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HomeMy WebLinkAboutAgreements/Contracts - Public Works (002)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT:Public Works REQUEST SUBMITTED BY: Shilo Nellis CONTACT PERSON ATTENDING MEETING: Andy Booth CONFIDENTIAL INFORMATION: []YES ®NO DATE. 10/10/2023 PHONE 509-754-6082 hog: AMMIJ i'll 1 9 111 M11 -Wj L I I a I Aarl= W- ign,igg gum d: wila ®Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award []Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑Invoices / Purchase Orders ❑ Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑ Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Sery/Consultant ❑ Support Letter ❑ Surplus Req. ❑Tax Levies ❑Thank You's []Tax Title Property [:IWSLCB E]APPROVED DATE OF ACTION: � 3 ❑ DENIED ❑TABLED/DEFERRED/NO ACTION TAKEN: ❑CONTINUED TO DATE: ❑OTHER K23-249 THIS AGREEMENTP 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 Is 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 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 SILICA RD. OVERLAY PROJECT, CRP 23-03., located in Grant County, Washington, as proposed in a bid opened 1:00 P.M. Pacific Time, Tuesday,, September 12, 2023 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 mater lials,. 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 s'a'me 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, "C_RP 23-03 Contract — Page 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 Ks Members, duty attested by its Clerk, the day and year below written, and the seal of said Board to be hereunto affixed on said date. AT M, T s- darkf tt* Board APPROVED AS TO FORM:' 12, '1_4 eee7 lol,. e- r 2023 day.r. of ty Pmsecuting mt&nev 5igna-ture PampMMaiers, President r . p int mame Central Washington Asphalt, Inc. Firrn. Name -_Moses Lake WA 98837 cry state Zip ( 509) 765-5757 flh,*ne BOARD OF COUNTY COMMISSIONERS OF GRANT COUNTY, WASHINGTON thris '4d -ay of 20,23 bilica Kd. Uverlay Project,,, CRP 23-03 C act— Page 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 Company 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 Ninety -Seven Thousand and No/100ths ($ 8972000.00 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 P Washington, this 4th day of October 12023 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 gation shall be void but otherwise it shall be and remain in full force and effect. Ce ra ashi It, Inc. Countersigned: N/A � Licensed Agent/Surety Co. Liberty Mutual Insurance Company 1001 4th Avenue, Suite 3700, Seattle, WA 98184 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, P 23-a3 ney1 l e rs*0, eSto nsuraany Carley Espiritu, J 'ft4dT6-iney-in-Fact, Surety Attorney -in -Fact Approved as to Form: 2023 Deputy Prosecuting Attorney _m. Contract -- Page 3 --• Lib erty Mutual. SURETY 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. Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American insurance Company POWER OF ATTORNEY Certificate No: 8210464 - 023049 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., EdNvard 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 -fast 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 1NSU, P��Y INis, �NSUJO The Ohio Casualty Insurance Company �J GpRPOR,q,y0 �J G�RP0A�11 `GP GMORPC1?4��ti0 West American 'Insurance Company 'T �� o n �' o <T 1912 In `' 1919 2 1991 0 o_ �J% A CN135 .da �� "A MPS ,aa `�s N010N ' .aa B , ` v David M. Carey, Assistant Secretary State of PENNSYLVANIA � County of MONTGOMERY ss O 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 U a) 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. 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. O °mom " w ww Commonwealth of Pennsylvania - Notary Seal _ Teresa Pastella, Notary Public N `CU OF Montgomery County L My commission expires March 28, 2025 By: O (D Commission number 1126044 Member, Penns Ivania Association of Notar4es Teresa Pastella, Notary Public Q O d 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 CO Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: 0 M ARTICLE IV — OFFICERS: Section 12. Power of Attorney. °O 0 CD 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 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 M 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 -q v 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 o a) 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 . M provisions of this article may be revoked at any time by the Board; the Chairman, the President or by the officer or officers granting such power or authority. 