Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Bidding and Contracting Requirements and Project Specifications
City of Bremerton Volume I - Bidding and Contracting Requirements and Project Specifications Oyster Bay Beach Sewer Upgrades City of Bremerton Project No. 5827 Partially funded by Washington State Department of Ecology: Clean Water State Revolving Fund (CWSRF)Program, Agreement No.WQC-2018-BremPW-00017 Bid Opening: April 14, 2021 @ 1:00 p.m. City Clerk's Office, City Hall 345 Sixth Street, Suite 600 Bremerton,WA 98337 NOTE: City Hall is currently closed to the public. The bid opening will be conducted using Zoom to allow public viewing(a link will be posted on the City website) Contact Person: Bill Davis, P.E. Public Works and Utilities, Engineering Division 345 Sixth Street, Suite 600 Bremerton,WA 98337 (360)473-2312 NOTICE INVITING BIDS for Oyster Bay Beach Sewer Upgrades RECEIPT OF BIDS: Bids for Oyster Bay Beach Sewer Upgrades will be accepted by mail,or in person by the City Clerk or designated staff on April 14,2021,between 10:00 A.M.and 11:00 A.M. in front of the Norm Dicks Government Center(6th Street entrance) located at 345 6th Street, Suite 100, Bremerton, WA 98337. The Government Center is closed to the public due to the COVID-19 pandemic and bidders will not be allowed in the building. OPENING OF BIDS: The bids will be publicly opened and read via Zoom on April 14,2021 at 1:00 p.m.PST.The link for the bid opening will be posted on the City's website at: http://www.bremertonwa.gov/Bids.aspx COMPLETION OF WORK: The WORK must obtain Substantial Completion of all phases by September 30,2022. This project has phasing and other significant project milestones that the bidder should become familiar with. DESCRIPTION OF WORK: The WORK to be completed includes,but is not limited to,installation of approx.4100 lineal feet of 12-inch HDPE sewer force main,approx.4200 lineal feet of 2-inch and 3-inch lower pressure sewer in the City right-of-way, approx. 1160 lineal feet of 12-inch storm sewer,approx.200 feet of 16-inch HDPE gravity sewer,demolition,abandonment of beach sewer laterals in place,grading.hot mix asphalt,cement concrete sidewalks,curbs,and gutters; electrical systems including service cabinets,electrical lines, and junction boxes; installation of utility conduits and vaults;installation of simplex and duplex grinder pump stations on private properties and in the City right-of-way, discharge piping, and associated appurtenances; and traffic control,all in accordance with the Contract Plans,these Contract Provisions including the Technical Specifications,and the Standard Specifications. PREVIEWING CONTRACT DOCUMENTS: Contract Documents may be previewed at the ARC Document Solutions website (www.e-arc.com). Go to http://www.e-arc.com/wa/seattle, then click on the link'Enter Public Planroom'. Scroll down or search to find the project. PURCHASING CONTRACT DOCUMENTS: The Contract Documents may be ordered and purchased from ARC Document Solutions in Seattle, WA. Payment is typically cost of reproduction (non-refundable). Contact Bid Services at(206) 622-6000; FAX: (206) 622-6712; E-mail: Seattle.bidservicesfte-arc.com. SUPPLEMENTAL DOCUMENTS: Supplemental documents that are not part of the contract documents but are made available to the bidder to support bid preparation are available for download at the City's project bid page located at: http://www.bremertonwa.gov/Bids.aspx. Supplemental documentation includes geotechnical report,as-builts drawings,pothole reports, and electrical information for private properties. PROPOSALS: All bid proposals must be made on the blank forms furnished in the Contract Documents. Sealed envelopes containing bids shall be entitled: Oyster Bay Beach Sewer Upgrades BID SECURITY: Each bid proposal shall be accompanied by a bid proposal deposit in cash, certified check,cashier's check, or surety bond in an amount equal to five percent (5%) of the City of Bremerton March 2021 Oyster Bqy Beach Sewer Upgrades Notice Inviting Bids-1 amount of such bid proposal. The failure to furnish a bid deposit of a minimum of 5 percent shall make the bid nonresponsive and shall cause the bid to be rejected by the Contracting Agency. PERFORMANCE BOND: The successful bidder will also be required to provide a Performance Bond for 100 percent of the Contract Price. Should the successful bidder fail to enter into such contract and furnish satisfactory performance bond within the time stated in the specifications, the bid proposal deposit shall be forfeited to the City of Bremerton. PRE-BID CONFERENCE: Two pre-bid conferences will be conducted by the City. One will be held using Zoom video conferencing software and the objective will be to acquaint prospective bidders with the work and answer any questions. A pre-bid walkthrough will be held on a different date and will include walking the project alignment and visiting some of the private properties. Parking is limited along the project alignment. ZOOM conference: March 25,2021 at 1:00 p.m PST. A link to this conference will be posted on the City of Bremerton project bids website at:http:l/www.bremertonwa.gov/Bids.aspx Pre-bid walk-through: March 29 at 10:00 a.m. PST. Meet at Holly Ridge Center, located at 4660 Kitsap Way, Bremerton, WA 98312. Park in the upper parking lot near the trees or in the lower parking lot along Weslon Place. PROJECT COMMUNICATION: All communications related to the project shall be directed to the City prior to opening of Bids: Communication by phone/e-mail: Communication by mail: Bill Davis City of Bremerton Telephone:(360)473-2312 Dept,of Public Works and Utilities E-mail: William.davis@ci.bremerton.wa.us ATTN: Bill Davis Norm Dicks Government Center(City Hall) 345 6th Street Suite 520 Bremerton,WA 98337 PROJECT FUNDING: It is anticipated that this project will be funded in part by the Washington State Department of Ecology. Neither the State of Washington nor any of its departments or employees are, or shall be, a party to any contract or any subcontract resulting from this solicitation for bids. DAVIS-BACON WAGE REQUIREMENTS: The Successful bidder will be required to conform to the wage requirements prescribed by the federal Davis-Bacon and Relate Acts which requires that all laborers and mechanics employed by contractors and subcontractors performing on contracts funded in whole or in part by SRF appropriations in excess of $2,000 pay their laborers and mechanics not less than the prevailing wage rates and fringe benefits, and determined by the Secretary of Labor, for corresponding classes of laborers and mechanics employed on similar projects in the area. COVID-19 CONSIDERATIONS:As COVID-19 continues to impact Washington State,the City of Bremerton and its contractors will need to continue to take the steps mandated by law to slow the spread of the disease and protect the public. As of the date of these bid documents, Washington State has restrictions,including mandates regarding social distancing and worker protection, that may have an impact on the execution of this project. The contractor/bidder City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades Notice Inviting Bids-2 BIDDER CHECKLIST This section lists the contract forms required for this project. The bidder's attention is especially directed to the bid forms that must be executed in full as required and submitted, with the bid. It is anticipated that this project will be funded in part by the Washington State Department of Ecology. Neither the State of Washington nor any of its departments or employees are,or shall be,a party to this contract or any subcontract. BID FORMS Bid forms shall be submitted with the bid. All forms in this section must be executed and submitted to the City with your bid,not later than the designated bid closing date and time(unless noted otherwise). Bids that do not include all of the forms,properly completed,may be declared unresponsive. ✓a. Acknowledgement of Bid and Addenda Si. Bid Certificate III 1,1. Bid Schedule Va. Bid Bond e. List of Subcontractors(Submit with bid or within 1 hour of bid opening) ./1. Information Required of Bidder u,1° g. Project References and General Information h. Non-Collusion Affidavit i. Certification by Proposed Contractor Regarding Equal Employment Opportunity Plan t Certification of Non-Segregated Facilities Certification of Federal Non-Debarment and Suspension tdl. Certification of Compliance with Wage Rate Statutes V"m. DBE Subcontractor Participation Form(EPA Form 6100-3) . DBE Subcontractor Utilization Form(EPA Form 6100-4) ✓o. Bidders List(40 CFR Part 33 part 33.501) All bidders shall submit the following information for all fines that bid or quote on subcontracts(including both DBE and non-DBE firms)as part of the bid,or within 1 hour after the published bid submittal time(consistent with RCW 39.30.060). 1. Firm's name with point of contact; 2. Firm's mailing address,telephone number,and e-mail address; 3. The work on which the firm bid or quoted,and when the firm bid or quoted;and 4. Firm's status as an MBE/WBE or non-MBE/WBE. City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades I-i e C c i DOCUMENTS TO BE EXECUTED BY THE SUCCESSFUL BIDDER The following forms are to be executed and submitted to the City after the contract is awarded by the Bremerton City Council. These forms follow the contract forms in Part 1. Unless noted otherwise, these must be submitted within thirty(30)calendar days after the date of Notice of Award of Contract. a. Contract b. Contractor Certificate c. Performance Bond(Bond is for 100%of the Contract Amount) d. Payment Bond(Bond is for 100%of the Contract Amount) e. Insurance Certificates I DOCUMENTS TO BE EXECUTED PRIOR TO FIRST PAYMENT [ a. Statement of Intent to Pay Prevailing Wages f Note: Certified Payroll shall be submitted weekly to document wages paid P [ 11 { DOCUMENTS TO BE EXECUTED PRIOR TO FINAL PAYMENT AND RELEASE OF RETAINAGE j a. Acceptance of Compensation and Release of All Claims(See Appendix B) s b. Affidavit of Wages Paid (available from Department of Labor&Industries) i 1 1. r t [ [ r [(kc City of Bremerton END OF BIDDER CHECKLIST March 2021 Oyster Bay Beach Sewer Upgrades 1-ii BID FORMS ACKNOWLEDGEMENT OF BID AND ADDENDA BID TO: CITY OF BREMERTON,PUBLIC WORKS AND UTILITIES ENGINEERING DIVISION 1. The undersigned Bidder proposes and agrees,if this Bid is accepted,to enter into an Agreement with the OWNER in the form included in the Contract Documents to perform the WORK as specified or indicated in said Contract Documents entitled"Oyster Bay Beach Sewer Upgrades." 