HomeMy WebLinkAboutTITAN Earthwork, LLC. CITY OF RENTON
" TITAN Earthwork, LLC ►N 2 3 2026
1585 Valentine Ave SE RECEIVED
rITY CLERK'S OFFICE
Pacific, WA 98047
Renton School Pedestrian Crossing No. 29- ‘, P111
Contract#: CAG-26-132
•
c.`t v o4,
♦ ♦
PROPOSAL BID BOND TO THE CITY OF RENTON
�eNTO
KNOW ALL MEN BY THESE PRESENTS, That we, [Bidder] TITAN Earthwork, LLC
of [address] 1585 Valentine Ave SE, Pacific, WA 98047 as Principal, and
[Surety] Berkley Insurance Company a corporation organized and existing
under the laws of the State of Delaware as a surety corporation,and qualified
under the laws of the State of Washington to become surety upon bonds of contractors with
municipal corporations, as Surety, are jointly and severally held and firmly bound unto the City
of Renton in the full sum of five (5) percent of the total bid amount of the proposal of said
Principal for the work hereinafter described,for the payment of which,well and truly to be made,
we bind ourselves and our heirs, executors, administrators and assigns, and successors and
assigns,jointly and severally, firmly by these presents.
The condition of the bond is such, that whereas the Principal herein is herewith submitting
his/her or its sealed proposal for the following public works construction project, to wit:
Renton School and Pedestrian Crossing No. 2
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 contract 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 contract 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.
This Proposal Bid Bond shall be governed and construed by the laws of the State of Washington,
and venue shall be in King County, Washington.
IN TESTIMONY WHEREOF, the Principal and Surety have caused these presents to be signed and
sealed this 23rd day of June 20 26 .
Renton School and Pedestrian Crossing No.2 Proposal Bid Bond to the City of Renton
2026
Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www_bxwa_com - Always Verify Sca'_
PRINCIPAL SURETY
TITAN Earthwork, LL Berkley Insurance Company
[Principal] [Surety]
ig aturat o ut Official] [Signature of Authorized
cTil< 6;1 ILA ►,1/-t Christopher Kinyon
[Printed Name] [Printed Name]
to agi2 1*ES Attorney-in-Fact
[Title] [Title]
06/23/2026 06/23/2026
[Date] [Date]
Name and address of local office of Propel Insurance
Agent and/or Surety Company:
PO Box 2940
Tacoma, WA 98401
Telephone:(253) 759-2200
Surety WAOIC# 1224
Surety NAIC# 32603
Renton School and Pedestrian Crossing No.2 Proposal Bid Bond to the City of Renton
2026
Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal
No. BI-1220x-el
• POWER O1 ATTORNEY
BERKLEY INSURANCE COMPANY
WILMINGTON,DELAWARE
KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly
organized and existing under the laws of the State of Delaware,having its principal office in Greenwich,CT,has made,constituted
and appointed,and does by these presents make,constitute and appoint:Brent E.Heilesen;Christopher Kinyon;Jamie L.Marques;
Carley Espiritu;Annelies M. Richie; Holli Lagerquist;Amelia G. Burrill;Justin Dean Price; Michael S. Mansfield; Donald
Percell Shanklin, Jr.; Tamara A. Ringeisen; Bryan Richard Ludwick; Kari Michelle Motley; Aliceon A. Kellner; Eric A.
Zimmerman;James B. Binder;Brandon K. Bush;Katharine J. Snider;Lindsey Elaine Jorgensen;Sarah Whitaker;Jacob T.
Haddock;Lois F. Weathers; Charla M. Boadle;Julie A. Craker; Travis J Robles;Alyssa J. Lopez; or Sharree Sutherland of
Propel Insurance of Tacoma, WA its true and lawful Attorney-in-Fact, to sign its name as surety only as delineated below and to
execute, seal, acknowledge and deliver any and all bonds and undertakings including bid related commitments such as Consent of
Surety,with the exception of Financial Guaranty Insurance,providing that no single obligation shall exceed One Hundred Million
and 00/100 U.S.Dollars(U.S.$100,000,000.00),to the same extent as if such bonds had been duly executed and acknowledged by
the regularly elected officers of the Company at its principal office in their own proper persons.
