HomeMy WebLinkAboutAgreements/Contracts - Public Works (002)"12-253
IX -4
CONTRACT
THIS AGREEMENT, between the Board of County Comm*ss4
i ioners 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 As halt, Inc. for itself, its
heirs, executors, 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 andperformed 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 DO SON RD -OVERLAY Ph 2, Ph 3,v & Ph 4, CRP 22-01,
located in Grant County, Washing -ton, as proposed in a bid opened 1*00:59 P.M., Tuesday,
October 25,, 2022 in accordance with and as described in the herein attar
hed plans and
standard specifications, and 'Jn 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 fully for all purposes as if here set forth at length, and shall perform any
alterations 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 all 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 workprovided 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 donethe above
described work and to complete and finish the same according to the attached plans and
specifications and the terms and conditio'ns, herein contained, and hereby contracts to pay for
the same according to the attached specifications and the schedule of unit or itemized prices
hereto attached, at the time and in the manner and upon the conditionsprovided forin thi's
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 andpay 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.
S. It is further provided that no liability shall attach to the County by reason of entering
into this contract., except as expressly provided herein.
nu, uvt�riay rn z_., vn j, & Vn 41 CRP 22-01 Contract — Page I
IN WITNESS WHEREOF, the said Contractor has executed this instrument, and the said Board of
County Commissioners of Grant County has caused this instrument to be executed by and in the
name of said Board by its Members, duly attested bylts Clerk, the day andyear below written,
and the seal of said Board to be hereunto affixed on said date.
ATTEST:
JNJY
Clerk of the Board
day of
— ---- ---------- -
Deputy Prosecutin rney
V,octson Rd.,
&
ay Ph 2,� Ph 3 CR
Im
30th day of... -N.pvember
2022
... ...........
Signature
Pa -m- P, Maiers,. President
Print Name
Central Washington Asphalt, Inc.
Firm Name
P.O. Box 939
Address
Moses Lake ---------- "WA 98837
city State Zip
0.9 ) Ffomiw+ 7605-ii57!057
Phone -
BOARD OF COUNTY COMMISSIONERS
OF GRANT COUNTYWASHINGTON
Contract ZPage
CONTRACT BOND #023225378
That we,, the undersigned, n rel it it pDgl!
as
principal, and,, iib rt tlrurnco o
a
corporation organized and existing under the laws of the State of M,.@,s tta s
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
ro Million TwQ ndred 1,.irty.two ,jousand and No/100ths Dollars
... ........
($ 3 232,0010-100 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. Seattle Washington, this %Itb
_day of November 20224 -
The conditions of the above obligation are such that:
WHEREAS, on October 2% 2022, the Board of County Commissioners of said Grano
County has let or 'is about to let to the Principal, a certain contract, the said contract providing
for the improvement of DODSON RMOVERLAY Ph 2,, Ph 31 & Ph 4,, CRP 22-01, 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 this oblig shall be void
but otherwise it shall be and remain in full force and effect. V
Countersigned:
N/A
Licensed Agent/Surety Co.
Propel Insurance.
601 Union, #3400, Seaftle, WA 98101
676-4.200
Finn, Street Address (No P.O. Box), Phone of Local Office of Agent
Dodson Rd. Overlay Ph 2 Ph" 3,r. & Vh NS-rj CRV
U.17AL1101K W;' I MM, Mi
r'y Mutual I surance, C p
2PY
�ynthia L. Jay Attorney -in -Fact, Sure
Approved as to Form:
OW -M
L 'be
rty,
mutuale
SURETY
erhil�%s -Power of Afforney tilts the. acts of those named herein, and they have no authority to
This
bind the Company except in the manner and to the extent herein stated,,
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
Certificate No: 8207353-023049
KNOWN ALL PERSONS BY THESE PRE$ENTS-. That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Libeq 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 Indians (herein collectively called the "Companies"), pursuant to and by authority herein set fOrth, does hereby name, constitute and appoint, , Aliceon A.
arley ristopher!Lhiyoll'
Keltner.� Al ssa J. Lo ez- Anibex 1,,y n. Reeso; Amelia G. Burrill; Annelies M. Richle, Brandon, K. Busli; retic E, fiei lesen-.c tu., Ch
Js Jai,
ia L. J lana. M.46e,Bfink-ley, Diane M. Hardin fy!16. , g; Donald Sbankl in, Jr..; Efic A - Zitinnerinan Fri�-*.E. Mosl�ov; 11olti Albas, cob T. Haddock ties B.
U I
Bin&L; Jasni'e L� Ma�r(Luesi ) He R. Truitt,, Justin Dean PH.cc;Kari Mi'chelle'Mod2y:1 Katbarine J. Snider,-Lindssy Etaine Jorgwnsen; Lata F. Weathers- Michael
Mwisfield,; Must'l M.. Webb; Sarta Sophie SeRin; Tomara A. RhigOiseal4.
all of the City of Tacoma state of A. each individually if there be more than one named, its true and lawful attorney -In -fact to make,
execute, seat, acknowledge and deliver, for and on its behalf as surety and as its act grid any and all undertakings, bonds, recognizances and other surety, obligations, in pursuanm
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 Ahoney has been subscribed by an authorized officer or official of the Companies and -the corporate seats of the Companies have been affixed
thereto this 17th day of Februar
2022
State of PENNSYLVANIA
County of MONTGOME RY
Liberty Mutual Insurance Company
%NS "vi INSO The Ohio CasualInsurance Company
0 West American Insurance Company
CM
C
912 10119 1991 0
0
0
* ACH BY.
