RFQ_FY26-11.pdf

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On-Call Electrical Services
Solicitation number
26-11
Issued by
Mason County, Washington

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This Request for Quotations (RFQ FY26-11) is issued by the Colville Indian Housing Authority (CIHA) for an ERG Roof Replacement and Home Repair Project located at 16 Jaquish Rd. Omak, Washington 98841. The project involves furnishing labor and materials for a single-family modular home renovation including demolition of existing materials, installation of exterior doors and trim with paint, water heater replacement, laundry room flooring, fascia replacement, complete roof replacement, and jobsite cleanup and disposal. The scope of work specifies particular product models for doors, water heaters, flooring, and roofing materials, with allowances for approved equal products upon submission of manufacturer specifications and technical data. A pre-proposal meeting is scheduled for May 20, 2026, at 11:00 AM at the project site. Quotations must be received by 3:00 PM local time on May 27, 2026, and may be submitted via hard copy delivery, facsimile, or email. The project schedule requires completion within 28 consecutive calendar days. Contract award will be made to the lowest responsive quotation, with Indian preference given to qualified Indian-owned economic enterprises or organizations if their quotation is no more than 10 percent higher than the lowest responsive quotation received.

The contract will be awarded as a small purchase contract in accordance with 2 CFR Part 200 procurement standards. All contractors and subcontractors must provide proof of commercial general liability insurance (minimum $1,000,000 injury, general aggregate), auto insurance, and Washington State Industrial Insurance prior to contract execution. Davis-Bacon prevailing wage requirements apply with weekly payroll reports required, and all work must comply with Washington State L&I regulations and OSHA standards. The project is subject to TERO (Tribal Employment Rights Office) requirements and Indian preference provisions under the Indian Self-Determination and Education Assistance Act Section 7(b). The funding source is an ERG (Environmental Remediation Grants) program. Contractors must submit completed forms including a Non-Collusion Affidavit, Statement Regarding Indian Preference, HUD Form 5369-A, Indian Enterprise Qualifications Statement, and TERO Compliance and Utilization Plan with their quotations. Quotations should be directed to the Colville Indian Housing Authority, P.O. Box 528, Nespelem, Washington 99155, with contact information provided for Darren Stanger, the project representative.

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REQUEST FOR QUOTATIONS

FY26-11 ERG Roof Replacement and Home Repair Project

16 Jaquish Rd. Omak, WA 98841

Description:

1. One (1) Single Family Modular Home: 16 Jaquish Rd. Omak, WA 98841

2. Furnish Labor and Materials to:

A. Demo existing materials scheduled to be replaced with new per Scope of Work.

B. Exterior Doors, Trim, and Paint.

C. Water Heater.

D. Laundry Room.

E. Fascia.

F. Roof Replacement.

G. Cleanup and disposal.

The Colville Indian Housing Authority is requesting Quotations to furnish labor and materials for the above items as contained in the attached scope of work.

All work and materials will be as shown in the Scope of Work and Provisions to the Contract.

The following documents are attached and will be included and become part of the contract documents.

1. Form of Quote (filled out and submitted with quote)

2. Non-Collusion Affidavit (filled out and submitted with quote)

3. Statement Regarding Indian Preference (filled out and submitted with quote)

4. HUD Form 5369-A (filled out and submitted with quote)

5. Small Purchase Contract (sample)

6. System for Award Management (SAM) Clause

7. Davis Bacon Wage Decision (Okanogan County)

8. Indian Enterprise Qualifications Statement (Must be included or on file with CIHA for

Indian Preference points)

9. TERO Compliance and Utilization Plan (filled out and submitted with quote)

CIHA will receive quotations no later than 3:00 PM (local time May 27, 2026 Any quotations received after the above time will not be considered and will be returned to the proposer.

A pre-proposal meeting will be held May 20, 2026 at 11:00 AM at, 16 Jaquish Rd. Omak, WA 98841

Site location by Google Maps: https://maps.app.goo.gl/AayfFiqHK5WoeHkt9

Quotations must be submitted on the Form of Quotation, along with all attachments, as required in the Contract Documents and Specifications.

Hard copies of quotations must be delivered to:

Colville Indian Housing Authority PO Box 528 42 Convalescent Center Boulevard Nespelem, Washington 99155

Or Fax copies: FAX # (509) 634-2335

Or Electronic copies: E-mail: toria.jackson.hsg@colvilletribes.com

CIHA reserves the right to reject any and all proposals or to cancel or modify this RFQ at its sole discretion if it determines it is in the best interest of CIHA to do so.

Award of contract will be based on several rating factors used for small purchase methods of procurement as spelled out in 2 CFR Part 200.

Award based on price. CIHA shall make award to the qualified Indian-owned economic enterprise or organization with the lowest responsive quotation if it is reasonable and no more than 10% higher than the lowest responsive quotation received. If no responsive quotation from a qualified Indian-owned economic enterprise or organization is within 10% of the lowest responsive quotation from any qualified source, then award shall be made to the source with the lowest quotation.

NOTE: Before a contract can be executed the Contractor and any Subcontractors must provide proof of liability insurance and auto insurance. They must provide Washington State Industrial Insurance or equivalent if the Contractor or Subcontractor plans to hire employees. Any entities submitting a proposal must also submit a signed copy of the Statement on Indian Preference.

All WA State Labor &Industries and O.S.H.A. regulations shall be adhered to in the performance of this contract work.

Indian preference will be given in the award of contracts “to the greatest extent feasible” as determined in sec 7(b) of the Indian Self Determination and Education act (25 U.S.C. 450e (b).