2. Bidder accepts all of the terms and conditions of the Contract Documents,including without limitation those in the Notice Inviting Bids and Instruction to Bidders,dealing with the disposition of Bid Security. 3. This Bid will remain open for the period stated in the"Notice Inviting Bids"unless otherwise required by law. Bidder will enter into an Agreement within the time and in the manner required in the"Notice Inviting Bids"and the"Instructions to Bidders,"and will furnish the insurance certificates,Payment Bond,and Performance Bond required by the Contract Documents. 4. Bidder has examined copies of all the Contract Documents including the following addenda (receipt of all of which is hereby acknowledged). Failure to acknowledge addenda shall render the bid non-responsive and shall be cause for its rejection.Addenda Number: I Date: Ito/zi 2 /2/9-1 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 affecting cost,progress or performance of the WORK and has made such independent investigations as Bidder deems necessary. To all the foregoing,and including all Bid Forms contained 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 in full payment therefore the Contract Price based on the Total Bid Price(s)named in the aforementioned Bid Forms. Dated: (4/11( 2r Bidder: tt`G-?7Ve S 1ifa]d11 M16..• (Company Name) By: PP V/0‘ eCAi kir 1 Title: ___,Nosr--".. "--� (Signature) City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-1 BID CERTIFICATE (if Corporation) I STATE OF WA. ) COUNTY OF 00246 ) SS: I HEREBY CERTIFY that a meeting of the Board of Directors of the /!i7716- OYL- Svc. a corporation existing under the laws of the State of ONS/f/ 7D/f ,held on AIMUST 13, 20il ,the following resolution was duly passed and adopted: "RESOLVED,that Of4V1e) CeezigIVTI ,as P-esid nt of the Corporation,be and is hereby authorized to execute the Bid dated q// ( , 2021, to the City of Bremerton by this corporation and that his 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 NM ,day of AP/z/L 2021. ato„„.,,,,,,,e' __,,„4:1 4,44,44 Secretaiy (SEAL) R Gpli STPORC./i SEAL �= sNING City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-3 BID SCHEDULE Oyster Bay Beach Sewer Upgrades Form Instructions: In the following schedules,write out the unit price and extension in dollars and cents using numerals. In order to not exceed the overall budget on this project,the City reserves the right to reduce the Total Bid Amount by deleting individual pipe sections from the project after bid opening but prior to bid award. Tax Rule 170 applies to this project; do not include sales tax in the individual bid items,except Schedule B.Tax Rule 171 applies to Schedule B.The bidder shall fill in all blanks for each bid schedule and the bid summaryin P PP order for the bid to be considered complete. City of Bremerton Oyster Bay Beach Sewer Upgrades Bid Schedule Schedule A-Forcemain,Surface Restoration,and Roadway Item Estimated No. Section Description Quantity Unit Unit Cost Total Cost A-1 SP1-04 Minor Changes and Force Account 1 FA $ 195,600 $ 195,600 A-2 SP1-05 As-built Drawings ($5,000 minimum) 1 LS $ /t)0.000- °v $ fat:b. A-3 SP1-05 Project Survey($5,000 minimum) 1 LS $ 514",00. o a $ 3o'Oo4, ov A-4 SP1-09 Mobilization 1 LS $ Z9 ,zoo.Ob $ VI,WO. .'‘t, A-5 SP1-10 Project Temporary Traffic Control 1 LS $ POD,COO. $ '/84 ooO. 00 A-6 SP 1-10 Portable Changeable Message Sign 100 Day $ q0. oo $ gOdc. 00 A-7 SP 2-01 Clearing and Grubbing 1 LS $ 6D, 000.on $ /0, COo. °° A-8 SP 2-02 Removal of Structures and Obstructions 1 LS $ 24,Do0. 00 $ 20,, D. OD A-9 SP 2-02 Sawcutting for Pavement Removal 5,900 LF $ 3. f - $ 2-Of SS: flo A-10 SP 2-02 Remove Existing Pavement 6,290 SY $ /O. ce) $ 6&, O .. °° A-11 SP 2-02 Remove Cement Conc.Sidewalk 64 SY $ 2.0. oo $ 12 gt?.4O A-12 SP 2-02 Remove Cement Conc.Curb and Gutter 103 LF $ /4. OD $ 14{4/2-•®D A-13 SP 2-02 Pothole Existing Utility 59 EA $ .7ZS.oo $ f'7 f7c.. ®a A-14 SP 2-02 Adjust Manhole 14 EA $ 75-: co $ 1, ', 6).57). 00 A-15 SP 2-02 Adjust Catch Basin 14 EA $ /c: " $ 12t 2cV.oa A-16 SP 2-02 Adjust Valve Box 15 EA $ 5 oo $ -7-79--.04) A-17 SP 2-09 Shoring or Extra Excavation Class B 30,914 SF $ O. Oi $ 3 / A-18 SP 4-04 Crushed Surfacing Base Course 3,050 TN $ 3,0. 50 $ /77 €12c. 0 A-19 SP 4-04 Crushed Surfacing Top Course 25 TN $ ,,0. oo $ if 5Z047. City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-7 Addendum No.1 Schedule A-Forcemain,Surface Restoration,and Roadway Item Estimated No. Section Description Quantity Unit Unit Cost Total Cost A-20 SP 5-04 HMA for Overlay Cl. 1/2 In.PG 58H-22. 520 TN $ 1�0, O° $ -7z sop.Da A-21 SP 5-04 HMA for Approach Cl. 1/2 In. PG 58H-22. 12 TN $ 35. 00 $ /620.DO A-22 SP 5-04 HMA for Preleveling Cl. 1/2 In.PG 58H-22. 1,813 TN $ 13.7. co $ 250, 19'1. DO A-23 SP 5-04 Longitudinal Joint Seal 103 LF $ 2o. ° $ 2.-o .o° A-24 SP 5-04 Planing Bituminous Pavement 4,570 SY $ ,. SD $ 2q,705. ° , A-25 SP 5-04 Cold Mix 420 TN $ 2/S. a ') $ 70, 340.00 A-26 SP 6-13 Modular Block Wall 250 SF $ t). 17° $ JO,a 00.o° A-27 SP 7-05 Manhole 48 In.Diam.Type 1 3 EA $ .49j.0° $ /'' , °' A-28 SP 7-05 Manhole 60 In.Diam.Type 1 Eccentric Saddle 6 EA $ 5000. 00 $ 3q, XDO. 4" A-29 SP 7-05 Connection to Existing Wet Well 1 LS $ qOQO. Oo $ L/000. 17° A-30 SP 7-05 Manholes Over Existing Sewers 1 EA $ 7G O. °° $ 15D0. 00 A-31 SP 7-08 Unsuitable Pipe Foundation Excavation Incl. 441 CY $ $ Haul �6.". 0D 33,D7S' v'° A-32 SP 7-08 Controlled Density Fill 60 CY $ 700. 0° $ /2,a 00.Do , A-33 SP 7-08 Imported Trench Backfill 1,490 TN $ Z• °° $ 3'7,2SD. 00 A-34 SP 7-09 HDPE SDR 11 Pipe for Sanitary Sewer LPS 973 LF $ °o $ 2 1n. Diam. �0$.QD A-35 SP 7-09 HDPE SDR 11 Pipe for Sanitary Sewer LPS 3,226 LF $ 0° $ �u2 0° 3 In. Diam. 17• r A-36 SP 7-09 HDPE SDR 11 Pipe for Sanitary Sewer FM 4,132 LF $ $ 12In.Diam /O 00 &f33,$4 ry.°° A-37 SP 7-09 Pipe Slope Anchors 1 EA $ 157)0. 00 $ (5ri 0.o0 A-38 SP 7-09 3 In.LPS Sewer Main Drop Connection 1 LS $ 35VD. 00 $ 3S0.0. D• A-39 SP7-12 Gate Valve 2 In. 12 EA $ AIOO. Ot' $ /31200.Do A-40 SP 7-12 Gate Valve 3 In. 15 EA $ ;/l-/640.00 $ 2/ Ooo. p0 A-41 SP 7-12 Gate Valve 12 In. 2 EA $ 3$00-co $ -1600. DO A-42 SP 7-12 Comb.Air Release/Vacuum Valve Assembly 6 EA $ // $ 3 In.(Sewer) '12oO. Z 20o.o° A-43 SP 7-12 Comb.Air Release/Vacuum Valve Assembly 6 EA $ $ 2 In.(Sewer) 3 .00,Ov 2(',00o. °° A-44 SP 7-12 Combined Service Vault-at Station 12+99 1 LS $ (4/D0O. °o $ /0, 0 00. ` c' A-45 SP 7-17 HDPE Gravity Sanitary Sewer Pipe 16 In. 195 LF $ 1 o. 00 $ 2. 3SJ.Jo City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-8 Addendum No.1 Schedule A- Forcemain,Surface Restoration,and Roadway Item Estimated No. Section Description Quantity Unit Unit Cost Total Cost Diam. A-46 SP 7-18 PVC Gravity Sanitary Sewer Lateral Pipe 6 In. 12 LF $ $ or" A-47 SP 7-18 PE Sanitary Sewer LPS Discharge Line 773 LF $ $ 1-1/4 In. Diam. ,2._Z. 00 (7) 0Oi.'. Da A-48 SP 7-18 PE Sanitary Sewer LPS Discharge Line 2 In. 51 LF $ $ Diam. 3(.1. 00 A-49 SP 7-19 1-1/4 In. PE Sanitary Sewer LPS to Gravity 2 EA $ $ Connection 350. " r700 . 00 A-50 SP 7-19 1-1/4 In. Collection Valve Box and Cleanout 28 EA $ Z-300- °° $ 66f, tie)o." A-51 SP 7-19 2 In.Collection Valve Box and Cleanout 1 EA $ 9Do. 3° , $ Z5-00.00 A-52 SP 7-19 , 2 In. LPS Cleanout 5 EA $ ZS-DO.oP $ /2-) C-00. (94:2 A-53 SP 7-19 3 In.LPS Cleanout 5 EA $ GE900.00 $ 7.-g,000.o A-54 SP 7-21 Duplex Grinder Pump Assembly, Explosion 1 EA $ ' Proof,Complete-H-20 Rated Lid /OM. " $ 60 00, o00. A-55 SP 8-01 CSWPPP and TESC Plan 1 LS $ /00- .00 $ /00- Po A-56 SP 8-01 Temporary Erosion and Sediment Control 1 LS $ 30,000. Pp $ 30,0 Da- d° A-57 SP 8-02 Landscape Restoration 662 SY $ 30, 00 $ ici, flao•em) A-58 SP 8-04 Cement Conc.Traffic Curb and Gutter 103 LF $ 70. °° $ 72/0. °° A-59 SP 8-06 Cement Conc. Driveway Entrance 25 SY $ (2-S.00 $ 3/2S: °° A-60 SP 8-13 Adjust Monument Case and Cover 5 EA $ /OOD. ek9 $ IZ4O.00 A-61 SP 8-14 Cement Conc. Sidewalk with Scoring 64 SY $ ZOO- °° $ 6,100.0° A-62 SP 8-14 Cement Conc. Curb Ramp Single Direction 1 EA $ q06 $)(9- " iloOd. " Type A A-63 SP 8-19 Bollard Type 2 3 EA $ /(00.,0° $ 300. 00 A-64 SP 8-20 Support Power Poles and Signs 1 LS $ f©t 000. 7 00 $ 4 40D. 6'° A-65 SP 8-22 Permanent Pavement Markings 1 LS $ IS coo. 0' $ /5,000. i Subtotal $ ---- $ 2,7so, W35:23 Sales Tax (9%) $ --- $ 2q0, qii3.67 Total Schedule A $ ------ $A 0613,qz2.1-7 City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-9 Addendum No.I Schedule B-Storm 'Tax Rule 171) Item Estimated No. Section Description Quantity Unit Unit Cost Total Cost B-1 SP 2-02 Pothole Existing Utility 21 EA $ 2..c. 00 $ &grs.r 0a B-2 SP 2-09 Shoring or Extra Excavation Class B 6,500 SF $ O. O/ $ 6s, 4° B-3 SP 7-04 Ductile Iron Storm Sewer Pipe 12 In. Diam. 1,158 LF $ /Ote DO $ (it, S90.° ) B-4 , SP 7-04 Trash Rack 1 EA $ SOO.0O $ SRO, °O B-5 SP 7-05 Connection to Drainage Structure 3 EA $ 000- oo $ -go 40. °0 B-6 SP 7-05 Catch Basin Type I 10 EA $ `s0. o° $ 111, WO. aO B-7 SP 7-05 Catch Basin Type 2 48 In. Diam. 1 EA $ 3E,00.00 $ 3tobo, p° B-8 SP 7-05 Catch Basin Inlet 2 EA $ (is-0.0° $ zg00. OJ B-9 SP 7-08 Unsuitable Pipe Foundation Excavation Incl. 20 CY $ $ Haul ?S 00 ($OO. 00 B-10 SP 7-08 Controlled Density Fill 5 CY $ ZOO. 00 $ /00D. '° B-il SP 8-15 Quarry Spalls 5 CY $ ZOO. °O $ /OD 0. 00 Total Schedule B $ - $ 5771 e/g©.00 Schedule C-Grinder Pumps and Electrical Item Estimated No. Section Description Quantity Unit Unit Cost Total Cost C-i SP 1-04 Minor Changes and Force Account 1 FA $ 133,200 $ 133,200 C-2 SP 1-09 Mobilization 1 LS $ 2SD,000.Q° $ 25D-000. °O C-3 SP 2-01 Clearing and Grubbing 1 LS $ 20,090.D' $ 2©,DOO.0o C-4 SP 2-02 Removal of Structures and Obstructions 1 LS $ 30,000,°° $ 30 DOO. ao C-5 SP 2-02 Sawcutting for Pavement Removal 2,570 LF $ 3,yc $ SiStge,cb C-6 SP 2-02 Pothole Existing Utility 33 EA $ 324: 00 $ 1O,72.5:4'4 C-7 SP 2-09 Shoring or Extra Excavation Class B 30,320 SF $ ©•0/ $ 303.20 C-8 SP 7-08 Unsuitable Foundation Excavation Incl. Haul 85 CY $ ?S;00 $ 6375.. do C-9 SP 7-18 PVC Gravity Sanitary Sewer Lateral Pipe 4 In. 597 LF $ $ Diam • ao 21 fib. C-10 SP 7-18 PVC Gravity Sanitary Sewer Lateral Pipe 6 In. 100 LF $ 75- dd $ %-z© 0' Diam C-11 SP 7-18 PE Sanitary Sewer LPS Discharge Line 500 LF $ Zs 00 $ /OP 50o °p 1-1/4 In. Diam.