HomeMy WebLinkAboutAgreements/Contracts - Public WorksK20-008 0q�4. `e_ (�P°
CONTRACT
THIS AGREEMENT, 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 J- K f jN;per . , t. LLC for itself, its
heirs, executors, administrators, successors and assigns, hereinafter ca led 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:
DESCRIPTION OF WORK:
1. The Contractor shall do all work and furnish all tools, materials, and equipment necessary
to improve and complete 2020 Crushing and Stockpiling, located in Grant County, Washington,
as proposed in a bid opened 1:30 P.M., Tuesday, December 17, 2019 in accordance with and as
described in the herein attached plans and standard specifications, 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 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 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 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 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 eb tering into
this contract, except as expressly provided herein.
2020 CRUSHING AND STICKPILING Contr 1
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 by its Clerk, the day and year below
written, and the seal of said Board to be hereunto affixed on said date.
�?O
of
FORM:
7 day of J�2019
G'
Deputy Prosecuting Attorney
3 Aday of Jo^' -'Y 12019
Rte, c—k
ignature
Print Name
E��LLC
Firm Name
Po BoX 7527
Address
B"j 09 97709
City State Zip
(54I ) 382' 8182.
Phone
BOARD OF COUNTY COMMISSIONERS
OF GRANT COUNTY, WASHINGTON
Member
2020CRUSHING AND STICKPILING Contract — Page 2
BOND NO. 107168380
CONTRACT BOND
KNOW ALL MEN BY THESE PRESENTS:
That we, the undersigned, 4R EQUIPMENT LLC as
principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA , a
corporation organized and existing under the laws of the State of CONNECTICUT , 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
NINE HUNDRED SEVENTY THREE THOUSAND TWO HUNDRED NO/100'""'
($973,200.00 ) 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. 1
Dated at Springfield Oregon . this ' day of 2019.
The conditions of the above obligation are such that:
WHEREAS, on December 17, 2019, 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 2020 Crushing and Stockpiling, 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 obligation shall be void but otherwise it shall be and remain in full force
and effect.
Countersigned: I
.,
RDSN BAIRD?RAY ELE RS SUALTY AND SURETY CCMPA4V Df AMERIr.A
Licersed Agent/Surety Co.
1111 GATEWAY LOOP
SPRINGFIELD OR 97477
( 541 ) 741-0550
Firm, Street Address (No P.O. Box), Phone of Local Office of Agent
4 IPMENT LLC r.
p I�7C'p>aI
/JTR-AVSEANDRETCOMPANY I)€QP,fERICA
ROBIN BAIRD, Attorney -in -Fact, surety
Approved as to form:
117 , 2019
v Prosecuting Attorney
7n5n CRUSHING AND STICKPILING Contract — Page 3 i
Travelers Casualty and Surety Company of America
TRAVELERS'lilk Travelers Casualty and Surety Company
St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies"), and that the Companies do hereby make, constitute and appoint Robin Baird of SPRINGFIELD
Oregon , their true and lawful Adorney-in-Fact to sign, execute, seal and acknowledge any and all bonds, recegnizances,
conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the
fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any
actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 17th day of January,
2019.
�tuaro �Ea f oo
State of Connecticut
By: d4g�
City of Hartford as. Robert L. Rana , enior Vice President
On this the17th day of January, 2019, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President
of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and
that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said
Companies by himself as a duly authorized officer.
g
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
My Commission expires the 30th day of June, 2021
ou yw Anna P. Nawik, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and
Surely Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in full
force and effect. reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President. the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign
with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a
bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such
delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any
Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any
Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if
required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one
or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President. any Senior Vice President, any Vice
President. any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of
Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attomeys-in-Fact for purposes only of
executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attomey or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of
Attorney executed by said Companies, which remains in full force and effect.
Dated this day of ®rg2l;S
i 3?aaNlNq�` (Cis, .�Sllf Kevin i tans Secretary
To verify the authenticity of this Power ofAttorneyy Please call us at 1 -BOO -471-3880.
Please refer to the above-named Attorney -in -Fad and the details of the bond to which this Power of Attomey is attached.
