25184-Spec.pdf

FEDERAL AID PROJECT NO. STBGUM-4703(006)

HLA Project No. 25184

Construction Specifications and Bid Documents November 2026

FIRST STREET RESURFACING

CITY OF SELAH

YAKIMA COUNTY, WASHINGTON

CONTRACT DOCUMENTS

FOR

HLA PROJECT NO. 25184

TABLE OF CONTENTS PAGE NO.

SECTION 1 - ADVERTISEMENT FOR BIDS ............................................................................................ 1-1

ADVERTISEMENT FOR BIDS ....................................................................................................................1-2 SECTION 2 - INFORMATION FOR BIDDERS .......................................................................................... 2-1

INFORMATION FOR BIDDERS ..................................................................................................................2-2 SECTION 3 - BID PACKAGE..................................................................................................................... 3-1

BIDDER'S CHECKLIST ...............................................................................................................................3-2 BID PROPOSAL ...........................................................................................................................................3-3 UNIT PRICE BID PROPOSAL .....................................................................................................................3-4 BID PROPOSAL SIGNATURE PAGE .........................................................................................................3-6 AUTHORIZED SIGNATURES (DOT FORM 420-007) ...............................................................................3-7 LOCAL AGENCY PROPOSAL BOND (DOT FORM 272-001A EF) ..........................................................3-8 LOCAL AGENCY PROPOSAL - SIGNATURE PAGE (DOT FORM 272-036K-EF) .................................3-9 NON-COLLUSION DECLARATION (DOT FORM 272-036I EF) ............................................................ 3-10 NON-COLLUSION AFFIDAVIT................................................................................................................. 3-11

LOCAL AGENCY CERTIFICATION FOR FEDERAL-AID CONTRACTS (DOT FORM 272-040A EF) 3-12

SURETY .................................................................................................................................................... 3-13 CONTRACTOR CERTIFICATION OF WAGE LAW COMPLIANCE FORM (DOT FORM 272-009) .... 3-14 BIDDER QUESTIONNAIRE (DOT FORM 272-022) ................................................................................ 3-15 SUPPLEMENTAL BIDDER RESPONSIBILITY CRITERIA STATEMENT ............................................. 3-17

SECTION 4 - CONTRACT AND RELATED MATERIALS ......................................................................... 4-1 CONTRACT ..................................................................................................................................................4-2 CERTIFICATIONS ........................................................................................................................................4-4 CONTRACT BOND ......................................................................................................................................4-5 SCHEDULE OF WORKING HOURS ..........................................................................................................4-7

SECTION 5 - LABOR STANDARDS AND WAGE RATE CONDITIONS .................................................. 5-1 PREVAILING WAGE RATES ......................................................................................................................5-2 DLI (YAKIMA COUNTY) EFFECTIVE 12/01/2026 .....................................................................................5-3 BENEFIT CODE KEY EFFECTIVE 09/02/2026 .........................................................................................5-3 DLI SUPPLEMENTAL TO WAGE RATES EFFECTIVE 08/04/2026 .........................................................5-3 HIGHWAY FEDERAL WAGE RATES WA20260001 MOD 3 EFFECTIVE 05/20/2026 ...........................5-3

SECTION 6 - SPECIAL PROVISIONS AND TECHNICAL SPECIFICATIONS ......................................... 6-1 TABLE OF CONTENTS ...............................................................................................................................6-2 SPECIAL PROVISIONS ...............................................................................................................................6-3

APPENDIX A – WSDOT STANDARD PLANS

APPENDIX B – CONSTRUCTION STAKING REQUEST FORM

APPENDIX C – REQUIRED CONTRACT PROVISIONS FEDERAL-AID CONSTRUCTION CONTRACTS

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SECTION 1 - ADVERTISEMENT FOR BIDS

1-2

ADVERTISEMENT FOR BIDS

City of Selah 115 W. Naches Avenue #1 Selah, WA 98942

The City of Selah invites separate sealed BIDS for the construction of the First Street Resurfacing, Federal Aid Project No. STBGUM-4703(006), HLA Project No. 25184 including the following approximate major quantities of work:

The City of Selah plans on grinding and overlaying all lanes of 1st Street between Yakima and Fremont. The project will also include replacing the current curb ramps along that corridor that do not meet ADA requirements. The project will include 80 CY of unclassified excavation, 60 TON of crushed surfacing base course, 10,500 SY of planing bituminous pavement, 1,300 TON of HMA, 7 ADA compliant curb ramps, and traffic control.

This contract has twenty-five (25) working days to complete the work.

Bids will be received by the City Clerk at City Hall, 115 W. Naches Avenue #1, Selah, WA 98942, until 11:00 a.m., December 1, 2026, and then shortly thereafter will be publicly opened and read aloud at the City Meeting Room located at 115 W. Naches Avenue #1.

CONTRACT DOCUMENTS may be obtained at the following website: https://www.hlacivil.com/bid/.

Planholder list and addenda will be available on the website. Bidders are encouraged to register as planholders on the website, whom will be added to the Planholder list and will receive automatic addenda notification. All questions should be directed to Terry D. Alapeteri, PE, at (509) 966-7000 or talapeteri@hlacivil.com.

