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HomeMy WebLinkAbout000740 Original Contract^ City of Port Angeles Record #000740 SMALL WORKS ROSTER Request for Bid contract Contract Title: Project Number: Funding Number: Ops-401-48 10 THIS CONTRACT is entered into the date last below written between the CITY OF PORT ANGELES, WASHINGTON ("CITY") AND ("CONTRACTOR"). 1. WORK BY CONTRACTOR The Contractor shall perform the work as described in Attachment"A"(Attachment"A" may include Contractor's Proposal, Scope of Work, Statement of Work, Plans, Specifications, and any other related Contract Documents) which is attached hereto and by this reference is incorporated herein. 2. TERM OF CONTRACT All work under this Contract istobe completed aS indicated (check one): All work under this Contract is to be completed by this date: | | All work under this CDntn]{± is to be completed 20 days from the Notice to Proceed. No work is to be performed prior to written Notice to Proceed by the City. (See attachment for specific schedule for work). [l The performance period under this Contract commences calendar days after notice to proceed and ends . 3. PAYMENT A. The City shall pay the Contractor for the work performed under this contract (check one): Force Account-Time and material, not tn exceed: ¢_______ FnrceAccount-Tirneand actual expenses incurred, not toexceed: ForceAccount- Unit prices set forth in the Contractor's bid or quote, not toexceed: $ � | | Firm Fixed Price set forth in Contractor bid or quote in the amount of: $______ The Contractor shall do all work and furnish all tools, materials, and equipment, in accordance with and as described in the Attachment "A". � The Contractor shall provide and bear the expense of all equipment work and labor of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in this contract and every part thereof; except those indicated to be furnished by the City of Port Angeles in Attachment A. B. The Contractor shall maintain time and expense records, which may be requested by the City. The contractor shall submit invoices tn the City for payment for work performed. All invoices must reference the City's contract number. Invoices shall be in a format acceptable tothe City. C. The City shall pay all invoices from the Contractor by mailing a City warrant within ]O days of receipt Ofa properly completed invoice. D. All records and accounts pertaining to this Contract are to be kept available for inspections by representatives of the City for a period of three (3) years after final payment. Copies shall be made available to the City upon request. Contract No. LO-14-001 Page l Rev.2/10/2014 E. If during the course of the Contract, the work rendered does not meet the requirements set forth in the Contract, the Contractor shall correct or modify the required work to comply with the requirements of this Contract. The City shall have the right towithhold payment for such work until it meets the requirements of the Contract Documents. 4. RESPONSIBILITY OF CONTRACTOR A. Safety. Contractor shall take all necessary precautions for the safety of employees on the work site and shall comply with all applicable provisions of federal, state and local regulations, ordinances and codes. Contractor shall erect and properly maintain, at all times, as required by the conditions and progress of the work, all necessary safeguards for the protection of workers and the public and shall post danger signs warning against known orunusual hazards. B. Correction of Defects. Contractor shall be responsible for correcting all defects in workmanship and/or materials discovered within one year after acceptance of this work. When corrections of defects are made, Contractor shall be responsible for correcting all defects in workmanship and/or materials in the corrected work for one year after acceptance of the corrections by the City. The Contractor shall start work to remedy such defects within seven (7) days of mailing notice of discovery thereof by City and shall complete such work within a reasonable time. In emergencies where damage may result from delay orwhere loss ofservice may result, such corrections may be made by the City, in which case the cost shall be borne by the Contractor. In the event the Contractor does not accomplish corrections at the time specified, the work will be otherwise accomplished and the cost ofsame shall be paid by the Contractor. C. Warranty. Contractor shall be liable for any costs/ losses, expenses ordamages including consequential damages suffered by the City resulting from defects in the Contractors work including, but not limited to, cost of materials and labor expended by the City in making emergency repairs and cost u[engineering, inspection and supervision by the City. The Contractor shall hold the City harmless from any and all claims which may be made against the City as a result of any defective work and the Contractor shall defend any such claims at its own expense. Where materials or procedures are not specified in the Contract Document, the City will rely onthe professional judgment of the Contractor to make appropriate selections. D. Nondiscrimination/AffirmahveAction. Contractor agrees not to discriminate against any employee or applicant for employment or any other persons in the performance of this Contract because of race, creed, color, national origin, marital status, sex, age or handicap, or other circumstances as may be defined by federal, state or local law orordinance, except for a bona fide occupational qualification. Contractor agrees to post in conspicuous places, available bo employees and applicants for employment, notices to be provided bv Contractor setting forth the provisions of the nondiscrimination clause. E. Employment. Any and all employees of the Contractor, while engaged in the performance of any work or services required by the Contractor under this Contract, shall be considered employees of the Contractor only and not of the City. Any and all claims that may arise under the Workers Compensation Acton behalf ofsaid employees, while so engaged, and all claims made by a third party as consequence of any negligent act or omission on the part of the Contractor's employees, while so engaged on any of the work or services provided or rendered herein, shall not be the obligation of the City. S. COMPLIANCE WITH LAWS The Contractor shall comply with all federal, state and local laws and regulations applicable hothe work done under this Contract. Any violation of the provisions of this paragraph shall be considered a violation of a material provision of this Contract and shall be grounds for cancellation, termination or suspension of the [nntnaC± by the City, in whole or in part, and may result in ineligibility for further work for the City. 6.TERMINATION OF CONTRACT A. This Contract shall terminate upon satisfactory completion of the work described in Attachment "A" and final payment by the City. B. The City may terminate the Contract and bake possession of the premises and all materials thereon and finish the work bvwhatever methods it may deem expedient, by giving 10 days written notice tnthe Contractor, upon the occurrence of any one or more of the events hereafter specified. Contract No. LO-14-001 Page Rev.2/10/2014 1. The Contractor makes a general assignment for the benefit of its creditors. 2. A receiver is appointed as a result of the insolvency of the Contractor. 3. The Contractor persistently or repeatedly refuses or fails to complete the work required herein. 4. Contractor fails ho make prompt payment to subcontractors for material or labor. 5. Contractor persistently disregards federal, state or local regulations and ordinances. 6. Contractor persistently disregards instructions of the Contract Administrator, or otherwise substantially violates the terms of this Contract. 7. The City determines that sufficient operating funds are not available to fund completion of the work contracted for. C. In the event this Contract is terminated by the City, Contractor shall not be entitled to receive any further amounts due under this Contract until the work specified in Attachment "A" is satisfactorily completed, as scheduled, up to the date of termination. At such time, if the unpaid balance of the amount to be paid under this Contract exceeds the expense incurred bv the City in finishing the work, and all damages sustained by the City or which may be sustained by reason of such refusal, neglect, failure or discontinuance of employment, such excess shall be paid by the City to the Contractor. If the City's expense and damages exceed the unpaid balance, Contractor and his surety shall be jointly and severally liable therefore to the City and shall pay such difference to the City. Such expense and damages shall include all legal costs incurred by the City to protect the rights and interests of the City under the Contract, provided such legal costs shall be reasonable. 