28723 ExhibitA1-Bidder'sCertification.docx

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Attached to
Elevator/Conveyance Full Service Maintenance, Testing & Repairs Services
Solicitation number
28723
Issued by
Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington

About this file

This document is the Bidder's Certification for a competitive solicitation (No. 28723) for Elevator Full Service Maintenance, Testing, and Repair Services issued by the Washington Department of Enterprise Services. The solicitation is seeking bids from qualified contractors to provide these services for various geographic regions within the state of Washington, including counties such as Franklin, Grant, Grays Harbor, Chelan, and Yakima. Bidders must certify their qualifications, including possessing the required licenses and certifications, complying with prevailing wage requirements and safety standards, and meeting various other legal and financial requirements. The contract will be awarded to the apparent successful bidder(s) and is expected to have a term of multiple years with potential renewal options.

The solicitation outlines pricing terms, such as requiring bidders to comply with Washington's Prevailing Wage Act. It also details set-aside requirements for Washington Small Businesses and Certified Veteran-Owned Businesses. The contract will be funded through state and local government budgets, with no specific funding amounts or sources provided. The current incumbent contractor(s) are not named, and the overall market environment is not described.

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File Type Posted
28723 SolAmd1 rev10222024.docx DOCX document
28723 CompetitiveSolicitation.docx DOCX document
28723 ExhibitB1 ScopeOfServices.docx DOCX document
28723 ExhibitB2-PerformReq Scored.docx DOCX document
28723 ExhibitC Bid Price.xlsx XLSX spreadsheet
28723 Elevator Srvrs-PreBid.pdf PDF
28723 AMD1 ExhibitD StatewideContractTemplate.docx DOCX document
28723 ExhibitA2-Bidder'sProfile.docx DOCX document
28723 ExhibitE BusInclusion-Subcontractors.docx DOCX document
28723 QandA1.docx DOCX document
28723 ExhibitD StatewideContractTemplate.docx DOCX document
28723 AMD1 ComSol REV10222024.docx DOCX document
28723 AMD1 ExhibitA1 Bidder'sCertification.docx DOCX document
28723 AMD1 ExhibitB2 PerformReq Scored.docx DOCX document
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Text version

EXHIBIT A1 – BIDDER’S CERTIFICATION

Competitive Solicitation:
No. 28723 – Elevator Full Service Maintenance, Testing, & Repair Services

Geographic Areas for which Bidder is submitting a Bid:

Check appropriate box(es) ☐ ALL Regions or ☐ Olympic Region ☐ Northwest Region ☐ Southwest Region ☐ South Central Region ☐ North Central Region ☐ Eastern Region

Bidder:
_________________________________

Type/print full legal name of Bidder

Bidder’s Address:
_________________________________

Type/print Bidder’s Address

Bidder Organization/Entity Type:

Check appropriate box

Corporation:
☐Domestic
☐Foreign
Limited Liability Company (LLC):
☐Domestic
☐Foreign
Partnership:
☐Domestic
☐Foreign
Sole Proprietorship*:
☐

*A sole proprietorship is an unincorporated business owned and run by one individual or married couple alone with no distinction between the business and the owner. It is not a separate legal entity. It simply refers to a person who owns the business and is personally responsible for its debts and who pays personal income taxes on profits earned from the business. If you are a Bidder who operates a business on your own, you automatically are a sole proprietor unless you have formed a separate business structure (e.g., corporation, LLC, partnership) and lawfully registered the same.

State of Formation for Bidder Entity Type:
_________________________________

Type/print the state where the Bidder entity (e.g., corporation, LLC) is formed – e.g., ‘Washington’ if domestic or the name of the applicable state if ‘Foreign’ (i.e., not Washington).