Each bid or proposal must be accompanied by bond or a certified check, payable to the order of the Treasurer of the City of Selah for the sum of not less than 5% of said bid or proposal and none will be considered unless accompanied by such deposit, to be forfeited to the City of Selah in the event the successful bidder shall fail or refuse to enter into a Contract with the City for the making and construction of the aforesaid improvement. All bids or proposals must be in writing on the form bound in the Specifications, sealed and filed with the Clerk on or before the day and hour above mentioned.

Attention is called to the fact that not less than the minimum salaries and wages as set forth in the Contract Documents must be paid on this project. All work performed on this project will be subject to the higher of the prevailing state or federal wage rates. The City of Selah is an Equal Opportunity and Affirmative Action Employer. The Contractor must ensure that employees and applicants for employment are not discriminated against because of their race, color, religion, sex, or national origin. Small, Minority-and Women-owned firms are encouraged to submit bids.

The City of Selah, in accordance with the provisions of Title VI of the Civil Rights Act of 1964 (78 Stat.

252, 42 U.S.C. 2000d to 2000d-4) and the Regulations, hereby notifies all bidders that it will affirmatively ensure that in any contract entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full and fair opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award.

The project is funded through the Federal Highway Administration (FHWA) with federal funds from the Surface Transportation Block Grant (STBG). All Federal Highway Administration (FHWA) requirements and/or provisions must be met by the Contractor and all subcontractors.

The City of Selah reserves the right to reject any and all bids and to waive technicalities or irregularities, and after careful consideration of all bids and factors involved, make the award to best serve the interests of the City of Selah.

https://www.hlacivil.com/bid/ mailto:talapeteri@hlacivil.com

1-3

Yakima County is the Certification Acceptance (CA) Agency for this project.

Courtney McGarity

City Clerk

Publish: November 5, 2026 November 12, 2026

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SECTION 2 - INFORMATION FOR BIDDERS

2-2

INFORMATION FOR BIDDERS

BIDS will be received by the City of Selah (herein called the “CONTRACTING AGENCY”), at City Hall, 115 W. Naches Avenue #1, Selah, WA 98942, until 11:00 a.m., December 1, 2026, and then at the City Hall Meeting Room publicly opened and read aloud.

Each BID must be submitted in a sealed envelope, addressed to the City Clerk at 115 W. Naches Avenue #1, Selah, WA 98942. Each sealed envelope containing a BID must be plainly marked on the outside as BID for First Street Resurfacing, and the envelope should bear on the outside the BIDDER'S NAME, address, and license number if applicable, and the name of the project for which the BID is submitted. If forwarded by mail, the sealed envelope containing the BID must be enclosed in another envelope addressed to the CONTRACTING AGENCY at City Hall, 115 W. Naches Avenue #1, Selah, WA 98942.

All BIDS must be made on the required BID form. All blank spaces for BID prices must be filled in, in ink or typewritten, and the original BID form must be fully completed and executed when submitted. Only one copy of the BID form is required.

The CONTRACTING AGENCY may waive any informalities or minor defects or reject any and all BIDS.

Any BID may be withdrawn prior to the above scheduled time for the opening of BIDS or authorized postponement thereof. Any BID received after the time and date specified shall not be considered. Should there be reasons why the Contract cannot be awarded within the specified period, the time may be extended by mutual agreement between the CONTRACTING AGENCY and the BIDDER.

BIDDERS must satisfy themselves of the accuracy of the estimated quantities in the BID SCHEDULE by examination of the site and a review of the Drawings and Specifications including ADDENDA. After BIDS have been submitted, the BIDDER shall not assert that there was a misunderstanding concerning the quantities of WORK or of the nature of the WORK to be done.

The CONTRACT DOCUMENTS contain the provisions required for the construction of the PROJECT.

Information obtained from an officer, agent, or employee of the CONTRACTING AGENCY or any other person shall not affect the risks or obligations assumed by the CONTRACTOR nor relieve the CONTRACTOR from fulfilling any of the conditions of the Contract.

A conditional or qualified BID will not be accepted.

Award will be made to the lowest responsive, responsible BIDDER or all bids will be rejected.

All applicable laws, ordinances, and the rules and regulations of all authorities having jurisdiction over construction of the PROJECT shall apply to the Contract throughout.

Each BIDDER is responsible for inspecting the site and for reading and being thoroughly familiar with the CONTRACT DOCUMENTS. The failure or omission of any BIDDER to do any of the foregoing shall in no way relieve any BIDDER from any obligation in respect to its BID.

The low BIDDER shall supply the names and addresses of major material SUPPLIERS and SUBCONTRACTORS when required to do so by the CONTRACTING AGENCY.

Build America/Buy America provisions included in the Build America, Buy America (BABA) Act, Public Law 117-58 Div. G Sec. 70901-52, will be a requirement for this project.

Buy America provisions contained in 23 CFR 635.410 will be a requirement of this project.

Contract time for this project may not begin earlier than April 5, 2027.

The ENGINEER is HLA Engineering and Land Surveying, Inc. (HLA), represented by Terry D. Alapeteri, PE. The ENGINEER'S address is 2803 River Road, Yakima, Washington 98902, PHONE: (509) 966- 7000, EMAIL: talapeteri@hlacivil.com.

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SECTION 3 - BID PACKAGE

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BIDDER'S CHECKLIST

All forms listed below must be fully executed and submitted with the Bid:

1) BID PROPOSAL

2) UNIT PRICE BID PROPOSAL

3) BID PROPOSAL SIGNATURE PAGE - Executed by authorized signatory in accordance with 1-02.6.

