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DIVISION 00 — CONTRACTING REQUIREMENTS
HENRY MOSES AQUATIC CENTER MAINTENANCE AND REPAIRS
SECTION 00 00 03 - BID PROPOSAL FORM
0
CITY OF RENTON
HAND DELIVER TO: OFFICE OF THE CITY CLERK
RENTON CITY HALL- LOBBY
1055 S. GRADY WAY, RENTON,WA, 98057
BID FORM
for the
HENRY MOSES AQUATIC CENTER UPGRADES
CAG 24-218
Bids Due: 2:00 PM December 16, 2024
Bidder's Name: b K1 P/ C- 1 e-I (-
Address: gale 3 3 Mc 4e Va!,(c- , WA
Telephone: ( �) 39 ( - 4 3 3-1
(MUST BE COMPLETED AND SIGNED)
Having carefully examined the Bidding Documents and Instructions to Bidders,the Project site and
conditions affecting the Work, and all Addenda,the undersigned Bidder certifies that: (i) it has the
personnel and means to complete the Work and(ii) it will furnish all labor, materials, equipment, and
management to perform all Work required by, and in strict accordance with, the above-named documents
for the following sum within the time fixed. All Bid amounts shall include overhead, profit, bonds,
insurance, and any other expense required to complete the Work (excluding Washington State Sales Tax).
The undersigned Bidder certifies that it is, at the time of submitting the Bid, and shall remain throughout
the period of the Contract, licensed by the State of Washington to perform the type of work required
under the Contract Documents. It further certifies that it is skilled and regularly engaged in the general
class and type of work called for in the Contract Documents.
A. BASE BID
The Bidder agrees to complete the Work for this Project for the following lump sum Base Bid
amount: _
O C (M'1 (� ✓1 tine-� u<- �x ,1 u1,t..�{ -111 1-h� Ft wFho
- wci DOLLARS $ 1 3 3 S 1 UdJ .
Base Bid Amount Written c1 Numeric
Do not include in the Base Bid amount Washington State Sales Tax.That amount will be paid based on
the Contract Sum.
Henry Moses Aquatic Center Maintenance and Repairs Bid Form
Page 1 of 6
Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal
DIVISION 00 —CONTRACTING REQUIREMENTS
HENRY MOSES AQUATIC CENTER MAINTENANCE AND REPAIRS
SECTION 00 00 03 - BID PROPOSAL FORM
B. ALTERNATES
Alternate 1—Scope of Vs ork
Replace All Activity Pool Tiles $ 15 , /2-`.° . -
(Alternate 1 Amount Written) (Numeric)
Alternate 2—Scope of Work
(Alternate 2 Amount Written) (Numeric)
C. SUBCONTRACTOR LISTING
If Bid Amount is$1,000,000 or more, as required by RCW 39.30.060, Bidder must complete and
provide the included Subcontractor listing forms(Form C)in accordance with the applicable timing
requirements.
D. RECEIPT OF ADDENDA
Bidder acknowledges receipt of the following addenda:
Addendum No. � Addendum No.
Addendum No. Addendum No.
All requirements therein are included in the appropriate Bid amount.
E. CONDITIONS OF PROPOSAL
1. Determination of Low Bidder:
a. The City of Renton(alternatively referred to as"Owner"or"City")reserves the right
to award the Contract for the Project based on the Contractor's Base Bid and any
selected Alternates(s), in whatever manner is in the City's best interest.
2. Overhead and Profit:
a. All of the above Bid Prices shall include overhead, profit, bonds, insurance, and any
other expense required to complete the Work(excluding Washington State Sales Tax).
F. PERIOD OF BID VALIDITY/ACCEPTANCE OF BID
The undersigned hereby agrees that this Bid shall be a valid and firm offering for the period of sixty
(60)days from the Bids Due date.
Within sixty (60) days from the Bids Due date, the City will act either to accept the Bid Form the
lowest responsive and responsible Bidder, or to reject all Bids. The City reserves the right to
request extensions of such Bid acceptance period.
