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Home My WebLink AboutAgreements/Contracts - Public WorksK23-249 THIS AGREEMENTF between the Board of County Commissioners of Grant County., State of Washington, acting under and by virtue of Chapter 36.77 of the Revised Code of Washington, as amended, hereinafter called the County, and Central Washington Asphalt, Inc for itself, its he* irsexecuters, , exec , administrators, successors and assigns, hereinafter called the Contractor, WITNESSETH: That in consideration of the payments, covenants, and agreements, hereinafter mentioned, and attached and made a part of this agreement, to be made and performed by the parties hereto., and the parties hereto covenant and agree as follows-, 1. The Contractor shall do all work and furnish all tools, materials, and equipment necessary to improve and complete SILICA RD, OVERLAY PROJECT, CRP 23-03', located in Grant Cou nty, Wa sh i n gton, as proposed i n a b id o pe n ed 14.00 P. M. Pacific Time, Tuesday,, Septan ber 12, 20231n accordance with and as described in the herein attached plans and standard speCITications, and in full compliance with the terms, conditions, and stipulations herein set forth and attached, now referred to any by such reference incorporated herein and made part hereof as fu I ly for a I I purposes as if here set forth at length, a n d sh a I I perform ars a Ite rat 11 on s in or additions to the work covered by this contract and every part thereof and any force account work may be ordered as provided in this contract and every part thereof. 2. The Contractor shall provide and be at the expense of ail materials,, labor, carriage,, tools, implements and conveniences and things of every description that may be requisite for the transfer of materials and for constructing and completing the work provided for in this contract and every part thereof. 3, The County hereby promises and agrees with the Contractor to employ, and does employ the Contractor to provide the materials and to do and cause to be done the above described work and to complete and finish the same according to the attached plans and specifications and the terms and conditions herein contained, and hereby contracts to pay for the sane according to the attached specifications and the sched.ule of unit or itemized prices hereto attached, at the time and in the manner and upon the conditions provided for in this contract and every part thereof. The County further agrees to employ the Contractor to perform any alterations in or additions to the work covered by this contract and every part thereof and any force account work that may be ordered and pay for same under the terms of this contract and the attached plans and specifications. 4, The Contractor for himself, and for his heirs, executors, administrators and assigns, and successors and assigns, does hereby agree to the full performance of all the covenants herein contained upon the part of the Contractor. 5, It is further provided that no liability shall attach to the County by reason of entering into this contract, except as expressly provided herein. Silica Rd. Overlay Project, CRP 23-03 Contract -- Page IN WtTINIESS WHEREO F,, the sai-d CG, n1r, actor has executed th"S. i"nstruament, aid Board'of. I ., and the s il County, Cr Ommissioners of Grant. County has caused thiS, instrument to be executed by and ilin the name of, sai'd Board by its Members, d0y/ attested by fts Clerk, the day and year, beflow written, and the seat ofsaid, Boar, d to be hereunto afted on, safid date. day of, 4611-V'01,er 2023 P..a,mp Maiers, President Prise: Name Central Washington Asphalt, Inc. Firm Name P.O. Box 939 Address Moses Lake WA 98837 I Y" sitate ZIP 9)�,, 765-5757 Phone Nt,JI,,,ca Kcf,., Uvertay Project,,, CRpir'23-0,3 C-10"'. nit ric"i'"t- ^- "'P--A—g-,-e- CONTRACT BOND KNOW ALL MEN BY THESE PRESENTS: Bond No. 023228840 That we, the undersigned., Central Washington Asphalt, Inc. as principal, and Liberty Mutual Insurance Com any -------------a corporation organized and existing under the laws of the State of Massachusetts. as surety corporation, and qualified under the laws of the State of Washington to become surety upon bonds of contractors with municipal corporations, as surety, are jointly and severally held and firmly bound to Grant County, Washington, in the penal sum of Eight Hundred Nine!y-Seven Thousand and No/1 00ths ($ 8971 000.00 for the payment of which sum on demand we bind ourselves and our successors, heirs, administrators or personal representatives, as the case may be. This obligation is entered into in pursuance of the statutes of the State of Washington, the Ordinances of Grant County, Washington. Dated at Tacoma -----------0 Washington, this 4th day of October 2023 The conditions of the above obligation are such that: WHEREAS, on September 12,, 2023., the Board of County Commissioners of said Grant County has let or is about to let to the Principal, a certain contract, the said contract providing for the improvement of SILICA RD. OVERLAY PROJECT,, CRP 23-03, located in Grant County, Washington., (which contract is referred to herein and is