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ACCEPTANCE OF COMPENSATION & RELEASE OF ALL CLAIMS
Anderson Cove Waterfront Park L.I.D.
Project No. 827—City Contract No. 5261
NOVA Contracting, Inc.:hereby indicates agreement with, and acceptance of, the final
Progress Payment and total Contract Price of $311,374.24, including Washington State
sales and/or use taxes, and the final Contract Time of 93 working days, as full and final
compensation for all Work performed in connection with Contract Number No. 5261, and
does hereby release the City of Bremerton from all claims, liability, demands, damages
and actions of any kind whatsoever, arising from performance of that Contract.
�
NO Contr cting, Inc.
By: Date: � D Zl�l �'
Title: �7�9JI��Q /1�A S�i�_ �IL ad'L'C"p /l�6 IL
Certificate of Notarv
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Subscribed and sworn to before 6 day o
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�F'FIDAVIT OF PUBL[CA"fION
Account#4Z7�12 AD�k20142874
STATE OP WASHiNGTON
COUNTY OF KITSAP
I,"I�eresa Hull, bein� tirst duly sworn on oath,deposes and says: That she is now,and at all times embraced
in the publication herein mentioned was the principal clerk of the printers and publishers of KITSAP SUN;
that said newspaper has hcen approved�s a legal newspaper by order of the Superior Court of the County
of Kitsap, in which Count_y it �s published and is now and has been for more than six months p�ior to the
clate of the publication hereinafter referred to, published in the English lanoua�e continually as a daily
newspaper in Bremerton, Kitsap County,�VashinQton, a weckly ncwspaper in Kitsap County, Washington
and is no�v and durin�all of said time, was printed in an office ma►ntained in the atoresaid place of
publication of said newspaper; that the following is a true text of an advertisernent as it was published in
re�ular issues(and not in supplement form)of said newspaper on the following date,ti� wit: And on E1u�.
20, 2014 such newspaper was re�ularly d�stributed to its subscribers dunn�all of said period.The full �
a►nount of the fee charged for the fore�oing publication is the sum of�37.30.'['his amount has not been
paid in f'ull. �
�
(Si�na[ur�of Principal Clerk)
f�'UTF�R`r F i_._;C;
Suhscrihed and sworn tu hcfore mi: this ciay of Au�ust 2C, 2014. ;iTF�TE Oi- WASHi�'J;�;I ON
CHFCESTY M IIAOFFITT
� My Appointment Expires July O8, 2016
�-1��.-�J l 1��
-�_ ��
N(�T'ICE OF CONIPL[;'CION
1�lotice of C�mpletion has heen issued to NOVA Contractin�„ Inc. for City Project No. 827 and City
Contract No 5261 for the Anderson Cove Watertront Park L.I.D. Any parties having a claim For material,
labor or dama;es related to this Contract have forty tive (45)days 1�rom thc date of first puhlication of this
notice to file a claim.
Shannon Conn
City Clerk
345 6th Street
Bremerton, Washin�ton 98337
AUG. 20,201�
All#20142874
' ,� Washi on State •
�T�����' " ; t:-j anme t of Revcnuc
� i����t��"j��' ox 47 74
� ympia,W 98504-7474
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��o'L \�\S\O� 601 964 026
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����� Certificate of Payment of State Excise
��G,\N,,.,� Taxes by Publ�c Works Contractor
NOVA CONTRACTING INC CITY OF BREMERTON PUBLIC WORKS & UTIL
10615 DELPHI RD SW GUNNAR FRIDRIKSSON, ENGNR DIV
OLYMPIA WA 98512 9353 3027 OLYMPUS DR
BREMERTON WA � 98310 4799
We hereby certify that taxes, increases and penalties due or to become due from the above-named
contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works
contract:
CITY OF BREMERTON PUBLIC WORKS & UTIL
5261, ANDERSON COVE WATERFRONT PARK LID
together with all other taxes, increases and penalties due from such contractor, have been paid in full or that
they are, in the Department's opinion, readily collectible without recourse to the state's lien on the retained
percentage. �
This certificate is issued pursuant to the provision of Chapter 60.28 Revised Code of Washington for the
sole purpose of informing the state, county, or municipal officer charged with the duty of disbursing or
authorizing the payment of public funds to said contractor that the Department of Revenue hereby releases
the state's lien on the retained percentage provided by this Chapter for excise taxes due from said contractor.
This certificate does not release said contractor from liability for additional tax that may be later
determined to be due with respect to the above-mentioned contract or other activities.
Dated Q�j .� � at Olympia, Washington,
State of Washington
Department of Revenue
��.
. � t
Certifying Officer
' For t�L�c ass�stance,visrt dor.wa gov or esll I-800-647-7706. To mymre about the avail�bility of this document in nn altcrnate format for the visually impaired,
plcasc call(360)705-6715."feletype(1"�Y)users may call I-800-451-7985.
REV 31 0028(]0-01-02)
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STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUST �CEIVED
CITY OF BREMERTON PUBLIC WORKS & UTIL
OCT� 242014
ATTN : CHAL MARTIN, PUBLIC WORKS DIRECTOR ,
100 OYSTER BAY AVE N ENGINEERlNG DIVISIQN
BREMERTON WA 98312
Certificate of Release of the State ' s Lien on Public Works Contracts
With this letter , the Washington State Department of Labor & Industries
approves of your release or payment of the contract amount retained
from the following contractor ---
NOVA CONTRACTING INC 206 ,913-00 601 964 026
106I5 DELPHI RD
OLYMPIA WA 98512
--- related to the following public works contract :
ANDERSON COVE WATERFRONT PARK LID
5261
This approval is for workers ' compensation insurance premiums only.
L&I ' s prevailing wage section separately requires all contractors on the
pro�ect file an affidavit of wages paid . These affidavits must be
approved before retainage can be released .
In our opinion , all workers ' compensation insurance premiums , increases ,
and penalties due to L8�I from this contractor have been paid in full or
, are readily collectible without recourse to the state ' s lien on the
retained percentage .**
This letter ' s sole purpose is to communicate our release of the state 's
lien to the public official responsible for paying or authorizing the
payment of public funds to the contractor named above .
If we later determine that the contractor owes additional premiums
related to the above-mentioned contract or other activities , the
contractor is still liable for payment .
Dated October 20 , 2014 at Olympia , Washington .
Contract Release Specialist
GREGORY TAYLOR
360-902-5385 or TAYG235a1LNI .WA.GOV
�* Title 51 RCW authorizes L8�I to collect workers ' compensation
insurance premiums , increases , and penalties .
Chapter 60 . 28 RCW establishes L8�I ' s priority regarding this lien .
Chapter 39. 12 RCW addresses L&I ' s requirement for affidavits of
wages paid .
� Employment Security Department
� WASHINGTON STATE
August 20, 2014
City of Bremerton — PW&U; Engineering Division
3027 Olympus Drive
Bremerton, WA 98310
NOVA Contracting, Inc UBI #: 601964026
10615 Delphi Road SW ES Ref#: 161941-00 1
Olympia, WA 98512
The Employment Security Department hereby certifies those contributions,
penalties and interest due from the above named contractor under the
Employment Security Act have been paid in full or provided for with respect to
the following public works contract:
Description: Anderson Cove WaterFront Park L.I.D. �
Contract number: 5261
The Employment Security Department hereby certifies that it has no claim
pursuant to RCW 50.24.130 against the public body named above for tax
attributable to service performed for said public body by the above named
contractor on the above described contract. The Employment Security
Department releases its lien on the retained percentage which is provided by
RCW 60.28.040 for contributions, penalties and interest due from said contractor.
This certificate does not release said contractor from liability for additional
contributions, penalties and interest which may be later determined to be due
with respect to the above mentioned contract.
If we may be of further assistance, please call
(360) 902-9450.