7. OWNERSHIP OF DOCUMENTS A. On payment to the Contractor by the City of all compensation due under this Contract, all finished or unfinished documents and material prepared bv the Contractor with funds paid by the City under this Contract shall become the property of the City and shall be forwarded to the City upon its request. B. Any records, reports, information, data or other documents or materials given hour prepared or assembled by the Contractor under this Contract will be kept confidential and shall not be made available to any individual or organization by the Contractor without prior written approval of the City or by court order. 8. CLAIMS Any claim against the City for damages, expenses, costs or extras arising out of the performance of this Contract must be made in writing to the City within thirty days after the discovery of such damage, expense or loss, and in no event later than the time of approval by the City for final payment. Contractor, upon making application for final payment, shall be deemed to have waived its right to claim for any other damages for which application has not been made, unless such claim for final payment includes notice of additional claim and fully describes such claim. 9. GENERAL ADMINISTRATION AND MANAGEMENT The Director of the Public Works and Utilities Department or his/her designee shall have primary responsibility for the City under this Contract and shall oversee and approve all work to be performed, coordinate communications, and review and approve all invoices, under this Contract. 10. INDEMNIFICATION / HOLD HARMLESS A. The Contractor shall defend, indemnify and hold the City, its officers, officials, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits including attorney fees, arising out of or in connection with the performance of this Agreement, except for injuries and damages caused by the sole negligence of the City. B. Should a court of competent jurisdiction determine that this Agreement is subject to RCVV 4.24.115, then, in the event of liability for damages arising out Vfbodily injury to persons ur damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, its officers, officials, employees, and volunteers, the Contractor's liability hereunder shall be only to the extent of the Contractor's negligence. It is further specifically and expressly understood that the indemnification provided herein constitutes the Contractor's waiver of immunity under Industrial Insurance, Title 51 RCVV, solely for the purposes of this indemnification. This waiver has been mutually negotiated by the parties. The provisions of this section shall survive the expiration or termination nf this Agreement. Contract No. LO-l4-O0l Page Rev.2/10/2014 11. INSURANCE, BONDS, &RETAINAGE A. The Contractor shall maintain insurance as set forth in Attachment B. B. If the total bid amount including tax exceeds $35,000, this project will be awarded as a small works roster contract and payment and performance bonds and ratainage will apply in accordance with Washington State law. A vetainageof596 will then be applicable to this contract. The Contractor shall obtain payment and performance bonds in accordance with this Contract and all Attachments incorporated herein. Copies of the Bid Security Transmittal Form, Performance and Payment Bond forms, and Escrow Agreement for Retained Percentage form are available from the Operations Office of Public Works &Utilities (Telephone ]G0'4t7-4541\. Performance Bond and Retainage forms are provided in Attachment D. The party towhom the Contract is awarded will be required to execute the Contract and obtain the Performance and Payment Bond within ten (10) calendar days from the date the notice of award is delivered bz the bidder. Such bond(s) shall be on the form provided bythe Owner, specify the name, contact phone, and address of the surety, and shall include a power ofattorney appointing the signatory of the bond(s) as the person authorized to execute it (them). 12. PREVAILING WAGE This Contract is subject tothe requirements of Chapter 39.12 RCVV, and as it may be amended/ relating to prevailing wages. On Public Works projects, funded in part or in whole with Federal funds, Federal wages laws and regulations shall also be applicable. NO WORKER, LABORER OR MECHANIC EMPLOYED IN THE PERFORMANCE OF ANY PART OF THIS CONTRACT SHALL BE PAID LESS THAN THE PREVAILING RATE OF WAGE as determined by the Industrial Statistician ofthe Department of Labor and Industries for the State of Washington. The schedule of prevailing wage rates for this Contract is made a part of this contract as though fully set forth herein. Prior to making any payment under this Contract, the City must receive an approved copy of the "Statement of Intent ho Pay Prevailing Wages on Public Works Contracts" from the Department of Labor and Industries. It is the Contractor's responsibility to obtain and file the "Statement of Intent hz pay Prevailing Wage". The Contractor shall be responsible for all filing fees. Each invoice shall include signed statement that prevailing wages have been paid by the Contractor and all subcontractors. Following the final acceptance of services rendered, Contractor shall submit an "Affidavit of Wages Paid". Fora contract award under ¢2,500, and in accordance with RCVV 39.12.040(2), the contractor or subcontractor is authorized to submit a combined Statement Of Intent To Pay Prevailing Wages &Affidavit Of Wages directly to the City of Port Angeles at final invoicing. Submission shall be made on the form developed by the Washington State Department of Labor and Industries and available from the City of Port Angeles Public Works and Utilities Department. In case any dispute arises as to what are the prevailing rates of wages for a specific trade, craft or occupation and such dispute cannot be adjusted by the parties in interest, including labor and management representatives, the matter shall be referred for arbitration to the Director of the Department of Labor and Industries, and his decision shall be final, conclusive, and binding on all parties involved in the dispute. 13. INTERPRETATION AND VENUE This Contract shall be interpreted and construed in accordance with the laws of the State of Washington. The venue of any litigation between the parties regarding this Contract shall be Oa||am County, Washington. 14. BRANDS OR EQUAL When a special "brand or8qua|" is named it shall be Construed solely for the purpose of indicating the standards of quality, performance, or use desired. Brands of equal quality, performance, and use shall be considered, provided Contractor specifies the brand and model and submits descriptive literature when available. Any bid containing a brand which is not ofequal quality, performance, or use specified must be represented as an alternate and not asan equal, and failure todoso shall be sufficient reason to disregard the bid. 15. INSPECTION AND REJECTION All goods, services, work, or materials purchased herein are subject inspection and to approval by the City. Any rejection of goods, services, work, or materials resulting because of nonconformity to the terms and specifications Contract No. l.(J'I4-OOl Page Rov.2/\W20l4 of this order, whether held by the City or returned, will be at Contractor's risk and expense. 11.6. SUBLETTING OR ASSIGNING OF CONTRACTS Neither the City nor the Contractor shall assign, transfer, or encumber any rights, duties or interest accruing from this Contract without the express prior written consent of the other. 17. INDEPENDENT CONTRACTOR The Contractor is and shall be at all times during the term of this Contract an independent contractor and not an employee of the City. 18. EXTENT OF CONTRACT/MODIFICATION This Contract, together with the attachments and/or addenda, represents the entire and integrated Contract between the part/es hereto and supersedes all prior negotiations, representations, or agreements, either written or oral. This contract may be amended, modified or added to only by written instrument properly signed by both parties hereto. 