request for proposals...peggy keppler, county engineer . ... specifications for bridge upgrades and...

RFP template – electronic proposals, rev. 01/01/2017

LANE COUNTY, OREGON

PUBLIC WORKS

ENGINEERING & CONSTRUCTION SERVICES

REQUEST FOR PROPOSALS (FOR ELECTRONIC SUBMISSION)

PENGRA BRIDGE #039C35 SEISMIC RETROFIT DESIGN

Pengra Road M.P. 0.04

PROPOSALS DUE:

9:00 A.M., local time January 8, 2019

RFP template – electronic proposals, rev. 01/01/2017 1

CONTENTS

1.0 INVITATION TO SUBMIT PROPOSALS ........................................................................... 2

2.0 PREPARATION AND SUBMISSION OF PROPOSALS .................................................... 2 2.1 Proposal Preparation 2.2 Proposals Subject to Oregon Public Records Law 2.3 Proposal Submission 2.4 Correction, Withdrawal, and Late Submissions

3.0 CLARIFICATION OR PROTEST OF SOLICITATION DOCUMENTS ................................ 3 3.1 Clarifications 3.2 Protest of Solicitation Documents

4.0 OPENING OF PROPOSALS ............................................................................................. 4

5.0 PROPOSAL EVALUATION AND AWARD ......................................................................... 5 5.1 Compliance with Laws and Minimum Requirements 5.2 Proposal Evaluation 5.3 Mistakes in Proposals 5.4 Notice of Award 5.5 Protest of Intent to Award 5.6 Rejection of Proposals

ATTACHMENT A – SCOPE OF SERVICES REQUIRED

ATTACHMENT B – REQUIRED ELEMENTS FOR PROPOSALS

ATTACHMENT C – PROPOSER STATEMENTS AND CERTIFICATIONS

ATTACHMENT D – SELECTION PROCEDURE AND SCORING

ATTACHMENT E – SAMPLE CONTRACT DOCUMENTS

ATTACHMENT F – INSURANCE REQUIREMENT

ATTACHMENT G – INSPECTION REPORT


1.0 INVITATION TO SUBMIT PROPOSALS

Lane County will receive proposals for the Request for Proposals (RFP) for Pengra Bridge #039C35 Seismic Retrofit Design, Pengra Road M.P. 0.04, until 9:00 a.m., local time, Tuesday, January 8, 2019.

Proposals must be submitted to: Peggy Keppler, County Engineer [email protected].

Briefly, the work of the RFP includes designing and preparing construction drawings and specifications for bridge upgrades and seismic retrofits to withstand up to a 9.0 earthquake occurring from the Cascadia Subduction Zone. The contract will be for a 12 month period from April 1, 2019 through March 31, 2020. The contract may be extended to December 31, 2020 if inspection services are needed. Lane County intends to issue a Request for Bids for project construction in February 2020.

Proposals properly submitted and received will be opened immediately following the time proposals are due, and a list of the names of persons submitting proposals will be promptly sent to all such proposers, along with such other information as the public officer considers appropriate at the time.

To be considered, proposals must be submitted electronically in accordance with these instructions: 1. Proposals must be submitted as an attachment to an email, submitted to the email address

stated above. 2. The subject line of the email must contain the word "Proposal" and clearly identify the name

of the RFP for which the proposal is submitted. 3. Unless otherwise stated in the Proposal Requirements, proposal documents may be

submitted in PDF format only. 4. Proposals must not include .zip files, nor be more than 30MB in size. Interested parties may download a complete set of RFP documents from the Lane County Procurement and Purchasing webpage at: www.lanecounty.org/bids.

The County may issue an addendum to modify or add to the terms of the RFP, or to change the time or date for submission of proposals. Any such addendum will be issued by the County in writing not less than 72 hours prior to the deadline for receipt of proposals, and available on the County's Procurement and Purchasing webpage in the same location as the RFP posting. Each proposer is responsible to verify for itself if any addendum has been issued prior to submission of its proposal; the County is not responsible to notify individual prospective proposers of the issuance of an addendum. The requirements or clarifications contained in any addenda issued must be included in the proposals received and will become part of any resulting contract.

