25-057-BID_FORMS-EMW-FINAL.pdf

Funded by: FHWA Preservation Grant and local funds

Bids Open: November 18, 2026

CITY OF SEATTLE

Improvement of

East Marginal Way S Preservation

NHPP-1391(005)

FEDERALLY FUNDED PROJECTS: This project is federally funded; therefore, the Contractor must comply with the Federal Regulations and complete all data required in the “Bidder’s Checklist”.

PW#: 2025-057

BID FORMS

East Marginal Way S Preservation Page 6 Bid Form NHPP-1391(005)

Version: 1/01/26-FHWA

B. BID PROPOSAL FORMS

BID FORM

TO THE DIRECTOR OF FINANCE AND ADMINISTRATIVE SERVICES OF THE CITY OF SEATTLE:

A. The undersigned Bidder hereby certifies to have personally and carefully examined the Bid Documents issued for: East Marginal Way S Preservation , as authorized under Ordinance Number(s) 127156.

B. The Bidder has examined the Project Site where the Work is to be performed and the conditions affecting the Work;

C. Understanding that the quantities shown in the Bid are estimates only, being given for the purposes of comparing Bids, the Bidder hereby proposes to furnish all Material and labor and to perform all Work which may be required, and to complete the Work within the time fixed and upon the terms and conditions provided in the Bid Documents for the following prices:

D. The Bidder has attached a Bid Guaranty in the amount of five percent (5%) of the Total Bid including retail sales tax in the form of cashier’s check, certified check, or Bid bond;

(NOTE: The letters “SP” whenever appearing in the SP column of the Bid Form indicate that additions or revisions to the Standard Specifications applicable to that Bid item are included in the project manual.

The Contractor is advised to review those requirements regarding Bid items so designated.)

The number to the left of the Bid item description denotes the “Bid item code” for that particular Bid item.

If it is a six digit number, the first three digits indicate the associated Specification division and section number. If it is a seven digit number, the first digit denotes the schedule number and the next three digits indicate the associated Specification division and section number. The last three digits comprise the identification number for that item within the particular Section.

A separate schedule will be issued for those items in which the Owner will pay retail sales tax in accordance with the excise tax Rule 170 (refer to Section 1-07.2(2) of the Specifications). For all other Bid items, the Contractor shall include retail sales tax in accordance with the excise tax Rule 171 (refer to Section 1-07.2(1) of the Specifications)

NOTE TO BIDDERS:

Bidders submitting Bids electronically must enter bid item prices on OpenGov.

Bidders submitting a hard copy Bid via United States Postal Service (USPS) must complete the Bid Form.