This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware,
without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following
resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25,2010:
RESOLVED,that,with respect to the Surety business written by Berkley Surety,the Chairman of the Board,Chief Executive
Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant Secretary are
hereby authorized to execute powers of attorney authorizing and qualifying the attorney-in-fact named therein to execute bonds,
undertakings,recognizances,or other suretyship obligations on behalf of the Company, and to affix the corporate seal of the
Company to powers of attorney executed pursuant hereto;and said officers may remove any such attorney-in-fact and revoke
any power of attorney previously granted;and further
RESOLVED,that such power of attorney limits the acts of those named therein to the bonds,undertakings,recognizances,or
other suretyship obligations specifically named therein,and they have no authority to bind the Company except in the manner
and to the extent therein stated;and further
RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and
further
RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any
power of attorney or certification thereof authorizing the execution and delivery of any bond,undertaking, recognizance, or
other suretyship obligation of the Company;and such signature and seal when so used shall have the same force and effect as
though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any
person or persons who shall have been such officer or officers of the Company,notwithstanding the fact that they may have
ceased to be such at the time when such instruments shall be issued.
IN WITNESS WHEREOF. the Company has caused these presents to be signed and attested by its appropriate officers and its
corporate seal hereunto affixed tins 2r4 day of May . 2024
�aac: Attest._ Berkley Insurance C ompany
til:.11. r' By ( LOQS--k)— By �.
Philip S. elt Jeffre,'s . Ia
'4r.rnaCY Executive Vice President& Secretary Senior Vice President
STATE OF CO_NNECTICUT )
ss:
COATI'OF FAIRFIELD )
Sworn to before me. a Notary Public in the State of Connecticut. this 2'1 day of May . 2024 .by Philip S. Welt and
Jeffrey M. Hafer who are sworn to me to be the Executive Vice President and Secretary. and the Senior Vice President.
respectively,of Berkley Insurance Company
MAJRtAC.RUNDHAKEN .,�� 2,4tAtAta / - t ill er
NOTARY PUDUG Notary Public. State of Connecticut
CONNECTICUT
Mf COMMISSION DtI'IRES 04-30-2020 CERTIFICATE
I. the undersigned. Assistant Secretary of BERKLEY INSURANCE COMPANY,DO HEREBY CERTIFY that the foregoing is a
true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked or rescin ded
and that the authority of the Attorney-in-Fact set forth therein. who executed the bond or undertaking to which this Power of
AttoroleVatntiached.is in full force and effect as of this date.
''''Clivekuider my hand and seal of the Company. this 23rd day of June . 2026
S1:.11. •
Vincent P.Forte --
\t Y 0
PROPOSAL COVER PAGE
4)FNT0�
Renton School and Pedestrian Crossing No. 2
TO THE CITY OF RENTON
RENTON, WASHINGTON
Ladies and/or Gentlemen:
The undersigned (Bidder) hereby certify that the Bidder has examined the location and
construction details of the proposed work, has read and thoroughly understands the Contract
Documents governing the work, and the nature of the work, and the method by which
payment will be made for said work. Bidder hereby proposes to undertake and complete the
work detailed in and in accordance with these Contract Documents, for the Total Bid Amount
shown on the attached Schedule of Prices.
The Bidder understands that the quantities mentioned herein are approximate only and are
subject to increase or decrease, and hereby proposes to perform all quantities of work as either
increased or decreased in accordance with the Contract Documents.
As evidence of good faith, pursuant to RCW 35.23.352(1), an original Bid Proposal Deposit in the
form of (check one) ❑ bid bond, or ❑ cashier's check (made payable to the City of Renton), or
❑ postal money order(made payable to the City of Renton), in an amount equal to five percent
(5%) of the Total Bid Amount, is attached hereto.
