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DC WATERIFB # 140160 – G100: LOCAL SEWER REHABILITATION 1 JANUARY 6, 2015

ADDENDUM NO. 200 90 02 -

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DISTRICT OF COLUMBIA

WATER AND SEWER AUTHORITY

INVITATION NO. 140160

DATE: JANUARY 6, 2015

TO: PROSPECTIVE BIDDERS

SUBJECT: ADDENDUM NO. 02

REFERENCE: G100: LOCAL SEWER REHABILITATION 1

Bidders shall acknowledge receipt of this Addendum on the Bid Form. Failure to do so may result in the rejection of the bid.

This Addendum is hereby included in and made a part of the Contract Documents.

This Addendum is being provided to all registered planholders.

All requirements of the original Project Specifications, Drawings and any previous Addenda shall remain in force except as amended by this addendum.

Addendum No. 2 consists of: Six (6) pages of text

Twenty-two (22) pages of attachments=============================================================================

The following corrections, changes, additions, deletions, revisions, and/or clarifications are hereby made a part of the Contract Documents for the above referenced project. In case of conflicts between this Addendum and previous issued Documents, this Addendum shall have precedence.

Bid date shall be January 21, 2015 at 2:00 pm as noted in Addendum No. 1.

Bidders shall make the following change to all pertinent sheets, pages, and paragraphs of the bid proposal, plans, specifications and other Contract Documents and take same into full consideration in arriving at the prices bid.

MBE/WBE PARTICIPATION:1. On the Project Manual Covers (Specifications & Bid Forms/ Bidder’s Submittal Packet) delete, “BIDS FOR THIS

PROJECT WILL BE PROCURED IN THE OPEN MARKET IN ACCORDANCE WITH THE PROVISIONS OF THE DC WATER BUSINESS DEVELOPMENT PLAN TO ENCOURAGE PARTICIPATION AND UTILIZATION OF CERTIFIED LOCAL BUSINESS ENTERPRISES AND CERTIFIED LOCAL SMALL



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BUSINESS ENTERPRISES.” and replace with “BIDS FOR THIS PROJECT WILL BE PROCURED IN THE OPEN MARKET AND THE CONTRACT WILL BE SUBJECT TO ALL FEDERAL REQUIREMENTS, INCLUSIVE OF THE EPA DISADVANTAGED BUSINESS ENTERPRISE (DBE) PROGRAM. A FAIR SHARE OBJECTIVE FOR MINORITY AND WOMEN BUSINESS ENTERPRISES PARTICIPATION IN THIS WORK OF 32% AND 6%, RESPECTIVELY, HAS BEEN ESTABLISHED.”

CHANGES TO CONTRACT DOCUMENTS2. SECTION 00 01 10: TABLE OF CONTENTS

Remove the existing section 00 01 10 in its entirety, and insert the new, attached section 00 01 10 into the Project Manuals (Specifications and Bid Forms)

3. SECTION 00 20 00 INSTRUCTIONS TO BIDDERS

In the Project Manuals (Specifications and Bid Forms) Delete Article 32 in its entirety and replace it with the following Article 31:

ARTICLE 31 SUBCONTRACTING GOALS (MBE & WBE)

§ 31.1 The resulting contract may be funded in part by the United States Government. Accordingly, this contract will be subject to all pertinent Federal requirements, inclusive of the new EPA Disadvantaged Business Enterprise (DBE) Program which revises EPA’s Minority Business Enterprise (MBE) and Women Business Enterprise (WBE) program. In accordance with the new DBE requirements, a Fair Share Objective for Minority and Women Business Enterprises participation in this work of 32% and 6%, respectively, has been established.

§ 31.2 The full text of the new EPA DBE program can be accessed on the EPA Office of Small Business Program website at www.epa.gov/osbp. Also, reference Federal Requirements and Contract Provisions (bound herein – see Appendix), for work under the Federal Water Pollution Control Act, as Amended, dated July 2008, which outlines prime and subcontractor responsibilities under the new EPA DBE Program. Particular emphasis should be placed on employing the six Good Faith Efforts during bidding (if prime contractor intends to award subcontracts) and prime contractor compliance with prime contractor requirements of Title 40, Part 33 – Participation by Disadvantaged Business Enterprises in United States Environmental Protection Agency Programs.