-Through Existing SS _ City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-10 Addendum No.1 Schedule C-Grinder Pumps and Electrical Item Estimated No. Section , Description Quantity Unit , Unit Cost Total Cost C-12 SP 7-18 PE Sanitary Sewer LPS Discharge Line 2,305 LF $ C ic $ ,,.-- 1-1/4 In. Diam.-Asphalt ' �� .'W C-13 SP 7-18 PE Sanitary Sewer LPS Discharge Line 30 LF $ (00. 00 $ /goo D° 1-1/4 In. Diam.-Concrete C-14 SP 7-18 PE Sanitary Sewer LPS Discharge Line 4,510 LF $ ,- ,- $ ,i 7,0 --oo 1-1/4 In. Diam.-Landscape C-15 SP 7-18 PE Sanitary Sewer LPS Discharge Line 2 In. 260 LF $ $ Diam.-Asphalt 0•l1° S/ � boo.°° C-16 SP 7-18 Loacate Sewer Lateral Connections at Beach 1 LS $ /�s COO. D° $ 1 /D ©00. °° C-17 SP 7-19 1-1/4 In. Grinder Pump Cleanout Valve Box 55 EA $ ./ },DC $ 157,50.°° C-18 SP 7-19 1-1/4 In. Collection Valve Box and Clean-Out 6 EA $ Z.7 O. 00 $ /c ,Zoo-®a C-19 SP 7-19 Standard PVC Sewer Cleanout 29 EA $ IOSD. d° $ 30/ 149D. 4141 C-20 SP 7-21 Simplex Grinder Pump Assembly,Explosion 1 EA $ $ - Proof,Complete-Standard Lid Z5;000.49 A-,..7p0©O. °° C-21 SP 7-21 Simplex Grinder Pump Assembly, 25 EA $ ZZ Q ,00 $ S� ® u° Complete-Standard Lid t • C-22 SP 7-21 Simplex Grinder Pump Assembly, 4 EA $ ��� � Da $ Y y,� Jo Complete - H2O Rated Lid , C-23 SP 7-21 Simplex Grinder Pump Assembly, 1 EA $ $ Complete- Flush Lid at 1126 Shorewood ZZ o O. l...,000. CO Drive C-24 SP 7-21 Duplex Grinder Pump Assembly,Explosion 3 EA $ ,+ja A, 00 $ I 0 Li,®� 00 7Proof,Complete-Standard Lid C-25 SP 7-21 Duplex Grinder Pump Assembly,Explosion 5 EA $ ;O4 000. 0tr $ v- °C Proof,Complete- H-20 Rated Lid C-26 SP 7-21 Electrical Panel Upgrade 1 LS $ . GI/ -°a $ .; +,MO. 00 C-27 SP 8-01 Temporary Erosion and Sediment Control 1 LS $ i 5-,000.1 $ / e°a.d a C-28 SP 8-02 Landscaping Repair-Grinder Pumps Oyster 1 FA $ 33,000 $ 33,000 Bay Beach Sewer City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-11 Addendum No.1 Schedule C-Grinder Pumps and Electrical Item Estimated No. Section Description Quantity Unit Unit Cost Total Cost C-29 Div 26 Bayshore Condos -Electrical 1 LS $ '5 OM."a $ /' 5 , &V.a0 C-30 Div 26 Tony's Pizza - Electrical 1 LS $ 35;Doo.Oa $ 3q,000- 0� C-31 Div 26 Oyster Bay Inn-Electrical 1 LS $ ' `O ®,AO. 0° $ got o04.flo C-32 Div 26 Weslon- Electrical 1 LS $ 7.- 000.dL $ 24;Oda °a C-33 Div 26 Franchise Electrical Services Invoice 1 EQ. $ 25,000 $ 25,000 Reimbursement ADJ. Subtotal $ '""""°'- $ g,77S;3'/o•9s' Sales Tax (9%) $ $ ZL13,c(S®.4rid Total Schedule C $ $ 2,94/1$,?Z/.i0,5 Schedule D- Beach Item Estimated No. Section Description Quantity Unit Unit Cost Total Cost D-1 SP 1-04 Minor Changes and Force Account 1 FA $ 15,300 $ 15,300 D-2 SP 1-09 Mobilization 1 LS $ 'O . 0° $ ✓SDOO.Do D-3 SP 2-02 Removal of Structures and Obstructions 1 LS $ 00.00 $ oo. o" D-4 SP 2-02 Remove Beach Debris 5 TN $ 69530.40 $ 32-.WO. " D-5 SP 2-09 Shoring or Extra Excavation Class B 5,000 SF $ 0.01 $ 'V. '90 D-6 SP 7-08 Cut and Cap Beach Sewer Lateral 25 EA $ ZOO-'JD $ c9,, Ox,00 D-7 SP 8-01 Temporary Erosion and Sediment Control 1 LS $ 5ZOO. 00 $ SWO 0. 00 Subtotal $ ------- $ 112, .0¢ Sales Tax (9%) $ --- $ it), 157.o. Sn Total Schedule D $ $ kZ3r wet,. '5D BID SUMMARY Total Schedule A- Force Main, Surface Restoration and Roadway $ 5d 006 2-g- 67 Total Schedule B-Storm $ i So,490. ©p Total Schedule C-Grinder Pumps and Electrical $ 2,94$, ST�1. 6,3 Total Schedule D- Beach Work $ i 23l OOCri. Sb Subtotal (Schedule A+B+C+D) $ b/.2 -7. 23 . Do Total Bid $ id. 2-37 237. ?m City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-12 Addendum No.1 BID BOND KNOW ALL MEN BY THESE PRESENTS, That Active Construction, Inc. as Principal,and Liberty Mutual Insurance Company as Surety,are held and firmly bound unto City of Bremerton hereinafter called"OWNER,"in the sum of Five Percent(5%)of Bid Amount dollars, (not less than S percent of the total amount of the Bid) for the payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administrators,successors,and assigns,jointly and severally,firmly by these presents. WHEREAS,said Principal has submitted a Bid to said OWNER to perform the WORK required under the bidding schedule(s)of the OWNER's Contract Documents entitled Oyster Bay Beach Sewer Upgrades. If the Principal is awarded the Bid and,within 10 calendar days after receipt of the Contract Document forms from the OWNER,fails to provide the OWNER with the duly executed Agreement;the duly executed Certificates of Insurance,the duly executed Performance Bond and the duly executed Payment Bond,all as specified in the Contract Documents, then the Surety shall, without condition and within 30 calendar days from written demand from the OWNER,pay to the OWNER in U.S. funds,by certified or cashiers check, the full amount of this Bid Bond. This Bond shall be irrevocable for 90 days after the bid opening, as defined in the Contract Documents. The Surety stipulates and agrees that the obligation of said Surety shall in no way be impaired or affected by an extension of the time within which the OWNER may accept such bid and Surety further waives notice of any such extension. In the event suit is brought upon this bond by said OWNER and OWNER prevails,said Principal and Surety shall pay all costs incurred by said OWNER in such suit,including attorney's fees and costs to be fixed by the court. SIGNED AND SEALED,this day of April 14th , 2021 Active Construction. Inc, (SEAL) Liberty Mutual Insurance Company (SEAL) (Principal) (Surety) By: �" — By: �C f` atel CAA--/ (Signature) Holli Albers, (Signature) Attorney-in-Fact (SEAL AND NOTARIAL ACKNOWLEDGMENT OF SURETY) Address of Surety to which all notices shall be sent Liberty Mutual Insurance Company 1001 4th Avenue,Suite 3700 Seattle,WA 98154 Address for Service of Process(must be a physical address) Liberty Mutual Insurance Company 1001 4th Avenue,Suite 3700 Seattle,WA 98154 City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-13 This Power of Attorney limits the acts of those named herein,and they have no authority to 110. r--. bind the Company except in the manner and to the extent herein stated. '' �, � Liberty Liberty Mutual Insurance Company 1/ A Mutual. The Ohio Casualty Insurance Company Certificate No: 8205061-023049 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Aticeon A. Keltner,Alyssa J.Lopez,Amelia G.Burrill,Annelies M.Richie,Brandon K.Bush,Brent E.Heilesen,Carley Espiritu,Christopher Kinyon,Cynthia L.Jay,Diane M. Harding,Edward Sims,Eric A.Zimmerman,Erica E.Mosley,Heather L.Allen,Holli Albers,Jacob T.Haddock,James B.Binder,Jamie L.Marques,Katharine J. Snider,Kyle Joseph Howat,Terrie Conard all of the city of Tacoma state of WA each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 19th day of March , 2021 . Liberty Mutual Insurance Company P`,oiswi,, P,,'1 tryst , 'NSu, The Ohio Casualty Insurance Company 1 ,,,N 4°pPOR4J + c ePOR4J7Z c �00wiiJ 4' Westzn; otmPanY J 3Fo mQ 3o n e 3 Fa mN o - 1 7, t 1991 0rd%� �.aLy°� �.da�o `�5,�'koIAHPN,da� B �`_ •� V c ) ,t 4,4 * ► M * r y: •5 Co David M.Carey,Assistant Secretary CT= " co State of PENNSYLVANIA • c 7 a,County of MONTGOMERY ss ooc E 's S On this 19th day of March , 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance 6 j as 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 c as - therein contained by signing on behalf of the corporations by himself as a duly authorized officer. co a IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. pc,) ..(„_ . OS w :_a! kl �,pylr�. fi� Commonweal h or Pennsylvania-Notary Seal a) " '�<,� Teresa Paslella,Notary Public N•� Montgomary County L peyq- 1 ` O eJP My commission e>tpires March 28,2025 B ^�/�c�-� O L �p Commission number i 126044 y aj+- d Y14���4 Member-Pennsy vania Assoc ation of Nolanes %'apastetla Notary Public <C O -�,, 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 000 O•= Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: to cNs ARTICLE IV—OFFICERS:Section 12.Power of Attorney. o°O o 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 a o :a o 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 g al c any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall-v Tao t 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> z Cn 0 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 eoo 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. ti Q. ARTICLE XIII—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 14th day of April , 2021 - spv‘ NOS,,, 0-joVR vowys4 1 NSRRo =`'° *sr, Q a° r. ti a9, °41,s' Cco 1912 0 o 1919 oa1991 0 f ���►1ty�-- ~e!,,, � a3 3O: ..,, a i By: ',' 4CHU5 .a 4 't'°IAP �D Renee C.Llewellyn,Assistant Secretary ecretaryR/> * 0 yt * 044/ * 0 LMS-12873 LMIC OCIC WAIC Multi Co 02/21 LIST OF SUBCONTRACTORS The Bidder shall provide the following information for each Subcontractor who will perform work or labor or render service to the CONTRACTOR in or about the construction of the work or improvement in an amount in excess of 10 percent of the CONTRACTOR's total bid. "Rendering service' includes a subcontractor that specially fabricates and installs a portion of the work or improvement. The Bidder agrees to submit the list of Subcontractors as part of the Bid or within one hour of the Bid. The CONTRACTOR shall list only one Subcontractor for each portion of the WORK as is defined by the CONTRACTOR in its bid.If no Subcontractor is listed, the bidder acknowledges that it does not intend to use any subcontractor whose work on the CONTRACT will exceed 10 percent of the bid price. The Bidder's attention is directed to the provisions of Supplementary Condition 6.06A which stipulates the percent of the WORK to be performed with the Bidder's own forces.Failure to comply with this requirement may render the Bid non-responsive and may cause its rejection.Attach additional sheets if required. In accordance with RCW 39.30.060,the Contractor shall furnish the names of the subcontractors with whom the