HomeMy WebLinkAbout000757 Original Contract . ,
Record #000757
City of Port Angeles
Public Works&Utilities Dept.
Operations Office
l7O3 South 8Street
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Tel:360-417-4541—~~- Fax: 360-452-4972 Request fmr����K�@��
Contract
Contract Title: Fiber Installation at City of Port Angeles Landfill for SCADA Upgrades
Project Number: SW-144015
THIS CONTRACT is entered into the date last below written between the CITY OF PORT ANGELES, WASHINGTON
("CITY") AND\83 ELECTRIC, INC, WASH INGTDN("C(}NTRA[JOR").
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 is to be completed as indicated (check one):
All work under this Contract is to be completed by this date: June 6 m
F-1 All work under this Contract is to be completed 1D_days from the Notice to Proceed. No work is
to be performed prior to written Notice to Proceed by the City.
[—1 The performance period under this Contract commences 5 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 toexceed: $_____
Force Account~Time and actual expenses incurred, not tVexceed:
Force Account~ Unit prices set forth in the Contractor's bid or quote, not to exceed:
E 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 nfmaterials and for constructing and completing
the work provided for in this contract and every part thereof; except as are mentioned in the
specifications to be furnished by the City of Port Angeles.
R. The Contractor shall maintain time and expense records, which may be requested by the City. The contractor
shall submit invoices to the City for payment for work performed. All invoices must reference the City's contract
number. Invoices shall be in a format acceptable bo the City.
C. The City shall pay all invoices from the Contractor by mailing a City warrant within 30 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.
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E. Ifduring the course of the Contract, the work rendered does not meet the requirements set forth inthe
Contract, the Contractor shall correct urmodify the required work to comply with the requirements of this
Contract. The City shall have the right towithhold payment for such work until K meets the requirements of the
Contract Documents.
4. RESPONSIBILITY KDF CONTRACTOR
A. Safety. Contractor shall bake all necessary precautions for the safety ofemployees on the work site and shall
comply with all applicable provisions of federal, state and |Vos| 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 of service may result, such
corrections may be made by the City, in which case the cost shall be borne by the Contnactor, In the event the
Contractor does not accomplish corrections at the time specified, the work will be otherwise accomplished and
the cost of same shall be paid by the Contractor.
C. Warranty. Contractor shall be liable for any costs, losses, expenses or damages 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 of 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 on the
professional judgment of the Contractor tu make appropriate selections.
D. Nondiscrimination/Affirmative Action. 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 h3 post in conspicuous
places, available ho 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 Act on behalf ofsaid
employees, while so engaged, and all claims made by 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 hS the obligation of the City.
S. COMPLIANCE WITH LAWS
The Contractor shall comply with all federal, state and local laws and regulations applicable tV the work done
under this Contract. Any violation of the provisions of this paragraph shall be considered a violation of material
provision of this Contract and shall be grounds for cancellation, termination or suspension of the Contract 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 bv the City.
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`. The City may terminate the Contract and take possession of the premises and all materials thereon and finish
the work by whatever methods it may deem expedient, by giving 10 days written notice to the
Contractor, upon the occurrence of any one or more of the events hereafter Specified.
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 to make prompt payment to subcontractors for material or labor.
5. Contractor persistently disregards federal, state nrlocal 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 [or.
C. In the event this Contract iaterminated 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 in the date of termination. At such time, if the unpaid balance of the amount to be paid under this
Contract exceeds the expense incurred hythe City in finishing the work, and all damages sustained bv the City or
which may be sustained by reason of such refusal, neglect, hsi|una 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 cods 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 by 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 nr other documents or materials given to or prepared or assembled by
the Contractor under this Contract will be kept confidential and shall not be made available toany 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 ho the City within thirty days after the discovery of such damage, expense nr
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. INDEMINIFICATION / 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, |nssaS or suits including attorney fees, arising out ofor in
connection with the performance of this Agreement, except for injuries and damages caused by the sole
negligence of the City.