The County may reject any proposal not in compliance with all prescribed proposal procedures, requirements, rules, or laws, and may reject for good cause any and all proposals upon the County's finding that it is in the public interest to do so.

mailto:[email protected]

http://www.lanecounty.org/bids


2.0 PREPARATION AND SUBMISSION OF PROPOSALS

2.1 Proposal Preparation

Proposers are responsible to read and understand all portion of the solicitation documents, including attachments and addenda, if any, and to include all requirements in their proposals. To be responsive, proposals must be made in writing, and address the background, information, questions, criteria, and requests for information contained in the RFP. Proposals must containing all required documents and responses, be signed by the proposer or its authorized representative, and submitted in the manner and number described in the Invitation to Submit Proposals.

Each proposer must be an “equal opportunity employer” willing to comply with all applicable provisions of the Civil Rights Act of 1964, as amended by the Equal Opportunity Act of 1972 (see 42 USCA 2000), all regulations there under (see 41 CFR Parts 60 and 60-1), Executive Orders 11246 and 11375 and all Oregon statutes and regulations regarding employment.

2.2 Proposals Subject to Oregon Public Records Law

Proposals submitted in response to this RFP become public records under Oregon law and, following contract award, will be subject to disclosure to any person or organization that submits a public records request. Proposers are required to acknowledge that any proposal may be disclosed in its entirety to any person or organization making a records request, except for such information as may be exempt from disclosure under the law.

Each proposer must clearly identify all information included in its proposal that is claimed to be exempt from disclosure. If the County receives a records request, including subpoena, covering information the bidder believes is covered by an applicable public records exemption, it is the proposer’s responsibility to defend and indemnify the County for any costs associated with establishing such an exemption.

2.3 Proposal Submission

Proposals must be received by the time and date stated for receipt in the Invitation to Submit Proposals. To be considered, proposals must be submitted in the form and manner stated in the Invitation for Proposals, complete with a Proposer Certification Form signed by the proposer or its authorized representative, responses to all criteria and requirements included in the RFP, other documents required to be submitted, if any, and contain the number of copies required.

By submitting a proposal, proposer acknowledges that the proposer has read and understands the terms and conditions applicable to this RFP, and accepts and agrees to be bound by the terms and conditions of the contract, including the obligation to perform the scope of work and meet the performance standards.

2.4 Correction, Withdrawal, and Late Submissions

A proposer may withdraw its proposal at any time prior to the deadline set for receipt of proposals, by email to the person identified for receipt of proposals, and may submit a new sealed proposal in the manner stated in the Invitation to Submit Proposals. The County will not consider proposals received after the time and date indicated for receipt of proposals. A proposer may not modify its proposal after it has been deposited with the public officer, other than to address minor


informalities, unless the proposal is withdrawn and resubmitted as described above.

3.0 CLARIFICATION OR PROTESTS OF SOLICITATION DOCUMENTS

3.1 Clarifications

If a proposer finds discrepancies or omissions in the RFP documents, or is in doubt as to their meaning, the proposer must immediately notify the public officer designated for receipt of proposals or other person identified for submission of questions.

If the public officer believes a clarification is necessary, an addendum will be issued in writing not less than 72 hours prior to the deadline for receipt of proposals, and available on the County's Procurement and Purchasing webpage listed above. The addendum may postpone the date for submission of proposals. The requirements or clarifications contained in any addenda so issued must be included in the proposals received and will become part of any resulting contract.

The apparent silence of the solicitation documents regarding any detail, or the apparent omission from the RFP of a detailed description concerning any point, means that only the best commercial or professional practice, material, or workmanship is to be used.

3.2 Protest of Solicitation Documents

A prospective proposer may protest the competitive selection process or provisions in the RFP documents if the prospective proposer believes the solicitation process is contrary to law or that a solicitation document is unnecessarily restrictive, legally flawed, or improperly specifies a brand name pursuant to the requirements of ORS 279B.405(2). Any written protest must be submitted to the public officer identified for receipt of proposals in the Invitation to Submit Proposals not less than 10 days prior to the deadline for submission of proposals.

Lane County will consider the protest if the protest is timely filed and contains: (a) Sufficient information to identify the solicitation that is the subject of the protest; (b) The grounds that demonstrate how the procurement process is contrary to law or how the

solicitation document is unnecessarily restrictive, is legally flawed or improperly specifies a brand name;

(c) Evidence or supporting documentation that supports the grounds on which the protest is based; and

(d) The relief sought.

If the protest meets these requirements, the County will consider the protest and issue a decision in writing. If the protest does not meet these requirements, the County will promptly notify the prospective proposer that the protest is untimely or that the protest failed to meet these requirements and give the reasons for the failure. The County will issue its decision on the protest not less than 3 business days before proposals are due, unless a written determination is made by the County that circumstances exist that justify a shorter time limit.