David M. Carey, Assistant Secretary
On thisJ. 7th. day of •Febi-viary , 2022 . before me personally appeared D`avid M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
Compat y, �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 authorised officer,
IN WITNESS WHEREOF, I have hereunto subscribed my nerne and affixed my notarial seat at King of Prussia, Pennsylvania, on the day and year first above wriften,
0
Notary Seal
Commonwealth of Pennsylvarva.
Term Pastefla, Notary Public
Monvoniory County
1�y commission expires Mart* 28, 2025 By
0
ComtTfission number 1126044
sa oe <
-menter, Penn.,�ylvania Assodation of Notaries arePastella, Ntary PuM
4WW
This 'Poser. of Attorney is made and. executed pursuant to and by authority of the following By4aws and Authorizations of, The Ohio Casualty Insurance Company, Liberty Mutual
Insvrance Company, and West American Insurance Company which resolutions are now in full, lance and effect reading as follows:
I ^.
12 ARTICLE IV — OFFICER& Section 12, Power of attorney U. ;
0'
Any officer or other official of ft Corporation authofted for that purpose - writing by the Chairman or the President, and subject to
in , such limitation as the Chairman or the
President may prescribe, shall appoint such attomays-In-fact, as may be necessary to act in behalf of the Corporation to make, execute, seat, acknowledge and deliver as surety
M
any and all undertakings, bonds, recognizances and other surety obligatons. Such aftorneys4n-fact, subject to the. limitat: n 110
10. s -set ' rth in their respective powers of attorney, shafl v
a
t have full power to bind the Corporation by their signature. and execution of any such instruments and to aftach thereto -the, seal of the Corporation, When so executed, such
instruments shall be as binding -as if igned- by the President and aftested to by the Secretary, Any power or authority granted to any representative orattorney-in-fact under the
0
provisions, of this article cagy be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. 1,13 .
,ARTICLE X111 — Execution of Contracts,., Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in whting by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys-ln4act, 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, recognizarices and other surety obligafions. Such attomeys-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 executon of any sveh '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, recognisances and other surety
obligations..
Authorization — By unanimous consent of theComparift 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 C.a.irnpiq to connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually- affixed.
I., Renee C. Llewellyn., the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty -Mutual 1-nauranoe Company, and West Ameften Insurance Company do
hereby ,cerfify that the original power of attorney of, which the foregoing is a full, trup, 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 seats of said Companies this day of November , 2022
IN 8 tj'j,
0
By
lieneeC, Llewellyn Assistant Secretary
G"hRANT COUNTY
PUBLIC WORKS DEPARTIVIE1qTT252022pt-101:08
Sam Castro C.P.O.
Public Works Director
Ephrata (509)754-6082
Sam Dart
Assistant Dir. Of Public Works
Ephrata (509) 754-6082
Dave Fran P.E.
County Road Engineer
Ephrata (509) 754-6082
Bob Bersanti
Design/Construction Engineer
Ephrata (509) 754-6082
Jason Collings, Supervisor
Solid Waste
Ephrata (509) 754-4319
For Construction of:
DODSON RD -OVERLAY Pb 2, Ph 31 & Ph 4
CRP 22-01
STPR-E131(009)
TA -7434
Sealed Bids will be opened on
October 25,, 2022
at
1:00-59 P.M. Pacific Time
at the Grant County
Public Works Department
124 Enterprise Street S.E.
Ephrata, Washington 98823
Ed Lowry Supervisor
Road -District #1
Ephrata (509)754-6586
Mike Detrolio, Supervisor
Road District #2
Moses Lake (509) 765-41752
John Brissey, Supervisor
Road District #3
Quincy (509) 787-2321
Andrew Booth, Supervisor
Bridges
Ephrata (509) 754-6082
16aft V,210= ifft man 'FEr%
Kh%=ot=PV U
2,
OU 25 2022 pml- 08
Item planNo, Quantity Item Description Price per knit* Total Amount
Cents Dollars Cents
TRAFFIC
7 850 Remove Existing Beam Guardrail At
Lin. Ft. and Anchors
6,90 5,865-90
Per Linear Foot
8 100 Beam Guardrail Type 31 At
Li n. Ft.
60*00 61000.00
Per Linear Foot
9 4 Bearer Guardrail Type 31 Ion- At
Each Flared Terminal, 50,-011 W/Steel
5,066M00 20,000-00
Pest
Per Each
16 4 Beam Guardrail Type 31 Anchor At ...w
M
Each Type 10
1,700,00 61800999
Per Each
�-� 4 Thr~ie Leann Guardrail Reducer At� _
Each Section Type A 1,350,00
51406.00
Per Each
12 481-97. Temporary Pavement Markin
At
Lin. Ft.
9.69 29,382,,69
Per Linear Foot
13 146,913 Paint Line At �..�.. ,
Lin. Ft.