B. Should court of competent jurisdiction determine that this Agreement is subject to RCW 4.24,115, then, in
the event of liability for damages arising out of bodily injury bopersonsordarnagesbJpropedYraus8dbvor
resulting from the concurrent negligence of the Contractor and the City, its officers, officials, employees, and
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'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/ B}|e|y for the purposes of this indemnification. This
waiver has been mutually negotiated bv the parties. The provisions of this section shall survive the expiration or
termination of this Agreement.
11. INSURANCE
The Contractor shall maintain insurance as set forth in Attachment B.
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 ur (n whole with Federal funds/ Federal wages laws
and regulations shall also be applicable. NO WORKER, LABORER {}R MECHANIC EMPLOYED INTHE
PERFORMANCE OF ANY PART OF THIS CONTRACT SHALL BE PAID LESS THAN THE PREVAILING RATE OF WAGE
as determined by the Industrial Statistician of the 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 to Pay Prevailing Wages on Public Works Contracts" from the Department Vf Labor and Industries.
It is the Contractor's responsibility to obtain and file the "Statement of Intent tO 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 or an on-call contract work order 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 bv the Washington State Department mf Labor and Industries and available from the City VfPort
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 Clallam County, Washington.
14. BRANDS OR EQUAL
When a Speda| "bnand orequa|" is named it shall be construed solely for the purpose ofindicating 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 todo so shall be sufficient reason to disregard the bid.
15. INSPECTION AND REJECTION
All goods, services, work, or materials purchased herein are subject bJ inspection and to approval by the City. Any
rejection of goods, services, work, or materials resulting because of nonconformity to the terms and specifications
of this order, whether held by the City or returned, will be at Contractor's risk and expense.
16. SUBLETTING OR ASSIGNING OF CONTRACTS
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' 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 parties hereto and supersedes all prior negotiations, representations, or agreements, either written
or oral. This contract may be amended, modified nr added toonly by written instrument properly signed by both
parties hereto.
19. SUBCONTRACTOR RESPONSIBILITY
A. 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 of tier.
B. At 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 of subcontract bid submittal, have a certificate of registration in compliance with chapter
18.27 RCVV;
- Have a current state unified business identifier number;
- If applicable, have:
• Industrial insurance coverage for the subcontractor's employees working in Washington as required
in Title 51 RCVV;
• An employment security department number as required in Tile 50 RCVV; and
• A state excise tax registration number as required in Tile 82 HCVV;
• An electrical contractor license, if required by Chapter 19.28 RCVV;
• An elevator contract license, if required bv Chapter 7O.87 RCVV.
- Not b8 disqualified from bidding on any public works contract under RCVV 39.06.010 or39.12.065(3).
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IN WITNESS WHEREOF, the parties have executed this Contract as of 12—, 2014.
V1171 ELECTRIC, INC. CITY OF PORT AN ES
Printed Name: ;2 Printed Name:
Title: Title: L,A-" Vw I-Kjwr
J
Address: (ti,,;,X-
City:
Tax ID #: ';70(o
Phone Number: Purchase Order #: U'VcVA
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City Angeles " �
` . ���������� "��
Engineering Office
WORK BY CONTRACTOR
Public Works and Utilities Department
360-417-4541
The contractor shall do all work and furnish all tools, materials, and equipment in order to 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: Installation of strand fiber cables with armor tape at City of Port Angeles Landfill to
accommodate SCADA Upgrades.
Location: City of Port Angeles Landfill, 3501 West 18 th St, Port Angeles, Washington 98362
Site Point of Contact: LudoBaackat36U-417-47O2.
Work Hours and Schedule: The contractor will be allowed to work from 7 A to PM, Monday through Friday.
Work outside of these hours may be requested from and is at the discretion of the City Engineer.
Permits: None.
Work Requirements: The Contractor shall have all work m
.