4) AUTHORIZED SIGNATURES (DOT FORM 420-007)

5) LOCAL AGENCY PROPOSAL BOND (DOT FORM 272-001A EF)

6) LOCAL AGENCY PROPOSAL - SIGNATURE PAGE (DOT FORM 272-036K)

7) NON-COLLUSION DECLARATION (DOT FORM 272-036I EF)

8) NON-COLLUSION AFFIDAVIT - Must be subscribed and sworn to before a Notary Public.

9) SURETY

10) CONTRACTOR CERTIFICATION OF WAGE LAW COMPLIANCE FORM (DOT FORM 272-009)

11) BIDDER QUESTIONNAIRE (DOT FORM 272-022)

The following form must be fully executed and submitted by 12:00 P.M. (noon) of the second business day following the bid submittal deadline.

1) SUPPLEMENTAL BIDDER RESPONSIBILITY CRITERIA STATEMENT- Provide supporting documentation as required.

The following forms are to be executed and/or submitted for approval to the Engineer after the Contract is awarded:

1) CONTRACT - To be executed by the successful bidder and the City of Selah.

2) CERTIFICATIONS

3) CONTRACT BOND - To be executed by the successful bidder and his Surety Company. Provide

Power of Attorney.

4) SCHEDULE OF WORKING HOURS

5) CERTIFICATE OF PUBLIC LIABILITY AND PROPERTY DAMAGE INSURANCE and contractually required endorsements must be provided by the successful bidder in accordance with the provisions of the Standard Specifications and Technical Specifications.

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BID PROPOSAL

A Proposal of ______________________________________________ (hereinafter called “BIDDER”), organized and existing under the laws of the State of Washington doing business as ______________________1. To the City of Selah, Washington, (hereinafter called “CONTRACTING

AGENCY”).

In compliance with your Advertisement for Bids, BIDDER hereby proposes to perform all work for the construction of the FIRST STREET RESURFACING, Federal Aid Project No. STBGUM-4703(006), HLA Project No. 25184, in strict accordance with the CONTRACT DOCUMENTS, within the time set forth therein, and at the prices stated below.

By submission of this BID, each BIDDER certifies, in the case of a joint BID each party thereto certifies as to its own organization, that this BID has been arrived at independently, without consultation, communication, or agreement as to any matter relating to this BID with any other BIDDER or with any competitor.

BIDDER hereby agrees to commence work under this Contract within ten (10) calendar days after NOTICE TO PROCEED and to fully complete the PROJECT within twenty-five (25) working days of such

NOTICE TO PROCEED.

BIDDER further agrees to pay as liquidated damages the sum specified for each working day thereafter as provided in Section 1-08.9 of the Standard Specifications.

BIDDER acknowledges receipt of the following ADDENDA:

Addenda will be posted on the Engineer’s website: https://www.hlacivil.com/bid/. Bidders are encouraged to register as planholders on the website, whom will be added to the Planholder list and will receive automatic addenda notification.

BIDDER agrees to perform all the work described in the CONTRACT DOCUMENTS for the following unit prices or lump sum amounts:

1 Insert "a corporation," "a partnership," or "an individual" as applicable.

https://www.hlacivil.com/bid/

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UNIT PRICE BID PROPOSAL

ITEM

NO.