0 Q ARTICLE X111— Execution of Contracts: Section 5. 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. I, 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 Illjloiiiillllllllll 1NS(/R Vk - INS INSUA, �J ter., 10 4r� �yC� �Jp'c oRP oR4.>, `VP CORP oR,�T� �LC� J o 1912 0 1919 0 2 1991 0 r 9 ��y s �0 �w ° `� y° By: d� sS�4CH05C, .aa O �"AMP15 `es "NO IAXAP as Renee C. Llewellyn, Assistant Secretary LMS -12873 LMIC OCIC WAIC Multi Co 02/21 To Board of Count V Commissioners Dates ._Se pletri ber 12th 2023 Grant County, Washington This certifies that the undersign eci has examined the 10,C -a -tion of SILICA RD. OVERLAY PROJECT, CRP 23-03, 'in Grant County., Washington, and that the pians, Specifications and contract governing the work embrace6 in the improvernent and the methad by which payment will be made for said work is understood, Te undersigned hereby Proposes to undertake and compiete the wo(k 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 schedole of rates and prices. SILICA RD. OVERLAY PROJECT Note; Unit prices for alt items, all extens'sons., and total amount must be shown, p1e,150 type or use ink. Please initial ati change -s, to Plan Item Description Price per Unit* Total Arnount No. Quantity Dollars Cents i Doilars Cents ..... . . ..... .. .. ............ . ... . ....... . ....... ... ......... . . . . ....... cxa n PREPARATION . ... ...••..'••......... . ...... . . .... . ... 1 Mobi lizati's nAt Lump Sunn 507000.00 Per Lump Surn GRADING 4.98 Shoulder rini5 i n gAt -Mile 9.1500-00 47,310-00 . .._....x,... ...... . . . ...... .. ........ .. Per N1 de ...... . . . ........ HOT MIX ASPHALT 934 i Planing Biturrinoijs Pavement . .........Mwi.. At . . . ....... . ......... ..... Si. 16-100 13344-00 Per -Square Yard ........ 4 6x500 HMA CI. In, PG64-28 At pyy Ton 10300 6693500,00 9a __ . . ......... . ... . ...... Yir+ 5 Calculated . ...... Job Mix Comph ance Price At . ............ Adjustment w: I/W C -a I Lj0- . (i 6 CaICUIated Compaction Price Adjustment ... . . .... .. ... AtANtq .. .. . .. .......... ....... . . . . ......... A ... . ...... Calculated §7fl i c a"R d. bv'er' I @'y P ro-j k f, C_ _R P -2 j- 6-3 -Prop s'a"l --'Page I Item IPlan Item Description Price Per Unit" Total Amount No. Qu-antity .. . ........ . . ...... Dollars Cents Dollars. Cents 1 . ......... TRAFFIC 7 13,150 T e m- p Pavernent Marking At Lin, Ft, 0.75 9,862. 50 ......... .... . . ...... - .1111111 .... . ............. Per Linear Foot 51,300 Paint LineMin, At %NmvnwM»NyHyryi r.. vuhWm.Nrmm.rnww. Lin. Ft, 0.25 12,825,00 Per Uriear Foot 480 ... ...... . ..... . . . ........... .. . ......... .. .. .. ... .. Painted Wide Line At F Lin. Ft. 150 720-0 0 Per Linear Foot 10 Project TempararV Traffic Control At Lump Surn 84,941-50 Per Lump Sum Monliment Case— 4 Adjust and CmuimrNa/aor ver WNL ,r At Each 11250-00 51000-00 Cach —12- SPCC PlanN w»wmmr .n .m/n At Lump Sum 11000-00 Per Lump Sum . .... .......... ... . 1 Trimming and Cleanup Lump Sum M I 'nor Chang;E Calculated t, Silica Rd, Overlay Praiect, CRP 23-03 At 11 111. 111 21500-00 PerLump Sum .. . . . ............. . At HIIIIIII-11111 Calculated ...... ...... Pr "ect Total 0) Prcposal — Page 2 Failure to return this Declaration as part of the bid proposal packag. will make the bid nonresponsive and ineligible for award. signing the proposal, hereby declare, under penalty of perl"ury under the laws of tivz United States that the following statements are true and correct: 1. That the undersigned person(s), firm, association, of corporation has !have) not, either directly or indirectly, entered into any agreement, participated 'in anV coillusion, 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 signe * 4 4 and have agreed to the provisions of this declaration. The U,S, Departmect cf Transporlation (USDOT) operates the above t6l-free "rhodine" Monday h o's through Friday,. 