E Marginal Way S Preservation Page 7-1

Bid Item

Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

1 104001 MINOR CHANGE 100,000 CALC $1.00 $100,000.00

SP 2 105005 CONSTRUCTION SURVEYING 1 LS ________________ __________________

SP 3 107s01 RAILROAD COORDINATION 1 LS ________________ __________________

SP 4 107s02 HIGH VISIBILITY FENCE 3,590 LF ________________ __________________

SP 5 107s03 SOIL OR GROUNDWATER TESTING PRIOR TO

DISPOSAL

10,000 FA $1.00 $10,000.00

SP 6 107s04 ARCHAEOLOGICAL OR HISTORICAL

SALVAGE

5,000 FA $1.00 $5,000.00

SP 7 108005 CRITICAL PATH SCHEDULE UPDATE, MIN. BID

= $2500 per EA

14 EA ________________ __________________

SP 8 109005 MOBILIZATION 1 LS ________________ __________________

SP 9 110020 TRAFFIC CONTROL PEACE OFFICERS 2,770 HR ________________ __________________

SP 10 110025 PORTABLE CHANGEABLE MESSAGE SIGN 18 WK ________________ __________________

SP 11 110030 TRAFFIC CONTROL SUPERVISOR 1 LS ________________ __________________

SP 12 110035 PEDESTRIAN TRAFFIC CONTROL 1 LS ________________ __________________

SP 13 110040 FLAGGERS 3,558 HR ________________ __________________

SP 14 110050 OTHER TEMPORARY TRAFFIC CONTROL

DEVICES

1 LS ________________ __________________

SP 15 110055 OTHER TRAFFIC CONTROL LABOR 1,588 HR ________________ __________________

SP 16 110065 WORK ZONE SAFETY CONTINGENCY 75,000 FA $1.00 $75,000.00

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

Item

SCHEDULE: Base Bid

E Marginal Way S Preservation Page 7-2

Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

SP 17 110s02 SEQUENTIAL ARROW SIGN 9 WK ________________ __________________

18 201010 CLEARING & GRUBBING 1 LS ________________ __________________

19 202025 REMOVE ASPHALT OVERLAY 54 SY ________________ __________________

20 202030 REMOVE ASPHALT PAVEMENT 700 SY ________________ __________________

21 202035 REMOVE CEM CONC SIDEWALK 2,171 SY ________________ __________________

22 202045 REMOVE PAVEMENT 6,175 SY ________________ __________________

SP 23 202060 REMOVE PAVEMENT ABOVE WATER MAIN 455 SY ________________ __________________

24 202062 REMOVE PAVEMENT, OVER 14" IN DEPTH,

INCLUDING RAILS & RAILROAD TIES

75 SY ________________ __________________

25 202145 REMOVE CURB 1,800 LF ________________ __________________

26 202200 REMOVE PLASTIC STRIPING 1,680 LF ________________ __________________

27 202270 REMOVE CATCH BASIN OR SAND BOX 1 EA ________________ __________________

28 202295 REMOVE FOUNDATION, PEDESTAL 12 EA ________________ __________________

29 202305 REMOVE FOUNDATION, METAL STRAIN POLE 1 EA ________________ __________________

30 202330 REMOVE HANDHOLE 13 EA ________________ __________________

31 202340 REMOVE INLET 7 EA ________________ __________________

32 202370 REMOVE PEDESTAL 12 EA ________________ __________________

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

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Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

33 202385 REMOVE POLE, METAL STRAIN 1 EA ________________ __________________

34 202395 REMOVE POLE, WOOD 1 EA ________________ __________________

35 202430 REMOVE SIGN 14 EA ________________ __________________

36 202445 REMOVE SIGN, OVERHEAD 8 EA ________________ __________________

37 202446 REMOVE ILLUMINATED SIGN, OVERHEAD 5 EA ________________ __________________

38 202455 REMOVE PLASTIC LEGEND/SYMBOL 10 EA ________________ __________________

39 202475 REMOVE TRAFFIC SIGNAL CONTROLLER

CABINET

1 EA ________________ __________________

40 202480 REMOVE TREE 2 EA ________________ __________________

41 202650 REMOVE VEHICLE SIGNAL HEAD 26 EA ________________ __________________

42 202655 REMOVE PEDESTRIAN SIGNAL HEAD 20 EA ________________ __________________

43 202660 REMOVE PEDESTRIAN PUSH BUTTON

ASSEMBLY

16 EA ________________ __________________

44 202664 REMOVE WIRELESS SENSOR ACCESS

POINT/REPEATER

7 EA ________________ __________________

SP 45 202750 SAWCUT ASPHALT CONCRETE, FULL DEPTH 1,575 LF ________________ __________________

SP 46 202767 SAWCUT CEMENT CONCRETE SIDEWALK,

FULL DEPTH

675 LF ________________ __________________

SP 47 202770 SAWCUT RIGID PAVEMENT, FULL DEPTH 9,039 LF ________________ __________________

48 202805 ABANDON CATCH BASIN 7 EA ________________ __________________

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

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Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

49 202850 ABANDON AND FILL PIPE 157 LF ________________ __________________

50 202s01 REMOVE POLE BUTT/STUMP 2 EA ________________ __________________

51 202s02 REMOVE POST, SIGN 13 EA ________________ __________________

52 202s03 REMOVE 1' CONC WALL/BARRIER 1 LS ________________ __________________

53 204005 COMMON EXCAVATION 740 CY ________________ __________________

SP 54 204301 UTILITY VERIFICATION EXCAVATION, FULL

DEPTH, (STRAIN POLE FOUNDATION)

2 EA ________________ __________________

55 204321 UTILITY VERIFICATION EXCAVATION, FULL

DEPTH, (WOOD POLE)

