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Northwest Cascade, Inc.
1 \IN .IN NORTHWEST CASCADE, INC. P.O. BOX 73399, PUYALLUP, WA 98373 TACOMA(253)848-2371 /SEATTLE(206)622-2464 NORTHCI148BG C)A-1-) e.tydrao 1 a- Oiactu Loa Qiunior ui,Pr- cmsvi Lt0S.kJ eivd vvaioec � CITY OF RE 'ON MAY 2 0 ,026 RECEIVED 40 '\ CITY CLERK'S 9FFICE —?to 9to PAfijc Pet' cs-takii,i OtheLba-Adtii) I°�cP etkk .% a+ CAG-26-096 • CALL FOR BIDS e N T o PRV Station 1 Rehabilitation Project CAG-26-096 WTR-27-4321 Sealed bids will be received until 2:00 pm,Wednesday,05/20/2026 at the lobby of Renton City Hall, 1055 South Grady Way, Renton WA 98057. No mailed, USPS, FedEx, or UPS delivered bids will be accepted. Please include the bidder's name, address, and the name of the project on the envelope. Sealed bids will be opened and publicly read via the Zoom video-conferencing web application at 3:00 pm,Wednesday,05/20/2026(60 minutes after published bid submittal time). Any bids received after the published bid submittal time cannot be considered and will not be accepted. The bid opening meeting can be accessed via video conference by: • Clicking this link to join the Zoom meeting: https://us06web.zoom.us/j/87371307304?pwd=KTmODrhN6bXaNumbSL9PeBZxdi7bY6.1 • Using the Zoom app: Meeting ID: 873 7130 7304; Password: 124546; • Via telephone by dialing:+12532158782„ 87371307304#,,,,*124546# US • Zoom is free to use and is available at https://zoom.us/ The work involved under the terms of this contract document shall be full and complete installation of the facilities, as shown on the plans and as described in the construction specifications,to include but not be limited to: • Construction surveying, staking,and production of as-built drawings. • Replace PRV 1 with the proposed PRV, located outside the traveled roadway and shoulder.The new PRV will be located in the unimproved ROW, south of the existing PRV 1, at the west shoulder of Taylor Place SW adjacent to 564 Stevens Ave NW. • Connect the station inlet to the 12" DI on Taylor PL NW and the outlet to the 10" CI on Taylor PL NW. • Abandon the existing PRV and 10" Cl between the point of connection of the replacement PRV and connection to the 12" DI at S 124th St. • Install new PRV, piping,and appurtenances. • Install 3-inch pressure relief valve and piping, with an above ground discharge pipe that discharges water to the existing surface water ditch along the south side of Taylor Pl NW. o Installation of a concrete pad for energy dissipation from discharge pipe. 2 Extension and grading of the existing surface water ditch as indicated and/or directed. • Trench excavation, including removal of existing unsuitable material, removal and abandonment of existing utilities, disposal of excavated material, shoring, and dewatering. • Removal and replacement of asphalt concrete pavement,asphalt overlay, concrete curbs, gutters, sidewalks and driveways. • ROW Surface and other restoration. • Furnish and install approximately 80 LF ductile iron Class 52 8-inch diameter restrained joint water pipe and restrained joint fittings with polywrap. PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal • Furnish and install approximately 110 LF ductile iron Class 52 10-inch diameter restrained joint water pipe and restrained joint fittings with polywrap. • Furnish and install a 12-inch x 10-inch tapping tee and valve assembly. • Installing and maintaining adequate TESC measures and restoring all disturbed areas. • Temporary traffic control measures following the contract documents and applicable City of Renton, King County,and MUTCD standards. • Testing and disinfecting of water mains. • Protecting existing utilities, utility potholing and resolution of utility conflicts. The estimated project cost is$475,000-$500,000. A total of 45 working days is allowed for completion of the project. The City reserves the right to reject any and/or all bids and to waive any and/or all informalities. Bid documents will be available Tuesday,April 28, 2026. Plans, specifications, addenda, and the plan holders list for this project are available online through Builders Exchange of Washington, Inc., at http://www.bxwa.com. Click on"bxwa.com"; "Posted Projects", "Public Works", "City of Renton", "Projects Bidding". Bidders are encouraged to"Register as a Bidder," in order to receive automatic email notification of future addenda and to be placed on the "Bidders List". Bid documents will also be available at https://rentonwa.gov/bids/under"Calls for Bids". Addenda may not be available or updated on this website. Should you require further assistance, contact Builder's Exchange of Washington at(425)258- 1303. Bidders are not to contact the City of Renton or the Engineer to obtain bidding documents. The City's Fair Practices, Non-Discrimination, and Americans with Disability Act Policies shall apply. The recipient, in accordance with Title VI of the Civil Rights Act of 1964(78 Stat. 252,42 U.S.C. 2000d to 2000d-4)and Treasury's implementing regulations at 31 C.F.R. Part 22, hereby notifies all bidders that it will affirmatively ensure that in any contract entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full and fair opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race,color,or national origin in consideration for an award. Women and Minority Business Enterprises(WMBE)are encouraged to bid. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction Lower Tier Covered Transactions 1. The lower tier contractor certifies, by signing this contract that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. 