§ 31.3 In accordance with the EPA DBE Program, Bidder shall be aware of the requirement to employ the six Good Faith Efforts during bidding (if prime contractor intends to award subcontracts) and prime contractor compliance with prime contractor requirements of Title 40, Part 33 – Participation by Disadvantaged Business Enterprises in United States Environment Protection Agency Programs.The Bidder is required to submit with the bid, their plan and documentation of their MBE and WBE outreach plan efforts to comply with the fair share objectives. The documentation shall describe the work which the Bidder proposed to subcontract, and initiate the work into the smallest tasks that are economically feasible and obtain the required documents for permitting.Include in the submitted documentation minority businesses and women business enterprises that were solicited as potential subcontracting sources and the bidder’s evaluation of each MBE and WBE



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subcontractor proposal received.The plan must contain a list of the qualifying subcontractors and suppliers, the MBE/WBE category for each, their role in the Contract and the value of their services, as well as stating their percentage of the total contract value. The plan must be accompanied with completed DBE Outreach Certification (Section 00 40 21), Contractor’s Intent to Subcontract WBE/MBE (Section 00 45 08), DBE Subcontractor Participation Form (Section 00 45 10), DBE Subcontractor Performance Form (Section 00 45 11), and DBE Subcontractor Utilization Form (Section 00 45 12), with a copy of the certification of proof of qualifying status. Bidder shall submit with the bid proposal packet his Certification of Outreach Efforts (Section 00 40 21).Bidder shall contact at a minimum but not limited to the following in the search for Disadvantaged Business Enterprises:

District Department of Transportation http://ddot.dc.gov/page/disadvantaged-business-enterprises

US Department of Transportation http://www.dot.gov/osdbu/disadvantaged-business-enterprise/state-dot-and-dbe-program-websites

Small Business Administration http://dsbs.sba.gov/dsbs/search/dsp_dsbs.cfmThe Prime Contractor cannot be considered as a participant in the Disadvantage Business Enterprise Program.

§ 31.4 Failure to comply with these requirements may be cause to declare the bid to be non-responsive.§ 31.5 Provide updated information immediately if any of the information changes, either before or after the

award of the contract including the reason for the change.§ 31.6 During the performance of this contract, the Contractor shall include on each invoice where Minority

and Women Business Enterprise work is billed, the amount paid to, and the cumulative total paid, to each Minority and Women Business Enterprise.

§ 31.7 Contract awards are tracked through the Subcontract Approval Request process. Only M/WBE contractors with acceptable certification are counted toward participation in the program. Progress toward goal accomplishment once a contract is awarded to an M/WBE is based on verified M/WBE payments.

§ 31.8 This is a tiered program, i.e., it includes required subcontractor participation by the prime contractor, the first tier subcontractors, and the second tier subcontractors being reported. The program requires participation of all first tier construction contractors with contracts greater than or equal to $100,000 and all first tier professional services subcontractors on a design build project with contract values greater than or equal to $25,000. . All contractors meeting the inclusion thresholds agree to participate in monthly collection of subcontracting data through an automated online reporting system.

4. SECTION 00 40 21: DBE OUTREACH CERTIFICATION

Insert the new, attached section 00 40 21 into the Project Manuals (Specifications and Bid Forms).



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5. SECTION 00 40 25: BID DOCUMENT CHECKLIST

Remove the existing section 00 40 25 in its entirety, and insert the new, attached section 00 40 25 into the Project Manuals (Specifications and Bid Forms).

6. SECTION 00 45 05: CONTRACTOR’S INTENT TO SUBCONTRACT WITH CERTIFIEDLOCAL AND LOCAL SMALL BUSINESS ENTERPRISES

Delete section 00 45 05 in its entirety from the Project Manuals (Specifications and Bid Forms)

7. SECTION 00 45 06: CERTIFIED LOCAL AND LOCAL SMALL BUSINESS ENTERPRISEPROGRAM CERTIFICATION STATEMENT


8. SECTION 00 45 07: CERTIFIED LOCAL AND LOCAL SMALL BUSINESS ENTERPRISE INTENT TO SUBCONTRACT


9. SECTION 00 45 08: CONTRACTOR’S INTENT TO SUBCONTRACT MBE/WBE

Insert the new, attached section 00 45 08 into the Project Manuals (Specifications and Bid Forms) immediately after section 00 45 04.