4.0 OPENING OF PROPOSALS

The County will not examine any proposal prior to opening. The public officer designated for receipt of proposals may, as time allows, verify that the attachments to an emailed proposal were received intact, and may, but is not required to, notify a proposer that an emailed submission was received in a defective form.


Any proposal or modification received after the designated deadline will not be opened or considered. The proposals submitted will be open to public inspection after the issuance of notice of intent to award, with the exception of any information covered by an exemption to disclosure.

5.0 PROPOSAL EVALUATION AND AWARD

5.1 Compliance with Laws and Minimum Requirements

Proposals will be reviewed by the public officer for responsiveness to the minimum requirements established by RFP, which include: (a) Submission of a completed Proposer Statements and Certifications in the form included

as Attachment C. (b) Compliance with proposal procedures, public contracting laws, and the requirements of

the Lane Manual. (c) Application of any applicable preferences for goods and services that have been

manufactured, produced or performed in Oregon (ORS 279A.120), resident bidders (ORS 279A.120), recycled materials (ORS 279A.125), or printing performed within the State (ORS 282.210).

5.2 Proposal Evaluation

The County will make the contract award based on the responsiveness of the actual proposals received to the requirements established in Attachments A and B, considering price, qualifications, experience, resources, proposed services, proposers' past record of performance for the County, and other factors identified in the RFP, as well as responses received from references, interviews, and follow-up questions, if any.

Each proposal will be evaluated by the evaluation committee on the basis of the process and scoring established in Attachment D. Based upon evaluation of the submitted proposals, the evaluation committee may choose to conduct interviews with two or more proposers with the highest-scored proposals. Interviews may include a presentation by the proposer and questions regarding the proposal and services to be provided. Specific criteria for selection interviews, if any, will be distributed at the time interviews are scheduled.

In evaluating the proposals and selecting a contractor, Lane County reserves the rights to: (a) Reject any and all proposals, (b) Issue subsequent Requests for Proposals for the same or similar goods or services, (c) Not award a contract for the requested services, (d) Waive any irregularities or informalities, (e) Accept the proposal which the County deems to be the most beneficial to the public and

Lane County, (f) Negotiate with any proposer to further amend, modify, redefine or delineate its proposal, (g) Negotiate and accept, without re-advertising, the proposal of the next-highest scored

proposer, in the event that a contract cannot be successfully negotiated with the selected proposer, which may occur prior to the time a final recommendation for award is made for executive approval, and

(h) Further question any proposer to substantiate claims of experience, background knowledge, and ability.

5.3 Mistakes in Proposals


Minor informalities may be waived. Mistakes discovered after opening where the intended correct statement or amount is clearly evident or properly substantiated may be corrected. Where the intended correct statement or amount is not clearly evident or cannot be substantiated by accompanying documents, and where the statement or amount is material to determining compliance with the minimum requirements of the RFP, the proposal may not be accepted. The County reserves the right to waive technical defects, discrepancies and minor irregularities, and to not award a contract when it finds such action to be in the public interest.

5.4 Notice of Award

The County will provide written notice of its intent to award to a given proposer or proposers at least 7 days before the award, unless the County determines that a shorter notice period is more practicable.

5.5 Protest of Intent to Award

Any proposer that has submitted a proposal for an RFP and is not recommended for award by the evaluation committee may protest the recommendation to the decision maker, either the Board or the County Administrator, depending upon which has authority to execute the contract. To be considered, a protest must be submitted in writing not more than 7 calendar days after notice of intent to award is given, and contain the grounds for the protest in accordance with Lane Manual Chapter 20.730.

5.6 Rejection of Proposals

If all proposals are rejected, new proposals may be called for in a new solicitation, or the proposals received may be considered with opportunity for supplemental submission. If there is partial rejection, the County will solicit supplemental information only from those proposers who submitted proposals, on the condition that it is unlikely that re-advertising would lead to greater competition. The public officer is delegated the authority to reject all proposals, prepare findings of best interests, and provide written notice of rejection of all proposals.