PROPOSAL
To: Board of County Commissioners
Grant County, Washington
Date: Gec�.Mti2 lb , 2019
This certifies that the undersigned has examined the location of 2020 Crushing and Stockpiling,
in Grant County, Washington, and that the plans, specifications and contract governing the work
embraced in the improvement, and the method by which payment will be made for said work is
understood. The undersigned hereby proposes to undertake and complete the work embraced
in this improvement, or as much thereof as can be completed with the money available in
accordance with said plans, specifications and contract and at the following schedule of rates and
prices.
2020 Crushing and Stockpiling
Note: Unit prices for all items, all extensions, and total amount must be shown. Please type or
use ink. Please initial all chances.
Item
Plan
Item Description
Price per Unit*
Total Amount
No.
Quantity
Stockpile — Index #540, O'Sullivan
Dollars . Cents
Dollars . Cents
PREPARATION
1
100%
Mobilization
At
Lump Sum
Stockpile — Index #540, O'Sullivan
lllllllll•lllll
17 p
Dam Quarry
Per Lump Sum
2
100%
Notification
At
Lump Sum
Stockpile — Index #540, O'Sullivan
/////////•/////
0 3 006 - 0 o
Dam Quarry
Per Lump Sum
STOCKPILING
O'Sullivan Dam Ouarry #540
3
27,500.0
Special Crushed Coverstone in
At
Ton
Stockpile — Index #540, O'Sullivan
y , OS
Zy� sus ,
Dam Quarry
Per Ton
4
10,000.0
Crushed Surfacing Top Course in
At
Ton
Stockpile — Index #540, O'Sullivan
6 , 8S
6 S/ 500.
Dam Quarry
Per Ton
5
5,000.0
Crushed Surfacing Base Course in
At
Ton
Stockpile — Index #540, O'Sullivan
b 50
321500, r a
Dam Quarry
Per Ton
O'Sullivan Dam West Quarry #544
6 35,000.0 Special Crushed Coverstone in At
Ton Stockpile — Index #544, O'Sullivan 7 , SO 2b2 56°.
Dam West Quarry Per Ton
7 10,000.0 Crushed Surfacing Top Course in At
Ton Stockpile — Index #544, O'Sullivan 6 .60 6( 00c ,
Dam West Quarry Per Ton
2020 CRUSHING AND STOCKPILING Proposal —Page 1
Item
Plan
Crushed Surfacing Top Course in
Item Description
Price per Unit*
Total Amount
No.
Quantity
5 OS
6 S 6So
Dollars . Cents
Dollars . Cents
20 -NE Spoil Bank #88
8
13,000.0
Crushed Surfacing Top Course in
At
Ton
Stockpile — Index #88, 20 -NE Spoil
5 OS
6 S 6So
Bank
Per Ton
9
10,500.0
Crushed Surfacing Base Course in
At
Ton
Stockpile — Index #88, 20 -NE Spoil
3 S
Sr E, i 7S
Bank
Per Ton
Contract Total
y � Z ec ,
2020 CRUSHING AND STOCKPILING Hroposai — nage
Certification of Compliance with Wage Payment Statutes
The bidder hereby certifies that, within the three-year period immediately preceding the
bid solicitation date (7/3/2018), the bidder is not a "willful" violator, as defined in RCW
49.48.082, of any provision of chapters 49.46, 49.48, or 49.52 RCW, as determined by a
final and binding citation and notice of assessment issued by the Department of Labor and
Industries or through a civil judgment entered by a court of limited or general jurisdiction.
I certify under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
9- t� E ��'�Ms� r L i... C
Bidder's-1116.siness Name
—
Are of Authorized Official*
C /1,,1
Printed Name
Title
1 Z/11/ Bind 0�
Date City State
Check One:
Sole Proprietorship ❑ Partnerships Joint Venture ❑ Corporations
State of Incorporation, or if not a corporation, State where business entity was
formed:
01-e- "o
If a co -partnership, give firm name under which business is transacted:
* If a corporation, proposal must be executed in the corporate name by the president or
vice-president (or any other corporate officer accompanied by evidence of authority to
sign). If a co -partnership, proposal must be executed by a partner.
CRUSHING AND STOCKPILING Proposal —Page 3
Failure to return this Declaration as part of the bid proposal package
will make the bid nonresponsive and ineligible for award.
Non -Collusion Declaration
I, 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.
Notice to All Bidders
To report bid rigging activities call:
1-800-424-9071
The U.S. Department of Transportation (USDOT) operates the above toll-free "hotline" Monday
through Friday, 8:00 a.m. 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.