If a bid bond is signed by an attorney-in-fact, Bidder agrees that the power of attorney authorizing
such execution must be current and enforceable, be properly executed by the Surety in
accordance with the Surety's by-laws or other applicable rules and resolutions, and include all
necessary corporate seals, signatures, and notaries.
Bidder understands that Contract Award or Bid rejection will occur within 45 calendar days after
the opening of bids, as specified in Section 1-03.2 of the Standard Specifications.
Bidder further understands that should Bidder fail to enter into this contract in accordance with
his or her Bid and furnish a contract bond within a period of ten(10)days from the date at which
he or she is notified that he or she is the successful bidder, the Bid Proposal Deposit shall be
forfeited to the City of Renton, as set forth in RCW 35A.40.200 and RCW 35.23.352
Bidder hereby agrees to complete the Physical Work in all respects within 50 working days.
Contract time shall begin on the first working day following the Notice to Proceed date.
Renton School and Pedestrian Crossing No.2 Proposal
2026
City of Renton
Contract Provisions for
Renton School and Pedestrian Crossing No. 2
Ill. PROJECT PROPOSAL
Project Name: Renton School and Pedestrian Crossing No. 2
City Contract Number: CAG-26-132
Company: 17k-- )
Address: 15 Z V Pc 7'
Fl Wik 01
Telephone No.: (y 3 — 30011
Fax No.: *S.(6 O ' 3 Z 3O o
Total Bid Amount: $ $5 9) 5 51 .00
Lit Y o,, SCHEDULE OF PRICES
* Renton School and Pedestrian Crossing No. 2
�FNTOs"
ALL ENTRIES SHALL BE WRITTEN IN INK OR TYPED TO VALIDATE BID
NOTE:Unit prices for all items,all extensions,and total amount of bid shall be shown. Enter unit prices in numerical figures only,in
dollars and cents to two(2)decimal places(including whole dollar amounts).All figures must be clearly legible.Bids with illegible
figures in the Unit Price column will be regarded as nonresponsive and rejected.Where conflict occurs between the unit price and the
total amount specified for any item,the unit price shall prevail,and totals shall be corrected to conform thereto.
ITEM
NO. ITEM DESCRIPTION SECTION UNIT QUANTITY UNIT PRICE* EXTENSION
1 MINOR CHANGE 1-04.4(1) EST 1 $15,000.00 $15,000.00
2 ADA FEATURE SURVEYING 1-05.4 LS 1 $5,000.00 $5,000.00
3 ROADWAY SURVEYING 1-05.4 LS 1 $5,000.00 $5,000.00