ITEM DESCRIPTION PAYMT

SPEC UNIT QUAN-

TITY UNIT PRICE

DOLLARS-CTS AMOUNT

DOLLARS-CTS

SCHEDULE A – Roadway Improvements

1 Minor Change 1-04.4(1) FA Est. X $15,000.00 = $15,000.00

2 ADA Feature Survey 1-05.4 LS --- X --- =

3 Record Drawings 1-05.18 LS --- X --- =

4 Mobilization 2-01.5 LS --- X --- =

5 Project Temporary Traffic Control 2-04.5(1) LS --- X --- =

6 Unclassified Excavation Incl. Haul 3-03.5 CY 80 X =

7 Crushed Surfacing Base Course 4-05.5 TON 60 X =

8 Crushed Surfacing Top Course 4-05.5 TON 10 X =

9 Planing Bituminous Pavement 5-04.5 SY 10,500 X =

10 Pavement Repair Excavation Incl. Haul 5-04.5 SY 100 X =

11 HMA for Pavement Repair Cl. 1/2 Inch PG

64H-28 5-04.5 TON 40 X =

12 HMA Cl. 1/2-Inch PG 64H-28 5-04.5 TON 1,300 X =

13 Job Mix Compliance Price Adjustment 5-04.5 CALC 1 X =

14 Compaction Price Adjustment 5-04.5 CALC 1 X =

15 Cyclic Density Price Adjustment 5-04.5 CALC 1 X =

16 Adjust Manhole 7-05.5 EA 11 X =

17 Adjust Catch Basin 7-05.5 EA 2 X =

18 ADA Grate 7-05.5 EA 1 X =

19 Adjust Valve Box 7-12.5 EA 11 X =

20 Erosion Control and Water Pollution Prevention 8-01.5 FA Est. X $5,000.00 = $5,000.00

21 Landscape Restoration 8-02.5 FA Est. X $5,000.00 = $5,000.00

22 Cement Conc. Traffic Curb and Gutter 8-04.5 LF 250 X =

23 Cement Conc. Sidewalk 4-Inch Thick 8-14.5 SY 80 X =

24 Cement Conc. Curb Ramp 8-14.5 EA 7 X =

25 Pavement Markings 8-22.5 LS --- X --- =

SCHEDULE A SUBTOTAL

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ITEM

NO. ITEM DESCRIPTION PAYMT

SPEC UNIT QUAN-

TITY UNIT PRICE

DOLLARS-CTS AMOUNT

DOLLARS-CTS

SCHEDULE B – City Funded Water Service Improvements

26 Minor Change 1-04.4(1) FA Est. X $5,000 = $5,000

27 Mobilization 2-01.5 LS --- X --- =

28 Crushed Surfacing Base Course 4-05.5 TON 20 X =

29 HMA Cl. 1/2-Inch PG 64H-28 5-04.5 TON 10 X =

30 Service Connection 3/4 In. Diam. 7-15.5 EA 4 X =

31 Cement Conc. Traffic Curb and Gutter 8-04.5 LF 15 X =

32 Cement Conc. Sidewalk 4-Inch Thick 8-14.5 SY 10 X =

SCHEDULE B SUBTOTAL

8.5% STATE SALES TAX

SCHEDULE B TOTAL

SCHEDULES A AND B TOTAL

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BID PROPOSAL SIGNATURE PAGE

, 2026

BIDDER (CONTRACTOR) DATE

BY

AUTHORIZED OFFICIAL'S SIGNATURE TITLE

(Please print or type name)

Mailing Address:

Phone:

E-mail address:

CONTRACTOR LICENSE NUMBER

CONTRACTOR UEI NUMBER

CONTRACTOR UBI NUMBER

CONTRACTOR FEDERAL TAX I.D. NUMBER

CONTRACTOR EMPLOYMENT SECURITY DEPARTMENT NUMBER

CONTRACTOR INDUSTRIAL INSURANCE ACCOUNT NUMBER

The names of the principal officers of the corporation submitting this Proposal, or of the partnership, or of all persons interested in this Proposal as principals are as follows:

PROJECT MANAGER CELL PHONE:

NOTES:

1) If the bidder is a co-partnership, so state, giving firm name under which business transacted. If the bidder is a corporation, this proposal must be executed by its duly authorized officials.

2) Bidders shall acknowledge receipt of all addenda, if any, in the space provided on the first page of this proposal.

Authorized Signatures List the name and title of those individuals in your organization who are authorized to execute proposals, contracts, bonds and other documents and/or instruments on behalf of the organization. Specify if more than one signature is required.

NOTE: Signature must appear next to name Name (Typed) Signature Title

Name (Typed) Signature Title

Name (Typed) Signature Title

Name (Typed) Signature Title

Name (Typed) Signature Title

Name (Typed) Signature Title

Name (Typed) Signature Title

Name (Typed) Signature Title

Name (Typed) Signature Title

Name (Typed) Signature Title

Name (Typed) Signature Title

The undersigned, being duly sworn, deposes and says that the foregoing is a true statement of facts concerning the individual, corpration, co-partnership or joint venture herein named, as of the date indicated:

Name of Firm - Be Exact

Sworn to before me this day of , Notary Public

Notary Seal

Authorized Signature(s)

Corporate Seal(s) DOT Form 420-007 EF

Revised 10/02

SR

Local Agency Proposal Bond

KNOW ALL MEN BY THESE PRESENTS, That we, of as principal, and the a corporation duly organized under the laws of the state of , and authorized to do business in the State of Washington, as surety, are held and fim1ly bound unto the State of Washington in the full and penal sum of five ( 5) percent of the total amount of the bid proposal of said principal for the work hereinafter described, for the payment of which, well and truly to be made, we bind our heirs, executors, administrators and assigns, and successors and assigns, firmly by these presents.

The condition of this bond is such, that whereas the principal herein is herewith submitting his or its sealed proposal for the following highway construction, to wit:

said bid and proposal, by reference thereto, being made a part hereof.

NOW, THEREFORE, If the said proposal bid by said principal be accepted, and the contract be awarded to said principal, and if said principal shall duly make and enter into and execute said contract and shall furnish bond as required by the within a period of twenty (20) days from and after said award, exclusive of the day of such award, then this obligation shall be null and void, otherwise it shall remain and be in full force and effect.

IN TESTIMONY WHEREOF, The principal and surety have caused these presents to be signed and sealed this day of ----------- ------------

(Principal)

(Surety)

(Attorney-in-fact)

DOT Form 272-001A EF

07/2011

Local Agency Proposal

Signature Page

The bidder is hereby advised that by signature of this proposal he/she is deemed to have acknowledged all requirements and signed all certificates contained herein.

A proposal guaranty in an amount of five percent (5%) of the total bid, based upon the approximate estimate of quantities at the above prices and in the form as indicated below is attached hereto:

Cash □ In the Amount of

Cashier's Check □ Dollars

Certified Check □ ($ Payable to the State Treasurer

Proposal Bond □ In the Amount of 5% of the Bid

Receipt is hereby acknowledged ofaddendum(s) No.(s) __________ & __ __ _

Firm Name

Address

State of Washington Contractor's License No.

Feder a I ID No.

Note:

Signature of Authorized Official(s)

(1) This proposal form is not transferable and any alteration of the firm's name entered hereon without prior permission from the _ will be cause for considering the proposal irregular and subsequent rejection of the bid.

(2) Please refer to section 1-02.6 of the standard specifications, re: "Preparation of Proposal," or

"Article 4" of the Instruction to Bidders for building construction jobs.

