HomeMy WebLinkAbout112717_ca04615 Sheridan Street
Port Townsend, WA 98368
�e�r�rt www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Healt October 9, 2017
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Stuart Whitfield, Environmental Public Health Director
Tami Pokorny, Environmental Public Health Specialist II
DATE: PN • 2-"J ZO
SUBJECT: Agenda Item —Project Agreement with Diggin' It!; Upon Signature — 30 days
from Notice to Proceed; for $28,344 + tax of $2,551 for a total of $30,895
STATEMENT OF ISSUE:
Jefferson County Public Health requests approval of Project Agreement with Diggin' It!; Upon Signature — 30
days from Notice to Proceed; for $28,344 + tax of $2,551 for a total of $30,895.
ANALYSISL STRATEGIC GOAL PRO'S and COWS:
Diggin' It! is retained by the County to provide demolition, decommissioning and removal of all manmade
structures, materials, debris, an RV trailer, and on-site systems located at 280 Fremont Avenue on the Big
Quilcene River floodplain. This is a Public Works -type project paid for by RCO #15-1189 with match
provided by the JC Department of Public Works Quilcene Floodplain Acquisition Account #5533Q.61.000.
Diggin' It! is required to establish and maintain safe access while undertaking the demolition and debris
removal. It will also scarify driveways and other compacted areas, overlay native topsoil, and re -seed and
mulch while protecting the site from erosion. This project is considered essential to the long-term
restoration goals for the Big Quilcene River floodplain.
FISCAL IMPACT COST BENEFIT ANALYSIS:
Funding for the Project Agreement is provided by RCO #15-1189 with match provided by the JC
Department of Public Works Quilcene Floodplain Acquisition Account #5533Q.61.000. There is no impact
to the Jefferson County General Fund for this agreement.
RECOMMENDATION:
JCPH Management recommends BOCC signature of the Project Agreement with Diggin' It!; Upon Signature —
30 days from Notice to Proceed; for $28,344 + tax of $2,551 for a total of $30,895.
REVIEWED ;
Philip Morley, Countydgmi strat
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
////,,�//,7
Date
Always working for a safer and healthier community
Environmental Health
Water Quality
360-385-9444
(f) 360-379-4487
AGREEMENT
Between
JEFFERSON COUNTY, WASHINGTON
And
DIGGIN' IT! OF PORT ANGELES, WASHINGTON
THIS AGREEMENT entered into this —day of 2017, by and between Jefferson County, a
political subdivision and municipal corporation of the State of Washington, hereinafter referred to as
"Jefferson County," and Diggin' It! of Port Townsend, WA 98363, hereinafter referred to as
"Contractor;" in mutual desire of the parties hereto that Contractor should undertake and complete a
certain Public Works Project on behalf of the Jefferson County, described as follows:
Work Order: "280 Fremont Demolition Project"
1. Project Designation. Contractor shall undertake the performance of the said Public Works Project in
Jefferson County, Washington, The Contractor shall provide all equipment and personnel necessary
to A) undertake the work as contemplated by this Agreement and B) complete same in the time frame
contemplated by this Agreement.
2. Scope of Services. Contractor agrees to perform the scope of work identified on Exhibit A, attached
hereto, including the provision of all labor, materials, equipment, and supplies.
3. Time of Performance. Contractor shall commence the work as contemplated by this agreement upon
Notice to Proceed and shall pursue the work diligently and continuously until the project is
completed. All on -the -ground work must be completed within 30 calendar days after written Notice to
Proceed is issued. Should Jefferson County Environmental Public Health determine that the site or
weather conditions are unsuitable for the performance of the Contractor's obligations under this
Agreement, then the Time of Performance will be extended in time by the number of days equal to
the delay.The County shall have sole discretion to determine the length of the delay and shall
promptly convey to Contractor its determination that the delay has ended.