made a part hereof as though attached hereto), and WHEREAS, the said Principal has accepted, or is about to accept, the said contract, and undertake to perform the work therein provided for in the manner and within the time set forth; NOW, THEREFORE, if the said Principal shall faithfully perform all of the provisions of said contract in the manner and within the time therein set forth or within such extensions of time as may be granted under said contract, and shall pay all laborers, mechanics, subcontractors and material men, and all persons who shall supply said Principal or subcontractors with provisions and supplies for the carrying on of said work, and shall hold said Grant County harmless from any loss or damage occasioned to any person or property by reason of any carelessness or negligence on the part of said Principal, or any subcontractor in the performance of said work and shall indemnify and hold Grant County harmless from any damage or expense by reason of failure of performance as specified in said contract or from defects appearing or developing in the material or workmanship provided or performed under said contract, and until the same is accepted, then and in that event thi ation shall be void but otherwise it shall be and remain in full force and effect. '102 Countersigned: N/A Licensed Agent/Surety Co. Liberty Mutual Insurance Company 1001 4th Avenue, Suite 3700, Seattle, WA 98154 Propel Insurance 1201 Pacific Avenue, Suite 1000, Tacoma, WA 98402-4321 253 759-2200 Firm, Street Address (No P.O. Box), Phone of Local Office of Agent Silica Rd. Overlay Project, RP 23-03 Ce fra ashi 6 It, Inc. ?a iers _P i� incipal L' e y to nsurar3 0 any . . . . . . . . . . . ...... ... Carley Espiritu, ct, Surety Attorney -in -Fact Approved as to Form: 2023 Deputy Prosecuting Attorney Contract — Page 3 This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. -- Liber .. Liberty Mutual Insurance Company mutual® The Ohio Casualty Insurance Company Certificate No: 8210464 - 023049 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Aliceon A. Keltner, Alyssa J. Lopez, Amber Lynn Reese, Amelia G. Burrill, Andrew James Carretto, Annelies M. Richie, Audrey M Turner, Brandon K. Bush, Brent E. Heilesen, Carley Espiritu, Christopher Amos Hayes, Christopher Kinyon, Cynthia L. Jay, Dana Marie Brinkley, Diane M. Harding, Donald Shanklin, Jr., Edward Sims, Eric A. Zimmerman, Holli Albers, Jacob T. Haddock, James B. Binder, Jamie L. Marques, Julie R Truitt, Justin Dean Price, Kari Michelle Motley, Katharine J Snider, Lindsey Elaine Jorgensen, Lois F. Weathers, Michael Mansfield, Misti M. Webb, Sara Sophie Sellin, Sarah Whitaker, Tamara A. Ringeisen all of the city of Tacoma state of WA each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 20th day of July , 2023 Liberty Mutual Insurance Company �� 1NS(IPx, IMs&1011111NSUThe Ohio Casualty Insurance Company G�R40y0 �� G�RP0 PO West American Insurance Company .�' oto vT C� 1912 �y Q Q 1 1 4 99 a Y ,� v; 10 CHO ca David M. Carey, Assistant Secretary Cr cc State of PENNSYLVANIA ss N : County of MONTGOMERY �► E U M o :03 On this 20th day of July 2023 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance 0 076 Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes •� — therein contained by signing on behalf of the corporations by himself as a duly authorized officer. C, IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. < __ U) o0.0 oNtfr, N Commonwealth of Pennsylvania - Notary Seal 0 o Teresa Pastella, Notary Public 'W •6..0 Montgomery County L 0.10 OF My commission expires March 28, 2025B Q E � �3 � Commission number 1126044 y Teresa Pastella Notary Public Q L" Member, Pennsylvania Association of Notaries y O - Q This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual vo o Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: 0 � L ARTICLE IV – OFFICERS: Section 12. Power of Attorney.- 00 4+0 L Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the -0 V President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety � C.0 cu C:any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall ro C Q have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such .0(D 0co Z v instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the L ca provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers (D granting such power or authority. 0 ARTICLE XIII – Execution of Contracts: Section b. Surety Bonds and Undertakings. ' Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation – The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in - fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations, Authorization – By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. 1, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 4th day of October 2023 01,1111111111111 "Ill,lllll INS(& `.