT AL WBE's AMOUNT

TOT AL SB E's AMOUNT

$ 1.-?_5C Ot>-C = _ 1,,~5_%

$ q,5y 41~~) ·1~2--<b·'"t_%

TOT AL EBE's AMOUNT: $ __ 'b __ _ __ -5}_%

TOTAL DVBE's AMOUNT: $ 0 __ ~- _ %

BASE BID AMOUNT: 4' 1<.6)-1.. 1 lJt>'l-' lo

Van Ness Rec. Ctr. - Pool and Bathhouse Replacement (WO. E1 70392F)

of Person Completing Form

Presiden 517/2018

Title Date

MUST BE SUBMITTED WITH THE BID 16

o~ .

SCHEDULE "A" (Continued) SUBCONTRACTORS AND SUPPLIERS

SUBCONTRACTORS OR SUPPLIERS SUB SUPPLIER CONTRACTOR DESCRIPTION OF WORK OR SUPPLIES UJ

DOLLAR VALUE OF NAME, ADDRESS, TELEPHONE NO. LICENSE NO. TO BE PROVIDED UJ UJ UJ UJ m UJ SUBCONTRACTOR or m m m m > m

:2 ~ (/) UJ 0 0 SUPPLllER (note if add/deduct item

~· P.. • LroY)rt."< cl (or- "' .ffl D 4 .~~i,qd Base: $ C\ I ' bO o t r t>

i.sa 1-~~ ye.Jo C1 y Acid's: $ 0

· b~ n Ded's: $

D l.ien.U'L Base: $ 1rr,G~

Acid's : $ ()

Ded's: $ 0

LO\ kASY C\ A~~ k~'k D (h~+til lf Base: $ '21..';1-.S

\:)

Plu. '""'b'"'~ · ~o . ge.jl 1--S1-ct~ Acid's:$ ~

fy {) . \.\)C{\ ~\,\. \- (..A-Cj Ded's: $

{'.'.)

bit .... ~; 'l .... ~o '6 1

D D Base: $

dd's: $ Ded's: $

D D Base: $

dd's: $ Ded's: $

D D Base: $

dd's: $ Ded's: $

D D

D D

Ded's: $ ____ ,

MUST BE SUBMITTED WITH THE BID 16A

Van Ness Rec. Ctr. - Pool and Bathhouse Replacement (WO. E1 70392F)