429 29,382 60
Per Linear Feat
14 9.27 Centerline Rumble Strip At
i'r/iile
975.69 9103& 25
Per Mt ile
15 18.54 Shoulder Rumble Strip Type 3 At
Mile
975.00 18,976,54
Per Mile
--
16 1 P'r'oject Temporary Traffic Control At
Lump Sum
f /'f 2a0, a044a4
OTHER ITEMS Per Lump Sim
17 28 Adjust Monument Case and Cover At
Each
800,00 22,400*00
Per Each
Dodson Rd, Overlay Ph 2, Pit 31 & Ph 4, CRP 22-01
Proposal -Page 2
U i-, r -
25 2022 Pmf-,#I.!
Schedule B (City of EphrataE
Item
Plan
Item Description
Price per Unit*
Total Amount
No.
Quantity
Adjustment
Dollars. Cents
Dollars . Cents
PREPARATION
Mobilization
Lump Sum
rCT:TTT61 m1k
At
/I/!/!1/l.!//1/ 1,000,100
Per Lurrio Sum
2 2.00 Shoulder Finishing At
Mile 51500-00 11,000-00
Per Mile
HOT MIX ASPHALT
3 100 Planing Bituminous Pavement At
S.Y. 8w00 800,-00
Per Square Yard
4
2,400
HIVIA Cl. Y2 In. PG64-28
At
Ton
Adjustment
94,-00
225,600 00
. ...... ...
Per Ton
1, 950.00
5
Calculated
Job Mix Compliance Price
At
Li n. Ft.
Adjustment
IIIHIIII-11111
-$1.00
. ...... ...
Calculated
1, 950.00
6 Calculated Compaction Price Adjustment At
HHHH/a/fl// -$1,00
Calculated
TRAFFIC
12 5,280 Temporary Pavement Marking At
Li n .. Ft. 0*60 5,108 * 00
Per Linear Foot
13
15,840
Paint Line
At
Li n. Ft.
0 *20
31168*00
. ...... ...
Per Linear Foot,
1, 950.00
14
1.00
Centerline Rumble Strip
At
Mile
97500
97500
Per Mile
1, 950.00
15
2.00
Shoulder Rumble Strip Type 3
At
Mile
975*00
1, 950.00
Per Mile
Dodson Rd. Overlay Ph 21 1 M 3, & Pb 4, CRP 22-01
Proposal --Page 4
1 Z f.. a(08
Schedule C (GreatCounty)
Iters Plan Item Description Price per Unit* Total A oun-t
No. Quantity
... ours . Cents Cullers . Cents
PREPARATION
1Mobilization At
Lump Sum
2 , 0OOt oa
Per Lump Sung
GRADING
2 1.42 Shoulder Finishing At
Mile
5,500,00 7,810- 00
Per Mile
CST MIX ASPHALT
3
500
Planing Bituminous Pavement
At
Lln. Ft.
S.Y.
8f 00
41000-00
0* 60
21233.80
...a....
Per Square Yard
Per Linear Foot
4 1. 700 HMA Cl. Y In, PG64-28 At
Tari 94x00 159 800,00
Per Tan
5 Calculated Jab Mix Compliance Price At
Adjustment /�', /� %� 41.00
�.. Calculated
6 Calculated Compaction Price Adjustment At
111111111-H111 -$1,00
Calculated
TRAFFIC
2 3,723
Temporary Pavement Marking
At
Lln. Ft.
0* 60
21233.80
Per Linear Foot
13 11,159
Paint Line
t
Lin. Ft,
0.20
2,233*80
_
Per Linear Feat
14 0.71
Centerline Rumble Strip _
At
Mile
975,00
692&25
Per Mile
15 1.42
Shoulder Rumble Strips Type 3
At
Mile
975.00
1 384s 5 0
Per Mile
Dodson Rd. 0veria Ph Ph 3 & P 4 CRP 22-01
1�Proposal
— Page
U2-hrJ `5
L r- PI-IOI909
Failure to return this Declaration as part of the bid proposal package
will make the bid nonresponsive and ineligible for award,
7k Milk 1111i'1111 , I
; K 8
W`11►111 11 - 0,111
1, by signing the proposal, hereby declare, under penalty of perjury under the laws of the
United States that the following statements 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 any
collusion, or otherwise taken any action in restraint of free competitive bidding in
connection with the project for which this proposal is submitted.
2. That by signing the signature page of this proposal, I am deemed to have signed
and have agreed to the provisions of this declaration.
To report bid rigging activities call:
The U.S. Department of Transportation (USDOT) operates the above toll-free "hotline" Monday
through Friday, 8:00 am. to 5:00 p.m., Eastern Time. Anyone with knowledge of possible bid
rigging, bidder collusion, or other fraudulent activities should use the "hotline" to report such
activities.
The "hotline" Is part of USDOT's continuing effort to identify and investigate highway
construction contract fraud and' abuse and is operated under the direction of the USDOT
Inspector General. All information will be treated confidentially and caller anonymity will be
respected.