19. SUBCONTRACTOR RESPONSIBILITY The Contractor shall include the language of this section in each of its first tier subcontracts, and shall require each of its subcontractors to include substantially the same language of this section in each of their subcontracts, adjusting only as necessary the terms used for the contracting parties. The requirements of this Section apply to all subcontractors regardless oftier. AL the time of subcontract execution, the Contractor shall verify that each of its first tier subcontractors meets the following bidder responsibility criteria: - At the time ofsubcontract bid submittal, have a certificate of registration in compliance with Chapter 18.27 RCVV; - HawaacurvenistahaunUiedbuoineosideniifiernumber; - If applicable, have: 1) Industrial insurance coverage for the subcontractor's employees working in Washington as required in Title 51 RCVV; 2) An employment security department number as required in Tile 50 RCW; and 3\ A state excise tax registration number as required in Tile 82 RCVV; 4) An electrical contractor license, if required by Chapter 19.28 RCVV; 5) An elevator contract license, if required bv Chapter 7U.87 RCVV. ' Not be disqualified from bidding on any public works contract under RCVV39.O6.O1Our39.12.065(3). 20. COMPENSATION AND METHOD OF PAYMENT. A. The City shall pay the Contractor for work performed under this Contract as detailed in the bid, as incorporated in the Contract. B. Payments for work provided hereunder shall be made following the performance of such work, unless otherwise permitted by law and approved in writing by the City. No payment shall be made for any work rendered by the Contractor except as identified and set forth in this Contract. C. Progress payments shall be based on the timely submittal by the Contractor of the City's standard payment request form. D. Payments for any alterations in or additions bz the work provided under this Contract shall be in accordance with the Request For Information (RFI) and/or Construction Change Order (CCO) process as set forth in the Standard Specifications. Following approval of the RFI and/or CC[}, the Contractor shall submit the standard payment request form(s). Contract No. LO-14-001 Page 5 Rev.2/10/2014 E. The Contractor shall submit payment requests with ammpleted Application for Payment form, anexample of which is included in Attachment Eto this Contract. This form includes lien waiver certification and shall be notarized before submission. Applications for payment not signed or notarized shall be considered incomplete and ineligible for payment consideration. The City shall initiate authorization for payment after receipt of a satisfactorily completed payment request form and shall make payment to the Contractor within approximately thirty (30) days thereafter. Final payment requests shall also include a Certification of Work Completion and Acceptance located in Attachment E). IN WITNESS WHEREOF, the parties have executed this Contract asof 12014. MD-TECH SERVICES, INC. CITY OF PORT ANGELES By: By: /�«� ^ Printed Name: Printed Name: �� a_�r�4 W"4'elol-1 Title: Title: Address: city: APPROVED ASTOFORM: TaxI0 #: BY: CITY AtfbRNEY � Phone Number: 8Y: (� V CLERK Purchase Order #: Contract No. LO-14-001 Page 6 R,, 2/10D014 City nfPort Angeles � � . A�ACH��E��T �A� Engineering Office WORK BY CONTRACTOR Public Works and Utilities Department 380-417-4541 The Contractor shall do all work and furnish all tools, materials, and equipment in order h]accomplish the project described below. Unless otherwise provided for in the Statement of Work, the Contractor will be responsible for obtaining and paying for any and all permits required for this work. General Scope: Pole Inspection, testing, and treatment Location: Port Angeles, Washington Site Point of Contact: Terry Dah|quistat360'417-4702. Work Hours and Schedule: The Contractor will be allowed to work from 7 AM to 4:30PM, Monday through Friday. Work outside of these hours may be requested from and is at the discretion of the Site Point ofContact. Work Requirements: 1.0 GENERAL 1.1 Scope This Specification is intended as a basis for the inspection and supplemental treatment of wood po|es. Poles from 0-9 years old will only be visually inspected and reported if visual inspection warrants no further action. All poles 10 years and older are hu be inspected both above and below the gruund|ine area. For bidding, Contractor shall assume each pole to be sounded, partially excavated (Section 3.3), bored in three locations (Section 3.5), and treated with fumigant (Section 5.3). Actual extent of treatment will be field determined by the inspection. Contract will be awarded to the bidder testing the most poles for $50,000. Poles will be selected in the numerical order indicated in Schedule A. 1.2 Specification These specifications are meant asa minimum. Exceptions to the specifications must be noted when responding to the Bid. 1.3 Contractor Requirements 1.3.1 The Contractor shall furnish all supervision, labor, tools, equipment, report forms, and field adaptable handheld data collection devices, transportation and material necessary for the inspection and treatment of City's poles as identified. City will furnish copies of this specification and necessary maps showing locations of poles which are the subjects for inspection and/or treatment. Copies of this specification shall be available for field personnel. 1.3.2 The Contractor is required to have a minimum of five (5) years in the in-service pole inspection and treatment business. The Contractor must have documented programs/policies conforming tn EPA, OSHA, DOT, and VVI6HAa|ong with all Federal and State pesticide regulations. These policies must include safety Manual, Pesticide Training Manual and test, standards for safe storage ofpreservatives on vehicles, operation polices for Contractor's personnel to handle preservatives and procedures for disposing of empty containers used for pole treatment in compliance with label requirements, and OSHA regulations involving personal protective equipment. 1.3.3 The Contractor must comply with the General Terms and Conditions to which these specifications are attached. Contract No. LO-I4-OAl Page Rev.2/10/2014 1.4 Personnel Qualifications 1.4.1 All pole inspection and treatment must be performed by professional in-service ground|ine pole inspection and treatment specialists. They must be a licensed applicator in the State of Washington, trained and with a minimum of one (1) year experience in the inspection and treatment of in-service wood poles. The City reserves the right to ask for evidence pf previous experience and training in the form of letters of reference and test results. Personnel are subject toapproval by the City before awarding the contract, orai any time thereafter. Failure to maintain an adequately trained inspector will result in payment being withheld by the City in the area being inspected. 1.4.3 Supervision of pole inspection and treating specialists of in-service poles shall be by licensed applicator and a full-time supervisor with at least two (2) years of field experience. 1.4.3 Personnel not qualified to inspect and treat in-service poles shall work directly under the supervision of qualified licensed professional. Where required by |avv or agency, material treatment of any pn|C shall be done only by certified or licensed individuals. Pesticide applicators shall be licensed as required in Chapter 17.21 RCVV. 1.5 Workmanship and Damages 1.5.1 Any damages, real or personal, off the right-of-way arising directly from the performance of the work specified herein, or any damages nn the right-of-way as a result of negligent operations, shall be settled promptly by the Contractor. 1.6 Definitions for Inspection and Treatment Pole inspection and treatment categories are defined as follows: 1.6.1 \: A reported pole is a less than 10 years old about which the City desires information OR any pole that is judged to be unserviceable prior to excavation /per Section 3.2\ OR any pole where the City is the joint user /tagged per Section 7.1\ OR is underground primary equipment (secondary pedestals and meter pedestals are NOT included) OR any pole which is determined by Contractor, in Contractor's reasonable opinion, to be inaccessible. Poles less than 10 years old may be subjected tn further evaluation at the City's discretion. 1.6.3 Sounding and BgdnT Poles shall be sounded with a hammer from either gnound|ineorabove ground|ineasapplicable, to as high as an inspector can reach in order to locate exterior decay ur interior pockets ofdecay. 1.6.3 Partial Excavation: Poles that are partially excavated on one side of the pole according to Section 3.3 below. 1.6.4 Externally Treated Pole: Aground|inetreated pole is any pole designated by the City which, upon inspection, is found to be candidate for external preservative treatment, provided enough sound wood remains. Treatment shall consist of the treatment specified in Section 5.2 of these specifications. 