DOT Form 272-036K EF

Failure to return this Declaration as part of the bid proposal package will make the bid nonresponsive and ineligible for award.

NON-COLLUSION DECLARATION

I, by signing the proposal, hereby declare, under penalty of perjury under the laws of the United States that the following statements are true and correct:

NOTICE TO ALL BIDDERS

1-800-424-9071

2. That by signing the signature page of this proposal, I am deemed to have signed and to have agreed to the provisions of this declaration.

1. That the undersigned person(s), firm, association or corporation has (have) not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with the project for which this proposal is submitted.

To report rigging activities call:

The U.S. Department of Transportation (USDOT) operates the above toll-free “hotline” Monday through Friday, 8:00 a.m. to 5:00 p.m., eastern time. Anyone with knowledge of possible bid rigging, bidder collusion, or other fraudulent activities should use the “hotline” to report such activities.

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

DOT Form 272-036I EF

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NON-COLLUSION AFFIDAVIT

STATE OF WASHINGTON )

) ss. NON-COLLUSION AFFIDAVIT

COUNTY OF ____________ )

_________________________________________________________________________, being first duly sworn, on oath says that the bid above submitted is a genuine and not a sham or collusive bid, or made in the interest or on behalf of any person not therein named; and the said bidder further says that the said bidder has not directly or indirectly induced or solicited any bidder on the above work or supplies to put in a sham bid, or any other person or corporation to refrain from bidding; and that said bidder has not in any manner sought by collusion to secure to themselves an advantage over any other bidder or bidders.

(Contractor's Signature)

Signed and sworn to (or affirmed) before me on _________________________, 2026, by

Notary Public Name

Notary Public Signature

My Appointment Expires

Local Agency Certification for Federal-Aid Contracts

The prospective participant certifies by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.

This certification is material representation of the fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each failure.

The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly.

DOT Form 272-040A EF

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SURETY

If the Bidder is awarded a construction Contract on this bid, the Surety who provides the Contract Bond will be whose address is:

Street City State ZIP

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

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

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SUPPLEMENTAL BIDDER RESPONSIBILITY CRITERIA STATEMENT

CITY OF SELAH

FIRST STREET RESURFACING

FEDERAL AID PROJECT NO. STBGUM-4703(006)

HLA PROJECT NO. 25184

This form shall be completed in its entirety and submitted by the apparent low Bidder to the Contracting Agency by 12:00 P.M. (noon) of the second business day following the bid submittal deadline.

Bidder will be deemed not responsible if Bidder does not meet the mandatory bidder responsibility criteria in RCW 39.04.350(1), as amended, or supplemental bidder responsibility criteria listed in Section 1-02.14 of the Special Provisions, including submission of further documentation as may be requested by the Contracting Agency.

Contractor:

Name:

Address:

Contact Person:

1. Delinquent State Taxes:

Instruction to Bidders: Check the appropriate box

□ The undersigned certifies that the Bidder does not owe delinquent taxes to the Washington State Department of Revenue without a payment plan approved by the Department of Revenue.

□ Alternatively, the undersigned certifies that the Bidder does owe delinquent taxes to the Washington State Department of Revenue with a payment plan approved by the Department of Revenue.

If the Bidder does owe delinquent taxes to the Washington State Department of Revenue, the Bidder must submit a written payment plan approved by the Department of Revenue, to the Contracting Agency by the deadline listed above.

2. Federal Debarment: The Bidder shall not currently be debarred or suspended by the Federal government. The Bidder shall not be listed as having an “active exclusion” on the U.S.

government’s “System for Award Management” database (www.sam.gov).

3. Subcontractor Responsibility: The undersigned certifies that the Bidder’s standard subcontract form includes the subcontractor responsibility language required by RCW 39.06.020, and the Bidder has an established procedure it utilizes to validate the responsibility of each of its subcontractors.

http://www.sam.gov/

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4. Claims Against Retainage and Bonds:

Instruction to Bidders: Check the appropriate box

□ The undersigned certifies that the Bidder has not had claims against retainage or payment bonds for public works projects in the three (3) years prior to the bid submittal date.

□ Alternatively, the undersigned certifies that the Bidder has had claims against retainage or payment bonds for public works projects in the three (3) years prior to the bid submittal date.

If the Bidder has had claims against retainage and payment bonds for public works projects in the three (3) years prior to the bid submittal date, submit a list of public works projects completed during this period that have had claims against retainage and payment bonds and include name of Project, Owner and contact information for the Owner, a list of claims filed against retainage and/or payment bond for any of the projects listed; and a written explanation of circumstances surrounding each claim and the ultimate resolution of the claim.

5. Public Bidding Crime:

Instructions to Bidders: Check the appropriate box

□ The undersigned certifies that the Bidder and/or its Owners have not been convicted of a crime involving bidding on a public works contract in the five (5) years prior to the bid submittal date.

□ Alternatively, the undersigned confirms that the Bidder and/or its Owners have been convicted of a crime involving bidding on a public works contract in the five (5) years prior to the bid submittal date.

If the Bidder and/or its Owners have been convicted of a crime involving bidding on a public works contract, provide a written explanation identifying the date of the conviction and a description of the circumstances surrounding the conviction.

6. Termination for Cause/Termination for Default:

□ The undersigned certifies that the Bidder has not had any public works contracts terminated for cause or terminated for default by a government agency in the five (5) years prior to the bid submittal date.

