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CITY OF EVERETT, WASHINGTON <br />CONTRACT PROVISIONS FOR <br />WORK ORDER NO.: PW 3842 <br />FEDERAL AID NO.: NHPP-2776(011) <br />2025 FEDERAL OVERLAY, W MUKILTEO BLVD GLENWOOD AVE TO DOGWOOD DR <br />iii INSTRUCTIONS TO BIDDERS <br />WORK ORDER #3842 April 15, 2025 FEDERAL AID# NHPP-2776(011) <br />INSTRUCTIONS TO BIDDERS <br />FOR FEDERAL-AID PROJECTS <br />1.0 Design Engineer <br />Questions and inquiries about these Contract Provisions should be directed to the attention of <br />Gina Loring, (425) 257-7290 or gloring@everettwa.gov. <br />2.0 Bidders Check List <br />The bidders attention is directed to the following City-provided forms which must be executed <br />in full and submitted with the bid as required. Online fill-able forms may be downloaded from <br />https://www.wsdot.wa.gov/forms/pdfForms.html, exact form number and revision date must be <br />used: <br />1.Proposal: The lump sum and unit price items must be shown in the space provided. Show <br />unit prices in figures. <br />2.Proposal Signature Sheet: To be filled in and signed by the Bidder. <br />3.Local Agency Subcontractor List (DOT Form 271-15A Rev 06/2020): To be filled in by the <br />Bidder. <br />4.Local Agency Certification for Federal-Aid Contracts (DOT Form 272-040A Rev 07/2011): <br />To be submitted with the bid. <br />5. Local Agency Non-Collusion Declaration (DOT Form 272-036I Rev 07/2011): To be <br />submitted with the bid. <br />6.Bid Bond: This form provided by the City is to be executed by the Bidder and the surety <br />company unless bid is accompanied by a certified check or cashiers check. The amount <br />of this bond shall be not less than five percent (5%) of the total amount bid and may be <br />shown in dollars or on a percentage basis. Cash will not be accepted. <br />7.Disadvantaged Business Enterprise Utilization Certification (DOT Form 272-056 Rev <br />12/2021): To be filled in and signed by the bidder (if DBE goal is assigned.) <br />8.Disadvantaged Business Enterprise (DBE) Written Confirmation Document (DOT Form <br />422-031 Rev 07/2016): To be filled in and signed by DBEs (if DBE goal is assigned.) <br />9.Disadvantaged Business Enterprise (DBE) Bid Item Breakdown Form (DOT Form 272-054 <br />Rev 09/2020): To be filled in by Bidder (if DBE goal is assigned.) <br />10.Disadvantaged Business Enterprise (DBE) Trucking Credit Form (DOT Form 422-058 Rev <br />09/2020): To be filled in and signed by DBE Trucking Firms (if DBE goal is assigned.) <br />11.Proposal for Incorporating Recycled Materials into the Project: To be filled in and signed <br />by the Bidder. (http://www.wsdot.wa.gov/partners/apwa/recycledmatsbidform.pdf) <br />Failure to complete the aforementioned forms and to submit them with the bid as required may <br />be due cause for rejection of bid.