Doing Business Under Another Name:

Check appropriate box State whether Bidder has been doing business under another name during the past five years:

☐ Bidder has NOT done business under another name
☐ Bidder HAS done business under another name

If Bidder HAS done business under another name, provide the business name(s) and addresses:

Business Name: ___________________________________ Address: ___________________________________

Bidder, through the duly authorized undersigned, makes this certification as a required element of submitting a responsive bid. Bidder certifies, to the best of its knowledge and belief that the following are true, complete, correct, and made in good faith:

1. UNDERSTANDING. Bidder certifies that Bidder has read, thoroughly examined, and fully understands all of the provisions in the above-referenced Competitive Solicitation (including all exhibits) and the terms and conditions of the Contract and any amendments or clarifications to the above-referenced Competitive Solicitation, and agrees to abide by the same.

2. ACCURACY. Bidder certifies that Bidder has carefully prepared and reviewed its bid and fully supports the accuracy of the same. Bidder further understands and acknowledges that Enterprise Services shall not be responsible for any errors or omission on the part of Bidder in preparing its bid. Bidder further certifies that the facts declared here are true and accurate. Bidder further understands and acknowledges that the continuing compliance with these statements and all requirements of the above-referenced Competitive Solicitation are conditions precedent to the award or continuation of the resulting Contract.

3. NO COLLUSION, ANTI-COMPETITIVE PRACTICES, OR SHARING BID INFORMATION. Bidder certifies that Bidder has 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 above-referenced Competitive Solicitation. Bidder further certifies that Bidder’s bid prices have been arrived at independently, without engaging in collusion, bid rigging, or any other illegal activity, and without for the purpose of restricting competition any consultation, communication, or agreement with any other bidder or competitor relating to (a) those prices, (b) the intention to submit a bid, or (c) the methods or factors used to calculate the prices offered. Bidder further certifies that Bidder has not been and shall not knowingly disclose its bid prices, directly or indirectly, to any other bidder or competitor before award of a Contract, unless otherwise required by law. Bidder further certifies that Bidder has made no attempt and shall not make any attempt to induce any other person or firm to submit or not to submit a bid for the purpose of restricting competition. Bidder, however, freely may join with other persons or organizations for the purpose of presenting a joint bid. Whether done directly or indirectly, communicating bid information with other bidders, collusion, or anti-competitive actions among bidders are prohibited. If there is evidence of such communication, collusion, or anti-competitive activities among bidders, Enterprise Services reserves the right to disqualify such bidders.

4. FIRM OFFER. Bidder certifies that its bid pertaining to the above-referenced Competitive Solicitation is a firm offer which cannot be withdrawn for a time period of ninety (90) days from and after the bid due date specified in the above-referenced Competitive Solicitation. Enterprise Services may accept such bid, with or without further negotiation, at any time within such period. In the event of a protest, Bidder’s bid shall remain valid for such time period or until the protest and any related court action is resolved, whichever is later.

5. CONFLICT OF INTEREST. Bidder certifies that, in preparing its bid, Bidder has not been assisted by any current or former employee of the State of Washington whose duties relate (or did relate) to the above-referenced Competitive Solicitation or prospective Contract and who was assisting in other than the employee’s official, public capacity. Bidder further certifies that no such current or former public employee nor any member of such person’s immediate family have any financial interest in the outcome of Bidder’s bid.

6. NO REIMBURSEMENT. Bidder certifies that Bidder understands that the State of Washington will not reimburse Bidder for any costs incurred in the preparation of Bidder’s bid. All bids become the property of the State of Washington, and Bidder claims no proprietary right to the ideas, writings, items, or samples unless so stated in the bid.

7. PERFORMANCE. Bidder certifies that Bidder understands that its submittal of a bid and execution of this Bidder’s Certification certifies Bidder’s willingness to comply with the Contract, if awarded such. By submitting this bid, Bidder hereby offers to furnish the goods and/or services solicited pursuant to the above-referenced Competitive Solicitation in compliance with all terms, conditions, and performance requirements contained in the above-referenced Competitive Solicitation and the resulting Contract or, if applicable, as detailed on a Contract Issues List, if permitted, in the above-referenced Competitive Solicitation.

8. INSURANCE. Bidder certifies as follows (must check one):

☐ BIDDER HAS THE REQUIRED INSURANCE. Bidder has attached a current, valid Certificate of Insurance for each and all of the required insurance coverages as specified in the Contract (Note: Bidder must attach the Insurance Certificate).

