FCS3

Attachment C

BIDDER DECLARATION

Solicitation Number DRR21047

Subcontractor Address &EmailAddress

Corresponding % of bid price

51% Rental?

Subcontractor Name, Contact Person, Phone Number&FaxNumber

CA Certification (MB, SB,DVBE or None)

Work performed or goods provided for this contract

Good Standing?

Yes

NA

Architectural Testing (An Intertek Company), multiple contacts Shannon Stein Phone: (559) 233-8705 Fax: (717) 764-4129

2524 E. Jensen Ave. Fresno, CA 93706 (multiple test facilities) Shannon.stein@intertek.com

To be determined 1

Material and product testing – will provide select testing services as needed.

To be determined 1

Yes

NA

2990 Stone Station Road Sebastopol, CA 95472 joaquinanthonywright@gmail.com

Joaquin Wright Phone: (707) 400-3912 Fax: NA

Yes

NA

2%

JPS Design Group John Siebert Phone: (888) 550-6430 FAX: NA Middleton & Associates James Middleton Phone: (405) 436-3800 Fax: NA

1300 Erieview Drive Madison, OH 44057 jpsdg@jpsdesign.com

To be determined 1

Yes

NA

4801 S I-35 Service Road #96214 Oklahoma City, OK 73143 james@jdmiddleton.com 3121 E Ana Street Compton, CA 90221 rwarpack@sbcglobal.com

Modern Concepts, Inc. Richard Warpack Phone: (310) 637-0013 x 6 Fax: NA Peter B Sebaaly, Ph.D.P.E Professor & Director of Pavement WRSC Phone: (775) 240-0958 Fax: NA

Material and product testing – will provide select testing services as needed . Material and product testing – will provide select testing services as needed.

To be determined 1

Yes

NA

University of Nevada - Reno 1664 N. Virginia St.

To be determined1

Yes

NA

Reno, NV 89557 psebally@unr.edu

To be determined 1

Material and product testing – will provide select testing services as needed.

PRI Construction Materials Technologies Zack Priest Phone: 813-621-5777 Fax: 813.621.5840

6412 Badger Drive Tampa, FL 33610 zpriest@pricmt.com

Yes

NA

1. This subcontractor will provide testing, certification and/or manufacturer technical assistance services under Tasks 3 and 4. The specific tasks to be performed and budgets will be determined in conjunction with CalRecycle during the project.

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