Pellco Construction, Inc. 6/22/2016

I 3. Payment Bond (DOT Form 272-003A): This form is to be executed by the successful bidder and his surety company in triplicate. The amount of this bond shall be one hundred percent (100%) of the amount of the bid and shall be submitted with the contract. 4. Proof of Insurance: Two (2) Insurance certificates and endorsements shall be obtained and maintained in force in accordance with Section 1-07.18 of the Special Provisions. 5. Power of Attorney: Attorneys-in-fact who sign bonds must file with each bond a certified and effectively dated copy of their Power of Attorney. 6. Statement of Intent to Pay Prevailing Wage (L&I Form 700-29) and Affidavit of Wages Paid (K-700-007-000) from the Contractor, Subcontractor and any agent to the Subcontractor shall be submitted to the Employment Standards Division, State Department of Labor and Industries, Olympia, Washington. 7. Weekly Statement with Respect to Payment of Wages (Form WH347): Contractors, Subcontractors, and agents to Subcontractors using Payroll Form WH347) may use State of Compliance found on back of form. Contractors, Subcontractors, or agents to Subcontractors not using Payroll Form WH347 shall attach the Statement of Compliance Form WH348 to each payroll. Submittal of Certified Payrolls and Statements of Compliance is required for projects utilizing federal funds, or when requested in writing by the Engineer. I I I I I 1 I I 1 I I