2 EA ________________ __________________

SP 56 204s01 HARDENED CDF REMOVAL 10,000 FA $1.00 $10,000.00

57 207010 SAFETY SYSTEMS IN TRENCH EXCAVATION,

MIN. BID =$0.80 per SF

535 SF ________________ __________________

SP 58 208s01 HAUL AND DISPOSE CONTAMINATED

GROUNDWATER

15,000 FA $1.00 $15,000.00

59 401001 MINERAL AGGREGATE, TYPE 1 66 TN ________________ __________________

60 401002 MINERAL AGGREGATE, TYPE 2 1,931 TN ________________ __________________

61 401017 MINERAL AGGREGATE, TYPE 17 2,143 TN ________________ __________________

62 504020 SURFACE PREP, PRELEVEL 300 TN ________________ __________________

63 504025 SURFACE PREP, PLANE BITUMINOUS

PAVEMENT

55,400 SY ________________ __________________

64 504055 PAVEMENT, HMA (CL 1 IN) 1,214 TN ________________ __________________

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

E Marginal Way S Preservation Page 7-5

Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

65 504145 PAVEMENT, WMA (CL 1/2 IN) 6,386 TN ________________ __________________

SP 66 504315 CRACK SEALING 72,000 FA $1.00 $72,000.00

SP 67 504s01 PAVEMENT PATCH, TEMPORARY 1 LS ________________ __________________

68 505136 ROADWAY CEM CONC, HES (24 HR), 12 IN 113 SY ________________ __________________

69 505289 ROADWAY CEM CONC BASE, HES (24 HR), 12

IN

975 SY ________________ __________________

70 505335 PATTERNED CEM CONC TREATMENT,

ROADWAY RUNNING BOND USED BRICK

45 SY ________________ __________________

71 705352 CATCH BASIN, TYPE 240A 2 EA ________________ __________________

72 705354 CATCH BASIN, TYPE 241 6 EA ________________ __________________

73 705355 CATCH BASIN, TYPE 242A 3 EA ________________ __________________

74 705357 CATCH BASIN, TYPE 240C 6 EA ________________ __________________

75 705450 INLET, TYPE 250A 4 EA ________________ __________________

76 705452 INLET, TYPE 252 1 EA ________________ __________________

77 705510 REBUILD CATCH BASIN 2 EA ________________ __________________

SP 78 708058 PIPE, CB CONN, D.I., CL 50, 8 IN 325 LF ________________ __________________

79 708258 PIPE, INLET CONN, D.I., CL 50, 8 IN 81 LF ________________ __________________

SP 80 713s01 SUPPORT FOR SPU CREW WORK 10,000 FA $1.00 $10,000.00

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

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Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

SP 81 714s01 HYDRANT SHEAR BLOCK 3 EA ________________ __________________

82 717008 BEDDING, CL B, 8 IN PIPE 406 LF ________________ __________________

83 717s90 TELEVISION INSPECTION 325 LF ________________ __________________

SP 84 720005 ADJUST EXISTING MH, CB, OR VC 22 EA ________________ __________________

85 720020 ADJUST EXISTING VALVE BOX 11 EA ________________ __________________

86 720045 ADJUST EXISTING HANDHOLE 7 EA ________________ __________________

87 720235 UTILITY CASTING, TYPE 230L 4 EA ________________ __________________

88 801001 CONSTRUCTION STORMWATER & EROSION

CONTROL PLAN (CSECP)

1 LS ________________ __________________

89 801002 TREE, VEGETATION & SOIL PROTECTION

PLAN (TVSPP)

1 LS ________________ __________________

SP 90 801003 SPILL PREVENTION, CONTROL &

COUNTERMEASURES PLAN (SPCCP)