10. SECTION 00 45 09: MBE/WBE INTENT TO SUBCONTRACT

Insert the new, attached section 00 45 09 into the Project Manuals (Specifications and Bid Forms)



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immediately after section 00 45 08.

11. SECTION 00 45 10: EPA FORM 6100 – 2 DBE SUBCONTRACTOR PARTICIPATIONFORM


12. SECTION 00 45 11: EPA FORM 6100 – 3 DBE SUBCONTRACTOR PERFORMANCEFORM


13. SECTION 00 45 12: EPA FORM 6100 – 4 DBE SUBCONTRACTOR UTILIZATION FORM


14. SECTION 00 50 00: CONTRACT Page 00 50 00 - 7

In the Project Manuals (Specifications and Bid Forms) delete the contents of paragraph 8.1.A.11.d in its entirety and replace it with the following text “ Section 00 45 08 – Contractor’s Intent to Subcontract WBE – MBE”

15. SECTION 00 90 00: REVISION, CLARIFICATION AND MODIFICATIONS

Remove the existing section 00 90 00 in its entirety, and insert the new, attached section 00 90 00 into the Project Manuals (Specifications and Bid Forms).

16. SECTION 00 90 02 ADDENDUM NO. 2

Insert the attached Section No. 00 90 02; Addendum No.02; No. of Pages 28 and Date Issued January 6, 2015.

~ END OF ADDENDUM NO. 2 ~



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THIS PAGE IS INTENTIONALLY LEFT BLANK

DISTRICT OF COLUMBIA WATER AND SEWER AUTHORITY

IFB NO. : 140160

G100: LOCAL SEWER REHABILITATION 1

TABLE OF CONTENTS

A – PROCUREMENT AND CONTRACTING REQUIREMENTS GROUPDIVISIO

N 00 PROCUREMENT AND CONTRACTING REQUIREMENTS No. of Pages Date

00 01 00 Title Sheet 1 02/01/12

00 01 10 Table of Contents 6 01/06/15

00 01 15 List of Drawings 2 05/30/13

~ Procurement Requirements, Forms and Supplements ~

00 10 00 Invitation to Bid 2 02/01/12

00 20 00 Instructions to Bidders 28 10/01/12

00 30 00 Available Project Information 2 05/30/13

00 40 00 Bid Form 2 03/14/12

00 40 10 Schedule of Prices 4 09/28/14

00 40 20 Bid Bond 4 02/01/12

00 40 21 DBE Outreach Certification 2 07/17/14

00 40 25 Bid Document Checklist 2 01/06/15

00 40 31 Contractor’s Intent to Subcontract CIPP 2 03/20/14

00 45 01 Contractor Identification Number 2 03/16/12

00 45 02 Aon Form 1a 4 02/01/12

00 45 03 Non-Collusion Affidavit 2 02/01/12

00 45 04 Drug Free Workplace 2 02/01/12

00 45 08 Contractor’s Intent to Subcontract WBE - MBE 2 05/01/14

00 45 09 WBE – MBE Intent to Subcontract 2 05/01/14

00 45 10 EPA Form 6100 – 2 DBE Subcontractor Participation Form 2 05/01/14

00 45 11 EPA Form 6100 – 3 DBE Subcontractor Performance Form 2 05/01/14

00 45 12 EPA Form 6100 – 4 DBE Subcontractor Utilization Form 2 05/01/14

00 45 13 Payment to Subcontractors and Suppliers 2 02/01/12

00 45 14 Debarment Status Statement 2 02/01/12

00 45 15 Certification Regarding Debarment 2 02/01/12

00 45 16 EPA Debarment 2 02/01/12

00 45 17 EEO Assurances 2 02/01/12

00 45 18 EEO & Non-Segregated Facilities 2 02/01/12

00 45 19 Disclosure of Lobbying Activities 2 02/01/12

DCWATER TABLE OF CONTENTSIFB # 140160 - G100: LOCAL SEWER REHABILITATION 1 00 01 10 -1JANUARY 6, 2015

DIVISION 00 PROCUREMENT AND CONTRACTING REQUIREMENTS No. of

Pages Date

00 45 20 DC Water Works Employment Plan 4 08/13/13

00 45 21 DC Water Works Employment Program Disclosure Statement 2 08/13/13

00 45 22 Notice to labor Unions or Other Organizations of Workers Nondiscrimination in Employment 2 02/01/12