8'00 a.m. to 5:00 p.m., Eastern Time. ArVne with knowledge of pos Ible bid rigging, bidder collusion, c . r other fraudulent activities should use the "hotline" to report such activities. The "hothre" is part of USDOT's continuing effort to 'Identify and investigate highway construction coritract fraud k abuse and is operated under the direction of the USDOT I n spe mor 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 ifty w i I I bit respected. Revised 6/14 From DOT Form 272-0361 EF 07/2011 .................. . .. ....... .. ... ....... ,,.,.. ......... Silica Rd . Overia V Project, CRP 23- 03 Proposal —Page 3 Certification of Compliance with Wage Payment Statutes The bidder hereby certifies that, within the three-year period immediatelV preceding the bid solicitation date (9/12/2023), 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 cf assessment 'Issued bythe Department of Labor and Industries or through a civil judgment entered by a court of HmIlted or general jurisdiction, I a I cerflfV under penalty of perjury under the laws of the State of Washington thi t the foregoing is true and correct, Central Washington Asphalt S1.1 Bidder's Bu IN . . . . . . . . . . . . ........ .... .... .............. gn 0 Authorized Official* Parnp Maiers Printed Name Prasident Title 09/12123 Moses Lake WA Date city at Check One-, Sole Proprietorship F-1 Partrership Cl Joint Venture E Corporation 10 State of Incorporation, or if not a corporation,, State when business entity was formed: Washington If a co -partnership. give firm name under which business is transacted., N/A * If a corporation, PrOP0501 must be executed in the corporate name by the President or vice-president for any other corporate officer accompanied by evidence of authorlty to sign). If a co -partnership, proposal must be executed by a partner, . .......... .mNHHiar+W......... .. .... . ... .. ... ....... ____ .. . ... ............. %.__,__________ . .. .. ...... . ..... ... ....... . ... .. ......... . .. ...... . Sillu Rd, Overlay Project., CRP 23-03 I Proposal --Page 4 The bidder is hereby advised that bV signature of this proposal he/she is deemed to have acknoloviedged all req Uiremcf-its and signed all certificates cofitained herein - A p roposa I guaranty iin an amou nt of five perce rpt (5of the tota I bid, based upon th e approximate e5tirnate of quantities at the above prices and in the form as indicated below, is attached hereto: Cash El In the Amount of Cashier's CheckDollars Ce rtif ie C heck Cl Payable to the Grant County Treasure Propmal Bond X In the Amount of 5% of the Bid Receipt is hereby acknowledged of addendum(s) No. (s) 0 & State of Washington Contractor's License No. C.-ENTRWA181ISG Federal ID Nc. 91-1178142 Nntpti (1) Thh; proposes I faf m is not tra Merable an d a gay alte ration enterer h ereo n without prior pe rmissic in from the cora my Engineer wid be cawie for considering the proposal irregular and subsequent i ejection Ur Uid. (2) Plea5e rarer to section 1-02.6 of the standard specifications, t e:` Prepa ration of Fropo sa I" or "Ar� icle 4' of the ifistructio ris to bidder` for bu 11di ng construcli-on jobs, (31, Should it be necessary to modify this proposal either ire writing or by electronic means, please rn i ke ref e reace to tip following proposal number in your corp monir-ation.- 3 — 1--1--1--.--,- Revised 8/95 ....... . ... Silica Rd. Overlay Project, CRP D-03 Proposal -- Page S Ism To,, Board of County Commissioners Date., SepteMber 12th '12023 Grant County, Washington Ifl I hereby maintain that I arna 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 narre and address is 13184E. WheelerRd-Moses Lake, WA98837 vvhlcb I have maintain edif0f 41 years. Myphone is( )_ 766-5757 Fax '1___765-8052 . . . . ....... 