1 LS ________________ __________________

91 802026 TREE, CONIFEROUS EVERGREEN, 5 FT TO 6

FT

2 EA ________________ __________________

92 802070 TREE, DECIDUOUS, 2 IN TO 2-1/2 IN CAL 14 EA ________________ __________________

93 802214 PLANTING SOIL 394 CY ________________ __________________

94 802235 MULCH, ARBORIST WOOD CHIP 5 CY ________________ __________________

SP 95 802360 TREE ROOT BARRIER 260 LF ________________ __________________

96 802610 SEEDED LAWN INSTALLATION 15,288 SF ________________ __________________

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

E Marginal Way S Preservation Page 7-7

Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

SP 97 802700 LANDSCAPE ESTABLISHMENT, MIN. BID =

$20,000

1 LS ________________ __________________

98 802710 LAWN ESTABLISHMENT, MIN. BID = $5,000 1 LS ________________ __________________

SP 99 802730 PRUNING 7,500 FA $1.00 $7,500.00

100 802s02 RELOCATE ECOLOGY BLOCK 1 EA ________________ __________________

101 804010 CURB, CEM CONC, MOUNTABLE 74 LF ________________ __________________

102 804025 CURB, CEM CONC W/ 25% POZZOLANS 3,166 LF ________________ __________________

103 804035 CURB AND GUTTER, CEM CONC W/ 25%

POZZOLANS

1,425 LF ________________ __________________

SP 104 804045 BUFFER CURB, 2' WIDE 150 LF ________________ __________________

105 806s01 EXTRUDED CURB, HMA CL 1/2 IN 25 LF ________________ __________________

106 807005 CURB, TRAFFIC, PRECAST 1,687 LF ________________ __________________

SP 107 807s01 TALL CURB 1,261 LF ________________ __________________

SP 108 807s02 RUBBER MOUNTABLE HARDENED LINE 78 LF ________________ __________________

109 808002 LANE MARKER, TYPE 2 790 EA ________________ __________________

110 810010 FLEXIBLE DELINEATOR POST 89 EA ________________ __________________

111 812004 CHAIN LINK FENCE, TYPE 4 (MOD 3.5' HT) 204 LF ________________ __________________

112 813030 RELOCATE OR RESET MONUMENT AND

MONUMENT FRAME AND COVER

4 EA ________________ __________________

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

E Marginal Way S Preservation Page 7-8

Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

113 814025 DETECTABLE WARNING PLATE RETROFIT 40 SF ________________ __________________

114 814026 CURB RAMP W/ 25% POZZOLANS 381 SY ________________ __________________

115 814030 DETECTABLE WARNING PLATE 599 SF ________________ __________________

116 814035 TACTILE DIRECTIONAL INDICATOR, CAST-IN-

PLACE

179 LF ________________ __________________

117 814036 TACTILE DIRECTIONAL INDICATOR, SURFACE

APPLIED

88 LF ________________ __________________

118 814120 BUS SHELTER FOOTING 10 SY ________________ __________________

119 814205 SIDEWALK, CEM CONC W/ 25% POZZOLANS 2,658 SY ________________ __________________

120 814210 SIDEWALK, THICKENED EDGE W/ 25%

POZZOLANS

2,632 LF ________________ __________________

121 814251 PATTTERNED CEM CONC TREATMENT

SIDEWALK, (RUNNING BOND USED BRICK)