EMPLOYMENT SECURITY DEPARTMENT
Original — Disbursing Office
Duplicate — Employer
Triplicate — Central Office Files
. > ��
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AFFTDAVIT OF PUBLICATION �� 01�
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Account#42742 AD#20142874 S� �y'�����
STATE OF WASHINGTON \��\d��
COUNTY OF KITSAP �`����
I,Teresa Hull,being first duly sworn on oath,deposes and says:That she is now,a�id at all times embraced
in the publication herein mentioned was the principal clerk of the printers and publishers of KITSAP SLTN;
that said newspaper has been approved as a legal newspaper by order of the Superior Court of the County
of Kitsap, in which County it is published and is now and has been for more than six months prior to the
date of the publication hereinafter referred to,published in the English language continually as a daily
newspaper in Bremerton, Kitsap County,Washington, a weekly newspaper in Kitsap County,Washington
and is now and during all of said time, was printed in an office maintained in the aforesaid place of
publication of said newspaper; that the following is a true text of an advertisement as it was published in
regular issues(and not in supplement form)of said newspaper on the following date,to wit:And on Aug.
20,2014 such newspaper was regularly distributed to its subscribers during all of said period.The full
amount of the fee charged for the foregoing publication is the sum of$37.30.This amount has not been
paid in full. �
(Signature of Principal Clerk)
��- - - ------- L:...
� NOTARY PUBLIC
Subscribed and sworn to before me this day of August 26,2014. � STATE OF WASHINGTON
CHRIS�Y NI 11�OFF9TT
' My Appointment Exp(res July 08,2016
NOTICE OF COMPLETION
Notice of Completion has been issued to NOVA Contracting,Inc. for City Project No. 827 and City
Contract No. 5261 for the Anderson Cove Waterfront Park L.I.D. Any parties having a claim for material,
labor or damages related to this Contract have forty five(45)days from the date of first publication of this
notice to file a claim.
Shannon Corin
City Clerk
345 6th Street
Bremerton,Washington 98337
AUG.20,2014
AD#20142874
Contract Number: 5261
Vendor: NOVA CONTRACTING INC
Subject: Anderson Cove LID Improvements
Department: Engineering
File Class: LEG 12 -1
Begin Date: 7/1/2013
End Date:
Review Date: 3/1/2014
Vault Date: 2015
Comments: CO #01 12/16/13; CO #02 7/8/14
CITY OF BREMERTON
CHANGE ORDER
CONTRACT CHANGE ORDER NO: 2
PROJECT NAME: Anderson Cove Waterfront Park L.I.D.
PROJECT NO: 0827 CONTRACTOR: NOVA Contracting, Inc.
ORIGINAL CONTRACT AMOUNT: $284,683.00 DAYS: 90
PREVIOUSLY APPROVED CHANGES: $15,255.56 DAYS: 3
THIS CHANGE: $13,735.88 DAYS: 0
REVISED CONTRACT AMOUNT: $313,674.44 DAYS: 93
This Change Order covers changes to the subject contract as described herein. The Contractor shall
construct, furnish equipment and materials, and perform all work as necessary or required to complete the
Change Order Items. The increase or decrease in contract price shown below includes any applicable taxes.
DESCRIPTION OF CHANGES INCREASE IN (DECREASE) IN CONTRACT
o ^ CONTRACT CONTRACT TIME
AMOUNT AMOUNT EXTENSION
CD m ($) ($) (DAYS:)
Actual to Bid Quantities
This Change Order is a rectification of actual quantities utilized
in the construction of the project to the original bid amounts.
There is no change to the method of construction, materials, or
any other aspect of the work. These changes are summarized
in the attached spreadsheet and equal $8,932.13. $9,700.29
i
WCD #6 — Removal of TESC
TESC measures placed with work completion in November
2013 needed to be removed to allow grass seed growth on the
site. The Contractor was directed to remove and dispose of
these materials in May 2013. The lump sum cost for all labor,
materials and equipment for this work is $3,712.59. $4,035.59
NET CHANGE IN CONTRACT AMOUNT $13,735.88 0
INCREASE OR (DECREASE)
Contractor acknowledges and accepts that this Change Order constitutes final settlement of all claims of any
kind or nature arising from or connected with any work either covered or affected by this Change Order,
including, without limitation, claims related to contract time, on -site or home office overhead, or lost profits.
Nothing in this Change Order shall limit the City's right to bring a claim for past performance.
The undersigned Contractor approves the foregoing Change Order as to the changes, if any, the contract
9 Pp 9 9 9 9 Y,
price specified for each item, including any and all supervision costs and other miscellaneous costs relating to
the change in work, and as to the extension of time allowed, if any, for completion of the entire work due to
said Change Order.
l
CONTRACT CHANGE ORDER NO: 2
PROJECT NAME: Anderson Cove Waterfront Park L.I.D.
This document will become a supplement of the contract and all provisions will apply hereto. It is understood
that this Change Order shall be effective when approved by the City of Bremerton.
The parties whose names appear below warrant that they are authorized to enter into a change order that is
binding on the parties of this contract. In addition, Contractor warrants that it has or will inform the surety of
this change, and shall take appropriate action to modify any bonds required under the contract to address this
change.
RECOMMENDED:
PROJECT NGI E ate
RECOMMENDED:
ITY EN INEER / DIRE LIC WORKS Date
ACCEPTED: 2J
,QATRACTOR Date
APPROVED: 7
MAYOR Date
APPROVED AS TO FORM: ATTEST:
44 /0 'k
BrXArtbb City ttorney City Clerk
Page 2 of
i
city of Bremerton
ANDERSON COVE WATERFRONT PARK L.I.D.
Total Quantities
ITEM ITEM DESCRIPTION UNIT PLAN UNIT PRICE Estimate #1 Estimate #2 Estimate #3 Estimate #4 Estimate #5 Final TOTAL Plan Quanity $ Actual Quantity Over /Under $ Over Under %
NO. QUANTITY CONST. Amount $ Amount Amount
QUANTITY
1 MOBILIZATION LS 1 $25,000.00 0.00 1.00 0.00 0.00 0.00 1.00 $25,000.00 $25,000.00 $0.00 0.00%
2 CLEARING AND GRUBBING ACRE 0.6 $8,500.00 0.60 0.05 0.00 0.00 000 0.65 $5,100.00 $5,525.00 $425.00 8.33%
3 REMOVAL OF STRUCTURES AND OBSTRUCTIONS LS 1 $2,800.00 0.00 0.00 0.60 0.40 0.00 1.00 $2,800.00 $2,800.00 $0.00 0.00%