Kevisecl b/14
Dodson Rd. Overlay Ph 2, Ph 3, & Ph 4, CRP 22-01
From DOT Form 272-0361 EF
07/2011
Proposal — Page
OCT 25 2022 Pro -,(#g
Proposal — Signature Page
The bidder is hereby advised that by signature of this proposal he/she is deemed to have
acknowledged all requirements and signed all certificates contained herein,
A proposal guaranty in an amount of five percent (5%) of the total bid, based upon the
approximate estimate of quantities at the above prices and in the form as indicated below, is
attached hereto:
Cash El In the Amount of
Cashier's Check El Dollars
Certified Check El Payable to the Grant County Treasurer
Proposal Bond X In the Amount of 5% of the Bid
Receipt is hereby acknowledged of addendum(s) No.(s) I & 4
Signature of Authorized Official(s)
Proposal Must Be Signed
PampVaiers, President
Please Print Name of Authorized Official
Firm Name Central Washington Asphalt, Inc.
Address P.O. Box 939
Choses Labe WA 98837
_(509) 765-5757
State of Washington Contractor's License No, CENTRWA1 81 PG
Federal ID No. 91-1178142
Note:
(1) This proposal form is not transferable and any alteration entered hereon without prior permission from the County
Engineer will be cause for considering the proposal irregular and subsequent rejection of bid.
(2) Please refer to section 1-02.6 of the standard specifications, re.-" Preparation of Proposal" or "Article 4" of the
Instructions to bidders for building construction jobs.
(3) Should It be necessary to modify this proposal either in writing or by electronic means, please make reference to the
following proposal number in your communication: tt I
li %;; V #,J -- %A V/ -.- J
Dodson Rd. Overlay Ph 21 Ph 3) & Ph 4, CRP 22-01
Proposal — Page
Of 4,T 2-5 2022 PmO -1: 09
KNOW ALL MEN BY THESE PRESENTS:
That we, Central Washington -,Asphalt, Inc.--- as
Principal, and Liberty Mutual Insurance Company as
Surety, are held and firmly bound unto Grant County, Washington, as i'!gee, in 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, well and truly to be made, we bind our
heirs, executors, administrators, successors and assigns, and successors and assigns, firmly by
these presents.
The condition of this bond is such, that whereas the principal herein is herewith
submitting his or its sealed proposal for the following Grant County Project, DODSON
RMOVERLAY Ph 2,, Ph 31 & Ph 4,, CRP 22-01, located in Grant County, Washington, according to
the terms of the proposal or bid made by the Principal therefor, and the Principal shall duly
make and enter 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, with the Surety or
Sureties approved by the Obligee; or if the principal shall, in case of failure so to do, pay and
forfeit to the Obligee 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 forthwith pay and forfeit to the Obligee, as penalty and liquidated damages, the
amount of this bond.
SIGNED, SEALED AT HIS 25th DAY OF October
Central Washin ha
Principal
mpraier!�'Prest aent
Surety rtv tual Insurance Com an
Attorney -in -Fact D,..QA-6s� J-..-
Alyss,a J. Lopez
Dodson Rd. Overlay
21 Ph 3, & Ph 4, CRP 22-01
Proposal -- Page 1
'Grabt CoLtnty Public Works XT 25 43022 PmOl nO9
124 Enterprise St. SE Local Agency Subcontractor List
Ephrata, WA. 98823 Prepared in compliance with RCW 39.30.060 as amended
To Be Submitted With the Bid Proposal
Project Name: DODSON RCS OVERLAY Ph 2, Ph 3, & Ph 4
Failure to list subcontractors with whom the bidder, if awarded the contract, will directly subcontract
for performance of the work of heating, ventilation and air conditioning, plumbing, 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
void.
Subcontractor(s) with whom the, bidder will directly subcontract that are proposed to perform the work
of 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 be listed below
the subcontractor(s) name.
To the extent the Project Includes one or more categories of work referenced In RCW 39.30.06Q. and no
sqbcontractor is listed below to perform such work ,. the bidder certifies that the work will -either (1) be
perfor!Med bythe bidder itself or 01) be p I
,qrfprrnedby a lower Ver subcontractor who will not contract
d1rectly_!y!1h the bidder.
Subcontractor Name NONE PROPOSED
Work to be Performed
Subcontractor Name
Work to be Performed
Subcontractor Name
Work to be Performed
Subcontractor Name
Work to be Performed
Subcontractor Name
Work to be Performed
Bidder's are 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 wiring or electric current is connected during the project.
A licensed electrical contractor must be listed to perform the work.
Dodson R& Overlay Ph 2, Ph 3, & P
4, CRP 22-01
Proposal—Page 13
Aft
VrWashington State
,P Department of Transportation
OCT9 2c7 2022 Pmt01:: 10
IJ
Disadvantaged Business
Enterprise Utilization 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 Business Enterprise (DBE) Utilization Certification. The Contracting Agency shall consider as non-
responsive and shall reject any Bid Proposal that does not contain a DBE Utilization Certification which properly
demonstrates that the Bidder will meet the DBE participation requirements in one of the manners provided for in the
proposed Contract. Refer to the instructions on Page 2 when filling out this form or the Bid may be rejected. An
example form has been provided on Page 3. The successful Bidder's DBE Utilization Certification shall be deemed a
part of the resulting Contract.
Box 1; Central Washington Asphalt, Inc. 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 agreements are executed with named DBEs. (if necessary, use additional sheets.)