29 SY ________________ __________________

SP 122 814s01 LEAN RAIL FOUNDATION 1 LS ________________ __________________

123 815200 QUARRY SPALLS 2 TN ________________ __________________

124 819018 DRIVEWAY, CEM CONC, HES (24 HRS), 8 IN 607 SY ________________ __________________

125 821001 SIGN, TRAFFIC, MAST ARM MOUNTED 1 EA ________________ __________________

126 821002 SIGN, TRAFFIC, POLE MOUNTED 24 EA ________________ __________________

127 821003 SIGN, TRAFFIC, SPAN WIRE MOUNTED 9 EA ________________ __________________

128 821004 SIGN, TRAFFIC, POST MOUNTED 44 EA ________________ __________________

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

E Marginal Way S Preservation Page 7-9

Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

129 821011 SIGN, STREET DESIGNATION, SPAN WIRE

MOUNTED

3 EA ________________ __________________

130 821030 POST, SIGN 21 EA ________________ __________________

131 821050 RELOCATE SIGN, TRAFFIC 6 EA ________________ __________________

132 821055 RELOCATE SIGN, STREET NAME 3 EA ________________ __________________

133 821060 RELOCATE SIGN, BUS ZONE 2 EA ________________ __________________

134 821066 RELOCATE SIGN, OVERHEAD 2 EA ________________ __________________

SP 135 821s01 REFLECTIVE POST SLEEVE, RED 5 EA ________________ __________________

136 822006 PAVEMENT MARKING, PAINT, 6 IN STRIPE 320 LF ________________ __________________

SP 137 822018 PAVEMENT MARKING, THERMOPLASTIC, 8 IN

STRIPE

5,525 LF ________________ __________________

SP 138 822020 PAVEMENT MARKING, THERMOPLASTIC,

LEGEND/SYMBOL

188 EA ________________ __________________

SP 139 822204 PAVEMENT MARKING, MMA, 4 IN STRIPE 41,100 LF ________________ __________________

140 822206 PAVEMENT MARKING, MMA, 6 IN STRIPE 7,930 LF ________________ __________________

141 822208 PAVEMENT MARKING, MMA, 8 IN STRIPE 2,665 LF ________________ __________________

142 822225 PAVEMENT MARKING AREA, MMA, GREEN 4,235 SF ________________ __________________

143 827040 SIGN, PROJECT IDENTIFICATION, OWNER

FURNISHED

2 EA ________________ __________________

SP 144 831036 TRAF. SIG. CNTRL. CAB., TYPE P+ 1 EA ________________ __________________

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

E Marginal Way S Preservation Page 7-10

Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

145 831131 SIGNAL HEAD, VEHICLE, 3 SECTION 1-WAY 24 EA ________________ __________________

146 831137 SIGNAL HEAD, BICYCLE, 3-SECTION 8" 3 EA ________________ __________________

147 831141 SIGNAL HEAD, VEHICLE, 4 SECTION 1-WAY 1 EA ________________ __________________

148 831160 SIGNAL HEAD, PEDESTRIAN COUNTDOWN,

LED

20 EA ________________ __________________

149 831175 BICYCLE PUSHBUTTON ASSEMBLY 4 EA ________________ __________________

SP 150 831180 APS PEDESTRIAN PUSHBUTTON ASSEMBLY 20 EA ________________ __________________

SP 151 831181 PEDESTRIAN PUSHBUTTON EXTENDER 1 EA ________________ __________________

152 831200 BOOM TRUCK AND OPERATOR FOR

INSPECTOR

9 HR ________________ __________________

153 831306 DETECTOR LOOP, 6 FT DIA. 125 EA ________________ __________________

SP 154 831308 DETECTOR LOOP, PARALLELOGRAM 6 EA ________________ __________________

155 831450 TERMINAL CABINET 4 EA ________________ __________________

156 831480 SPAN WIRE 300 LF ________________ __________________

157 831520 RELOCATE PEDESTRIAN PUSHBUTTON

ASSEMBLY

4 EA ________________ __________________

SP 158 831550 EMERGENCY VEHICLE PREEMPTION

DETECTOR

22 EA ________________ __________________

159 831553 EMERGENCY VEHICLE PREEMPTION

CONTROLLER INTERFACE

6 EA ________________ __________________

160 831573 SIGNAL WIRING (14TH AVE S) 1 LS ________________ __________________

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

E Marginal Way S Preservation Page 7-11

Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

161 831574 SIGNAL WIRING (16TH AVE S) 1 LS ________________ __________________

162 831575 SIGNAL WIRING (BOEING ACCESS) 1 LS ________________ __________________

163 831576 SIGNAL WIRING (4TH AVE S) 1 LS ________________ __________________

164 831577 SIGNAL WIRING (CORSON AVE S) 1 LS ________________ __________________

165 831578 SIGNAL WIRING (CARLETON AVE S) 1 LS ________________ __________________

166 831579 SIGNAL WIRING (ELLIS AVE S) 1 LS ________________ __________________

SP 167 831698 TEMPORARY SIGNAL (16TH AVE S) 1 LS ________________ __________________

SP 168 831699 TEMPORARY SIGNAL (14TH AVE S) 1 LS ________________ __________________

SP 169 831700 TEMPORARY SIGNAL (4TH AVE S) 1 LS ________________ __________________

SP 170 831701 TEMPORARY SIGNAL (CORSON AVE S) 1 LS ________________ __________________

SP 171 831702 TEMPORARY SIGNAL (CARLETON AVE S) 1 LS ________________ __________________

SP 172 831703 TEMPORARY SIGNAL (ELLIS AVE S) 1 LS ________________ __________________

SP 173 831s08 BIKE INDICATOR SYSTEM 1 EA ________________ __________________

174 832015 POLE, STEEL STRAIN, TYPE X 2 EA ________________ __________________

175 832335 POLE, WOOD 25 FT TO 35 FT 2 EA ________________ __________________

176 832350 BACK GUY ASSEMBLY 4 EA ________________ __________________

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

E Marginal Way S Preservation Page 7-12

Code

Bid Item

Description

Estimated

Quantity Units Unit Price Unit Price Extension

SP 177 832419 PEDESTAL, ALUMINUM, 5 FT 1 EA ________________ __________________

178 832422 PEDESTAL, ALUMINUM, 12 FT 14 EA ________________ __________________

179 832500 PEDESTRIAN PUSH-BUTTON POST 3 EA ________________ __________________

180 832535 FOUNDATION, POLE TYPE X 2 EA ________________ __________________

181 832550 FOUNDATION, PEDESTAL 14 EA ________________ __________________

182 832555 FOUNDATION, PEDESTRIAN PUSH BUTTON

POST

4 EA ________________ __________________

183 832815 BRACKET ARM, 15 FT 1 EA ________________ __________________

SP 184 832s01 REMOVE FOUNDATION OBSTRUCTIONS 5,000 FA $1.00 $5,000.00

SP 185 832s02 RESOLUTION OF EXISTING UTILITY

CONFLICTS

5,000 FA $1.00 $5,000.00

186 833012 CONDUIT, PVC, 1 IN 175 LF ________________ __________________

187 833023 CONDUIT, PVC, 2 IN 1,890 LF ________________ __________________

188 833034 CONDUIT, PVC, 3 IN 3,795 LF ________________ __________________

SP 189 833204 TRENCHING, CONDUIT 2,030 LF ________________ __________________

190 833233 CONDUIT RISER, 3 IN 2 EA ________________ __________________

191 833332 HANDHOLE, TYPE 2 25 EA ________________ __________________

192 833333 HANDHOLE, TYPE 3 17 EA ________________ __________________

Bidder:_____________________________________ Page Subtotal:________________________

BID FORM 2025-057

Bid

E Marginal Way S Preservation Page 7-13

State Sales Tax (10.55% ) N/A

$_________________ Total Base Bid including tax

BID FORM SUMMATION 2025-057

Base Bid (items 1 through 192 inclusive)

East Marginal Way S Preservation Page 8 Declaration NHPP-1391(005)

Version: 1/01/26-FHWA

DECLARATION

I declare, under penalty of perjury under the Laws of the State of Washington, as follows:

A. BID: I agree to perform the Work in compliance with the Bid Documents, for the prices stated in the Bid Form.

B. NON-DISCRIMINATION: I agree to ensure equal opportunity for employment and to engage in Affirmative Efforts in the solicitation of women and minorities and WMBE firms for participation on this Contract in accordance with SMC Ch. 20.42 and RCW 35.22.650.