OR

☐ BIDDER WILL OBTAIN THE REQUIRED INSURANCE. Bidder does not have a current, valid Certificate of Insurance for each and all of the required insurance coverages as specified in the Contract but, if designated as an Apparent Successful Bidder, Bidder shall provide such a Certificate of Insurance, without exception of any kind, to Enterprise Services within five (5) business days of such designation or notification by Enterprise Services or be deemed a nonresponsive bid and disqualified from Contract award.

OR

☐ BIDDER DOES NOT HAVE THE REQUIRED INSURANCE. As detailed in the attached explanation (Bidder to provide), Bidder does not have a current, valid Certificate of Insurance for each and all of the required insurance coverages as specified in the Contract and, if designated as an Apparent Successful Bidder would not be able to provide such a Certificate of Insurance to Enterprise Services within five (5) business days of such designation.

Note: The Contract requires proof that the awarded Contractor, unless exempt, has Workers’ Compensation Insurance and Employer’s Liability Insurance. Pursuant to Washington law, certain entities are not required to have Workers’ Compensation Insurance (e.g., entities with no employees). If, under Washington law, Bidder is not required to have Workers’ Compensation Insurance, Bidder must check the following and provide the lawful basis as to why Bidder is not required to have Workers’ Compensation Insurance:

☐ BIDDER IS NOT REQUIRED TO HAVE WORKERS’ COMPENSATION INSURANCE. Pursuant to Washington law, Bidder is not required to have Workers’ Compensation Insurance because:

Bidder must state lawful basis as to why Bidder is NOT required to have Workers’ Compensation Insurance.

9. DEBARMENT. Bidder certifies as follows (must check one):

☐ NO DEBARMENT. Neither Bidder nor its principals presently are nor ever have been debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from contracting with any federal, state, or local governmental entity within the United States.

OR

☐ DEBARRED. As detailed in the attached explanation (Bidder to provide), Bidder and/or its principals presently are debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from contracting with a federal, state, or local governmental entity within the United States.

10. CRIMINAL OFFENSE. Bidder (including Bidder’s officers) certifies as follows (must check one):

☐ NO CRIMINAL OFFENSE. Bidder has not, within the three (3) year period preceding the date of the above-referenced Competitive Solicitation, been convicted or had a civil judgment rendered against Bidder for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a governmental contract; violation of any federal or state antitrust statute; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. Bidder further certifies that Bidder is not presently indicted or otherwise criminally or civilly charged by a governmental entity with commission of any of the offenses enumerated in this paragraph.

OR

☐ CRIMINAL OFFENSE. As detailed in the attached explanation (Bidder to provide), within the three (3) year period preceding the date of the above-referenced Competitive Solicitation, Bidder has been convicted or had a civil judgment rendered against Bidder for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a governmental contract; violation of any federal or state antitrust statute; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property.

11. CIVIL RIGHTS. Bidder certifies as follows (must check one):

☐ COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS. Bidder complies with all applicable legal requirements regarding civil rights. Such requirements prohibit discrimination against individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

OR

☐ NON-COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS. As detailed in the attached explanation (Bidder to provide), Bidder does not comply with all applicable legal requirements regarding civil rights.

12. WASHINGTON STATE WAGE THEFT PREVENTION. Bidder certifies as follows (must check one):

☐ NO WAGE VIOLATIONS. Bidder has NOT been determined by a final and binding citation and notice of assessment issued by the Washington 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 49.46, 49.48, or 49.52 within the three (3) year period preceding the date of the above-referenced Competitive Solicitation.

OR

☐ VIOLATIONS OF WAGE LAWS. As detailed in the attached explanation (Bidder to provide), Bidder has been determined by a final and binding citation and notice of assessment issued by the Washington 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, a provision of RCW 49.46, 49.48, or 49.52 within the three (3) year period preceding the date of the above-referenced Competitive Solicitation.