Box 2: Dodson Rd Overlay Ph 2, Ph 3 & Ph 4
Column 1
blame ofDBE
(See instructions)
Column 2
Project Role
(See instructions)
Column 3
Description of Work
(See instructions)
Column 4
Dollar Amount
Subcontracted
to DBE
(See instructions)
Column 5
Dollar Amount
to be Applied
Towards Goal
(See instructions)
Audi Construction, LLC
Subcontractor
.Dump 'I"rucking
$ 22,680.00
$ 221680.00
Construction Ahead, Inc,
dba Pavement Surface
Control
Subcontractor
Paint lines, permanent pavement marking includes: striping
$ 293002.52
$ 29002.52
M2 Industrial, Inc.
Subcontractor
Guardrail constniction of all types
$ 41,825.00
$ 41,825.00
N�rth Star Enterprises,
.
Subcontractor
Flagging, traffic control, temp pavement marking, nimble
strips, sign erection
$ 2632041,70
$ 2631041.70
Disadvantaged Business Enterprise I I% Total DBE Commitment Dollar Amount $356,549.22
Condition of Award Contract Goal Box 3 Box 4
5F] By checking Box 5 the Bidder is stating that their attempts to solicit sufficient DBE participation to meet
the COA Contract goal has been unsuccessful and good faith effort will be submitted in accordance with
Section 1-02.9 of the Contract
DOT Form 272056
Revised 0312018
-_j
OCT 2c� 20122 PmCil :-14-
Adftk
Washington State Disadvantaged Business Enterprise
Department of Transportation (DBE) Bid Item Breakdown Form.
1. Contract Number 2. Contract Name
CRP 22-01 Dods -on Rd Overlay Ph 2, Ph 3 & Ph 4
3. Prime Contractor 4. Prime Contractor Representative Name
Central Washington Asphalt, Inc. - Pamp Maiers, President
5. Prime Contractor Representative Phone Number 6. Prime Contractor Representative Email
(509) 765-5757 ext 120 / (509) 750-2089 pampjr@cwainc.us
Column 1
Name of UDBE
(See Instructions)
Column 2
Bid Item #
(See Instructions)
Column 3
Full/Partial
(See Instructions)
Column 4
Quantity
(See Instructions)
Column 5
Description
(See Instructions)
Column 6
Unit Price
(See Instructions)
Colurrin 7
o
Total Unit
Cot
s
(See Instructions)
$180.00
$180.00
000.00
s 18,,360.00
Total CUnit
Dost
$180.00
$ 180.00
$1,800.00
$ 21 160. 00
Total unit
Cost
$180.00
$180.00
1 $ 1,800.00
:_
Column 8
Dollar Amount
to be Applied
Towards Goal
(See Instructions)
$180.00
$180.00
$18
$18,360.00
Dollar Amount
to be Applied
Towards Goal
$180,00
$180.00
$1,800.00
$2,160.00
Dollar Amount
to be Applied
Towards Goal
$180.00
$180.00
$1,800.00
Audi Construction
Schedule A'
2
Partial
1 HR
Shoulder Finish - Haul
$180.00
3
Partial
1 HR
Planing - Haul
$180.00
4
Partial
100 HR
HMA -r Haul
$180.001000.00
S u btota 1:
Name ofUDBE
Bid Item #
Full/Partial
Quantity
Description
Unit Price
Audi Construction
Schedule B
(continued)
2
Partial
I HR
Shoulder Finish - Haul
$180.00
3
Partial
I HR
Planing - Haul
$ 180.00
4
Partial
10 HR
HMA - Haul
$180.00
Subtotal:
Name ofUDBE
Bid Item #
Full/Partial
Quantity
Description
Unit Price
Audi Construction
Schedule C
(continued)
2
Partial
1 HR
Shoulder Finish - Haul
$180.00
3
Partial
1 HR
Planing
$ 180.00
4 Pa rtia 1 10 HR HMA $180.00
Subtotal:
-
$2,160.00
Total Unit
Cost
$2,160.00
Dollar Amount
to be Applied
Towards Goal
Name of UDBE
Bid Item #
Full/Partial
Quantity
Description
Unit Price
Subtotal:
$no
$ 22,680.00
$0.00
$ 22,680.00
TOTAL UDBE Dollar Amount:,
DOT Form 272-054
Revised 09/2020
C T 56- 022 PmO61 - 10
V7o�` Washingftn State Disadvantaged Business Enterprise (D,BE)
Depa ent of Tms Written Confirmation locum
ent
See Contract Provisions: DBE Document Submittal Requirements
Disadvantaged Business Enterprise Participation
THIS FORM SHALL ONLY BE SUBMITTED TO A DBE THAT IS LISTED ON THE CONTRACTOR'S
DISADVANTAGED BUSINESS ENTERPRISE UTILIZA'T'ION CERTIFICATION.
THE CONTRACTOR SHALL COMPLETE PART A PRIOR TMJ SENDING TO THE DBE.
PART A,,-, To be comDleted bv the bidder
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 rejection.
Contract Title: Dodson Rd Overlay Ph 2., Ph 3 & Ph 4
Bidder"s Business Name: Central Washington Asphalt, Inc.