1.6.5 The City is responsible for determining when a pole shall be deemed rejected. A rejected pole is any pole designated bv the City which, upon inspection, is found deteriorated below the required minimum as indicated on the shell thickness table supplied in Section 4.3, or designated approved by the City. Poles may also be classified as visual or sound and bore rejects according to Section ].Z. Contractor will provide methodology and charts for determining rejects. The guidelines recommended shall be designed to identify those poles which are at or below 6746 remaining capacity as per NESC Standards. In addition, the depths and size of various decay conditions along with mechanical Contract No. LO-14-001 Page 8 Rev.2/10/2014 damage and insect infestation shall be recorded. An input of percentage remaining capacity shall be part of the data deliverable requirements. Poles not meeting the strength requirement will be rejected and reported to the City for replacement. Poles rejected that are suspected of being in a hazardous condition and/Or needing immediate corrective action shall be reported to the designated City's representative within 24 hours. Poles requiring immediate corrective action will be reported in the database as priority poles. 1.6.6 Application ofE.P.A. registered fumigant that has supporting documentation proving the efficacy of said product to the City's satisfaction, to poles according to Section 5.3. 1.6.7 Priority Pole: A pole that is in need of immediate attention (replacement); usually has average shell of 11/2 inches or less for distribution and two inches or less for transmission, or less than one-third of its original circumference. The location of priority poles will be reported to the City's representative daily. 2.0 GENERAL PRECAUTIONS AND REQUIREMENTS FOR PRESERVATIVE APPLICATIONS 2.1 General Restrictions and Reguirements 2.1.1 All preservatives shall be handled and applied in accordance with the product label, and in manner that will prevent damage kz vegetation and property. Only preservatives registered by the Environmental Protection Agency (EPA) and the appropriate State Department of Agriculture for the intended use of remedial pole treatments will be considered for approval by the City. 2.1.2 No preservatives shall be applied by the Contractor where a pole is readily identifiable as (a) located on any school property; or (b) in a vegetable garden, or (c) within ten /10\ feet ofa stream or standing water body or (d) within fifty (50) feet ufa private well. 2.1.3 Any container in which a preservative is shored shall be stoned in a securely locked container ortool box or bolted to vehicles on the right-of-way and kept locked when left unattended. Empty preservative containers shall be removed from the right-of-way and kept in a locked compartment until disposal. Disposal of preservatives and their containers shall be in accordance with the product label as well as the rules and regulations of all appropriate Federal and State agencies. 2.2 Pesticide Licensing and Reporting Reguirements 2.2.1 The Contractor shall bee certified commercial pesticide application for the preservative application set forth under this Agreement, and each crew shall be supervised by a full time Supervisor who is licensed and certified by the State of Washington. The Contractor shall be responsible for the accurate recording and submitting of all pesticide usage forms required by the various pesticide regulatory agencies and for meeting all applicable Federal and State rules and regulations. 2.2.2 The Contractor is required to have in his possession copies of the preservative labels and M5DS for all pesticides being used. A copy of all MSDS will be provided to the City with Bid documents. Upon request, the M5DSand labels will be shown to anyone desiring this information. Properly completed shipping papers will also be carried on each vehicle which is transporting pesticides. 2.3 Material Handling 2.3.1 Incidental releases ofpreservative shall be immediately cleaned up in a manner consistent with label requirements, Federal and State regulations, and relevant environmental procedures. 2.3.2 The Contractor shall provide each crew with a recovery kit containing sufficient materials for cleaning up and neutralizing incidental releases ofboth paste and liquid preservatives. Contract No. LO-14-001 Page 9 Rev.2/10/2014 2.4 Proper Eguipment 2.4.1 The Contractor shall provide each crew with all required personal protective equipment (PPE) as specified by the label. In addition hand hats and a change of clothing will be provided. All field employees are required toprovide and wear work boots. 2.4.2 The Contractor shall provide a truck that has covers and locks adequate to satisfy federal and state DOT regulations in which Lo store and transport the preservatives. 2.4.3 City will provide Contractor with a letter to be carried in the Contractor vehicles approving the work for the City. 2.4 Pesticide Training 2.5.1 Each pole inspector orforeman shall be required to have documented pesticide training that meets state requirements for applicator licensing and is to be submitted as part ofthe proposal. 2.5.2 Hazard Communication and Safety Program: The Contractor shall provide to its employees a hazard communication program which addresses the purpose of using pesticides, material safety data sheets and product labels, protective safety equipment and clothing and product information. Asafeb/ manual and program is to be provided and utilized by the Contractor and its employees. 3.0 INSPECTION: 3^1 REMArationi 3.1.1 When work is to be done in dose proximity toa home, the property owner should be notified as to what is being accomplished. Light brush will be removed from around the pole to allow for proper excavation, inspection Ond\or treatment unless permission for removal is denied by property owner (excessive brush may require anadditional charge). Denial will be indicated in the remarks column on the pole report. If permission for excavation is denied, the pole will be sounded and bored above grade, and fumigant treated, providing the pole is serviceable. Contractor will not inspect or perform work on poles inaccessible by acts of God or by any causes beyond the control of Contractor. Reason for the lack of inspection will be noted in the remarks column of the pole report. 3.1.2 Field conditions may indicate the need for different examinations for different poles. Additional inspection or treatment shall be provided with COPA Engineering's approval at the unit costs indicated in the bid schedule. Billing will be based on actual tasks performed for each pole. For bidding, Contractor shall assume that each pn|8 listed in Schedule A will be given each of the following examinations: 3.1.2.1 Above ground inspection per Section 3.2 3.1.2.2 Sounding per Section 3.4 3.1.2.3 Partial excavation per Section 3.3 3.1.2.1 Boring per Section 3.5 11.2.5 Internal treatment per Section 5.3 3.2 Above-Ground Inspection 3.2.1 A visual inspection of all poles shall be made from yround|ine to the top of the pole. The following visible defects will be noted: woodpecker holes, split tops, decayed tops, broken insulators, decayed or broken cpoSSornns, missing hardware, slack/broken guy wires. If the pole is obviously not suited for continued service due to serious defects, contact City representative for direction. 3.3 Partial Excavation 3.3.1 All poles that pass the above ground visual inspection that are more than 10 years old shall be partially excavated on one (1) side of the pole at the largest check to a depth of eighteen (18) inches. (Exceptions include poles in pavement and poles in vegetable gardens. These poles will be Contract No. L[)-14-001 Page 10 Rev.2/10/2014 Sound and Bore inspected.) The pole will be sounded and bored according toSections 3.5 and 3.6 and the pole surface will be checked for signs of external decay. 3.3.3 Ifno surface decay is suspected and the borings indicate no internal daosy/ paste preservative (Section 5.2) application is required. The partial excavation will be back-filled. 3.3.3 Poles will be treated with a fumigant according to Section 5.3 and the partial excavation will be back- filled after paste preservative application (Section 5.2). 3.3.4 If an internal void is present, the pole will be treated with a fumigant according to Section 5.3, and the partial excavation will be back-filled after paste preservative application (Section 5.2). 