� f INS& `a 1NSUR GOstPO� �/li� yJPGORP01�gT�2 Q' GOVLP0�4 1912 00 1919 ; lu 1991 0 ' ~�0 �k a ast By DIAD . �► Renee C. Llewellyn, Assistant Secretary LMS -12873 LMIC OCIC WAIC Multi Co 02121 To, Board of County Commissioners Date` _Se triter 12th 2023 Grant County, Washington This certifies that the undersign eci has examined the location of SILICA RD. OVERLAY PROJECT, CRP 23-03, in Grant County, Washington, and that the plans, specificati()n's and contract governing tfie work embraced in the improvement and the method by which paytrent will be made for qaid workisunderstood. T1 e undersigned hereby proposes to undertake and complete the work embraced- in tNs lim provem ent, ora s mLich thereof as can be cornpleted with the money available in accordance with said plan. , SIOP-Cifications, and contract arid at the following schedule of rates and prices, SILICA RD. OVERLAY PROJECT Note, Unit prices for all items, all extensions., and total amount must be shown, Pie -,Ise type or use ink. Please 'Initial ati changes, Its Plan ............. Item Descript"Jon Price per Unit* Total Arnou nt No. Quantity ....... ....... .. .. ...... ............ . . .. ...•....... . ............ Cents Cent.... . Dollars ....... ... Dollars Cents PREPARATION 1 Mobilization Lump Sum 507000.00 Per Lump Sum ... . .. . ..... GRADING 2 4.98 .............. Shoulder rini5hing At Mile 9.1500"00 47,310-00 Per Mde . .... ... . .. HOT MIX ASPHALT 3 834 1 Planing Bituminous Pavement At ........ . . ............•...•................. S, Y. 16 00 13;344,00 Sy Per Square Yard «•vx., 'Hnn .N. ;rNyry 1... n'iiMinmmaiuMAuiHii /_iHMirppNN/rwyHNHHNYNIM'//F/HMVHH:sin..x.✓•.:.u.xwr:. 6x500 /Iy/r,.,n.)r//unHYNAYHINruuNivuu/upuuNmNN,m/YmIHNHlium4YMW/uiH /n..nrrn..n.. ,..:-.,.,:,r; n'rw.. . r..r: HYHrHx-,.......:rHNH/NN/MvviMWFYUMW/uuNHN/NHF.. HMA C1. Y In, PG64-28 .YFrryMy 'iN. YM,, •,• N/./. ,. 4'. .. ...... . I-— . ........,r At . ...... ......... ...... . .... . . . .... . . .... ..... Ton 103,00 6693500-00 . ......... . . . . .......... ........ . .. .. . . . ..... —,; . ............YM N/n 5 Ca,!Iculated Job Mix Compliance Price At . ...•.. ... . ......... .............. ... . . ..... ....... . . Adjustment . . ...... ... . ....... .. 6 Calculated Compaction Price Adjustment At Calculated . ..... ....... ..... Silica Rd, Oveday Project, CRP 23-03 r I uposa Pa I ge I IV; Item ............ Plan . . ........ ... . ........... .. ... ........... ... .. ..... ....... . ..... ... ...... . ............ Item Description . ..... . Price per Unit* Total Amount No, 111 Quantity ........ .. . ... ...... Dollars . Cents Dollars. Cents TRAFFIC . .. ......... . ... ........ 7 13,150 Temporary Pavement Marking At . ................... . .......... ... . ..... Lin, Ft, .•...... ...... ro%WWPe( 0.75 Linear Foot 9;862-t50 51,300 Paint Line At Lin. Ft, 0.25 12,825-00 Per Linear Foot 480 nWi Painted ide L ne At Lin. ft-. I 5D 720,00 Per Linear Foot 10 Project TernpararV Traffic Control At Lump Sum 84,941-50 'v'/-"'"•,. ..x• An vry .mi. .: :: A: r::. wi., •:r-. r..r.,rr•ri..'minW/N/vv:-:inymimN/H/rrvarry/rpN wvr..•mMM1wiiiirmmrriir ... ........... ........ -- . . . ...... ........ 4 Adjust Monliment Case ars d Co over A t Each 11250-00 51000-00 . .. . . Per Cacti At HIIIIIII411111 Per Lump Sum Project Total $897,0001,00 . ......... Silica Rd, Overlay Proiect, CRP 23-03 Prcposal — Page 2 Failure to return this Declaration as part of the bid proposal package will make the bid nonresponsive and ineflgible for award. by signing the proposal, hereby declare, under penalty of perjury under the laws Of the United States that the following stalements are true and correct: 1. That the undersigned person(s), firm, association, or corporation has 'have) not, either directly or indirectly, entered 'Into any agreement, participated 'in anV I coilusion, or otherwise taken any action in restraint of free competitive biddwg in connection with the project for which this proposal is submitted, 2. That by signing the signature page of thiss proposal, I am deemed to have Migned and have agreed to the provisions of this deidaration, il,�IIIKAWI��Wl Tfie U,S, Departmect of Transportation (USDOT) operates the above W4-free "'hotline"' Monday through Friday,. .M,. 800 a.m. to 5:00 p.m.,, Eastern Time. Aryone with knowledge of possible bid rigging, bidder collusion, o . r oth er f ra ud u lent act ivi ties shou ld use th e "hod ine" to report s u ch activities. I I i a Th e " hot I i re" is pa rt of USDOTfs co n d n u i n g eff ort to 'd entify and in vestigate h ghw y ca n st ruct i on co nt ra ct frau d a r d a bu se and is operated u n d e r the d ii recti o n of th e USoOT I n spe ctor G e n era 1, All inform at ion wil I be trea ted co nf 1 d entia Hy an d caller a nonym ity wi I I be respected, Revised 6/14 From DOT Form 272-0361 EF 07/2011 . ............ Proposal Page 3 . .. . ...... .. _• .. . . .. ............... Certification of Compliance with Wage Payment Statutees The bidder hereby certifies that, within the three-year period immediately preceding the bid solicitation date (9/12/2023), the bidder is not a to willful" violator,, as defined In RCW 49.48.082, of any provision of chapters 49.461 49.48, or 49.52 RCW, as determined by a final and binding citation and notice cf assessment issued by the Department of Labor and Industries orthrough a civil judgment entered by a court of �imlted or general jurisdiction, I cerflfV under penalty of perjury under the laws of the State of Washington thiat the foregoinY... correct'. CentralWashingh ton Aspalt Bidder's Busiti l b AutrN- hoOfficial* Iized Pamp Maiers ..... . ..... Printed Narne President r ....................