C. My bid takes into account the requirements imposed by Section 1-07.14, which waives, with respect to the Owner only, the Contractor’s immunity under RCW Title 51, (Industrial Insurance) of the Revised Code of Washington.

D. I agree to comply with the requirements regarding subcontracting, and the purchase of supplies or materials from firms that are not disqualified or otherwise debarred from doing business with the City under the provisions of SMC Ch. 20.42 or SMC Ch. 20.70.

E. Responsible Bidder Requirements: My bid acknowledges that I am in compliance with all of the responsible bidder requirements under RCW 39.04.350, including: having a certificate of registration under RCW 18.27 prior to bidding; a UBI number; industrial insurance coverage if required under Title 51 RCW; an employment security number under Title 50; and a state excise tax registration number under Title 82. I affirm I am not disqualified from bidding on any public works contract under RCW 39.06 or RCW 39.12.065(3) or on the System for Award Management (sam.gov). I will provide proof of these requirements if requested.

F. My bid acknowledges that I have or will have prior to Award a current Seattle Business License and current on all Business and Occupancy Taxes pursuant to SMC5.55.030A; registered on the City of Seattle’s Procurement Portal, powered by OpenGov https://procurement.opengov.com/portal/seattle; demonstrate compliance with Equal Benefits (SMC20.45) and Labor Standards (SMC 14.16, 14.17, 14.19, 14.20) through the SBRC compliance Part 1; and not in violation of Campaign Contributions (SMC 2.04).

G. FEDERAL REQUIREMENTS:

1. Required Contract Provisions of FHWA Form 1273: The Bidder, by signing agrees to comply with all of the requirements of FHWA Form 1273, “Required Contract Provisions Federal-Aid Construction Contracts” (included in the Appendix of this Project Manual), and certifies to the following specific requirements therein:

III. Certification of Nonsegregated Facilities.

X. Implementation of Clean Air Act and Federal Water Pollution Control Act.

XI. Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion.

XII. Certification Regarding Use of Contract Funds For Lobbying.

� The Bidder shall check the box at left if there are any exceptions to the certification required by XI above and attach an explanation to the Bid.

2. Equal Employment Opportunity: As required by 41 CFR 60-1.7(b)(1), the Bidder, by signing the Bid Form, certifies that if the Bidder or proposed subcontractor has participated in a previous contract or subcontract subject to the Equal Opportunity clause, as required by Executive Orders 10925, 11114, or 11246, the Bidder or proposed subcontractor has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President’s Committee on Equal Employment Opportunity, all reports due under the applicable filing requirements (Standard Form 100 (EEO-1)).

East Marginal Way S Preservation Page 9

Version: 1/01/26-FHWA

3. Non-Collusion: The Bidder, by signing the Bid Form, swears, deposes and says that the undersigned person(s) firm, association, or corporation has (have) not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in the preparation and submission of a Bid to the Owner for consideration in the award of a contract on the improvement described in the Bid Documents and to have agreed to the provisions of this declaration.

4. Buy America Certificate: The Bidder hereby certifies that it will comply with the requirements of Section 1048 of Intermodal Surface Transportation Act of 1991 and Regulations in 23 CFR 635, and the Infrastructure Investment and Jobs Act (117th Congress 2021-2022) Section 70914 and

2 CFR 184.

� The Bidder hereby certifies that it cannot comply with the requirements of Section 1048 of the

Intermodal Surface Transportation Efficiency Act of 1991 the Infrastructure Investment and Jobs Act (117th Congress 2021-2022) Section 70914 , but it may qualify for an exception to the requirements pursuant to Section 1048 of the Intermodal Surface Transportation Efficiency Act and regulations in 23 CFR 635.410 and the Infrastructure Investment and Jobs Act (117th Congress 2021-2022) Section 70914.

5. Bid Rigging: NOTICE TO ALL BIDDERS. To report Bid Rigging activities call: 1-800-424-9071

The U.S. Department of Transportation (USDOT) operates the above toll-free hotline Monday through Friday, 8:00 am to 5:00 pm, eastern time. Anyone with knowledge of possible Bid Rigging, Bidder Collusion, or other fraudulent activities should use the hotline to report such activities.

