Bid_Forms.pdf

Pierce County Public Works BID No. 2024-RFP-634

Marine Waste Oil and Bilge Water Pumping and Disposal Services BID FORM

SUBMIT ALL BID FORM PAGES BY THE BID DUE DATE/TIME Page 1 of 4

BID FORM

BIDDER REGISTERED NAME:

BID DATE:

Having carefully examined all drawings & specifications prepared by Pierce County, as well as the premises and conditions affecting the work, the Undersigned proposes to furnish all labor, equipment, and materials and perform all work, in accordance with the terms & conditions and prevailing wage requirements attached, which price is hereby designated as to the total proposal price for all necessary work.

The quantities shown in this document are an estimate only, being given only as the basis for the comparison of bids, and the County does not warrant, expressly or by implication that the actual amount of work will correspond therewith. Unit Bid Price on each item is binding. The total bid amount is for evaluation and award purposes only; the maximum for the contract amount will not exceed $500,000.00. In the case of mathematical error, unit price will take precedence.

Bid Item

Description Estimate QTY Estimated Price Total

1.

To include all costs associated with mob/demo to site. To be paid for ALL call Mobilization fee for arrival at Steilacoom Dock.

10 Each

Total

2.

Per Gallon Waste Oil: Pumping and Disposal Charge, to include all labor, equipment, parts/materials and disposal. (8 Visits, 1000 Gallons Each Visit. Each boat every quarter)

Per Gallon

3.

Per Gallon Bilge Water: Pumping and Disposal Charge, to include all labor, equipment, parts/materials and disposal. (8 Visits, 3000 Gallons Each Visit (each boat, every quarter))

24000 Per Gallon

4.

Per Gallon, Glycol/Water Mix: Pumping and Disposal Charge, to include all labor, equipment, parts/materials and disposal. (2 Visits, 3000 Gallons Each Visit (As needed))

Per Gallon

5.

Emergency Call Out Fee for Emergency Services, with less than 24 hours on-site response time required

Each Visit

6. Regular Hourly Labor: Rate for Service Calls, Classification: General Laborer

40 HR

7. Regular Hourly Labor: Rate for Service Calls, Classification: Heavy Equipment Operator

40 HR

8. Overtime Hourly Labor: Rate for Service Calls, Classification: General Laborer

9. Overtime Hourly Labor Rate for Service Calls, Classification: Heavy Equipment Operator

Total

Sales tax will be paid on taxable amounts based on the rate of the location of service.

$700.00 $7,000.00

HR

HR

SUBMIT ALL BID FORM PAGES BY THE BID DUE DATE/TIME Page 2 of 4

ADDENDA: Bidder acknowledges review of all Addenda through No.

CONTACT INFORMATION:

FIRM:

ADDRESS:

CITY: STATE: ZIP:

NAME OF MAIN CONTACT FOR THIS BID:

PHONE:

EMAIL:

SIGNATURE OF AUTHORIZED PERSON*:

PRINT NAME & TITLE:

DATE:

Complete the tax status information for one of the following business entity types. Individual or Corporate name must match exactly as registered with either Social Security Administration or Internal Revenue Service.

Identification of Contractor as a sole proprietor, a partnership, a joint venture, a corporation or another described form of legal entity:

Federal Tax ID# (EIN or SSN – as applicable):

* If a corporation, bid must be executed in the corporate name by the president or vice-president (or any other corporate officer accompanied by evidence of authority to sign). If a co-partnership, bid must be executed by a partner.

SUBMIT WITH THIS BID FORM AT TIME OF BID OPENING:

• Bidder Responsibility Information Form

• Bid Proposal Bond Form

SUBMIT ALL BID FORM PAGES BY THE BID DUE DATE/TIME Page 3 of 4

BIDDER RESPONSIBILITY INFORMATION FORM (TO BE SUBMITTED WITH BID):

State of Washington Contractor's License No:

Unified Business Identifier (UBI) No:

Employment Security Department No:

DEBARMENT: Bidder has not been disqualified from bidding on any public works contract under RCW

39.06.010 or 39.12.320? ☐ YES ☐ NO

PREVAILING WAGES TRAINING: Bidder has received training on the requirements related to public works and prevailing wage under chapter 39.04 and chapter 39.12 RCW or are exempt from the training per

RCW 39.04.350: ☐ YES ☐ NO

TITLE VI COMPLIANCE

Pierce County, in accordance with Title VI of the Civil Rights Act of 1964, 78 Stat. 252, 42 U.S.C. 2000d to 2000d-4 and Title 49, Code of Federal Regulations, Department of Transportation, subtitle A, Office of the Secretary, Part 21, nondiscrimination in federally assisted programs of the Department of Transportation issued pursuant to such Act, hereby notifies all bidders that it will affirmatively ensure that in any contract entered into pursuant to this advertisement, disadvantaged business enterprises as defined at 49 CFR Part 26 will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, national origin, or sex in consideration for an award.

CERTIFICATION OF COMPLIANCE WITH WAGE PAYMENT STATUTES

The bidder hereby certifies that, within the three-year period immediately preceding the bid due date, the bidder is not a “willful” violator, as defined in RCW 49.48.082, of any provision of chapters 49.46, 49.48, or 49.52 RCW, as determined by a final and binding citation and notice of assessment issued by the Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction.

I declare under penalty of perjury under the laws of the State of Washington that the statement regarding Certification of Compliance with Wage Payment Statutes is true and correct.

*SIGNATURE OF AUTHORIZED PERSON:

PRINT NAME & TITLE:

DATE:

*to determine ‘authorized’ person reference RCW 39.04.350 http://app.leg.wa.gov/RCW/default.aspx?cite=49.48.082 http://app.leg.wa.gov/RCW/default.aspx http://app.leg.wa.gov/RCW/default.aspx