13. WASHINGTON STATE STATUTORY NONDISCRIMINATION CLAUSES FOR STATE CONTRACTS. Bidder certifies as follows (must check one):

☐ COMPLIANCE WITH STATUTORY NONDISCRIMINATION CLAUSES FOR STATE CONTRACTS. If, pursuant to the above-referenced Competitive Solicitation, Bidder is awarded a Contract, Bidder, including any subcontractor, during the term of such Contract, shall not discriminate on the bases enumerated in RCW 49.60.530(3). Bidder, including any subcontractor, also shall give written notice of this nondiscrimination requirement to any labor organizations with which Bidder, or subcontractor, has a collective bargaining or other agreement. In addition, Bidder, including any subcontractor, shall cooperate with any Washington state agency investigation regarding any allegation that Bidder, including any subcontractor, engaged in prohibited discrimination set forth in RCW 49.60.530(3).

OR

☐ NON-COMPLIANCE WITH STATUTORY NONDISCRIMINATION CLAUSES FOR STATE CONTRACTS. As detailed in the attached explanation (Bidder to provide), Bidder does not comply with RCW 49.60.530.

14. WASHINGTON STATE WORKERS’ RIGHTS (EXECUTIVE ORDER 18-03). Bidder certifies as follows (must check one):

☐ NO MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE ACTION WAIVERS FOR EMPLOYEES. Bidder does NOT require its employees, as a condition of employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waivers.

OR

☐ MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE ACTION WAVERS FOR EMPLOYEES. As detailed in the attached explanation (Bidder to provide), Bidder requires its employees, as a condition of employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waivers.

15. WASHINGTON STATE PAY EQUALITY FOR ‘SIMILARLY EMPLOYED’ INDIVIDUALS. Bidder certifies as follows (must check one):

☐ PAY EQUALITY FOR ‘SIMILARLY EMPLOYED’ INDIVIDUALS. Bidder’s ‘similarly employed’ individuals are compensated as equals. For purposes of this provision, employees are ‘similarly employed’ if the individuals work for the same employer, the performance of the job requires comparable skill, effort, and responsibility, and the jobs are performed under similar working conditions. Job titles alone are not determinative of whether employees are similarly employed. Bidder may allow differentials in compensation for its workers based in good faith on any of the following: a seniority system; a merit system; a system that measures earnings by quantity or quality of production; a bona fide job-related factor or factors; or a bona fide regional difference in compensation levels. A bona fide job-related factor or factors may include, but is not limited to, education, training, or experience that is consistent with business necessity; not based on or derived from a gender-based differential; and accounts for the entire differential. A bona fide regional difference in compensation level must be consistent with business necessity; not based on or derived from a gender-based differential; and account for the entire differential.

OR

☐ NO PAY EQUALITY FOR ‘SIMILARLY EMPLOYED’ INDIVIDUALS. Bidder’s ‘similarly employed’ individuals are NOT compensated as equals.

16. CONTRACT TERMINATION FOR DEFAULT OR CAUSE. Bidder certifies as follows (must check one):

☐ NO GOVERNMENTAL CONTRACT TERMINATION FOR DEFAULT OR CAUSE. Bidder has not, within the three (3) year period preceding the date of the above-referenced Competitive Solicitation, had one (1) or more federal, state, or local governmental contracts terminated for cause or default.

OR

☐ GOVERNMENTAL CONTRACT TERMINATION FOR DEFAULT OR CAUSE. As detailed in the attached explanation (Bidder to provide), within the three (3) year period preceding the date of the above-referenced Competitive Solicitation, Bidder has had one (1) or more federal, state, or local governmental contracts terminated for cause or default.

17. TAXES. Bidder certifies as follows (must check one):

☐ TAXES PAID. Except as validly contested, Bidder is not delinquent and has paid or has arranged for payment of all taxes due to the State of Washington and has filed all required returns and reports as applicable.

OR

☐ DELINQUENT TAXES. As detailed in the attached explanation (Bidder to provide), Bidder has not paid or arranged for payment of all taxes due to the State of Washington and/or has not timely filed all required returns and reports as applicable.