4. Manner of Performina Work. Contractor has examined the site of work and has decided the manner
for performing all necessary labor. Contractor is aware that the work vicinity is a residential
neighborhood and care must be taken to prevent unreasonable disturbance.
5. Character of Materials. Contractor has examined the site of work and has recognized and determined
the character of the materials to be encountered, demolished and removed.
6. Permits. Contractor shall pay for, obtain, and satisfy all necessary permits to undertake the work as
contemplated by this Agreement unless specified otherwise in the bid documents.
7. Agency Notifications, Contractor shall give appropriate notification to all necessary governmental
agencies of its intention to undertake the work contemplated by this Agreement, which notifications
shall be in addition to any other requirements of other said agencies. Contractor shall provide a copy
of such notices to Jefferson County Environmental Public Health.
Diggin' It! — 280 Fremont Demolition Project
8. Contract Price. The Contractor shall be paid by the County for completed work and for services
rendered under this agreement as follows:
a. The Contractor will be reimbursed for all work performed under the terms of this contract.
Payment for the work provided by the Contractor shall not exceed $28,344.00, plus $2,551.00
Washington State Sales Tax, for the completion of this project without a written amendment
signed by both parties to this Agreement.
b. Funding for this contract will be provided by a grant provided by the Washington State
Recreation & Conservation Office (RCO). If funding from RCO is withdrawn, reduced, or limited
in any way after the effective date of this agreement, this contract may be renegotiated or
terminated as provided herein. In the case that the RCO grant amount is reduced for any reason
there shall be no obligation on the part of the County to expend its own funds or incur any
expense in order to return the funding level to the amount listed above in section a.
c. The Contractor may submit invoices to the County not more than once per month, but not less
than quarterly, during the progress of the work for work completed to date. Such invoices will be
checked by the County, and upon approval thereof, payment will be made to the Contractor in the
amount approved.
d. Final payment of any balance due the Contractor of the total contract price earned will be made
promptly upon its ascertainment and verification by the County after the completion of the work
under this agreement and its acceptance by the County.
e. Payment as provided in this section shall be full compensation for work performed, services
rendered and for all materials, supplies, equipment and incidentals necessary to complete the
work.
f. The Contractor's records and accounts pertaining to this agreement are to be kept available for
inspection by representatives of the County and state for a period of six (6) years after final
payments. Copies shall be made available upon request.
9. Ownership and Use of Documents. All documents, drawings, specifications and other materials
produced by the Contractor in connection with the services rendered under this agreement shall be the
property of the County whether the project for which they are made is executed or not. The
Contractor shall be permitted to retain copies, including reproducible copies, of drawings and
specifications for information, reference and use in connection with Contractor's endeavors.
10. Compliance with Laws. Contractor shall, in performing the services contemplated by this agreement,
faithfully observe and comply with all federal, state, and local laws, ordinances and regulations,
applicable to the services to be rendered under this agreement.
11. Indemnification The Contractor agrees to indemnify, defend and hold the County and its departments,
elected and appointed officials, employees, agents and volunteers harmless from and against any and
all claims, damages, losses and expenses, including but not limited to court costs and attorney's fees
or any alternative resolution dispute costs, for any personal injury, any bodily injury, sickness, disease
or death and for any damage to or destruction of any property to the extent caused by any act or
omission of the Contractor, its employees, agents or volunteers.
This indemnification obligation of the Contractor shall not be limited in any way by the Washington
State Industrial Insurance Act, RCW Title 51, or by application of any other worker's compensation
act, disability benefit act or other employee benefit act, and the Contractor hereby expressly waives
any immunity afforded by such acts. The foregoing indemnification obligations of the Contractor
represent a material inducement to the County to enter into this Agreement, are reflected in the
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Contractor's compensation and have been mutually negotiated and agreed to by the parties. The
provisions of this section shall survive the expiration or termination of this Agreement.