00 45 23 Subcontracting Approval Request 2 02/01/12

00 45 25 Tax Certification Affidavit 2 05/30/13

~ Contracting Requirements ~00 50 00 Contract 10 01/29/13

00 61 10 Performance Bond (Regular) 4 07/01/12

00 61 20 Payment Bond 2 02/01/12

~ Conditions of the Contract ~00 70 00 General Conditions 76 07/16/12

00 73 16 Project Insurances 14 11/14/12

00 74 00 Special Conditions 2 02/01/12

00 76 00 Labor Provisions 12 01/03/14

00 89 00 Project Permits and Approvals 2 04/01/13

00 90 00 Revisions, Clarifications, and Modifications 2 01/06/15

00 90 01 Addendum No. 1 4 12/24/14

00 90 02 Addendum No. 2 28 01/06/15

B - SPECIFICATIONS GROUPDIVISIO

N 01 GENERAL REQUIREMENTS No. of Pages Date

01 00 00 General Requirements 22 06/20/12

01 06 50 Public Notification - Sewer 4 09/01/13

01 07 00 Abbreviations & Acronyms 16 02/01/12

01 15 20 Project Site Security 4 07/01/13

01 15 21 Confined Space Entry 6 06/01/12

01 16 00 Materials and Equipment 8 06/01/11

01 21 00 Allowances 4 06/01/11

01 22 25 Measurement and Payment 6 07/17/12

01 26 00 Contract Modification Procedures 6 06/01/12

01 26 10 Requests for Interpretation 2 05/01/13

01 29 00 Progress Payment Procedure 4 06/01/12

01 29 73 Schedule of Values 2 06/01/11

01 31 00 Project Coordination 8 02/01/12

01 31 19 Project meetings 4 05/01/13

01 32 16 Construction Schedule 18 06/01/11


DIVISION 01 GENERAL REQUIREMENTS No. of

Pages Date

01 32 33 Construction Photographs 4 06/01/12

01 33 00 Submittals 22 07/01/13

01 33 10 Document Management 6 06/01/11

01 42 00 References 4 06/01/11

01 42 16 Definitions 4 06/15/12

01 43 00 Quality Requirements 10 06/01/11

01 54 50 Construction Safety 6 06/01/12

01 57 00 Traffic Maintenance and Protection 8 06/01/11

01 58 00 Construction Identification Sign 2 06/01/11

01 70 00 Execution Requirements 6 03/15/13

01 71 13 Mobilization / Demobilization 2 06/01/11

01 73 29 Cutting & Patching 4 06/01/1101 74 00 Cleaning 4 06/01/1101 74 19 Waste Management 2 06/01/1101 74 23 Field Engineering 6 06/01/1101 77 00 Contract Closeout 6 02/01/1201 78 39 Project Record Documents 4 06/01/1101 78 40 Record Drawings 6 06/01/11

