BPM005628_Award_Documents.pdf
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- Attached to
- On-Call Pipelining and Drainage Repair Services
- Solicitation number
- BPM005628
- Issued by
- Arizona
About this file
Award Documents for On-Call Pipelining and Drainage Repair Services
This is an award document from the Arizona Department of Transportation (ADOT) for On-Call Pipelining and Drainage Repair Services under solicitation BPM005628. Two contractors were awarded contracts under this solicitation: Granite Construction Company (Contract No. CTR069178) and Southwest Siteworks LLC (Contract No. CTR069179). Both contracts became effective on December 20, 2023. The solicitation was issued pursuant to the Arizona Procurement Code, A.R.S. 41-2501 et seq. Prior to commencing work, both contractors are required to submit verified insurance documentation, including a completed Contract Insurance Checklist, no later than December 26, 2023. Contractors are cautioned not to begin billable work or provide materials or services until receiving a purchase order document from the state.
The required insurance documentation includes certificates of insurance naming the State of Arizona/ADOT as certificate holder, general liability coverage with additional insured and waiver of subrogation endorsements, auto liability coverage, and worker's compensation with waiver of subrogation endorsement. Additional insurance requirements may include contractor's pollution liability, professional liability, and specialized coverages such as network security and cyber liability, depending on work scope. All required insurance documents and the completed checklist must be submitted to Danyelle Ellington, Procurement Officer, at dellington@azdot.gov. No specific pricing terms, funding amounts, or contract duration information is provided in the award documents.
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Text version
Our True North: Safely Home
ARIZONA DEPARTMENT OF TRANSPORTATION
1655 W. Jackson St. | MD 100P | Phoenix, AZ 85007 | azdot.gov
Rev. 08/2023
Procurement Katie Hobbs, Governor Jennifer Toth, Director
December 20, 2023
Todd A. Hill VP, Arizona Region Granite Construction Company 4115 E. Illinois Street Tucson, AZ 85714
Subject: Award of Contract No. CTR069178
Dear Mr. Hill:
Please be advised that your company has been awarded the contract for On-Call Pipelining and Drainage Repair Services in solicitation BPM005628. The executed Offer and Acceptance is attached. The contract is effective December 20, 2023.
The Contract requires verification of insurance be provided prior to commencement of work. Therefore, insurance document(s) must be submitted in accordance with the requirements stated in the Contract’s Special Terms and Conditions, paragraph 16, Insurance Requirements.
The attached Contract Insurance Checklist is provided to help ensure that all required forms and endorsements are submitted. The required forms, endorsements and completed checklist must be received no later than December 26, 2023. These documents must be e-mailed to me at dellington@azdot.gov.
If you have any questions regarding this contract, please contact me at (602) 712- 8519 or via email.
Sincerely, Danyelle Ellington Procurement Officer
Cc: File
Enclosures (2)
DocuSign Envelope ID: BFF0E624-328C-4597-8A86-878427424C7D
Procurement
ATTACHMENT 1
OFFER AND ACCEPTANCE
Solicitation No: BPM005628 Available online at https://app.az.gov
Rev 09/2022
OFFER
TO THE STATE OF ARIZONA:
The undersigned hereby offers and agrees to perform in compliance with all terms, conditions, specifications and amendments of this solicitation and any written exceptions in the offer. Signature also acknowledges receipt of all pages indicated in the Table of Contents.
Offeror (Company) Name Signature of Person Authorized to Sign Offer
Address Printed Name Date
City State Zip Title
Email Address Phone Number
Company Email Address Fax Number
By signature in the Offer section above, the Offeror certifies that the submission of the Offer did not involve collusion or other anticompetitive practices.
ACCEPTANCE OF OFFER (FOR DEPARTMENT USE ONLY)
The Contractor is now bound to perform based upon Contract Number _________________________________including all terms, conditions, specifications, amendments, etc., and the Contractor's offer as accepted by the state.
The Contractor is hereby cautioned not to commence any billable work or provide any material, service or construction under this contract until contractor receives a purchase order document.