12. Insurance. The Prior to commencing work, the Contractor shall obtain at its own cost and expense the
following insurance from companies licensed in the State with a Best's rating of no less than A:VII.
The Contractor shall provide to the County Risk Manager certificates of insurance with original
endorsements affecting insurance required by this clause prior to the commencement of work to be
performed.
The insurance policies required shall provide that thirty ( 30) days prior to cancellation, suspension,
reduction or material change in the policy, notice of same shall be given to the County Risk Manager
by registered mail, return receipt requested, for all of the following stated insurance policies.
If any of the insurance requirements are not complied with at the renewal date of the insurance policy,
payments to the Contractor shall be withheld until all such requirements have been met, or at the
option of the County, the County may pay the renewal premium and withhold such payments from
the moneys due the Contractor.
All notices shall name the Contractor and identify the agreement by contract number or some other
form of identification necessary to inform the County of the particular contract affected.
a. Workers Compensation and Employers Liability Insurance. The Contractor shall procure and
maintain for the life of the contract, Workers Compensation Insurance, including Employers
Liability Coverage, in accordance with the laws of the State of Washington.
b. General Liability (1) - with a minimum limit per occurrence of one million dollars
($1,000,000) and an aggregate of not less than two million dollars ($ 2,000,000) for bodily
injury, death and property damage unless otherwise specified in the contract specifications.
This insurance coverage shall contain no limitations on the scope of the protection provided
and indicate on the certificate of insurance the following coverage:
i. Broad Form Property Damage with no employee exclusion;
ii. Personal Injury Liability, including extended bodily injury;
iii. Broad Form Contractual/Commercial Liability including completed operations
(contractors only);
iv. Premises - Operations Liability (M&C);
v. Independent Contractors and Subcontractors; and
vi. Blanket Contractual Liability.
(1) Note: The County shall be named as an additional insured party under this policy.
c. Automobile (2) -with a minimum limit per occurrence of $1, 000,000 for bodily injury, death
and property damage unless otherwise specified in the contract specifications. This insurance
shall indicate on the certificate of insurance the following coverage:
i. Owned automobiles;
ii. Hired automobiles; and,
iii. Non -owned automobiles.
(2) Note: The County shall be named as an additional insured party under this policy.
Any deductibles or self-insured retention shall be declared to and approved by the County prior to the
approval of the contract by the County. At the option of the County, the insurer shall reduce or
eliminate deductibles or self-insured retention or The Contractor shall procure a bond guaranteeing
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payment of losses and related investigations, claim administration and defense expenses.
The Contractor shall include all subcontractors as insured under its insurance policies or shall furnish
separate certificates and endorsements for each subcontractor. All insurance provisions for
subcontractors shall be subject to all of the requirements stated herein.
Failure of The Contractor to take out and/ or maintain any required insurance shall not relieve The
Contractor from any liability under the Agreement, nor shall the insurance requirements be construed
to conflict with or otherwise limit the obligations concerning indemnification.
It is agreed by the parties that insurers shall have no right of recovery or subrogation against the
County (including its employees and other agents and agencies), it being the intention of the parties
that the insurance policies so affected shall protect both parties and be primary coverage for any and
all losses covered by the above described insurance. It is further agreed by the parties that insurance
companies issuing the policy or policies shall have no recourse against the County including its
employees and other agents and agencies) for payment of any premiums or for assessments under any
form of policy. It is further agreed by the parties that any and all deductibles in the above described
insurance policies shall be assumed by and be at the sole risk of the Contractor.
It is agreed by the parties that judgments for which the County may be liable, in excess of insured
amounts provided herein, or any portion thereof, may be withheld from payment due, or to become
due, to The Contractor until such time as the Contractor shall furnish additional security covering
such judgment as may be determined by the County.
The County reserves the right to request additional insurance on an individual basis for extra
hazardous contracts and specific service agreements.