4 REMOVE EXISTING GRAVEL SY 360 $3.00 0.00 326.00 000 34.00 0.00 360.00 $1,080.00 $1,080.00 $0.00 0.00%
5 ROADWAY EXCAVATION INCL. HAUL CY 120 $10.00 0.00 000 0.00 67.00 0.00 67.00 $1,200.00 $670.00 - $530.00 - 44.17%
6 GRAVEL BORROW INCL. HAUL TON 2,900 $20.00 0.00 2977.50 0.00 72.50 0.00 3050.00 $58,000.00 $61,000.00 $3,000.00 5.17%
7 LIGHT LOOSE RIPRAP TON 60 $60.00 0.00 0.00 0.00 76.30 000 76.30 $3,600.00 $4,578.00 $978.00 27.17%
8 UNDERDRAIN PIPE 12 IN. DIAM. LF 18 1 $80.00 0.00 0.00 16.20 0.00 000 16.20 $1,440.00 $1,296.00 - $144.00 - 10.00%
9 DRAIN PIPE 3 IN. DIAM. LF 30 $25.00 000 0.00 24.30 0.00 0.00 2430 $750.00 $60750 - $142.50 - 19.00%
10 CATCH BASIN TYPE 1 EA 10 $1,100.00 0.00 0.00 10.00 100 0.00 11.00 $11,000.00 $12,100.00 $1,100.00 10.00%
11 CATCH BASIN TYPE 2 48 IN. DIAM. EA 1 $2,500.00 0.00 0.00 1.00 0.00 0.00 1.00 $2,500.00 $2,500.00 $000 0.00%
@NG'RETE 00 0.00 0.00 0.00 000 0.00 $900.00 $0.00 - $900.00 - 100.00%
13 ISOLID WALL PVC STORM SEWER PIPE 8 IN. DIAM. LF 55 $32.00 0.00 0.00 27.00 26.80 0.00 53.80 $1,760.00 $1,721.60 - $38.40 - 2.18%
14 SOLID WALL PVC STORM SEWER PIPE 12 IN. DIAM. LF 375 $35.00 0.00 0.00 284.90 108.80 0.00 393.70 $13,125.00 $13,779.50 $654.50 4.99%
15 SERVICE CONNECTION 1 1/2 IN DIAM. EA 1 $2,400.00 0.00 0.00 1.00 0.00 0.00 1.00 $2,40000 $2,400.00 $0.00 0.00%
16 CRUSHED SURFACING TOP COURSE TON 43 $60.00 0.00 0.00 0.00 46.90 0.00 46.90 $2,58000 $2,814.00 $234.00 9.07%
17 HMA CL. B TON 26 $200.00 0.00 0.00 000 33.82 0.00 3382 $5,200.00 $6,764.00 $1,564.00 30.08%
18 SILT FENCE LF 130 $7.00 130.00 96.00 0.00 0.00 0.00 22600 $910.00 $1,582.00 $67200 73.85%
19 ITOPSOIL TYPE B CY 350 $15.00 0.00 0.00 0.00 350.00 0.00 350.00 $5,250.00 $5,250.00 $0.00 0.00%
20 SEEDING FERTILIZING AND MULCHING ACRE 1 $3,000.00 0.00 0.00 0.00 0.00 0.65 0.65 $1,800.00 $1,950.00 $150.00 8.33%
21 INLET PROTECTION EA 3 $75.00 0.00 4.00 0.00 0.00 0.00 4.00 $225.00 $300.00 $75.00 33.33%
22 WATTLE LF 300 $5.00 0.00 175.00 12500 0.00 0.00 30000 $1,500.00 $1,500.00 $0.00 0.00%
23 EROSION /POLLUTION CONTROL EST. 1 $2,000.00 0.00 0.00 0.62 1.36 0.00 1.98 $2,000.00 $3,955.70 $1,955.70 97.79%
24 CEMENT CONCRETE CURB AND GUTTER TYPE A LF 432 $18.00 0.00 0.00 0.00 433.30 0.00 433.30 $7,77600 $7,799.40 $23.40 0.30%
25 ICEMENT CONCRETE CURB TYPE C -3 LF 12 $55.00 0.00 0.00 0.00 18.70 0.00 18.70 $660.00 $1,028.50 $368.50 55.83%
26 PROJECT TEMPORARY TRAFFIC CONTROL LS 1 $2,500.00 000 0.00 084 016 0.00 1.00 $2,500.00 $2,500.00 $0.00 0.00%
27 ADJUST METER BOX EA 1 $250.00 000 0.00 000 2.00 0.00 2.00 $250.00 $50000 $25000 100.00%
28 POTHOLING EA 3 $200.00 0.00 0.00 3.00 0.00 0.00 3.00 $600.00 $60000 $0.00 0.00%
29 BUS SHELTER PAD LS 1 $750.00 0.00 0.00 0.00 1.00 0.00 1.00 $750.00 $75000 $0.00 0.00%
30 CONCRETE COLLAR EA 7 $220.00 0.00 0.00 0.00 7.00 0.00 700 $1,540.00 $1,540.00 $000 0.00%
31 IPLUGGING EXISTING PIPE EA 2 $250.00 0.00 0.00 200 1.00 0.00 3.00 $500.00 $750.00 $250.00 50.00%
32 ROADWAY SURVEYING LS 1 $5,000.00 0.00 0.50 0.34 016 0.00 1.00 $5,000.00 $5,000.00 $0.00 0.00%
33 PERVIOUS CONCRETE SIDEWALK SY 204 $95.00 0.00 0.00 0.00 19540 0.00 19540 $19,380.00 $18,563.00 - $817.00 -4.22%
34 CEMENT CONC. SIDEWALK RAMP TYPE PARALLEL EA 2 $1,320.00 0.00 0.00 0.00 2.00 0.00 2.00 $2,640.00 $2,640.00 $000 0.00%
35 PORTLAND CEMENT CONCRETE DRIVEWAY APPROACH TYPE 3 SY 11 $53.00 0.00 0.00 0.00 20.30 0.00 20.30 $583.00 $1,075.90 $492.90 8455%
36 SEMI -OPEN CONC. MASONRY SLOPE PROTECTION SY 59 $50.00 0.00 0.00 0.00 58.00 0.00 58.00 $2,950.00 $2,900.00 - $50.00 -169%
37 RECORD DRAWINGS LS 1 $500.00 0.00 0.00 000 0.00 0.00 0.00 $500.00 $000 -$50000 -10000%
38 TRIMMING AND CLEANUP LS 1 $1,800.00 0.00 0.00 0.00 0.00 1.00 1.00 $1,800.00 $1,800.00 $0.00 0.00%
39 TESC PLAN AND IMPLEMENTATION LS 1 $750.00 0.00 0.53 0.00 0.47 0.00 100 $750.00 $750.00 $0.00 000%
40 SPCC PLAN LS 1 $650.00 1.00 0.00 0.00 0.00 0.00 1.00 $650.00 $650.00 $000 0.00%
41 MINOR CHANGE CALC 1 $5,000.00 0.00 0.00 0.25 0.72 0.00 0.97 $5,000.00 $4,861.03 - $138.97 -278%
42 SAND FILTER LS 1 $5,300.00 0.00 0.00 0.00 1.00 0.00 1.00 $5,30000 $5,300.00 $0.00 0.00%
43 CONTECH CDS 2015 EA 1 $11,200.00 0.00 0.00 1.00 0.00 0.00 1.00 $11,200.00 $11,200.00 $0.00 0.00%
44 FILTERRA 4 FT. X 4 FT. EA 2 $13,500.00 0.00 0.00 2.00 0.00 0.00 2.00 $27,000.00 $27,000.00 $0.00 0.00%
45 BIORETENTION SWALE LS 1 $7,300.00 0.00 000. 0.00 1.00 0.00 1.00 $7,300.00 $7,300.00 $000 0.00%
Al -1 PERVIOUS CONCRETE SIDEWALK WITH CHECK DAMS LF 65 $96.00 000 0.001 0.00 65.00 0.00 65.00 $6,240.00 $6,240.00 $000 0.00%
--- ....... - -- - - ..._._ ............. - - --- ................ _ ...... .
._ ...... _ ... _ ........... ...._.__. ..............................._.-.._._._......__-.._._..._..._ _..................,..,.__..__. _.- w.nnn_nnn.nn..___ a•ncn.nn w_wn n•n nnn wn
l Quantity correction from pay estimates - $168.00
L #1 Sales Tax - 8.6% $22,445.05 $23,198.77 $768.16
TOTAL $283,434.05 $292,951.90 $9,700 29
CHANGE ORDERS
REMOVAL OF ADDITIONAL TREES AND LIMB LS 1 $6,120.88 0.00 0.00 0.00 1.00 0.00 1.00 $6,120.88 $6,120.88 $0.00 0.00%
REMOVE CONCRETE FROM BEACH LS 1 $3,170.23 0.00 0.00 0.00 1.00 0.00 1.00 $3,170.23 $3,170.23 $0.00 0.00%
WCD #3 SLOPE STABILIZATION REVISION LS 1 $3,022.07 0.00 0.00 000 1.00 0.00 1.00 $3,022.07 $3,022.07 $000 0.00%
WCD #4 BIORETENTION OUTFALL REVISION LS 1 $405.61 0.00 0.00 0.00 1.00 0.00 1.00 $405.61 $405.61 $0.00 0.00%
7 #5 CATCH BASIN REVISION LS 1 $1,328.68 0.00 0.00 0.00 1.00 0 00 1.00 $1,328.68 $1,328.68 $0.00 0.00%
REMOVE TESC MEASURES FROM SITE LS 1 $3,712.59 1.00 1.00 $3,712.59 $3,712.59 $0.00 0.00%
SUBTOTAL CHANGE ORDERS $17,760.06 $17,760.06 $0.00
Sales Tax - 8.6% for #145 $1,208.08 $1,208.08
Sales Tax - 8.7 for #6 $323.00 $323.00
TOTAL CHANGE ORDERS $19,291.14 $19,291.14
TOTAL $302,725.19 $312,243.04 $8,932.13
Correction for wrong bid amount #44 (includes sales tax) - $868.80
GRAND TOTAL $311,374.24
Contract Number: 5261
Vendor: NOVA CONTRACTING INC
Subject: Anderson Cove LID Improvements
Department: Engineering
File Class: LEG 12 -1
Begin Date: 7/1/2013
End Date:
Review Date: 3/1/2014
Vault Date:
Comments: CO #01 12/16/13
CITY IOF BREMERTON
CHANGE ORDER
I �
CONTRACT CHANGE ORDER NO i
PROJECT NAME And Cove Water Park L .I.D.