4 SPCC PLAN 1-07.15(1) LS 1 $4,950.00 $4,950.00
5 MOBILIZATION 1-09.7 LS 1
6 TRAFFIC CONTROL SUPERVISOR 1-10.5(2) LS 1 $35,000,00 $35,000.00
7 PEDESTRIAN TRAFFIC CONTROL 1-10.5(2) LS 1 $15,000.00 $15,000.00
8 FLAGGERS 1-10.5(2) HR 720 $80.00 $57,600.00
9 CONSTRUCTION SIGNS CLASS A 1-10.5(2) SF 576 $1.00 $576.00
10 PORTABLE CHANGEABLE MESSAGE SIGN 1-10.5(2) HR 3,360 $3.00 $1 0,080.00
11 OTHER TRAFFIC CONTROL LABOR 1-10.5 HR 60 $90.00 $5,400.00
12 CLEARING AND GRUBBING 2-01.5 AC 0.03 $43,500.00 $1,305.00
13 REMOVAL OF STRUCTURES AND 2-02.5 LS 1 $4,950.00
OBSTRUCTIONS $4,950.00
14 REMOVING CURB AND GUTTER 2-02.5 LF 125 $20.00 $2,500.00
15 REMOVING CEMENT CONC.SIDEWALK 2-02.5 SY 95 $45.00 $4,275.00
16 REMOVING ASPHALT CONC. PAVEMENT 2-02.5 SY 360 $75.00 $27,000.00
17 SAWCUTTING 2-02.5 LF 560 $10.00 $5,600.00
Renton School and Pedestrian Crossing No.2 Schedule of Prices
Page 1 of 4 2026
ITEM
ITEM DESCRIPTION SECTION UNIT QUANTITY UNIT PRICE* EXTENSION
NO.18 ROADWAY EXCAVATION,INCL.HAUL 2-03.5 CY 70 $100.00 $7,000.00
19 GRAVEL BORROW,INCL.HAUL 2-03.5 TN 20 $80.00 $1,600.00
20 LOCATE EXISTING UTILTIES 2-09.5 LS 1 $500.00 $500.00
21 POTHOLE 2-09.5 EACH 14 $1000.00 $14,000.00
22 CRUSHED SURFACING TOP COURSE 4-04.5 TON 200 $85.00 $17,000.00
23 ADJUST EXISTING CATCH BASIN,REPLACE 5 04.5 EACH 2 $1000.00 $2000.00
CASTING
24 ADJUST EXISTING MANHOLE COVER 5-04.5 EACH 1 $650.00 $650.00
25 ADJUST EXISTING VALVE BOX 5-04.5 EACH 2 $450.00 $900.00
26 PLANING BITUMINOUS PAVEMENT 5-04.5 SY 65 $10.00 $650.00
27 HMA CL.1/2"PG 58H-22 5-04.5 TON 140 $400.00 $56,000.00
28 JOB MIX COMPLIANCE PRICE ADJUSTMENT 5-04.5 CALC 1 $0.00 $0.00
29 COMPACTION PRICE ADJUSTMENT 5-04.5 CALC 1 $0.00 $0.00
30 DI STORM SEWER PIPE,8 IN.DIAM.(INCL. 7-04.5 LF 40 $150.00 $6000.00
BEDDING)
31 DI STORM SEWER PIPE,12 IN.DIAM.(INCL. 7-04.5 LF 80 $150.00 $12,000.00
BEDDING)
32 TELEVISION INSPECTION 7-04.5 LS 1 $1000.00 $1000.00
33 CONNECTION TO EXISTING STORM 7-05.5 EACH 2 $1000.00
STRUCTURE $500.00
34 CONCRETE INLET 7-05.5 EACH 2 $2500.00 $5000.00
35 CATCH BASIN,TYPE 1 7-05.5 EACH 1 $3000.00 $3000.00
36 CATCH BASIN,TYPE 2,48 IN.DIAM. 7-05.5 EACH 1 $8500.00 $8500.00
37 TRENCH EXCAVATION SAFETY SYSTEMS 7-08.5 LS 1 $4950.00 $4950.00
38 BANK RUN GRAVEL FOR TRENCH BACKFILL 7-08.5 TN 30 $50.00 $1500.00
Renton School and Pedestrian Crossing No.2 Schedule of Prices
Page 2 of 4 2026
SPEC.