bidder,if awarded the contract,will subcontract for performance of the work of:HVAC(heating,ventilation, and air conditioning);plumbing as described in chapter 18.106 RCW;and electrical as described in chapter 19.28 RCW,or to name itself for the work.The prime 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 prime contract bidder must indicate which subcontractor will be used for which alternate. Failure of the prime contract bidder to submit as part of the bid, or within one hour after the published bid submittal time,the Inames of such subcontractors or to name itself to perform such work or the naming of two or more subcontractors to perform the same work shall render the prime contract bidder's bid nonresponsive and, therefore,void. SUBCONTRACTOR Company Name: > 0V v ! ''�/*-40 2? Subcontractor License#: Work to be performed: HVAC Address: Phone#: Bid Amount and%of Total Bid: SUBCONTRACTOR Company Name: �F S gte f� Subcontractor License#: C�Ri '6tQ I Work to be performed: ELECTRICAL Address: 9910 5 cO.0e-te-obtenobovLi u PogrOgaletleti l "7 Phone#: 34o. gigs J702- Bid Amount and%of Total Bid: 4 Z57,780.oo 7 y af0 SUBCONTRACTOR Company Name: NOUe. P OPOS t9 Subcontractor License#: /� Work to be performed: PLUMBING Address: Phone#: Bid Amount and%of Total Bid: City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-1 S 1 LIST OF SUBCONTRACTORS(continued) SUBCONTRACTOR Company Name: A- -77'/ o 1 7 c� .. G Subcontractor License#: 46 -T f--U(f -i(Dq --2L Work to be performed: 5-mL{L-7 AL s�`,, L�� �ti� f�12 /J�}s �{'t, Address: SJ/O /�/UU32. //ey E. -Maw'? � !/�8 qq3 Phone#: z*5.2 IS.(Oen Bid Amount and%of Total Bid: �f Ooo. " L& SRN . Di % SUBCONTRACTOR Company Name: Subcontractor License#: Work to be performed: Address: Phone#: Bid Amount and%of Total Bid: SUBCONTRACTOR Company Name: Subcontractor License#: Work to be performed: Address: Phone#: Bid Amount and%of Total Bid: SUBCONTRACTOR Company Name: Subcontractor License#: Work to be performed: Address: Phone#: Bid Amount and%of Total Bid: SUBCONTRACTOR Company Name: Subcontractor License#: Work to be performed: Address: Phone#: Bid Amount and%of Total Bid: City of Bremerton March 2021 Ouster Bay Beach Sewer Upgrades BF-16 INFORMATION REQUIRED OF BIDDER The Bidder shall furnish the following information. Additional sheets shall be attached as required. Failure to complete these items will cause the Bid to be non-responsive and will cause its rejection. In any event,no award will be made until all of the Bidder's General Information is delivered to the OWNER. Name of Contractor: 4'i i VC e157 ae 77D - Primary Classification: ed gPO/ei tr4 Address 57/o i 12- ea-6 7 }GBlm119' tit 4161/1 J Telephone: 2y3 24 6. 031 Fax number: 253. 2-1.18• ID q3 E-mail address: ehr1 S re ve Centh-utftan. Name and contact information for proposed Project Manager: N S 1/Aggr5 253.2Lt9 061/ /23. 606. 22 B Employment Security Department Number ..324q/6--00 d Washington State Industrial Insurance Number 200 933.0 Washington State Unified Business Identification(UBI)Number 6 21300/53.3 Washington State Contractor's Registration Number and Exp.Date 4c-71--Utz-/ -12-- ii/i/ i City of Bremerton Business License number 3%Q243 *If not available,must be obtained prior to mobilization Name,address,and telephone number of Surety Company and agent who will provide the required bonds this contract: firer y 11 altL J LS'OK NEr EM 2200 foOI Ave 6110 o0 S n77Zw ton gelsy City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-17 EkE ifs PROTECT REFERENCES&GENERAL INFORMATION To be considered for award,the CONTRACTOR shall have completed at least three(3)projects of similar type,complexity,and comparable value to that WORK described in Notice Inviting Bids. The projects must have been completed under the bidder's name as the prime(general)contractor within the last ten(10)years. ATTACH TO THIS BID,or provide within 24 hours of Bid Opening,a list of three(3)projects minimum,completed by the CONTRACTOR,that are similar to this project in nature,value,and complexity of work. The list shall include the following information as a minimum: � AVOW le. 61✓ G-J-rea 1 � �77DY I • Names,address,and telephone number of owner. • Name of project. • Location of project. • Brief description of the work involved. • Contract amount. • Date of completion of contract. • Name,address,and telephone number of architect or engineer. • Name of owner's project engineer. • List of major equipment used. • Years in business under current name.547 VERRS • Contracts now in hand,gross amount,and percent complete 4M2ox /1/11/1 ry- City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-19 NON-COLLUSION AFFIDAVIT STATE OF WA ' ) ) ss. COUNTY OF Pirlet 2,4Via e e- being 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 interest 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 directly or indirectly colluded,conspired, connived,or agreed with any bidder or anyone else to put in a sham bid,or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication,or conference with anyone to fix the bid price of the bidder or any other bidder,or to fix any overhead,profit,or cost element of the bid price,or of that of any other bidder,or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in 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 information or data relative thereto, or paid, and will 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. Signed: Subscribed and sworn to before me this � � day of�� 20 1 Notary Public in and for the icfr1 County of r e State of 1O S ttIATb7 tJ l 5gP Lp0 •'��ma's (SEAL) • NO TA PUBLIC a04 ,,, WASH„„ ,,,, n000 City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-21 CERTIFICATION BY PROPOSED CONTRACTOR REGARDING EOUAL EMPLOYMENT OPPORTUNITY PLAN In accordance with Chapter 56,Laws of 1975 1st 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 Prime Contractor 14&1 V ( `5772- ?0n Address Silo lu V /20 6• `7W omti ge t#`3 Internal Revenue Service Employer Identification No. -t t r 0$TI J c i a. Contractor has participated in a previous contract Yes &No or subcontract subject to the Equal Opportunity Clause. b. Compliance reports were required to be filed in Yes Y No connection with such contract/subcontract. c. Contractor has filed all compliance reports required by Yes-- No Executive Orders 10925,11114,11246 or by regulations of the Equal Opportunity Commission issued pursuant to Title VII of the Civil Rights Act of 1964. d. If answer to item 'c' is "no", please explain in detail in the space below. /04'• CERTIFICATION: I,the undersigned,certify that the information above is true and complete to the best of my knowledge and belief. Company Name aAV& Ce'x ,,rrl ,0459 ern" Name and Title of Signer(please type or print clearly) iv/14/124 Signature Date City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-23 ATTACHMENT 3 CERTIFICATION OF NONSEGREGATED FACILITIES (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 establishments,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 will not maintain or provide for his employees any segregated facilities at any of his establishments,and that he will not permit his employees to perform their services at any location,under his control,where segregated facilities are maintained. The federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification,the term"segregated facilities"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 facilities provided for employees which are segregated by explicit directive or area, in fact, segregated on the basis of race,creed,color,or national ongm, because of habit, local custom,or otherwise. The federally assisted construction contractor agrees that(except where he has obtained identical certifications from proposed contractors for specific time periods)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 retain such,certification in this file. . ------R".zz . 1004 Signature Date L PvtO CO, 9 ) (kE9ardil— Name and title of signer(please type) [THIS FORM SHALL BE COMPLETED IN FULL AND SUBMITTED WITH THE BID PROPOSAL] SRF Specification Insert SRF-25 Revised 3/4/2014 CERTIFICATION OF FEDERAL NON-DEBARMENT AND SUSPENSION INSTRUCTIONS TO BIDDERS: THIS FORM SHALL BE EXECUTED BY THE CONTRACTOR AND SUBMITTED WITH THE BID. THE CONTRACTOR SHALL MAKE COPIES AND DISTRIBUTE THIS FORM TO ALL SUBCONTRACTORS. SUBCONTRACTORS MUST SUBMIT THIS FORM TO THE CITY PRIOR TO PERFORMING ANY WORK ON THE PROTECT. As a prospective contractor for the City of Bremerton and as a requirement of your submittal,you are required to provide debarment/suspension certification indicating that you are in compliance with the below Federal Executive Order. peharment: Federal Executive Order(E.O.) 12549"Debarment and Suspension"requires that all contractors receiving individual awards or using federal funds,and all sub-recipients certify that the organization and its principals are not debarred,suspended,proposed for debarment,declared ineligible,or voluntarily excluded by any Federal department or agency from doing business with the Federal Government or from receiving Federally- assisted contracts. Your signature certifies that neither you nor your principal is presently debarred,suspended, proposed for debarment,declared ineligible,or voluntarily excluded from participation in this transaction by any federal department or agency. If,at any time during the term of the contract, such condition occurs the Contractor will notify the City without delay. CERTIFICATION: I,the undersigned,certify that the information above is true and complete to the best of my knowledge and belief. AGTI VE- C ar1 acnort it Company Name p V/O C��CZ # LUTl / 5/ Name and Title of Signer(please type or print clearly) 601"/M Signature Date City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-27 Certification of Compliance with Wage Payment Statutes The undersigned bidder hereby certifies that,within the three-year period immediately preceding the bid solicitation date for this Project,that the bidder is not a"willful"violator,as defined in RCW 49.48.082,of any provision of chapters 49.46,49.48,or 49.52 RCW,as determined by a final and binding citation and notice of assessment issued by the Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction. "I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct," Signature: Date; �f����1 Print Nap Location or Place executed:(City,State) � IVe✓tI( �co-rn�} t - Check On llll Individual 0 Partnership 0 Joint Venture❑ Corporatiou�L_.