□ Alternatively, the undersigned confirms that the Bidder has had public works contracts terminated for cause or terminated for default by a government agency in the five (5) years prior to the bid submittal date.

If the Bidder has had any public works contracts terminated for cause or terminated for default in the five (5) years prior to the bid submittal date, provide a written explanation for all contracts terminated for cause or terminated for default by identifying the Project contract that was terminated, the government agency which terminated the contract, the date of the termination, and a description of the circumstances surrounding the termination.

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7. Lawsuits:

□ The undersigned certifies that the Bidder has not had any lawsuits with judgments entered against the Bidder in the five (5) years prior to the bid submittal date that demonstrate a pattern of failing to meet the terms of contracts.

□ Alternatively, the undersigned confirms that the Bidder has had lawsuits with judgments entered against the Bidder in the five (5) years prior to the bid submittal date that demonstrate a pattern of failing to meet the terms of contracts.

If the Bidder has had any lawsuits with judgments entered against the Bidder in the five (5) years prior to the bid submittal date that demonstrate a pattern of failing to meet the terms of contracts, submit a list of lawsuits along with a written explanation of the circumstances surrounding each lawsuit. The Contracting Agency shall evaluate these explanations to determine whether the lawsuits demonstrate a pattern of failing to meet the terms of contracts.

(Date) (Signature)

(Print Name)

(Title)

4-1

SECTION 4 - CONTRACT AND RELATED MATERIALS

4-2

CONTRACT

THIS AGREEMENT, made and entered into in triplicate, this _______ day of _________________, 2026, by and between the City of Selah, hereinafter called the CONTRACTING AGENCY, and ____________________________________________________, hereinafter called the CONTRACTOR, WITNESSETH:

That in consideration of the terms and conditions contained herein and attached and made a part of this Agreement, the parties hereto covenant and agree as follows:

I. The CONTRACTOR shall do all work and furnish all tools, materials, and equipment for the bid amount of $___________________, for FIRST STREET RESURFACING, Federal Aid Project No. STBGUM-4703(006), HLA Project No. 25184, in accordance with and as described in the attached Plans and Specifications and the Standard Specifications for Road, Bridge, and Municipal Construction, which are by this reference incorporated herein and made a part hereof, and shall perform any alterations in or additions to the work provided under this Contract and every part thereof.

Contract time shall begin on the first working day following the Notice to Proceed Date and shall be completed within twenty-five (25) working days of the date of such Notice to Proceed (see SPECIAL PROVISIONS - Section 1-08.5).

If said work is not completed within the time specified, the CONTRACTOR agrees to pay to the CONTRACTING AGENCY for each and every working day said work remains uncompleted after expiration of the specified time, liquidated damages as determined in Section 1-08.9.

The CONTRACTOR shall provide and bear the expense of all equipment, work, and labor of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in this Contract and every part thereof, except such as are mentioned in the Specifications to be furnished by the CONTRACTING AGENCY.

II. The CONTRACTING AGENCY hereby promises and agrees with the CONTRACTOR to employ, and does employ the CONTRACTOR to provide the materials and to do and cause to be done the above described work and to complete and finish the same according to the attached Plans and Specifications and the terms and conditions herein contained; and hereby contracts to pay for the same according to the attached Specifications and the schedule of unit or itemized prices hereto attached, at the time and in the manner and upon the conditions provided for in this Contract.

III. The CONTRACTOR for himself, and for his/her heirs, executors, administrators, successors, and assigns does hereby agree to the full performance of all the covenants herein upon the part of the

CONTRACTOR.

IV. It is further provided that no liability shall attach to the CONTRACTING AGENCY by reason of entering into this Contract, except as expressly provided herein.

V. CONTRACTOR is an independent contractor and not an employee of the CONTRACTING AGENCY. The CONTRACTING AGENCY has designated the Contract performance and the CONTRACTOR shall be responsible for the details of that work. The parties recognize the CONTRACTOR has unique skills not otherwise available to the CONTRACTING AGENCY to accomplish the purpose of the Contract. The CONTRACTOR shall supply all equipment and supplies necessary to accomplish the Contract. The parties recognize that the purpose of the Contract is not within the regular course of business of the CONTRACTING AGENCY. The parties state that the right of control over the activities necessary to perform the Contract are with the CONTRACTOR.

IN WITNESS WHEREOF the parties hereto have caused this Agreement to be executed the day and year first herein above written.

4-3

CONTRACTING AGENCY:

City of Selah, Washington

By: ATTEST:

Name: Roger Bell

Title: Mayor

Name: Courtney McGarity

Title: City Clerk

CONTRACTOR:

(CONTRACTOR NAME)

By: (SEAL)

AUTHORIZED OFFICIAL’S SIGNATURE

Name: ATTEST:

(Please Print or Type)

Address:

Email:

Name:

4-4

CERTIFICATIONS

FEDERAL AID PROJECT NO. STBGUM-4703(006)

Provide the following:

Name of Traffic Control Manager (TCM) (Must be an employee of the Contractor)

Name of Certified Traffic Control Supervisor (TCS) (Provide copy of certificate)

Name of Mandatory Alternate Certified Traffic Control Supervisor (TCS) (Provide copy of certificate)

4-5

CONTRACT BOND

CITY OF SELAH

FIRST STREET RESURFACING

BOND TO CITY OF SELAH

KNOW ALL PERSONS BY THESE PRESENTS:

That we, the undersigned, , as principal, and , a corporation organized and existing under the laws of the State of _______________________, as a Surety corporation, and qualified under the laws of the State of Washington to become Surety upon bonds of contractors with municipal corporations, as Surety, are jointly and severally held and firmly bound to the City of Selah in the penal sum of $ for the payment of which sum we bind ourselves and our successors, heirs, administrators, or personal representatives, as the case may be.