ITEM
NO. ITEM DESCRIPTION SECTION UNIT QUANTITY UNIT PRICE* EXTENSION
39 TRENCH EXCAVATION,INCL.HAUL 7-08.5 CY 20 $80.00 $1600.00
40 RELOCATE FIRE HHYDRANT ASSEMBLY 7-14.5 EACH 1 $12,500.00 $12,500.00
41 EROSION CONTROL AND WATER POLLUTION 8-01.5 LS 1 $4950.00 $4950.00
PREVENTION
42 INLET PROTECTION 8-01.5 EACH 12 $95.00 $1140.00
43 WATTLE 8-01.5 LF 25 $8.00 $200.00
44 SOD INSTALLATION 8-02.5 SY 170 $25.00 $4250.00
45 TOPSOIL,TYPE A 8-02.5 CY 30 $75.00 $2250.00
46 BARK OR WOOD CHIP MULCH 8-02.5 CY 5 $75.00 $375.00
47 CEMENT CONC.TRAFFIC CURB AND GUTTER 8-04.5 LF 270 $80.00 $21,600.00
48 CURB MOUNTED DELINEATOR POSTS 8-10.5 LF 8 $50.00 $400.00
49 CEMENT CONC.SIDEWALK 8-14.5 SY 140 $150.00 $21,000.00
50 CEMENT CONC.CURB RAMP,TYPE PARALLEL 8-14.5 EACH 1 $6000.00 $6000.00
51 CEMENT CONC.CURB RAMP,TYPE 8-14.5 EACH 5 $4000.00 $20,000.00
PERPENDICULAR
52 DETECTABLE WARNING SURFACE(ASPHALT 8_14.5 SF 16 $75.00 $1200.00
PATH)
53 MAILBOX SUPPORT,TYPE 2 8-18.5 EACH 1 $3000.00 $3000.00
54 RRFB SYSTEM AT SITE 1,COMPLETE 8-20.5 LS 1 p51,50C.00 152,5Oc GO
55 RRFB SYSTEM AT SITE 2,COMPLETE 8-20.5 LS 1 5 Z,50C-0c 1 S 2)5cc.00
56 RRFB SYSTEM AT SITE 3,COMPLETE 8-20.5 LS 1 15(1)ooc co $5/ AOG-c/C
57 UTILITY TRENCH 8-20.5 LF 250 $25.00 $6250.00
58 CONDUIT PIPE PVC SCH.80,2 IN.DIAM. 8_20.5 LF 365
W/FITTINGS $15.00 $5475.00
CONDUIT PIPE PVC SCH.80,3 IN.DIAM. 8-20.5 LF 80 $3200.00
59
W/FITTINGS $40.00
Renton School and Pedestrian Crossing No.2 Schedule of Prices
Page 3 of 4 2026
ITEM
ITEM DESCRIPTION SECTION UNIT QUANTITY UNIT PRICE* EXTENSION
NO.60 JUNCTION BOX,TYPE 1 8-20.5 EACH 5 $5000.00 $25,000.00
61 STREET LIGHT STANDARD 8-20.5 EACH 1 $45,000.00 $45,000.00
62 STREET LIGHT BASE 8-20.5 EACH 1 $25,000.00 $25,000.00
63 SERVICE METER AT SITE 3,COMPLETE 8-20.5 LS 1 $40,000.00 $40,000.00
64 PERMANENT SIGNING 8-21.5 LS 1 $4950.00 $4950.00
65 REMOVING PAINT LINE 8-22.5 LF 470 $2.00 $940.00
66 REMOVING PLASTIC LINE 8-22.5 LF 15 $3.00 $45.00
67 REMOVING PLASTIC CROSSWALK LINE 8-22.5 SF 140 $4.00 $560.00
68 PLASTIC LINE 8-22.5 LF 400 $5.00 $2000.00
69 PLASTIC WIDE LINE 8-22.5 LF 140 $6.00 $840.00
70 PLASTIC CROSSWALK LINE 8-22.5 SF 320 $10.00 $3200.00
71 PLASTIC STOP LINE 8-22.5 LF 30 $25.00 $750.00
72 PLASTIC INTERSECTION BIKE LANE 8-22.5 SF 125 $30.00
PAVEMENT MARKING $3750.00
73 TEMPORARY PAVEMENT MARKING 8-23.5 LF 540 $2.00 $1080.00
TOTAL BID AMOUNT= 1 g 5 9 16 5/,Oo
*NOTE:All applicable sales tax shall be included in the unit and lump sum bid price per section 1-07.2(1)and WAC 458-20-171.
Renton School and Pedestrian Crossing No.2 Schedule of Prices
Page 4 of 4 2026
Failure to return this Declaration as part of the bid proposal package
will make the bid nonresponsive and ineligible for award.
