Bid_Forms_(PW#2026-007T).pdf

Jul 2024

The City of Seattle

Department of Finance and Administrative Services

BID FORMS

POLE REPLACEMENT

UNIT PRICE CONTRACT 4

UNINCORPORATED KING COUNTY

Administering Department:

Seattle City Light

PW# 2026-007T

Spec # 3820

Ordinance 126490

Prepared by:

Seattle City Light

BIDDER

NAME:__________________________________________

BID FORMS SECTION 0-01.3

POLE REPLACEMENT UNIT PRICE CONTRACT 4 UNINCORPORATED KING COUNTY Page 1

FAS Jul 2024

0-01.3(1) BID

TO THE DIRECTOR OF PURCHASING AND CONTRACTING FOR THE CITY OF SEATTLE:

A. The undersigned Bidder hereby certifies to have personally and carefully examined the Bid Documents issued for: POLE REPLACEMENT UNIT PRICE CONTRACT 4 UNINCORPORATED KING COUNTY, as authorized under Ordinance No. 126490.

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

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

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

(NOTE: The letters "SP" whenever appearing in the Bid Item number column of the Bid Form indicate that additions or revisions to the Standard Specifications applicable to that Bid Item are included in the Special Provisions. The Contractor is advised to review those requirements regarding Bid Items so designated.

The six digit number above the Bid Item description denotes the standard code number for that particular Bid Item. The first three digits indicate the associated Specification division and section number. The last three digits comprise the identification number for that item within the particular Section. A non-standard Bid Item is indicated whenever the letter "S" appears in the six digit code number.

An asterisk (*) appearing in the Bid Item number column of the Bid Form denotes those items in which the Owner will pay retail sales tax in accordance with the excise tax Rule 170 (refer to Section 1-07.2(3) of the Specifications). For all other Bid Items, the Contractor must include retail sales tax in accordance with the excise tax Rule 171 (refer to Section 1-07.2(2) of the Specifications).

Page 1 of 2 Bid Declaration: FAS Rev Jul 2024

POLE REPLACEMENT UNIT PRICE CONTRACT 4 UNINCORPORATED KING COUNTY

0-01.3(2) DECLARATION

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

A. BID: I agree to perform the Work in compliance with the Bid Documents, for the prices stated in the OpenGov Bid Form to be incorporated into Section 0-01.3(1) of the Bid Forms.

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

C. NON-COLLUSION: I have not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in the preparation and submission of a Bid to the Owner for consideration in the award of a contract on the improvement described in the Bid Documents.

D. My Bid takes into account the requirements imposed by Section 1-07.18, Subsection 6 which waives, with respect to the Owner only, the Contractor’s immunity under RCW Title 51, (Industrial Insurance) of the Revised Code of Washington.

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

F. Responsible Bidder Requirements: My Bid acknowledges that I am in compliance with all of the responsible bidder requirements under RCW 39.04.350, including: having a certificate of registration under RCW 18.27 prior to bidding; a UBI number; industrial insurance coverage if required under Title 51 RCW; an employment security number under Title 50; a state excise tax registration number under Title 82; and have received training on requirements related to public works and prevailing wage by Labor and Industries or approved training provider under RCW 39.04.350, and chapter 39.12 or are exempted by Labor and Industries.

https://secure.lni.wa.gov/verify. I affirm I am not disqualified from bidding on any public works contract under RCW 39.06 or RCW 39.12.065(3) or on the System for Award Management, (sam.gov). I will provide proof of these requirements if requested.

POLE REPLACEMENT UNIT PRICE CONTRACT 4 UNINCORPORATED KING COUNTY

Page 2 of 2 Bid Declaration: FAS Rev Jul 2024

GENERAL BUSINESS INFORMATION

Business Name:

Business Street Address:

Business Mailing Address:

Business Phone, general: Business Fax:

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

Washington State Office Address:

State in which the Company is formed:

Please complete the following:

State of WA UBI No.:

State of WA Contractor Registration No.:

Employment Security Department No.

City of Seattle Business License No.:

CONTACT INFORMATION

Primary Contact for Award (Name and Title):

Primary Contact Phone: Email:

Administration Contact (Name and Title):

Administration Contact Phone: Email:

Social Equity Contact (Name and Title):

Social Equity Phone: Email:

INSURANCE INFORMATION

Name of Insurance Company:

Name of Insurance Contact:

Insurance Contact Phone: Email:

OFFICIAL AUTHORIZED TO SIGN FOR BIDDER:

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

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

Date: Signature:

BIDDER/SUBCONTRACTOR LIST SECTION 0-01.5

POLE REPLACEMENT UNIT PRICE CONTRACT 4 UNINCORPORATED KING COUNTY

Rev 07/2020

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

The Bidder/Subcontractor List must be submitted to the Purchasing and Contracting (PC) with the Bid, or separately within one hour of the time and date for Bid submittal per Section 1-02.9(3). Failure to complete and submit the Bidder/Subcontractor List by the required time will result in the Bid being declared non-responsive and rejected. The Bidder is responsible for the timely delivery of the Bidder Subcontractor List. If awarded the contract, the Bidder agrees to utilize the subcontractors identified on the Bidder/Subcontractor List unless the City agrees to a substitution.

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

Heating, Ventilation & Air Conditioning (HVAC)

Name of Sub: ___________________________UBI#___________

Category of Work: ___________________________

Bidder will self-perform this work

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

Plumbing Name of Sub: ___________________________UBI#___________

Category of Work: ___________________________

Bidder will self-perform this work

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

Electrical Name of Sub: ___________________________UBI#___________

Category of Work: ___________________________

Bidder will self-perform this work

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

Structural Steel Installation

Name of Sub: ___________________________UBI#___________

Category of Work: ___________________________

Bidder will self-perform this work

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

Rebar Installation Name of Sub: ___________________________UBI#___________

Category of Work: ___________________________

Bidder will self-perform this work

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

PW# Bidder’s Business Name

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

Title of Bidder’s Representative