•.. Title 09/12123 Moses Lake WA Date! city 5ta I t ie Check One; Sole Proprietorship F-1 Partnership Ll Joint Venture E Corporation JZ State of Incorporation, or if not a corporation,, State where business entity was formed: Washington If a co -partnership, give firm name under which business is transacted: N/A * If 0 WTOrufion, Proposal must be executed in the corporate name by the porate President or vice-president (or any other corofficer occompunied by evidence of authority to sign), If a co -partnership, proposal must be executed by a partner, _f___W-*�-� - - - - - - - - - -- - ..... . .. .... . ..... . .. __ ...... ....... . .. .. SiHu Rd, Overlay Project., CRP 23-03 Proposal --Page 4 AWL Proposal - Signature Page The bictcler is hereby advised that by signature of this proposal he/she is deemed to have -acknowledged all FeClUirements and signed all certificates contained herein. A proposal guaranty in an amount of five percent (5%) of the total bid, based upon the @pproximate estirr ate of quantities at the above prices and in the form as indicated below, is attached hereto: Cash CJ In the Amount of Cashier's Check�...�,..,.�..::��»x,.x..�::.x._.xx.,rxx.xxx...x,r,xxrr,rvrv.,rrvnrx,,,rrrr�.rv.,.��.�..x..x..xx�x.x.xx....xxx..M.x�rn_xr�..r�..,.x.�...,�,,m...,N�mHr„,,.,,rmNH,M,mr,H�m.,,r�„m,YHDollars Certified Check Cl Payable to the Grant County Treasurer Propmal Bond P9 In the Amount of 5% of the Bid Receipt 'is hereby ackncwledged of addendum(s) Nc).(!5) Signature of Author, Official(s) Proposal Must H -e Signed President Maiers, Please Print Name of Authorized Official Firm Name Central Washington Asphalt, Inc.. Address P. 0 Box 939 Moses Lake, VV A 98837 . .......... .......... .. . . . ......_..0 . ...... ............ . . ....... State of Washington Contractor's License No. CoENTRWA18113G Federal ID No. 91-1178142 Nntp” (1) This proposal fof m is not transferable and ang alteration enter hereon without prior pe rmis5ion from the countV Engineer w4l be causL- foF considering the prcpo5�liirregular and subsequent. I ejection Ul' Uid, (2) Please re-fer to section 1-02,G of the standard 5pecification3, f f-:11 Preparation of Fropoml" or" rkle 4"' of the im5tructions to bidders for building r-onstrucli-on jobs, (31, Should it be necessary to modify this proposal either ire writing or by el-pctron ic mez ns, please m i ke refe reRce to tip- folbwing proposal number in your corp' monir-ation.- — 3 Revised 8/95 Silica Rd. Overlay Prqject, CRP Z3,03 Proposal — P;age 5 11111 111111111iiii Ir 111 lli iq� To: Board of County Commissio ners Date., S§p _',Leqiber 12th_� 2023 Grant County, Washington I hereby maintain that I a nn a responsible bidder as ccntemplated by the policies of the State of Washington and Chapter 36.77 of the Revised Code of Washington, 1. My permanent business narre and address is 13184 E. Wheeler Rd. Moses Lake, WA 98637 vvh1ch I have maintained fOr 41 years. My phone is )765-5757 Fax 765-80-52 2 1 have adequate plant equipment to expedit'llo"sly and properly perform the work contemplated for Grant County, Washington, Description of work:: This contract provides for the construction of 2.49 miles of IFMA ovef lay on Silica Road, from M P 4.50 to MP 6.99 t a two and three lane co unty road in Grant County, WX, and includes planning bituminous pavement, shoulder finishing, hot mix asphallt,, project temporary traffic control, painting centerline and edge line and other work, ail in accordance with the attached Contract Plans, these Contract Provisions, and the Standard Specifications. (P lease i i st eq u ipment to be used on this p roject . Attach list if necess a ry,) Paver; Screed; Backhoe; Roller; Power Broom, Loader; VVater Truck, Various Trucks and Pups 3, 1 have adequate funds to pfemptly meet obligations incident to this rk. (Provide b�i"� wonk, contact & phone.) a) Washington Trust Bank b) Aftn: Chem Anderson "T36 4. 1 have a dequate exper"I nce in this da ss o f work and I a m thorough ly fam ifiar w it h the specifications used in this W 'ect. I have Constructed the following similar improvements, (Provide project name, contact & phone.) a) See Attachment "A" b) 5, 1 have submitted and maintain annually a "StandardQiiestionnaife and Financial Statement to -the Washington State Department of Transportation (WSDOT): Yes 0 No 0 Reigion - WSW OT has determined; a) I am Prequalified to work classes 1, 2,13, 4,1 5, 19, 34 aN I n t he a rn o u nt of $24 8,587.875 00 b) I have falled to be preqBaa llified for the fol lowing reascns: The Contracting Agency may determine a prospectfIve Bidder who is not prequalified to perform ce rta i n types of wc)rk vvithi n the fi na nciall and experience co nstra i rets determi ned by WSDOT to be not responsible and refuse to award a contract. The Board of Cou my Commissioners shal I proceed to awa rd the contract to the lowest and best bidder but m z't an. or all bidsilf in its opinion good cause exists therefor. (RC VV 36-77.,040) y I hereby certi, t ements are true and accurate. Very truly. V .............. ..................... ( Prin. aMr air President a. nNamCen tral Washington Asphalt, Inc. CO.Vay ... Address: P.0 Box 939 pity, State , Zig - M o ses Lake, WA 98837 Washington State Contractor's License No,, CENTRWAIBIPG . ... ........ Silica Rd. Overlay Project, CRP 23-03 Proposal — Page 6 Grant County Public Wc)rks 124 Enterprise St. SE Eohrata, WA, 98823 Project Namc: SILICA RD. OVERLAY PROJECT Local Agency Subcontractor List Prep4rtd in compliance with RC's' 39,30,060 as amended To Be Submitted with the Bid Proposai Failure to list subcontra ctofs with whom the bidder,, if awarded the contract, will directiv subcontract for performance of the work of heati� ventilation and air conditioning, plumbaing, as described In Chapter 18,106 RCW, and electrical as described in Chapter 19,28 RCW, or naming more than one subcontractor to perform the same work will result in your bid being non-responsive and therefore Vold. Subcontractor(s) w10 whom the bidder vvill directly subcontract that are proposed to perform the or cf heating, ventilation and air conditioning, plumbing, as described in Chapter 18,106 RCW,, and electrical as described in Chapter 19,28 RCW must be listed below. The work to be performed Is to �e listed below the subcontractor(s) name, ent. th-pa.-Pr9ject "C'Maels, On o ogre cats Rorie$ O.fw,o,FK. refernt ed#"*n ft - to rm, W� 391310,060 a n4 no ....... ........ . .... ......... §yubcontract ar is Vste4l below t"Ierfom: such it _ :., 0 Vrk,'Ah. bidder Cettifiesthat the work will e f ,�rfor.Med W_the bid, de .r iu. Le or, fii - W''01 C.. .:, directly with the. bldder* Subcontractor Name NINE NE PRO POSED Work La be Performed Subcontractor Name Work to be Performed 5ubcontractof Name Work to be Performed Bidder's art notified that the opinion of the enforcement agency PVC or metal Conduit, junction boxes, etc, are considered electrical equipment and must be 'Installed by a licensed electrical contractor, even if the installation is for future use and no Miring or electric current is connected during the project. A licensed e I ect f ica I con tracLur must be I iste d to perform the work. Silica Rd. Ove da Project,, CRP 23-03 Proposal —page 8 KNOW ALL MEN BY THESE PRESENTS: Th at we, Centra) Washington Aa halt Inc, a S principal, aild UMutual Insurance Companas - - ---------- - Surety, are held and firmly bound unto Grant County, Washington, asi Oblig xeg, n the full and penal sum of five (5) percent of the total amount of the bid proposal of said principal for the work hereinafter described, for the payment of which, weli and truly to be made, we bind our heirs, executors, administrators, successors and assigns, and successors and assigns, firmly bV these presents. The condition of this bond is -such, that whereas the principal herein is herewith submitting his or its sealed proposal for the fo Ilowi ng Grant Count Proi ect, S1 LICA RD. OVERLAY PROJECT, CRP 23-D3, located in Grant County, Washington, according to the terms of the proposal or bird ma de by the Principal therefor, a n d the Pr1ind pa I shall duty make and e nter into a contract with the Obligee in accordance with the terms of said proposal or bid and award and shall give bond for the faithful performance thereof, w1th the Surety or Sureties approved by the Obligee', or if the principal shall, ire case of failure so to do, pay and forfeit to the ON ige e the penal amount of the deposit specified in the call for bids, then this obligation shall be null and void; - otherwise it shall be and remain in full force and effect and the Surety shall fo rt hwilt h pay and forfeit to the Obligee., as penalty and liquidated damages, the amount of this bond. 1 2th OGN ED., SEALED A S DAY OF September.... 2023 Central Washington Asphaft, Inc, Princ1pal R F F R RRARNIAMW 41' Liberty Mutual Insurance Company Surety Cafley act Espirltu Attorney -in -F 1912, 7 Silicia Rd. ir1ajPro1ect,,,UP23-03 PrOP05 Ubei� SURETY Th I* Power of Attorney 111 mits the acts of those named herein, a n d they have no authority to bi ad the Com po ny ex cept I n the man ne r and to th a extent hereil n stated, Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insirance Cam pang POWER OF ATTORNEY CeilifiicateNa- 82104654 - 023049 KNOWN ALL PERSONS BY THESE PRESENTS, That The Ohio CasLi;aIty Instxnnce Company is a corporation duly Qr9arized under the laws of the State of New Hampshire, that Liber q Mutual lrkwranrA-, Company is a corporatior duly organized under the laws of the State of Mas3achusefts, and West Arnerimn Insurance Company is ;a corporation duly organized under the Wwq of the State of Indiana (herein collectively cal.ad the 'Cornpaniosj, piirsuant lo and by authority hereir set forth, date bereby name, constitute and appoint, Alictwo A, Kc1(acr,�t� 1_ L,�� '�ct��r t��_ r�ra t �� '�rryralia ��, �r,�i't,,�ndr��,,�arr�� fte-13"L." Nt' Richic, A-wo,(,kc: Tuan r, Brmidon K, 31x�sh, Orent '131rinklay,, Diane M. 1-lardit. ;,.. r)oit, 's4wa Shonkfin, Jr," E� sitim. Eric eke Zi-m-ri viti, Justin Dean Pric e, Ka ri M iche I T1 I M Snidcr,, Uncf%tv 1", 1 a f , c 01 IS I . . . . . . . . K