NON-COLLUSION DECLARATION
I, by signing the proposal, hereby declare, under penalty of
perjury under the laws of the United States that the following
statements are true and correct:
1. That the undersigned person(s), firm, association or corporation has
(have) not, either directly or indirectly, entered into any agreement,
participated in any collusion, or otherwise taken any action in restraint of
free competitive bidding in connection with the project for which this
proposal is submitted.
2. That by signing the signature page of this proposal, I am
deemed to have signed and to have agreed to the provisions
of this declaration.
NOTICE TO ALL BIDDERS
To report rigging activities call:
1-800-424-9071
The U.S. Department of Transportation (USDOT)operates the above toll-free
"hotline" Monday through Friday, 8:00 a.m. to 5:00 p.m., eastern time. Anyone
with knowledge of possible bid rigging, bidder collusion, or other fraudulent
activities should use the"hotline"to report such activities.
The "hotline" is part of USDOT's continuing effort to identify and investigate
highway construction contract fraud and abuse and is operated under the
direction of the USDOT Inspector General All information will be treated
confidentially and caller anonymity will be respected.
SR
DOT Form 272-0361 EF
0712011
Renton School and Pedestrian Crossing No.2 Local Agency Non-Collusion Declaration
2026
Local Agency Name City of Renton
Local Agency Address
1055 South Grady Way Renton, WA 98057 Local Agency Subcontractor List
Prepared in compliance with RCW 39.30.060 as amended
To Be Submitted with the Bid Proposal
Project Name Renton School and Pedestrian Crossing No. 2
Failure to list subcontractors with whom the bidder, if awarded the contract,will directly subcontract for performance of the
work of structural steel installation, rebar installation, heating,ventilation and air conditioning, plumbing,as described in
Chapter 18.106 RCW, and electrical,as described in Chapter 19.28 RCW or naming more than one subcontractor to perform
the same work will result in your bid being non-responsive and therefore void.
Subcontractor(s)with whom the bidder will directly subcontract that are proposed to perform the work of structural steel installation,
rebar installation, heating, ventilation and air conditioning, plumbing, as described in Chapter 18.106 RCW, and electrical as
described in Chapter 19.28 RCW must be listed below.The work to be performed is to be listed below the subcontractor(s)name.
To the extent the Project includes one or more categories of work referenced in RCW 39.30.060, and no subcontractor is
listed below to perform such work,the bidder certifies that the work will either(i) be performed by the bidder itself,or(ii) be
performed by a lower tier subcontractor who will not contract directly with the bidder.
Subcontractor Name TITAN Earthwork LLC (self perform)
Work to be performed Electrical. rebar. structural steel
{HVAC. plumbing N/A}
Subcontractor Name
Work to be performed
Subcontractor Name
Work to be performed
Subcontractor Name
Work to be performed
Subcontractor Name
Work to be performed
*Bidder's are notified that it is the opinion of the enforcement agency that PVC or metal conduit,junction boxes, etc, are considered
electrical equipment and therefore considered part of electrical work, even if the installation is for future use and no wiring or electrical
current is connected during the project.
DOT Form 271-015LP
Revised 06/2020
sde APWA-WA Division 1 Committee rev.5/13/2022
Proposal for Incorporating Recycled Materials into the Project
In compliance with RCW 70A_205.700,the Bidder shall propose below,the total percent of
construction aggregate and concrete materials to be incorporated into the Project that are
recycled materials. Calculated percentages must be within the amounts allowed in Section
9-03 21(1)E, Table on Maximum Allowable Percent(By Weight)of Recycled Material, of the
Standard Specifications.
Proposed total percentage: 1 70 percent.