01 78 42 As-Built Drawings 6 06/01/11

01 79 26 Warranties 4 06/01/11

DIVISION 02 EXISTING CONDITIONS No. of

Pages Date

02 22 00 Existing Conditions 2 06/01/11

02 41 10 Selective Demolition 8 05/30/13

DIVISION 03 CONCRETE No. of Pages Date

03 10 00 Concrete Formwork 4 06/01/11

03 20 00 Reinforcing Steel 6 06/01/11

03 25 00 Concrete Accessories 4 06/01/11

03 29 00 Joints in Concrete 8 06/01/11

03 30 00 Cast-In-Place Concrete 26 02/01/12

03 35 00 Concrete Finishing 4 06/01/11

03 39 00 Concrete Curing 2 06/01/11

03 40 00 Precast Concrete Products 6 06/01/11

03 60 00 Non-Shrink Grout 4 06/01/11


DIVISION 31 EARTHWORK No. of Pages Date

31 11 00 Clearing & Grubbing 4 06/01/11

31 23 10 Trench Excavation & Backfill 14 10/01/12

31 23 19 Dewatering 4 02/01/12

31 23 35 Point Excavation & Backfill 6 06/01/11

31 23 37 Test Pits 2 10/01/12

31 25 00 Erosion and Sediment Control 10 06/01/11

DIVISION 32 EXTERIOR IMPROVEMENTS No. of Pages Date

32 12 16 Paving and Surfacing 10 02/01/12

32 92 19 Seeding 8 02/01/12

32 92 23 Sodding 4 06/01/11

DIVISION 33 UTILITIES No. of Pages Date

33 01 15 Sewer Line Chemical Root Treatment 6 01/01/13

33 01 20 Abandonment of Facilities 4 07/01/12

33 01 25 Sewer Lining CIPP 14 08/07/14

33 01 29 Cleaning of Sewers 10 5/1/2014

33 01 31 CCTV of Sewers 10 5/1/2014

33 01 35 Chemical Grout Injection 2 05/01/13

33 01 61 Chemical Grouting 4 05/30/13

33 19 10 Sewer Manholes 6 06/01/11

33 29 60 Sewer Bypass and Bypass Pumping 8 12/15/13

33 39 18 Sewer Manhole Rehabilitation 12 05/01/13

33 39 20 Sewer Manhole Rehabilitation with Cementitious Coating 8 05/01/13

33 39 22 Manhole Frame Chimney Seals 4 05/01/13

33 90 51 Structural Lateral Reconstruction Injection Sealing 4 07/01/13

APPENDIX APPENDIX A – FORMS No. of Pages Date

Request for Service 2 2/1/12


APPENDIX APPENDIX A – FORMS No. of Pages Date

Shut-Down Period and/or Cut-In Schedule 2 2/1/12

Instructions-Form W-9 4 2/1/12

W-9 Request for Taxpayer Identification Number & Certification 4 2/1/12

FR-500 Combined Business Tax Registration Application 10 2/1/12

APPENDIX APPENDIX B - INSERTS No. of Pages Date

EPA Clean Water 34 2/1/12

Federal Special Funding 34 2/1/12

ROCIP Insurance Manual 46 2/1/12

ROCIP Construction Safety Manual 96 3/2/12

DC Labor Provisions 10 2/1/12

DC Living Wage Act 2 2/1/12

Steel Plate Permit & Fees 2 07/01/12

Steel Plate Fee Calculator 2 07/01/12

Public Space Permit Fees 6 1/24/13

Public Inconvenience Fee 6 07/01/12

DDOT Calculator for Public Inconvenience Fee 2 07/01/12

Application for Water or Sewer Excavation in Public Space 2 07/01/12

Sample 7-day Sewer Rehabilitation Notification 2

Sample 14-day Sewer Rehabilitation Notification 2

APPENDIX APPENDIX C – APPENDICES TO PROJECT MANUAL No. of Pages Date

“Geotechnical Investigation Report for Project G-100 Local Sewer Rehabilitation - Northwest, Northeast and Southeast, Washington,

DC”, Dated October 19, 2012, prepared by Findling, Inc.86 10/19/12

~ END OF SECTION 00 01 10 ~


DISTRICT OF COLUMBIA WATER AND SEWER AUTHORITY DEPARTMENT OF ENGINEERING AND TECHNICAL

SERVICES

CERTIFICATION OF OUTREACH EFFORTS

INIVITATION NO.: 140160PROJECT NAME: G100: LOCAL SEWER REHABILITATION 1LOCATION: Various Locations

Washington, DC

Bidder is aware that this contract may be funded in part by the United States Government and is, therefore, subject to all pertinent Federal requirements, inclusive of the EPA Disadvantaged Business Enterprise (DBE) Program for which a Fair Share Objective for Minority and Women Business Enterprises participation in this work of 32% and 6%, respectively, has been established.

In accordance with the EPA DBE Program, Bidder is aware of the requirement to employ the six Good Faith Efforts during bidding (if prime contractor intends to award subcontracts) and prime contractor compliance with prime contractor requirements of Title 40, Part 33 – Participation by Disadvantaged Business Enterprises in United States Environmental Protection Agency Programs.

Bidder acknowledges requirement to submit with the bid, their plan and documentation of their WBE/MBE outreach plan efforts to comply with the Fair Share Objectives.