C*a' Ic aff, 1401 is L 'c' Hilt, 'S(fah, Whitt -kcr.. To mara A. R"iswilsen 8111 of the city of f' W.A each Mkludly if there be morp. than one named, its true and laAy ful execu te,nasal , ackrjx atull doliver, for and on its Wha Ita'ej apt r4 ask act and deed, any and all urkdef-+zkIngs, hoods, fecoqnizanccs and oticer surety obi ations, i t iP of these presents and t0hqlf be as binding upon the Coomp.010 if they have been duly signed by the president and aftested by the seeretar/ of the Companies in their own proper personas:: IN WITNESS WHEREOF, this Power of Attomey has Da6i s0nHbed by an authorized afficer or official, of the Gornpanies and ll�e corporate seals of the Comp-anies have been affixed thereto this 20th dq of '1023 Liberty Mutual Insurance Company Th e 0 hic C ualt l I n surance Com pan VVK I Airtedcar Insurance Company 1 19 '0 19,12 9 91 hy0 c4 E 0 0", A By. M David. Carey, Aasloian(Sacratary. Cr CU State of P E N N SYJAN I A SS M, County of MONTGOMERY On [M -s 20th day of 2023 before me pp,.m. wally appeaw David M. Carey, wto acknowt0gea himself to be the Assistant Secretary of Liberty Mutual IngUraince, 0 M, C ompay, The 5hio Casualty Company, and West Arnerican Insurance Cornpany, and that he, as such, being author ed so to do, ex tete the foregoing instrument for the [herein co n tained by signing an behalf a f the corporations by himself as a duly a uthadzed officer, IN WITNESS WHEREOF, I I ava hereunto sub scdWd my name and af5xed rnv notarial seat at Plymout� Meeting, Pennsytvanie, on the day and year First above written, Tierp--vi Pastalga, Notary 0 Public My 00 mYn 15-1 err a X p res.M A r MI 20. W25 By. ('�Wirniqlkin number I 120W ....... ....... Lo ff WV*r 'y' wwft tar P lik Notary This Power of Attorney is made, and executed pursuant to and by aut4o&j of lhe -bllovdng By4aws and Aut�orizadons of The Ohio Casualty Insuran-o ,ornpany, Li�erty Mutual E 0• Insurance Company, and West Am, eHca n Insurance C-ompany which rewlotions are. naN in full forrA and offe. ot reading as fbIllows: 6-, ARTICLE IIV- OFFICERS: Section 12. PG of Afiomay. 42 Any officer or other official of the Corporalion authorized for that purpose in writing by the Chairman or the President, and subject tD such tirnitation as, the Chairman or the Presideril fney prescdbe, shall appoint such aftneys-in-Ifact, as may be necessary to act in behalf of Ifie Corporakn to make, execute, seal, acknowledge and deiiveras surety any and all uridedaking s, bo nd6, recog n izances and other surety obliga dons , Such attorneys -i n -faot, su bjeU to the limita Oons sel fDrth Irl their respective powers of attomay, , shall > 111", nave full power to bind the Coq)oratlon by their signalmre and execution of any suct instrurywIs and lo attach thereto the SL -al of 1111-6 Corporation, When so executed. such 0 insh ments small be as binding as if signed by tie President and attested to by the Secretary., Any power or a uthori ty granted to any represen tatlye or attorney-in-taot under 11h e Z Xovisions of this article may be revoked at any time by ft Board, te Chalirmian, the President or by tha officer or offlow granting such power or authority, ARTICLE X111 - Execution of ontracts: 8 ection 5, Surety Bonds and Una ertd kifl g s, Any officer of the Company authorized for that purpose in wri Ong by the chairman or the pre sideent, and SL bjeCt to such Im i tations as the ch a irman or the president may press i be shali appoint such attorneys -In -fact, as may be nemsary to act in behalf of (he Company Ib make, execute, seal, acknowledge and deliver as surety- any and all undertakings, bonds, recognizances and other surety obliigat:lons. Such attomeys-In-fact subject to the limitabons set forth in their respective pmDrs of attorney, $hail have full power to Dinc the Company by their signature and execuOn of any such instruments hand to attach [berela the seal of the Company.. Wban so executed such instruments shali be as bin&ng as if sigrtd by the president and attested by the Ncretary Cer0cats of Dest nation - The President of the Compvy, acbrig pursuant to the Bylaws of the Comprany, author zes David M, Carey, Assistant Secretary to appoint such attornays4n- fact as may he necessary to Oct on behalf of the Company to make, execute, seal, acknowledge and ddiver as surety any and all undertakings, bonds, MCC90iUrices and Other suraty Autharization - By unanimous consontof the Company s Board of Directors, the Cornpany,=genW that facsirntile or me4,tanicallly repmdur.-ed signature of anyassistant secretary of lhp,, Company where ver appearing upon a certified copy of any power of attorney issood by the CDmpany in connection with surety bonds, OsO be valid and binding upon the Company mitt the same force and effect as though manually alfi);ed, 1, Rene;.