0827
PROJECT NO
CONTRA CTOR_NOVA C
ORIGINAL CONTRACT AMOUNT L $282,1 CALENDAR DA YS 90
PREVIOUSLY APPROVED CHANGES. L __ _ $0 00 CALE DAYS. 0
THIS CHANGE . ---$ 15,25 5 56 CALENDAR DAYS 3
t
REVISED CONTRACT AMOUNT _ $297,386 41 CALENDAR DAYS 93
This Change Order covers changes to th9 subject contract as described herein The Contractor shall
construct, furnish equipment and materials, pnd perform all work as necesary or required to complete the
Change Order Items The increase or decrease in contract price shown below, includes any applicable taxes
DESCRIPTION OF CHANGES INCREASE IN (DECREASE) IN CONTRACT
o ^
CONTRACT CONTRACT TIME
AMOUNT AMOUNT EXTENSION
(DAYS)
X ADDITIONAL TREE REMOVAL FROM SITE (WCD #11
Four additional trees not shown for removal were found to be
diseased by the arborist hired by the City The Contractor was
directed to remove these four trees One tilee branch created a
weakness in another tree The Contractor as directed to
remove this branch The lump sum cost fo this work is
X
$6,12088 $6,64728
REMOVE CONCRETE DEBRIS FROM BEACH WCD #2
Removal of concrete and asphalt debris fron intertidal area
The Contractor was directed to accomplish this work in
accordance with the Hydraulic Project Approval for this project
The lump sum cost for this work is $3,170 23 $3,44487 1 i
i
X
CONSTRUCT SLOPE STABILIZATION P R REVISED
DETAIL (WCD #31
The light loose nprap used in the slope stagilizabon was I
determined to be detrimental to fish The Contractor was
directed to accomplish this work in accorda ce with the revised
plan detail The detail revised the work by Ibwering the light
loose nprap buttress 18 inches and coverinj it with 18 inches of
the gravel borrow material An additional ' inches of light
loose riprap was placed on the upslope po on of the buttress
Jute matting was added to the slope to help retard erosion
X pending growth of the grass The lump sum cost for this work is
$3,02207 j $3,28197
i
1
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CONTRACT CHANGE ORDER NO
PROJECT NAME Anderson Cove Waterfront Park L I D
CONSTRUCT BIORETENTION SWALE O UTFALL PER
REVISED DETAIL MCD #41
The quarry spalls used in the Bioretention Swale Outfall was
determined to be detrimental to fish The IPontractor was
X directed to accomplish this work in accordance with the revised
plan detail The detail revised the work by replacing the quarry
spalls in the bottom two feet of the outfall% nth streambed
cobbles A geotextile fabric was added at the face between the
ground and the rock to retard migration of the fine sods into the
rock outfall The lump sum cost for this w rk is $40561. $44049 1
RAISE CATCH BASIN #9 MCD #51
Catch Basin #9 and it's concrete collar as constructed per the
plans were approximately 6 inches below t�a adjacent sidewalk
This created a hazard for pedestrians and ther park users
The concrete collar was removed and the atch basin was
raised approximately 6 inches A new collar even with the
sidewalk was placed The lump sum cost iDr this work is
$1,32868 $1,442 95
C
NET CHANGE IN CONTRACT AM(JUNT $15,255.56 _ 3
INCREASE OR (DECREASE
Measurement No unit of measure shall apply to the lump sum price for additional tree removal from site,
remove concrete debris from beach, constrict slope stabilization per revised detail, construct bioretention
Swale outfall per revised detail, and raise catc basin #9
Payment Payment will be made in accordan with Section 1 -04 1 for the following bid items
Additional Tree Removal from Site ", lump sum
All costs for removing additional trees froi i the site as described herein shall be included in the lump um "
P �
price for "Additional Tree Removal from Si a ". I
"Remove Concrete Debris from Beach ", lu np sum i
All costs for removing concrete debris fro the beach as described herein shall be included in the lump d
sum price for "Remove Concrete Debris fr m Beach"
"Construct Slope Stabilization per Revised Detail", lump sum
All costs for construction of the slope stabilization per revised detail as described herein shall be included
in the lump sum price for "Construct Slope Stabilization per Revised Detail"
"Construct Bioretention Swale Outfall per Revised Detail ", lump sum
All costs for construction of the bioretention Swale outfall per revised detail as described herein shall be
included In the lump sum price for "Const ct Bioretention Swale Outfall per Revised Detail ".
"Raise Catch Basin #9 ", lump sum
All costs for raising catch basin #9 as des abed herein shall be Included In the lump sum price for "Raise
Catch Basin #9"
t
Page 2 of 3
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CONTRACT CHANGE ORDER NO
PROJE N AME Anderson Cove Wa erfront Park L I D I
k
Contractor acknowledges and accepts that this Change Order constitutes final settlement of all claims of any k
kind or nature arising from or connected with any work either covered or affected by this Change Order,
including, without limitation claims related to contract time, on -site or home office overhead, or lost profits f
Nothing in this Change Order shall limit the City's right to bring a claim for past performance
The undersigned Contractor approves the f regoing Change Order as to the changes, if any, in the contract €
price specified for each item, including any a d all supervision costs and other miscellaneous costs relating to
the change in work, and as to the extension of time allowed, if any, for completion of the entire work due to
said Change Order
i
This document will become a supplement of he contract and all provisions will apply hereto It is understood
that this Change Order shall be effective when approved by the City of Bremerton
I
The parties whose names appear below war ant that they are authorized to, enter into a change order that is
binding on the parties of this contract In ad Jition, Contractor warrants that'd has or will inform the surety of
this change, and shall take appropriate actior to modify any bonds required under the contract to address this j
change.
s
0
RECOMMENDED.
PROJ ENGINE D to !
RECOMMENDED
1
C EN INEER 1 DIRE ( F PUBLIC W RKS Date k
k
ACCEPTED I ri
TRACTOR Date J
I
APPROVED' A�
MAYOR Dat
APPROVED AS TO FORM: ATTEST
Ere rton City Attorney City Cterk _ W
r I
a
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d
1
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F
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Page 3 of 3
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Contract Number
', Vendor
�I
, Sub�ect
0
I'
Department
File Class
Begin Date.
End Date.
� Review Date:
Vault Date
Comments
�
5261
NOVA CONTRACTING INC
Anderson Cove LID Improvements
Engineering
LEG 12-1
7/1/2013
CONTRACT
(page 1 of 3)
�
THIS AGREEMENT is dated the day of m the year 2013 by
and befinreen City of Bremerton (hereinafter called CITY) and
NOVA Contracting, Inc. '
(hereinafter called CONTRACTOR) Olympfa, wA ass�2
CITY and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as
follows
ARTICLE 1 WORK
CONTRACTOR� shall compiete the WORK as specified or indicated in the CITY's Contract
Documents entitled ANDERSON COVE WATERFRONT PARK LOW IMPACT DEVELOPMENT
ARTICLE 2. CONTRACT TIMES.
The WORK shall obtain Substantial Completion within 90 calendar days from the commencement
date stated in the Notice to Proceed. Phase 1(reference Sect�on 1-04 12) Time is of the
essence as to each and every deadline set forth in this agreement This provision has been
specifically negotiated
ARTICLE 3 LIQUIDATED DAMAGES
CITY and the CONTRACTOR recogrnze that time is of the essence for this Agreement and that
the CITY wdl suffer financial loss if the WORK is not completed within the time specified in Article 2
herein, plus any extensions thereof allowed m accordance with Section 1-08 8 of the Standard
Specifications which may be modified by the Special Provisions They also recognize the delays,
expense, and difficulties invoived in proving in a legal proceeding the actual loss suffered by the
CITY if the WORK is not completed on time Accordingly, instead of reqwnng any such proof, the
CONTRACTOR shall pay the CITY liquidated damages in the amount of $1,500 per day after the
date of Substantial Completion
ARTICLE 4. CONTRACT PRICE.