The hotline is part of USDOT’s continuing effort to identify and investigate highway construction contracts fraud and abuser and is operated under the direction of the USDOT Inspector General. All information will be treated confidentially and caller anonymity will be respected.

6. FSBE: The Bidder agrees to make every effort to meet the FSBE requirements set forth in Section 1-07.11(11).

East Marginal Way S Preservation Page 10

Version: 1/01/26-FHWA

GENERAL BUSINESS INFORMATION

Business Name:

Business Street Address:

Business Mailing Address:

Business Phone, general: Business Fax:

If the above address is not in the State of Washington please fill in the following:

Washington State Office Address:

State in which the Company is formed:

Continue Information here:

State of WA UBI No.:

State of WA Contractor Registration No.:

Employment Security Department No.

City of Seattle Business License No.:

CONTACT INFORMATION

Primary Contact for Award (Name and Title):

Primary Contact Phone: Email:

Administration Contact (Name and Title):

Administration Contact Phone: Email:

Social Equity Contact (Name and Title):

Social Equity Phone: Email:

INSURANCE INFORMATION

Name of Insurance Company:

Name of Insurance Contact:

Insurance Contact Phone: Email:

Receipt is hereby acknowledged of Addenda No(s).:

OFFICIAL AUTHORIZED TO SIGN FOR BIDDER:

I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct:

Location or Place Executed (City, State): Print Name and Title:

Date:

Signature:

East Marginal Way S Preservation Page 11 Disadvantaged Business Enterprise Utilization NHPP-1391(005)

Version: 1/01/26-FHWA

DISADVANTAGED BUSINESS ENTERPRISE UTILIZATION

FSBE GOAL REQUIREMENTS

1. In compliance with the requirements of 49 CFR Part 26 and the Contract Documents the Bidder shall make every good faith effort, through negotiations or written solicitations, to meet the FSBE participation goal established for this project. The FSBE goal shall be the dollar amount which equals the following percentage of the total bid (exclusive of retail sales tax collected separately by the Contractor from the City in accordance with the existing laws of the State of Washington and rulings of the Tax Commission,):

13%

If the Bidder is a certified FSBE and will perform with the Bidder’s own forces a percentage of the contract equal to or exceeding the required FSBE goal percentage, the Bidder will have met FSBE goal requirements.

2. Certification: It is the Bidder’s responsibility to ensure that all FSBEs projected for use have been certified by the State of Washington Office of Minority and Women’s Business Enterprises (OMWBE) prior to bid opening. Verification of a FSBEs certification status may be done directly by telephoning OMWBE at (360) 753-9693 or by referencing the OMWBE web page at:

https://omwbe.wa.gov/certified-businesses-directory

3. Submittals: A copy of the joint venture or partnership agreement shall be submitted with the Bid Form if the FSBE requirements are to be satisfied through such an agreement.

Bidder Questionnaire Agency Name Federal Aid Number

Prime Contractor Name Contract Number

Contract Name

Firm/Subcontractor Name Address (incl. ZIP Code)

DBE

Status

NAICS

Codes Scope of Work Firm Age Firm Gross Receipts

If you have additional Firms or Subcontractors that submitted Bids, please complete additional forms.

All bidders listed on any other forms, including the Subcontractor List, must appear on this form.

Prime Contractor Representative Date

DOT Form 272-022 Revised 4/2026

● Previous Versions Obsolete ●

DOT Form 272-022 Revised 12/2025

● Previous Versions Obsolete ●

Form Instructions

The following information for each firm that submitted a bid is required as part of 49 CFR 26.11(c)(2):

Firm/Subcontractor Name: Enter the name of each firm or subcontractor who submitted a quote or a bid on the contract.

Address: Enter the main address of the firm/subcontractor. Include the ZIP code.

DBE Status: Enter the DBE status. Options are DBE and Non-DBE.

NAICS Codes: Enter the appropriate NAICS Codes for the work the bid was submitted for.

Scope of Work: Enter the scope of the work the bid was submitted for.

Firm Age: Enter the age of the firm.