The plan must contain a list of the qualifying subcontractors and suppliers, the MBE/WBE category for each, their role in the Contract and the value of their services, as well as stating their percentage of the total contract value. The plan must be accompanied with completed Contractor’s Intent to Subcontract WBE/MBE (Section 00 45 08), DBE Subcontractor Participation Form (Section 00 45 10), DBE Subcontractor Performance Form (Section 00 45 11), and DBE Subcontractor Utilization Form (Section 00 45 12), with a copy of the certification of proof of qualifying status.

The documentation shall describe the work which the Bidder proposed to subcontract, and initiate the work into the smallest tasks that are economically feasible and obtain the required documents for permitting. The submitted documentation must identify minority businesses and women business enterprises that were solicited as potential subcontracting sources and the bidder’s evaluation of each MBE and WBE subcontractor proposal received.

Bidder certifies that the required information is being submitted with its bid and acknowledges that failure to comply with these requirements may cause its bid to be declared non-responsive.

Company Name

Authorized Representative Signature Printed Name

Title Date

DC WATER OUTREACH CERTIFICATIONIFB # 140160 – G100: LOCAL SEWER REHABILITATION 1 00 40 21 -1JULY 17, 2014


DC WATER OUTREACH CERTIFICATIONIFB # 140160 – G100: LOCAL SEWER REHABILITATION 1 00 40 21 -2JULY 17, 2014

SECTION 00 40 25BID DOCUMENT CHECKLIST

SUBMISSION REQUIREMENT ITEMS SUBMITTED (BIDDER’S INITIALS)

SECTION NUMBER DOCUMENT TITLE

00 40 00 BID FORM

00 40 10 SCHEDULES OF PRICES

00 40 20 BID BOND

00 40 21 DBE OUTREACH CERTIFICATION

00 40 25 BID DOCUMENT CHECKLIST

00 40 31 CONTRACTTOR’S INTENT TO SUBCONTRACT CIPP

00 45 01 CONTRACTOR IDENTIFICATION NUMBER

00 45 02 AON FORM 1A

00 45 03 NON-COLLUSION AFFIDAVIT

00 45 04 DRUG FREE WORKPLACE

00 45 08 CONTRACTOR’S INTENT TO SUBCONTRACT WBE-MBE

00 45 09 WBE – MBE INTENT TO SUBCONTRACT

00 45 10 EPA FORM 6100 – 2 DBE SUBCONTRACTOR PARTICIPATION M

00 45 11 EPA FORM 6100 – 3 DBE SUBCONTRACTOR PERFORMANCE

00 45 12 EPA FORM 6100 – 4 DBE SUBCONTRACTOR UTILIZATION

00 45 13 PAYMENT TO SUBCONTRACTORS AND SUPPLIERS

00 45 14 DEBARMENT STATUS

0045 15 CERTIFICATION REGARDING DEBARMENT

00 45 16 EPA DEBARMENT

00 45 17 EEO ASSURANCES

DC WATER BID DOCUMENT CHECKLISTIFB # 140160 – G100 LOCAL SEWER REHAB 1 00 40 25 - 1JANUARY 6, 2015

00 45 18 EEO & NON-SEGREGATION

00 45 19 LOBBYING ACTIVITY

00 45 20 DC WATER EMPLOYMENT PLAN

00 45 21 EMPLOYMENT DISCLOSURE STATEMENT

00 45 22 NOTICE TO LABOR UNIONS

00 45 23 SUBCONTRACTOR APPROVAL REQUEST

00 45 25 TAX CERTIFICATION AFFIDAVIT

AGC STANDARD FORM NO 717E

CERTIFIED FINANCIAL STATEMENT

* MBE & WBE OUTREACH PLAN

** EMPLOYMENT PLAN

* MBE & WBE Outreach Plan: See Section 00 20 00 Instruction to Bidders, Article 31 “Subcontracting Goals (MBE & WBE)”, Paragraph 31

** Employment Plan: See Section 00 20 00 Instruction to Bidders, Article 16 “DC Water Works: A Local Hiring Initiative”, Paragraph 16.3

THE UNDERSIGNED BIDDER HEREWITH SUBMITS THE ABOVE REQUIRED DOCUMENTS.