CITY shall pay CONTRACTOR for completion of the WORK in accordance with the Contract
Documents in the amount set forth in the Bid Proposal, which shall include sales tax as provided m
Sect�on 1-07 2(2) of the Special Provisions
ARTICLE 5 PAYMENT PROCEDURES
CONTRACTOR shall submit Applications for Payment m accordance with Section 1-09 9 of the
Standard Specifications which may be modified by the Speciai Provisions Applications for
Payment wdl be processed by ENGINEER as provided in the Special Provisions
C racto� Initials
C�ty of Bremerton March 2013
Anderson Cove Low Impact Development CF-1
, CONTRACT
(page 2 of 3)
ARTICLE 6 CONTRACT DOCUMENTS
The Contract Documents which compnse the entire agreement between CITY and
CONTRACTOR concerning the WORK consist of this Contract and the followmg attachments to
this Contract
o Notice Inviting Bids,
o Bidders Checklist, �
o Bid Proposal mcluding the Proposal Forms, Information Required of Bidder, Bid Bond, and
all required certificates and affidavits,
o Performance Bond,
o Payment Bond,
o Standard Specifications,
o Amendments to the Standard Specifications,
o Special Provisions,
o Appendices
o Contract Plans,
o Addenda numbers � to �, inclusive
o Change Orders which may be delivered or issued after Effective Date of the Agreement
and are not attached hereto
There are no Contract Documents other than those listed in this Article 6 The Contract
Documents may only be amended by Change Order as provided in Section 1-04 4 of the Standard
Speafications which may be modified by the Special Provisions
ARTICLE 7 INDEMNIFICATION
The CONTRACTOR and CITY acknowledge and agree that they have negotiated the following in
accordance with the requirements of RCW 4 24 115 and the CONTRACTOR spec�fically waives
his immunity under industrial insurance under Title 51 RCW To the fullest extent permitted by
Laws and Regulations, the CONTRACTOR shall mdemnify, defend, and hold harmless the CITY,
ENGINEER, thei� consuitants, subconsultants, and the officers, directors, employees, and agents
of each and any of them, against and from any and all claims, in�uries, damages, losses or suits,
including all legal costs and attorney fees, all claims and liabdity ansing under, by reason of,
related, or incidentai to the Contract Documents or any performance of the WORK, but not from
the sole negligence or wdlful misconduct of the CITY and/or the ENGINEER as further defined in
the Contract Documents The provisions of this section shall survive the termmation of the
contract
C ractor Initials
C�ty of Bremerton March 2013
Anderson Cove Low Impact Development CF-2
CONTRACT
(page 3 of 3)
ARTICLE 8 ASSIGNMENT
No assignment by a party hereto of any rights under or mterests in the Contract Documents wdl be
binding on another party hereto without the written consent of the party sought to be bound, and
specifically but without limitation monies that may become due and monies that are due may not
be assigned without such consent (except to the extent that the effect of this restriction may be
limited by law), and unless specifically stated to the contrary in any written consent to an
assignment, no assignment wdl release or discharge the assignor from any duty or responsibility
under the Contract Documents The CITY, in its sole discretion, may refuse to allow the
CONTRACTOR to assign any or all of its duties, rights and/or responsibdities under the
Agreement, except with regards to an assignment of funds for security purposes In the case of
an assignment for security purposes the CITY may condition its approval to the extent it deems
necessary to assure that there wdl be adequate funds to complete the WORK and to pay a
subcontractors and supphers ,
CITY and CONTRACTOR each binds itself, �ts partners, successors, assigns and legal
representatives to the other party hereto, its partners, successors, assigns and legal
representatives in respect of all covenants, agreements and obiigations contained in the Contract
Documents
IN WITNESS WHEREOF, CITY and CONTRACTOR have caused this Agreement to be executed
the day and year first above written ,
contrecti�g, inc,
98512
Address for giving notices
30Z`7 �i.�.��►s 1� t�`� .
� � � ,9�331�
prove as
ignatur
crT7 ,��
(Title)
C�ty of Bremerton
Anderson Cove Low Impact Development
By
Address for giving notices NCVA Cor�tractlng inc.
70815 Delphi Rd SW
Olympla, WA 98 612
�icense No 601964026
Agent for service of process
March 2013
CF-3
CONTRACT CERTIFICATE
(if Corporation)
STATE OF �as �� W SS
COUNTY O� u � � )
I HEREBY CERTIFY that a meeting of the Board of Directors of the
IdOVA Contractlng, lnc.
1A61i BeI�Mi �dr8W
Olympia, WA 98512
a cornoration existing under the laws of the State of �
�Ay►. � , 2013, the following resolution was
�� JOR�DAN OPDAHL • Po�
•o v► , held on
passed and adopted
RESOLVED, that --°---- , as
President
of the Corporation, be and is hereby authonzed to execute the CONTRACT dated'��
2013, by and befinreen this Corporation and City of Bremerton and that his/her execution
thereof, attested by the Secretary of the Corporation, and with the Corporate Seal affixed,
shall be the official act and deed of this Corporation "
I further certify that said resolution is now in full force and effect
IN WITNESS WHEREOF, i have hereunto set my hand and affixed the official seal of the
corporation this �'t�` , day of � n,c_ , 2013
/
tJ �.
' �� rate �o
O
Z (���1
\ /
Secretary
Gty of Bremerton MarGh 2013
Anderson Cove Low Impact Development CF-4
BID FORMS
ACKNOWLEDGEMENT OF BID AND ADDENDA
: � •
CITY OF BREMERTON (WASHINGTON)
PUBLIC WORKS AND UTILITIES ENGINEERING DIVISION
1 The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into a
CONTRACT with the OWNER in the form included in the Contract Documents to
perform the WORK as speafied or indicated in said Contract Documents entitled
"ANDERSON COVE WATERFRONT PARK L.I D. "
2 Bidder accepts all of the terms and conditions of the Contract Documents, including
without limitation those in the Notice Inwtmg B�ds and Instruction to Bidders, dealing
with the disposition of Bid Secunty
3 This Bid wdl remain open for the penod stated in the "Notice Invitmg Bids" unless
otherwise required by law Bidder wdl enter into a CONTRACT withm the time and
m the manner required m the "Notice Inviting Bids" and the "Instructions to Bidders,"
and wdl furnish the insurance certificates, Payment Bond, and Performance Bond
required by the Contract Documents
4 Bidder has exammed copies of all the Contract Documents includmg the
following addenda (receipt of all of which is hereby acknowledged)
Number �� Date S 1 a �3
d2 s 5
Failure to acknowledge addenda shall render the bid non-responsive and
shall be cause for its re�ection
5 Bidder has familiarized itself with the nature and extent of the Contract
Documents, WORK, site, locality where the WORK is to be performed, the
legal requirements (federal, state and local laws, ordinances, rules, and
regulations), and the conditions affectmg cost, progress or performance of
the WORK and has made such independent investigations as Bidder deems
necessary
To all the foregoing, and mcluding all Bid Forms contamed in this Bid, said Bidder
further agrees to complete the WORK required under the Contract Documents within
the Contract Time stipulated in said Contract Documents, and to accept m full
payment therefore the Contract Pnce based on the Total Bid Pnce(s) named in the
aforementioned Bid Forms
Dated 5��j 2 0 � 3
Bidder
By
S nature and Ti �
Anderson Cove Watertront
Park L / D
� Mc.