1.0 Project Description
This project requires 6 strand fiber cables with armor tape be installed at the City of Port Angeles Landfill to
accommodate S[ADA Upgrades. All newly installed fibers shall be pulled through existing conduits illustrated in
Section 3.0 Drawings. Work shall include installing the 6 strand fiber cable with armor tape from Building A to
Pump Station No.1, Pump Station Nn.2, and the Gas Flare. The Contractor will be fully responsible for installing a
patch panel at Pump Station Nn. 1, Pump Station Nn.2, and the Gas Flare. In addition, once the new PLC's have
been installed (installed by others); the Contractor shall connect the patch cable to the new PLCe. All patch
panels shall be mounted in a NEMA4Xenclosure.
Additional work and requirements include:
1\ Termination of 36 fibers (total) at Building A, Pump Station No. 1, Pump Station No. 2, and Gas Flare.
2\ Optical time domain nef|ectomeier (OTOR) testing of all terminated fibers.
3\ Contractor shall measure and determine the quantity of fiber io be installed. Contractors are invited
to a pre-bid walk through at 2 PM, May Sth where Contractors can measure and determine, 2014
actual footage of fiber necessary to complete work.
4) All fiber shall be 6 Strand fiber, single mode, with armor tape for indoor/outdoor use. Terminate with
ST connectors.
5) All fiber optic cable terminations shall be performed by trained personnel and installed in accordance
with the manufacturer's recommendations, splicing and termination work.
6) Maximum total loss of fiber optic cables fibers shall not be greater than 2.5 db.
7) Active and spare fiber optic cables fibers shall be provided with a breakout kit.
8\ Installation shall be in full compliance with NEC Article 770.
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g\ Post-Installation tests shall include:
A. DTDR: Conduct the following tests on each cable segment with anOTDR each optical
fiber in the fiber cable. Tests shall be conducted atboth 1310 and 1550 nm.
1U) Cable Acceptance criteria shall include:
No splices will be allowed.
OTDR traces at both 1310 nm and 1550 nm wavelengths display no unexplained losses,
reflectance events, or other discontinuities.
The insertion losses measured atboth 1310 nm and 1550 nm wavelengths and in both directions
do not exceed the maximum allowed values. After cable tests, the cable installation shall be
subject to a physical inspection to verify the remaining fiber optic specification requirements have
been met. If any beat requirements are not met, or in the event of fiber test failure of one or
more fibers, the Contractor shall replace cable aG necessary until tests pass.
11) Cable specification:
• Contractor shall provide Optic Cable Corporation (O.C.C.) D series, single mode, 6 stand fiber
with armor tape.
12) Wall Mounts and Rack Mounts:
• The Contractor shall provide all necessary wall mounts and rack mounts to complete the
work. Wall mount enclosure shall include rack with ST connectors. All fibers to be terminated
and connected ho racks at each end.
3.0 Drawings:
Below is a schematic illustrating which locations at the City of Port Angeles Landfill receive the 6 strand fiber with
armor tape.
Schematic
Landfill Gas Pump Station
Flare #1
Pump Station Building A
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City of Port Angeles ATTACHMENT "B"
Engineering Office INSURANCE
Public Works and Utilities Department
360-417-4541
INSURANCE REQUIREMENTS FOR
CONSTRUCTION AND SERVICE CONTRACTS
Includes construction and remodeling,janitorial service, tree maintenance, road maintenance,painting,
electrical work,plumbing, movers, and on site maintenance agreements.
Insurance
The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims
for injuries to persons or damage to property which may arise from or in connection with the
performance of the work hereunder by the Contractor, their agents, representatives, employees or
subcontractors.
No Limitation
Contractor's maintenance of insurance, its scope of coverage and limits as required herein shall not be
construed to limit the liability of the Contractor to the coverage provided by such insurance, or
otherwise limit the City's recourse to any 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) fon-n CA 00 01 or a substitute form
providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide
contractual liability coverage.