Note: Use of recycled materials is highly encouraged within the limits shown above,but does
not constitute a Bidder Preference.and will not affect the determination of award, unless two or
more lowest responsive Bid totals are exactly equal, in which case proposed recycling
percentages will be used as a tie-breaker.per the APWA GSP in Section 1-03.1 of the Special
Provisions. Regardless,the Bidder's stated proposed percentages will become a goal the
Contractor should do its best to accomplish. Bidders will be required to report on recycled
materials actually incorporated into the Project, in accordance with the APWA GSP in Section
1-06.6 of the Special Provisions.
Bidder: T kR-1-1-1/,007MLL -
Signature of Authorized Official: �
Date
Renton School and Pedstrian Crossing No.2 Proposal For Incorporating Recycled Materials
2026
Washington State
�� Department of Transportation
Contractor Certification
Wage Law Compliance - Responsibility Criteria
Washington State Public Works Contracts
FAILURE TO RETURN THIS CERTIFICATION AS PART OF THE BID PROPOSAL PACKAGE WILL
MAKE THIS BID NONRESPONSIVE AND INELIGIBLE FOR AWARD
I hereby certify, under penalty of perjury under the laws of the State of Washington, on behalf of the firm
identified below that, to the best of my knowledge and belief,this firm has NOT been determined by a final
and binding citation and notice of assessment issued by the Washington State 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 RCW chapters 49.46, 49.48, or 49.52 within three
(3)years prior to the date of the Call for Bids.
Bidder Na f�12Ti-}t () K
Name jntrac rrBidder-Print full legal entity name of firm
By: C revs KEI Lt rJ(,‘
Signature of autho ed pers Print Name of personPikCA
making certifications for firm
Title: Me -� zZ Place: I�t(_, v"
Title of person signing certificate Print city and state where signed
Date: / /1�l_P
Form 272-009
08/2017
Renton School and Pedestrian Crossing No.2 Contractor Certification,Wage Law Compliance—Responsibility Criteria
2026
c, " O c
t t
PROPOSAL SIGNATURE PAGE
N
By signing below, Bidder acknowledges receipt and understanding of the following Addenda to
the Bid Documents:
Addendum No. Date of Receipt Addendum No. Date of Receipt
1 /,/( c/Z!p (-raril) 3 X
2 X 4
NOTE: A Proposal may be considered irregular and may be rejected if the receipt of Addenda is not acknowledged.
The bidder is hereby advised that by signature of this proposal he/she is deemed to have
acknowle d all uirements and signed all certificates contained herein.
• Ti ci -r -I t•�o j2.J� L L12
ignature Author' icial * [Business Name]
G%'—I--1/ / E-1 L► IJ K-� t 5 6- V A-1-64T l 1.1 g kv
[Printed Name] [Address Line 1] "/ U
MCM/iz_ g&I p►(-- (31k"
[Title] [Address Line 2]
1, 12 3/ 1_4, ? c. 62 —3 Zs-- 3oc'
[Date] [Telephone Number]
*NOTE: Evidence of the signatory's authority to sign the Proposal on behalf of the business entity shall be
submitted with the Bid.Otherwise,the submitted Bid will be considered irregular and non-responsive
and the Bid may be rejected.
NOTE: The address and phone number listed above will be used for all communications regarding this proposal.
Type of business
entity (e.g. corporation, partnership, etc.):
C-- ?ASZ'rri Eizs P)
State of Incorporation, or State where business entity was formed: k
Renton School and Pedestrian Crossing No.2 Proposal—Signature Page
2026
.)k----
WA State Contractor's Registration # "r i TA-0 f Lef s& Ci0
UBI # & 02 ' (SOS- 763
Industrial Insurance Account# 1 - 376 -DO
1
Employment Security Department# 3L1 Z 670 0 0 Cr
State Excise Tax Registration # k 1`7 3 751 f?J4'
DUNS# N/A
The Surety Company which will furnish the required Contract Bond is
7L P en._ / D I a.tt cu rcv1'" 3L{DO
[Surety] [Address Line 1]
1,0 I - 2/.Z - 11.Fcj 5.0c-r--riX, v\)thc eVIoI-1 E7(
[Telephone Number] [Address Line 2]
Renton School and Pedestrian Crossing No.2 Proposal—Signature Page
2026
8. Bidders are not required to be in possession of a current City of Renton business license in
order to bid on City projects. However, Contractors and all subcontractors of all tiers must
be in possession of a current City business license while conducting work in the City.