�S�IV
JOR�AN OPDAHL • President
MAY 2013
ADDENDUM 1 - BF-1
CITY OF BREMERTON
BID PROPOSAL for ANDERSON COVE WATERFRONT PARK L I D. (3 pages)
MAY 2013
BASE BID
The followin ro osal has both lum sum ana unit rice dia items
g�d Unit Cost
Item Ref. Description Umt Qty �$� Total ($)
1 1-09 7 Mobdization LS LS Zt�C �.� 2�' ��
2 2-01 Clearmg and Grubbing Acre 0 6 � a d^
3 2_02 Removal of Structure and LS LS
Obstruction 2 �QQ z, QOa ~
4 2-02 Remove Existmg Gravel SY 360 3✓ ��,Q
5 2-03 Roadway Excavation Incl Haul CY 120 �" Za� '�
6 2-03 Gravel Borrow Incl Haul Ton 2900 2� �$ Q�
7 8-15 Light Loose Riprap Ton 60 d 3��
8 7-01 Underdrain Pipe 12 In Diam LF 18 C��� L{..1�-�
9 7-01 Dram Pipe 4 In Diam LF 30 2� ,� —
10 7-05 Catch Basin Type 1 Each 10 ��Q ` t Q
11 7-05 Catch Basin Type 2 48 In Diam Each 1 Z��d" Z'C�� "
12 7-05 Concrete Inlet Each 1 v-Q � a�3 ^
13 7-04 Solid Wall PVC Storm Sewer Pipe LF 55
8 In Diam 3 Z j��Q
14 7-04 Solid Wall PVC Storm Sewer Pipe LF 375
12 In Diam 3� 3���
15 7-09 Service Connection 1'/Z In Diam Each 1 �!�-�' 2 �
16 4-04 Crushed Surfacing Top Course Ton 43 6 �"" 2�j 9Q
17 SP 5-04 HMA CI B Ton 26 2�p �' 'L, 2�Q
18 8-01 Sdt Fence LF 130 -- �Q"'
19 8-02 Topsoil Type B CY 350 �"' �a �'
20 8-01 Seeding,Fertdizing, and Mulchmg Acre 0 6 2 �,� $�� r
/
21 8-01 Inlet Protection Each 3 ZZ �
Anderson Cove Waterfront MAY 2013
Perk L 1 D ADDENDUM 1- BF-6
Bid Unit Cost
Item Ref. Description Unit Qty �$� Total ($)
22 8-01 Wattle LF 300 -- D .Q "'
23 8-01 Erosion/Water Pollution Control Est Est $2,000 00 $2,000 00
24 8-04 Cement Concrete Curb and Gutter LF 432
Type A `g ^ 7 d
25 8-04 Cement Concrete Curb Type C-3 LF 12 �,,,, � .-
26 1-10 Pro�ect Temporary Traffic Control LS LS ��QQ 2�Q ^--
27 SP 7-15 Ad�ust Meter Box Each 1 Z�� Z 7� •-
28 SP 7-08 Potholing Each 3 ZO�' ��
29 SP 8-14 Bus Shelter Pad LS LS Q�
30 SP 8-14 Concrete Collar Each 7
31 7-08 Plugging Existing Pipe Each 2 ZC�" 5� '-'
32 1-05 4 Roadway Surveying LS LS 5 a�.� Q.�.Q'"'
33 SP 8-14 Pervious Concrete Sidewalk SY 204 Lj •—
33A 8-14 Cement Conc Sidewalk SY 65 '3 �-" �Q
34 8_14 Cement Conc Sidewalk Ram
Type Parallel p Each 2 �ZO 2 G�
35 8-06 Portland Cement Concrete �.
Driveway Approach Type 3 SY 11 �� �� 3
36 8-16 SemrOpen Conc Masonry Slope
Protection SY 59 C�.... 2 p�
7 �
37 1-0518 Record Drawings LS LS C '�Q� ^
38 2-11 Trimming and Cleanup LS LS l C�, a►o l$d Q�"'
39 SP 8-01 TESC Plan and Implementation LS LS �'a �p
40 1-0715 SPCC Plan LS LS 6Lj d `5C1 `�
41 1-04 4 Minor Change Calc Calc $5,000 $5,000
42 SP Div 7 Sand Fdter LS LS � 3� � 3 pQ �
43 SP Div 7 Contech CDS 2015 Each 1 9 ZL� l t �Q
Anderson Cove Waterfront MAY 2013
Park L 1 D ADDENDUM 1- BF-7
B � d Ref Description Unit qty Unit Cost Total ($)
Item (�)
44 SP Div 7 Filterra 4 Ft X 4 Ft Each 2 � 3 ja a "" Z� Zdd"
45 SP Div 7 Bioretention Swale LS LS ��d '7 ��a ~
TOTAL BASE BID (BID ITEM 1 THRU 45) ($) $ Z,�j�B� '
BID PROPOSAL for ANDERSON COVE WATERFRONT PARK L I.D
BID ALTERNATE A1
Bid Ref. Description Unit Qty Unit Cost Total ($)
Item ($)
A1-1 SP 8-14 Check Damsncrete Sidewalk With SY 65 ���" Z,¢ —
TOTAL BID ALTERNATE A1 (BID ITEM A1-1) ($) $�� Z�
Note t3id Alternate Al is to repiace �emenc �onc JiaewaiK witn rernous �.vncrete �iaewai�c vvnri
Check Dams The urnt pnce for Item A1-1 "Pervious Concrete Sidewalk With Check Dams" is m
addition to the urnt price for Item 33A "Cement Conc Sidewalk" If Bid Alternate A1 is awarded, the
unit Contract pnce paid for Pervious Concrete Sidewalk With Check Dams shall be the sum of the
urnt prices bid for Item 33A "Cement Conc Sidewalk" and Item A1-1 "Pervious Concrete Sidewalk
With Check Dams
PROPOSAL SUMMARY
BASE BID TOTAL $ Z�� �� 9' ��'d
ALTERNATE A1 TOTAL $ � 2�-� � eQ
TOTAL BASE BID PLUS BID ALTERNATE A1 $ G�p 2� 3 9 Q�
Anderson Cove Waterfront MAY 2013
Park L/ D ADDENDUM 1- BF-7A
BID CERTIFICATE
lif Corporation)
STATE OF Wa5 � e v�'ko�'
J � ss
COUNTY OF'� j �r5 )
�n
I HEREBY CERTIFY that a meeting of the Board of Directors of the
10615 Delphl Rd 3W
Olympia, WA 98512
a cor oration existing under the laws of the State of W a „ 1 ri , heid on
,�.w . Z— , 2013, the follow�ng resolution was duly passed and adopted
�� RESOLVED, that JORDAN QPDAHL • President , as
President of t e Corporation, be and is hereby
authorized to execute the Bid dated 5 16 , 2013, to the City of Bremerton
by this corporation and that his executi n thereof, attested by the Secretary of
the Corporation, and with the Corporate Seal a�xed, shall be the official act
and deed of this Corporation "
I further certify that said resolution is now m full force and eifect
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the offcial seal of
the corporation this �, day of Me.�/ 2013
�
� �����r�� �is��
��� ��
� ���
� n ���
�� �
�� �
Mderson Cove Waterfront
Park L I D
��'�� l�fi-
Secretary
APRIL 2013
BF-2
CONTRACTOR'S REGISTRATI(JN
NOVA Contracting, Moc.
Name of Company 10615 Delahi Rd sw
Olympia, WA 985tZ
Address
UBI # 6� 1964026
L�cense/Registration # and Expiration date NOVACI * 991N3
License Type �DI" �r'D'1"f'+
Specialty (if any)
�j Zo �3
Employer's identification number (empioyer Soc Sec.#) - (�ZI ���s *
(not your personal Social Secunty number)
Employment Secunty Department number !6 �9 y�
Washington Industnal Insurance number Za6913 00
City of Bremerton Business License number
* If not licensed with the City, a license must be obtamed before beginrnng any work
Mderson Cove Waterfront APRIL 2013
Pa�1t L 1 D BF-9
L1ST OF SUBC�NTRACTORS
2 a es
The B�dder shall provide the following mformation for each Subcontractor who wdl perform work or
labor or render service to the CONTRACTOR in or about the construction of the work or
improvement, or a Subcontractor who, under subcontract to the CONTRACTOR, speciaily fabncates
and �nstatls a portion of the work ar irriprovement accordmg to detaifed drawnngs contained m the
plans and specifications, in an amount in excess of 10 percent of the CONTRACTOR's total bid The
Bidder agrees to submit the list of Subcontractors as part of the Bid or withm one-hour of the Bid The
CONTRACTOR shall list only one Subcontractor for each porton of the WORK as is defined by the
CONTRACTOR m its bid if no Subcontractor �s listed, the bidder acknowledges that it does not
intend to use any subcontractor whose work on the CONTRACT wdl exceed 10 percent of the bid
price The Bidder's attention is d�rected to the provisions of Supplementary Condition 6 06 A which
stipulates the per�ent of the WORK to be performed with the Bidder's own forces Fadure to comply
with this reqwrement wdi render the Bid non-responsive and may cause its re�ection Attach
add�tional sheets if requ�red.
In accordance with RCW 39.30.060, the Contractor shail furrnsh the names of the subcontractors
with whom the bidder, if awarded the contract, wdl subcontract for performance of #he work of HVAC
(heating, ventdation, and air conditionmg), plumbing as described in chapter 18 106 RCW, and
electncal as descnbed in chapter 19 28 RCW, or to name itself for the work The pnme contract
bidder shall not list more than one subcontractor for each category of work identified, unless
subcontractors vary with bid alternates, in which case the pnme contract bidder must indicate which
subcontractor �nnll be used for which alternate Failure of the prime contract bidder to subm�t as
part of the bid, or within one haur after the pubtished b�d submittai time, the names of such
subcontractors or to name itsel# to pertorm such work or the naming of two or more
subcontractors to perform the same work shall render the prime contract bidde�'s bid
nonresponsive and, therefore, void.