Revised 8/95
From DOT Form 272-0361 EF
07/2011
2020 CRUSHING AND STOCKPILING
Proposal — Page
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 ❑ In the Amount of
Cashier's Check ❑ Dollars
Certified Check ❑ ($ ) Payable to the Grant County Treasurer
Proposal Bond 12I In the Amount of 5% of the Bid
Receipt is hereby acknowledged of addendum(s) No.(s) _, _ & _
Signature of Authorized Official(s)
Proposal Must Be Signed /
Please Print Name of Authorized Official
Firm Name `i A F wremtx', LLC
Address P0 Bax 7 5 Z 7
se„d, OR 97108
State of Washington Contractor's License No. y2 E QV g L 86 8 3
Federal ID No. q3- l I o o s 4y
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:
�0
Revised 8/95
Ir_1R�I'1N114149
Statement of Contractor Qualifications
To: Board of County Commissioners Date: 2019
Grant County, Washington
RE: 2020 Crushing and Stockpiling
I hereby maintain that I am a responsible bidder as contemplated by the policies of the State of
Washington and Chapter 36.77 of the Revised Code of Washington.
1. My permanent business name and address is `I-✓? Ey w pTme�L L C PO (;cx 75 27, gzil bR 9770/
which I have maintained for 11 years. My phone is (5'i 11 ) 38Z-819 Fax (541 ) 364 -VY
I
2. 1 have adequate plant equipment to expeditiously and properly perform the work contemplated
for Grant County, Washington. Description of work: This contract provides for crushing,
screening and stockpiling 111,000 tons of crushed surfacing mineral aggregates and other work
at three locations in Grant County, WA all in accordance with the attached Contract Plans, these
Contract Provisions and the Standard Specifications. (Please list equipment to be used on this
project. Attach list if necessary.)
s EE ATT /9 c KED
I have adequate funds to promptly meet obligations incident to this work. (Provide bank, contact
& phone.) a) F; -sl X'irl`esfu4e PRAk b)
T
✓ s.O Ni
kAG'/'`^,� °uney 0) 541- 617- 3S 3g
I have adequate experience in this class of work and I am thoroughly familiar with the
specifications used in this project. I have constructed the following similar improvements:
(Provide project name, contact & phone.)
a) SEE ATTACHC
b) _ c)
5. 1 have submitted and maintain annually a "Standard Questionnaire and Financial Statement" to
the Washington State Department of Transportation (WSDOT): Yes ❑ No [g Region:
WSDOT has determined: a) I am prequalified to
in the amount of
b) I have failed to be prequalified for the following reasons:
0,+* 4 5+n1
e -'r,IP-44d k. in 11fe5on 6DO7.1\
The Contracting Agency may determine a prospective Bidder who is not prequalified to perform
certain types of work within the financial and experience constraints determined by WSDOT to
be not responsible and refuse to award a contract.
The Board of County Commissioners shall proceed to award the contract to the lowest and best
bidder but may reject any or all bids if in its opinion good cause exists therefor. (RCW 36.77.040)
1 hereby certify that the above statements are true and accurate.
Revised 4/02
,APetruI ours,
By:
(Print Name
Company Name: =t 'p + L L C
Address: P6 R 7S 27 ,
City, State, Zip: Beed OA 9770R
Washington State Contractor's License No.: `IRFGLUEL96R71
AND STOCKPILING Proposal - Page
MUM
KNOW ALL MEN BY THESE PRESENTS:
That we, 4R EQUIPMENT LLC
as
Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA as
Surety, are held and firmly bound unto Grant County, Washington, as Obligee, in the penal sum
of NOT TO EXCEED FIVE PERCENT OF AMOUNT BID— Dollars
($ ..(5%)., ) for the payment of which the Principal and Surety bind themselves,
their heirs, executors, administrators, successors and assigns, jointly and severally, by these
presents.