This obligation is entered into in pursuance of the statutes of the State of Washington and the Ordinances of the City of Selah.

Dated at __________________, Washington, this ______ day of _______________, 2026.

Nevertheless, the conditions of the above obligation are such that:

WHEREAS, under and pursuant to action of the City of Selah, on ________________________, 2026, the Mayor of said City of Selah, has let or is about to let to the said ____________________________________________________, the above bounden Principal, a certain Contract, the said Contract being numbered Federal Aid Project No. STBGUM-4703(006), HLA Project No. 25184, and providing for the construction of FIRST STREET RESURFACING which Contract is referred to herein and is made a part hereof as though attached hereto, and

WHEREAS, the said Principal has accepted, or is about to accept, the said Contract, and undertake to perform the work therein provided for in the manner and within the time set forth;

NOW, THEREFORE, if the said ________________________________________________________ shall faithfully perform all the provisions of said Contract in the manner and within the time therein set forth, or within such extensions of time as may be granted under said Contract, and shall pay all laborers, mechanics, subcontractors and material men and all industrial insurance premiums, and all persons who shall supply said principal or subcontractors with provisions and supplies for the carrying on of said work, and shall indemnify and hold the City of Selah harmless from any damage or expense by reason of failure of performance as specified in said Contract, then and in that event this obligation shall be void; but otherwise it shall be and remain in full force and effect.

4-6

FIRST STREET RESURFACING

SURETY: CONTRACTOR:

By:

(Attorney-in-fact) CONTRACTOR NAME

Name: By:

(Please Print or Type) AUTHORIZED OFFICIAL’S SIGNATURE

Agent: Name:

Address:

Surety Representative Name:

Surety Representative Phone:

Surety Representative Email:

4-7

SCHEDULE OF WORKING HOURS

FEDERAL AID PROJECT NO. STBGUM-4703(006)

HLA PROJECT NO. 25184

In accordance with Section 1-08.0(2) Hours of Work, the normal straight time working hours for this project will be from ________________ a.m. to _______________ p.m., _____________________ days per week. It is understood that normal straight time working hours shall not exceed 40 hours per week, regardless of the number of days worked per week. All hours worked in excess of 40 hours per week shall be considered as overtime hours subject to the Contract Provisions for Federal-Aid Construction Contracts and reimbursement provisions of Section 1-08.0(2) Hours of Work.

Overtime hours are defined as any hours in excess of or outside of the above normal straight time working hours when the Contractor and/or his subcontractors are on the project site performing work.

Contractor

Signature

Date

5-1

SECTION 5 - LABOR STANDARDS AND

WAGE RATE CONDITIONS

5-2

PREVAILING WAGE RATES

The prevailing rate of wages to be paid to all workmen, laborers, or mechanics employed in the performance of any part of this Contract shall be in accordance with the provisions of Chapter 39.12 RCW, as amended. The rules and regulations of the Department of Labor and Industries and the schedule of prevailing wage rates for the locality or localities where this Contract will be performed as determined by the Industrial Statistician of the Washington State Department of Labor and Industries, are by reference made a part of this Contract. A schedule of prevailing wage rates is included in these Specifications.

Inasmuch as the CONTRACTOR will be held responsible for paying the higher rates of either Federal Wage Rates or State Wage Rates, this schedule of wages, it is imperative that all contractors and subcontractors familiarize themselves with the current wage rates before submitting bids based on these Specifications.

Before any payment is made by the local government body of any sums due under this Contract, the local government body must receive from the Contractor and each subcontractor a copy of the “Statement of Intent to Pay Prevailing Wages” approved by the Washington State Department of Labor and Industries.

Prior to acceptance of the project, the Contracting Agency must receive from the Contractor and each subcontractor a copy of “Affidavit of Wages Paid” and, in addition, from the prime contractor a copy of “Release for the Protection of Property Owners and General Contractor,” all approved by the Washington State Department of Labor and Industries. Forms may be obtained from the Department of Labor and Industries. The Contractor and each subcontractor shall pay all fees associated with and make all applications directly to the Department of Labor and Industries. These affidavits will be required before any funds retained, according to the provisions of RCW 60.28.011, are released to the Contractor.

Payment by the Contractor and subcontractor of any fees shall be considered incidental to the construction and all costs shall be included in other pay items of the project.

Pursuant to RCW 39.12.120, a contractor, subcontractor, or employer shall file a copy of its certified payroll records using the Washington State Department of Labor and Industries (L&I) online system at least once per month. If the L&I online system is not used, a contractor, subcontractor, or employer shall file a copy of its certified payroll records directly with L&I in a format approved by L&I at least once per month. A contractor, subcontractor, or employer's noncompliance with this reporting constitutes a violation of RCW 39.12.050.

The Contractor and all Subcontractors shall also be required to submit certified weekly payroll forms with an accompanying “Statement of Compliance” so that payment of prevailing wage rates and fringe benefits may be verified. Certified payrolls must be completed using the U.S. Department of Labor Payroll Form WH347 found at www.dol.gov.

Certified payrolls are required to be submitted by the Contractor to the Engineer, for the Contractor, all Subcontractors, and lower tier subcontractors. If these certified payrolls are not supplied within ten calendar days of the end of the preceding weekly payroll period, any or all payments may be withheld until compliance is achieved. Failure to provide these payrolls could also result in other sanctions as provided by State laws (RCW 39.12.050) and/or Federal regulations (29 CFR 5.12). All certified payrolls shall be complete and explicit. Employee labor descriptions used on certified payrolls shall coincide exactly with the labor descriptions listed on the minimum wage schedule in the Contract unless the Engineer approves an alternate method to identify the labor used by the Contractor to compare with the labor listed in the Contract Provisions. When an apprentice is shown on the certified payroll at a rate less than the minimum prevailing journey wage rate, the apprenticeship registration number for that employee from the State Apprenticeship and Training Council shall be shown along with the correct Employee classification code.

http://www.dol.gov/

State of Washington

Department of Labor & Industries

Prevailing Wage Section - Telephone 360-902-5335

PO Box 44540, Olympia, WA 98504-4540

Washington State Prevailing Wage

The PREVAILING WAGES listed here include both the hourly wage rate and the hourly rate of fringe benefits. On public works projects, worker's wage and benefit rates must add to not less than this total. A brief description of overtime calculation requirements are provided on the Benefit Code Key.

Journey Level Prevailing Wage Rates for the Effective Date: 12/01/2026

Yakima County

Trade Job Classification Wage Holiday Overtime Note Risk Class

Asbestos Abatement Workers Journey Level $58.14 5D 1H View

Boilermakers Journey Level $77.39 5N 1C View

Brick Mason Journey Level $63.84 5A 1M View

Building Service Employees Janitor $17.13 1 View

Building Service Employees Shampooer $17.13 1 View

Building Service Employees Waxer $17.13 1 View

Building Service Employees Window Cleaner $17.13 1 View

Cabinet Makers (In Shop) Journey Level $17.13 1 View

Carpenters Acoustical Worker $87.71 15J 11U View

Carpenters Bridge Dock and Wharf Carpenter $89.38 15J 11U 9L View

Carpenters Bridge, Dock & Wharf Carpenter $80.50 15J 4C View

Carpenters Floor Layer & Floor Finisher $87.71 15J 11U View

Carpenters General Carpenter $87.71 15J 11U View

Carpenters Scaffold Erector $87.71 15J 11U View

Cement Masons Journey Level $60.15 7B 1N View

Divers & Tenders Bell/Vehicle/Submersible Operator (not under pressure) $149.22 15J 11T 9I View

Divers & Tenders Dive Supervisor $150.72 15J 11T 9I View

Divers & Tenders Diver $149.22 15J 11T 9I View

Divers & Tenders Diver Tender $95.55 15J 11T 9I View

Divers & Tenders Hyperbaric Worker - Compressed Air

Worker 0-30.00 PSI $120.22 15J 11U View

Divers & Tenders Hyperbaric Worker - Compressed Air

Worker 30.01-44.00 PSI $130.16 15J 11U View

Divers & Tenders Hyperbaric Worker - Compressed Air

Worker 44.01 - 54.00 PSI $140.11 15J 11U View

Divers & Tenders Hyperbaric Worker - Compressed Air

Worker 54.01 - 60.00 PSI $150.05 15J 11U View

Divers & Tenders Hyperbaric Worker - Compressed Air

Worker 60.01 - 64.00 PSI $160.00 15J 11U View

Divers & Tenders Hyperbaric Worker - Compressed Air

Worker 64.01 - 68.00 PSI $169.94 15J 11U View

Divers & Tenders Hyperbaric Worker - Compressed Air

Worker 68.01 - 70.00 PSI $179.88 15J 11U View

Divers & Tenders Hyperbaric Worker - Compressed Air

Worker 70.01 - 72.00 PSI $189.83 15J 11U View

Divers & Tenders Hyperbaric Worker - Compressed Air

Worker 72.01 - 74.00 PSI $199.77 15J 11U View

Divers & Tenders Lead Diver (Dive Master) $110.01 15J 11T 9I View

Divers & Tenders Manifold Operator (Life Support

Technician) $100.55 15J 11U 9I View

Divers & Tenders Remote Operated Vehicle

Operator/Technician $95.55 15J 11T 9I View

Divers & Tenders Remote Operated Vehicle

Operator/Technician $95.55 15J 11U 9I View

Divers & Tenders Remote Operated Vehicle Tender $89.25 15J 11T 9I View

Divers & Tenders Stand-by Diver $105.01 15J 11T 9I View

Dredge Workers Assistant Engineer $93.71 15Q 3F View

Dredge Workers Assistant Mate (Deckhand) $92.99 15Q 3F View

Dredge Workers Boatmen $93.71 15Q 3F View

Dredge Workers Engineer Welder $95.52 15Q 3F View

Dredge Workers Leverman, Hydraulic $97.45 15Q 3F View

Dredge Workers Mates $93.71 15Q 3F View

Dredge Workers Oiler $92.99 15Q 3F View

Drywall Applicator Journey Level $84.77 15O 11S View

Drywall Tapers Journey Level $84.77 15O 11S View

Electrical Fixture Maintenance Workers Journey Level $43.32 1…