State of Arizona
Effective this day of 20
Procurement Officer Awarded Date of Person Authorized to Sign Offer
@gcinc.com
10/ /2023
Granite Construction Company
4115 E. Illinois Street
Tucson AZ 85714
Todd A. Hill
VP, Arizona Region
N/Aazestimatingmembers@gcinc.com
520.539.8948
DocuSign Envelope ID: DAA57ECC-CE28-4E35-B748-1365FBA94C0A
December
12/20/2023
20 23
CTR069178
Rev. 08/2023
Risk Management
ADOT PROCUREMENT CONTRACT INSURANCE CHECKLIST
Instructions: This checklist is a tool provided to assist in expediting the review of the required insurance documents as outlined in the Special Terms and Conditions of your contract. This checklist is intended to clearly outline the required insurance documents that need to be added to your contract before orders can be placed. It is recommended that you provide this checklist and a copy of your ADOT contract to your insurance broker or agent. After your insurance broker or agent provides the required items identified below, check the box in the “Included” column for each document. Once this is completed, forward this checklist and the required documents to the Procurement Officer as indicated in your award letter.
Required Description of Insurance Requirement Included
Certificate of Insurance
Certificate of Insurance to include:
Certificate Holder to read: The State of Arizona/ADOT, 206 S. 17th Ave, Phoenix, AZ 85007
Description of Operations: Must state that the insurance applies to any and all work performed for or on behalf of the State of Arizona/ADOT
General Liability
☒ Additional Insured Endorsement for Ongoing Operations ☐
☐ Additional Insured Endorsement for Completed Operations (Construction only) ☐
☒ Waiver of Subrogation Endorsement or Policy Verbiage ☐
☒ Primary and Noncontributory Endorsement ☐
Auto Liability
☒ Additional Insured Endorsement ☐
☒ Waiver of Subrogation Endorsement ☐
☐ Coverage provided for hazardous material transportation (if applicable) ☐
Worker’s Compensation
☒ Waiver of Subrogation Endorsement ☐
Professional Liability (if applicable)
☒ Policy limit meets contract requirements ☐
Contractor’s Pollution Liability (if applicable)
☐ Includes coverage for pollution losses arising out of completed operations ☐
☐ Additional Insured Endorsement ☐
☐ Waiver of Subrogation Endorsement ☐
☐ Primary and Noncontributory Endorsement ☐
Professional Environmental Liability (if applicable)
☐ Policy limit meets contract requirements ☐
Other Required Insurance (if applicable)
☐ Technology Errors and Omissions (no endorsements required) ☐
☐ Network Security (Cyber) and Privacy Liability (additional insured, waiver of subrogation, primary and noncontributory endorsements are required)
☐ Media Liability Coverage (no endorsements required) ☐
☐ Commercial Crime Policy or Blanket Fidelity Bond (loss payee endorsement is required) ☐
☐ Aviation/Aircraft Liability (endorsements to be determined by ADOT Risk as applicable) ☐
☐ Installation Floater (additional insured, loss payee, waiver of subrogation, primary and noncontributory endorsements are required)
☐ Builder’s Risk (additional insured, loss payee, and waiver of subrogation endorsements are required)
☐ Other:__________________________________ ☐
DocuSign Envelope ID: BFF0E624-328C-4597-8A86-878427424C7D
Our True North: Safely Home
ARIZONA DEPARTMENT OF TRANSPORTATION
1655 W. Jackson St. | MD 100P | Phoenix, AZ 85007 | azdot.gov
Rev. 08/2023
Procurement Katie Hobbs, Governor Jennifer Toth, Director
December 20, 2023
Jacob Buckley President Southwest Siteworks LLC 6727 N Silverbell Rd.
Tucson, AZ 85743
Subject: Award of Contract No. CTR069179
Dear Mr. Buckley:
Please be advised that your company has been awarded the contract for On-Call Pipelining and Drainage Repair Services in solicitation BPM005628. The executed Offer and Acceptance is attached. The contract is effective December 20, 2023.
The Contract requires verification of insurance be provided prior to commencement of work. Therefore, insurance document(s) must be submitted in accordance with the requirements stated in the Contract’s Special Terms and Conditions, paragraph 16, Insurance Requirements.
The attached Contract Insurance Checklist is provided to help ensure that all required forms and endorsements are submitted. The required forms, endorsements and completed checklist must be received no later than December 26, 2023. These documents must be e-mailed to me at dellington@azdot.gov.
If you have any questions regarding this contract, please contact me at (602) 712- 8519 or via email.
Sincerely, Danyelle Ellington Procurement Officer
Cc: File
Enclosures (2)
DocuSign Envelope ID: 52A60C58-F603-446B-84FC-A355F293DD5A
Procurement
ATTACHMENT 1
OFFER AND ACCEPTANCE
Solicitation No: BPM005628 Available online at https://app.az.gov
Rev 09/2022
OFFER
TO THE STATE OF ARIZONA:
The undersigned hereby offers and agrees to perform in compliance with all terms, conditions, specifications and amendments of this solicitation and any written exceptions in the offer. Signature also acknowledges receipt of all pages indicated in the Table of Contents.