9. Bidding Checklist
Each bid must be submitted in a sealed envelope bearing on the outside the name and
address of the Bidder,and the name and number of the project for which the bid is submitted.
It is the responsibility of each bidder to ascertain if all the documents listed below and in the
Table of Contents are included in their copy of the Contract Provisions. 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 the date and time that bids are due.
The following documents shall be submitted with the bid.
✓ a. Project Proposal Cover Sheet -The form included in these Bid Documents must be used;
no substitute will be accepted.
lb. Proposal—The form included in these Bid Documents must be used; no substitute will be
accepted.
ic. Schedule of Prices — The form(s) included in these Bid Documents must be used; no
substitute will be accepted. Bidders must bid on all schedules and items shown on the
Schedule of Prices. If any unit price is left blank, it will be considered no charge for that
bid item, regardless of what has been placed in the extension column.
INon-Collusion Declaration—The form included in these Bid Documents must be used; no
substitute will be accepted.
,d/. Local Agency Subcontractor List - This form is available at
http://wsdot.wa.gov/forms/pdfForms,html. Bidder may download, print and complete
the form to include with Bid. The DOT Form, DOT Form Number and revision date must
match the form included in these Bid Documents, otherwise the Bid will be considered
/ irregular and non-responsive and the Bid will be rejected.
Jf. Proposal for Incorporating Recycled Materials into the Project — The form included in
ig.
these Bid Documents must be used; no substitute will be accepted.
Contractor Certification, Wage Law Compliance — Responsibility Criteria, Washington
State Public Works Contracts — This form is available at
http://wsdot.wa.gov/forms/pdfForms.html. Bidder may download, complete, print and
sign the form to include with Bid. The DOT Form, DOT Form Number and revision date
must match the form included in these Bid Documents, otherwise the Bid will be
considered irregular and non-responsive and the Bid will be rejected.
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ih. Proposal Signature Page —The form included in these Bid Documents must be used; no
substitute will be accepted.
i. Proposal Bid Bond to the City of Renton — The form included in these Bid Documents
must be used; no substitute will be accepted. If an attorney-in-fact signs bond, the power
of attorney authorizing such execution must be current and enforceable, be properly
executed by the Surety in accordance with the Surety's by-laws or other applicable rules
and resolutions, and include all necessary corporate seals, signatures, and notaries.
10. Contract Checklist
The following documents are to be executed by the successful Bidder after the Contract is
awarded.
a. Agreement—The form included in these Bid Documents must be used; no substitute will
be accepted. Two originals shall be executed by the successful Bidder.
b. Contract Bond —The form included in these Bid Documents must be used; no substitute
will be accepted. Two originals shall be executed by the successful Bidder and its surety
company. This bond covers successful completion of all work and payment of all laborers,
subcontractors, suppliers, etc. If an attorney-in-fact signs bond, the power of attorney
authorizing such execution must be current and enforceable, be properly executed by the
Surety in accordance with the Surety's by-laws or other applicable rules and resolutions,
and include all necessary corporate seals, signatures, and notaries.
c. Fair Practices Policy Affidavit of Compliance—The form included in these Bid Documents
must be used; no substitute will be accepted.
d. Certificates of Insurance — To be executed by an insurance company acceptable to the
City, on ACORD Forms. Required coverages are listed in Section 1-07.18 of the Special
Provisions. The City of Renton shall be named as "Additional Insured" on the insurance
policies as well as the entities listed in Section 1-07.18(2) of the Special Provisions.
e. Retainage— Refer to Standard Specification Section 1-09.9(1), Retainage.
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