3^4 Sounding 3.4.1 Poles shall be sounded from as high as the inspector can reach to the exposed ground|inearea in order to locate interior pockets of decay. Hammer marks should be visible to indicate that the area was sounded. 3'5 ffgLi nS 3.5.1 Inspector shall bore pole with a 3/4" bit. Poles Vf5O-inch circumference or more (transmission) shall be bored with 4 holes; poles of 34 to 49-inch circumference (distribution) shall require bone 3 holes; poles 3]-inrhesor less shall require holes. First bore hole shall be located 8 inches below ground|ine. Second hole shall beaiground line, and subsequent holes shall each be inches above the previous hole. Bore holes shall be drilled at different positions around the perimeter of the pole, 90 or 120 degrees apart, as noted in Section 5.3.2. Each hole shall enter the pole at 45 degree angle to a depth of the center line of the pole. A shell thickness indicator shall be used to detect the existence and extent of any interior decay. 3.5.2 If heart rot orenclosed decay pockets are evident in a pole, a minimum of four (4) borings will be taken to determine the size and extent ofdecay. 3.5.3 Bored holes shall be plugged with tight-fitting treated wood dowels or plugs. Plugs shall be a minimum of 3-inches long, either tapered or straight. Tapered plugs shall taper from 1/32" smaller than the drill bit atthe bottom (small end) to 1/16" larger than the hole at the top (large end). Straight wooden dowels shall be 1/16'inch larger than the hole. 3'6XJh����� 3.6.1 All poles that will be externally treated will have all loose and decayed wood removed from 18" below gnound|ineto 6" above gruund|ine. Aqua|ity chipping tool will be used for this procedure to obtain a smooth, dean removal of wood. External decay pockets will be shaved or chipped to remove decayed wood from pole. Removed wood shall be removed from the hole and surrounding ground and disposed of properly. Core should be taken not to remove good wood as this will reduce the strength of the pole. The pole will be scraped using a check scraper or wine brush to remove dirt from treatment zone. 4~0 EVALUATION 4.1 Determinina Minimum Circumference 4.1.1 Measure minimum circumference at or below groundline, wherever the least sound wood is present. Make adjustments in circumference ho account for external decay pockets and internal decay in accordance with class of pole. Check effective circumference against required for pole class. Poles below minimum circumference shall be rejected, and so marked in the field and reported. Poles with 6096 of original circumference or less will be designated a "Priority Pole" and reported to the City's designated contact daily. Contract No. LO-14-001 Page I Rev.2/10/2014 4.2 Decay 4.2.1 If pole shell is greater than 4 inches for transmission poles or 3 inches for distribution poles, and no pockets of decay or heart rot are encountered, treat pole according to Section 5.3. 4.3 Shell Thickness Action Distribution Shell Thickness Transmission Shell Danger— Notify City Less Than 1.5" Less Than 2" Reject— Notify City 1,511— 3" 211- 411 Greater Than 3" Greater Than 4" 5.0 TREATMENT 5~1 General� 5.1.1 All fully and partially excavated poles 1O years and older which are serviceable shall be treated in accordance with Section 5.2. All partially-excavated and non-excavated poles 10 years and older shall be treated in accordance with fumigant according ho Section 5.3. 5.1.2 Do not treat poles where borings indicate shell thickness less than 3-inches for transmission poles or less than 2-inches for distribution poles. 5.2 External Groundline Treatment 5.2.1 All poles which are fully excavated and serviceable are to beground|inetreated with a preservative paste which shall be applied k) the pole (a minimum of1/16" thick) from 18" below ground|ineto2" above ground|ine. The preservative paste composition shall be provided for City's approval prior to the start ofwork. 5.2.2 Materials will be applied at the maximum rate according to the product label. The City's intention is to select the preservative paste that combines efficacy with reduced risk to non-targeted organisms. Labels and MSDS must be made available for review. 5.2.3 Liberally treat all exposed pockets and checks using brush or trowel. Where obstructions occur such as fences, curbs, and walls, the preservative shall be applied in excessive amounts next to obstruction to insure complete coverage. 5.2.4 Wrapping of External Treatment: Apo|yethy|ene backed knaft paper moisture barrier isto be applied over the wood preservative. The moisture barrier shall cover preservative to a depth of 18" and extend 2" above the top of treatment zone, fora total of 22". It shall be of sufficient length to go around the pole with an overlap of approximately 4" and shall be stapled to the pole at the top and side seams of the barrier. The thickness of the moisture barrier should be a minimum of mils. A wrap containing the wood preservative (such as Cobra-Wrap) is acceptable. The only exception ho this would be if the City chooses the option of treating the partial excavates. At that time, the paper would be cut to ht the size of the treated part of the pole. 5~3 Wood Preservatives 5.3.1 Either of the following preservatives may be used according to manufacturer's directions. 5.3.2 Cnbra`m Rod, or City approved alternative, shall be applied as prescribed below: 5.3.2.1 Application sin d Pole Circumference in Inches Number of Holes Drilled 25"to 33" 2 holes spaced 90 degrees apart and 6"to 8" higher than the previously bored hole. 34"to 49" 3 holes rotated 120 degrees apart and 6"to 8" higher than the previously Contract No. LO-14-001 Page 12 Rev.2/10/2014 bored hole Over 49" 4 holes rotated 90 degrees apart and 6"to 8" higher than the previously bored hole. 5.3.2.2 Bore 3/4" (or as stated by manufacturer) slanting holes to a minimum of 10" depth. 5.3.2.3 Using impermeable gloves, insert (See Brochure for rates of application) into each hole. 5.3.2.4 Plug holes using 13/16"(or asstated by manufacturer) diameter plastic ortreated wooden plugs. 5.3.3 Internal fumigant treatment chemicals may be one of the following, or City approved alternative: 5.3.3.1 MITC Fume, 9796 Methy|isothiocyanateand 346 inert ingredients. Provide in prenoeasured aluminum vials. 5.3.3.2 Super Fume; 9896Tetrahvdro 3,5 dimothy|-2H 1, 3, 5 thiediazin8 -2-thione, and 296 inert 5.3.3.3 DuraFumei6 considered equal hz Super Fume. 5.3.3.4 Install Copper Naphthenah3 activator liquid installed under pressure in the access holes. 5.3.3.5 Poles containing decay pockets of 1/2" or larger shall be treated by pumping the preservative into the cavity through a series of 1/2"diameter holes. The solution will be applied per manufacturer's instructions beginning with the lowest hole, pump the preservative into the cavity until the material flows out of the next highest hole. This hole is then plugged and additional preservative is pumped into the cavity until the cavity is filled or maximum of one gallon is used. Sufficient holes will be bored and preservative used to assure coverage of decayed area. All holes will be plugged with m 9/16" treated plugs or wood dowels. lf wood destroying insects are encountered in the pole, sound the pole to locate top of the insect gallery and drill enough holes to thoroughly treat wood and flood the galleries. 6.0 RESTORATION OF WORK SITE 6^1 Backf0King After excavation and/or treatment, all poles will be solidly back-filled. The first half ofexcavation will be back- filled and tamped completely around the pole by walking on the replaced excavation; the second half back-filled and tamped completely around the pole. The excess earth should be banked uptoa maximum of 3" above normal ground level to allow for settlement. In grass areas the sod shall be carefully placed around the pole. Rocks or stones should not be laid against the pole except where they serve to key the pole or where no other fill is available. Extreme care should betaken not to tear the moisture barrier while back-filling. 6.2 Clean-up No debris, loose dirt, etc., is to be left in the pole area, Private property turf, including that between curb and sidewalk, bushes, and plants, and shrubbery are to be replaced with cane. If any preservative is released on the ground, it shall be immediately cleaned up. All containers shall be disposed of according to approved environmental practices. 7.0 POLE MARKING 7^17gg9�� 7.1.1 All inspected poles shall be marked with a weather proof tag identifying the work performed; Contractor and date shall be on the tag. The tagging scheme used by the Contractor must be approved by the City before inspections begin. Contract No. LO-l4-U0l Page 13 Rov. 2/l0/2O)4 7.1.2 Tags shall be supplied by the Contractor and placed 5 t 6 feet above ground|ineon the roadside of the pole, below the utility pole identification marker. If inspecting or treating m pole that has previously been inspected or treated, attach the tag directly below the exisLingtag(s). 