Note: If there is no subcontract work for HVAC, Electrical, or Plumbing, the Contractor shall
name itself as the subcontractor and list the % of work as 0%,
",� �;,,� '`"�,�"�';,, � , ,� � { ��,g y . � !� � , � , ., , <s � „ , s ,
�' � � ,' � S`' � i ,� � � , ti ' � ��t, � � �"� i � � ' � ' i '�
Company Name
Subcontractor License #
Work to be performed
Address
Phone #
B�d Amount and % of Total Bid
.I'�� � i'ft��"3��{�?�A�I•tl {_ v��`�f' � ;i�Q � a � f � �� (` � - y r � A+ � ,/y � i� �E � �� �� � r '
p r� � � Ci '4i '�� i � � � Kt�� 4� V�! r �i/ �th i " d I ��r ��
ut Y�i I ,i i i � r '�i a�f b� _ k � � y � ' Y� i 1�� ?� `� 1 u I' }'� � I
Company Name
Subcantractor License #
Work to be performed
Address
Phone #
Mderson Cove Wate�front APRIL 2013
Park L 1 D BF-10
Bid Amount and % of Totai Bid
a , ti � ; , , _ ;, , � ,� , , � � , � a �1������►�'��01�f'���, , � > � G , , � ,
� �,�h, s � ��t I� , � �
Company Name
Subcontractor L�icense #
Work to be performed
Address•
Phone #
Bid Amount and % of Total Bid
i'l��} i'i 'b� 1' f F�,i; r < i ��� �ivl ;.','�� s.p� v' y� ���,y. y� ` ��ti��,�� '� � ��5'„��' � r'�{ /„ i �g'
���� 9pi s'� .s � i���i 1, f t j, �I � b + a r ��'tYJ�3�ClhPl';1'���L�+�lR` �Ijr4" t �' � N t i v cP + � 1 � r� ,,�
_ a Y a. "�'r1 s i s �r �`� �3 Yl 1, `+ ,� ti 1 l
Company Name
Subcontractor License #
Work to be performed
Address
Phone #
Bid Amount and % of Total Bid
�„ ,,�}; �
4�, ��,�� �, d �ti, s ;' _� '' ', , ° ` �' , ' � s��;��(�;t�T'�Ak,�T�.t�,l����� +� � ; „'�„ ', ''��` '� � � ' ,
,
Company Name
Subcontractor License #
Work to be performed
Address
Phone #
Bid Amount and % of Total Bid
�`��� i j'i d� y ii � I � r�s1 �i s{ �i .� � ' � 1'�t �� '�������� �' 1 � 1 � � Y x t� i
i� i� 1 i y i' G i
Company Name
Subcontractor License #
Work to be performed
Address
Phone #
Bid Amount and % of Total Bid
`I���i � ��f���� h� ��*���' i4�t�y�4 �I� �4i�j ' y�+ °tti � ;7Jk/�i�Y'�'�M°�Slj���`1�7�?�� � � �i � }j�h� �1, � p � i � � S � � � �
ai P � 7'� L Y t � �� I, a ; Y+� i' I� 0 6 �i�,
Company Name
Subcontractor License #
Work to be performed
Address
Phone #
Bid Amount and % of Total Bid
Anderson Cove Waterfront APRII 2013
ParkLl D BF-11
INFORMATION REQUIRED O� BIDDER
PAGE 1 of 2
The Bidder shall furnish the following mformation Additional sheets shali be attached as
required Fadure to complete these items will cause the Bid to be non-responsive and may
cause its re�ection In any event, no award will be made untd all of the Bidder's General
Informat�on is delivered to the CITY
(1) CONTRACTOR's name and address, including name of primary contact
NOVA CoMractln9� M�C•
Olympia, WA 98512
(2) CONTRACTOR's telephone number �� ��7 � ��� ___
CONTRRCTOR's fax number 36�0 357 39 6 y
(3) CONTRACTOR's license Primary classification � v r f r�1�'
Speciafty classifications held, if any
State License No and Expiration Date NOVACI � 991N3 � �
Name of Licensee, if drfferent from (1) above
(4) Name, address, and telephone number of surety company and agent who wdl provide
the required bonds on this contract
S� A ...
(5) Name and Pos�tion of person(s) who attended the pre-bid visit to the works�te (�f any)
JORDAN OPDAHL � President
Anderson Cove Waterfront , APRIL 2013
Park L 1 D BF-92
i.
�� � ��
co��rknctiNC, ��+c
Workman's Comp Account•
U13I:
WA Contractor'ti l.icentic
Federal Ident�ficahon:
U.0 N.S.:
20691i00
601 9C4 02(�
Nc�vnc i*����1 N �
�) I-? I I 6(�7 5
12K5703K4
BUSINCSS R�FCRLNCI;S
1 I3ANK Sccurity Statc fianl.
I'( ) 13OX 14(� 7
C'hch��li� W��,hin�lcm �)R5;2
(800) 80�4-SK64
C011tdCl Suc Rosbach, V P
2 INSURANCL f-ientchcll & A�sociatc5, Inc,
621 P�ic,iiic, nvcnuc Suilc 400
la�c�n��� Wn')840?
(25i) ?72-1 1 �I
Contac,t 13r��d lZc>bc� ts
3 QONUING 1-Ientchell & n5sociates, Inc,
C21 Pac,ilic, /�v�nuc, S�ntc 400
I aco�l�a W n �)84()2
(?5;) 272-1 I �l
C'c�ntac.t 13iad Robc►t5
4 IiUSINF,SS ACCOU S
1-ID SuPP�Y ( I O l 076)
l Northwctit I'i��c (1 I SOiB)
Unitcd Rcnt�il5 (No I?? I ti)
�I ucc� & Sons, Inc (N75)
Heitz h'qtup fZental (02473155)
Corliss Sand and Gravcl
Randle5 Matc►ialti (No I�IS I C')
(206) 7?2-4K00
(RUO)RSK-�545
(25 �) 927-4��0>
(25i) 922-6676
(25 �) 922_9060
(253)863-5126
(25 �) S ;1-68O0
INFORMA710N REQUIRED OF BIDDER
PAGE2of2
(6) ATTACH TO THIS BID a list of 3 pro�ects compieted by the Contractor, that are similar
to the ANDERSON COVE WA7ERFRONT PARK L.i.D. pro�ect m nature, value and
complexity of work The 3 pro�ects must have been completed under the bidder's
name as the pnme (general) contractor withm the last 10 years The f�st shali mclude
the following information as a minimum
o Names, address, and telephone number of owner
o Name of pro�ect
o Locat�on of pro�ect
o Bnef description of the work mvolved
o Contract amount
o Date of completion of contract
o Name, address, and telephone number ofi architect or engineer
o Name of owner's pro�ect engineer
o List of Ma�or Equipment
o Years in business under current name
o Contracts now m hand, gross amour�t
Anderson Cove Waieriront APRIL 2013
Park L 1 D BF-13
NON-COLLUSION AFFIDAVIT
STATE OF �/�5 � y �� )
) ss
COUNTY OF�"��„ )
.�S��eing first duly sworn, deposes and says that he or
she is��
of the party making the foregoing bid that the bid is not made in the mterest of, or on behalf
of, any undisclosed person, partnership, company, association, organization, or corporation,
that the bid is genuine and not collusive or sham, that the bidder has not directly or indirectly
induced or solicited any other bidder to put in a false or sham bid, and has not direc#ly or
indirectly colluded, conspired, conrnved, or agreed with any bidder or anyone else to put in a
sham bid, or that anyone shall refram from bidding, that the bidder has not in any manner,
directly or mdirectly, sought by agreement, communication, or conference with anyone to fix
the bid pnce of the bidder or any other bidder, or to fix any overhead, profit, or cost element
of the b�d price, or of that of any other bidder, or to secure any advantage against the pub1ic
body awarding the contract of anyone interested m the proposed contract, that ail
statements contained m the bid are true, and further, that the bidder has not, directly or
indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or
divulged mformation or data relative thereto, or paid, and wdi not pay, any fee to any
corporation, partnership, company association, organization, bid depository, or to any
member or agent thereof to effectuate a collusive or sham bid
� � �
. - . ,�_�; .