Any coverage for third party liability claims provided to the County by a " Risk Pool" created
pursuant to Ch.48.62 RCW shall be non-contributory with respect to any policy of insurance the
Consultant must provide in order to comply with this Agreement.
If the proof of insurance or certificate of coverage indicating the County is an " additional insured" to
a policy obtained by the Consultant refers to an endorsement (by number or name) but does not
provide the full text of that endorsement, then it shall be the obligation of the Consultant to obtain the
full text of that endorsement and forward that full text to the County within 30 days of the execution
of this Agreement.
The County may, upon the Consultant' s failure to comply with all provisions of this contract relating
to insurance, withhold payment or compensation that would otherwise be due to the Consultant.
13. Prevailing Wage. It is the sole responsibility of Contractor to assign the appropriate classifications to
all laborers, workmen or mechanics performing any work pursuant to any Public Works Contract and
for the Contractor to ascertain and pay the applicable prevailing wage rates and fringe benefits for
each such classification as of the bid submittal deadline as well as any costs for Intents & Affidavits
as required by the Washington State Department of Labor & Industries except as specified in Section
15. Current prevailing wage data shall be obtained by Contractor from the Industrial Statistician of
the Department of Labor and Industries, Prevailing Wage Office, P.O. Box 44540, Olympia,
Washington 98504-4540, PH: (360) 902-5335 or (855) 545-8163 toll-free, or from their website at:
l�ltl�ti:'lli�rtress.�va�/liil�Gaclc�aktrG�,'l�rvl�'t�gclos�kG�.p.s+5 jx as published on September 25, 2017 for
Jefferson County. The Contractor must post the Statement of Intent to Pay Prevailing Wages in a
location readily visible to workers at the job site.
14. Performance Bond and Labor & Material Payment Bonds. Prior to execution of the contract,
Contractor shall furnish Performance and Labor & Material Payment Bonds covering the faithful
performance of the contract and the payment of all obligations arising thereunder in such form
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approved by the Owner and in the amount of one hundred percent (100%) of the contract. The bidder
shall require the attorney -of -fact who executes the required bonds on behalf of the surety to affix
thereto a certified and current copy of this power-of-attorney indicating the monetary limit of such
power.
For contracts under $35,000 (including sales tax), in lieu of a performance bond, Contractor may
provide written and signed request to have Jefferson County retain 50% of the contract price for 30
days following completion of all work or receipt of all necessary releases from the Department of
Revenue, the Department of Labor and Industries, and settlement of any liens filed under chapter
60.28 RCW, whichever is later.
For work that has no subcontractors and is $2,499.99 or less (including WSST), Jefferson County will
file a combined Intent/Affidavit form signed by Contractor following completion of the work (this
eliminates the $80.00 filing fee). Payment will be made in a single payment following completion of
the work to Jefferson County's satisfaction and receipt of the signed combined Intent/Affidavit form.
15. Inde endent Contractor. The Contractor and the County agree that the Contractor is an independent
contractor with respect to the services provided pursuant to this agreement. Nothing in this agreement
shall be considered to create the relationship of employer and employee between the parties hereto.
Neither Contractor nor any employee of Contractor shall be entitled to any benefits accorded County
employees by virtue of the services provided under this agreement. The County shall not be
responsible for withholding or otherwise deducting federal income tax or social security or for
contributing to the state industrial insurance program, or otherwise assuming the duties of an
employer with respect to Contractor, or any employee of Contractor.
16. Assignment and Subcontracting. Contractor shall not assign this Agreement or any interest therein
nor subcontract the whole or any portion of the work contemplated by this Agreement, nor may any
interest hereunder be assigned or transferable by operation of law, or by any process or proceedings
of any court or otherwise, without the prior written consent of Jefferson County. Contractor shall,
when intending to use subcontractors, provide Jefferson County with a Payment Bond as well as the
list of the proposed subcontractors to be used to Jefferson County for approval prior to any
subcontracting.