8.0 DATA COLLECTION AND DELIVERABLES 8.1 Data Reauirements 8.1.1 City will provide Contractor with an Excel data file containing current record of pole data, including pole attributes, pole condition, location, City's facilities, and joint-user and third party attachments. Contractor shall update the data and return the corrected Excel file hn the City's representative at project completion. The condition codes provided elsewhere in these documents shall be used for noting pole conditions. 8.2 Arojying 8.2.1 Contractor will archive all pole condition and attribute data for 12 months after the year in which the work isperformed. 9.0 CONTRACTOR INFORMATION 9.1 Documentation of Contractor's policies for conforming to EPA, OSHA, VVIBHAand DOT regulations must be included with the bid proposal. 9.2 Work Schedule Contractor must supply a schedule outlining the number of crews proposed to complete work along with start dates and completion dates. City Light Operations crews work 7:OO am to 3:30 pm/ Monday through Friday. Engineering staff isavailable between O:UO am and 5:00 pm. No support from City personnel is available outside of these hours, or on legal holidays. Contractor is to consider these time periods when planning his schedule. 10.0 INVOICING Contractor shall furnish City with data on a weekly basis. Billing will be itemized; including total number nfpoles inspected and installed pole identification marker range; and submitted on payment request forms provided in these documents. Payments will be made monthly by the City. Contract No. l.O-l4-O0l Page 14 Rev.2/10/2014 a� n u Ln r` H o a C c c c = e D s S O 0 0 O d 0 O W J C LO O Ln O M M N M M � V ® Lz o a� c Ls o� e v Ln U N c H t!) lu M M N M rY M M N M M M M M M I- M d' M M M M M M M M M M M M N M M d' c O N M M M --I N N N N N N �.,� N *-� M M M M M M M M M M M M M M M M r°i r°I r-I r-I \ .-I .--I .--I .-1 +1 .-f r-i (1) (o r" M M M '� L 7 I.f ``' ,-I t.0 tD lD m 0) W g' ® ,~i -.N,,, N. �. O N �.°+ . �, ' . N. d �. N. M N., N. N N. .. �. 'N`..N. N. N. �. (N 00 CO 00 00 m C:) N N N � � d- eF d- I- d v d° el' d' d -0 tD OD CO 00 00 00 h M I'D 110 t.D tD tD kD k.0 Ln 0`i to tD I'D U7 �D "o Co Z tD "D LD LD m N Ln Ln 01 Ln Ln m Q1 a) m � � m 4n � M N to of N � to � 0) 07 0) 0) 0) 0) 0) � ro O O -- O O O -- '- '�.., �. Owl . 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No Limitation Contractor's maintenance ofinsurance, its scope of coverage and limits as required herein shall not be construed tu limit the liability ofthe Contractor to the coverage provided by such insurance, or otherwise limit the City's recourse 1oany remedy available at law or in equity. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: 1. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liabilit insurance shall be written on I5(} occurrence form CG OO 01 and shall cover liability arising from premises, operations, independent contractors, prod ucts-comp|eied operations, stop gap liability, personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 1185 or an equivalent endorsement. There shall be no endorsement or modification of the Commercial General Liability Insurance for liability arising from explosion, collapse or underground property damage. The City shall be named as an insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO Additional Insured endorsement CG 20 10 10 01 and Additional Insured-Completed Operations endorsement CG 20 37 10 01 or substitute endorsements providing equivalent coverage. 3. ' coverage as required by the Industrial Insurance laws of the State of Washington. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of$1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each Occurrence, $2,000,000 general aggregate and $2,000,000 prod uds-comp|eted operations aggregate limit. Other Insurance Provision The Contractor's Automobile Liability and Commercial General Liability insurance policies are to contain, or be endorsed to contain that they shall be primary insurance as respect the City. Any insurance, ae|f-insurance, or Contract No. LO-14-001 Pogo 36 Rev.2/10/2014 insurance pool coverage maintained by the City shall be excess of the Contractor's insurance and shall not contribute with it. Acceptability of Insurers Insurance is to be placed with insurers with a curventA.M. Best rating of not less than A: VD. E. Verification of Coverage Contractor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement ofthe work. F. Subcontractors The Contractor shall have sole responsibility for determining the insurance coverage and limits required, if any, to be obtained bv subcontractors, which determination shall be made in accordance with reasonable and prudent business practices. G. Notice of Cancellation The Contractor shall provide the City and all Additional Insureds for this work with written notice of any policy cancellation, within two business days of their receipt of such notice. H. Failure to Maintain Insurance Failure on the part ofthe Contractor to maintain the insurance as required shall constitute a material breach of contract, upon which the City may, after giving five business days notice to the Contractor to correct the breach, immediately terminate the contract or, at its discretion, procure or renew such insurance and pay any and all premiums in connection therewith, with any sums so expended to be repaid to the City on demand, or at the sole discretion of the City, offset against funds due the Contractor from the City. Contract No. LO-14-001 Page 37 Dv, 2/10/2014 City of Port Angeles ATTAC H M E NIT "C" Engineering Office PREVAILING WAGE RATES Public Works and Utilities Department 360-417-4541 Prevailing Wage Rates Information Below: 1. Washington State Prevailing Wage Rates For Public Works Contracts —Journey Level and Apprentices, C|a||ann County, effective 2/27/2O14. 2. To access applicable prevailing rate of wage by trade, use the following Department Labor and Industries websitm |ink: 3. A copy of the applicable prevailing wage rates can be obtained by contacting Lucy Hanley at 360-417-4541 or bvennai|, . A hard copy is available for viewing in person at 1703 South B Street, Port Angeles, WA. 98363. Contract No. LO-I4-O0l Page 38 Rev.2/10/2014 City of Port Angeles ATTACHMENT "D" Engineering Office PERFORMANCE BOND Public Works and Utilities Department & 380-417-4541 RETAINAGE PERFORMANCE and PAYMENT BOND Bond to the City of Port Angeles Bond ft KNOW ALL MEN BY THESE PRESENTS: That we,the undersigned, au Principal,and a corporation,organized and existing under the laws of the State of Washington, oyu surety corporation,and qualified under the laws of the State of Washington to becorne surety upon bonds of contractors with municipal corporations as surety,are jointly and severally held and firmly bound to the City of Port Angeles in the penal sum of $ for the payment of which sum on demand we bind ourselves and our successors, heirs,administrators or personal representatives, am the case may be. This obligation iu entered into pursuant tothe statutes o[the State o[Washington and the ordinances o{the City ofPort Angeles. Dated at ,Washington,this—day uf 128___. The conditions of the above obligation are such that: WHEREAS,the City n[Port Angeles has let orio about to let m the said the above bounded Principal,a certain contract,the said contract being numbered LQ-14-0K01 and providing for 2014–Pole � l\e��(which contract io referred to herein and im made u part hereof uu though attached hort*),and WHEREAS,the said Principal has accepted,or is about to accept,the said contract,and undertake to perform the work therein provided for in the manner and within the time set forth;now,therefore, If the said Principal, ,shall faithfully perform all of the provisions of said contract in the manner and within the time therein set forth,or within such extensions of time as may be granted under said contract,and shall pay all laborers,mechanics,subcontractors and inaterialmen,and all persons who shall supply said Principal or subcontractors with provisions and supplies for the carrying on of said work,and shall indemnify and hold the City nfPort Angeles harmless from any damage or expense hy reason o£failure of performance ua specified io said contract mr from defects appearing ordeveloping in the material or workmanship provided or performed under said contract within a period of one year after its acceptance thereof by the City of Port Angeles,then and io that event,this obligation shall 6c void;but otherwise, d shall 6o and remain io full force and effect. Signed this____day nf , 20___. Surety Principal By By 7k}o Iblo Surety Address Agent Address Surety Contact and Phone Number Agent Contact and Phone Number Contract No. L.