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waiver has been mutually negotiated by 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 to Chapters 39.12 and 49.28 RCW, amendments thereto and regulations issued
thereunder, relating to prevailing wages, benefits and other requirements. Workers shall receive no less than the
prevailing rate of wage. Bidders shall examine and be familiar with such requirements. No claim for additional
compensation will be allowed which is based upon a lack of knowledge or a misunderstanding of any such
requirements by the Bidder or a failure to include in Bidder's price adequate increases in such wages during the
performance of this Contract, The Contractor is advised to consult the Washington State Department of Labor
and Industries to determine the prevailing wages that must be paid.
This public works project is being done in Clallarn County. Washington State wage determinations for Clallarn
County Journeymen and Apprentices can be found at:
b=s—.-IJLQ-qLP,5s.,Ap-,,g-gy-lln-iLwaaelookur)/DrvWagel,00kup.asp
https:/Ifortress,wa.giovl'lni/waceigoL up ceWVLaggLoD_kV s2x
L _AppLer1ffij_ _a&_ _
Use the applicable wage determinations effective on the bid due date.
A copy of the applicable wage rates is available for viewing at the Port Angeles Public Works and Utilities
Contracts Office. In addition, this agency will mail a hard copy of the applicable wage rates upon request.
For a contract award under $2,500, and in accordance with RCW 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 ands 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 Clallarn County, Washington.
14. BRANDS OR EQUAL
When a special "brand or equal""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 of equal quality, performance, or use specified must be represented as an
alternate and not as an equal, and failure to do so shall be sufficient reason to dlisregard the bid.
15. INSPECTION AND RE3ECTION
All goods, services, work, or materials purchased herein are subject to inspection and to approval by the City. Any
rejection of goods, services, work, or materials resulting use 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
Project CON-2017-42 Page 4 [FORM REVISED 7/2017]
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 parties 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
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 RCW;
- 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 RCW;
• An employment security department number as required in Tile 50 RCW; and
• A state excise tax registration number as required in Tile 82 RCW;
• An electrical contractor license, if required by Chapter 19.28 RCW;
• An elevator contract license, if required by Chapter 70.87 RCW.
- Not be disqualified from bidding on any public works contract under RCW 39.06.010 or 39.12.065(3).
Project CON-2017-42 Page 5 [FORM REVISED 7/20171
IN WITNESS WHEREOF, the parties have executed this Contract as of the date of the last signature affixed
below.
STRIPE INC. CITY OF PORT ANGELES
B �7..
Printed Name. c Printed Name:
Date: Titleu �
'ti e l- '7
Date: z 7
Title: . ��` '�
Address
Tax ID
Phone Number:
Project CON-2017-42 Page 6 [FORM REVISED 7/2017]
City of Port Angers ATTACHMENT "A"
Engineering Office WORK BY CONTRACTOR
Works and Utilities Department
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: Inst ll and remove pavement markings, -symbols and sign5 per attached Drawing C-1
Location: Base Bid: Marine Drive at Pump Station 4 314 Marine [give Port Angeles, WA 2
Additive Bi 1: Railroad Avenue in front Black Ball Fen Terminal
Site Point of Contact: Jeff Bender at 360-417-4809.
Work Hours and Schedule: The Contractor will be allowed to work from 7:00 AM to 4:00 PM, Monday through
Pri , excluding all legal holidays. Work outside of these hours may be requested from and is at the discretion of
the City Engineer.
Permits: None.
Work Requirements:
1.0 Project Description
Install pavement striping, markings, symbols, and signs and remove pavement striping per attached
Drawing C-1.
2.0 Standard Specifications
ons
This contract incorporates Division 1 of the Washington State Department of Transportation's 2016
Standard Specifications for Road, Bridge and Municipal Construction referred to herein as the Standard
Specifications and the City ofPortAngeles Urban Services Standards and Guidelines(current edition).