17. Subcontractor Responsibility.
A. Contractor shall include the language of this section and the provisions of Section 14 above in
each of its first tier subcontracts, and shall require each of its subcontractors to include the same
language of this section in each of their subcontracts, adjusting only as necessary the terms used for
the contracting parties. Upon request, Contractor shall promptly provide documentation to
Environmental Health demonstrating that the subcontractor meets the subcontractor responsibility
criteria below and the insurance requirements imposed on the Contractor by Section 14 above. 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:
a. Have a current certificate of registration as a contractor in compliance with chapter 18.27
RCW, which must have been in effect at the time of bid submittal;
b. Have a current Washington Unified Business Identifier (UBI) number;
c. If applicable:
i. Have Industrial Insurance coverage (workers' compensation)
coverage for the bidder's employees working in Washington
as required in Title 51 RCW;
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ii. Have a Washington Employment Security Department
number as required in Title 50 RCW; and
iii. Have a Washington Department of Revenue state excise tax
registration number as required in Title 82 RCW;
iv. An electrical contractor license, if required by Chapter 19.28
RCW;
v. An elevator contractor license, if required by Chapter 70.87
RCW.
vi. Not be disqualified from bidding on any public works contract under RCW
39.06.010 or 39.12.065(3);
18. Non -Waiver of Breach. Failure of Jefferson County to insist upon the strict performance of any of the
covenants of this Agreement or failure to exercise any option herein conferred in any one or more
instances shall not be construed to be a waiver or relinquishment of any other covenant of this
Agreement or any subsequent default of same covenant or condition.
19. Insolvency. If Contractor shall file a petition in bankruptcy, or if the Contractor shall be adjudged
bankrupt or insolvent by any court, or if a receiver of the property of Contractor shall be appointed in
any proceeding brought by or against Contractor, or if Contractor shall make an assignment form
benefit of creditors, Jefferson County may, at its option, terminate this Agreement at any time.
20. Termination for Default. Time is of the essence of this Agreement. In the event Contractor shall fail
to keep and perform any of the covenants or conditions of this Agreement contained, or should
Contractor for any reason be unwilling or unable to carry out said Agreement, then Jefferson County
may cancel this Agreement upon giving Contractor ten (10) days' notice in writing.
21. Notices. Notices to the County of Jefferson shall be sent to the following address:
Tami Pokorny, Environmental Health Specialist, Project Manager
Jefferson County Environmental Public Health
615 Sheridan Street
Port Townsend, WA 98368
Ph: 360/379-4498
Email: tpokorny@co.jefferson.wa.us
Notices to Consultant shall be sent to the following address:
Trudy Robbins, Managing Member
Diggin' It!
2447 Edgewood Drive
Port Angeles, WA 98363
Ph: 360/460-8045
Email: digginit78@gmail.com
22. Attorney Fees for Breach. In the event of a breach of the contract by either party, the breaching party
shall be liable to the non -breaching party for all damages sustained as a result thereof including
consequential damages, reasonable legal expenses incurred, expert witness fees and any costs of suit.
23. Discrimination Prohibited. The Contractor, with regard to the work performed by it under this
agreement, will not discriminate on the grounds of race, color, national origin, religion, creed, age,
sex, or the presence of any physical or sensory handicap in the selection and retention of employees
or procurement of materials or supplies.
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24, Integrated Agreement. This Agreement represent the entire and integrated agreement between the
County and the Contractor and supersedes all prior negotiations, representations, or agreements
written or oral. This agreement may be amended only by written instrument signed by both the
County and Contractor.
25. Authority to Execute A rgreement. Contractor has authorized the person signing this Contract on its
behalf to sign this Agreement and to bind the Contractor to all the terms and conditions listed herein.