For additional information concerning this Request for Quotations, please contact Darren Stanger at (509) 634-2289 or e-mail at darren.stanger.hsg@colvilletribes.com mailto:toria.jackson.hsg@colvilletribes.com mailto:jon.lovinggood.hsg@colvilletribes.com

Scope of Work and Provisions to the Contract

FY26-11 ERG Roof Replacement and Home Repair Project

Description:

1. One (1) Single Family Modular Home: 16 Jaquish Rd. Omak, WA 98841

2. Furnish Labor and Materials to:

A. Demo existing materials scheduled to be replaced with new per Scope of Work.

B. Exterior Doors, Trim, and Paint.

C. Water Heater.

D. Laundry Room.

E. Fascia.

F. Roof Replacement.

G. Cleanup and disposal.

Provisions to the Contract:

A. The contractor is responsible for contacting the Tribal Employment Rights Office

(TERO) and confirm their requirements regarding contracting off the Colville Indian Reservation. The contractor will provide the authorized Tribal Employments Rights Office (TERO) Compliance and Utilization Plan to CIHA before beginning work.

B. Any omissions or additions from or to the attached scope of work must be requested in writing by the contractor and approved in writing by the contracting officer or authorized designee.

C. Products: All products used for this project shall be new, provided in original packaging from the manufacturer, without defect and covered by the manufacturer’s full warranty. All materials needed to complete the work spelled out in this scope will be furnished by the Contractor. The Contractor is responsible for providing material takeoff’s and schedule all deliveries of materials ordered. Storage and security for the materials delivered become the responsibility of the Contractor. All materials shall be stored out of the weather and harm’s way.

D. To the greatest extent possible, protect all trees, bushes, and other items that may be in the proximity of the work being performed. The Contractor is responsible for any damage that might occur in relation to the work being performed and at no additional cost to CIHA.

E. During and after completion of work, remove all debris from the jobsite and dispose of as required at no added expense to CIHA. Clean the jobsite daily. Remove construction debris daily.

F. No payment for work will be made until work has been inspected and approved by the contracting officer or designated representative. Request for payments will be made on the approved form provided by CIHA.

G. Davis Bacon wages will be observed on this contract work, weekly payroll reports will be necessary. The contractor’s payments can be delayed until proper payroll reports are received.

H. The Contractor shall furnish all manpower, tools, scaffolding, vehicles, and safety equipment as required by O.S.H.A., as well as any other equipment necessary to complete the work as described. The Contractor shall provide all labor, materials, and equipment necessary for protection of personnel, equipment, furnishings, buildings, and facility accessories (such as, but not limited to, parking lots, fences, etc.) from damage.

Fixed items shall be removed, if necessary, and replaced in their original locations.

Equipment, furnishings, buildings, and facility accessories damaged due to work performed under the scope of work shall be repaired or replaced to their original construction and finish by this Contractor at no additional cost to CIHA.

I. Before a contract can be executed, the Contractor and any Sub-Contractors must provide proof of Auto Insurance and Commercial General Liability (min. $1,000,000.00 Injury, General Aggregate, Products, $100,000.00 Fire and $5,000.00 Medical Expense). They must provide Washington State Industrial Insurance or equivalent if the Contractor or Sub-Contractor plans to hire employees.

J. Before submitting a quote, each bidder shall carefully read the specifications and all addenda. Each Bidder shall fully inform themselves prior to submitting a bid as to all existing conditions and limitations under which work is to be performed. No allowance will be made to any Bidder because lack of such examination or knowledge. Submission of a quote, will be construed as conclusive evidence that the Bidder has made such examination.

K. All electrical work shall be performed by a licensed electrician and a Washington State L&I Electrical Permit shall be issued.

L. All required permitting for this project will be required to be inspected and approved by governing entity before project is to be considered complete.

M.Contractor required to provide WA State L&I Manufactured Home Permit (see attached example).

N. Contractor will pressure test all plumbing for leaks with WA State L&I Inspector and/or CIHA representative present.

The Contractor will furnish all manpower, tools, scaffolding, vehicles, safety equipment and materials as required by O.S.H.A., or other equipment necessary to complete the removal and the installation of flooring and plumbing in a professional and workman like manner

16 Jaquish Rd. Omak, WA: START OF SCHEDULE OF REQUIREMENTS

Schedule of completion may not exceed 28 consecutive calendar days.

16 Jaquish Rd. Omak, WA: END OF SCHEDULE REQUIREMENTS

16 Jaquish Rd. Omak, WA 98841: START OF SCOPE OF WORK

A. Demo existing materials scheduled to be replaced with new per Scope of Work:

1) Front and rear entry doors, and trim.

2) Water heater, supply lines, cut off valves, drain pan, and seismic strap.

3) Laundry room flooring and portion of subfloor (approximately 2 sq. ft.).

4) Fascia on full perimeter of home.

5) Shingle roof, roof jacks, ridge cap, drip edge, and underlayment.

B. Exterior Doors, Trim, and Paint: Front and Rear Entry doors:

1) Preparation: Verify the new doors are the correct height, width, jamb width and swing prior to removal and replacement of existing doors.

2) Removal of Existing Doors: Carefully remove interior and exterior trim/molding.

Remove screws or nails securing the door frame to the rough opening.

Remove the old door frame from the rough opening.

Inspect the rough opening for any damage, rot, or structural issues, repair as necessary.

3) Installation of Pre-Hung Door: Dry fit the door to ensure it fits correctly in the rough opening. Apply a weatherproofing membrane or flashing tape around the rough opening as needed. Set the new pre-hung door in place (MP Doors) 36 in. x 80 in.

