WELL #6 DRILLING, TESTING, AND PUMP

DWSRF PROJECT NO. DWL28178

HLA PROJECT NO. 26040

Construction Specifications & Bid Documents

JULY 2026

SNOQUALMIE PASS UTILITY DISTRCT

SNOQUALMIE PASS UTILITY DISTRICT, WASHINGTON

CONTRACT DOCUMENTS

FOR

WELL #6 DRILLING, TESTING, AND PUMP

DWSRF PROJECT NO. DWL28178

HLA PROJECT NO. 26040

CONTRACTING AGENCY: ENGINEER:

Snoqualmie Pass Utility District HLA Engineering and Land Surveying, Inc. (HLA) 932 Hyak Drive East 2803 River Road P.O. Box 131 Yakima, WA 98902 Snoqualmie Pass, WA 98068

FUNDING AGENCY:

Washington State Department of Health Office of Drinking Water Drinking Water State Revolving Fund (DWSRF) PO Box 47822 Olympia, WA 98504

JULY 2026

SNOQUALMIE PASS UTILITY DISTRICT

KING COUNTY, WASHINGTON

CONTRACT DOCUMENTS

FOR

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 ................................................................................................... 3-5 AUTHORIZED SIGNATURES (DOT FORM 420-007) .......................................................................... 3-6 BID DEPOSIT ........................................................................................................................................ 3-7 BID BOND ............................................................................................................................................. 3-7 NON-COLLUSION AFFIDAVIT ............................................................................................................. 3-8

LOCAL AGENCY CERTIFICATION FOR FEDERAL-AID CONTRACTS (DOT FORM 272-040A EF) 3-9

SURETY .............................................................................................................................................. 3-10 SUBCONTRACTOR LIST ................................................................................................................... 3-11 BIDDER'S CERTIFICATION REGARDING FEDERAL AND STATE REQUIREMENTS ................... 3-12 DWSRF SPECIFICATIONS INSERT – ATTACHMENT 3 .................................................................. 3-13 CERTIFICATION OF NONSEGREGATED FACILITIES ..................................................................... 3-13 BIDDERS LIST .................................................................................................................................... 3-14 LIST OF REFERENCES...................................................................................................................... 3-15 CERTIFICATION OF COMPLIANCE WITH WAGE PAYMENT STATUTES ..................................... 3-16 SUPPLEMENTAL BIDDER RESPONSIBILITY CRITERIA STATEMENT .......................................... 3-17

SECTION 4 - CONTRACT AND RELATED MATERIALS ......................................................................... 4-1 CONTRACT ........................................................................................................................................... 4-2 CONTRACT BOND ............................................................................................................................... 4-4 SCHEDULE OF WORKING HOURS .................................................................................................... 4-6 DWSRF SPECIFICATION INSERT – ATTACHMENT 4 ....................................................................... 4-7 NOTICE TO LABOR UNIONS OR OTHER ORGANIZATION OF WORKERS: ................................... 4-7 NON-DISCRIMINATION IN EMPLOYMENT ......................................................................................... 4-7 DWSRF SPECIFICATION INSERT – ATTACHMENT 5 ....................................................................... 4-8 AMERICAN IRON AND STEEL PROVISION........................................................................................ 4-8

SECTION 5 - LABOR STANDARDS AND WAGE RATE CONDITIONS .................................................. 5-1 PREVAILING WAGE RATES ................................................................................................................ 5-2 DWSRF SPECIFICATION INSERT – ATTACHMENT 1B .................................................................... 5-3 LABOR STANDARDS PROVISION – MUNICIPAL BORROWERS ..................................................... 5-3 DWSRF SPECIFICATION INSERT – ATTACHMENT 2 ..................................................................... 5-10 FEDERAL & STATE WAGE RATE DETERMINATIONS .................................................................... 5-10 DLI (KING COUNTY) EFFECTIVE 08/20/2026 ................................................................................... 5-10 BENEFIT CODE KEY EFFECTIVE 03/04/2026 .................................................................................. 5-10 DLI SUPPLEMENTAL TO WAGE RATES EFFECTIVE 01/30/2026 .................................................. 5-10 HEAVY FEDERAL WAGE RATES EFFECTIVE WA20260080 MOD 1 EFFECTIVE 05/18/2026 ..... 5-10

SECTION 6 - WASHINGTON STATE DEPARTMENT OF HEALTH DRINKING WATER STATE

REVOLVING FUND (DWSRF SPECIFICATIONS INSERT) ..................................................................... 6-1

WASHINGTON STATE DEPARTMENT OF HEALTH DRINKING WATER STATE REVOLVING FUND

(DWSRF) SPECIFICATIONS INSERT .................................................................................................. 6-2