ATTACHMENT A – SCOPE OF SERVICES REQUIRED

A.1 Project Description Pengra Bridge #039C35 is a three-span, prestressed concrete girder structure on spread footings, 313 feet long and 36 feet wide. The bridge is located on Pengra Road at mile post 0.04 crossing Fall Creek. The bridge was built in 1970, has had no major improvements, and has not been upgraded to current seismic standards. The bridge was last inspected October 19, 2018. A copy of the inspection report is provided in Attachment G. Pengra Road is a rural major collector. Pengra Road serves as a major route for auto and truck traffic between the cities of Springfield and Lowell. The Average Daily Traffic (ADT) of Pengra Road was 3,000 vehicles/day in 2011. Staged construction is anticipated to provide continuous access across Pengra Bridge during construction to avoid the need to detour traffic. The scope of services under this contract includes performing a seismic analysis, conducting a routine bridge inspection, preparation of preliminary (30%) retrofit plans and specifications to meet current seismic standards, construction cost estimate, and schedule, and presentation of the preliminary (30%) package to the County. After Lane County reviews and approves the design direction and confirms the preliminary design, the successful proposer will prepare final plans, specifications, schedule, and a construction cost estimate for the project.

The final plans and specifications for the bridge repairs must be completed no later than November 30, 2019. Lane County intends to issue a Request for Bids for project construction in February 2020.

Design work in this contract may include general bridge upgrades identified by routine bridge inspection.

A.2 Proposer Tasks and Deliverables

The successful proposer shall complete all tasks and provide all deliverables as described below. The following is a general overview of items that Lane County considers necessary to this project but is not intended to be a full list of the services that may be necessary to complete this project. It is the Proposer’s responsibility to review the site, scope the bridge work necessary to meet seismic standards and routine service, complete topographic survey as necessary, and determine any other information necessary, to present in its proposal a complete scope of the services that the Proposer determines are needed for this project. The actual tasks to be included in the Professional Services Contract will be negotiated after the consultant has been selected. Phase I – Preliminary (30%) Design 1. Prepare a preliminary (30%) plan and specifications set (delivered no later than August 31, 2019) including:

a. Summary of quantities

b. List of Special Provisions (based on the 2018 Oregon Standard Specifications for Construction and the most recent amendments)

c. Plan and profile sheets, including utilities


d. Representative sections and details

2. Develop an itemized preliminary (30%) construction cost estimate for the preferred alternative.

3. Prepare a project schedule for final design.

4. Facilitate a preliminary design review meeting, including a discussion of the 30% plan and specifications set, utility conflicts and resolution, right-of-way needs, traffic control and staging, and preliminary schedule and construction cost estimate. Prepare and submit meeting notes, including County comments. After the meeting, Lane County will review and approve the design direction, confirm the preliminary design, and issue a Notice to Proceed with Phase II Final Design and a schedule for completion of final design.

Phase II - Final Design 1. Prepare a final plan and specification set including:

a. Title sheet and vicinity map

b. Plan and profile sheets, including utilities

c. Sections and Details

d. Summary of quantities

2. Develop an itemized final construction cost estimate for the preferred alternative.

3. Facilitate a final design review meeting, including a discussion of the final plan set, utility conflicts and resolution, right-of-way needs, traffic control and staging, and estimated construction cost. Prepare and submit meeting notes, including County comments.

4. Provide a Load Rating Analysis

A.3 Lane County Tasks

Lane County will provide:

1. Pertinent existing plans, maps, and related data from county files and records.

2. Acquisition services to acquire additional rights-of-way and construction easements.

3. Environmental permitting


ATTACHMENT B – REQUIRED ELEMENTS OF PROPOSALS

B.1 Proposer's Statements and Certifications

The proposal must include a Proposer's Statements and Certifications form in the form included as Exhibit C of this RFP, signed by an authorized representative empowered to bind the Proposer. The form may be completed and signed electronically, or completed manually and scanned into PDF format.

B.2 References

Each Proposer must provide a completed Proposal Cover Sheet with no fewer than three nor more than seven references.

B.3 Format for Proposal Submissions and Page Length Limitation

The Proposal must be organized in accordance with the list of Scoring Criteria categories in Exhibit D Section D.3. The Proposal must not exceed twenty (20) pages, excluding the completed forms included as Exhibit C, cover page, any tabs or indexes, table of contents, and resumes.

For the purposes of determining the number of pages, "one page" is defined as: a single nominal 8-1/2” x 11” page, with 12-point minimum font size for the substantive text. Pages containing tables, graphics, charts, resumes, etc. will be counted as pages. Proposers may use their discretion for the font size of other materials such as graphics and charts.

B.4 Delivery of Proposal Documents

Proposals are to be delivered electronically, in the manner described in the Invitation for Proposals (Section 1.0). To be considered, proposals must be received not later than the deadline stated above in the Invitation for Proposals.