Offeror (Company) Name Signature of Person Authorized to Sign Offer
Address Printed Name Date
City State Zip Title
Email Address Phone Number
Company Email Address Fax Number
By signature in the Offer section above, the Offeror certifies that the submission of the Offer did not involve collusion or other anticompetitive practices.
ACCEPTANCE OF OFFER (FOR DEPARTMENT USE ONLY)
The Contractor is now bound to perform based upon Contract Number _________________________________including all terms, conditions, specifications, amendments, etc., and the Contractor's offer as accepted by the state.
The Contractor is hereby cautioned not to commence any billable work or provide any material, service or construction under this contract until contractor receives a purchase order document.
State of Arizona
Effective this day of 20
Procurement Officer Awarded Date
Southwest Siteworks LLC
6727 N Silverbell RD
Tucson AZ 85743 jakebuckley@southwestsiteworks.com info@southwestsiteworks.com
Jacob Buckley 9/31/23
President
520-904-2456
DocuSign Envelope ID: 7008D7DA-B202-4CB5-A918-AF9F18747F5A
December
12/20/2023
CTR069179
https://app.az.gov/
Rev. 08/2023
Risk Management
ADOT PROCUREMENT CONTRACT INSURANCE CHECKLIST
Instructions: This checklist is a tool provided to assist in expediting the review of the required insurance documents as outlined in the Special Terms and Conditions of your contract. This checklist is intended to clearly outline the required insurance documents that need to be added to your contract before orders can be placed. It is recommended that you provide this checklist and a copy of your ADOT contract to your insurance broker or agent. After your insurance broker or agent provides the required items identified below, check the box in the “Included” column for each document. Once this is completed, forward this checklist and the required documents to the Procurement Officer as indicated in your award letter.
Required Description of Insurance Requirement Included
Certificate of Insurance
Certificate of Insurance to include:
Certificate Holder to read: The State of Arizona/ADOT, 206 S. 17th Ave, Phoenix, AZ 85007
Description of Operations: Must state that the insurance applies to any and all work performed for or on behalf of the State of Arizona/ADOT
General Liability
☒ Additional Insured Endorsement for Ongoing Operations ☐
☐ Additional Insured Endorsement for Completed Operations (Construction only) ☐
☒ Waiver of Subrogation Endorsement or Policy Verbiage ☐
☒ Primary and Noncontributory Endorsement ☐
Auto Liability
☒ Additional Insured Endorsement ☐
☒ Waiver of Subrogation Endorsement ☐
☐ Coverage provided for hazardous material transportation (if applicable) ☐
Worker’s Compensation
☒ Waiver of Subrogation Endorsement ☐
Professional Liability (if applicable)
☒ Policy limit meets contract requirements ☐
Contractor’s Pollution Liability (if applicable)
☐ Includes coverage for pollution losses arising out of completed operations ☐
☐ Additional Insured Endorsement ☐
☐ Waiver of Subrogation Endorsement ☐
☐ Primary and Noncontributory Endorsement ☐
Professional Environmental Liability (if applicable)
☐ Policy limit meets contract requirements ☐
Other Required Insurance (if applicable)
☐ Technology Errors and Omissions (no endorsements required) ☐
☐ Network Security (Cyber) and Privacy Liability (additional insured, waiver of subrogation, primary and noncontributory endorsements are required)
☐ Media Liability Coverage (no endorsements required) ☐
☐ Commercial Crime Policy or Blanket Fidelity Bond (loss payee endorsement is required) ☐
☐ Aviation/Aircraft Liability (endorsements to be determined by ADOT Risk as applicable) ☐
☐ Installation Floater (additional insured, loss payee, waiver of subrogation, primary and noncontributory endorsements are required)
☐ Builder’s Risk (additional insured, loss payee, and waiver of subrogation endorsements are required)
☐ Other:__________________________________ ☐
DocuSign Envelope ID: 52A60C58-F603-446B-84FC-A355F293DD5A
| BPM005628 Award Letter - Granite Construction Company |
| BPM005628 Award Letter Granite.pdf |
| 6-1_BPM005628_Offer_and_Acceptance Granite |
| BPM005628 Award Letter Granite |
| BPM005628 Award Letter - Southwest Siteworks LLC |
| BPM005628 Award Letter SWSW.pdf |
| BPM005628 Offer and Acceptance SWSW |
| BPM005628 Award Letter SWSW |
File details come from the government source that posted it. Updated .