PRINT NAME OF BIDDER:

SIGNED BY:

PRINT NAME AND TITLE:

DATE:

_______________________________________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

THIS CHECKLIST SHALL BE INITIALED AND SIGNED WHRE INDICATED AND RETURNED WITH THE BID PROPOSAL


DC WATER BID DOCUMENT CHECKLISTIFB # 140160 – G100 LOCAL SEWER REHAB 1 00 40 25 - 2JANUARY 6, 2015

District of Columbia Water and Sewer Authority

CONTRACTOR’S INTENT TO

SUBCONTRACT WITH

MINORITY OR WOMEN-OWNED BUSINESS ENTERPRISE

IFB No. 140160 Project: G100: LOCAL SEWER REHABILATATION 1

In accordance with the requirements of the District of Columbia Water and Sewer Authority on the

above named Contract, hereby states its intention to

subcontract the work listed below to (Name of MBE / WBE) for

approximately $ which is approximately % of the approximate bid price of

$ as our fairshare objective.

We certify that we will comply with the Instruction to Bidders’ Article 31 titled SUBCONTRACTING

GOALS (MBE & WBE) of subject project, and will maintain records, promptly allow access upon

request for such records by the Authority, District of Columbia and Federal personnel for the purposes

of inspecting and auditing compliance with the requirements of the MBE/WBE Program. Such records

and access thereto will be maintained for a period of three (3) years following certification of Final

Completion.

Authorized Signature Date

Title

Note: This form must be used for all tiers of MBE/WBE subcontracting.G ENERAL D ESCRIPTION OF MBE/WBE SERVICES TO BE PROVIDED :

DC WATER CONTRACTOR’S INTENT MBE-WBEIFB # 140160 – G100: LOCAL SEWER REHABILATATION 1 00 45 08 -1MAY 1, 2014


DC WATER CONTRACTOR’S INTENT MBE-WBEIFB # 140160 – G100: LOCAL SEWER REHABILATATION 1 00 45 08 -2MAY 1, 2014

District of Columbia Water and Sewer Authority

MINORITY OR WOMEN-OWNED BUSINESS

ENTERPRISE INTENT TO SUBCONTRACT

IFB No. 140160 Project: G100: LOCAL SEWER REHABILATATION 1

I agree to perform the proposed work described below as a MBE WBE subcontractor in accordance with the requirements of the District of Columbia Water and Sewer Authority on the above named Contract in behalf of for the approximate amount of $ , provided that they are the awarded this contract.

I also acknowledge that signing of this document represents intent to complete portions of the work as a subcontractor, and this document is not mistaken as a formal contract between parties or with the District of Columbia Water and Sewer Authority.

Name of MBE/WBE Certifying Agency and Certification No. (Copy Attached)

Authorized Signature Date

Title Phone No.

NOTE: Original Signatures or Certified copy required.

General Description of MBE/WBE services to be provided :

DC WATER MBE-WBE INTENT TO CONTRACTIFB # 140160 – G100: LOCAL SEWER REHABILATATION 1 00 45 09 -1MAY 1, 2014


DC WATER MBE-WBE INTENT TO CONTRACTIFB # 140160 – G100: LOCAL SEWER REHABILATATION 1 00 45 09 -2MAY 1, 2014

IFB # 140160- GlOO: LOCAL SEWER REHABILATATION 1MAY 1, 2014

00 45 10 -1

Environmental Protection Agency

OMB Control No: 2090-0030 Approved: 05/01/ 2008 Approval Expires: 01/31/ 2011

Disadvantaged Business Enterprise Program DBE Subcontractor Participation Form

NAME OF SUBCONIRACTOR' PROJECT NAME

ADDRESS CONIRACT NO.

TELEPHONE NO. EMAIL ADDRESS

PRIME CONTRACTOR NAME

Please use the space below to report any concerns regarding the above EPA-funded project ( reason for termination by prime contractor, late payment etc.).

CONTRACT ITEM NO.

ITEM OF WORK OR DESCRIPTION OF SERVICES RECEIVED FROM THE PRIME CONTRACTOR

AMOUNT SUBCONTRACTOR

WASPAID BY PRIME

CONTRACTOR

Subcontractor Signature Title/ Date

'subcontractor is defined as a company, firm, j oint venture, or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance.