DBE's Business Name: Construction Ahead, Inc. dba Pavement Surface Control
work: Paint lines, permanent pavement marking includes: strip#
Description of DBE's WO ..... in
Dollar Aniount to be Applied Towards DBE Goal: $ 29.7002.52
Dollar Amount to be Subcontracted to L)BE*: $2%002.52
*Optional Field
PART B: To be completed bv the Disadvantaged Business Ent e
As an authorized representative of the Disadvantaged Business Enterprise, I colifinn that we have been
contacted by the Bidder with regard to the referenced project for the purpose of performing the Work described
above. If the Bidder is awarded the Contract, we will enter into an agreement with the Bidder toparticipate in
the Proiect consistent with the infonnation provided in Part A of this fon-n.
S.
Name (printed): LI 4� �� � " t
--) J aki
Signature:
Title:
Address.�3 /�2 Gtr /O -
10,
DOT Form 422-031
Revised 07/2016
Date -,/0 .- 2�� -,eec.)Z 2,
0 C T 2 5 2 0 10L 2 P �i 01U., 1 '1
it
AdW Washington state ate Disadvantaged Business Enterprise (DBE)
w70'a
o Department of Transportation Written Confirmation Document
See Contract Provisions.* DBE Document Submittal Requirements
Disadvantaged Business Enterpris'e Participation
THIS FORM SHALL ONLY BE SUBMITTED TO A DBE THAT IS LISTED ON THE CONTRACTOR'S
DISADVANTAGED BUSINESS ENTERPRISE UTILIZATION CERTIFICATION.
THE CONTRACTOR SHALL COMPLETE PART A PRIOR TO SENDING TO THE DBE.
PART A: To be completed by the bidder
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 rejection.
Contract Title:
Dodson Rd Overlay Ph 2, Ph 3 & Ph 4
Bidder's Business Name: Central Washington Asphalt, Inc.
DBE's Business Name: M2 Industrial, Inc.
Descrition of DBE's Work, Guardrail construction of all types
p
Dollar Amount to be Applied Towards DBE Goat: $41,825.00
Dollar Amount to be Subcontracted to DBE*:
*Optional Field
$417825.00
PART B:: To bm
e calms bv the Disadvantaged Business Enterprise
As an authorized representative of the Disadvantaged Business Enterprise, I con -firm that we have been
contacted by the Bidder with regard to the referenced project for the purpose of perfon-ning the Work described
above. If the Bidder is awarded the Contract, we will enter into an agreement with the Bidder to participate in
the project consistent with the in -formation provided in Part A of this form.
Name (printed): Mark R. Schober a
Signature:
Title:
Address:
DOT Form 422-031
Revised 07/2016
Secretary/VP a
180 Hanson Rd.
Ellensburg, WA
98926
Date: 10/25/22
UU . 25 2022 Pm(M
14
AMMERM
Washington State LN'Sadvantaged Business1Enterpwe (DBE) department of Transportation ns
Written Confirmation Document
"S"ee ("'Onti-e-1cf tettRequhentent)
Dis(ic,,h1,,(,ntugYeci Bitsinev,y Enierpri.8e, pti, -jicipt�j
lion
TH[S FORM SHAI.J., ONLY' BE St.."IBM11-FED TO A DBE THATIS LISTED ON TFIE CONTRAC'FORS
DISADVANTAGED BUSINESS ENTERPRISE UTILIZATION (_."ERTIFicxvriON.
THE CONTRACTOR SHALL COMPLETE PAR J'A PRIORTO SENDING 'I"O 1_11E DBE,
PA__KLA_*-T0k(-_,s,_o_rn pleted
-by thebjdder
The entries below shall be consistent with what is show" On the Bidder's isadvantaged BUSiness Enterprise,
'Utilization Certification, FailUre to do so will reSUlt ill Bid re.jection.
Contract Title: Dodson Rd Overkay Ph 2,, Ph 3 & Ph 4
Bidder's Business Name: Central Washington Asphalt, hic,
------------
DBE"s Business Narne: North Star Enterprises, it
Description of DBE's Work: Flagging, traffic contro . temp pavement n-iarkincy,, rumble strips,
Sign erection
0 $263M1.70
Dollar Amount to be Applied T wards DBE Goak
Dollar AMOU11t to be Subcontracted to DBE*: .$2631041.70
*Optional Field
—CoMle—tecl-b
As an aLlthorized representative of the Disadvantaged Business Enterprise, I confirm that we have been,
contacted by the Bidder with regard to the referenced pro e*t ('or the purpose of" performing the Work described
above. If the Bidder is awarded the Contract, we �N/' j C
the pro*consistento4 1 ill enter into an agreement with the Bidder to participate in
ject, with the information provided in Part A of this form.