2- 1 have adequate plant equipment to expeditloosly and Properly perform the work contemplated fo r Gra nt County, Washington, Description of work; : Th Is contra a provide,5 for the construction of x..49 m il es of HMA ovef lay on Silica Road, from M P 4.50 to M P 6.99 t a two and three lane co unty road in Grant County, WA., and includes planning blituminows pavement, shoulder finishing, hot m ix asphalt,, project temporary traffic control, painting centerline a n d edge lice ars d other work, al;I in accordance with the attached Contract Plans, these Contract Provisions,, and the Standard Specifications. (Please list equipment to be wsed on this project. Attach Bt if nese ss a ry,) Paver-, Screed' Backhoe; Roller; Power Broom; Loader; Water Truck� Various Trucks and Pups 3, 1 have adequate funds to promptly meet obligations incident to this work. (Provide bank, contact & phone.) a) WaShington Trust Bank b) Attn: Chem Anderson C) (50,9)-766-53451 4. 1 have adequate e.pein 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) SeeAttachm" ent A" b) 5. 1 have submitted and maintain annually a " Standard Questionnaice and Financial Statementhr to the Washington State Department of Transportation (WSDOT): Yes V3 No El Region, 'SOOT has determined: a) I am prequalified to work classes 1, 2, 3, 43 15, 19, 34 I n the a rn o u nt of $248, 587.8 7 00 b) I have failed to be prequalified for the folic in reasons; The Contracting Agency may determine a prospective Bidder who is not prequalified to perform certain types of wark within the financial and experience constraints determined by WSDOT to be not responsible and refuse to award a contract, The Board of Cou my Comm (ssioners shall I proceed to a rd th e contract to the lowest and best Widdle r but me -t t any, or all bids if in its o0n 1'o n good cause exists therefor. (RCS' 3 6,77.040) I V hereby certi- t" ements are true and accurate, Very truly, y . ........ ....... ..... ... ... . ........ MPre (Pr! P M lee.. sident CD: any Nam=, Ce ntra I Wash i ngton Asphalt, Inc. Address- P. Box . . ..... ......... city, State, Zip- Moses 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. SF _.,_Efjhr:ati3, WA, 98823 ,J .h Project Namc: SILICA RD. OVERLAY PROJECT Local Agency Subcontractor List P1*ePc1Ftd in COMP111anCe with RCW 39.30060 as amende7l"i To Be Submitted with the Bid Proposa� Failure to list subcontractors with whom the bidder,, if awarded the contract, will directiv subcontract for perfarmance of the work of heating, ventilation and air condit!" oningo plumbing, as described In Chapter 18.206 RCW, and electrical as described in Chapter 19,28 RCW, or naming more than one subcontractor to perform the same work will resuit in your bid being non-responsive and therefore Vold. Subcontractor(s) wl'tb whom the bidder will directly subcontract that are proposed to perform the or of heating, ventilation and air conditioning, plumbing, as described ii) Chapter 18.106 RCW, and electrical as described in Chapter 19,28 RCS must be listed below, The work to be performed is to be listed below the subcontractor(s) nanne. TQ-1he, exto.,n't, t'e Pro ed Inciudog one or toierefer d 19 30 060 and no i MOO'* ,1 , clo, Is 11 -sled 1.elowt" 0 bld�d r, 11 _s, u c 1, w o ! rk, th e. hot the work mr.formgg by -the bidder 0 A will either arbg f r fl be,_verL tXIJow�-r tiersubcon Wh(P)MIJ-1 drectly All Subcontractor Name ....NONE PROPOSED Work to be Performed Subcontractor Name Work to be Performed Subcontractof Name Work to be Performed Bidder's are notified that the opinion of the enforcement agency PVC or metal coricluit, Junction boxes, etc, are considered electrical equipment and must he installed by a licensed electrical contractor, even if the insta I lation is for future use a nd no wi ri ng o r e lectric cu rre nt is connected during the project. A licensed e I ect rica I con tracLur must be I iste d to perform the worm., Silica Rd. 0 ve ri a y P r0i ect, CRP 23- 03 . ...... . ...... ... Proposal —Page 8 Bid Bond KNOW ALL MEN BY THESE PRESENTS: Th at w e J —Ce ntra i Wa3h ington, Aa halt, Inc. as Principal, acid Liberty Mutual Insurance COMLn� a S Surety, are held and firmly bound unto Grant County, Washington, as Obligeg, in the full and penal sum of f ive (5) percent of the total a rn ount of t h e bid p ropos al 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 following Grant County Project, SILICA RD. OVERLAY PROJECT, CRP 23-D3, located