The condition of the obligation is such that if the Obligee shall make any award to the
Principal for 2020 Crushing and Stockpiling, 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 AND DATED THIS 13th DAY OF DECEMBER 12019
4R EQU1PMEN-YCEC,1'-
Principal
f,;-
Su rW'TRA VgERS CASUALTY AND SURETY COMPANY OF AMERICA
Attorney -in -Fact
MICHELLE BENCH, ATTORNEY-IN-FACT
2020 CRUSHING AND 51 UCKPILING Proposal – Page
Travelers Casualty and Surety Company of America
/AM Travelers Casualty and Surety Company
TRAVELERS J St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called th(
"Companies"), and that the Companies do hereby make, constitute and appoint Michelle Bench of SPRINGFIELD
Oregon , their true and lawful Attorney -in -Fact to sign, execute, seal and acknowledge any and all bonds, recognizances
conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the
fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in anN
actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 17th day of January
2019.
WVA
1t • 'N /�
State of Connecticut
City of Hartford ss.
By:
_ Zi4gg
Robert L. Rane enior Vice President
On this the 17th day of January, 2019, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President
of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, anc
that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of saic
Companies by himself as a duly authorized officer.
0,F NOS''.
IN WITNESS WHEREOF, I hereunto set my hand and official seal. r G�
NY
OTARt
My Commission expires the 30th day of June, 2021 . .►� *�
PU8.�
Anna P. Nowik, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty anc
Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in ful
force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President. the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sigr
with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a
bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such
delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any
Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any
Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if
required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one
or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice
President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of
Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of
executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power o•
Attorney executed by said Companies, which remains in full force and effect.
Dated this 13th day of DECEMBER , 2019
"o LQ,PAW
MIA '
u ;
t y Maw
CONN.
f� l
Kevin E. Hughes, Assistant Secretary
To verify the authenticity of this Power of Attorney, please call us at 1-800-421-3880.
Please refer to the above-named Attorney -in -Fact and the details of the bond to which this Power of Attorney is attached.
REFERENCES
Name of Firm
Project Name
Reference Contact Person
Contact Phone Number
Crook County Road Dept,
Jagi Rock Production
Bob O'Neal
541-480-1365
Taylor NW
Facebook Data Center
Todd Taylor
541-480-8343
High Desert Aggregate and Paving
735 CAT Haul Truck (x2)
Mike Moore
541-410-3950
ODOT District 3 Maintenance
Aggregate Production at Little Nash Cinder Pit
Greg Adams
509-932-4273
Morrow County Public Works
On -Site Service Truck
Matt Scrivner
541-980-7468
ODOT District 4 Maintenance
Finley Butte Sanding Material
Rolon Williams
541-408-3822
EQUIPMENT
EQUIPMENTTO BE USED:
ADDITIONAL EQUIPMENT:
Plant 1:
Plant 2:
30x55 Jaw Crusher
30x55 Jaw
400+ Cone Crusher
400+ Cone Crusher
55" Roll Crusher (x2)
6'x20x Finish Screen
20'x6' Finish Screen (x2)
55" Roll Crusher
735 CAT Haul Truck
735 CAT Haul Truck (x2)
740 CAT Haul Truck
D-8 CAT Bulldozer
D-8 CAT Bulldozer
329 CAT Excavator
980 CAT Loader (x2)
Boom Truck
Portable Test Lab
On -Site Service Truck
Load Out Bunker (x2)
3512 CAT Generator
On -Site Service Truck
3516 CAT Generator
Plant 3:
31x44 Jaw Crusher
300+ Cone Crusher
VSI Impact Crusher
Load Out Bunkers
300 CAT Haul Truck
20'x6' Finish Screen
On -Site Service Truck
3508 CAT Generator
MAMh. Washington state Subcontractor List
AP Department of Transportation Prepared in compliance with RCIN 39.30.060 as amended
To Be Submitted with the Bid Proposal
Project Name 2 0 2 0 G S S G a 2 d S to c K� : l - G t C n fr /0,Z/1 l,✓,. kS 'O"t..
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.
Subcontractor Name
Work to be performed
Fork n�ru,,4
Subcontractor Name 7_;,, , - 5� p 1 EN r uZi ,1 SU co e
Work to be performed
B
Subcontractor Name
Work to be performed
Subcontractor Name
Work to be performed
Subcontractor Name
Work to be performed
. Bidder's are notified that is the opinion of the enforcement agency that PVC or metal conduit, junction boxes, etc,
are considered electrical equipment and therefore considered part of electrical work, even if the installation is for
future use and no wiring or electrical current is connected during the project.
DOTForm 271-015 EF
SR
Revised 08/2012