- State of Incorporation,or if not a corporation,State where business entity was formed: 4 If a co-partnership,give firm name under which business is transacted: Note: If a corporation,proposal must be executed in the corporate name by the president or vice- president(or any other corporate officer accompanied by evidence of authority to sign).If a co- paruiership,proposal must be executed by a partner. i$ { City of Bremerton March 2021 Oyster Bay Beach Sewer Upgrades BF-29 DEPARTMENT OF � ECOLOGY State of Washington 4(1 wig PRt i if Lor j eria, Disadvantaged Business Enterprise (DBE) Program DBE Subcontractor Participation Form An EPA Financial Assistance Agreement Recipient must require its prime contractors to provide this form to its DBE subcontractors.This form gives a DBE1 subcontractor2 the opportunity to describe work received and/or report any concerns regarding the EPA-funded project(e.g.,in areas such as termination by prime contractor, late payments, etc.). The DBE subcontractor can,as an option,complete and submit this form to the EPA DBE Coordinator at any time during the project period of performance. Subcontractor Name Click here to enter text. Project Name Click here to enter text. OV9raLenli egf3at St-woo ti.P6gr?t7S Bid/Proposal No.Click here to Assistance Agreement ID No. (if known) Click Point of Contact Click here to enter enter text. here to enter text. text. Address Click here to enter text. Telephone No.Click here to enter text. Email Address Click here to enter text. Prime Contractor Name Click here to enter text. Issuing/Funding Entity Department of Ecology Acn V elfin s7P-4 C77mtTIX Contract Item Description of Work Received from the Prime Amount Received by Number Contractor Involving Construction, Services, Prime Contractor Equipment,or Supplies Click here to enter text. Click here to enter text. Click here to enter text. 1 A DBE is a Disadvantaged,Minority,or Woman Business Enterprise that has been certified by an entity from which EPA accepts certifications as described in 40 CFR 33.204-33.205 or certified by EPA. EPA accepts certifications from entities that meet or exceed EPA certification standards as described in 40 CFR 33.202. 2 Subcontractor is defined as a company,firm,joint venture,or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance. FORM 6100-2(DBE Subcontractor Participation Form) DEPARTMENT OF ECOLOGY State of Washington Disadvantaged Business Enterprise(DBE) Program DBE Subcontractor Participation Form Please use the space below to report any concerns regarding the above EPA-funded project: Click here to enter text. Subcontractor Signature Print Name Title Date Click here to enter text. Click here to enter text. FORM 6100-2(DBE Subcontractor Participation Form) DEPAH MENECOLOGY A Disadvantaged Business Enterprise(DBE)Program DBE Subcontractor Performance Form This form is intended to capture the DBE1 subcontractor's2 description of work to be performed and the price of the work submitted to the prime contractor. An EPA Financial Assistance Agreement Recipient must require its prime contractor to have its DBE subcontractors complete this form and include all completed forms in the prime contractors bid or proposal package. Subcontractor Name Click here to enter teat. Project Name Click here to enter text, 0/67r4Z-o erg 5Ewriz tV6moeS Bid/Proposal No.Click here to Assistance Agreement ID No.(if known)Click Point of Contact Click here tu <i r enter text, here to enter tent. text. Address Tick. here to enter text. Telephone No.Click here to enter teat_ Email Address Click her Prime Conti ctor Name Click here to enter text. Issuing/Funding Entity Department of Ecology Acrlve. WAS7721ACTion -140C, Contract Item Description of Work Submitted to the Prime Contractor Price of Work Number Involving Construction, Services,Equipment,or Submitted to the Supplies Prime Contractor ( here to enter to>t. Click here to enter text. here to enter t. DBE Certified By:MOT ❑SBA Meets/exceeds EPA certification standards? 0 Other:Click here to enter to t. ❑YES 0 NO❑Unknown 1A DBE is a Disadvantaged,Minority,or Woman Business Enterprise that has been certified by an entity from which EPA accepts certifications as described in 40 CFR 33.204-33.205 or certified by EPA.EPA accepts certifications from entities that meet or exceed EPA certification standards as described in 40 CFR 33.202. 2 Subcontractor is defined as a company,firm,joint venture,or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance. FORM 6100-3(DBE Subcontractor Performance Form) ECOLOGY 5&tt, )f Disadvantaged Business Enterprise(DBE)Program DBE Subcontractor Performance Form • I certify under penalty of perjury that the forgoing statements are true and correct. Signing this form does not signify a commitment to utilize the subcontractors above.I am aware of that in the event of a replacement of a subcontractor,I will adhere to the replacement requirements set forth in 40 CFR Part 33 Section 33.302 (c). Prime Contractor Signature Print Name Title Date (Ifcl: hers r Click here to enter text. Subcontractor Signature Print Name Title Date FORM 6100-3(DBE Subcontractor Performance Form) ksas 3 "'tf^Afr(N1F'tr Of ECOLOGY „,u,,rf Lv.10hian+ton IDisadvantaged Business Enterprise(DBE)Program DBE Subcontractor Utilization Form This form is intended to capture the prime contractor's actual and/or anticipated use of identified certified DBE1 subcontractors2 and the estimated dollar amount of each subcontract. An EPA Financial Assistance Agreement Recipient must require its prime contractors to complete this form and include it in the bid or proposal package. Prime contractors should also maintain a copy of this form on file. Prime Contra&1Wflit77Ofl Name Click here to enter text Project Name Click here to i.er text, A&i ivv T C. oys y Origal u i)Es is Bid/Proposal No.Click here Assistance Agreement ID No.(if known)Click Point of Contact C i here tt ems/' . 5827 W ib-e rew-Dori tee#As Agatg Address r_ ii,1 ,Fe,. t:., E-nter text. svo/2lvot g. & 'neQmig to %80X7 Telephone No.Click here to enter text Email Address C' r k here to enter text. 253.2 48. UM l exeiste-e rotameeohsfritahen.doYn Issuing/Funding Entity Department of Ecology I have identified potential DBE certified subcontractors XI YES 0 NO If yes,please complete the table below.If no,please explain: Click here to enter text. Subcontractor Name/ Company Company Address/Phone/Email Estimated Currently Name Dollar DBE Amount Certified? Wm- reGrt 44343+4.I70 2 Gia14 C':ick here to Click !sere to enter text. eater text 6 r-og tARr am 9$367 s57,70 to yES C ich here. to enter text. Click, here to enter text, r,+,uk here to Click. enter text. ente :lick here to enter text. Clack here to enter text- Click here to Click here r enter teo? Add more lines if needed 1 A DBE is a Disadvantaged,Minority,or Woman Business Enterprise that has been certified by an entity from which EPA accepts certifications as described in 40 CFR 33.204-33.205 or certified by EPA.EPA accepts certifications from entities that meet or exceed EPA certification standards as described in 40 CFR 33.202. 2 Subcontractor is defined as a company,firm,joint venture,or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance. FORM 6100-4(DBE Subcontractor Utilization Form) E 0(_ 1 Y Disadvantaged Business Enterprise(DBE)Program DBE Subcontractor Utilization Form I certify under penalty of perjury that the forgoing statements are true and correct. Signing this form does not signify a commitment to utilize the subcontractors above. I am aware of that in the event of a replacement of a subcontractor,I will adhere to the replacement requirements set forth in 40 CFR Part 33 Section 33.302 (c). Prime Contractor Signature Print Name --�"��-'---�- OAvto I JT! Title Date hrtJ co elite) ter taki; here to enter text END OF BID FORMS FORM 6100-4(DBE Subcontractor Utilization Form) ACTIVE CONSTRUCTION,INC. BIDDER QUALIFICATIONS-COMPLETED AND IN PROGRESS PUBLIC WORKS PROJECTS Job# Completion Job Description Owner Owner Rep Phone Contract Value Date 10-001 2011 Mullen Road Extension City of Lacey Roger Schoessel (360)438-2639 $ 2,755,519.00 10-003 2011 Harrison Avenue Improvements City of Olympia Jim Rioux/Fran Eide (360)753-8484 $ 5,513,734.94 10-016 2011 Skokomish Alternate Access Road Skokomish Tribe Dave Nichols (360)426-4232 $ 1,899,487.74 10-018 2011 Westbound Britton Parkway City of Lacey Roger Schoessel (360)438-2639 $ 624,692.85 11-001 2012 Henderson Blvd Sanitary Sewer&Water Main Realignment City of Olympia Jim Rioux (360)753-8484 $ 1,346,423.94 11-005 2013 Carpenter Road Reconstruction City of Lacey Dale Mix (360)438-2639 $ 9,024,507.73 11-006 2013 Cushman Trail Culvert Repair City of Gig Harbor Maureen Whitaker 253-853-7618 $ 49,000.00 11-009 2012 Warren Creek Pierce County Helmut Schmidt (253)798-2728 $ 1,085,705.60 11-014 2012 Neadham Road Setback Levee Pierce County Ingo Kuchta (253)798-6165 $ 568,807.35 12-004 2012 VIC 1-5 Puyallup River Bridge-Sidewalk Ramps WSDOT Dennis Steinberg (253)365-6730 $ 519,146.26 12-005 2013 18th Ave Half Street Improvements City of Olympia Jim Rioux (360)753-8484 $ 3,006,361.33 12-007 2013 56th St.NW/Pt.Fosdick Dr NW Street Improvements City of Gig Harbor Marcos McGraw (253)851-6170 $ 2,454,497.20 12-008 2013 70th Ave.E.Phase 2 City of Fife Ken Gill (253)922-9315 $ 8,003,125.61 12-017 2013 Capitol Way Overlay Improvements City of Olympia Brett Bures (360)753-8568 $ 226,850.24 12-020 2013 Puyallup River Floodplain Restoration at Fennel Creek Pierce County Al Zehni (253)798-2725 $- 214,275.75 12-024 2013 62nd Ave E Sidewalk and Sheffield Trail and 20th St E Crosswalk City of Fife Russ Blount (253)922-2489 $ 468,940.65 12-028 2013 West Lake Sammamish Parkway Phase 11-90 Roundabout to SE 34th St City of Bellevue Carl Haslam (425)452-4170 $ 6,560,548.46 13-002 2013 NB SR 167 to NB 1-405 Major Drainage Repair WSDOT Broch Bender (206)440-4699 $ 419,206.01 13-010 2013 Wilkeson Creek Access Road Puyallup Tribe Andrew Strobel (253)573-7879' $ 434,423.23 13-011 2013 Orville