Henry Moses Aquatic Center Maintenance and Repairs Bid Form
Page 2 of 6
Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal
•
DIVISION 00 -CONTRACTING REQUIREMENTS
HENRY MOSES AQUATIC CENTER MAINTENANCE AND REPAIRS
SECTION 00 00 03 - BID PROPOSAL FORM
(1)
The acceptance of a Bid will be evidenced by a written Notice of Intent to Award Contract to the
Bidder whose Bid is under consideration for acceptance,together with a request to furnish a bond
(if required), evidence of required insurance to execute the Agreement set forth in the Contract
Documents,and other designated documents.
G. EXECUTION OF CONTRACT
If the written Notice of Intent to Award Contract is mailed,telegraphed,or delivered via facsimile
to the undersigned within the period of Bid validity noted above, or any time thereafter before
this Bid is withdrawn,the undersigned will,within ten(10)days after the date of such notification,
execute the City of Renton Standard Form of Agreement Between Owner and Contractor where
the basis of payment is a Stipulated Sum ("Agreement") set forth in the Contract Documents.
H. TIME FOR COMPLETION
Substantial Completion -The undersigned hereby agrees to Substantially Complete all the Work
under the Base Bid (and accepted Alternates)no later than 120 days following Notice to Proceed.
Notice to Proceed—January 31,2025.
Final Completion—All the Work shall achieve Final Completion in accordance with the contract
documents within 30 calendar days after the date of Substantial Completion.
I. LIQUIDATED DAMAGES
The undersigned agrees to pay the Owner of liquidated damages the sum of$1,200.00 for each
calendar day beyond the date upon which Substantial Completion of the entire Work is required
to be complete until Substantial Completion is achieved, in accordance with the Contract
Documents.
J. BID SECURITY(As per the Bidding Documents)
If applicable, Bid Security must be submitted with the Bid Form.
K. ACKNOWLEDGMENT
The undersigned acknowledges that it has read, understands,and agrees to comply with all
federal and state non-discrimination laws,regulations,and policies during the performance of the
Work.
Henry Moses Aquatic Center Maintenance and Repairs Bid Form
Page 3 of 6
Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal
DIVISION 00 -CONTRACTING REQUIREMENTS
HENRY MOSES AQUATIC CENTER MAINTENANCE AND REPAIRS
SECTION 00 00 03 - BID PROPOSAL FORM
Legal Name of Person or Entity Submitting Bid: NO PIS C i ! I c. L(_(.- WA)
NOTE:If Bidder is a corporation,write State of Incorporation;if a partnership,give full names and addresses of all parties below.
Authorized Signatory: Title: 01,A14 t-
Printed Name: b a-t'i T1i o wv
Address: 33
City: M( lc, Va l IcAj State: IAM Zip Code: 1 b3p Date:I2. 1L zY
Telephone: (9-0(e) Fax:
Washington Contractor's License No.: DNIPPHGPL-'tZ fT Federal Tax ID#: Li; - 12—v
E-mail address: 010,- t., e06i-pctC4-fi c, ,
Washington State UBI No.: , C24 Expiration Date: LA-. 3o-
CERTIFICATION OF COMPLIANCE WITH PREVAILING WAGE PAYMENT STATUTES
The undersigned Bidder hereby certifies, under the penalty of perjury,that within the three-
year period immediately preceding the Bid Submission date, the Bidder has not been
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, to have willfully violated, as defined in RCW 49.48.082, any
provision of chapters 49.46, 49.48, or 49.52 RCW.
I certify under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
PM PA c- I Fl u
Legal Name of Person or Entity Submitting Bid
Signature of Authorized Official*
ba--VI a -["lam-vv)
Printed Name
Henry Moses Aquatic Center Maintenance and Repairs Bid Form
Page 4 of 6
Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal
DIVISION 00 —CONTRACTING REQUIREMENTS
HENRY MOSES AQUATIC CENTER MAINTENANCE AND REPAIRS
SECTION 00 00 03 - BID PROPOSAL FORM
cm)611C
Title
Date City State
Check One:
Sole Proprietorship 0 Partnership 0 Joint Venture 0 Corporation 0 LLC l .
State of Incorporation, or if not a corporation,State where business entity was formed:
If a co-partnership, give firm name under which business is transacted:
*If a corporation,proposal 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,
proposal must be executed by a partner
NON-COLLUSION AFFIDAVIT
Being duly sworn,deposes and says,that he/she is the identical person who submitted the forgoing proposal or
bid,and that such bid is genuine and not sham or collusive or made in the interest or on behalf of any person not
therein named,and further,that the deponent has not directly induced or solicited any other Bidder on the
foregoing work or equipment to put in a sham bid,or any other person or corporation to refrain from bidding,and
that deponent has not in any manner sought by collusion to secure to himself or to any other person any
advantage over the other Bidder or Bidders.