in Grant County, Washington, according to the terms of the proposal or bid made by the Principal therefor, a n d the Principal shall duty make and e rater 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, wfth the Surety or Sureties approved bythe 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 lilqu idate d damages, the amount of this bond. SIGN ED, SEALED A S 12th OAY OF September 42023 Principal Central Washington Ashalt Inc, Surety Liberty Mutual Insurance Company Carley Espirito N. Attorney- i n -Fact 1912 Silica Rd. Oveday Project, CRP 23-03 pro- a Page 7 L* bet A- Mutuat.,, SURETY Thai: Power of Attorney limits the acts of those named herein, a n d they have no a uthority to bind the Corn pgny ex sept In the manner and to the extent herein stated, Liberty Mutual Insurance Company The Oiiio Casualty Insurance Company Wort American Insurance Cam Puny Certlricatc-Na: 8210464 - 023049 KNOWN ALL PERSONS BY THESE PRESENTS, That The Ohio cnsualty lnskjr; nce Company is a corporation duly Qrganized under the laws of the State of New Harnp-shiRe, that Lbe ray Muttja I Inwra nce Com pa ny 1 s a carporatior du ly organ lze d u n der th e la ws of the State of Mmachuseft, an d We st Am eri can I nstj rance Co mpany is a corpora lion d U I y organ !zed under the Wwa of the State of Indiana (herein collectively cal,ed the 'Companioal, pijrsuant to and by authority hereir -set fodh, does �"by name, constitute and appolif)t, A ijcmi A, KcItticr, nc. lics Nt, R' hic, Aud -­ 't.,r. Brent ............... rcy tyl Turner, Brandon K, 146*fes'�"' C?ark 01 r I tnklDktne K Nardi Sihan&lin, Sims, Eric k 7-imn Truitt, Justin Dean Pric e, Ka r i M i I It c ki K I nro 1, ah n ;fin i d c r/,, 1. I q WM"' n 2 .................. I S .,a ra San Whilauker. Tamara A.IZ !eisen .......... all of the city of Tacorua state, of W A each 1rd.11AAM if there be morp, than one named, its true Arid I d execute, sea I, acknovo a 1.1"de R, I rrxand on its' behlaiffm sviret�arO, as its art and deed, any and all undeeakiflgs, hoods, fecognizanccs and other surety Obligations, inputsuu-we of these presents and $)hill[ be as biroding upon the C mpan1r,*.,5 a I ,s if they have been duly signed by the president and attest -ad by the secretari of the Companies irk their own proper persona:: I N WITNESS WHE R EOF, tris Power' of Aftomay haa D6en a� b%Hbed by an authorized af fice r or oftia I, of the Goal panies and 1h a corporate seals of the Companies have been affixed thereto this 20ffi day of ,,2: State of P E N N -SY-VAN I A p CDunty of MONTGOMERY Lib" Mutual Insurance Company NA It 4f k"S I The Ohio Casual� insurance Compan -4 ance Company A, We�t Amerivar Insurc 112 1919 1991 Y111 4elo By. ........ ....... . David M. Carq......, I ra Secretary On this 20th dayof July. W23 before me perirmallyappp.;arec David IM, Carey, wto acknowiedgea himself [a be the Assistant Secretary of Liberty Mutual Insurance A 0 = ca, 04rnpsriy, The Ohio Casualty Company, and West Arnerican Insurance Company, and that he, as such, being aullhorized so to do, execute the foregoing instrument for the purpersas, therein co n tai ned tyy sigi ng an behalf a F the corporations by h 1 mself as a Uy a uthodzed officer, IN WITNESS WHEREOF, I i Ove hereunto :subscriWd my name and affixed rnv notarial, seri at Plymout� Meeting, Pennsytvania, on the day and year Mmt above wriitten, �,N H :•,'+xy2 hswiiawNuaaw nusruew,cKsuw.w✓ sawwuwo+;wxx+nww%xtw f.MMfFiJ'tr+'vn:HhNHn'tmrcmrn. �,0 0)Public a) ROM9=18r� OULMly Byp M 0niTimi-,wnn nomber 1120-14 ....... ...... ........ ..... y P, I 4 N", Ov-004 MWO*W: 0 Ufftia Cn a> This Power of Attomey is mode and executed pursuant to and by authoodbi of the -'cilovdng By4aws and Aut�o6zadons of The Ohio Casually Insuran-o Company, Liberty Mutual E 0 Insurance Company, and West AmeHca n Insurance Company which re. l lition S ove ilu-N in full force and affect reading as follows: 4 " A RT f C L E IV- OFFICERS; Section 12. Power of Aftmay. 