DATED this day of
Trudy Robbins,lManaeing_Member
Name of Consultant
(Signature)
UBI #603 566 161
Contractor's License #DIGGII847BM
WA Employment Security
Department #560968-00-0
Date
M
Attest, Clerk of the Board
2017
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
Kathleen Kier, Chairwoman
Approved as l 1' mi ly;
Philip f IunsLicker Date
Deputy Prosecuting Attorney
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Diggin' It! — 280 Fremont Demolition Project
Exhibit A
Scope of Work
This project involves one location:
280 Fremont Ave. (Big Quilcene Floodplain)
Establish and maintain safe access and traffic control, demolish, remove or decommission, and haul to an
approved waste site, all manmade structures, materials, debris and on-site systems located on each site,
scarify driveway, parking areas, and other compacted areas, and re -seed and mulch while protecting the
site from erosion such that:
• Reasonable access is established. Vehicle, pedestrian and nearby property owner safety is
assured. Roads are restored to original condition after work is completed.
• Any necessary permits and authorizations from Jefferson County Public Works and utility
providers are obtained. Demolition permit has been received by Environmental Health.
• All existing utility connections are safely located, discontinued, disconnected and removed.
• All power poles and buried utilities are protected from damage.
• Remains of all structures, concrete, lumber, beams, appliances and man-made debris, household
waste, "Komfort" RV trailer, and all litter are removed and disposed of properly. The wellhead
casing is to remain intact while the surrounding building and slab are removed.
• On-site system and RV tank is to be pumped by a Jefferson County Public Health -certified
pumper and then abandoned consistent with WAC 246-272A-0300.
• Any and all roadside culverts, surface drains, and driveway entrances are removed and the ground
re-contoured to match the existing ditches.
• Any spoils from the roadside ditches are used to bring the existing grades under the demolished
or removed buildings to be level with the adjacent present grades.
• Existing trees are protected from damage to the extent feasible.
• There is no trespassing onto adjacent private properties.
• Driveways, parking areas, and other areas devoid of vegetation are ripped to a depth of at least
twelve inches and native soil is used to cover previously compacted soils and gravel to a depth of
six inches.
• All disturbed areas are finely graded or raked in preparation for seeding and mulching beginning
at the far end of the property and working back towards the entrance to the property in order to
minimize compaction.
• All disturbed areas are re -seeded with a mixture of weed -free native grasses and overlain with
generous quantities of clean straw. Grass seed mix is to be approved in advance by Jefferson
County.
• The final project site is clean and tree of litter and manmade materials, essentially level, seeded
and controlled for erosion, and ready for replanting with bare root seedlings.
The Contractor shall provide all labor, materials, tools, equipment, transportation and services and shall
perform all work required for executing the Contract in a satisfactory and professional manner to provide
a complete project. Care shall be taken to minimize disturbance to nearby property owners while work is
in progress. Work schedules and access shall be coordinated through Jefferson County Environmental
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Health. Work may be suspended by the County at any time due to rain or adverse soil conditions. Vehicle
and equipment parking on-site during the project is at the owner's own risk.
Solid waste removed from the site shall be disposed of at the Jefferson County Transfer Station in Port
Townsend or the Kitsap County Olympic View Transfer Station. Materials shall not be dumped at the
Jefferson County transfer station located in Quilcene. Household hazardous waste, such as paint, solvent,
etc., which must be disposed of at the Jefferson or Kitsap County Moderate Risk Waste Facility. The
Contractor shal l provide receipts as proof that all materials have been disposed of in an acceptable
manner.
The Contractor shall be responsible for any and all dump or tipping fees incurred including fees at all
County facilities (i.e. the Transfer Stations and the Moderate Risk Waste Facilities located in Jefferson or
Kitsap County). Burning of materials by the contractor (either on- or off-site) is not allowed by
Washington State law, unless conducted by a Fire Department as a training fire, subject to all applicable
permits and regulations. No such training fire will be conducted as part of this project.