SECTION 7 - SPECIAL PROVISIONS AND TECHNICAL SPECIFICATIONS ......................................... 7-1

TABLE OF CONTENTS ......................................................................................................................... 7-2 SPECIAL PROVISIONS ........................................................................................................................ 7-3

APPENDIX A – CONSTRUCTION STAKING REQUEST FORM

APPENDIX B – PRELIMINARY WELL DESIGN

APPENDIX C – EXISTING WELL LOGS (WELL NO. 2 AND NO. 3)

APPENDIX D – VICINITY MAP, SITE PLAN, AND TEMPORARY WATER DISPOSAL PLAN, AND

GRADING PLAN

APPENDIX E – EPA, DOH, AND DOE WELL TESTING PROCEDURES

APPENDIX F – WATER RIGHT DOCUMENTS

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SECTION 1 - ADVERTISEMENT FOR BIDS

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ADVERTISEMENT FOR BIDS

Snoqualmie Pass Utility District 932 Hyak Drive East Snoqualmie Pass, WA 98068

The Snoqualmie Pass Utility District invites separate sealed BIDS for the construction of the Well #6 Drilling, Testing, and Pump, DWSRF Project No. DWL28178, HLA Project No. 26040 including the following approximate major quantities of work:

Snoqualmie Pass Utility District (District) desires to construct a new potable water well for municipal use that replaces an existing well to improve system reliability. The well will be constructed to obtain the greatest possible yield (approximately 350 gpm) within the limits of well depth (approximately 600 LF) and diameter (12-inch). The well will be drilled through unconsolidated and consolidated formations using rotary drilling methods. Well construction will include a surface seal, grouting, casing, well screen, development, disinfection, pumping tests, and site cleanup.

This contract has Ninety (90) working days to complete the work.

Bids will be received by the District Manager, 932 Hyak Drive East, Snoqualmie Pass, WA 98068, until 1:00 p.m., August 20, 2026, and then shortly thereafter will be publicly opened and read aloud.

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 Dean P. Smith, PE, at (509) 966-7000 or dsmith@hlacivil.com.

Each bid or proposal must be accompanied by bond or a certified check, payable to the order of the Treasurer of the Snoqualmie Pass Utility District 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 Snoqualmie Pass Utility District in the event the successful bidder shall fail or refuse to enter into a Contract with the District 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 District Manager 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 Snoqualmie Pass Utility District 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 Snoqualmie Pass Utility District, 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.

This project is funded through the Washington State Drinking Water State Revolving Fund program, with Federal funds from the Environmental Protection Agency. All Washington State Department of Health Office of Drinking Water requirements and/or provisions must be met by the Contractor and all subcontractors.

All contractors must be licensed to conduct business in Washington State.

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

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The Snoqualmie Pass Utility District 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 Snoqualmie Pass Utility District.

Tom Hastings

General Manager

Publish: July 30, 2026 August 6, 2026

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SECTION 2 - INFORMATION FOR BIDDERS

2-2

INFORMATION FOR BIDDERS

BIDS will be received by the Snoqualmie Pass Utility District (herein called the “CONTRACTING AGENCY”), at 932 Hyak Drive East, PO Box 131, Snoqualmie Pass, WA 98068, until 1:00 p.m., August 20, 2026, and then at the District Office publicly opened and read aloud.

Each BID must be submitted in a sealed envelope, addressed to the District Manager at 932 Hyak Drive East, Snoqualmie Pass, WA 98068. Each sealed envelope containing a BID must be plainly marked on the outside as BID for Well #6 Drilling, Testing, and Pump, 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 932 Hyak Drive East, PO Box 131, Snoqualmie Pass, WA 98068.

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.

Each BID must be accompanied by an original BID BOND payable to the CONTRACTING AGENCY for five percent of the total amount of the BID. When the Agreement is executed, the bonds of the unsuc-cessful BIDDERS will be returned. The BID BOND of the successful BIDDER will be retained until the CONTRACT BOND has been executed and approved, after which it will be returned. A certified check may be used in lieu of a BID BOND.

A CONTRACT BOND in the amount of 100 percent of the CONTRACT PRICE, with a corporate Surety approved by the CONTRACTING AGENCY, will be required for the faithful performance of the Contract.

Attorneys-in-fact who sign BID BONDS or CONTRACT BONDS must file with each BOND a certified and effective dated copy of their Power of Attorney.

The party to whom the Contract is awarded will be required to execute the Agreement and obtain the CONTRACT BOND within ten (10) working days from the date when NOTICE OF AWARD is delivered to the BIDDER. The NOTICE OF AWARD shall be accompanied by the necessary Agreement and BOND forms. In case of failure of the BIDDER to execute the Agreement, the CONTRACTING AGENCY may consider the BIDDER in default, in which case the BID BOND accompanying the proposal shall become the property of the CONTRACTING AGENCY.

The CONTRACTING AGENCY may make such investigations as deemed necessary to determine the ability of the BIDDER to perform the WORK, and the BIDDER shall furnish to the CONTRACTING AGENCY all such information and data for this purpose as the CONTRACTING AGENCY may request.

The CONTRACTING AGENCY reserves the right to reject any BID if the evidence submitted by, or investigation of, such BIDDER fails to satisfy the CONTRACTING AGENCY that such BIDDER is properly qualified to carry out the obligations of the Agreement and to complete the WORK contemplated therein.

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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.

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

Contract time for this project is anticipated to begin by JUNE 2027.

The ENGINEER is HLA Engineering and Land Surveying, Inc. (HLA), represented by Dean, P. Smith, PE.

The ENGINEER'S address is 2803 River Road, Yakima, Washington 98902, PHONE: (509) 966-7000, EMAIL: dsmith@hlacivil.com.

mailto:dsmith@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) BID DEPOSIT or BID BOND

BID DEPOSIT - Sign the Bid Deposit in the space provided if the bid is accompanied by a certified check or cashier’s check in the amount of not less than 5% of the total amount bid.

OR

BID BOND - This form is to be executed by the bidder and Surety Company. The amount of this bond shall be not less than 5% of the total amount bid and may be shown in dollars or on a percentage basis. Provide Power of Attorney for Surety's agent.

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

7) SURETY

8) SUBCONTRACTOR LIST

9) BIDDER'S CERTIFICATION REGARDING FEDERAL AND STATE REQUIREMENTS

10) DWSRF SPECIFICATIONS INSERT – ATTACHMENT 3 CERTIFICATION OF NON-

SEGREGATED FACILITIES

11) LIST OF REFERENCES

12) CERTIFICATION OF COMPLIANCE WITH WAGE PAYMENT STATUTES

The following forms must be fully executed and submitted with the Bid, or within 48 hours after the published Bid submittal time:

1) BIDDERS LIST

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 Snoqualmie Pass Utility District.

2)

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

Power of Attorney.

4) SCHEDULE OF WORKING HOURS

5) DWSRF SPECIFICATION INSERT – ATTACHMENT 4 NOTICE TO LABOR UNIONS OR OTHER

ORGANIZATION OF WORKERS: NON-DISCRIMINATION IN EMPLOYMENT

6) 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.

3-3

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 Snoqualmie Pass Utility District, Washington, (hereinafter called

“CONTRACTING AGENCY”).

In compliance with your Advertisement for Bids, BIDDER hereby proposes to perform all work for the construction of the WELL #6 DRILLING, TESTING, AND PUMP, DWSRF Project No. DWL28178, HLA Project No. 26040, 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 ninety (90) 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

1 Minor Change 1-04.4(1) FA Est. X $20,000.00 = $20,000.00

2 Mobilization and Demobilization 2-01.5 LS --- X --- =

3 Temporary Traffic Control 2-04.5 LS --- X --- =

4 Access Road and Pad 3-03 LS --- X --- =

5 Drill and Install 20-inch Temporary Casing 7-26.5(1) LF 50 X =

6 Furnish and Install 16-inch Production Casing

7-26.5(2) LF 50 X =

7 Cement Grout 16-Inch Permanent Casing 7-26.5(2) LF 50 X =

8 Drill Nominal 14-inch Borehole via Reverse Circulation (50 to 600 ft bgs)

7-26.5(1) LF 550 X =

9 Furnish and Install 12-inch Blank Casing Liner

7-26.5(2) LF 500 X =

10 Furnish and Install 12-inch Wire Wrapped Well Screen

7-26.5(2) LF 100 X =

11 Furnish and Install Filter Pack Seal 7-26.5(2) LF 10 X =

12 Furnish and Install Filter Pack 7-26.5(2) LF 100 X =

13 Perform Well Development 7-26.5(5) HR 20 X =

14 Provide and Remove Test Pump for Pumping Tests

7-26.5(7) LS --- X --- =

15 Install Discharge Line 7-26.5(7) LS --- X --- =

16 Operate Test Pump for Pumping Tests 7-26.5(7) HR 40 X =

17 Alignment Testing 7-26.5(3) LS --- X --- =

18 Video Inspection 7-26.5(4) EA 1 X =

19 Well Disinfection 7-26.5(6) LS --- X --- =

20 Complete Wellhead 7-26.5(9) LS --- X --- =

21 Site Restoration 7-26.5(10) LS 1 X =

22 Partial Borehole Decommissioning 7-26.5(2) LF 20 X =

23 Authorized Standby Time 7-26.5(8) HR -- X =

24 Furnish and Install New Well Pump, Motor, and Appurtenance

7-26.5(11) FA Est. X $150,000.00 = $150,000.00

BID SUBTOTAL

8.9% STATE SALES TAX

BID 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

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BID DEPOSIT

DWSRF PROJECT NO. DWL28178

HLA PROJECT NO. 26040

Herewith find deposit in the form of a certified check or cashier's check in the amount of $__________________________________________, which amount is not less than five percent (5%) of our total bid for this project.

Sign Here

OR

BID BOND

KNOW ALL PERSONS BY THESE PRESENTS:

That we _________________________________________________________________, as Principal, and ___________________________________________________________________________, as Surety, are held and firmly bound unto the SNOQUALMIE PASS UTILITY DISTRICT, as Obligee, in the penal sum of _______________________________________________________________ Dollars, for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, by these presents.

The condition of this obligation is such that if the Obligee shall make any award to the Principal for WELL #6 DRILLING, TESTING, AND PUMP, DWSRF Project No. DWL28178, HLA Project No. 26040, according to the terms of the proposal or bid made by the Principal therefor, and the Principal shall duly make and enter into a Contract with the Obligee in accordance with the terms of said proposal or bid and award and shall give bond for the faithful performance thereof, with Surety or Sureties approved by the Obligee; or if the Principal shall, in case of failure so to do, pay and forfeit to the Obligee the penal amount of the deposit specified in the call for bids, then this obligation shall be null and void; otherwise it shall be and remain in full force and effect and the Surety shall forthwith pay and forfeit to the Obligee, as penalty and liquidated damages, the amount of this bond.

SIGNED, SEALED, AND DATED THIS __________ DAY OF __________________, 2026.

Principal

Surety

, 2026

3-8

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 07/2011

SR

3-10

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

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SUBCONTRACTOR LIST

SNOQUALMIE PASS UTILITY DISTRICT

WELL #6 DRILLING, TESTING, AND PUMP

To be Submitted with the Bid Proposal

Failure to list subcontractors with whom the bidder, if awarded the contract, will directly subcontract for performance of the work of structural steel installation, rebar installation, heating, ventilation and air conditioning, plumbing, as described in Chapter 18.106 RCW, and electrical, as described in Chapter 19.28 RCW or naming more than one subcontractor to perform the same work will result in your bid being non-responsive and therefore void.

Subcontractor(s) with whom the bidder will directly subcontract that are proposed to perform the work of structural steel installation, rebar installation, heating, ventilation and air conditioning, plumbing, as described in Chapter 18.106 RCW, and electrical as described in Chapter 19.28 RCW must be listed below. The work to be performed is to be listed below the subcontractor(s) name.

To the extent the Project includes one or more categories of work referenced in RCW 39.30.060, and no subcontractor is listed below to perform such work, the bidder certifies that the work will either (i) be performed by the bidder itself, or (ii) be performed by a lower tier subcontractor who will not contract directly with the bidder.

Subcontractor Name Work to be performed

* Bidder’s are notified that it is the opinion of the enforcement agency that PVC or metal conduit, junction boxes, etc, are considered electrical equipment and therefore considered part of electrical work, even if the installation is for future use and no wiring or electrical current is connected during the project.

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BIDDER'S CERTIFICATION REGARDING FEDERAL AND STATE REQUIREMENTS

The Bidder, ___________________________________________________, does hereby certify that its organization will comply with all federal and state requirements, including, but not limited to, those listed in Section 6 – Washington State Department of Health Drinking Water State Revolving Fund (DWSRF) Specifications Insert, and will impose these same requirements on any and all subcontractors which they employ.

Name:

Please Type or Print

Title:

Please Type or Print

Signature: Date:

3-13

DWSRF SPECIFICATIONS INSERT – 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 origin, 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.

Signature Date

Name and title of signer (please type)

[THIS FORM SHALL BE COMPLETED IN FULL AND SUBMITTED WITH THE BID PROPOSAL]

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BIDDERS LIST

(40 CFR Part 33 Part 33.501)

All bidders shall submit the following information for all firms that bid or quote on subcontracts (including both DBE and non-DBE firms) with their bid proposal.

1. Entity's name with point of contact;

2. Entity's mailing address, telephone number, and e-mail address;

3. The procurement on which the entity bid or quoted, and when; and

4. Entity's status as an MBE/WBE or non-MBE/WBE.

Project: WELL #6 DRILLING, TESTING, AND PUMP

HLA Project No. 26040

Bidder Name:

Point of Contact:

Address:

Telephone #, E-mail Address:

Currently Certified under EPA’s DBE Program (Circle all that apply): MBE WBE None

If no subcontractor is listed below, the bidder acknowledges that it does not intend to use any subcontractor to perform those items of work.

Subcontractor Name:

Point of Contact:

Address:

Type of Work to be Performed:

Subcontractor Name:

Point of Contact:

Address:

Subcontractor Name:

Point of Contact:

Address:

Attach list of additional subcontractors if necessary.

3-15

LIST OF REFERENCES

SNOQUALMIE PASS UTILITY DISTRICT

WELL #6 DRILLING, TESTING, AND PUMP

List all projects of a similar nature completed by the BIDDER during the previous five (5) years. Similar projects are considered to be those projects with a contract amount of not less than 50 percent of the amount bid on this project with the type of construction, materials, and methods necessary for completion of this project. Provide name of contact person and phone number. Failure to complete this List of References may be cause for rejection of the BID.

Previous Similar Projects Contact Person Phone Number

3-16

CERTIFICATION OF COMPLIANCE WITH WAGE PAYMENT STATUTES

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.

OFFICIAL AUTHORIZED TO SIGN FOR BIDDER:

Bidder Name:

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

Signature of Authorized Person

Date

Print Name and Title

Location or Place Executed (City, State)

3-17

SUPPLEMENTAL BIDDER RESPONSIBILITY CRITERIA STATEMENT

DWSRF PROJECT NO. DWL28178

HLA PROJECT NO. 26040

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/

3-18

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.

3-19

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 Snoqualmie Pass Utility District, 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 WELL #6 DRILLING, TESTING, AND PUMP, DWSRF Project No. DWL28178, HLA Project No. 26040, in accordance with and as described in the attached Plans and Specifications, DWSRF 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 ninety (90) 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:

Snoqualmie Pass Utility District, Washington

By:

Name: Tom Hastings

Title: General Manager

CONTRACTOR:

(CONTRACTOR NAME)

By: (SEAL)

AUTHORIZED OFFICIAL’S SIGNATURE

Name: ATTEST:

(Please Print or Type)

Address:

Email:

Name:

4-4

CONTRACT BOND

DWSRF PROJECT NO. DWL28178

BOND TO SNOQUALMIE PASS UTILITY DISTRICT

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 Snoqualmie Pass Utility District 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 Snoqualmie Pass Utility District.

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 Snoqualmie Pass Utility District, on ________________________, 2026, the General Manager of said Snoqualmie Pass Utility District, has let or is about to let to the said ____________________________________________________, the above bounden Principal, a certain Contract, the said Contract being numbered DWSRF Project No.

DWL28178, HLA Project No. 26040, and providing for the construction of WELL #6 DRILLING, TESTING, AND PUMP 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 Snoqualmie Pass Utility District harmless from any damage or expense by reason of failure of performance as specified in said Contract or from defects appearing or developing in the material or workmanship provided or performed under said Contract within a period of one year after its acceptance thereof by the Snoqualmie Pass Utility District, then and in that event this obligation shall be void; but otherwise it shall be and remain in full force and effect.

4-5

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:

4-6

SCHEDULE OF WORKING HOURS

DWSRF PROJECT NO. DWL28178

HLA PROJECT NO. 26040

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 reimbursement provisions of Section 1-08.0(2) Hours of Work and Section 1-08.0(3) Reimbursement for Overtime Work of Contracting Agency Employees.

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.

I hereby certify that my subcontractors have been notified of the normal straight time working hours provisions of this project and understand that Engineer/Contracting Agency costs for overtime hours will be deducted from amounts due to me for work performed on the project.

Contractor

Signature

Date

4-7

DWSRF SPECIFICATION INSERT – ATTACHMENT 4

NOTICE TO LABOR UNIONS OR OTHER ORGANIZATION OF WORKERS:

NON-DISCRIMINATION IN EMPLOYMENT

To:

(name of union or organization of worker)

The undersigned currently holds contract(s) with the Snoqualmie Pass Utility District involving funds or credit of the U.S. Government or (a) subcontract(s) with a prime contractor holding such contract(s).

You are advised that under the…