2 Any officer or other official of the Corparalion auth-orized for that purpose in wrifing by ft Chairman or the President, and subjeol to such knitation as the Chairman or the Presideril may prescdbe, shall appoint such ali:torneys-in-lfact, as may N necessary to act in behall of Ifie CorporAcn to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recog n izances and other surety obliga fions, Such attomeys-1 n -laot. subject to the lirnita fions sal forth Irl their respective power. of attorney, shall > nave full power to bind the Coqoratlan by their sigiiaWre and execud-on of any suct instruriwils and to attach thereto the seal of the Corporation, When so executed. such Z 0 in-shments shall be as binding as it signed by tie President and attested to by the Secretary.. Any power or @Uthority granted to any represenWlye or aftomey-in-faot u n c6- r the', ptovision s of this article may be ravoked at any time by ft Board, the Ch airmian, the President or by th a officer or of granting such power or authority ARTICL E All - Executile n of Contracts: S action 5, Surety Bonds and Unc ertd' kin g s, Any officer of the Company auftrized for that purpose in wrifing .by the chairman or the presicLent, and 50jeCt tea such Irnitations as the chairman or the president may prescribe, sh ali @ppDint such attorneys -in -fact, as may be nemsary to act in behalf of the Company b make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizanus and other surety obligations. Binh atomeys-in-fact subject to the limitations set forth in their respective powDm of attomey, shail have full power to Dim the Company by their signature and execuOn of my such instuments and to attach thereto the seal of the Company.. Wbon so executed such instruments shali be as bIn6ng as if sigred by the president and attested by the wcretary CeMeate of Desnation - The President of the Company, acliag pursuant to the Bylaws of the Company, aotho�zes David M, Carey, Assistant S-ecretary to appoint such atbmeys4n- fact as may he np.sorry kc Oct on behalf of the Company to make, execute, seal, acknowledge and deliver as surely any and al I u n dertakings , 110 nds , reMnizaaces and other surety kthorIzation - By unanimous consent of the Compsn�s Board of Directors, the Ccrnpany,=gieits ttat rairr�le or mettanically reprodur.,ed sigaaltlre of any assistant secretory of thp" Company wherever appearing upon a certified copy of any power of Mom ey Issued by the C c)rnpany in connection with surety bonds, shall be valid and binding upon the Company Wth the same force and effect as though manually affixed. 1, ReneA, C. t1oullyn, the Udersigned, Assistant Secretary, The Clio casuaity Insurancq Company, Ubefty Mutual Insurance Company, and 'Fest American irsurai)ce Company do hereby certify that the original p)wer of atto rn 6y of which the foregoing is a full, lrue and correct copy of fhe Power of Attorney executed by said Comp a nies, is in fuji force and affect and hag not bean revoked, IN TBTiMONY WHEREOF, I have hereuntoset my hand and affixed the scads of said cornpanies this 12th day of September, 2023 41 IRS 1912 9 1 -A CIA N, LMS -12'87. LM IC 0 GIG 'NAkC M ul J Co 0 2f2l ' On 1. nt Scorel y -Srot AAMML. AIMMM 1Nashington State Department of Transportation 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 ar)y 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. Refor 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 Cerfification shall be deemed a part of the reWtling Contract. Box 1 � Central WasinZon Asphalt, Inc. certifies that the DBE firms listed below have been oontacted regarding participation ori this project. If this Bidder is successful on this project and is awarded the Contract, it shall assure that subcontracts or supply agfearrients are executed with named DBEs. (If necessary, use additional sheets,) V4.r. 0i, B "Y!'.£ 2 R. d. cclumn I Cdumn 2 Column 3 Column 4 Column 5 Name of DBE Project Role Description of Work DollarAmount Dollar Amount (See instructions) (See instructions) (See Instructions) Subcontracted to be Applied to DBE Towards Goal (See instructions) ( See Instructions) N n ah StarFnterpf i ses, subuontlactor egging, traffic contRit, rorno val & install ations i.e,, $84,3 $93 5 Inc temp, plastic & paint stripes,15 00 4. t 00 A ud 1 Construct io n, L LC Subcontractu Thi� hau I Ing o f grav el and wsp ha I t, ..... . .......... . . . v. ............. ...................