Road Engineered Log Jam Setback Revetment Pierce County Al Zehni (253)798-2725 $ 788,825.53 13-015 2014 SR7 Muck Cr Trib-Nisq Riv Remove Barrier WSDOT Mark Carson (360)570-6761: $ 1,103,022.10 13-017 2014 Larchmont Wetland Reserve Pierce County Al Zehni (253)798-2725 $ 653,314.39 13-020 2014 Taxiway C&North Taxiway W Rehab&Terminal Entrance Widening Port of Olympia Bill Helbig (360)528-8022 $ 2,069,196.55 13-022 2014 Reservation Road Reconstruction Skokomish Tribe Dave Nichols (360)426-4232 $ 939,088.15 13-029 2014 Chehalis Western Trail Phase 3 Thurston County Matt;Unzelman (360)867-2300 $ 2,732,360.14 14-004 2017 Middle Fork Snoqualmie River Road US DOT Craig Sanders (360)619-7700 $ 15,586,595.42 14-007 2014 Boulevard Rd&22nd Ave City of Olympia Rolland Ireland (360)753-8721 $ 2,481,952.96 14-011 2017 Upper Clear Creek Mitigation Site Port of Tacoma Dave Myers (253)428-8612 $ 5,415,690.47 14-012 2014 Delphi Road Safety Improvements Thurston County, Matt Unzelman (360)867-2300 $ 1,042,109.07 14-013 2015 Chambers Lake Stormwater Treament Facility City of Lacey Roger Schoessel (360)438-2639 $ 2,116,312.11 14-014 2015 Salmon Creek Bridge L-4 Replacement Thurston County Matt Unzelman (360)867-2300 $ 1,431,682.14 14-019 2016 Tacoma Pedestrian Crossing Improvement City of Tacoma Mark D'Andrea (253)591-5500 $ 2,523,400.00 14-024 2015 Golf Club Road Extension City of Lacey Roger Schoessel (360)438-2639 $ 599,599.00 15-003 2015 Capitol Blvd-M Street City of Tumwater John Norman (360)754-5855 $ 1,747,742.90 15-004 2015 Neadham Road In-Stream ELJ Mitigation Project Pierce County Ingo Kuchta (253)798-6165 $ 265,118.00 15-007 2016 Willamette Drive NE&31st Ave Improvements City of Lacey Roger Schoessel (360)438-2639 $ 1,522,533.93 Active Construction,Inc.Confidential Updated:4/12/2021 Page 1 of 4 ACTIVE CONSTRUCTION,INC. BIDDER QUALIFICATIONS-COMPLETED AND IN PROGRESS PUBLIC WORKS PROJECTS Job# Completion Job Description Owner Owner Rep Phone Contract Value Date 15-008 2015 Fennel Creek Property Restoration Phase 2/1408-124 Pierce County Helmut Schmidt (253)798-2728 $ 527,710.56 16-003 2016 Firwood Condos Stormwater System&Wapato Creek House Removal City of Fife Ken Gill (253)922-9315 $ 424,259.90 16-004 2016 WARC Access Road Thurston County Matt Unzelman (360)867-2300 $ 916,456.88 16-005 2016 216th Ave SE Roadway Improvements SE 272nd(SR 516)to SE 283rd St City of Maple Valley Kim Scattarella (425)413-8800 $ 1,963,562.15 16-007 2016 Manchester Stormwater Retrofit and Traffic Improvements-Phase 3 Kitsap County Steve Nichols. (360)337-5777 $ 1,212,212.00 16-008 2017 Tumwater Blvd/I-5 SB Ramp Improvements Project City of Tumwater John Norman (360)754-5855 $ 991,409.95 16-013 2017 Park Avenue South-125th Street South to Garfield Street South Pierce County Henry Gertje (253)798-7250 $ 650,650.00 16-014 2017 Cleanwater Centre Site Work Port of Olympia Tyson Carpenter (360)528-8000 $ 2,167,099.24 16-018 2017 Tilley Road Curve Culvert Replacement Thurston County Matt Unzelman (360)867-2300 $ 434,756.39 16-020 2017 Tyee Drive Extension/Israel Road Improvements Project City of Tumwater John Norman (360)754-5855 $ 3,354,711.99 16-021 2017 SR 302-1.15 Miles S of E Victor Road Major Drainage WSDOT Robert Christopher (360)705-7337 $ 422,422.00 16-023 2016 Emergency Vehicle Operations Course(EVOC) Dept of Enterprise Services Doug McCudden (360)407-9302 $ 2,064,974.00 E&AS 16-026 2017 Kirsop Road Maintenance Project City of Tumwater John Norman (360)754-5855 $ 167,072.00 16-029 2017 Capitol Blvd&U Street Pedestrian Improvements City of Tumwater John Norman (360)754-5855 $ 137,137.00 16-030 2018 East Lake Sammamish Master Plan Trail South-Segment A King County Gina Auld (206)477-4552 $ 4,489,832.49 17-001 2018 Fairwood West HOA Pipe Replacement King County Gina Auld (206)477-4552 $ 785,785.00 17-002 2018 78th Avenue E&184th Street Intersection Pierce County Greg Hess (253)798-4233 $ 1,706,337.47 17-007 2019 40th-42nd Avenue South-Phase 3 City of Tukwila Cindy Knighton (206)431-2450 $ 6,827,798.00 17-008 2017 1st Street SW Improvements City of Yelm Maryanne Zukowski (360)458-8499 $ 318,318.00 17-009 2017 21st Avenue Pedestrian Improvements City of Federal Way Christine Mullen (253)835-2723 $ 685,685.00 17-010 2018 Washington Ave.Two Way Left Turn Lane Improvements City of Orting (360)893-2219 $ 1,344,808.89 17-012 2017 Runway Safety Improvements Vashon Island King County Airport Bryan Condon-Engineer (503)419-2130 $ 505,043.93 17-013 2017 M Street SE Improvements City of Auburn Matthew Larson (253)931-3000 $ 1,583,397.89 17-014 2017 Cloquallum Road MP 5.85 to 6.60 Mason County Sarah Grice (360)427-9670 $ 2,123,123.00 17-015 2018 Bridge#28183-A Replacement 8th Ave E North Fork Muck Creek Pierce County Henry Gertje (253)798-7250- $ 1,418,750.00 17-016 2018 Rich Road SE Phase 2 Thurston County Matt Unzelman (360)867-2300 $ 1,848,848.00 17-019 2019 Tremont Street Widening City of Port Orchard, Mike Pleasants (360)876-4407 $ 12,779,179.00 17-024 2018 Boulevard Road and Morse-Merryman Roundabout City of Olympia Rolland Ireland (360)753-8721 $ 3,336,041.00 17-025 2018 Orville Road Engineered Log Jam Setback Revetment Phase 2 Pierce County Al Zehni (253)798-2725 $ 1,251,545.00 17-028 2018 70th Avenue Sewer and Water Extension City of Tumwater John Norman (360)754-5855 $ 986,791.00 17-032 2018 66th Avenue Improvements City of Fife Ken Gill (253)922-9315 $ 3,040,502.00 18-002 2018 8th Street E&54th Ave E Culvert City of Fife Ken Gill (253)922-9315 $ 1,161,982.83 18.004 2018 East 25th Street Improvements City of Tacoma Diane Sheesley $ 662,000.00 18-006 2018 Lower Coal Creek Flood Hazard Reduction City of Bellevue Debbie Harris (425)452-4367 $ 2,528,000.00 18-009 2019 22nd Avenue and 152nd Street Intersection Pierce County Greg Hess (253)798-4233 $ 2,340,000.00 18-010 2018 Ball Creek Flood Plain Revetment Pierce County Al Zehni (253)798-2725 $ 576,000.00 Active Construction,Inc.Confidential Updated:4/12/2021 Page 2 of 4 ACTIVE CONSTRUCTION,INC. BIDDER QUALIFICATIONS-COMPLETED AND IN PROGRESS PUBLIC WORKS PROJECTS Job# Completion Job Description Owner Owner Rep Phone Contract Value Date 18-011 2019 EVOC Skid Pan Repair-WA State Patrol Training Course Dept f Enterprise Services Doug McCudden (360)407-9302 $ 1,250,000.00 18-014 2018 Clarks Creek Channel Stabilization City of Puyallup Paul Marrinan (253)841-5498 $ 2,925,542.81 18-017 2018 Desoto Street Stabilization and Rehabilitation City of Tumwater John Norman (360)754-5855 $ 1,560,560.00 18-018 2019 Capitol Blvd Israel Rd to 73rd Ave City of Tumwater John Norman (360)754-5855 $ 2,213,213.00 18-020 2018 Reservation Road Sidewalk SkokomishTribe Dave Nichols (360)426-4232 $ 336,336.00 18-023 2019 Military Road S&S 298th St.Compact Roundabout City of Federal Way Christine Mullen (253)835-2723 $ 742,742.00 18-026 2019 Capitol Campus Utility Renewal Dept of Enterprise Services Flamed Khalili (360)407-7979 $ 810,000.00 E&A18-033 2019 SR510 Meridian Rd SE Roundabout and Paving WSDOT Brian Whitehouse (360)570-6786 $ 2,484,484.00 19-001 2020 62nd Avenue NW&144th St NW Intersection Pierce County Greg Hess (253)798-7250 $ 2,376,376.00 19-003 2019 McKnight Middle School Field Improvements Renton School Dist Stewart Shusterman (425)204-4403 $ 1,793,793.00 19-005 2019 Lebanon Street Extension City of Lacey Aubrey Collier (360)438-2639 $ 613,613.00 19-007 2019 Steilacoom Blvd SW Improvements Town of Steilacoom Mark Burlingame (253)581-1912 $ 2,942,942.00 19-008 2019 55th Ave Sat Bingamon Creek Culvert Replacement King County Mark Hoge (206)263-9325 $ 1,309,309.00 19-010 2020 College Street and 22nd Ave Roundabout City of Lacey Aubrey Collier (360)438-2639 $ 5,920,920.00 19-011 2019 Lower Coal Creek Flood Hazard Reduction-Group 3 City of Bellevue Jim Stockwell (425)452-4868 $ 2,920,820.00 19-014 2019 SR520 80th Ave to 108th WSDOT Evelyn Pao (425)495-1577 $ 1,177,177.00 19-015 2019 150th Newport Way Roadway Improvements City of Bellevue Jun Suk An (425)452-4230 $ 2,709,933.00 19-016 2019 SWM Drainage&Traffic Safety Improvements City of Tacoma Lisa Oestreich (253)594-7871 $ 1,476,476.00 19-017 2020 College Street and Yelm Super T Pavement Rehabilitation City of Lacey Aubrey Collier (360)438-2639 $ 4,142,142.00 19-019 2019 Westside Highway SW Roadway Repair King County Mark Hoge (206)263-9325 $ 414,414.00 19-020 2020 Park Street Roundabout City of North Bend Tom Mohr (425)888-7653 $ 2,154,154.00 19-021 2019 Highway Safety Improvement Program Phase 2 Lewis County Malcolm Bowie (360)740-1175 $ 893,893.00 19-022 2019 Orville Rd ELJ Setback Revertment Ph 2B Pierce County Surface Water David Davis (253)798-6157 $ 1,063,550.50 19-023 2019 Lakemont Blvd SE Repairs&164th Ave SE and SE City of Bellevue Dale Lydin (425)452-4170 $ 1,532,532.00 19-027 2019 SE Kent-Kangley Road/242nd Avenue SE Intersection Improvements City of Maple Valley Terry Wright (425)413-8800 $ 766,766.00 19-028 2019 Hosmer Holding Basin Maintenance City of Tacoma Steve Hoffman (253)502-2225 $ 1,148,153.36 19-029 2020 Sanderson Field Runway Pavement Overlay Construction Port of Shelton Wendy Smith (360)426-1151 $ 2,838,783.00 19-035 2020 Log Yard Rd And SR 3 Roundabout Construction Mason Transit Authority Danette Brannin (360)432-5750 $ 2,422,172.00 19-037 IN PROGRESS Mullen Road-Lacey City Limits to Carpenter Road Thurston County Matt Unzelman (360)867-2300 $ 9,467,467.00 19-041 2020 100th Ave NE and NE 10th St Roundabout City of Bellevue Jun Suk An (425)452-4230 $ 1,245,245.00 19-042 2020 SE Newport Way Somerset Blvd to 150th Ave SE City of Bellevue Paul Krawczyk (425)452-7905 $ 6,529,529.00 19-045 2020 South Dash Point Road Improvements City of Federal Way Christine Mullen (253)835-2723 $ 1,159,159.00 20-002 2020 Orting-Kapowsin E-Orville Rd E to 264th St E Pierce County Arnie Shepard (253)798-7250 $ 1,305,305.00 20-009 2020 Onyx Drive Roadway Improvements City of Lakewood Eric Swanstrom (253)983-7795 $ 3,955,955.00 20-010 2020 South Prairie Floodplain and Off-Channel Restoration Project SPSSEG Kristin Williamson (360)561-1715 $ 2,244,696.26 20-011 2020 Big Rock State Park Site B Ph.1 'mprov. City of Sammamish Monica Thompson (425)295-0500 $ 2,566,334.88 20-014 IN PROGRESS Willis Street and 4th Avenue S Roundabout City of Kent Tim Laporte (253)856-5508 $ 4,759,759.00 Active Construction,Inc.Confidential Updated:4/12/2021 Page 3 of 4 ACTIVE CONSTRUCTION,INC. BIDDER QUALIFICATIONS-COMPLETED AND IN PROGRESS PUBLIC WORKS PROJECTS Job# Completion Job Description Owner Owner Rep Phone Contract Value Date 20-016 IN PROGRESS Cirque Drive West Phase 3 Roadway Improvements City of University Place Jack Ecklund (253)460-5411 $ 2,058,058.00 20-019 IN PROGRESS Kitsap Lake Elementary Safe Routes to School City of Bremerton Andrea Archer-Parsons (360)473-5323 $ 2,281,183.00 20-021 IN PROGRESS Citywide NHS Resurfacing City of Tumwater Brandon Hicks (360)754-4140 $ 3,894,894.00 20-024 IN PROGRESS Johnson Parkway&SR 305 Roundabout,Noll Corridor-South Segment City of Poulsbo Josh Ranes (360)394-9882 $ 15,323,323.00 20-026 IN PROGRESS Orville Road Engineered Log Jam Setback Revetment Phase 2C Pierce County Surface Water David Davis (253)798-6157 $ 1,259,259.00 20-028 IN PROGRESS Edgewood Community Park City of Edgewood Jeremy Metzler (253)952-3299 $ 3,295,425.00 20-031 IN PROGRESS Mountains to Sound Greenway Trail Phase 2 City of Bellevue Dale Lydin (425)452-4170 ' $ 7,570,570.00 20-032 IN PROGRESS US 101,Morse Creek Vicinity Safety Improvements WSDOT Dan McKernan (360)565-0620 $ 2,069,069.00 21-001 IN PROGRESS Huge Creek Culvert Replacement Pierce County Surface Water Al Zehni (253)798-4228 $ 945,377.00 21-002 IN PROGRESS Kitsap Way Culvert Replacement City of Bremerton Gunnar Fridriksson (360)473-5758 $ 1,725,725.00 21-003 IN PROGRESS Maury Island Open Space Remediation King County Mark Hoge (206)263-9325 $ 1,250,145.00 21-004 IN PROGRESS Lake Washington Loop Trail City of Renton Hebe Bernardo (425)430-7200 $ 1,709,709.00 21-005 IN PROGRESS Stowell Road.MP 0.57 Bridge Scour Repair Lewis County (360)740-2671 $ 320,320.00 21-007 IN PROGRESS Capitol City Golf Course WWW Improvements City of Lacey Aubrey Collier (360)438-2639 $ 7,724,291.00 Active Construction,Inc.Confidential Updated:4/12/2021 Page 4 of 4 Revised 3/1/2021 ACTIVE CONSTRUCTION,INC. CURRENT EQUIPMENT LIST(try Categories) # YEAR MODEL EQUIPMENT DESCRIPTION # YEAR MODEL EQUIPMENT DESCRIPTION 141 1992 KW/T800 KENWORTH Dump Truck S576882 13 1992 Towma EQUIP Trailer—1P9DT6T29NG162139 I 178 1999 F450 FORD Flatbed Truck Shop 150 1988 ATCO 10'x 40'Mob.Off.—GR3268588 `• 241 2004 Silverado 1500 CHEVROLET Pickup- Fagger 152 1996 TrailKing TK50 Trailer—1TKCO2633TM055834 254 2005 Silverado 2500 CHEVROLET 4X4 Pickup Nick 181 1997 NWBS 10'x 42'Mob,Off.—97648 261 2000 IH 4700 Dump IH 6 YARD DUMP 1HTSCABP8YH240445 188 1985 NWBS 12'x 50'Mob.Off.—85243 262 2000 IH 4700 Dump IH 6 YARD DUMP 1HTSCABP3YH240434 207 2000 EAGLE Trailer-1C9BE2318YP694654 263 2000 IH 4700 Dump IH 6 YARD DUMP 1HTSCABP5YH240452 265 2003 TK18 Eq.Trailer 1TKCO24213M112400 Pen Light 264 2000 IH 4700 Dump IH 6 YARD DUMP 1HTSCABP4YH240457 266 2004 TK18 Eq.Trailer 1TKCO24225B078143 Pen Light • 268 2005 3500 CHEVROLET Flatbed Pete 267 2004 TK18 Eq.Trailer 1TKCO24205B078142 Pen Light 269 2005 3500 CHEVROLET Flatbed NIKO P 278 2004 TK18 Eq.Trailer 1TKCO24265B078145 Pen Light • 270 2005 3500 CHEVROLET Flatbed Brian J 284 2005 TD14 Eq.Trailer 4ZETD202251007074(Mini Ex) 271 2005 3500 CHEVROLET Flatbed MATT H 297 1977 Dorsey 28'Van Trailer 127782 273 2005 Silverado 1500 CHEVROLET Pickup Spare 299 1977 Thuer 28'Van Trailer N36809 274 2005 COLORARO CHEVROLET Pickup Flagger 300 1977 Dorsey 28'Van Trailer 127736 282 2005 3500 CHEVROLET Flatbed Eric K 301 1977 Dorsey 28'Van Trailer 127733 318 2001 IH 2674 DUMP IN 12 YD DUMP 1 HTGLATT91 H348046 302 1977 Dorsey 28'Van Trailer 127756 322 2006 3500 CHEVROLET Flatbed Chris N 303 1977 Dorsey 28'Van Trailer 127743 328 2006 T300 KW SERVICE/CRANE CORY 304 1980 Trlmo 28'Van Trailer V9006618 338 2007 3500 CHEVROLET Flatbed FLAGGER 305 1991 Trlmo 28'Van Trailer DAE2M9005954 331 2000 IH 4700 Dump INS YARD DUMP 1 HTSCABP9YH240454 306 1991 Trlmo 28'Van Trailer 1H4V02813LJ006936 340 2001 IH 4700 Dump IH 6 YARD DUMP 1HTSCABP51H366140 307 1991 Trlmo 28'Van Trailer 1H4V02818LJ006950 Eugene 341 2001 IH 4700 Dump IH 6 YARD DUMP 1HTSCABP11H366152 308 1991 Trlmo 28'Van Trailer DAE1M9005895 Tom D 342 2007 3500 CHEVROLET Flatbed David H 309 1991 Trlmo 28'Van Trailer DAE9M9006003 349 2007 Silverado 2500 CHEVROLET 4X4 Pickup James N 310 1991,GE 12x56 Office Trailer 033489 350 2007 Silverado 2500 CHEVROLET 4X4 Pickup LINDA H FLAGGER 311 1991 GE 12x56 Office Trailer 084236 380 1996 KW T800 KENWORTH Dump Truck J673443 321 1999 TK18 Eq.Trailer 1TKCO2421XM116811 Pen Light 386 2005 KW T800 KENWORTH Tractor SD R096702 362 2003 Sidedump Sidedumper Trailer 1YPFS42353P001189 394 2011 Silverado 1500 CHEVROLET 4X4 Pickup spare 418 2012,CARGO 6X12 BOX TRAILER 5NHUCH21XDT437924 398 2006 F150 4X4 FORD Pickup 4X4 Matt pennlight 448 2014 TrailKing TK11OHDG LOWBOY Trailer—54885 400 1993 F150 FORD Pickup Jared D 469 2014 500 MQ 500 Gallon Water Trailer 406 2003 F150 FORD Pickup Flagger 472 2011 TrailKing TK12 MINI Trailer—72530 412 2004 F250 4X4 FORD F250 Pickup ED SERBECK 491 2016 CARGOMATE PIPE TRAILER-BL714TA2 416 2001 Tahoe Chevy Tahoe GPS BRETT S 499 1998 STUROWJELD PUP TRAILER-1S9CA544XWL189980 427 2007 IH 4200 IH 4200 SERVICE TRK Jacob 7H544579 532 2005 Olympic 30Tdt-3 1CPTF36395T997398 429 1993 L9000 FORD FORD Dump Trk 1FDZU9OXOPVA39192 537 2019 Trailking axle TKFA1-1TKR00513LM013677 432 2004 SD550 FORD SD550 Flatbed spare 35 441 2013 3500 CHEVROLET Flatbed Tony E 53 1990 185DPQ SULLAIR Air Compr.—4101220 442 2013 3500 CHEVROLET Flatbed Eugene 134 1994 XAS-90DD ATLAS COPCO Air Compr.-603-087 445 2008 Silverado 1500 CHEVROLET Pickup BILL W 208 1998 185 IR Air Compr.-291031 UFI221 • 449 2014 Silverado 1500 CHEVROLET 4X4 Pickup Frank 256 2000 185 IR Air Compr.-309190UBK221 451 2014 Silverado 1500 CHEVROLET 4X4 Pickup Shaun W 272 2000 185 IR Air Compr.-309191 UBK221 471 2015 3500 CHEVROLET Flatbed Matt N 316 2000 185 IR Air Compr.-312742UBK221 474 2011 Silverado 1500 CHEVROLET 4X4 Pickup Eric J 317 2000 185 IR Air Compr.-309192UBK221 • 476 2016 3500 CHEVROLET Flatbed DUANE C 389 2004 185 IR Air Compr.-347487UG0820 477 2016 3500 CHEVROLET Flatbed Jacob B 8 478 2016 3500 CHEVROLET Flatbed Darrin M 480 2017 PB 337 LUBE TRUCK 2NP2HJ7X4HM393017 399 2008 PWRSCRN WAR-1800-P1D00123C86D05172 481 2017 F150 FORD JAMIE I 405 2007 SOAKER ASCPWW-24 Wheel Wash 1Z9WWW163312 482 2016 1500 chevrolet 1500 Mike Tennet 473 2011 MSE 10000 GAL WATER TOWER 200701 489 2017 1500 chevrolet 1500 chris roberts 3 492 2003 T800b Kenworth RUSS 389543 186 1998 MultiQuip 25 KW Generator-7100059 495 2017 F250 4X4 Ford F250 Tom Detray 206 1999 MultiQuip 25-29 KW/DSL Generator-7101849 500 2018 T880 KENWORTH 1XKZP4TX0JJ211847 214 1998 MultiQuip 150 KW Generator-3678574 502 2017 RAM 1500 DODGE RAM Gregg G 216 1999 MultiQuip 25 KW Generator-7101822 503 2018 337 PETERBILT lube trk 2NP2HJ7X9JM497315 235 1999 MultiQuip 45 KVA Generator-000359 504 2018 1500 SILVERADO 1500-BACH 366 2004 MultiQuip 25 KW Generator-8100786 • 505 2017 2500 SILVERADO UTILITY TRUCK DARRIN G 6 508 2017 F450 FORD FORMENS TRUCK John N 509 2017 F450 FORD FORMENS TRUCK Joey R 335 2005 AMIDA AL4000 Light Tower EYF05024 • 510 2016 1500 SILVERADO-Marina 347 2005 AMIDA AL4000 Light Tower DVF03031 511 2017 F450 FORD FORMENS TRUCK Jesse 462 2004 AMIDA AL4000 Light Tower ETF08054 515 2018 1500 silverado-rick Johnson 463 2004 AMIDA AL4000 Light Tower ETF20826 518 2013 F750 FORD MECH TRUCK ANDERSON 464 2004 AMIDA AL4000 Light Tower ETF20752 519 2015 1500 silverado-TOMMY PELTON 5 521 2018 1500 silverado-Greg Mundell 522 2019 4500 C4500-Greg Blocker 245 2004 HIPER LITE GPS Rover/Base Sys 295-0204,0276-Z51324 523 2019 4500 C4500-Randy Ausbun 373 2008 TOP CON GPS Rover/Base Sys 388-1140,388-1154 530 2019 4500 C4500-Kevin Aalmo 381 2005 HIPER LITE GPS Rover/Base Sys 295-1057,295-1064 533 2018 1500 Chevrolet 1500-Eddie P 401 2012 TOP CON 14G Grader 3DMC-SQ 757-12629,422-7521 538 2008 F750 Ford F750 Flatbed I 402 2012 TOP CON 850J Dozer 3DMC-SQ 757-12676,422-7368 70 403 2012 TOP CON GPS Rover/Base Sys800-10123,10048-Z51308 438 2012 TOP CON GPS Rover/Base Sys 391-0710,391-0615 439 2012 TOP CON GPS Rover/Base Sys 800-10155,8 0 0-1 01 54 455 2014 TOP CON 650J Dozer 3DMC-SQ 1077-11505,534-1247 475 2016 TOPCON GPS Rover/Base Sys 800-21064 01090901 10 Revised 3/1/2021 ACTIVE CONSTRUCTION, INC. CURRENT EQUIPMENT LIST(by Categories) # YEAR MODEL EQUIPMENT DESCRIPTION # YEAR MODEL EQUIPMENT DESCRIPTION 159 1997 416C CAT Backhoe&Comp.—5YN0857 51 1989 WA450 KOMATSU Wheel Loader—20186 160 1997 416C CAT Backhoe&Comp.—5YN01309 203 1980 530-80 CHAMP 8,000 lb Fork Lift-880337 161 1997 416C CAT Backhoe&Comp.—5YN01304 275 2000 763 BOBCAT Loader/Sweeper 512253989 162 1997 416C CAT Backhoe&Comp.—5YN01789 289 2005 WA480-5 KOMATSU Wheel Loader—A37119 169 1998 416C CAT Backhoe&Comp.—5YN04932 352 2007 644J JD Wheel Loader-610911 170 1998 416C CAT Backhoe&Comp.—5YN04933 360 2007 WA380-6 KOMATSU Wheel Loader—53350 171 1998 416C CAT Backhoe&Comp.—5YN04934 410 2011 644K JD Wheel Loader-634890 237 1999 416C CAT Backhoe&Comp.—4ZN16759 424 2011 644K JD Wheel Loader-633731 257 2005 420D CAT Ext.Backhoe OFDP20782 Pen Light 435 2012 644K JD Wheel Loader-648774 258 2005 420D CAT Ext.Backhoe OFDP20704 Pen Light 440 2012 644K JD Wheel Loader-638676 259 2005 420D CAT Ext.Backhoe-OFDP21455 470 2012 724K JD Wheel Loader-649056 260 2005 420D CAT Ext.Backhoe OFDP21495 Pen Light 488 2014 644K JD Wheel Loader-661680 279 2005 420D CAT Backhoe 4in1Bkt-OFDP22993 501 2017 644K JD Wheel Loader-ATHE682344 280 2005 420D CAT Backhoe-OFDP23007 512 2017 L110H Volvo wheel loader-631328 294 2005 420D CAT Backhoe-OFDP25283 513 2017 644K JD Wheel Loader-1dw644kzpHF681762 320 2006 420E CAT Backhoe&Comp HLS00762 535 2019 644K JD Wheel Loader-10W644KZPKF696544 332 2006 420E CAT Ext.Backhoe&Comp OHLS00885 16 415 2008 420E CAT Ext.Backhoe&Comp OHLS07280 425 2008 420E CAT Ext.Backhoe&Comp OHLS07326 73 1989 SV91 D SAKAI Roller/Comp.—30312 456 2008 420E CAT Ext.Backhoe&Comp OHLS07701 90 1989 RD880V WACKER Roller/Comp.—0629601040 20 110 1990 SV91D SAKAI Roller/Comp.—30332 232 2001 DBR RIP CAT Dozer-07XM04969 145 1990 SV91TF SAKAI Roller/Comp.