EPA FORM 6100-2 (DBE Subcontractor Participation Form)


00 45 10 -2

DC WATER

EPA FoRM 6100-2


00 45 10 -3


OMB Control No: 2090-0030 Approved: 05/01/2008 Approval Expires: 01/31/2011

Disadvantaged Business Enterprise Program DBE Subcontractor Participation Form

The public reporting and recordkeeping burden for this collection of information is estimated to average fifteen(15) minutes. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data sources;complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including the use of automated collection techniques to the Director, Collection Strategies Division, US. Environmental Protection Agency (2822), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed EPA DBE Subcontractor Participation Form to this address.

EPA FORM 6100-2 (DBE Subcontractor Participation Form)


00 45 10 -4

DC WATER EPA FORM 6100-2

1


OMB Control No: 2090-0030Approved: 05/01/2008 Approval Expires: 01/31/2011

Disadvantaged Business Enterprise Program DBE Subcontractor Performance Form

NAME OF SUBCONTRACTOR1 PROJECT NAME

ADDRESS BID/PROPOSAL NO.

TELEPHONE NO. E-MAIL ADDRESS

PRIME CONTRACTOR NAME

CONTRACT ITEM NO.

ITEM OF WORK OR DESCRIPTION OF SERVICES BID TO PRIME

PRICE OF WORK SUBMITTED TO PRIME CONTRACTOR

Currently certified as an MBE or WBE under EPA’s DBE Program? Yes No

Signature of Prime Contractor

Print Name

Signature of Subcontractor

Print Name

Date

Title

Date

Title

Subcontractor is defined as a company, firm, joint venture, or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance.EPA FORM 6100-3 (DBE Subcontractor Performance Form)

DC WATER EPA FORM 6100-3IFB # 140160 – G100: LOCAL SEWER REHABILATATION 1 00 45 11 -1MAY 1, 2014


OMB Control No: 2090-0030Approved: 05/ 01/ 2008 Approval Expires: 01/ 31/ 2011

Disadvantaged Business Enterprise Program DBE Subcontractor Performance Form

The public reporting and recordkeeping burden for this collection of information is estimated to average fifteen(15) minutes. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed EPA DBE Subcontractor Performance Form to this address.


OMB Control No: Approved: Approval Expires:

2090-003005/01/200801/31/2011


Disadvantaged Business Enterprise Program DBE Subcontractor Utilization Form

BID/PROPOSAL NO.PROJECT NAME

NAME OF PRIME BIDDER/PROPOSER E-MAIL ADDRESS

ADDRESS

TELEPHONE NO. FAX NO.

The following subcontractors1 will be used on this project:COMPANY NAME, ADDRESS, PHONE NUMBER, AND E-MAIL ADDRESS

TYPE OF WORK TO BE PERFORMED

ESTIMATE DOLLAR AMOUNT

CURRENTLY CERTIFIED AS AN MBE OR WBE?

I certify under penalty of perjury that the forgoing statements are true and correct. In the event of a replacement of a subcontractor, I will adhere to the replacement requirements set forth in 40 CFR Part 33 Section 33.302(c).

Signature of Prime Contractor Date

Print Name Title

1Subcontractor is defined as a company, firm, joint venture, or individual who enters into an agreement with a contractor

to provide services pursuant to an EPA award of financial assistance.EPA FORM 6100-4 (DBE Subcontractor Utilization Form)


OMB Control No: Approved: Approval Expires:

2090-003005/01/200801/31/2011


Disadvantaged Business Enterprise Program DBE Subcontractor Utilization Form

The public reporting and recordkeeping burden for this collection of information is estimated to average fifteen(15) minutes. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed EPA DBE Subcontractor Utilization Form to this address.

EPA FORM 6100-4 (DBE Subcontractor Utilization Form)



REVISIONS, CLARIFICATIONS AND MODIFICATIONS

00 90 00 - 1

SECTION 00 90 00

REVISONS, CLARIFICATIONS AND MODIFICATIONS

ADDENDA

Section No. ADDENDUM NUMBER

No. of Pages Date Issued

00 90 01 No. 1 4 12/24/201400 90 02 No. 2 28 01/06/2015



REVISIONS, CLARIFICATIONS AND MODIFICATIONS

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