Name (printed): Stephan ip-.,S imt) kin s
SignatUre:
Title:
Address:
DOT Form 422.031
Revised 0712016
_2resident
PO Box 607 Date: 10/25/22
Liberty Lake WA, 99019
u;,T 25 2022 PmOl 11
A11111111111111k Washington State Disadvantaged Business Enterprise
Department of Transportation (DBE) Bid Item Breakdown Form
1. Contract Number 2. Contract Name
CRP 22-01 Dodson Rd Overlay Ph 2, Ph 3 & Ph 4
3. Prime Contractor 4. Prime Contractor Representative Name
Central Washington Asphalt, Inc. Parnp Maiers, President
5. Prime Contractor Representative Phone Number 6. Prime Contractor Representative Email
(509) 765-5757'ext 120 / (509) 750-2089 pampjr@cwainc.us
Column I
Name of UDBE
(See InstmOlons)
Column 2
Bid Item #
(See Instructions)
Column 3
Full/Partial
(See Instructions)
Column 4
Quantity
(see Instructions)
Column 5
Description
(See Instructions)
Column 6
Unit Price
(See Instructions)
Column 7
Total Unit
Cost
(See Instructions)
Column 8
Dollar Amount
to be Applied
Towards Goal
(See Instructions)
North Star Enterprises
Schedule B
Page 2 of 3
12
Full
5,280 LF
Temp Pave Marking
$0.55
$2,904,00
$21904.00
14
Full
1 Ml
Center Rumble Strip
$ 900.00
$900.00
$900.00
15
Full
2 Ml
Shoulder Rumble TY 3
$900-00
$1,800.00
$1,800.00
Subtotal:
$5,604.00
$5,604.00
Name of UDBE
Bid Item #
Full/Partial
Quantity
Description
Unit Price
Total Unit
Cost
Dollar Amount
to be Applied
Towards Goal
North Star Enterprises
16
Partial
100 HR
PTTC - Flaggers
$73.00
$71300.00
$7,300.00
(continued)
16
Partial
25 HR
PTTC - TC Supervisor
$74.00
$11850.00
$1,850.00,
16
Partial
25 HR
PTTC - OTCL
$73.00
$1,825.00
$1,825.00
16
Partial
2 DY
PTTC - TC Vehicle
$300,00
$600.00
$600.00
Subtotal:
$11,575.00
$11,575,00
Name of UDBE
Bid Item #
Full/Partial
Quantity
Description
Unit Price
Total Unit
Cost
Dollar Amount
to be Applied
Towards Goal
North Star Enterprises
16
Partial
10 HR
PTTC - Pilot Car
$88.00
$880.00
$ 880.00'
(contin ued)
Subtotal:
$880.00
$880.00
Name of UDBE
Bid Item #
Full/Partial
Quantity
Description
Unit Price
Total Unit
Cost
DollarAmount
to be Applied
Towards Goal
Subtotal:
$0,00
$0.00
TOTAL UDBE Dollar Amount:
$18,059.00,
$18$059.00
DOT Form 272-054
Revised 09/2020
4111
U I r -,j r-022 pt -101 " 12
Contract Class
Date Prime
Title/Contract No.
Contracting Agency and Mailing Address,
Amount $ Work
Completed or Sub
Name, Fax, and Phone of Owner/Agency Rep.
$5,945,000.00 ls 21 3, 4
Current P
Oregon St Line to
WSDOT - Alex Sanguino
Military Road
2809 Rudkin Road - Union Gap, WA 98903
(509) 222-2402
$12,979,000.00 112,314
Current P
2022 Eastern
WSDOT - Jody Qualley, PE
Region Chip Sea[
2714 N. Mayfair Street - Spokane, WA 99207
(509) 324-6250
$4,970,000.00 1,213,4
Current P
SR 17 ET AL;
WSDOT - Jeff Deal, PE
NCR Seal 2022
1551 N. Wenatchee Ave - Wenatchee, WA 98801
(509) 667-2860
$31014,000.00 1123 314
Current P
SR 142
WSDOT - Mike Briggs, PE
Lyle to Little Klickitat
11018 NE 51st Circle - Vancouver, WA 98682
River Br Chip Seal
$3,729,000.00 11213,4
Current p
US 395
WSDOT - Jody Qualley, PE
Colville to Columbi
2714 N. Mayfair Street - Spokane, WA 992.07
River PaVing
(509) 324-6250
$434,000.00 112,314
Current P
1-82
WSDOT - Alex Sanguino,
Coffin Rd Vic Paving
2809 Rudkin Road - Union Gap, WA 98903
(509) 222-2402
$9,793,000.00 112,314
Current P
1-90
WSDOT - Jeff Deal, PE
Dodson Rd to Adams
1551 N. Wenatchee Ave - Wenatchee, WA 98801
County Line Paving
(509) 667-2860
$3,444,444.00 13 2,31 4
Current P
US 97
WSDOT - James Reynolds, PE
Tonasket & Pateros
1551 N. Wenatchee Ave - Wenatchee, WA 98801
Paving & Seal
(509) 667-2860
$2,098,616.16 112,314
Current P
SR 26 ET AL;
WSDOT - Mark Allen
2021 Eastern Region
2714 N. Mayfair Street - Spokane, WA 99207
Chip Seal
(509) 324-6250
$5,461,270.12 1,213,4
Current P
Centerville to
WSDOT - Mike Briggs, PE
Ski Lodge Rd
11018 NE 51 st Circle - Vancouver, WA 98682
Vic Paving
$1,122,122.00 1121314
10/1/2021 P
US 97
WSDOT - Jerry Wood,, PE
Wapato Rd Vic to
2809 Rudkin Rd - Union Gap, WA 98903
Wapato Canal NB
wood je gwsdot. wa.,gov
I
u %_V
'XT 21�:. 2022 PmOl ,, -12
Contracting Agency and Mailing Address,
Contract
Class Date Prime Title/Contract No.
Amount $
Work Completed or Sub
Name, Fax, and Phone of OwnerlAgency Rep.