«..«««.«.«.•«.......•.•«.«..•.... ... ........ . .... . ............ . . . .......... . . ....«..•.•.•............. ..««........................... ...... . . . ....... ............ . Disadvantaged Business Enterprise 10% Total DBE Commitment DollarArriount1 J mNwwnmMYmHwWxMwwMMm12,J 0 0 Condition of Award Contract Goal Box 3 Box. 4 5E] By checking Box 6 the Bidder is stating that their attempts to soft it suffident 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 272-056 C Revised 03120 18 nDisadvantaged Business Enterprise (DBE) A n StaW Was.h**gW Department of Tranispoftaflon Written Conffma(tan Document See. Cuntract Provisions: DBE Po(,,wrient Subatitta! R -qui rern4n DisciJvantaged Bmziness Ef",nteq)rise Participalion LISTED ON THE CONTRAC-TORS TfUS FOR M SH A LL ONLY BE S UBM 1111:4 D TO A DR H THXF IS 11AGLID DIS)V .N" BUSLNESS ENTERPICSE UTILIZATION C.ER11FICAXION. VE THE DBE. 'RACTOR SMALL COMPLE' PARLA PRIORT0 SENDTNG TO THE CON'T Wde.x- - A To be cornpk.!�# by t PAR11* Tte entries below all be oonsistent with what is shiz)wn wi the Bidder' -s Disadvantaged Business Enterprise -n. Fad are to do so wi I I resul L `ri Bid rel ecti on, Utilizadon CertificaLio 1, Silica Rd. Overlay Project T3 idder's B usliness Nan-ic ; Central W whi ngton Asphzlt, Ine, Business Narne- Noah Star Ejiterprisses, Inc Description of DBE's Work,. Flagging I traffic control, removal & installations (i .e temp, plasfic & paint stripes Dollar Amount to be Applied Towards DBE Goal $84,3. x.00 $84)315.00 Dollar Amotint to be S-abGontra.cted to DBF-,*: "100anal Field PAWVbe c &4t lb thp, Ise A44vantagO Bqs* rtes Efite-rpr* As an authon"zed representative of the Disad,,vantaged Business Enterprise, I confirm that we have. been con tac ted by the B i dder vA th re gard to thc! re fere nc ed p roj ec t fo r the pu rp ose of performing the Work described above, If the Biddcr "is awarded the, Contract, Nve will enter 'Into an agivement with the Bidder to puticipate i a the project consistent witli the informalion provided in Part A of this form, Name (printed): S i gn aw f e Title:w. t. Address-, Date, DOT Form 422--031 Revised OM016 "r AdW Wash!Mton State Disadvantaged Business Enterprise Department of Transportation PBE) Bid Item Breakdown Form 1, Contract Number ontract carne CRP 2303 Silica Rd. Overlay Project 3. Prime Contractor 4. Prime ContraGtor Representative Narne I Central Washington Asphalt, inc, Parrip %1 'hers 5. Prime Contractor Representative Phone Number 6, Prime Contractor Representative Email :5097655757 parnpjr@Iwai nc,us 7 ColumColumn a Column Column I Column 2 Column 3 Column 4 Crilumn 6 Dollar al Unit Amount TcA NamecfUDBE Bid ltem FulliPartial Quantity Description Unit Price to bo Applied Cast (See Inis4uctluqs) (see Instrucuons) (:see fnstrucUans) (see hetrictions) See In 8yonans) (See InstrudionW Towards Goal (Sae InstruMons) (See Instnxtions) North Star Enterpf' I I paltal 1 11-3 Traffic Control Mob $4,000.00 $4,000.00 $4,000.00 5C J 7 Complete 13,1 ,00 LF Temp, Pavement Markintl $0,70 $9,205.00 $9,205.00 ...... ..... ............ 10 Partial 120 HR TCS - PTTC $78,00 90360W $9,360,00 10 Partial 14 DY T - PTTC $300.00 $4,200,00 $ 4p2OU0 ----- - ---- •Subtotal: $ 26,765.00 $26,765.00 . . . .. ....... mm'mmmrvAxN� NamecfUDBE Bid Item Full/Partial uantit Total Unit DollarAmount Rom Fouantity Description Unit Prico Cost to be Applied Towards Go al ®r North Star Enterprises 10 Partial 350 HR Flaggers - PTTC $ 7T00 $26,950.00 $ 26,9%00 (Continued) 10 i Partial 100 HR OCTL - PTTC $77,00 $7,700-00 $7,700,00 10 Partial 1 LS PTTC - PTTC $13,50 001 $ 13,500.00 $ 13,500.00 .... ...... ...... . ...... ... ....... .. .. . 10 Partial 1001 Pilot Car - PTTC $ 94M $ 9,4 .00 $9,400,00 . ........... ... ....... . . ....... .. . . ... . .. . ....... . ...... . ................n..__...._.........,.,.__.., SUbtotal: $ 57,550,00 $ 57,560M Total Unit Dollar Amount Name ofUDSE Bid Item N Ful .Ilial Quantity Description Unit Price Cost to be A p piled Towards Goal aumN ... ... ..... ............. HyaiimmAwa .......... Subtotal; $0,00 $0.00 13 oll lar Amo u nt Na Total Unit meofUDBE Did Item 4 FullWartiall Quant" Descdption Unit Price Cost to be Applied Towards Goal . ........ . ........... . . Subtotal-I $0,00 $0,00 TOTAL U DBE Dollar Dunt, I 84a315-00 $ 84,315r00 DOT FoFrn 272-054 Revised 0912020 Washington State Department of Transportation 1 Contract Number CRPI 2303 HnW.vawnik---'--- 3, Prime Contractof Central Washington Asphalt, inc. 5. Prime Contractor Representative Phone Number 5097655757 2. Contract Narne Silica Rd, Overlay Project 4. Prime Contractor Representative Name Parnp Maters ... . . ........... ................. ...... . ........... . ............... ... ............. ...... ... . ... . .... . ....... . ................. . ........... 6. Prime Contractor Representative Email pampjr@cwainc,us DOT Form 272-054 Revised 0912020 'Adwh6 Oak 0 X wasih1noton State uisaidvantaged Bu*siness Enterprise (013E) 'Department of Transportatim Written Confirmation Document See Contract Prf>vlsions., DRE Document Submittal Requirepnenty Disadvantaged Business Enterprfse Parlicfpation THIS FORM SHALL ONLY BE SUBMMED TO A D BE THAT IS LISTED ON THF, CONTRA CTO K'S DISADVANTAGED BUSINESS ENTERPME UTILIZATION CERTIFICATION. P, -M . A.. 40''Qb, AyJb!Q_kiAd_eT! The entries below shall be, consistent with what is shown un the Bidder's Disadvanaged BusinessEnterpri h se Utilization tic -n. Failure to do so will result in Bid rejection. 1 Contract Title: Silica Rd. Overl f�e_ir_L Bidder's Business Name- central Was DBE"s Busiss Name,. Audi Construction, LLC Description of DBE's Work: The hauling of gravel and asphalt. Dollar Amo7ant to be Applied Towards DBE 6oal: $8,000.00 DollaTAmounl to be Subcortracted to DBE* -,- *OpWnal Field ''UtgLir ise P AR,Y B,* To be co let the Di Ivantaggd ftsin, As an authotized representafive of the Disadvantaged Business Enterprise, I confim that we have been lQontactcd by die Biddur with rogard to the referenced project for the purpose of pcirfurmm"g the Work duso-fibeii above. If the Bidder is awarded the Contract, we will enter into an agreement with the Bidder to participate 'in th eproi ect consi stent with the'in fonnation provided in Pad A of t1it's form. Signal Te - Title: DOT Farm 422-031 RevIsed 0712016 .. . . ..................... .......................... Owner k -J1 14 S June Ave East WenatchecWA 98802 Date: 19,/11/2023 .Ami Ulm- �� �, � Disadvantaged business Enterprise .per.tkr, (DBE)Trucking Credit Form PART A; TO BE COMPLETEO BY THE BIDDER This 'brat is In Support of the truddng cam mitment'dent'ned On the 0 8 E UtI112s1 n Cer"604on Fotm submilted vwlih #icer� to i. Pte note that DBE's must cartiftd prior to tirne of submittal. R R ......STEIGIR-14131401)_ 111ea ltd Over* Project If listing it+erna by hou sj at by jump surn amounts, please provide calculatlons to su stantlate the crantitias Rated. Bid Item Item DescOptio 2 (pa Mal) Shoulder Finishing (GSTC) - Hauling Only 4 (partial) I HMA C1. V2" i Hauling Only Use lido n l sham as rtscesssry� Bidder a��� (please print)r tragiWashington ap#�eit, Inc.PROP Whim, Presided Phen Fax Signature e (609) 785-5757 (509) 765-8052 Address R0. Box 93 "" .. seg Lake, WA 98937 I corms that tho nb ov6 InformsUan is omplete and aarurefa. Emolf Date 8'mpj ai xs 09/12/23 PART B: TO BE COMPLETED BY THE EDWE TRUCKING i Fi ll N : DBE trucklna Orm parttdpWon may only to oreidhed as DBE participeto n for the value of the howing serAces, not for the mater ais bel ng h2uled u n des the trLwWnq firm ie also c"nizo+d ee a supp Mor of ft Mate0aels used on MO pmJW and app roved for this eject as a regular deal9r. I. Type of i eterial expected to be §T a haUW? ? 2, Number of fulilyr opersifiansi trucks SxPeCted to be used an this prqject? 3. Number of trucks and trailers owned b ft DBE "t will be used on this pts' 4. Number cf kucks and trailers les t# by the ME that will be used on this DOE Pian Name Audi Constrk�en, LLG Cart[ficatlan Number W00=72 Mone Fax WO) 630-6520 ddren 14 9 Jum Avenue East Wenatchea. WA 98802 Emetil adeil#e audlonstructionllc+corn 00T Farm 272.056 Revl&od CSIMO Tra db a i lens; t Dump cks N Mle nt 1 ceRlfy that the above infbrmcm is complete and accurate. Dobe 9!12!23