—30679 243 2004 650H LGP DEERE Dozer-T0650HX927178 244 2000 SV200D SAKAI Roller-20130 288 2005 850J WLT DEERE DOZER-X112088 283 2004 SV510D SAKAI Roller-1630156 314 2006 650J LGP DEERE DOZER-TO650JX122939 292 2004 SV510D SAKAI Roller-1630154 359 2006 650J XLT DEERE DOZER-121024 319 2004 SV510D SAKAI Roller-1631076 370 2007 650J LGP RIP DEERE DOZER-143146 374 2004 SV510D SAKAI Roller-1630274 384 2006 650J LGP RIP DEERE DOZER-133089 RAKE EARS GPS 437 1999 BW 135AD BOMAG Roller 101650121220 385 2002 650H LT DEERE DOZER-902006 490 2016 CA3500 DYNAPAC-10000168CHA018959 390 2005 650J LGP DEERE DOZER-112295 5172014 SD115 VOLVO-S115C000S235090 391 2006 650J LGP RIP DEERE DOZER-117775 RAKE EARS 12 434 2013 850K WLT DEERE DOZER-238380 246 2002 550LC JOHN DEERE Excavator—FF0550X950071 436 2006 450J LT DEERE DOZER-128097 286 2005 ZX330 HITACHI Excavator—FF01HHQ034868 452 2006 650J LGP DEERE DOZER-111590 313 2006 ZX135 HITACHI Excavator/Thumb—FF01 SCQ068429 494 2017 550K LGP DEERE DOZER-313841 323 2006 ZX120 HITACHI Excavator/Thumb—FFO1S1Q070054 14 324 2006 ZX160 HITACHI Excavator—FF01F1Q006488 124 1980 Frght FREIGHTLINER Water TruckCB413HP19286 346 2007 ZX160 HITACHI Excavator—FF01F1O006637 226 1990 KW T800 KW Water Tank Truck On Road J530098 351 2007 ZX160 HITACHI Excavator—FF01F1Q006712 229 1988 KW T800 KW Water Tank Truck On Road S519113 353 2007 ZX200-3 HITACHI Excavator—FFOOAST320015 367 1996 L9000 FORD FORD Water Truck 1FTYS95WOTVA29164 354 2007 ZX350-3 HITACHI Excavator—FFOOASP920124 376 1993 KW T800 KW Water Tank Truck On Road J597051 355 2007 ZX350-3 HITACHI Excavator—FF01V7Q051683 453 1984 VOLVO 4000 GAL WATER TRUCK 379 2005 ZX200 HITACHI Excavator/Thumb—FFOOARH310654 454 1995 KW T800 4000 GAL WATER TRUCK 392 2006 225C LC DEERE Excavator/Thumb—FF225CX500240 514 2000 international 4000 gallon water truck 395 2006 ZX450 HITACHI Excavator-FF016JQ011406 8 397 2008 ZX240-3 HITACHI Excavator/Thumb—FFOOASU420022 459 2006 A30D VOLVO Off Road Truck 74180 413 2005 200C JOHN DEERE Exc.-FF200CX504690 460 2006 A30D VOLVO Off Road Truck 74465 417 2011 ZX200-3 HITACHI Excavator/Thumb—320793 461 2008 A30E VOLVO Off Road Truck 72045 420 2013 ZX50-3 HITACHI Mini Ex-277280 465 2008 A30E VOLVO Off Road Truck 72046 421 2013 ZX50-3 HITACHI Mini Ex-277282 468 2008 A30F VOLVO Off Road Truck 82044 422 2013 ZX50-3 HITACHI Mini Ex-277753 5 430 2013 ZX50-3 HITACHI Mini Ex-277089 220 1987 623E CAT Scraper-6C800553 431 2013 50D JOHN DEERE Mini Ex-277857 375 1992 615C Series!' CAT Scraper-9XO00359 433 2013 ZX350-5 HITACHI Excavator—930411 383 1990 623E CAT Scraper-6YF0147 443 2007 TB145 TAKEUCHI Mini Ex 14517640 396 1996 623F CAT Scraper-6BK00277 444 2014 135D JOHN DEERE Exc.-303077 4 450 2014 ZX50-3 HITACHI Mini Ex-277823 466 2014 ZX210-5 HITACHI Excavator/Thumb-330411 47 1989 8B LAYMORE Sweeper-2209881386 467 2006 ZX200 HITACHI Excavator—FF01G6Q312087 131 1993 RB38 ROSCOE Sweeper-32729 483 2016 EC160EL VOLVO EXCAVATOR/THUMB-310068 167 1993 RB38 ROSCOE Portable Broom—32976 485 2016 50G DEERE MINI-284496 330 2005 8B LAYMORE Sweeper-29470 486 2016 50G DEERE MINI-284713 371 1999 RB48 ROSCOE Sweeper—35939 487 2016 ECR145EL VOLVO EXCAVATOR/THUMB-310316 372 2001 8HC LAYMORE Sweeper-28482005 493 2016 ECR58D VOLVO EXCAVATOR/THUMB-210273 377 2007 8HC LAYMORE Sweeper-9862-007 496 2017 zx245-6 HITACHI EXCAVATOR700056 7 497 2017 50G DEERE MINI 1FF050GXCGH285646 107 1982 14G CAT Grader—96U6076 506 2018 85G DEERE 85G 1FF085GXPHJ019478 479 2013 770GP DEERE 1DW770GPVCE649863 507 2017 305C Volvo 305C 110737 484 2011 160M2 CAT 0R9L00109 I 516 2017 305C Volvo 305C 110708 WITH BLADE 3 520 2019 470G DEERE 470G 236074 534 2019 85G DEERE 85G 1FF085G VKJ020949 531 2012 RH3075 road grinder 1208002 520 2019 308 Cat 308 0GG800153 40 424 thru 429 wanco message board 6 A C I ACTIVE CONSTRUCTION � INCC ��C(�_ P.O.BOX 430�PUVAL[UP'PlA 48:5�1 l.��pR �:�[zQ_ SEALED BID—DO NOT OPEN ��.FopI ( U�+c ?O OYSTER BAY BEACH SEWER UPGRADES / PROJECT#5827 •�, ., BID DATE:APRIL 14,2021 @ 11:00AM CITY OF BREMERTON 345 SIXTH STREET BREMERTON,WA 98337 AC-TI-VC-I-164JL I. A AC I CONSTRUCTION INC. Delivered Via Email William.Davis(aci.bremerton.wa.us Noreen.bolo@ci.bremerton.wa.us April 14,2021 CITY OF BREMERTON ATTN: Bill Davis, P.E. 345 6th Street Bremerton,WA 98337 RE: LIST OF FIRMS PROVIDING BID/QUOTE PROJECT: Oyster Bay Beach Sewer Upgrades Contract: City Project No. 5827/WQC-2018-BremPW-00017 Attached to this letter is a list of bidders that submitted a bid or quote in an attempt to participate on this contract whether they were successful or not. This information is required to be submitted to the contracting agency per Bidders Checklist, Item O.Also attached is ACI's DBE Subcontractor Performance Form 6100-3. Please contact me if you have any questions or require any additional information. Sincerely, Active Construction,Inc. Melissa Looker Project Engineer 253-248-1410 mel i ssal @acti veconstruction.com Enclosure(s): 1. List of Bidders 2. DBE Subcontractor Performance Form 6100-3 PO BOX 430 PUYALLUP,WA 98371 PHONE(253)248-1091 FAX(253)248-1092 www.activeconstruction.com 1(a i+an -Aqua'Erttpinyntent Ow);firmly I:viover„ Subcontractor Point of Contact Address Telephone Number E-mail Address Scope of Work Quote Date DBE Status 4-M Hydroseeding&Erosion Control Chris Moore 143-23 Snow Peak Lane Chehalis,WA 98532 360-880-3358 chris@4mhydroseeding.com Hydro seeding 4/13/2021 Advanced Government Services Joshua Pine 8644 Pacific Avenue,Tacoma,WA 98444 253-531-9782 estimating@advancedgovernementservices.com Traffic Control 4/9/2021 DBE American Surveying and Environmental Brett Garr 1495 NW Gilman Blvd,Ste.14,Issaquah,WA 98027 425-881-7430 bearr@asesurvev.com Survey 4/12/2021 Apply-A-Line Mike Susner 175 Roy RD SW Bldg C,Pacific,WA98047 253-299-1200 mad@apelvaline.com Pavement Markings 4/14/2021 Bainbridge Island Electric Ron Lubovich PO Box 10066,Bainbridge Isalnd,WA 98110 206-842-4200 sue@bainbridgeelectric.com Electrical 4/14/2021 Ball&Son Excavation Dontel Ball PO Box 44258,Tacoma,WA 98448 253-405-1650 office@ballandsonexcavation corn Trucking 4/13/2021 DBE Briar Group Carol Davis P.O.Box 1475.Milton,WA 98354 253-925-2140 carol@rapidgro.com Hydro seeding 4/14/2021 DBE George's Electric Seth Kiele 9590 SW Heartwood Ln.,Port Orchard,WA 98367 360-895-9482 georgeselectricpo@gmail.com Electrical 4/14/2021 DBE Lakeridge Paving Blake Lucky 19606 SE 252nd St,Covington,WA 98042 206-396-0816 blakel@lakepay.com 11MA Paving 4/14/2021 Lakeside Industries Phil Lyonais PO Box 728,Port Angeles,WA 98362 360-452-7803 phi.lvonais@lakesideindustries.com HMA Paving 4/14/2021 Master Bore Omar Lara 11831 SE 32nd St,Bellevue,WA 98005 206-578-7982 omar@masterbore.com Directional Drilling 4/14/2021 Miles Resources Pat McBride 400 Valley Ave NE,Puyallup,WA 98372 253-383-3585 pat mcbride@milesresources.com HMA Paving 4/14/2021 0-CO Concrete Paul Orris 4908 112th St E#5112,Tacoma,WA 98446 253-954-2670 paul@ococoncrete.com Concrete Flatwork 4/14/2021 PR Systems John Galloway 8351 30th Ave NE,Lacey,WA 98516 360-459-1613 john@prsystemsinc.com Planing Pavement 4/13/2021 Puget Paving Stefan Gehring 10910 26th Ave S.,Lakewood,WA 98499 253-606-5176 stefan@pueetoaving.com HMA Paving 4/13/2021 SKI Electric Co. Stephen Bowser 18920 13th Place South,Seatac,WA 98148 206-789-0580 stephen.b@shielectric.com Electrical 4/14/2021 Specialized Pavement Marking Larry Burgua 3102 B ST NW,Auburn,WA 98001 253-321-3257 larryburgua@spmnw.com Pavement Markings 4/14/2021 Stripe Rite Jared Long 8320 SW Barney White Rd.,Bremerton,WA 98312 360-674-2872 jared@striperite.com Pavement Markings 4/13/2021 Taurus Industries Talon Towhey PO Box 15088,Tumwater,WA 98511 360-754-8491 ttowhev@taurusindustiresinc.com Electrical 4/14/2021 Tony Lind Paving Kevin Christopherson 23048 172nd Ave SE.Kent,WA 98042 253-630-7612 tlp@tonvlindpavine.com HMA Paving 4/14/2021 Wilson Concrete Construction Jeremy Wilson PO Box 275,Enumclaw,WA 98022 253-863-8888 leremv@wcciconcrete.com Concrete Flatwork 4/14/2021 01:`l DEPARTMENT OF ECOLOGY State of Washington Disadvantaged Business Enterprise(DBE)Program DBE Subcontractor Performance Form This form is intended to capture the DBE'subcontractor's2 description of work to be performed and the price of the work submitted to the prime contractor. An EPA Financial Assistance Agreement Recipient must require its prime contractor to have its DBE subcontractors complete this form and include all completed forms in the prime contractors bid or proposal package, Subcontractor Name r Project Name , Oyster Bay Beach Sewer Upgrades Bid j Prop al No. Assistance Agreement ID No.(if known) Point of Contact Sth Address 9 59 He—VVIVO (_r 2� t,�� 3t�`�` Telephone No. 3c�0 Email Address e, eAex_Aric_po e. Prime Contractor Name _ 1§sluing/kinding Entity Depahtnent of Ecology Cr/v G CG.NS r 4,e r"tic- Contract Item Description of Work Submitted to the Prime Contractor Price of Work Number Involving Construction, Services,Equipment,or Submitted to the Supplies Prime Contractor G20 — LZ la, \N,ft, 5,mv'e G.A6 dw 7 €- 5c: o41,dQ- OJ' i 1'5 (d 0 aertiere X 5, :. 3\D \\ CE Al C ri M9xC1CLQ 5ei C . DBE Certified By:ODOT 0 SBA Meets/exceeds EPA certification standards? CO45ther: v(V\vl e 6 0 YES IDNO Ii ds t3nknown 1 A DBE is a Disadvantaged,Minority,or Woman Business Enterprise that has been certified by an entity from which EPA accepts certifications as described in 40 CFR 33.204-33.205 or certified by EPA.EPA accepts certifications from entities that meet or exceed EPA certification standards as described in 40 CFR 33.202, 2 Subcontractor is defined as a company,firm,joint venture,or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance. FORM 6100-3(DBE Subcontractor Performance Form) DEPARTMENT OF . ECOLOGY . State of Washington Disadvantaged Business Enterprise(DBE)Program DBE Subcontractor Performance Form I certify under penalty of perjury that the forgoing statements are true and correct. Signing this form does not signify a commitment to utilize the subcontractors above.I am aware of that in the event of a replacement of a subcontractor,I will adhere to the replacement requirements set forth in 40 CPR Part 33 Section 33.302(c). Prime Contractor Signature Print Name 1 g �5 Title Date Click here to enter text. Click here to enter ext. Subco tractor Signature Print Name 4 # $ PRA 3 P \ PCC-5ida.n i— ✓ Title Date r ere tg, nter text. Click here'o enter text. lr�sid�.r�t- ( zozI FORM 6100-3(DBE Subcontractor Performance Form)