�
Subscribed and sworn to before me
this ��� day of�_ , 2013
o#ary ublic in and for t e
County of ����-�rcN1
State of ��Ql.�j 1 �����CII/1
(S
Notary Public
St,te of Washinpton
MICHEILE T GOOYN
I�► ApPamn�nt Expires Aup f Z, 2pt 5
Anderson Cove Waterfront APR1L 2013
Park L 1 D BF-14
CERTIFiCA710N BY PROPOSED CONTRACTOR REGARDING EQUAL EMPLOYMENT
OPPORTUNITY
In accordance with Chapter 56, Laws of 1975 1 st Extraordinary Session, Certification
regarding Equal Opportunity is required of bidders or prospective contractors and their
proposed subcontractors prior to the award of contracts or subcontracts
Name of Pnme Contractor NOVA Corttracting, IfrC
Olympia, WA 38512
Address -
Internal Revenue Service Employer ldentification No 1 � � l�j, �
a Contractor has participated m a previous contract
or subcontract sub�ect to the Equal Opporturnty Ciause
Yes�No
b Compliance reports were �equired to be filed m Yes� No
connection w�th such contract/subcontract
c Contractor has filed ail compliance reports required by Yes No
Executive Orders 10925, 11114, 11246 or by regulations
of the Equal Opporturnty Commission issued pursuant to
Title VII of the Civd Rights Act of 1964
d if answer to item 'c' is "no", please explam in detail in the space below
CERTIFICATION I, the undersigned, certify that the information above is true and
complete to the best of my knowledge and belief
JOR�DAN OPDAHL - Pr�sident
Name and Title of Signer (please type or prmt clearly)
� �_ / � /
��—�--- -
.. - _
Mderson Cove Waterfront
Park L.1 D
� �`� � �3
D te
APRIL 2013
BF-15
CERTIFICATION OF NON-SEGREGATED FAC(LITIES
(Applicable to federally assisted construction contracts and related subcontracts exceeding
$10,000 which are not exempt from the Equal Opportunity clause )
The federally assisted construction contractor certifies that he does not maintain or provide
for his employees any segregated facilities at any of his estabiishments, and that he does
not permit his employees to perform their services at any location, under his control, where
segregated facilities are maintained The federally assisted construction contractor certified,
further that he wdl not maintam or provide for his employees any segregated facilities at any
of his establishments, and that he will not permit his employees to perform their sennces at
any location, under his control, where segregated facdities are mamtained The federally
assisted construction contractor agrees that a breach of this certification is a violation of the
Equal Opporturnty clause in this contract
As used m this certification, the term "segregated facdities" means any waiting rooms, work
area, rest rooms and wash rooms, restaurants and other eating areas, time clocks, locker
rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or
entertainment areas, transportation, and housing facdities provided for employees which are
segregated by explicit directive or area, in fact, segregated on the basis of race, creed,
color, or national origm, because of habit, local custom, or otherwise The federally assisted
construction contractor agrees that (except where he has obtamed identical certifications
from proposed contractors for specific time penods) he will obtain identical certifications
from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which
are not exempt from the provisions of the Equal Opportunity clause, and that he will retam
such, cert�cation in this file
'S � 6 ZD
Date
NOTE THIS FORM SHALL BE COMPLETED IN FULL AND SUBMITTED WITH THE BID
PROPOSAL
END OF BID FORMS
Anderson Cove Waterhent APRIL 2013
Park L 1 D 8F-16
Name and t�tle of signer (please type)
�
� �
�
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cor��aACr�c��, iw;
,._, _ __� ._____ __--_ _ — _,�.__._�_-- ��— -� �
� T T �� ��� -� � e � '��� pROJECTSx COMPLETED -BY�:�� NOVA�Contracting,�lnc. ° __ ,� w � A �. _ -_ _ _ H
�� _a , �, � � �M __ T_ � � ��` �� _� _� __ _ _ __ �� _ � _ _ _ _w _ _ � _ T _ __
AMOUNT TYPE of� CONTRACT OWNER NAME PHONE COMPLETE
$ 415,000 00 West Campus Improvements State of Washington-GA John Hinton 360 292 7481 95%
$ 318,000 00 Hurricane Ridge Road USDOT Don Broudlard 360 619 7913 November-12
$ 597,000 00 School Road Improvement Pro�ect City of Ilwaco Tim Osborne 206 284 0860 95%
$ 948,000 00 K Street Improvements City of Shelton Mariano & Assoc December-12
$ 174,000 00 Martin Way Storm Water Outfall improvements City of Olympia Rolland Ireland 360 753 8721 95%
$ 746,000 00 Chehalis Bridge ADA Improvements WSDOT Jeff Young 360 538 8522 Jul-12
$ 624,000 00 112th St East - Water Improvements Fruitland Mutual Water Co PACE Engineer May-12
$ 1,919,000 00 Water System Replacement Pro�ect Grays Harbor Water Dist Jerry Arnold 360-267-2411 December-11
$ 880,000 00 North Nyhus Street Improvements City of Westport David Manano 360-701-6623 December-11
$ 15,000 00 Katula Bridge Repairs Lewis County Don Carney 360-740-1123 August-11
$ 121,000 00 Street Overlay Pro�ect City of Port Angeles Dave Church 360-452-7803 December-10
$ 1,150,000 00 2010 Sewer Improvement Pro�ect City of Tumwater David Mdls 360-754-4140 December-10
$ 496,000 00 Minnesota Street Overlay 8� Enhancement Pro�ect City of Rainier Jon Hitton 360-292-7481 February-10
$ 642,000 00 West Elma Sewer Ciry of Elma Mike Olden 360-352-1120 February-10
$ 2,148,000 00 Cowlitz Salmon Hatchery Remodel Tacoma Power - JWF Kevin Orton 503-623-5373 Decenber-09
$ 305,000 00 Evergreen State College - Dnftwood Rd Evergreen State College Robert Holcomb 360-292-7230 June-09
$ 390,000 00 1000 Road Repair and Lester Crk Water Line Town of Pe EII Tama a 206-284-0860 De July 08 08
$ 261,000 00 State Route 507 Sidewalk Improvements City of Roy
$ 132,000 00 Parking Lot Drainage Improvements L D S Church Arlin Burbidge 360-482-5521 June-08
$ 646,000 00 Hwy 12 Clemons Rd Intersection Improvements WSDOT Stefani Hardy 360-533-9352 June-08
$ 770,000 00 Lea Hdl Pump Station Decommissiong Ph 1 City of Auburn Kevin Mohundro 253-261-0536 February-08
$ 1,140,000 00 Sequim Bay State Park Sewer Improvements Washington State Parks Joseph Ward 360-902-8630 January-08
$ 239,000 00 2006 Storm Pond Improvements City of Auburn Ryan Vondrak 253-931-3053 January-08
$ 157,000 00 Martin Way Pedestrian Crossing Thurston County Pat Murphy 360-239-2438 December-07
$ 248,000 00 Fennel Creek Phase 1 Pierce County AI Zehni 253-798-2725 October-07
$ 297,000 00 Quince Street Pervious Sidewalk City of Olympia Shen Zimny 360-709-2734 September-07
$ 310,000 00 High School Water System Improvement City of Shelton Mike Michaels 360-432-5125 July-07
$ 1,808,000 00 Woodland Creek Community Park City of Lacey Jim Sheler 360-491-0857 July-07
$ 815,000 00 Tacoma Alley L I D Improvements City of Tacoma Jim McDaniels 253-377-0604 March-07
$ 310,000 00 Tacoma Public Road Pro�ect City of Tacoma John Sewel 253-502-8742 March-07
$ 650,000 00 Mud Bay / Delphi Road Intersection Thurston County Pat Murphy 360-239-2438 December-06
.$ 390,000 00 2006 Water Distribution Upgrades City of Elma Mike Olden 360-352-1120 December-06
$ 285,000 00 Carpenter Road STEP Sewer City of Lacey Mark Russell 360-438-2639 November-06
$ 320,000 00 39th Avenue SW Roadway Improvements City of Puyallup Randy Raymond 253-841-5498 November-06