()-l4-00l Page 39 Rev.2/10/2014 ESCROW AGREEMENT for RETAINED PERCENTAGE 2014 — Pole Testing, LO-14-001 Escrow No.: City of Port Angeles Contract No. LO-14-001 Completion Date: TO: such instructions shall relieve you of any further liability related thereto. 6. In the event the City orders you,in writing,to reconvert the investments and return all monies,you shall do so within thirty (30)days of receipt of the order. 7. The Contractor agrees to compensate you for your services in THIS ESCROW AGREEMENT is for the investment of the retained accordance with your current published schedule of applicable percentage of the above contract,in accordance with chapter 60.28 of escrow fees. Payment of all fees shall be the sole responsibility the Revised Code of Washington. It is limited to FDIC insured of the Contractor and shall not be deducted from any monies Washington State Chartered Banks who are covered by the State of placed with you pursuant to this agreement until and unless the Washington Public Deposit Protection Act. City directs the release to the Conti-actor of the investments and monies held hereunder,whereupon you shall be entitled to The undersigned, (as"Contractor"),has reimburse yourself from such monies for the entire amount of directed the CITY OF PORT ANGELES(as"City"),to deliver to your fee. you its warrants which shall be payable to you and/or the contractor. 8. This agreement shall not be binding until signed by both parties The warrants are to be held and disposed of by you in accordance and accepted by you. with the following instruction: 9. This document contains the entire agreement between you,the Conti-actor,and the City,with respect to this Escrow,and you INSTRUCTIONS are not a party to,nor bound by any instrument or agreement other than this. You shall not be required to take notice of any 1. Upon delivery the warrants shall be endorsed by you and default or any other matter,nor be bound by nor required to forwarded to the City for collection. You shall use the monies give notice or demand,nor required to take any action whatever to purchase investments selected by the Contractor and except as herein expressly provided. You shall not be liable for approved by the City. You may follow the last written any loss or damage not caused by your own negligence or direction received by you from the Contractor,for each willful misconduct. purchase,provided the direction otherwise confornis with this agreement. Acceptable investments are: CONTRACTOR A. Bills, certificates, notes or bonds of the Federal Tax I.D.No. United States; B. Other obligations of the United States By: or its agencies; Title: C. Obligations of any corporation wholly owned by the Government of the United Address: States; D. Indebtedness of the Federal National Mortgage Association; DATE: E. Time deposits in commercial banks; CITY OF PORT ANGELES F. Other investments, except stocks, selected by the Contractor, subject to By: express prior written consent of the Title: City. 2. The investments shall be in a form which allows you alone to DATE: reconvert them into money if you are required to do so by the City. THE ABOVE ESCROW AGREEMENT RECEIVED AND 3. The investments must mature on or prior to the date set for the ACCEPTED on the day of 20— completion of the contract,including extension there of or thirty(30)days following the final acceptance of the work. BANK 4. When interest on the investments accrues and is paid, you By: shall collect the interest and forward it Title: to the Contractor unless otherwise Address: directed by the Contractor. 5. You are not authorized to deliver to the Contractor all or any part of the investments held by you pursuant to this agreement (or any monies derived from the sale of such investments,or DISTRIBUTION: the negotiation of the City's warrants)except in accordance City Clerk Contractor with the written instructions from the City. Compliance with Financial Institution File Copy Contract No. LO-14-001 Page 40 Rev. 2/10/2014 City of Port Angeles ATTACHMENT "E" Engineering Office FORMS Public Works and Utilities Department 360-417-4541 REQUEST FOR INFORMATION (RFI) FORM PROJECT NAME: PROJECT/CONTRACT NUMBER: ORIGINATOR: Owner Contractor ITEM: REFERENCE DRAWING OR SPECIFICATION: DESCRIPTION OF CLARIFICATION/REQUEST: DATE REPLY REQUESTED: CRITICAL TO SCHEDULE: YES NO ORIGINATOR SIGNATURE: DATE: COMMENTS: RF1 Number: LO-14-001 Page 41 Rev.2/10/2014 City of Port Angeles Public Works and Utilities Department 321 East 5"' Street/Port Angeles, WA 98362 Contract No.&Title I EVIL" Project Manager: Date Change Prime: Prepared Order No. Change Title: Change Scope/Justification: CONTRACT AMOUNT SCHEDULE Original Contract Original Substantial Completion 7Pr,vi7ousChange 70rders Previous Time Extension by Change Order(days)* This Change Order Amount(including Suspension of Work(days) applicable taxes) New Contract Amount Change Order#I Time Extension(days) New Substantial Completion CONTRACTOR: Richard Phillips Marine, Inc CITY OF PORT ANGELES Signature Signature Name&Title Name&Title Date: Date: This Change Proposal shaUepms nt full and complete compensation and final settlement of all Claims for all(`)time;(a)direct,indirect, and overhead costs;(3)profit;and(4)costs or damages associated with delay,inconvenience,disruption of schedule,impact,ripple effect,loss of efficiency or productivity,acceleration of work,lost profits,and/or any other costs or damages related to any work either covered or affected by the Change Proposal,or related to the events giving rise to the Change Proposal. provisions for the type of construction involved. The payments and/or additional time specified and agreed win this order include every claim uythe Conti-actor for any extra payment or extension of time with respect to the work described herein,including delays to the overall project. l.(J-14-001 Page 42 Rev.2/10/2014 CONTRACTOR'S APPLICATION FOR PAYMENT PROJECT 2014—Pole Testing PROJECT NO. LO-14-001 Page I of 2 TO: City of Port Angeles DATE: Public Works&Utilities Department P.O.Box 1150 Port Angeles,WA 98362 FROM: PAYMENT REQUEST NO. PERIOD From: to [end of period]: STATEMENT OF CONTRACT ACCOUNT I Original Contract Amount(Excluding Sales Tax) $ 2 Total Value of Approved Change Order No(s)._ (Excluding Sales Tax) $ 3 Adjusted Contract Amount[1+2] $ 4 Value of Work Completed to Date (per attached breakdown) $ 5 Material Stored on Site(per attached breakdown and material receipts) $ 6 Subtotal [4+5] $ 7 8.4%Sales Tax(at 8.4%of Subtotal),As Applicable $ 8 Less Amount Retained(at 5%of subtotal) $ 9 Subtotal [6+7-8] $ 10 Total Previously Paid $ 11 AMOUNT DUE THIS REQUEST [9-10] $ WAIVER OF CLAIMS FOR EXTRA COST OR TIME: The undersigned Applicant waives and releases, up through the date hereof, any and all claims for costs or item extensions arising out of or relating to extra or changed work or delays or acceleration not specifically identified and reserved in the amounts identified below or previously acknowledged in writing by the City of Port Angeles. CERTIFICATE OF THE CONTRACTOR: I hereby certify that the work performed and the materials supplied through the ending period date noted above represent the actual value of accomplishment under the terms of the contract (and all authorized changes) between the Applicant and the City of Port Angeles, relating to the above referenced project, and that the remaining contract balance is sufficient to cover all costs of completing the work in accordance with the contract documents. Continued on Page 2 LO-14-001 Page 43 Rev.2/10/2014 CONTRACTOR'S APPLICATION FOR PAYMENT Page 2o[2 Ia|eo certify that all lower-tier payments, loam applicable retention,have been made bv the Applicant for the periods covered byprevious payment(s)received by the Applicant 10 (l) all lower-tier mohcoohoc1om/suppliers, and(2) for all materials, equipment and labor used or in connection with the performance of this contract. I further certify that Ibave complied with all federal, state and local tax laws, including Quoiu| Security laws and (Joonzployooezd Compensation laws and VVorkozon`a Compensation laws, insofar as applicable to the performance of this work, and have paid all such taxes, premiums and/or assessments arising out of the perfon-nance of the work. I further