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CERTIFICATION REGARDING
DEBARMENT, SUSPENSION, INELIGIBILITY, AND VOLUNTARY EXCLUSION
The Contractor certifies to the best of its knowledge and belief, that it and its principals:
(1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any Federal department or agency;
(2) Have not within a 3 -year period preceding this proposal been convicted of or had a civil judgment
rendered against them for commission of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or
contract under a public transaction; violation of Federal or State antitrust statutes or commission
of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
(3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity
(Federal, State, or local) with commission of any of the offenses enumerated in paragraph (2) of
this certification; and
(4) Have not within a 3 -year period preceding this contract had one or more public transactions
(Federal, State, or local) terminated for cause or default.
Where the Contractor is unable to certify to any of the statements in this certification, such Contractor
shall attach an explanation.
Name of Contractor (Please print)
Name and Title of Authorized Representative (Please print)
Signature of Authorize Representative
❑ I am unable to certify to the above statement. An explanation is attached.
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CONTRACTOR'S DECLARATION OF OPTION FOR CONTRACTS
FOR LESS THAN $35,000
A. A Contract Performance Bond will be provided as required.
Date Signed
B. In lieu of providing a Contract Performance Bond, the County will withhold 50% of the Contract
amount.
Date Signed
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Diggin' It! – 280 Fremont Demolition Project
CONTRACT PERFORMANCE BOND
JEFFERSON COUNTY, WASHINGTON
KNOW ALL MEN BY THESE PRESENTS:
That
as Principal, and
COUNTY OF JEFFERSON, the penal sum of
of
as Surety, are jointly and severally held and bound unto the
Dollars ($)_for the payment of
which we jointly and severally bind ourselves, or heirs, executors, administrators, and assigns, and successors and
assigns, firmly by these presents.
The condition of this bond is such that WHEREAS, on the day of , A.D., 2009,—the said
Principal herein, executed a certain contract with the County of Jefferson, by
the terms, conditions and provisions of which contract the said Principal herewith,
agrees to furnish all materials and do certain work, to -wit: That the said Principal herein will undertake and complete
the following described work:
, in Jefferson County,
Washington, as per maps, plans and specifications made a part of said contract, which contract as so executed, is
hereunto attached, and is now referred to and by this reference is incorporated herein and made a part hereof as full for
all purposes as if here set forth at length.
NOW THEREFORE, if the Principal herein shall faithfully and truly observe and comply with the terms,
conditions and provisions of said contract, in all respects and shall well and truly and fully do and perform all matters
and things by the said Principal undertaken to be perfonned under said contract, upon the terms proposed therein, and
within the time prescribed therein, and until the same is accepted, and shall pay all laborers, mechanics, subcontractors
and materialmen, and all persons who shall supply such contractor or subcontractor with provisions and supplies for
the carrying on of such work, and shall in all respects faithfully perform said contract according to law, then this
obligation to be void, otherwise to remain in full force and effect.
WITNESS our hands this day of , 20—
PRINCIPAL
APPROVED AS TO FORM ONLY this
day of .20--..
Prosecuting Attorney
SURETY COMPANY
By: T
Attorney-in-fact
Address of local office and agent
of surety company:
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CONTRACTOR'S DECLARATION OF OPTION FOR MANAGEMENT OF
STATUTORY RETAINED PERCENTAGE
A. I hereby elect to have the retained percentage of this contract held in a fund by the Owner until
(30) days following final acceptance of the work.
Date Signed
B. I hereby elect to have the Owner deposit the retained percentage of this contract in an interest
bearing account, not subject to withdrawal until after final acceptance of the work.
Date Signed
C. I hereby elect to have the Owner invest the retained percentage of this contract from time to time
as such retained percentage accrues.
I hereby designate
said funds.
as the repository for the escrow of
I hereby further agree to be fully responsible for payment of all costs or fees incurred as a result of
placing said retained percentage in escrow and investing it as authorized by statute. The Owner shall not
be liable in any way for any costs or fees in connection therewith.
Date
Signed
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