3.0 Drawing:
The following listed drawing is part of this Contract:
C-1 Marine Drive Bike Lane Striping
Project CON-2017-42 Page 7 [FORM REVISED 7/20171
City at Part Angeles ATTACHMENT "B"
Engineering Office
Public Works and utilities Department INSURANCE
INSURANCE REQUIREMENTS FOR
CONSTRUCTION AND SERVICE CONTRACTS
hicludes construction sand rencodeling,janitorial svi-vice, tree maintenance, road maintenance,lxaintingx,
electrical%vorlc,phanbing, 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 awned,non-owned, hired and leased vehicles.
Coverage shall be written on Insurance Services Office(ISO) form CA 00 01 ora 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' ComyensGation coverage as required by the Industrial Insurance laws of the State of
Washington.
Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
Project CON-2017-42 Page 8 [FORM REVISED 7/20171
I. 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: VIL
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.
1 . 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 front the City.
Project CON-201.7-42 Page 9 [FORM REVISED 7/20171
City of Fort Angeles ATTACHMENT "C"
Engineering Office
Public Works and Utilities Department C`1 Drawing
Prgject CON-2017-42 Page 10 It''ORM REVISED 7/20171
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City of Port Angeles ATTACHMENT "D"
Engineering Office Awarded Bid
Public Works and Utilities Department
Project CON-2017-42 Page 11 [FORM REVISED 7/20171
i
QUOTATION (FORM (page 1 of 2)
t Project Title: Marine Drive Bike Lane Striping Project Number: CON-2017-42
i
The bidder hereby bids the following amounts for all work (including labor, equipment, time
and materials) required to perform the work in the Statement of Work and this package.
1. BASE BID–Marine Drive at F'ump Station 4
Lump Sum 6750
Sales"Tax(8.4%) 567
TOTAL:BASE BID 7 307/17
2. ADDITIVE BID 1 –Railroad Avenue in front of Black Ball Ferry"Germinal
Lump Sum
Sales'Tax(8.4'0) /S w yQ
TOTAL:ADDITIVE BID 1 oos—%o
Base Bid+Additive 1 Total 5 -`0
Note:Additive Bid 1 shall be awarded in addition to the Base Bid at the sole discretion of the City. Awarding of
Additive Bid 1 is dependent on fund availability.
3.The bidder hereby acknowledges that it has received Addenda No(s). /
Enter"NIX if none were issued to this Request for Quotation package,
4. 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:
Contractor Information:
1. Company Name: ...w. .�_ � _ _.n
2.Address:
3. City, State, Zip Code d _ � c 1 ?s"8 c
4. Phone Number:
S. Contractor Registration Number:
6. UBI Number: ._ _ . �.
Project: CON-2017-42 Page REVISED 7/20171
I
QUOTATION FORM (page 2 of 2)
7, WA State Industrial Insurance Account Number:
i
& WA State Employment Security rept Number: _ l
S. State Excise Tax Registration Number:
The bidder represents that it is qualified and possesses sufficient skills and the necessary capabilities
to perforin the services se i th' Con ac .
Signed by:.
Printed Name:
Title:
Date:
Project: CON-2017-42 Page 4 [FORM REVISED 7/2017)
R'E'AM
Certification of Compliance with Wage Payment Statutes
The bidder hereby certifies that, within the three-year period immediately preceding
the bid solicitation date, August 7, 2017, the bidder is not a "willful" violator, as defined in RCW
49.48.082, of any provision of chapters 49.46, 49.48, or 49.52 RCW, as determined by a final and
binding citation and notice of assessment issued by the Department of Labor and Industries or through
a civil judgment entered by a court of limited or general jurisdiction.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
1�
Y_
Bid i ess e
Signature of,Authorized Lfficial*
Printed Name
Title
e-D
Date City State
Check One:
Sole Proprietorship 0 Partnership 0 Joint Venture 0 Corporation I
)AI
State of Incorporation, or if not a corporation, State where business entity was formed:
if a co-partnership, give firm name under which business is transacted:
if a corporation,proposal must be executed in the corporate name by the president or vice-president(or any
other corporate officer accompanied by evidence of authority to sign). If a co-partnership,proposal must be
executed by a partner.
Project: CON-2017-42 Page 5 (FORM REVISED 712017]