2. Where the lower tier contractor is unable to certify to any of the statements in this contract, such contractor shall attach an explanation to this contract. Questions about the project shall be addressed to:Jeremy Valdez, Public Works Department, jvaldez@rentonwa.gov. Questions received less than 4 business days prior to the date of sealed PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal bid submittal may not be answered.The City will not be responsible for other explanations or interpretations of the bid documents. A certified check or bid bond in the amount of five percent(5%)of the total bid price must accompany each bid. - (h..(L,--- MCC Melissa McCain, MMC, Deputy City Clerk/ Public Disclosure Manager Dates of Publication: Daily Journal of Commerce April 28, 2026 Daily Journal of Commerce May 5, 2026 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON SCOPE OF WORK PRV STATION 1 REHABILITATION PROJECT CAG-26-096 WTR-27-4321 The work involved under the terms of this contract document shall be full and complete installation of the facilities, as shown on the plans and as described in the construction specifications,to include but not be limited to: • Construction surveying, staking,and production of as-built drawings. • Replace and relocate PRV 1 out of the traveled roadway and shoulder to the unimproved ROW, to the south of the existing PRV 1 at the west shoulder of Taylor Place SW adjacent to 564 Stevens Ave NW. • Connect the station inlet to the existing 12" DI on Taylor PL NW and the outlet to the 10"CI on Taylor PL NW. • Abandon the existing PRV and 10"Cl between the point of connection of the replacement PRV and connection to the 12" DI at S 124th St. • Install new PRVs, piping, and related appurtenances. • Install 3-inch pressure relief valve and piping,with an above ground discharge pipe that discharges water to the existing surface water ditch along the south side of Taylor Pl NW. o Installation of a concrete pad for energy dissipation from discharge pipe. o Extension and grading of the existing surface water ditch as indicated and/or directed. • Trench excavation, including removal of existing unsuitable material, removal and abandonment of existing utilities,disposal of excavated material, shoring, and dewatering. • Removal and replacement of asphalt concrete pavement,asphalt overlay, concrete curbs, gutters, sidewalks and driveways as indicated and/or directed. • ROW Surface and other restoration • Furnish and install approximately 80 LF ductile iron Class 52 8-inch diameter restrained joint water pipe and restrained joint fittings with polywrap. • Furnish and install approximately 75LF ductile iron Class 52 10-inch diameter restrained joint water pipe and restrained joint fittings with polywrap. • Furnish and install a 12-inch x 10-inch tapping tee and valve assembly • Installing and maintaining adequate TESC measures and restoring all disturbed areas. • Temporary traffic control measures following the contract documents and applicable City of Renton and MUTCD standards. • Testing and disinfecting of water mains. • Protecting existing utilities, utility potholing and resolution of utility conflicts. The estimated project cost is$475,000 to$500,000 A total of 45 working days is allowed for completion of the project. For Bid Item Descriptions see Special Provisions Section 1-09.14 3 SCOPE OF WORK 1 PRV STATION APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON POLICY AND GENERAL PROJECT INFORMATION Any contractor connected with this project shall comply with all Federal,State,County, and city codes and regulations applicable to such work and perform the work in accordance with the plans and specifications of this contract document. r." .r �,. _ n r " : 0.100002 0OA C.00, 0°a h It h41i es Y • ~ 1 -1r r w E IWILIT-111:4 s-iz3«- a...r _ - ....f ,. ,:,r, ;! -0..........,,. -.• ).1 i,, . ri' Project Area m,I , ' , '-+'` ••, 'e,t. t s. •`;mot - .'� .. .. r.e 1 l I ram" '!` r• p.. r t —-iv ,...- s ,,41� F.. . p. (, q �cx. I d .4 z .it sit . • IIOW= - 2 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal City of Renton l y • TIN �F p"o INSTRUCTIONS TO BIDDERS PRV STATION 1 REHABILITATION PROJECT CAG-26-096 WTR-27-4321 1. Sealed bids for this proposal will be received by the City of Renton at the lobby of Renton City Hall, until the11rneand date specified in the Call for Bids. No mailed, Fedex,or UPS delivered bids will be accepted. The bids will be publicly opened and read via a Zoom video-conferencing 60 minutes after the bid closing, after which the bids will be considered and the award made as early as practicable. No proposal may be changed or withdrawn after the time set for receiving bids. Proposals shall be submitted on the forms attached hereto. 2. Any omissions,discrepancies or need for interpretation should be brought, in writing,to the attention of the Project Engineer.Written addenda to clarify questions that arise may then be issued. If a bidder has any questions regarding the project,the bidder may: Submit questions via email only to Jvaldez@rentonwa.gov.The bidder shall include"Bid Question—PRV STATION 1 REHABILITATION PROJECT" in the subject line. No oral statements by Owner, Engineer, or other representative of the owner shall, in any way, modify the contract documents,whether made before or after letting the contract. Questions received less than 4 business days prior to the date of sealed bid submittal may not be answered.The City will not be responsible for other explanations or interpretations of the bid documents. 