WSDOT - Tom Brasch
$2,888,888.00
1,27 3,4 10/9/2020 p US 395; Franklin Co
Line to Lee Rd SB Lanes
2714 N. Mayfair Street - Spokane, WA 99207
(509) 323-8412
City of Tonasket
$165,000,00
112,314 8/20/2020 P Tonasket Ave &
Division St
209 S. Whitcomb Ave - Tonasket, WA 98855
Rehabilitation
(509) 486-2132
$463,987.53
11213,4 8/20/2020 P Tonasket Municipal
City of Tonasket
Airport
209 S. Whitcomb Ave - Tonasket, WA 98855
Runway 15-33
(509) 486-2132
Rehabilitation
$648,648.00
112,3,4 6/24/2020 P Omak Riverside
Okanogan County Public Works,
Eastside Road
1234 A 2nd Ave S - Okanogan, WA 98840
(509) 422-7300
WSDOT - Dave Kieninger, PE
$6530932.35
11213,4 9/28/2020 p US 2 ET AL;
NCR Strategic
1551 N. Wenatchee Ave - Wenatchee, WA 98801
Pavement Preservation
(509) 6,67-2860
WSDOT - Mark Allen
$5,529,603.41
1,21314 9/8/2020 P US 2 ET AL
2020 Eastern Region
2714 N. Mayfair Street - Spokane, WA 99207
— Chip Seal
(509) 324-6250
$1,952,900.00
11213,4 11/15/2020 p Districts 13 & 14
ODOT
Chip Seal 2020
3012 Island Avenue - La Grande, OR 97850
Project
(541) 963-1326
City of Moses Lake
$117,039.87
112,314 3/25/2020 P Cascade, Dog and
Dano Park
P.O. box 1579 - Moses Lake, Wa 98837
Resurfacing
(509) 764-3791
$346,738.00
1,21314 3/28/2020 S SR 24 Bench Road
Cameron -Reilly, LLC
Intersection
309 N Park Rd - Spokane Valley, WA 99212
(509) 466-5555
$117,919.50
11214 6/24/2020 S Rock Slope
Strider Construction Co, Inc.
Scaling
4721 NW Drive - Bellingham, WA 98226
(360) 380-1234
WSDOT - Alex Sanguino
$687,231.85
1,2,3,4 5/28/2020 P SR 214 McNary Pool
Eastbound Paving
2809 Rudkin Road - Union Gap, WA 98903
L
(509) 222-2402
U1, T 25 2022 pr,11q;12
Contract
Class
Date
Prime Title/Contract No,
Contracting Agency and Mailing Address,
Amount $
Work
Completed
or Sub
Name, Fax, and Phone of Owner/Agency Rep.
$5,838.809.75
1,2,3
12/20/2018
P OR 11:
ODOT - Region 5 Procurement
Pendleton to
3016 Island Avenue
Weston
La Grande, OR 97850
$5,642,696.70
112,3
12/15/2018
P McNary Pool to OldWSDOT
- Alex Sanguino
Highway 12 &
2.809 Rudkin Road - Union Gap, WA 98903
Clarkston Paving
(509) 2222402
$623,735.55
11213
12/15/2018
P SR 26
WSDOT - Kevin Waligorski, PE
Improvements
1551 N. Wenatchee Ave - Wenatchee, WA 98801
(509) 667-2860
$2691293.70
1,213
12/11/2018
P SR 17; Prior Farms
WSDOT - Kevin Waligorski, PE
Left Turn Lanes
1551 N. Wenatchee Ave - Wenatchee, WA 98801
(509) 667-2860
$1,389,826.30
11213
10/20/2018
P US 2; Strategic
WSDOT - Kevin Waligorski, PE
Pavement Preservation
1551 N. Wenatchee Ave - Wenatchee, WA 98801
(509) 667-2860
$8,887,511-35
11213,4
10/17/2018
P 2018 Eastern Region
WSDOT - Chad Simonson, P.E.
Chip Seal
2714 N. Mayfair Street - Spokane, WA 99207
(509) 324-6253
$6;941,941,00
11213
8/27/2018
P NCR Pavement
WSDOT - Sterling Knipfer
Rehabilitation
1551 N. Wenatchee Ave - Wenatchee, WA 9880,1
—
(509) 667-2860
$757,567.50
11213
8/27/2018
ID 1-84
ODOT - Region 5 Procurement
Near Meacham
3016 Island Avenue
La Grande, OR 97850
$4281836.00
11213
8/27/2018
P OR 204
ODOT - Region 5 Procurement
Weston Interchange
3016 Island Avenue
La Grande, OR 97850
$1,588,704.75
1,2;314
5/21/2018
S Colville Reservation
Moyer Construction - Jeff Moyer
Various Projects
P.O. Box 263 - Wellpinit, WA 99040
(509) 258-7711
$3,072,264.00
11213,4
10/21/2017
p Bickleton Highway
Klcikitat County - Don Bellamy
Overlay
228 W. Main Street - Goldendale, WA 98620
(509) 773-5713
$9,946,610.70
112,314
10/17/2017
P 2017 Eastern Region
WSDOT - Chad Simonson, P.E.
Chip Seal
2714 N. Mayfair Street - Spokane, WA 99207
(509) 324-6253