18. FINANCIALLY SOLVENT. Bidder certifies as follows (must check one):

☐ FINANCIALLY SOLVENT. Bidder is financially stable and solvent, has adequate cash reserves to meet all financial obligations, has not commenced bankruptcy proceedings voluntarily or otherwise, and is not subject to any judgments, liens, or encumbrances of any kind affecting title to any Goods and/or Services that are the subject of the above-referenced Competitive Solicitation.

OR

☐ NOT FINANCIALLY SOLVENT. As detailed in the attached explanation (Bidder to provide), Bidder is not financially stable and solvent – i.e., Bidder does not have adequate cash reserves to meet all financial obligations, has commenced bankruptcy proceedings voluntarily or otherwise, or is subject to a judgment, lien, or encumbrance that affects title to the Goods and/or Services that are the subject of the above-referenced Competitive Solicitation.

19. LAWFUL REGISTRATION. Bidder, if conducting business other than as a sole proprietorship, certifies as follows (must check one):

☐ CURRENT LAWFUL REGISTRATION. Bidder is registered and in good standing in the jurisdiction (state) where Bidder is organized, including having timely filed all required annual reports.

OR

☐ DELINQUENT REGISTRATION OR NOT IN GOOD STANDING. As detailed in the attached explanation (Bidder to provide), Bidder’s organizational registration currently is delinquent or Bidder currently is not in good standing in the jurisdiction (state) where Bidder is organized.

Note: This certification applies only to Bidders who are organized as separate legal entities (e.g., a corporation, limited liability company). If Bidder is a sole proprietor, this certification should not be answered and Bidder should check the following:

☐ SOLE PROPRIETOR. Bidder is a sole proprietor.

20. REGISTRATION WITH THE WASHINGTON SECRETARY OF STATE. Bidder, if conducting business other than as a sole proprietorship, certifies as follows (must check one):

☐ BIDDER IS REGISTERED WITH THE WASHINGTON SECRETARY OF STATE. Bidder is registered with the Washington Secretary of State, is in good standing, and has the following Unified Business Identifier (UBI) number: ___ ___ ___.

OR

☐ BIDDER WILL REGISTER WITH THE WASHINGTON SECRETARY OF STATE. Bidder is not registered with the Washington Secretary of State but, if designated as an Apparent Successful Bidder, Bidder shall register with the Washington Secretary of State to obtain a UBI number and provide proof of such registration satisfactory to Enterprise Services within five (5) business days of such designation or notification by Enterprise Services or be deemed a nonresponsive bid and disqualified from Contract award.

OR

☐ BIDDER IS NOT REGISTERED WITH THE WASHINGTON SECRETARY OF STATE. Bidder is not registered with the Washington Secretary of State and, if designated as an Apparent Successful Bidder, Bidder declines to register with the Washington Secretary of State within five (5) business days of such designation. Note: Enterprise Services requires all awarded bidders (including Washington firms and out of state firms) to be registered with the Washington Secretary of State. Bidders who are not registered with the Washington Secretary of State will not be awarded a Contract.

Note: This certification applies only to Bidders who are organized as separate legal entities (e.g., a corporation, limited liability company). If Bidder is a sole proprietor, this certification should not be answered and Bidder should check the following:

☐ SOLE PROPRIETOR. Bidder is a sole proprietor.

21. REGISTRATION WITH THE WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder certifies as follows (must check one):

☐ BIDDER IS REGISTERED WITH THE WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder is registered with the Washington State Department of Revenue, has a business license to do business in Washington, and has the following Unified Business Identifier (UBI) number: ___ ___ ___.

OR

☐ BIDDER WILL REGISTER WITH THE WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder is not registered with the Washington State Department of Revenue but, if designated as an Apparent Successful Bidder, Bidder shall register with the Washington State Department of Revenue for a business license and provide proof of such registration satisfactory to Enterprise Services within five (5) business days of such designation or notification by Enterprise Services or be deemed a nonresponsive bid and disqualified from Contract award.

OR

☐ BIDDER IS NOT REGISTERED WITH THE WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder is not registered with the Washington State Department of Revenue and, if designated as an Apparent Successful Bidder, Bidder declines to register with the Washington State Department of Revenue within five (5) business days of such designation. Note: Enterprise Services requires all awarded bidders (including Washington firms and out of state firms) to be registered with the Washington State Department of Revenue. Bidders who are not registered with the Washington State Department of Revenue will not be awarded a Contract.