2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and
shall cover liability arising from premises, operations, independent contractors, products-
completed 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 11 85 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. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of
Washington.
Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
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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 products-completed 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, self-insurance, or 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 current A.M. Best rating of not less than A: VII.
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 of the work.
F. Subcontractors
The Contractor shall have sole responsibility for determining the insurance coverage and limits required,
if any, to be obtained by 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 of the 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.
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' City nf Port Angeles ATTACHMENT "C"
Engineering Office PREVAILING WAGE '-'--� S
Public Works and Utilities Department
360-417-4541
See attached listing:
l. Washington State Prevailing Wage Rates For Public Works Contracts-Journey Level and Apprentices,
ClollauzCounty, effective March 7, 2014.
2. To access applicable prevailing rate(s)of wages rates for the describe work by trade,use the following Labor
and Industries p/ebokolink:
3. A copy of the applicable prevailing wage rates can be obtain by contacting Lucy Hanley at 360-417-4541 or by
oemail, . /\hard copy ie available for viewing io person u1 321 E. 5 m S1roct, Port Angeles,
WA. 98362.
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City of Port Angeles ATTACHMENT "D"
Engineering Office ADDENDUM
Public Works and Utilities Department
360-417-4541
Addendum 1 attached:
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ADDENDUM NO. 1
TO
PROJECT MANUAL
FOR
Fiber Installation at City of Port Angeles Landfill for SCADA Upgrades
PROJECT NO. SW-14-015
NOTICE TO PROSPECTIVE BIDDERS
Bid Opening May 7,2014
NOTICE IS HEREBY GIVEN that the instructions and requirements of the subject bid are
amended as follows:
The City of Port Angeles will install pull string in the existing conduit for the purpose of
the contractors use.
The Bid Opening date and time has not been changed.
This addendum must be acknowledged in the space provided on the Bid Form in the Project
Manual that is submitted to the City. Failure to do so may result in the proposal being rejected as
non-responsive.
UW(M
C. Pu to I ey, PE
t-
rector of Engineering Service
ect,
Fiber Installation at City of Port Angeles Landfill for SCADA Upgrades
ADDENDUM NO.I
' City of Port ATTACH "
Angeles ������� ��
Engineering Office
QUOTE RECEIVED
Public VVorksand Utilities Depa�ment ^
380-417-4541
\/O Electric, Inc's quote attached
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To:Contract F-moo*of 3 2014-05-07 19:42:08<ohn o Pro—Lance Stafford
QUOTATION FORM
Project Title; I i, �A pg�e
Project Number; W-14-01
The bidder hereby bids the following amounts For all work(including labor, equipment,time
perform kage
and materials)required to the work in the Statement of Work and this package. .. ._:
1. Lump Sum $—A,§1 00
2. Sales Tax(8.4%) $
3. Total Bid $ fl
5,The bidder hereby acknowledges that it has received Addends No(s). , ,.N/A
inter"N/A" if none were Issued)to this Request For Quotation package,
6. 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;
Contrra r
1. Company Name: Vrl Electric Inc
2. Address; 9922.—E-MO-AM-try®r
3. City, State,Zip Code: rskn� ILe�t .
4. Phone Number: „ .._509.434-8 585.
S. Contractor Regloation Number; VTIELE15s.1O ...__._. .,...,...m _._......__ �_.., _
6. UBI Number; 603-142-177
7.WA State Industrial Insurance Account Number;
8.WA State Employment Security Crept Number:
3975 ...0-0__.W.,_.__.............�_.W,.�,....,..,.. �.�.
9. State Excise Tax Registration Number: _ 603-142-177
The bidder represents that It is qualified and possesses sufficient skills and the necessary capabilities
to perform the services set forth in this Contract.
Signed by
Title CEO/President
Printed Name: Lance Stafford
Date 5/7/14
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des Page 9
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