AND
CERTIFICATION RE:ASSIGNMENT OF ANTI-TRUST CLAIMS TO PURCHASER
Vendor and purchaser recognize that in actual economic practice overcharges resulting from anti-trust violations
are in fact usually borne by the purchaser. Therefore,vendor hereby assigns to purchaser any and all claims for
such overcharges as to goods and materials purchased in connection with this order or contract,except as to
overcharges resulting from anti-trust violations commencing after the date of the bid,quotation,or other event
establishing the price under this order or contract. In addition,vendor warrants and represents that such of his
suppliers and subcontractors shall assign any and all such claims to purchaser,subject to the aforementioned
exception.
AND
MINIMUM WAGE AFFIDAVIT FORM
I,the undersigned,having been duly sworn, deposed,say and certify that in connection with the performance of
the work of this project, I will pay each classification of laborer,workman,or mechanic employed in the
performance of such work;not less than the prevailing rate of wage or not less than the minimum rate of wages as
specified in the principal contract:that I have read the above and foregoing statement and certificate,know the
contents thereof and the substance as set forth therein is true to my knowledge and belief.
Henry Moses Aquatic Center Maintenance and Repairs Bid Form
Page 5 of 6
Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal
DIVISION 00 —CONTRACTING REQUIREMENTS
HENRY MOSES AQUATIC CENTER MAINTENANCE AND REPAIRS
SECTION 00 00 03 - BID PROPOSAL FORM
0
FOR: NON-COLLUSION AFFIDAVIT,ASSIGNMENT OF ANTI-TRUST CLAIMS TO PURCHASER AND MINIMUM WAGE
AFFIDAVIT
H e+n v1 M o se c A 1u&� Lt,,d Pv clp��c 4 S l L; L ta.ft ,
Henry Moses quatic Center Upgrades/City of Renton
1) M 01Gtf= tc
Name of Bidder's Firm
Signature of Authorized Representative of Bidder
Subscribed and sworn to before me on this I c, day of hec r)\. ,20 `} .
End of Bid Form
Henry Moses Aquatic Center Maintenance and Repairs Bid Form
Page 6 of 6
Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal
Henry Moses Aquatic Center Maintenance and Repair
Proposal Bid Bond—FORM A
lie
FORM A
Proposal Bid Bond
KNOW ALL MEN BY THESE PRESENTS, That we, [Contractor] DM Pacific, LLC
of[address] PO Box 33, Maple Valley,WA 98038 as
Principal, and [Surety] Merchants National Bonding, Inc.
a corporation duly organized under the laws of the State of Iowa ,
and authorized to do business in the State of Washington, as Surety, are held and firmly bound unto the
City of Renton in the sum of five (5) percent of the total amount of the Bid of said Principal for the Work
hereinafter described, for the payment of which, well and truly to be made, we bind ourselves, our heirs,
executors, administrators and assigns, and successors and assigns,jointly and severally, firmly by these
presents.
The condition of this bond is such,that whereas the Principal herein is herewith submitting his/her or its
sealed Bid for the following construction, to wit:
Henry Moses Aquatic Center Maintenance and Repair
PROJECT NO. CAG 24-218
said Bid and proposal, by reference thereto, being made a part hereof.
NOW, THEREFORE, if the said proposal Bid by said Principal be accepted, and the Contract be awarded
to said Principal, and if said Principal shall duly make and enter into and execute said Contract and shall
furnish performance bond as required by the City of Renton within a period of ten (10)days from and after
said award, exclusive of the day of such award, then this obligation shall be null and void, otherwise it
shall remain and be in full force and effect.
IN THE EVENT the Principal, following award, fails to execute an Agreement with the City of Renton in
accordance with the terms of the Bidding Documents and furnish a performance bond with Surety or
Sureties approved by the City of Renton within ten (10)days from and after said award, then Principal
shall forfeit the Bid Bond/Bid Proposal Deposit or Surety shall immediately pay and forfeit to the City of
Renton the amount of the Proposal Bid Bond, as set forth in RCW 35A.40.200 and RCW 35.23.352.
IN TESTIMONY WHEREOF, the Principal and Surety have caused these presents to be signed and
sealed this 16th _day of December , 2024
DM Pacific, LLC Merchants National Bonding, Inc.
[P . cipal] [Surety]
••Pt10Nq�
��i` �.••RPOq.. �p
[Si ature of authorized official][Signature of authorized official] _Ati,�0 9>:•.,7.:
:aEz:z -0- 0:•a_
By: G%Z 0140 =
;J: z
2003 ,c)S
[Title][Attorney-in-Fact] Andrew Kerslake,Attorney-in-Fact ;d,-.. ,
PO Box 33, Maple Valley,WA 98038
[Address]
i1 IV• '1.-��
[Phone Number]
BID BOND PAGE 1 OF 1
M E RC HAN T'�
BONDING COMPANY .
POWER OF ATTORNEY
Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of Iowa,d/b/a Merchants National Indemnity Company(in California only)(herein collectively called the
"Companies")do hereby make,constitute and appoint, individually,
Abigail A Bonney;Alec Gumpfer;Alex Giannini;Andrew Kerslake;Brenda Nolin;Chris Larson; Deanna M French; Elizabeth R Hahn;Francis Wirt;
Greg Lagreid;Gregory C Ryerson;Guy P Armfield;Jana M Roy;Janteane Blyton;John N Bustard;John R Claeys;Justin Gwinn; Katelyn Cooper;
Kyle Dozier;Lauren Zakarian;Mindee L Rankin;Nicholas Fredrickson;Rebecca Sarmiento;Roger Kaltenbach; Roland R Eugenio; Ronald J
Lange;Sandy L Boswell;Scott A Garcia;Scott Fisher;Scott McGilvray;Sean K Spencer;Sharon L Pope;Shirley J Pace; Susan B Larson;William
M Smith
their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of
persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions
or proceedings allowed by law.
This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of
Directors of Merchants Bonding Company(Mutual)on April 23,2011 and amended August 14,2015 and April 27,2024 and adopted by the Board of
Directors of Merchants National Bonding,Inc.,on October 16,2015 and amended on April 27,2024.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and
authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto,
bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company,and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut honty hereby given to the
Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given
to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner-
Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation.
In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 1st day of November , 2024
"""•• • MERCHANTS BONDING COMPANY(MUTUAL)
(10N •.
�P•,..•••.q( •�p\NG-004, •• MERCHANTS NATIONAL BONDING,INC.
mac..�•ORP OR4•• •�O..0k P O44%11. d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY
- Z. . 3 X
7
2003 is); ••y. 1933 By7
d�. ����:� :`�6� .....- '��a�•• President
•STATE OF IOWA •�•� t7
COUNTY OF DALLAS ss. •"""'..`,
On this 1st day of November 2024 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
Penni Miller
OakCommission Number 787952
My Commission Expires r y r ✓
IOWA January 20,2027 Notary Public
(Expiration of notary's commission does not invalidate this instrument)
I, Elisabeth Sandersfeld, Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do
hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still
in full force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 16th day of December , 2024.
0‘.:At.•;-^ • 4.-••...z.• alya,62.6V6.04..01
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2003 :7 • a. 1933 c; Secretary
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•
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POA 0018 (6/24) ••""
Henry Moses Aquatic Center Maintenance and Repairs
List of Subcontractors, FORM B
CITY OF RENTON
EMAIL TO: dboodell@rentonwa.Rov
LIST OF SUBCONTRACTORS
Submission of HVAC,Plumbing, and Electrical Subcontractors
If bid amount exceeds$1,000,000,this list must be submitted within one(1)hour of the time and date
specified for Bid Submission.
Bidder's Name: !v, PAcvlfi .-
Project:
Henry Moses Aquatic Center Upgrades
1055 S. Grady Way
Renton,WA 98057
CAG Number
SUBCONTRACTOR LISTING
If the bid amount exceeds$1,000,000 or more including Washington State Sales Tax,bidder must list the Heating,
Ventilation,and Air Conditioning(HVAC),Plumbing,and Electrical subcontractors as required per RCW 39.30.060.
$ubcontractor Name Work Category
1 A i w re-Ni-,- Mrrhaninal .J