22. SUBCONTRACTORS. Bidder certifies as follows (must check one):

☐ NO SUBCONTRACTORS. If, pursuant to the above-referenced Competitive Solicitation, Bidder is awarded a Contract, Bidder shall not utilize subcontractors to perform the Contract.

OR

☐ SUBCONTRACTORS. As detailed in the attached explanation (Bidder to provide), if, pursuant to the above-referenced Competitive Solicitation, Bidder is awarded a Contract, Bidder will utilize subcontractors to perform the Contract. In such event, Bidder further certifies that, as to the State of Washington and eligible Purchasers who utilize the Contract, Bidder shall retain responsibility for its subcontractors, including, without limitation, liability for any subcontractor’s acts or omissions. Note: Bidder must provide the precise legal name (including state of organization), business address, and federal tax identification number (TIN) for each subcontractor. Note: If a subcontractor’s TIN is a SSN, do not provide the SSN; rather, state that the TIN is a SSN.

23. WASHINGTON SMALL BUSINESS. Bidder certifies as follows (must check all applicable boxes):

☐WASHINGTON SMALL BUSINESS. Bidder is a Washington Small Business as defined in RCW 39.26.010(13) and (22)(a). To qualify as a Washington Small Business, Bidder must meet three (3) requirements:
☐Location. Bidder’s principal office/place of business must be located in and identified as being in the State of Washington. A principal office or principal place of business is a firm’s headquarters where business decisions are made and the location for the firm’s books and records as well as the firm’s senior management personnel.
☐Size. Bidder must be owned and operated independently from all other businesses and qualify as one of the following:
☐Bidder Qualifies as a Small Business – i.e.,
☐Bidder has fifty (50) or fewer employees; or
☐Bidder has an annual gross revenue of less than $7,000,000 as reported on Bidder’s federal income tax return or its return filed with the Washington State Department of Revenue over the previous three (3) consecutive years.
☐Bidder Qualifies as a Minibusiness – i.e., Bidder has an annual gross revenue of less than $3,000,000, but $1,000,000 or more, as reported on Bidder’s federal income tax return or its return filed with the Washington State Department of Revenue.
☐Bidder Qualifies as a Microbusiness – i.e., Bidder has an annual gross revenue of less than $1,000,000 as reported on Bidder’s federal income tax return or its return filed with the Washington State Department of Revenue.
☐WEBS Certification. Bidder must have certified its Washington Small Business status in Washington’s Electronic Business Solution (WEBS).

OR

☐ NOT A WASHINGTON SMALL BUSINESS. Bidder does not qualify as a Washington Small Business as set forth above.

24. CERTIFIED VETERAN-OWNED BUSINESS. Bidder certifies as follows (must check one):

☐ CERTIFIED VETERAN-OWNED BUSINESS. Bidder is a Certified Veteran-Owned Business under RCW 43.60A.190. To qualify as a Certified Veteran-Owned Business, Bidder must meet four (4) requirements:

· 51% Ownership. Bidder must be at least fifty-one percent (51%) owned and controlled by:

(a)A veteran as defined as every person who at the time he or she seeks certification has received a discharge with an honorable characterization or received a discharge for medical reasons with an honorable record, where applicable, and who has served in at least one of the capacities listed in RCW 41.04.007;
(b)A person who is in receipt of disability compensation or pension from the department of veterans affairs; or
(c)An active or reserve member in any branch of the armed forces of the United States, including the national guard, coast guard, and armed forces reserves.

· Washington Incorporation/Location. Bidder must be either an entity that is incorporated in the State of Washington as a Washington domestic corporation or, if not incorporated, an entity whose principal place of business is located within the State of Washington.

· WEBS Certification. Bidder must have certified its Veteran-Owned Business status in Washington’s Electronic Business Solution (WEBS).

· WDVA Certification. Bidder must have provided certification documentation to the Washington Department of Veterans’ Affairs WDVA) and be certified by WDVA and listed as such on WDVA’s website (WDVA – Veteran-Owned Businesses).