& C. tlewellyn, the undersigned, assistant Secretary, The bio Casuailty lnufanca Company, tiberty Mutual insur-arice Company, and We6tArnerlcan irsuraiwe Company do hereby cerdfy that the original power of atto rn oy of which the foregoing its a full, he and orrect copy of the PokA*r of Attorney executed by said Companies., i � in fUj for and affect and has not man revoked, IN T5 ST IMORY W H EREO F, I have hareunto set my hand and affixed the soals of said Cornpan ies tris 12th day 01 September 12023, lift 1912 V4 NZ Lass -12873 LM I C, 0 GIG INAIC M U1 J GLS G 2a21 RC' vs." t ;oerOry io" lzmr—wq ng ton State ni Department of Transportation Ditaged Business Enterprise Utisadvanlization Certification To be eligible for Award of this Contract the Bidder shall fill out and submit, as a supplement to its sealed Bid Proposal, a Disadvantaged Buri nes s Enterprise (D BE) Uti lization Certification, The Contracti ng Agency shat I consider a s non - r Spon iv and shall reject ar)y Bid Proposal that does not contain a DBE Utilization Certification which properly demonstrates that the Bidder will moat the DBE participation requirements in one of the manners provided for in the proposed Contract. Refor to the instructions on Page 2 when filling out this form or the Bid may be rejected. An example form has boen provided on Page 3. The successful Bidder's DBE Utilization Certification shall be deemed a part of the resuffing Contract. Box 1 Central �n��MMFh.F,mm�+n*M ..�,,. Washingion It tne. certifies that the DBE firms listed below have been contacted regarding participation on this project. If this Bidder is successful on this project and is awarded the Contract, it shall assure that subcontracts or supply agfeaments are executed with named DBEs. (If necessary, use additional sheets,) Box 2.v Golump 1 Column 2 Column 3 Column 4 Column 5 fDBE Project Role Description of Work Nameo DollarAmount Dollar Amount (See instructions) (See instructions) (See Instructions) Subcontracted to be Applied to DBE Towards Goal ......................... (See instructions) (see instFuctions) Not-th Stain Fnjerpris ubuentid("'Wr Fhigg#ing, traffic control, rerneval & install tions i.e., Inc $94.3 t 5 00 temp, plastic & ilaint stdpa,, 7 .... A ud 1 Construction, L LC SubcontractDr Thi:. hauling of gravel and asphalt. $8,00000 . ............ ...... ...... . . . . . . - ............................ ... ..... ...... ...... .... ......... . ...... . ... . .......... ...... .... .....................N........................... n n..,................,........................... . ........ . ....... .... . ... ... ... ............. - ------ - ------------ .............. Disadvanta(ied Business Enterprise 10% Total DBE Commitment Dollar Arnounl:19-11 A&9-0-- Condition of Award Contract Goal BOX 3 Sox 5F-] By checking Box 5 the Bidder is stating that their attempts to soticit sufficient DBE participation to rneet the COA Contract goal has been unsuccessful and good faith Wort will be submitted in accordance with Section 1-02.9 of the Contract DOT Form 272-056 C Revised 03/20'18 AwAbk a Disadvantaged Business Enterprise (DBE) Washington Uat Departmimt of Transportaflon Written Confirmation Document See. C-untract Provi.ions: DBE Pfn,�utricnt Subatitt,,.zl RcLquirermnds Discitivaneaged Buy ineTsEf"Weq?rise Particip. alion TO A D 'IS FSH A L -N THE CONTRACTOWS TUOR M L OKLY BE S UBN1 11"IT, D R F,.rl7HMr LT S I STF,D 0 r -FFICATION. DISADVAN IAGED BUSLNESS ENTERPMSE UTUAZATION CTR THE THE DBE. 1, PA k1 A FRI OR T0 SE ,NTNG TO C0N1*'RACT0R S1 A�LL CO, PART -A-0 To be compkft�# by flk kWer The entri cs belo'w all be uonsistent with what is sh--mn o)the Bidder's Disadvantaged Business Finterprise Util iza 6 onCer t i Fi c. a 6 on, Fail are to do so w i I I r es ul L Iin .did reje ction, Contract 'I"it lel- Silica Rd, Overlay Project 13 Mder"s D usss Name s Central W a-shi gton Asphzlt, Inc, *BE's Business Name: NOTI Star EJACYPFilSeS, Jnqt Flag i n 9 1 tra Me co ntrol, re m ova I fin sta I lati on s (L e tem p, p I astic & pa i nt stripes ripes Description of DBE's Work. . ....... .. Dollar ArnDent to be Applieki Towards DBE Goal,,-. $84 315.00 $84,315.00 Doll-ar Amount to be S-abrontracted to DBF,.*: pt jonal Field PAW,F be g#M,** anj4gibdj)qsjfteS1M Enterpr'me As an authon`zed representative of the Disad-vantaged Business Enterprise, I confimi that we have been con tac ted by the B i dder vA th re gard to the, re fere nc ed p roj ec t fo r the pu rp ose of perform in& the Work d es cri b C IJ above. If the Biddcr "is awarded the Contract, Ny,e will enter -n-to an agI Ict M I _jvement wfth the e Bidder to part- 'pat the pro] ect conaistent with the M'formation provided in Pa -rt A of this form, Name (printed)- WWashy rm- ton State Disadvantaged Business Enterprise Department of Transportation PBE) Bid Item Breakdown Form 1, Contract Number 2 Contract Name CRP 2303 Silica Rd. Overlay Project 3. Prime Contractor 4. Prime GontraGtor Representative Name Central Washington Asphalt, inc, Parrip Mailers 1 5. Prime Contractor Representative Phone Number 6- Prime Contractor Representative Email 5097655757 Lpamqr@cwainc-,us Column a Column 7 Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Total Unit Doillar Amount Name of UDBE Bid Item FUIVPartlal Quantity Description Unit Price to bo Applied Cost (See Inistm0wis) (see ln3vudms) (see cn F;hud ans) (see instrictions) (880 Inswouans) (See InstruchonQ Towards Goal (See InstrucAlons North Star Enterprises I partall I LS Traffic Control Mub $4,000-00 $4,000.00 $4,000,00 ............ . ........... ... . .............. 7 Urnplate 13,150,00 LF, Temp, Pavement Markin t $0,70 $9,205.00 $9,205.00 ..... ......... ... . ............... .......... .......... ... . .......... ........................... . 10 partial 120 HR TCS - PTT C $ 78LO $90360,00 $9,360,00 I .. . ........... . 10 Partial 14 DY TCV - PTT C $300.00 $4,200,00 $ 4r200,00 Subtotal $26,765,00 $26,765.00 Total Unit DollarAmownt Name cfUDBE 131d Item Full/Partial Quantity Description Unit Prico Cost to be Appll led Towards Goal North Star Enterprises 10 Partial 350 HR Flaggers - PTT C $77.00 $ 26,950.00 $ 26,950M (Continued) 10 Partial 100 HR OCTL-PTTC $77,00 $7,700.00 $7,700.00 $ , 10 Partial I LS PTT C - PTT C $13,500,00 13500,00 $13,500.00 .. ... ..... . .......... .. ..... . ............ .. .......... . ..... ............ ...... . .................. . ... . ............ 10 Partial 100 HR Pilot Car - PTTC $94-00 $ !DP400.00 $ 9,400 00 ...................... . ........ ... .......... . . -- ...... .... Subtotal: $ 57,550,00 $57,560.00 Total Unit Dollar Amount Harms ofUDRE Bid Item Ful ail Quantity Description Unit Price Cost to be Appiled Towards Goal .......... .......................... ..... Subtotal; $0.00 $0.00 Total UnIt 13 oll lar AMDunt Nam eofUDBE Did Item 4 FulWartiall Quantity description Unit Price Cost to be Applied Towards Goal S ubtotall - $0,00 $0,00 $84,3 TOTAL UDBE Dollar Amount $ 84X5-00 15,00 DOT Form 272-054 Revised 0912020 Analk, AMMAMPW Disadvantaged Business Enterprise Washington State Department of Transportation (DBE) Bid Item Breakdown Form 1 Contract Nurnber 2. Contract Name CRP 2303 Silica Rd, Overlay Project - — — - - - - - - - 3, Prime Contractof 4, Prime Contractor Representative Name Central Washington Asphalt, inc. Pimp Maiers . ...... ....... . ........ 5. Prime Contractor Representative Phone Number 6. Prime Contractor RepresentatiNfe Email 5097655757 1 pampirac.wainc,us DOT Form 272-054 Revised 0912020 ..M0kb1.L ANNNOW m*Lisadvantaged Bus"' ess Enterprise (08E) in ington tate, rtm Depa , ient of Tmisportatm Wriften Confirmation Document See Conirael Provisions., DBE Document Submittal Requirepnenty Disadvantaged Bustness Enterprfse Parficfpalion Tlil S FORM SHALL ONLY BE SUBMMED TO A D BE THAT IS LISTED ON THF4 CONTRA C70 R'S DISADVANTAGED BUSINESS ENTERPRISE U71LIZATION CERTIFICATIOVL. I . .......................... I ................ The entries below shall be, consistent with what is shown on the Bidder's Disadvantaged Business Enterprise Utilization Certification., Failure to do so will result in Bid reject -Ion. Contract Title: Silica Rd. OverlF1 B idder's B u s ines s Name. Central WaS I I (�l I I ! ., A k -9L — DBE's Business Name, Audi Construction LLC Description of DBE's Work., Thehlaulingofgravetanda alt. Dollar Amo -unt to be Applied Towards DBE 6o h, $8,000.00 Dollar Amount to be Subcortracted to DBE* *Optional Field PA'WJ'B'** lb be gqffi - leted hv dl* S Ivantacd, uftgtsfa -t'jse Ltg As an authotized representafive of the Disadvantaged Business Enterprise, I confm that we have been countacted by die Bidder with rrgard to the referenced project for Lhe purpose uf phcrfunnM'g the Work duso-fibcd above. If the 13idder is awarded the Contract, we will enter into an agreement with the Bidder to participa�e in theproject consistent with the infonnation provided in Put A of this fotm. Adelq� F NaBergstrom me (printed),-, Signatuw -, Title: off"I =-- DOT Farm 422-031 Revised 07M 15 Owner 14 S June A-ve East Wenatchee, MA 98802 Date. .9/11/2023 walk. h taged Business Enterprise 140F . 9"KIN x Credit Form PART A. TO BE COMPLETED BY THE RIMER This lbrm 18 In :Support of the Uuddng com mitrmnt Identified on ff-m D 8 E UtilizeVort 06MG040 n Fo" aijbmit(W w 11h oapro i. Ple"o note that DBE's mu at he cartposs med p1lor to tirne of submiftal. Feders I Ald # conved # Projecl, Name STEIGR*HIM-001) CRPLt2"3 ting Wlea Rd Ovarlay Project MP a a MOUI ItS. pr aI i tla to theluant Ws ti w. Bid Item horn Deay.6ption 2 (Paftlal) 81-muldar Finishing (GSTC) Howling Only 1wim 4 (pardal) I HMA U 112" - Hauling Only Use viddl%lonal sheea as Moo, 'Sta'r _ y* Bidder NaMmTftle (please print) Contra! Washington sphalt, Inc. Maism, PresfdaM Phone ... . ........... . Fax SignaWra (609) 785-5757 5--80152 76 Addcaas P.O. Box 939 f10S Lakla, WA 98837 -1 cedify that tha above Informaflan is CoMplete and accurate. Date Piam, PJr@,cwafno,,us 0911 M3 PART S: To BE COMPLETED BY THE INSE TRUCKING FIRM 14019-1 DRE trucking firm parddoMon may only be creeld as ME pafflcipeton for the value of the hauling services, not for the Materials being twined un the trucking firm tis also r"nized an a suppKer of ft Mates used On VhO PrOJW and approved for this PmJect as a repular dealar, I - Type of Metariai expwWd to bis hauled? —ca-Tc!JMA-".. 2. Number of Dully operaftnal trucj% BXPWed to be used on this project.? 3. Ntnber of trudw and trans m owned by ft DBE that will be used on this 4. Number of kucks and trallens lgrasW by the DBP- that will be used on thia TracW"Ilers'. t "Wo Dump bucks: .......... T .. ...... DOT FOM 272450 Reylaed WM20