Low-E Blinds Between Glass White Right-Hand Inswing 1/2 Lite Clear Fiberglass Pre-hung Front Door Model # N3068R23BE224 or approved equal. Ensure door is level, plumb, and square. Use shims to adjust the door frame as needed, ensuring consistent gaps around the door. Secure the door frame to rough opening using appropriate screws. Test the door to ensure it opens and closes smoothly without binding. Install “Great Stuff” model # 230612, window and door insulating spray foam (or approved equal) between door jamb and framing to fill any gaps. Install interior and exterior trim/molding to match existing as closely as possible.

4) Paint and prep: Fill nail/screw holes with correct filler as needed and sand smooth prior to priming/painting. Install one coat of “Behr” model # 43601 primer to interior and exterior of door and interior and exterior trim. Install two coats “Behr Premium” model # 752001, interior/exterior, door and trim paint (or approved equal) to interior and exterior of door and interior and exterior trim. Match existing paint sheen and color as closely as possible.

C. Water Heater:

1) Remove existing water heater, supply lines, drain pan, and seismic straps.

2) Install new “Rheem” model # XE40M06CG45U0, 4500 watts, double element, water heater. Install new “Frost King” model # WHB1, 24” x 24” x 2” foam, water heater base. Install new “Plumbflex” model # 24AWHP, aluminum, water heater drain pan.

Install new “Plumbflex” model # 55GWHSE, water heater seismic straps. Install two

(2) new stainless steel water heater supply lines of the correct length. Install water heater per all current IRC codes.

D. Laundry Room:

1) Remove existing vinyl flooring to expose subfloor, approximately 30 sq. ft. inspect all subfloor for additional damage Remove all damaged sections of subfloor and floor framing as necessary, replace with new subfloor and framing to match existing and ensure smooth and level surface. Install the underlayment with proper length screws that penetrate subfloor surface and floor joists. Space and countersink screws below the surface of underlayment, at 4” o.c. at all joints and 8” o.c. in the field.

2) Furnish and install new “Mohawk” model # U4860563K581P15 (or approved equal) cut to fit vinyl flooring, approximately 30 sq. ft. Provide homeowner with color sample prior to ordering.

3) Clean and prep the subfloor prior to installing vinyl flooring. Follow all flooring manufacturers installation instructions and floor prep recommendations.

4) Install correct transition strips as recommended by flooring manufacturer between laundry room and the kitchen.

5) Install “Roppe” brown, 4”, rubber cove base continuously at all wall areas where new vinyl flooring has been installed.

E. Fascia:

1) Remove existing fascia on full perimeter of the home, ensure all nails are pulled and the rafters are ready for new fascia to be installed.

2) Furnish and Install 4/4x 8” Smart Trim as fascia. Install with 2” galvanized ring shank nails.

3) Caulk all joints, fill nail holes, and prep for paint per manufacturer specifications and recommendations.

4) Install two coats of paint on fascia using “Behr Pro e600” model number #PR67001

(or approved equal), paint color to match existing window trim as close as possible.

F. Roof Replacement:

1) Demo: Remove all shingles, ridge cap, roof jacks, drip edge, and underlayment.

2) Sheathing: Inspect and replace sheathing as needed using CDX plywood of the proper thickness. Allow thirty-two (32) sq. ft. of sheathing replacement in quote. All other unforeseen sheathing replacement will be by Change Order.

3) Underlayment: Install new underlayment using Ice and Water shield for the first run on the eave’s. Then use synthetic underlayment for the remaining roof. Approximately 1100 sq. ft. total.

4) Drip Edge: Install new drip edge on rakes and eves.

5) Composite Shingles: Install Composite shingles “Owens Corning Oakridge” (or approved equal) on the main roof, follow all manufacturer installation instructions.

Contractor to provide homeowner with three (3) color choices for roofing and drip edge.

6) Roof Jacks, Roof vents, and Exhaust vent covers: Install exhaust vent covers, roof jacks, roof vents “Galvanized Steel Roof Vent 38 sq. in. Net Free Area in Black, Model # RVG38BL” or approved equal and ensuring connections are sealed properly and to warranty standards. Reconnect any ducting that was previously disconnected during demo.

7) Ridge Cap: Install ridge cap per manufacturer specifications, and “stainless steel permanent D-Ring fall protection roof anchor, Model # A230302W” or approved equal mount 2 of these under the ridge cap. Each one will be located 10 feet in from the end of the ridge. Ensure nailing is secured into trusses and that nail holes are covered by the ridge cap.

G. Cleanup and Disposal:

Clean up and dispose of all materials and construction debris from interior and exterior of building upon completion of project.

16 Jaquish Rd. Omak, WA: End of Scope of Work

Submittal Requirements:

o Submittals for products as specified above can be in the form of a product sample or a signed quote for materials or invoice (if all manufacturers numbers are included).

o If proposing to furnish “equal products” the Contractor must submit manufacturers specifications, all technical data and installation instructions on all materials submitted for use with the proposal.

o Contracting Officer or Authorized Designee will determine the use of “equal Products” based on the information supplied by the Contractor. If there is not sufficient information to make a comparison the substitution will not be allowed.