OR

☐ NOT A CERTIFIED VETERAN-OWNED BUSINESS. Bidder does not qualify as a Certified Veteran-Owned Business as set forth above.

25. PREVAILING WAGE.

· PREVAILING WAGE. Bidder certifies as follows (must check applicable box(es)):

· KNOWLEDGEABLE & COMPLIANT WITH PREVAILING WAGE REQUIREMENTS. Bidder understands Washington’s Prevailing Wage on Public Works Act, RCW 39.12 (Act) and the rules promulgated by the Washington State Department of Labor and Industries (L&I Rules) and, if awarded a Master Contract pursuant to this Competitive Solicitation, unless exempt, Bidder (including any subcontractors) will pay all workers employed in the performance of any part of the work resulting from such Master Contract in accordance with the Act and the L&I Rules. Bidder has NOT been cited by the Washington State Department of Labor and Industries (L&I) for violations of the Act and/or L&I Rules within the five (5) years preceding the date of this Competitive Solicitation.

OR

· BIDDER VIOLATIONS OF PREVAILING WAGE REQUIREMENTS. As detailed on the attached explanation (Bidder to provide), within the five (5) years preceding the date of this Competitive Solicitation, Bidder was cited by the Washington State Department of Labor and Industries (L&I) for violations of the Act and/or L&I Rules. Note: if Bidder was cited for a violation during such time period, Bidder must provide a complete, detailed explanation including the applicable project(s), the dates involved, the number of violations, any necessary corrective action, and any penalties incurred. Failure to do so will result in a nonresponsive bid.

OR

· NOT KNOWLEDGEABLE, NOR COMPLIANT WITH PREVAILING WAGE REQUIREMENTS. Bidder does NOT comply with the Act and/or L&I Rules.

26. REQUIRED LICENSES/CERTIFICATION.

· REQUIRED LICENSES/CERTIFICATION. Bidder certifies as follows (must check one):

· HAS REQUIRED LICENSES/CERTIFICATION. Bidder currently possess a valid license for Elevator Contractor and Conveyance Mechanic and meets or exceeds the applicable license requirements set forth in RCW, WAC 296.96, and Labor & Industries.

OR

· WILL OBTAIN REQUIRED LICENSES/CERTIFICATION. Bidder does not currently possess a valid license for Elevator Contractor and Conveyance Mechanic and/or does not currently meet or exceed the applicable license requirements set forth in RCW, WAC 296.96, and Labor & Industries., but, if designated as the Apparent Successful Bidder, Bidder will provide evidence satisfactory to Enterprise Services that it has obtained and possess a valid license for Elevator Contractor and Conveyance Mechanic and meets or exceeds the applicable license requirements set forth in RCW, WAC 296.96, and Labor & Industries., without exception of any kind, to Enterprise Services within twenty-four (24) hours of such designation or notification by Enterprise Services or be deemed a nonresponsive bid.

OR

· DOES NOT HAVE REQUIRED LICENSES/CERTIFICATION. Bidder currently does not possess a valid license for Elevator Contractor and Conveyance Mechanic and/or currently does not meet or exceed the applicable license requirements set forth in RCW, WAC 296.96, and Labor & Industries..

27. OSHA/WISHA.

· OSHA/WISHA REQUIREMENTS. Bidder certifies as follows (must check one):

· BIDDER COMPLIES WITH OSHA & WISHA REQUIREMENTS. Bidder complies with the federal Occupational Safety and Health Administration (OSHA) and the Washington Industrial Safety and Health Act (WISHA) and has not been cited by OSHA or WISHA for violations of such statutes within the five (5) years preceding the date of this Competitive Solicitation.

OR

· BIDDER DOES NOT COMPLY WITH OSHA & WISHA REQUIREMENTS. As detailed on the attached explanation (Bidder to provide), within the five (5) years preceding the date of this Competitive Solicitation, Bidder HAS been cited by OSHA and/or WISHA for safety violations.