Firm Gross Receipts: Enter the annual gross receipts. Options are “Less than $1 million”, “$1-$3 million”, “$3-$6 million”, “$6-$10 million”, “$10-$20 million ”, “$20-$30.72 million ”, “Greater than $30.72 million ”.

https://20-$30.72

East Marginal Way S Preservation Page 16 Bidder/Subcontractor List NHPP-1391(005)

Rev FHWA 07/2020

BIDDER / SUBCONTRACTOR LIST

As required in RCW 39.30.060, all Bidders for projects estimated to cost $1,000,000 or more shall identify Subcontractors that the Bidder will subcontract for the performance of rebar and structural steel installation, HVAC, plumbing as described in RCW 18.106 and electrical as described in RCW 19.28, or indicate that the Bidder intends to self-perform the work. If the Trade is left blank (either the name of a subcontractor is blank or a checkbox is not checked), the City shall accept the blank as “self performance.” If left blank, the City shall determine through clarification whether rebar and structural steel installation, HVAC, plumbing and electrical work is required to execute the project The Bidder shall be bound to self-performance of that specialty for the duration of the Project. The Bidder may contract with more than one Subcontractor in each of these trades, but may not list more than one Subcontractor for each category of work. If Subcontractors vary with Bid Alternates, Additives, or Deductives, the Bidder must indicate on a separate Bidder/Subcontractor List which Subcontractor(s) will be used for which Alternate, Additive, or Deductive.

The Bidder/Subcontractor List must be submitted to Purchasing and Contracting (PC) with the Bid Forms as described in RCW 39.30.060 per Section 1-02.6. Failure to complete and submit the Bidder/Subcontractor List by the required time will result in the Bid being declared non-responsive and rejected. The Bidder is responsible for the timely delivery of the Bidder Subcontractor List. If awarded the contract, the Bidder agrees to utilize the subcontractors identified on the Bidder/Subcontractor List unless the City agrees to a substitution.

Trade You must check one box for each trade. If subcontracting, you must name the subcontractor(s) you will use and the category of work.

Heating, Ventilation & Air Conditioning (HVAC)

� Name of Sub: ___________________________UBI#___________

Category of Work: ___________________________

� Bidder will self-perform this work

� N/A (this project does not include this work)

Plumbing � Name of Sub: ___________________________UBI#___________

Category of Work: ___________________________

� Bidder will self-perform this work

� N/A (this project does not include this work)

Electrical � Name of Sub: ___________________________UBI#___________

Category of Work: ___________________________

� Bidder will self-perform this work

� N/A (this project does not include this work)

Structural Steel Installation

� Name of Sub: ___________________________UBI#___________

Category of Work: ___________________________

� Bidder will self-perform this work

� N/A (this project does not include this work)

Rebar Installation � Name of Sub: ___________________________UBI#___________

Category of Work: ___________________________

� Bidder will self-perform this work

� N/A (this project does not include this work)

PW# Bidder’s Business Name

Name of Bidder’s Representative Signature of Bidder’s Representative

Title of Bidder’s Representative

Contractor Certification Wage Law Compliance - Responsibility Criteria

Washington State Public Works Contracts

FAILURE TO RETURN THIS CERTIFICATION AS PART OF THE BID PROPOSAL PACKAGE WILL

MAKE THIS BID NONRESPONSIVE AND INELIGIBLE FOR AWARD

I hereby certify, under penalty of perjury under the laws of the State of Washington, on behalf of the firm identified below that, to the best of my knowledge and belief, this firm has NOT been determined by a final and binding citation and notice of assessment issued by the Washington State Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082, any provision of RCW chapters 49.46, 49.48, or 49.52 within three

(3) years prior to the date of the Call for Bids.

Bidder Name:

Name of Contractor/Bidder - Print full legal entity name of firm

By:

Signature of authorized person Print Name of person making certifications for firm

Title:

Title of person signing certificate

Place:

Print city and state where signed

Date:

Form 272-009 08/2017

APWA-WA Division 1 Committee rev. 1/8/2016

Proposal for Incorporating Recycled Materials into the Project

In compliance with a new law that went into effect January 1, 2016 (SHB1695), the Bidder shall propose below, the total percent of construction aggregate and concrete materials to be incorporated into the Project that are recycled materials. Calculated percentages must be within the amounts allowed in COS Section 9-03.16(1)E, Table on Maximum Allowable Percent (By Weight) of Recycled Material, of the Standard Specifications.

Proposed total percentage: _____________________________ percent.

Note: Use of recycled materials is highly encouraged within the limits shown above, but does not constitute a Bidder Preference, and will not affect the determination of award, unless two or more lowest responsive Bid totals are exactly equal, in which case proposed recycling percentages will be used as a tie-breaker, per the APWA GSP in Section 1-03.1 of the Special Provisions. Regardless, the Bidder’s stated proposed percentages will become a goal the Contractor should do its best to accomplish. Bidders will be required to report on recycled materials actually incorporated into the Project, in accordance with the APWA GSP in Section 1-06.6 of the Special Provisions.

Bidder:

Signature of Authorized Official:

Date: