PW2026-026_Central_W_HQ_Electrical_-_Bid_Form.pdf

FAS Rev Aug 28, 2024

The City of Seattle

Department of Finance and Administrative Services

BID FORMS

Central West Headquarters Electrical Service Relocation

Administering Department:

Parks Department

PW # 2026-026

Ordinance # 127362

Prepared by:

OSBORN ARCHITECTS INC, PS

1001 SW Klickitat Way #204, Seattle, WA 98134

BIDDER NAME:__________________________________________

BID FORM SECTION 00 41 00

Central West Headquarters Electrical Service Relocation

DEA Rev Aug 28, 2024

1.01 - 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: Central West Headquarters Electrical Service Relocation as authorized under Ordinance

No. 127362

B. The Bidder has examined the 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 that could be awarded including additives and retail sales tax if applicable in the form of cashier's check, certified check, or bid bond;

D. 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 price provided on the OpenGov Bid Form:

BIDDERS MUST COMPLETE PRICING TABLE IN OPENGOV

1.02 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 OpenGov Bid Form to be incorporated into Section 00 41 00, Paragraph 1.01 of the Contract.

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 00 73 16, Article 1.09, 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 debarred or otherwise disqualified 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; and 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.

mailto:https://secure.lni.wa.gov/verify

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:

FAS Rev. July 2024

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:

End of Section 00 41 00