28. INDUSTRY SAFETY STANDARD. Contractor represents and warrants Contractor shall comply with current and approved elevator and/or escalator equipment industry safety standards. Contractor shall comply with the latest edition of the codes and standards enforced by the state and regulations promulgated by the American Society of Mechanical Engineers (ASME). Contractor Safety Plan for employee safe work practices that includes regular safety education given to employees, meet federal safety mandates, and steps to eliminate unsafe practices and incidents.

Bidder certifies as follows (must check one):

· COMPLIES WITH INDUSTRY SAFETY STANDARDS.

OR

· DOES NOT CCMPLY WITH INDUSTRY SAFETY STANDARDS LISTED ABOVE. As detailed on the attached explanation (Bidder to provide), Bidder does not comply with Industry Safety Standards.

29. BIDDER CERTIFICATION. Bidder certifies with the Revised Code of Washington, RCW 70.87, as well as codes and standards listed below.

Contractor(s) shall comply with the entirety of Revised Code of Washington (RCW) 70.87, as well as codes and standards listed below or other applicable codes. .

The latest edition of the following codes and standards enforced by the state at the date of the contract inception, during the term of the contract, and contract renewal, shall apply:

A. ASME A17.1 “Safety Code for Elevators and Escalators” B. ASME A17.2 “Inspector’s Manual for Elevators and Escalators” C. ASME A18.1 "Safety Standard for Platform Lifts and Stairway Chairlifts" D. Building Officials and Code Administrators (BOCA) International Inc., Basic Building Code E. BOCA Basic Mechanical Code F. National Fire Protection Association (NFPA) Code G. National Electric Code (NEC) H. Williams-Steiger Occupational Safety and Health Act of 1970 (OSHA) I. American Society for Testing and Materials (ASTM) J. Institute of Electrical and Electronics Engineers (IEEE) K. National Electrical Manufacturer’s Association (NEMA) L. National Petroleum Institute (NPI) M. Underwriter’s Laboratories, Inc. (UL), Federal Specifications N. American National Standard of Safety Code

Bidder certifies as follows (must check one):

· MEETS CODE AND STANDARDS LISTED ABOVE. Bidder meets each of the service performance requirements set forth above.

OR

· DOES NOT MEET CODE AND STANDARDS LISTED ABOVE. As detailed on the attached explanation (Bidder to provide), Bidder does not meet each of the code and standards listed above.

30. REFERENCES. Bidder certifies that the references provided to Enterprise Services have worked with Bidder and that such individuals and firms have full permission, without any additional requirement or release, to provide such references and information to Enterprise Services. Bidder hereby authorizes Enterprise Services (or its agent) to contact Bidder’s references and others who may have pertinent information regarding Bidder’s prior experience and ability to perform the Contract, if awarded. Bidder hereby authorizes such individuals and firms to provide such references and release to Enterprise Services information pertaining to the same.

Bidder further certifies that Bidder shall provide immediate written notice to Enterprise Services if, at any time prior to a Contract award pursuant to the above-referenced Competitive Solicitation or anytime during the Contract term, if awarded, Bidder learns that any Bidder certifications set forth herein were erroneous when submitted or have become erroneous by reason of changed circumstances.

I hereby certify, under penalty of perjury under the laws of the State of Washington, that the Bidder certifications herein are true and correct and that I am duly authorized to make these certifications on behalf of the Bidder stated herein.

BIDDER NAME:
____________________________________________________________

Print Name of Bidder Note:

· If Bidder is a corporation, LLC, etc., print full legal entity name of the firm submitting the Bid.

· If Bidder is a sole proprietor, print the full legal name of the individual who is the Bidder submitting the Bid.

BY:
____________________________
______________________________
Signature of Bidder’s authorized person
Print Name of person making certifications for Bidder
TITLE:
____________________________
PLACE:
_________________________

Title of person signing Bidder’s Certification

Print city and state where signed

DATE:
____________________________

Return this Bidder’s Certification to Procurement Coordinator at:

descontractsteamcedar@des.wa.gov

EXHIBIT A1 – BIDDER’S CERTIFICATION 28723 ELEVATOR FULL SERVICE

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File details come from the government source that posted it. Updated .