3. The work to be done is shown in the plans and/or specifications. Quantities are understood to be only approximate. Final payment will be based on actual quantities and at the unit price bid.The City reserves the right to add or to eliminate portions of that work as deemed necessary. 4. Plans, specifications, addenda, and plan holders list for this project are available on-line through Builders Exchange of Washington, Inc.,at http://www/bxwa.com. Click on "bxwa.com";"Posted Projects"; "Public Works", "City of Renton", "Projects Bidding". (Note: Bidders are encouraged to "Register as a Bidder," in order to receive automatic email notification of future addenda and to be placed on the "Bidders List." Bidders shall satisfy themselves as to the local conditions by inspection of the site. 5. The bid price for any item must include the performance of all work necessary for completion of that item as described in the specifications. 6. The bid price shall be stated in terms of the units indicated and as to a total amount. In the event of errors,the unit price bid will govern. Illegible figures will invalidate the bid. 7. The right is reserved to reject any and/or all bids and to waive informalities if it is deemed advantageous to the City to do so. 8. A certified check or satisfactory bid bond made payable without reservation to the Director of Finance of the City of Renton in an amount not less than 5%of the total amount of the bid shall accompany each bid proposal. Checks will be returned to unsuccessful bidders S INSTRUCTIONS TO BIDDERS 1 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON POLICY AND GENERAL PROJECT INFORMATION immediately following the decision as to award of contract.The check of the successful bidder will be returned provided he enters into a contract and furnishes a satisfactory performance bond covering the full amount of the work within ten days after receipt of notice of intention to award contract. Should he fail,or refuse to do so,the check shall be forfeited to the City of Renton as liquidated damage for such failure. 9. All bids must be self-explanatory. No opportunity will be offered for oral explanation except as the City may request further information on particular points. 10. The bidder shall, upon request,furnish information to the City as to his financial and practical ability to satisfactorily perform the work. 11. Payment for this work will be made by check or direct deposit. 12. The Contractor shall obtain such construction insurance(e.g.fire and extended coverage, worker's compensation, public liability,and property damage as identified within Special Provisions, Specification Section 1-07.18"Public Liability and Property Damage Insurance". 13. The Contractor, prior to the start of construction,shall provide the City of Renton a detailed bar chart type construction schedule for the project. 14. Before starting work under this contract,the Contractor is required to supply information to the City of Renton on all chemical hazards the Contractor is bringing to the jobsite and potentially exposing City of Renton Employees. 15. Payment of retainage shall be done in accordance with Section 1-09.9(1) "Retainage". 16. Basis For Approval The construction contract will be awarded by the City of Renton to the lowest, responsible, responsive bidder.The bidder shall bid on all bid items of all schedules set forth in the bid forms to be considered responsive for award.The total price of all schedules wilt be used to determine the successful low responsive bidder. Partial bids will not be accepted.The owner reserves the right to award any or all schedules of the Bid to meet the needs of the City.The intent is to award the construction contract to only one Bidder. 17. Trench Excavation Safety Systems As required by RCW 39.04.180, on public works projects in which trench excavation will exceed a depth of four feet, any contract therefore shall require adequate safety systems for the trench excavation that meet the requirements of the Washington Industrial Safety and Health Act, Chapter 49.17 RCW. These requirements shall be included in the Bid Schedule as a separate item. The costs of trench safety systems shall not be considered as incidental to any other contract item and any attempt to include the trench safety systems as an incidental cost is prohibited. 18. Certification Regarding Debarment,Suspension, Ineligibility and Voluntary Exclusion- Lower Tier Covered Transaction Lower Tier Covered Transactions i. The lower tier contractor certifies, by signing this contract that neither it nor its principals is presently debarred, suspended, proposed for debarment,declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. ii. Where the lower tier contractor is unable to certify to any of the statements in this contract, such contractor shall attach an explanation to this contract. 5 INSTRUCTIONS TO BIDDERS 2 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON POLICY AND GENERAL PROJECT INFORMATION • 19. Payment of Prevailing Wages In accordance with Revised Code of Washington Chapters 39.12 and 49.28 as amended or supplemented herein,there shall be paid to all laborers,workmen or mechanics employed on this contract the prevailing rate of wage for an hour's work in the same trade or occupation in the area of work regardless of any contractual relationship which may exist, or be alleged to exist, between the Contractor and any laborers,workmen, mechanics or subconsultants. The Contractor is responsible for obtaining updated issues of the prevailing wage rate forms as they become available during the duration of the contract. The wage rates shall be included as part of any subcontracts the Contractor may enter into for work on this project. 20. Pollution Control Requirements Work under this contract shall meet all local, state and federal requirements for the prevention of environmental pollution and the preservation of public natural resources.The Contractor shall conduct the work in accordance with all applicable pollution control laws. The Contractor shall comply with and be liable for all penalties, damages, and violations under Chapter 90.48 RCW, in performance of the work.The Contractor shall also comply with Article 4 in the Puget Sound Air Pollution Control Agency Regulation III regarding removal and encapsulation of asbestos materials. 21. Standard Specifications All work under this contract shall be performed in accordance with the following standard specifications except as may be exempted or modified by the City of Renton Supplemental Specifications, Special Provisions other sections of these contract documents.These standard specifications are hereby made a part of this contract and shall control and guide all activities within this project whether referred to directly, paragraph by paragraph, or not. A. WSDOT/APWA"2025 Standard Specifications for Road, Bridge and Municipal Construction"and "Division 1 APWA Supplement" hereinafter referred to by the abbreviated title "Standard Specifications." i. Any reference to"State,""State of Washington,""Department of Transportation," "WSDOT,"or any combination thereof in the WSDOT/APWA standards shall be modified to read "City of Renton," unless specifically referring to a standard specification or test method. B. All references to measurement and payment in the WSDOT/APWA standards shall be detected and the measurement and payment provisions of Section 1-09.14, Measurement and Payment(added herein)shall govern. 22. If a soils investigation has been completed,a copy may be included as an appendix to this document. If one has not been provided for this project by the City or Engineer,the Bidders shall familiarize themselves adequately with the project site and existing subsurface conditions as needed to submit their bid. Upon approval of the City,the Bidder may make such subsurface explorations and investigations as they see fit.The Bidder shall be responsible for protection of all existing facilities, utilities and other buried or surface improvements and shall restore the site to the satisfaction of the City. 5 INSTRUCTIONS TO BIDDERS 3 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON POLICY AND GENERAL PROJECT INFORMATION BIDDER'S CHECKLIST It is the responsibility of each bidder to ascertain if all the documents listed on the attached index are included in their copy of the bid specifications. If documents are missing, it is the sole responsibility of the bidder to contact the City of Renton to obtain the missing documents prior to bid opening time. Have you submitted, as part of your bid, all documents marked in the index as "Submit With Bid"? Has bid bond or certified check been enclosed? Is the amount of the bid guaranty at least 5 percent of the total amount of bid including sales tax? Has the proposal been signed? Have you bid on ALL ITEMS and ALL SCHEDULES? Sales Tax for this project is bid at 10.5%. Have you reviewed the Prevailing Wage Requirements? VHave you confirmed that you, and any subcontractors, are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency? Have you submitted the Proposal and Combined Affidavit&Certificate Form? Have you submitted Department of Labor and Industries Certificate of Registration Information Form Have you certified Receipt of Addenda, if any have been issued? 5 INSTRUCTIONS TO BIDDERS 4 PRV STATION 1 APRIL 202b REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON SUBMITTAL FORMS:SUBMITTED WITH BID City of Renton Public Works Department Contract Documents for PRV Station 1 Rehabilitation Project CAG-26-096 DOCUMENTS TO BE SUBMITTED WITH BID [PROPOSAL & COMBINED AFFIDAVIT & CERTIFICATE FORM PROPOSAL BID BOND FORM EPARTM ENT OF LABOR AND INDUSTRIES CERTIFICATE OF REGISTRATION INFORMATION FORM X2SCHEDULE OF PRICES ACKNOWLEDGEMENT OF RECEIPT OF ADDENDA fziERTIFICATION OF COMPLIANCE WITH WAGE PAYMENT STATUTES SUBCONTRACTOR LIST(IF APPLICABLE) PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON SUBMITTAL FORMS:SUBMITTED WITH BID This page is intentionally left blank. PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON SUBMITTAL FORMS:SUBMITTED WITH BID This form must be submitted with the Bid Proposal PROPOSAL&COMBINED AFFIDAVIT AND CERTIFICATE FORM CITY OF RENTON PRV STATION 1 REHABILITATION PROJECT CAG-26-096 WTR-27-4321 TO THE CITY OF RENTON RENTON,WASHINGTON To whom it may concern: The undersigned hereby certify that the bidder has examined the site of the proposed work and has read and thoroughly understand the plans, specifications and contract governing the work embraced in this improvement, and the method by which payment will be made for said work, and hereby propose to undertake and complete the work embraced in this improvement, or as much thereof as can be completed with the money available, in accordance with the said plans, specifications and contract and the schedule of prices. (Note: Unit prices for all items, all extensions, and total amount of bid should be shown. Show unit prices both in writing and in figures.) The undersigned further certifies and agrees to the following provisions: NON-COLLUSION AFFIDAVIT Being duly sworn, deposes and says,that he is the identical person who submitted the foregoing 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 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 over-charges 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 7 PROPOSAL AND COMBINED AFFIDAVIT&CERT.FORM:NON-COLLUSION,ANTI-TRUST CLAIMS,MINIMUM WAGE 1 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON SUBMITTAL FORMS:SUBMITTED WITH BID 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. I have read the above and foregoing statements and certificate, know the contents thereof and the substance as set forth therein is true to my knowledge and belief. FOR: PROPOSAL, NON-COLLUSION AFFIDAVIT,ASSIGNMENT OF ANTI-TRUST CLAIMS TO PURCHASER AND MINIMUM WAGE AFFIDAVIT 0/0Lq141,01S- 0,i CA&4 t e- Name of Bidder's Fir Signature of Authorized Representative of Bidder*: .,--..• Printed Name: t H c Title: t ac�..Vl� Address: ) 10 �)c- 7339'9 P ,tpikt— , �/ a8313 Contact Name(pCO print): .- M v ._vc phone:A03'oOO1 I8 013-71 Email: (,I��'�""PitOea&CAC/A CO/J1 *The above signature must be notarized using the applicable notary language found on pages 3 and 4. If business is a CORPORATION,please complete this section: Name of President of Corporation Ib— f Name of Secretary of Corporation Clqt,A2a CSJI Sit Corporation Organized under the laws of i, .Svt,L-rl D , �� With Main Office in State of Washington at t 4 la- 'Zia in I ( J._v1 tali G If business is a PARTNERSHIP or LIMITED LIABILITY COMPANY, please complete this section: Name: Title(Partner, Member, Manager): 7 PROPOSAL AND COMBINED AFFIDAVIT&CERT.FORM:NON-COLLUSION,ANTI-TRUST CLAIMS,MINIMUM WAGE 2 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON SUBMITTAL FORMS:SUBMITTED WITH BID INDIVIDUAL FORM STATE OF WASHINGTON ):ss IV(11n County of ) t`" ._ On this day of , 2026, before me personally appeared to me known to be the individual(s)described in and who executed the foregoing instrument,and acknowledged under oath that they signed and sealed the same as their free and voluntary act and deed,for the uses and purposes therein mentioned. GIVEN under my hand and official seal the day and year last above written. (SEAL) Dated: (Signature) (Print Name) Notary Public in and for the State of Commission Expires: CORPORATION FORM STATE OF WASHINGTON ):ss County of _ ) On thistZ—day of ► V Ll 2026, befor me personally appeared to me known to be the � p IPA (President, Secretary,Treasurer)of the corporation that executed the foregoing instrument, and acknowledged said instrument to be the free and voluntary act and deed of said corporation,for the uses and purposes therein mentioned, and on oath stated that they are authorized to execute said instrument. GIVEN under my hand and official seal the day and year last above written. (SEAL) ,1114bIWIAISIellaNdhalitia&dalidiblagbdi Dated: O `�-O' ? .-Co CHARLOTTE A BASKETT Notary Public I i a State of Washington Commission# 154930 (Signature) My Comm. Expires Aug 26, 2027 I CJj . ._{o4L (Print Name) Notary Public in and for the State of l� Commission Expires: AlAp ' ,y c3-1 7 PROPOSAL AND COMBINED AFFIDAVIT&CERT.FORM:NON-COLLUSION,ANTI-TRUST CLAIMS,MINIMUM WAGE 3 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON SUBMITTAL FORMS:SUBMITTED WITH BID PARTNERSHIP FORM STATE OF WASHINGTON ):ss I v l 1'61-- County of On this day of , 2026, before me personally appeared to me known to be a General Partner of the partnership known as that executed the foregoing instrument, and acknowledged said instrument to be the free and voluntary act and deed of said partnership,for the uses and purposes therein mentioned, and on oath stated that they are authorized to execute said instrument. GIVEN under my hand and official seal the day and year last above written. (SEAL) Dated: (Signature) (Print Name) Notary Public in and for the State of Commission Expires: LIMITED LIABILITY COMPANY(LLC) FORM STATE OF WASHINGTON ):ss Iv4V31- County of On this day of , 2026, before me personally appeared to me known to be a Managing Member of the Limited Liability Company known as , and that they executed the foregoing instrument,and acknowledged said instrument to be the free and voluntary act and deed of said Limited Liability Company,for the uses and purposes therein mentioned, and on oath stated that they are authorized to execute said instrument. GIVEN under my hand and official seal the day and year last above written. (SEAL) Dated: (Signature) (Print Name) Notary Public in and for the State of _ Commission Expires: 7 PROPOSAL AND COMBINED AFFIDAVIT&CERT.FORM:NON-COLLUSION,ANTI-TRUST CLAIMS,MINIMUM WAGE 4 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON SUBMITTAL FORMS:SUBMflTED WITH RID This form must be submitted with the Bid Proposal PROPOSAL BID BOND KNOW ALL MEN BY THESE PRESENTS,That we, [Contractor] Northwest Cascade, Inc. of[address] P. O. Box 73399, Puyallup, WA 98373 as Principal, and[Surety] Fidelity_and Deposit Company of Maryland a corporation duly organized under the laws of the State of Illinois 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 proposal 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 proposal for the following project,to wit: PRV STATION 1 REHABILITATION PROJECT,CAG-26-096 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 Proposal 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 20th day of May ,2026. North est Cascade, Inc. Fidelity and Deposit Company of Maryland [Sure ] - ^ [Signature of aut on ed official] [ nat a of authorized official] Jamie L. Marques, Attorney-in-Fact [Title] By: Jamie L. Marques, Attorney-in-Fact [Attorney-in-Fact] 1420 5th Avenue, Suite 1850 [Seattle WA 98101 (206) 346-2601 [Telephone Number] 7 PROPOSAL AND COMBINED AFFIDAVIT&CERT.FORM:NON-COLLUSION,ANTI-TRUST CLAIMS,MINIMUM WAGE 1 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal • ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Illinois,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois(herein collectively called the"Companies"),by Thomas O.McClellan,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate, constitute,and appoint Aliceon A.KELTNER,James B.BINDER,Jamie L.MARQUES,Eric A.ZIMMERMAN,Brandon K.BUSH,Jacob T. HADDOCK,Katharine J.SNIDER,Justin Dean PRICE,Christopher KINYON,Charla M.BOADLE,Celeste M.VAN VLIET of Seattle, Washington,its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 04th day of February,A.D.2026. i SEAL =s uSEALSF.AI. H 1,N e f " .•„» ,.,�„ .r .».,».r.." ATTEST: ZURICH AMERICAN INSUHAI*CF,COMPANY COLONIAL AMERICAN CASUALTY AND SU COMPANY FIDELITY AND DEPOSIT COMP Iz'errigi MIIVLAND 6 By: Thomas O.McClellan . Vice President By: Daniel Lutes Secretary State of Maryland County of Baltimore On this 04th day of February, A.D.2026, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Thomas O. McClellan,Vice President and Daniel Lutes,Secretary of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. y�, VEg PuZv Genevieve M.Maison Notary Public My Commission Expire January 27,2029 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may,by written instrument under the attested corporate seal,appoint attorneys-in-fact with authority to execute bonds,policies,recognizances, stipulations,undertakings,or other like instruments on behalf of the Company,and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I,the undersigned,Vice President of the ZURICH AMERICAN INSURANCE COMPANY,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994,and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May,1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice=P esident, Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter, wherever appearing upon a certifwi: y,n an.,ocwver of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as thoupicanualb affix-ed IN TESTIMONY WkIEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, thi�t 20th -day of_!V y ,2026 . .... "', `.o LsuertY . `,.any,Z". d S &�SEAL'� ?=a "SEALm = eSEALm '=. ,eeg ads.: '' 0 V .rirrir rr..., rq�WYOWV',d Mary Jean Pethick • Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 reportsfclaims@zurichna.com 800-626-4577 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 CITY OF RENTON SUBMITTAL FORMS:SUBMITTED WITH BID This form must be submitted with the Bid Proposal CERTIFICATE OF REGISTRATION DEPARTMENT OF LABOR & INDUSTRIES INFORMATION FORM PRV STATION 1 REHABILITATION PROJECT CAG-26-096 WTR-27-4321 Name on Registration: I' VO t41U.-AOALC-Ct_/ 0�ICT 1:J�l4L �J Registration Number: iLQ DLit ` IO L5 / f11L1d 13& Expiration Date: 1D 0U c - 1 Note:A copy of the certificate will be requested as part of contract execution when project is awarded. 7 PROPOSAL AND COMBINED AFFIDAVIT&CERT.FORM:NON-COLLUSION,ANTI-TRUST CLAIMS,MINIMUM WAGE 1 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON SUBMITTAL FORMS:SUBMITTED WITH BID Show price per unit in figures only. Figures written to the right of the decimal in the price per unit column shall be interpreted as cents. See Section 1-09.14 of the Special Provisions for information on Bid Items. ITEM # ITEM DESCRIPTION UNIT QTY UNIT TOTAL PRICE 1 Mobilization and Demobilization LS 1 (Maximum bid 10%of Total Bid) _ �► Bd� �i�� 2 Construction Surveying,Staking, &As- LS Built Drawings _ 1eat:, l D! 3 Clearing and Grubbing _LS 1 l8 U00 /Sj GCC) 4 Removal and Replacement of TON 10 Unsuitable Foundation Material l l �� Remove and Replace Concrete Curb 5 and Gutter LF 20 —1/ Remove and Replace Concrete 6 Sidewalk SY 11 `( 521 7 Abandon Existing Water Main _LS 1 oe7 g o©O 8 Decommission and Abandon Existing LS 1 PRV 1 Station i 19,700 9 Concrete for Thrust Blocking and Dead CY 10 Man Anchors r 1�, 500 10 Quarry Spalls for Extension of Ditch TON 20 Line 2� �do 11 Connect to Existing Water Main EA 5 5, 5,00 27, 5D 12"x10"Tapping Tee and Valve 12 Assembly EA 1 r t5 f�Ceed 13 Fire Hydrant Complete Assembly EA 1 fin• • fXj 14 Pressure Reducing Valve(PRV 1) LS 1 Station 8"x 3" ��� DI Pipe for Water Main,8-In. Diam. 15 Class 52, Restrained Joint-Fittings with LF 80 06, 14,goo Polywrap DI Pipe for Water Main, 10-In. Diam. 16 Class 52, Restrained Joint-Fittings with LF 110 ,7�O7O Polywrap 17 8"Gate Valve Assembly _EA 3 9, 4- 18 10"Gate Valve Assembly EA © 8 c}s 19 Extra DI Fittings LBS 1,000 (o 75a 20 Crushed Surfacing Top Course TON 31 1 i • 21 Gravel Borrow for Trench Backfill TON 72 a ;r 22 HMA CL 1/2-Inch PG 58H-22 for Final TON 60 Trench Patch �r 23 HMA CL 1/2-Inch PG 58H-22 for TON 62 .+ Overlay d 10 SCHEDULE OF PRICES 1 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal • CITY OF RENTON SUBMITTAL FORMS:SUBMITTED WITH BID ITEM # ITEM DESCRIPTION UNIT QTY UNIT TOTAL PRICE 24 Erosion and Sedimentation Control LS 1 /ite700 1 (, Dc) 25 Traffic Control LS 1 (oet Oa> f60 Der.:) 26 Trench Safety Systems LS 1 f t�jBO ( 9 CO 27 Site Specific Utility Potholing EA 5 (1 2rjb 'Z 250 28 Pavement Marking Restoration LS 1 J FCC' 1` 600 29 General Restoration&Cleanup LS 1 9 7 7 QIe)OO 30 Minor Changes FA 1 $25,000 $25,000 SUBTOTAL (y t Di (9 l 7 WASHINGTON SALES TAX: 10.5% 624, i 2O. 1127 TOTAL BID o7L,7Qa. C27 10 SCHEDULE OF PRICES PROPOSAL&AFFIDAVIT CERTIFICATE 2 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON SUBMITTAL FORMS:SUBMITTED WITH BID This form must be submitted with the Bid Proposal ACKNOWLEDGEMENT OF RECEIPT OF ADDENDA PRV STATION 1 REHABILITATION PROJECT CAG-26-096 WTR-27-4321 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDA L PT NO. DATE: NO. DATE: NO. DATE: NO. DATE: NO. DATE: SIGNED: '- '`_ "-NTITLE: 0 .1k,1/601/) Y u athlkg AME OF COMPANY: flAMA/ A.1- (- AD D R ESS: nO)C -7339 ` A p /� 2 CITY/STATE/ZIP: t' UVA P s J l 3 TELEPHONE: D��J .)-gU ` IZ 11 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDA PROPOSAL&AFFIDAVIT CERTIFICATE 1 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CITY OF RENTON \SY 0c This form must be submitted with the Bid Proposal �E H T o� CERTIFICATION OF COMPLIANCE WITH WAGE PAYMENT STATUTES FORM This form must be submitted with the Bid Proposal. The bidder hereby certifies that,within the three-year period immediately preceding the bid solicitation date,the bidder is not a"willful"violator, as defined in RCW 49.48.082, of any provision of Chapters 49.46,49.48,or 49.52 RCW, as 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. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. s'• - Bysi—s Nam: Signat . Authorizes Official* [.VxurS Printed Name UAu Ptc( u& Title O 5/a)Ici)aco DIAA.Tuatt p I� Date City State Check One: Sole Proprietorship n Partnership n Joint Venture E Corporation' State of In c o rporation,or if not a corporation, State where business entity was formed: If a co-partnership,give firm name under which business is transacted: �� 11 1 '1 *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. 12 CERTIFICATION OF COMPLIANCE WITH WAGE PAYMENT STATUTES TEMPLATE UPDATED 2-12-19 1 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal CI'Y OF RENTON SUBMITTAL FORMS:SUBMITTED WITH BID This form must be submitted with the Bid Proposal SUBCONTRACTOR LIST PRV Station 1 Rehabilitation Project CAG-26-096 WTR-27-4321 In accordance with RCW 39.30-060 as amended: For all public works contracts exceeding$1,000,000 the bidder shall submit with the bid the names of the licensed subcontractors and proof of license by providing subcontractors license number with whom the bidder, if awarded the contract,will subcontract for the following work or to name itself for the work, if it is licensed to perform the work for which it has named itself.: • All structural steel installation, rebar installation, heating,ventilation and air conditioning, and plumbing work as described in chapter 18.106 RCW,and electrical work as described in chapter 19.28 RCW(this also includes the control system integrator subcontractor as well as other electrical subcontractors)shall be submitted as part of the bid. If the work does not apply to this contract,check the box"Not Applicable". If the work wilt be self- performed by the bidder, check the box"Self-Performed". If the subcontractors' names are not submitted with the bid OR if two or more subcontractors are named to perform the same work,the bid shall be considered nonresponsive and, therefore,void. If subcontractors vary with bid alternates, please complete a separate form indicating which subcontractors will be used for which bid alternate. Complete the following: ' • 1 /+�� ��( If awarded the contract, V'I/ 1AJk 51 Lt l-u `"' will contract with the following subcontractors for the performance of heating,ventilation and air conditioning, plumbing, electrical(including automatic controls)work,structural steel installation,and rebar installation: The following list of subcontracts is due with the bid. Errors identified by the contracting agency in the proof of license information must be corrected by the bidder within 48 hours of bid submission. 13 SUBCONTRACTORS LIST APPROVED CLB 4-2-26 1 PRV STATION 1 APRIL 2026 REHABILITATION PROJECT Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal No-1 oVa? sr' E r N U SUBCONTRACTOR LIST To Be Submitted with the Bid Proposal In accordance with RCW 39.30-060 as amended: For all public works contracts exceeding$1,000,000 the bidder shall submit with the bid the names of the licensed subcontractors and proof of license by providing subcontractors license number with whom the bidder, if awarded the contract,will subcontract for the following work or to name itself for the work, if it is licensed to perform the work for which it has named itself. • All structural steel installation, rebar installation, heating, ventilation and air conditioning, and plumbing work as described in chapter 18.106 RCW,and electrical work as described in chapter 19.28 RCW (this also includes the control system integrator subcontractor as well as other electrical subcontractors)shall be submitted as part of the bid. If the work does not apply to this contract, check the box "Not Applicable". If the work will be self- performed by the bidder, check the box"Self-Performed". If the subcontractors' names are not submitted with the bid OR if two or more subcontractors are named to perform the same work,the bid shall be considered nonresponsive and,therefore,void. If subcontractors vary with bid alternates, please complete a separate form indicating which subcontractors will be used for which bid alternate. Complete the following: � �n /,, If awarded the contract, I/ 1/�1.A.0 QLU C&dL (4 `— will contract with the following subcontractors for the performance of heating,ventilation and air conditioning, plumbing, electrical(including automatic controls)work,structural steel installation,and rebar installation: The following list of subcontracts is due with the bid. Errors identified by the contracting agency in the proof of license information must be corrected by the bidder within 48 hours of bid submission. Category of Work Heating,Ventilation&Air Conditioning(HVAC) N Not Applicable ❑ Subcontractors Name Self-Performed ❑ Address Subcontractor's WA License Phone No. No. Bid Item Numbers _ Description of Work Approved CLB 4-2-26 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal P 4\f T ©v2Oi MiL- -tO SUBCONTRACTOR LIST To Be Submitted with the Bid Proposal Category of Work Plumbing(per RCW 18.106) (l Not Applicable ❑ y� Subcontractors Name Y v/ t Self-Performed D Address Phone No. Subcontractor's WA License No. Bid Item Numbers Description of Work Category of Work Electrical(per RCW 19.28) �I Not Applicable ❑ Subcontractors Name '\/T Self-Performed ❑ Address Phone No. Subcontractor's WA License No. Bid Item Numbers Description of Work Category of Work Structural Steel I ( A Not Applicable D Subcontractors Name 'v Self-Performed ❑ Address Subcontractor's WA License Phone No. No. Bid Item Numbers Description of Work Category of Work Rebar Installation A j fa Not Applicable 0 Subcontractors Name ' P Self-Performed 0 Address Subcontractor's WA License Phone No. No. Bid Item Numbers Description of Work 2 Approved CLB 4-2-26 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal RESOLUTION OF CORPORATE AUTHORITY OF NORTHWEST CASCADE,INC. Be it resolved that Greg Potts be appointed the Chief Executive Officer,President and an officer of Northwest Cascade,Inc. Be it resolved that Jason Perry be appointed Chief Operating Officer and an officer of Northwest Cascade,Inc. Be it resolved that Clint Myers be appoionted Vice President and an officer of Nortwest Cascade,Inc. Be it resolved that Ron Inman be appointed Vice Presideint and an officer of Northwest Cascade,Inc. Be it resolved that Tracey Schwartz be appointed Secretary and an officer of Northwest Cacade Inc. This authority shall remain in effect until revoked by action of the Board of Directors. Dated this 21 st Day of December,2021 Secretary I certify that this is a true copy of the Resolution dated December 21,2021. Mark Perry(Jan 22,2022 05:40 CST) Chairman of the Board 10/6125,6:02 AM NORTHWEST CASCADE INC .� labor&Industries(https://Ini.wa.gov/) Contractors NORTHWEST CASCADE INC Owner or tradesperson 10412 JOHN BANANOLA WAY E ....................._....._.._..__................. Principals PUYALLUP,WA 98374 MYERS,CLINTON EASTON,VICE PRESIDENT 253-848-2371 PIERCE County POTTS,GREGORY ALLEN,TREASURER LILIEQUIST,CARL ANDERS,PRESIDENT (End:02/26/2025) HEWES,CAMERON MOSES,DIRECTOR (End:02/26/2025) mariani,gary e,DIRECTOR (End:02/26/2025) Gorski,Donald Joseph,DIRECTOR (End:02/26/2025) Jones,Harvey Norton,DIRECTOR (End:02/26/2025) WINGARD,WILLIAM B JR,SECRETARY (End:09/16/2013) Diklich,John Martin,PRESIDENT (End:09/21/2015) BARGER,STEPHEN Richard,VICE PRESIDENT (End:09/21/2015) PERRY,MARK Roger,SECRETARY (End 10/27/2015) Doing business as NORTHWEST CASCADE INC WA UBI No. Business type 278 049 149 Corporation Governing persons MARK R PERRY J R INMAN; RON INMAN; CARL LILIEQUIST; CLINT MYERS; GREG POTTS; Registration Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. NORTHCI148BG Effective—expiration 01/07/1986—10/04/2027 L&I Contractor Registration: 1-800-647-0982-Email:ContReg@Lni.wa.gov Bond ............. Fidelity&Deposit Co of MD $30,000.00 Bond account no. 09090648 Received by L&I Effective date 08/14/2024 08/14/2024 Expiration date Until Canceled Bond history https://secure.lni.wa.gov/verify/Detail.aspx?UBI=278049149&LIC=NORTHC1148BG&SAW= 1/3 10/6725,6:02 AM NORTHWEST CASCADE INC Insurance _.........._.........._.... National Union Fire Ins of PA $1,000,000.00 'a Policy no. 3296838 Received by L&I Effective date 04/29/2025 10/01/2021 Expiration date 05/01/2026 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts .......................... No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations ..................................................... No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications Noacti_..ece certifications No active certifications exist for this business. Apprentice Training Agent .......................................................................... Registered training agent.Check their eligible programs and occupations. Workers'Comp Do you know if the business has employees'?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 265,081-00 ................................ Doing business as NORTHWEST CASCADE INC Estimated workers reported Quarter 2 of Year 2025"Greater than 100 Workers" Workers'Comp Account Contact TO/DAVID PRYOR(360)902-5617-Email:PRYD235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes ....................................................... No strikes have been issued against this contractor. Contractors not allowed to bid ....................................................................................... No debarments have been issued against this contractor. Workplace Safety& Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 10/02/2025 No violations Inspection no. 317987533 Location 8500 Yelm Hwy Olympia,WA 98513 Inspection results date 08/26/2024 No violations Inspection no. 317981176 Location 13918 Meridian E South Hill,WA 98373 Inspection results date 01/10/2023 Under appeal.The results of the inspection are being challenged. Inspection no. https://secure.lni.wa.gov/verify/Detail.aspx?UB1=278049149&LIC=NORTHC1148BG&SAW= 2/3 10/6/15,6:02 AM NORTHWEST CASCADE INC 317971453 Date of appeal Location 04/02/2025 204 Lilly Road Olympia,WA 98506 Inspection results date 08/24/2020 No violations Inspection no. 317960291 Location 8401 Canyon Rd E Puyallup,WA 98371 https://secure.lni.wa.gov/verify/Detail.aspx?UB1=278049149&LIC=NORTHC1148BG&SAW= 3/3