certify that, to the best of my knowledge, information and belief, all work for which previous payment(s) have been received shall be free and clear of liens, claims, security interests and encumbrances in favor of the Contractor, subcontractors,material suppliers, or other persons or entities making a claim by reason of having provided labor, nzoiodn|a and equipment relating 10 the work. Within seven(7) days of receipt o[the payment requested herein, all payments, less applicable retention, will hc made through the period covered by this pay request to all my lower-tier subcontractors/suppliers and for all ruu(edola, equipment, labor, taxes and assessments arising out of the performance of all said lower-tire work. I)/\TE[}: CONTRACTOR: 3I(]N/\TlJl0E: � PRINTED NAME AND TITLE: SUBSCRIBED AND SWORN ho before mo this day uf 20____. Notary Public in and for the State of residing at Mv appointment expires APPROVAL: Project Manager [)ate City Engineer I)uto LO-14-001 Page 44 Rev.2/10/2014 CERTIFICATION OF WORK COMPLETION AND ACCEPTANCE PROJECT: PROJECT NO.: All work on the above referenced prnks± has been completed in accordance with the contract documents and the final inspection and the warranty provision included therein or relating thereto. The final estimate in the amount of$ including any applicable taxes, has been reviewed and isin agreement with our records. I further certify that the final estimate amount shown above isa true and correct statement showing all the monies due me from the City of Port Angeles for work performed and material furnished under this contract. City Council acceptance and final payment, including retained percentages, is hereby respectfully requested. , Contractor, hereby releases the City of Port Angeles, Washington, from any and all liens arising out of this Contract or is, herewith, providing a bond covering all unpaid obligations for work, materials, equipment or any other liens outstanding on this Contract. CONTRACTOR: ADDRESS: AUTHORIZED OFFICIAL: DATE: � LO-14-001 Page 45 Rev.2/10/2014 City of Port Angeles ATTACH ME NT "F" Engineering Office QUOTE RECEIVED Public Works and Utilities Department 360-417-4541 Mi-Tech Services, Inc.'s quote attached: LO-14-001 Page 46 Rev.2/10/2014 BID FORM Project Title: Project Number: LO-1 4-0X01 The bidder hereby bids the following amounts for all work (including labor, equipment, time and materials) required to partially excavate, sound, bore, and internally treat wood poles as described in Section 3.1.2 of Attachment A. Total Contract price shall not exceed $50,000. The estimated quantity of Distribution Poles indicated will be increased or reduced to stay within that limit. Bid will be awarded to the Bidder testing the maximum number of poles for $50,000. Unit costs for additional testin will be as determined in the field. BID ITEM DESCRIPTION QTY U NIT COST EXTENDED COST 2 Transmission Poles—Sound, Bore &Treat 134 $45.11 $6,044.74 3 Distribution Poles—Sound, Bore &Treat 539 $43.22 $23,295.58 4 Transmission—Full Excavation 0 $65.22 5 Distribution—Full Excavation 0 $58.22 6 External Below Grade Treatment 0 $7.23 TOTALt $29,340.32 The bidder hereby acknowledges that it has received Addenda No(s). (Enter"N/A" if none were issued) to this Request for Bid package. The name of the bidder submitting this bid and its business phone number and address, to which address all communications concerned with this bid and with the contract shall be sent, are listed below. Any written notices required by the terms of an awarded contract shall be served or mailed to the following address: The bidder represents that it is qualified and possesses sufficient skills to bid on this project and the necessary capabilities to perform the services set forth in this Contract. Information:Contractor K�i'TeohSemicoa'1� Company Name: Inc. 3. Address: 46S Rolling Meadows Dr. 3. City, Sbata, Zip Code: Fond du Lao VN 54937 4. Phone Number: 020'824'3690 5. Contractor Registration Number: K4|TEC5081R&4 8024S77O8 O. UB| Number 7. WA State Industrial | Account Number: 114,654-01 8. WA State Employment S rity Dept. Number: °''^°"°"" S. State Excise Tax Registration Number: 602467 706 Signed by � '��^�^ � Title Printed Name: Date: Project: [O-14-00] P:nc 3 Rev 2/10/2014 NON-COLLUSION AFFIDAVIT STATE OF ) ) COUNTYOF FOD N kk ) The undersiOned, being first duly avvonn on oath, says that the bid herewith submitted is genuine and not sham or collusive bid, or made in the interest or on behalf of any person not therein named; and (s)he further says that the said bidder has not directly or indirectly induced or solicited any bidder on the above work or supplies to put in a sham bid, or any other person or corporation to refrain from bidding; and that said bidder has not in any manner sought by collusion to secure to him/her self an advantage over any other bidder or bidders. Signature of7Fi_dd6r/C&n_t"ractor Subscribed and sworn to before methia5fill day of . 20_/4 Notary Public in and for the J State of Residing at EUJb W1y Comm. Exp.: Project: [()-14-001 Page Rev 2/10/2014 BID SECURITY TRANSMITTAL FORM Herewith find an executed Bid Bond or a deposit in the form of a cashier's check, postal money order orother security in lieu ofe bid bond in the amount of$ """ amount ie not less than five (5Y4) percent of the total bid. ~ SIGN HERE BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, 'as Principal and aa Surety, onahe|dandfirm|y bound unto the CITY {)F PORT ANGELES ae Obligee, in the penal sum of Dollars, for the payment of which the Principal and the Surety bind themselves, their heirs, executors, adminiotnstore, successors and oseigne, jointly ond sevena||y, by these presents. The condition of this obligation is such that if the Obligee shall make any award to the Principal for: Project Title: 2014 Pole Testing Project Number: LD'14-001 according to the terms of the bid made by the Principal, and the Principal shall duly make and enter into a contract with the Obligee in accordance with the terms of said bid and award and ahe|| give bond for the faithful performance thereof, with Surety or Sureties approved by the Obligee; or if the Principal shall, in case of failure so to do, pay and forfeit to the Obligee the penal amount of the deposit specified in the advertisement for bids, then this obligation shall be null and void; otherwise it shall be and remain in full force and effect and the Surety shall forthwith pay and forfeit to the Obligee, as penalty and liquidated damages, the amount of this bond. SIGNED, SEALED AND DATED THIS___day of . 20___. Principal Surety Agent Surety address Agent Address Surety Contact and Phone Number Agent Contact and Phone Number Doted: Received return Vf deposit in the sum of$ Project: [()-14-00] Page Rev 2/10/2014 BID FORM Project Title: Project Number: 1JO44-001 BIDDER: Mi-Tech Services The undereigned, hereinafter called the bidder, declares that the only person(s) interested in this bid are Uloea named herein; that the bid isin all respects fair and without fraud; and that itie made without any connection or collusion with any other person making o bid on this project. The bidder further declares that it has carefully examined the plan, specifications, and contract documents, ' hereinafter referred tnoa the Project K8anua[ fortheuonatructionofthmpropoaedp jeotimprovement(a); thatit has personally inspected the site(s); that it has satisfied itself as to the types and quantities of materials, the types of equipment, the conditions of the work involved, including the fact that the description of and the quantities of work and materials, the types of equipment, the conditions of and the work involved as included herein, are brief and are intended only to indicate the general nature of the work and to identify the said quantities with the corresponding requirements of the Project Manual; and that this bid is made in accordance with the provisions and the terms of the Contract included in the Project Manual. The bidder further agrees that it has exercised its own judgment regarding the interpretation of surface information and has utilized all data which it believes is pertinent from the City Engineer, hereinafter also referred to as the City or Owner, and such other source of information as it determined necessary in arriving at its conclusion. If the bidder is awarded a construction contract on this bid, the name and address of the surety who will provide the performance bond is: ����M������ �w�^���� ������� Surety Agent z'101 Guretyaddreee Agent Address Surety Contact and Phone Number Agent Contact and Phone Number Project: [()-14-001 Page Rev 2/]N2V|4