Example

Example

1. Form of Quote

2. Non-Collusion Affidavit

3. Statement Regarding Indian Preference

4. HUD Form 5369-A

5. Contract Template

6. SAM Clause

7. Davis Bacon Wage Determination

8. Indian Enterprise Qualifications Statement

9. TERO Compliance and Utilization Plan

COLVILLE INDIAN HOUSING AUTHORITY FORM OF QUOTE

PAGE - 1

QUOTE FOR: Colville Indian Housing Authority ICDBG Project:

TO:

FY26-11 ERG Roof Replacement and Home Repair Project 16 Jaquish Rd. Omak, WA 98841

COLVILLE INDIAN HOUSING AUTHORITY

P. O. BOX 528 / 42 CONVALESCENT CENTER BOULEVARD NESPELEM, WASHINGTON

99155

Gentlemen:

I, ________________________________________ the undersigned, have familiarized myself with the local conditions affecting the cost of the work and with the Specifications (including Request for Quotations, this Form of Quote, the General Scope of Work, and drawings. If any thereto, as prepared by Owner’s Representative and on file in the office of the CIHA, hereby proposes to furnish all labor, materials, equipment and services required to complete work related to the project scope of work, all in accordance therewith, for the sum of:

BASIC QUOTE

______________________________________________DOLLARS ($___________________)

Site Investigation: The Contractor acknowledges that he has satisfied himself as to the nature and location of the work, the general and local conditions, particularly those bearing upon transportation, disposal, handling and storage of materials, availability of labor, water, electrical power, roads and uncertainties of weather, ground water table or similar physical conditions at the site, the conformation and conditions of the ground surface, the character, quality and quantity of surface materials to be encountered, the character of equipment and facilities needed prior to and during the prosecution of the work or the cost thereof under this Contract. Any failure by the Contractor to acquaint himself with all of the available information concerning these conditions will not relieve him from responsibility for estimating properly the difficulty or cost of successfully performing the work.

Amendment Receipt:

Receipt of the following addenda is acknowledged:

Amendment No. : Date:

Amendment No. : Date:

COLVILLE INDIAN HOUSING AUTHORITY FORM OF QUOTE

PAGE - 2

II. In submitting this Quote, it is understood that the right is reserved by the CIHA to reject any and all Quotes. If written notice of the acceptance of this Quote is mailed, telegraphed, faxed, or delivered to the undersigned within sixty (60) days after the opening thereof, or at any time thereafter before this Quote is withdrawn, the undersigned agrees to execute and deliver a Contract in the prescribed form.

IV. Attached hereto is an affidavit in proof that the undersigned has not entered into any collusion with any person in respect to this quote or any other quote or the submitting of quotes for the contract for which this quote is submitted.

V. The Bidder represents that he ( ) has, ( ) has not, participated in a previous contract or subcontract subject to the equal opportunity clause prescribed by Executive Orders 10925, 11114, or 11246 or the Secretary of Labor; that he ( ) has, ( ) has not, filed all required compliance reports; and that representations indicating submission of required compliance reports, signed by proposed subcontractors, will be obtained prior to subcontract awards. (The above representation need not be submitted in connection with contracts or subcontracts that are exempt from the clause.)

VII. I have enclosed with this bid the following items per Instruction to Bidders.

1. Non collusive affidavit

2. Statement on Indian Preference

3. Certifications and Representations of Offerors

4. Indian Enterprise Qualifications Statement (MUST be included or on file with CIHA for

Indian Preference points)

NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.

DATE __________________________ __________________________

FIRM NAME

OFFICIAL ADDRESS: __________________________

BY

TITLE

TELEPHONE

END OF FORM OF QUOTE

Non-Collusion Affidavit CIHA Form 05/2018

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Non-Collusion Affidavit

I, ____________________________, being first duly sworn under oath, do hereby attest and affirm as follows:

1. That I am a duly authorized officer or agent of __________________________, the offeror submitting the competitive proposal attached to this Affidavit, for the purpose of certifying the facts pertaining to the existence of collusion among the offerors or between this offeror and any officer, agent or employee of Colville Indian Housing Authority (CIHA) or the Colville

Confederated Tribes (Tribe), as well as facts pertaining to the giving or offering things of value to officers, agents or employees of CIHA or the Tribe in return for special consideration in the letting of any contract pursuant to the attached competitive bid.

2. That I am fully aware of the facts and circumstances surrounding the making of the competitive proposal and has been personally and directly involved in the proceedings leading to the submission of such proposal.

3. That the proposal submitted is genuine and is not the product of any collusion and is not a sham proposal, and that all statements in the proposal are true.

4. That neither the offeror named above nor anyone subject to the offeror’s direction or control has been a party:

a. to any collusion among offerors to agree to bid at a fixed price or to refrain from submitting a proposal, or as to quantity, quality, cost element, profit, overhead, or price in the prospective contract or as to any other term of the prospective contract;

b. to any collusion with any CIHA or Tribal officer, agent or employee as to quantity, quality, cost element, profit, overhead, or price in the prospective contract or as to any other term of the prospective contract;

c. to any discussions between offerors or between this offeror and any officer, agent or employee of CIHA or the Tribe pertaining to the giving or offering things of value to officers, agents or employees of CIHA or the Tribe in return for special consideration in the letting of any contract pursuant to the attached proposal.

So sworn this ___ day of ______________, 20___.

Signature of Affiant

(Certification on page 2)

Non-Collusion Affidavit CIHA Form 05/2018

2 | P a g e

Certification

County of _____________ )

)ss

State of _______________ )

I, the undersigned, a duly commissioned and sworn notary public, do hereby certify that on the ___ day of ____________, 20___, the above-signed _____________________ personally appeared before me and was personally known to me, and executed the within instrument and acknowledged that he/she signed the same as his/her free and voluntary act and deed, for the uses and purposes therein mentioned.

Notary Public for ____________________

My Commission Expires:______________

Statement Regarding Indian Preference

If successful, the offeror (through its duly authorized and undersigned representative) hereby agrees and certifies that it will:

1. To the greatest extent feasible, give preference in the award of any subcontracts to Indian organizations and Indian-owned economic enterprises, and adopt and implement, for all subcontracts, the Indian Preference Requirements of 24 CFR

1000.48 – 52, the Tribes’ Tribal Employment Rights Ordinance (Chapter 10-1 of the Colville Tribal Code, hereinafter “TERO”) and the CIHA Procurement Policy to the greatest extent feasible. Copies of these provisions are attached hereto.

2. To the greatest extent feasible, give preference in opportunities for training and employment to Indians, and adopt and implement, for hiring, training, and promotion, the Indian Preference provisions of 24 CFR 1000.48 – 52, the TERO, and the CIHA Personnel Manual. Copies of these provisions are attached hereto.

3. Supply information to CIHA and, where required, to the Tribal Employment Rights Office as established under the TERO, on a periodic basis during performance of its duties under the contract demonstrating its efforts to apply Indian preference in hiring, promotion, training, and subcontracting, including what steps were taken to solicit Indian businesses for subcontracting and Indian people for hiring, promotion, and training.

4. Submit, and cause each subcontractor to submit, a certification and supporting evidence to CIHA whenever it is not feasible to provide Indian preference in subcontracting.

Offerer acknowledges and understands that improper subcontracting or false certification as to Indian preference in hiring and training, or as to subcontracting with Indian enterprises or organizations, shall be grounds for termination of the contract and for seeking penalties against the Contractor.

Dated this ____ day of ________________, 20____.

________________________________ On behalf of:

Signature

Printed Name Name of Offeror

Title form HUD-5369-A (11/92)Previous edition is obsolete

Representations, Certifications, and Other Statements of Bidders

Public and Indian Housing Programs

U.S. Department of Housing and Urban Development Office of Public and Indian Housing

Representations, Certifications, and Other Statements of Bidders Public and Indian Housing Programs

Table of Contents

Clause Page

1. Certificate of Independent Price Determination 1

2. Contingent Fee Representation and Agreement 1

3. Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions 1

4. Organizational Conflicts of Interest Certification 2

5. Bidder's Certification of Eligibility 2

6. Minimum Bid Acceptance Period 2

7. Small, Minority, Women-Owned Business Concern Representation 2

8. Indian-Owned Economic Enterprise and Indian Organization Representation 2

9. Certification of Eligibility Under the Davis-Bacon Act 3

10. Certification of Nonsegregated Facilities 3

11. Clean Air and Water Certification 3

12. Previous Participation Certificate 3

13. Bidder's Signature 3

1. Certificate of Independent Price Determination

(a) The bidder certifies that--

(1) The prices in this bid have been arrived at independently, without, for the purpose of restricting competition, any consultation, communication, or agreement with any other bidder or competitor relating to (i) those prices, (ii) the intention to submit a bid, or (iii) the methods or factors used to calculate the prices offered;

(2) The prices in this bid have not been and will not be knowingly disclosed by the bidder, directly or indirectly, to any other bidder or competitor before bid opening (in the case of a sealed bid solicitation) or contract award (in the case of a competitive proposal solicitation) unless otherwise required by law; and

(3) No attempt has been made or will be made by the bidder to induce any other concern to submit or not to submit a bid for the purpose of restricting competition.

(b) Each signature on the bid is considered to be a certification by the signatory that the signatory--

(1) Is the person in the bidder's organization responsible for determining the prices being offered in this bid or proposal, and that the signatory has not participated and will not participate in any action contrary to subparagraphs (a)(l) through (a)(3) above; or

(2) (i) Has been authorized, in writing, to act as agent for the following principals in certifying that those principals have not participated, and will not participate in any action contrary to subparagraphs (a)(l) through (a)(3) above.

_______________________________________________ [insert full name of person(s) in the bidder's organization responsible for determining the prices offered in this bid or proposal, and the title of his or her position in the bidder's organization];

(ii) As an authorized agent, does certify that the principals named in subdivision (b)(2)(i) above have not participated, and will not participate, in any action contrary to subparagraphs (a)(1) through (a)(3) above; and

(iii) As an agent, has not personally participated, and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) above.

(c) If the bidder deletes or modifies subparagraph (a)2 above, the bidder must furnish with its bid a signed statement setting forth in detail the circumstances of the disclosure.

[ ] [Contracting Officer check if following paragraph is applicable]

(d) Non-collusive affidavit. (applicable to contracts for construction and equipment exceeding $50,000)

(1) Each bidder shall execute, in the form provided by the PHA/ IHA, an affidavit to the effect that he/she has not colluded with any other person, firm or corporation in regard to any bid submitted in response to this solicitation. If the successful bidder did not submit the affidavit with his/her bid, he/she must submit it within three (3) working days of bid opening. Failure to submit the affidavit by that date may render the bid nonresponsive. No contract award will be made without a properly executed affidavit.

(2) A fully executed "Non-collusive Affidavit" [ ] is, [ ] is not included with the bid.

2. Contingent Fee Representation and Agreement

(a) Definitions. As used in this provision:

"Bona fide employee" means a person, employed by a bidder and subject to the bidder's supervision and control as to time, place, and manner of performance, who neither exerts, nor proposes to exert improper influence to solicit or obtain contracts nor holds out as being able to obtain any contract(s) through improper influence.

"Improper influence" means any influence that induces or tends to induce a PHA/IHA employee or officer to give consideration or to act regarding a PHA/IHA contract on any basis other than the merits of the matter.

(b) The bidder represents and certifies as part of its bid that, except for full-time bona fide employees working solely for the bidder, the bidder:

(1) [ ] has, [ ] has not employed or retained any person or company to solicit or obtain this contract; and

(2) [ ] has, [ ] has not paid or agreed to pay to any person or company employed or retained to solicit or obtain this contract any commission, percentage, brokerage, or other fee contingent upon or resulting from the award of this contract.

(c) If the answer to either (a)(1) or (a)(2) above is affirmative, the bidder shall make an immediate and full written disclosure to the PHA/IHA Contracting Officer.

(d) Any misrepresentation by the bidder shall give the PHA/IHA the right to (1) terminate the contract; (2) at its discretion, deduct from contract payments the amount of any commission, percentage, brokerage, or other contingent fee; or (3) take other remedy pursuant to the contract.

3. Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions (applicable to contracts exceeding $100,000)

(a) The definitions and prohibitions contained in Section 1352 of title 31, United States Code, are hereby incorporated by reference in paragraph (b) of this certification.

Page1 of 3

6. Minimum Bid Acceptance Period

(a) "Acceptance period," as used in this provision, means the number of calendar days available to the PHA/IHA for awarding a contract from the date specified in this solicitation for receipt of bids.

(b) This provision supersedes any language pertaining to the acceptance period that may appear elsewhere in this solicitation.

(c) The PHA/IHA requires a minimum acceptance period of [Contracting Officer insert time period] calendar days.

(d) In the space provided immediately below, bidders may specify a longer acceptance period than the PHA's/IHA's minimum require-ment. The bidder allows the following acceptance period:

calendar days.

(e) A bid allowing less than the PHA's/IHA's minimum acceptance period will be rejected.

(f) The bidder agrees to execute all that it has undertaken to do, in compliance with its bid, if that bid is accepted in writing within (1) the acceptance period stated in paragraph (c) above or (2) any longer acceptance period stated in paragraph (d) above.

7. Small, Minority, Women-Owned Business Concern Representation

The bidder represents and certifies as part of its bid/ offer that it --

(a) [ ] is, [ ] is not a small business concern. "Small business concern," as used in this provision, means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding, and qualified as a small business under the criteria and size standards in 13 CFR 121.

(b) [ ] is, [ ] is not a women-owned business enterprise. "Women-owned business enterprise," as used in this provision, means a business that is at least 51 percent owned by a woman or women who are U.S. citizens and who also control and operate the business.

(c) [ ] is, [ ] is not a minority business enterprise. "Minority business enterprise," as used in this provision, means a business which is at least 51 percent owned or controlled by one or more minority group members or, in the case of a publicly owned business, at least 51 percent of its voting stock is owned by one or more minority group members, and whose management and daily opera-tions are controlled by one or more such individuals. For the purpose of this definition, minority group members are:

(Check the block applicable to you)

[ ] Black Americans [ ] Asian Pacific Americans

[ ] Hispanic Americans [ ] Asian Indian Americans

[ ] Native Americans [ ] Hasidic Jewish Americans

8. Indian-Owned Economic Enterprise and Indian Organization Representation (applicable only if this solicitation is for a contract to be performed on a project for an Indian Housing Authority)

The bidder represents and certifies that it:

(a) [ ] is, [ ] is not an Indian-owned economic enterprise.

"Economic enterprise," as used in this provision, means any com-mercial, industrial, or business activity established or organized for the purpose of profit, which is at least 51 percent Indian owned.

"Indian," as used in this provision, means any person who is a member of any tribe, band, group, pueblo, or community which is recognized by the Federal Government as eligible for services from the Bureau of Indian Affairs and any "Native" as defined in the Alaska Native Claims Settlement Act.

(b) [ ] is, [ ] is not an Indian organization. "Indian organization," as used in this provision, means the governing body of any Indian tribe or entity established or recognized by such governing body.

Indian "tribe" means any Indian tribe, band, group, pueblo, or

(b) The bidder, by signing its bid, hereby certifies to the best of his or her knowledge and belief as of December 23, 1989 that:

(1) No Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress on his or her behalf in connection with the awarding of a contract resulting from this solicitation;

(2) If any funds other than Federal appropriated funds (includ-ing profit or fee received under a covered Federal transaction) have been paid, or will be paid, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress on his or her behalf in connection with this solicitation, the bidder shall complete and submit, with its bid, OMB standard form LLL, "Disclosure of Lobbying Activities;" and

(3) He or she will include the language of this certification in all subcontracts at any tier and require that all recipients of subcontract awards in excess of $100,000 shall certify and disclose accordingly.

(c) Submission of this certification and disclosure is a prerequisite for making or entering into this contract imposed by section 1352, title 31, United States Code. Any person who makes an expenditure prohibited under this provision or who fails to file or amend the disclosure form to be filed or amended by this provision, shall be subject to a civil penalty of not less than $10,000, and not more than $100,000, for each such failure.

(d) Indian tribes (except those chartered by States) and Indian organizations as defined in section 4 of the Indian Self-Determina-tion and Education Assistance Act (25 U.S.C. 450B) are exempt from the requirements of this provision.

4. Organizational Conflicts of Interest Certification The bidder certifies that to the best of its knowledge and belief and except as otherwise disclosed, he or she does not have any organizational conflict of interest which is defined as a situation in which the nature of work to be performed under this proposed contract and the bidder's organizational, financial, contractual, or other interests may, without some restriction on future activities:

(a) Result in an unfair competitive advantage to the bidder; or,

(b) Impair the bidder's objectivity in performing the contract work.

[ ] In the absence of any actual or apparent conflict, I hereby certify that to the best of my knowledge and belief, no actual or apparent conflict of interest exists with regard to my possible performance of this procurement.

5. Bidder's Certification of Eligibility

(a) By the submission of this bid, the bidder certifies that to the best of its knowledge and belief, neither it, nor any person or firm which has an interest in the bidder's firm, nor any of the bidder's subcon-tractors, is ineligible to:

(1) Be awarded contracts by any agency of the United States Government, HUD, or the State in which this contract is to be performed; or,

(2) Participate in HUD programs pursuant to 24 CFR Part 24.

(b) The certification in paragraph (a) above is a material represen-tation of fact upon which reliance was placed when making award.

If it is later determined that the bidder knowingly rendered an erroneous certification, the contract may be terminated for default, and the bidder may be debarred or suspended from participation in HUD programs and other Federal contract programs.

community including Native villages and Native groups (including corporations organized by Kenai, Juneau, Sitka, and Kodiak) as defined in the Alaska Native Claims Settlement Act, which is recognized by the Federal Government as eligible for services from the Bureau of Indian Affairs.

9. Certification of Eligibility Under the Davis-Bacon Act (applicable to construction contracts exceeding $2,000)

(a) By the submission of this bid, the bidder certifies that neither it nor any person or firm who has an interest in the bidder's firm is a person or firm ineligible to be awarded contracts by the United States Government by virtue of section 3(a) of the Davis-Bacon Act or 29 CFR 5.12(a)(1).

(b) No part of the contract resulting from this solicitation shall be subcontracted to any person or firm ineligible to be awarded contracts by the United States Government by virtue of section 3(a) of the Davis-Bacon Act or 29 CFR 5.12(a)(1).

(c) The penalty for making false statements is prescribed in the U.

S. Criminal Code, 18 U.S.C. 1001.

10. Certification of Nonsegregated Facilities (applicable to contracts exceeding $10,000)

(a) The bidder's attention is called to the clause entitled Equal Employment Opportunity of the General Conditions of the Con-tract for Construction.

(b) "Segregated facilities," as used in this provision, means any waiting rooms, work areas, rest rooms and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees, that are segregated by explicit directive or are in fact segregated on the basis of race, color, religion, or national origin because of habit, local custom, or otherwise.

(c) By the submission of this bid, the bidder certifies that it does not and will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it does not and will not permit its employees to perform their services at any location under its control where segregated facilities are maintained. The bidder agrees that a breach of this certification is a violation of the Equal Employment Opportunity clause in the contract.

(d) The bidder further agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) prior to entering into subcontracts which exceed $10,000 and are not exempt from the requirements of the Equal Employment Opportunity clause, it will:

(1) Obtain identical certifications from the proposed subcon-tractors;

(2) Retain the certifications in its files; and

(3) Forward the following notice to the proposed subcontrac-tors (except if the proposed subcontractors have submitted identical certifications for specific time periods):

Notice to Prospective Subcontractors of Requirement for Certifications of Nonsegregated Facilities A Certification of Nonsegregated Facilities must be submitted before the award of a subcontract exceeding $10,000 which is not exempt from the provisions of the Equal Employment Opportunity clause of the prime contract. The certification may be submitted either for each subcontract or for all subcontracts during a period (i.e., quarterly, semiannually, or annually).

Note: The penalty for making false statements in bids is prescribed in 18 U.S.C. 1001.

11. Clean Air and Water Certification (applicable to con-tracts exceeding $100,000)

The bidder certifies that:

(a) Any facility to be used in the performance of this contract [ ] is, [ ] is not listed on the Environmental Protection Agency List of Violating Facilities:

(b) The bidder will immediately notify the PHA/IHA Contracting Officer, before award, of the receipt of any communication from the Administrator, or a designee, of the Environmental Protection Agency, indicating that any facility that the bidder proposes to use for the performance of the contract is under consideration to be listed on the EPA List of Violating Facilities; and,

(c) The bidder will include a certification substantially the same as this certification, including this paragraph (c), in every nonexempt subcontract.

12. Previous Participation Certificate (applicable to construction and equipment contracts exceeding $50,000)

(a) The bidder shall complete and submit with his/her bid the Form HUD-2530, "Previous Participation Certificate." If the successful bidder does not submit the certificate with his/her bid, he/she must submit it within three (3) working days of bid opening. Failure to submit the certificate by that date may render the bid nonresponsive.

No contract award will be made without a properly executed certifi-cate.

(b) A fully executed "Previous Participation Certificate"

[ ] is, [ ] is not included with the bid.

13. Bidder's Signature The bidder hereby certifies that the information contained in these certifications and representations is accurate, complete, and current.

(Signature and Date)

(Typed or Printed Name)

(Title)

(Company Name)

(Company Address)

Construction Contract

CONSTRUCTION AND CONSTRUCTION-RELATED SERVICES

SMALL PURCHAS E CONTRACT BETWEEN

COLVILLE INDIAN HOUSING AUTHORITY

AND

This Contract is entered into on the Confederated Tribes of the Colville Indian Reservation, between the Colville

Indian Housing Authority (“CIHA”) and ______________________ (“CONTRACTOR”), for the purpose of securing the services of CONTRACTOR to provide the construction or construction-related services set out in Section 3 herein.

1. CONTRACT DOCUMENTS

1.1 CONTRACTOR enters into this Contract and remains throughout the term of this Contract as an independent contractor and not an employee.

1.1.1 CONTRACTOR is not subject to the day-to-day supervision of CIHA, but is contracted independently to complete the project(s) oversight described herein.

1.1.2 CONTRACTOR shall be directly responsible to CIHA for all purposes contractual, supervisory, and performance-related under this Contract.

1.1.3 CONTRACTOR is not entitled to the rights of benefits afforded to Tribal or CIHA employees, including, but not limited to, disability or unemployment insurance, workers’ compensation, medical insurance, annual or sick leave, or any other employment benefit accorded to Tribal or CIHA employees.

1.1.4 CONTRACTOR is responsible for providing, at CONTRACTOR’s expense, employer’s taxes, applicable worker’s compensation and unemployment insurance, appropriate liability insurance, and applicable licenses for CONTRACTOR.

1.2 Contract documents consist solely of this written Contract signed by both parties, the submitted quotation, by CONTRACTOR, dated _____________, the Contract Documents and Specifications, dated ______________, and Amendment(s) ______ which are incorporated herein by reference.

1.2.1 If CONTRACTOR is retained to render services under contracts or grants received by CIHA, CONTRACTOR also shall be bound by the terms of those contracts or grants.

1.2.2 CIHA assumes no further obligations to CONTRACTOR other than those set forth in this

Contract.

1.3 CIHA’s Contracting Officer for the purposes of this Contract is:_______________________

2. TERM OF CONTRACT. The term of this contract shall be __________________, unless extended pursuant to the terms of this Contract.

3. SERVICES TO BE PERFORMED BY CONTRACTOR

3.1 CONTRACTOR is retained to provide the following construction or construction -related services:

3.1.1 ;

3.1.2 ;

3.1.3 ;

3.1.4 ;

3.1.5 ;

3.1.6 .

3.2 CONTRACTOR will identify the need, if any, for consultants, subcontractors, or related business professional services, and provide such analysis to CIHA. CIHA will make the final determination, after consulting with CONTRACTOR, whether such consultants, subcontractors, or related business professional services are needed for the project. CONTRACTOR will procure such services through the applicable procurement process and consistent with all applicable competitive procurement requirements.

3.3 All work product generated under this Contract by CONTRACTOR, outside consultants, or subcontractors, shall be based upon CONTRACTOR’s knowledge, experience, and professional judgment;

3.4 CONTRACTOR shall adhere to all laws, regulations, or standards applicable to such work in the performance of this Contract.

4. COMPENSATION

4.1 CIHA shall compensate CONTRACTOR for services rendered under this contract as follows:________________________________________.

4.2 CIHA shall pay compensation on the tenth of each month for the previous month’s work, upon submission by CONTRACTOR of properly itemized invoices and receipts, or credit card itemized billings, to CIHA’s Executive Director.

4.3 In the event that this Contract is terminated without cause before completion of the Contract term, CONTRACTOR shall be paid such compensation as may be determined equitable to date of termination. In the event this Contract is terminated for cause, CONTRACTOR shall receive such compensation as is due under this contract to the date of termination set forth in such notice, so long as CONTRACTOR is performing in conformity with the terms of this contract and all Tribal and

CIHA property is returned to CIHA.

4.4 Except in an emergency, advanced written approval shall be obtained from CIHA for additional amounts for fees and expenses.

5. CONDITIONAL CONSENT TO REPRES ENT OTHER CLIENTS. During the term of this Contract, CONTRACTOR shall not engage or participate in any activity that conflicts with, or business that is in direct competition with, the business of CIHA.

6. GENERAL PROVISIONS

6.1 Integration. This Contract expresses the complete understanding of the parties, and supersedes any and all other contracts or agreements, either oral or in writing, between the parties with respect to the terms of this Contract. Each party to this Contract acknowledges that no representation, inducements, promises, or agreements, orally or otherwise, have been made by any party, or anyone dealing on behalf of any party, which are not embodied herein; and that no other agreement, statement, or promise not contained in this Contract shall be valid or binding on either party, except that any other written agreement dated concurrent with or after this Contract shall be valid as between the signing parties.

6.2 Modifications. Any modification of this Contract will be effective only if it is in writing and signed by both parties.

6.3. Property of Parties

6.3.1 All records, of any nature, whether existing at the time of this Contract, produced through the efforts of CONTRACTOR, or obtained by CONTRACTOR from any other source, and whether prepared by CONTRACTOR or otherwise, shall remain the exclusive property of

CIHA.

6.3.2 All Tribal or CIHA equipment, books, and files/records utilized by CONTRACTOR in performing CONTRACTOR’s duties under this Contract shall be returned immediately to

CIHA by CONTRACTOR on expiration or termination of this Contract, regardless of whether any dispute exists between CIHA and CONTRACTOR at and/or following the expiration or termination of this Contract.

6.3.3 Intellectual Property.

6.3.3.1 If this Contract involves performance of experimental, developmental, or research work funded in whole or in part by the Federal government, CONTRACTOR and CIHA shall comply with the requirements of 37 CFR Part

401, "Rights to Inventions Made by Nonprofit Organizations and Small

Business Firms Under Government Grants, Contracts and Cooperative

Agreements," and any implementing regulations issued by the awarding agency.

6.3.3.2 Except as provided in Section 6.3.3.1, above, CONTRACTOR agrees that ownership of all materials developed under this Contract shall be in CIHA.

6.3.3.3 CONTRACTOR may retain all personal notes relating to work under this

Contract, and may retain copies of documents generated by CONTRACTOR pursuant to this Contract; provided, however, that copies of all notes and

ORIGINAL copies of all documents created in the performance of this

Contract, shall be provided to CIHA.

6.4 Waiver.

6.4.1 The failure of either party to insist on strict compliance with any terms, covenants, or conditions of this Contract by the other party shall not be deemed waiver of that term, covenant, or condition; nor shall any waiver or relinquishment of any right or power at any one time or times be deemed a waiver or relinquishment of that right or power of all and or any other times.

6.4.2 Nothing in this Contract shall be construed to waive CIHA’s sovereign immunity from suit.

6.5 Governing Law. The Laws of the Confederated Tribes of the Colville Indian Reservation shall govern this Contract.

6.6 Insurance. CONTRACTOR shall be liable for any damages to CIHA resulting from

CONTRACTOR’s acts and…

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