B.5 Disadvantaged Business Enterprise (DBE)

The DBE participation goal for this Professional Services Contract is 0%.


ATTACHMENT C - PROPOSER STATEMENTS AND CERTIFICATIONS Proposer's Name: RFP Title:

PROPOSER STATEMENTS

Proposer's Offer. Proposer offers to provide the required services in accordance with the requirements of the Request for Proposals (RFP) stated above and the enclosed proposal. The undersigned Proposer declares that the Proposer has carefully examined the above-named Request for Proposals, and that, if this proposal is accepted, Proposer will execute a contract with the County to furnish the services of the proposal submitted with this form. Proposer attests that the information provided is true and accurate to the best of the personal knowledge of the person signing this proposal, and that the person signing has the authority to represent the individual or organization in whose name this proposal is submitted.

Proposer's Acceptance of Terms and Conditions. By execution of this Form, the undersigned Proposer accepts all terms and conditions of this Request for Proposals except as modified in writing in its proposal. Proposer agrees that the offer made in this proposal will remain irrevocable for a period of 60 days from the date proposals are due.

Proposer's Acknowledgement of Public Records Law. By execution of this Form, the undersigned Proposer acknowledges that its entire proposal is subject to Oregon Public Records Law (ORS 192.410–192.505), and may be disclosed in its entirety to any person or organization making a records request, except for such information as may be exempt from disclosure under the law. Proposer agrees that all information included in this proposal that is claimed to be exempt from disclosure has been clearly identified either in the Proposer Statement, or in an itemization attached hereto. Proposer further acknowledges its responsibility to defend and indemnify the County for any costs associated with establishing a claimed exemption.

ADDENDA

Proposer has received and considered, in the accompanying proposal, the terms of the following addenda, if any:

CERTIFICATIONS

By signing this Proposer's Certification form, Proposer certifies that:

1. Certification of Resident Bidder Status. Proposer is _____is not _____ (check one) a resident bidder, as defined in ORS 279A.120.

2. Certification of Non-Discrimination. Proposer has not discriminated and will not discriminate against a subcontractor in awarding a subcontract because the subcontractor is a disadvantaged business enterprise, minority-owned business, woman-owned business, a business that a service-disabled veteran owns, or an emerging small business that is certified under ORS 200.055.

3. Certification of Non-Collusion. This proposal is made without connection or agreement with any individual, firm, partnership, corporation, or other entity making a proposal for the same services, and is in all respects fair and free from collusion or collaboration with any other proposer.


4. Certification of Compliance with Tax Laws. Proposer has, to the best of Proposer's knowledge, complied with Oregon tax laws in the period prior to the submission of this proposal, including: a. All tax laws of the State of Oregon, including but not limited to ORS 305.620 and

ORS chapters 316, 317, and 318, b. Any tax provisions imposed by a political subdivision of this state that applied to

Proposer or its property, goods, services, operations, receipts, income, performance of or compensation for any work performed, and

c. Any rules, regulations, charter provisions, or ordinances that implemented or enforced any of the foregoing tax laws or provisions.

The undersigned, by signature here, acknowledges, accepts, and certifies to the statements and certifications as stated above. PROPOSER Authorized signature Proposer’s legal name Name of authorized signer Address Title Date Federal Tax ID number

OPTIONAL CONTACT INFORMATION REGARDING THIS PROPOSAL

Contact name Telephone number Email address


ATTACHMENT D – SELECTION PROCEDURE AND SCORING

D.1 Selection Committee. The Selection Committee will be comprised of: a. County Engineer b. Traffic Engineer c. Road Maintenance Manager and Road Maintenance Supervisor d. Transportation Planning Supervisor e. Design Program Manager

D.2 Evaluation Process. The selection process for this RFP will include the procedures identified here:

a. Evaluation and scoring of proposal to determine the most qualified candidate, subject to the requirements of ORS 279C.110(3). The County may, but is not required to, conduct interviews as described in A.4 below. b. Discussion, refinement, and negotiation with the most qualified candidate, in accordance with ORS 279C.110(5).

If the County is unable to reach an agreement with the most qualified candidate, the County reserves the right to negotiate with other qualified candidates in the manner described in ORS 279C.100(6

D.3 Proposal Scoring. The County will score proposals according to the following criteria:

Criterion Points

1. Team Experience 30

Provide at least three (3) projects comparable to the requested services performed by your firm within the last five (5) years. Include the following specific items: a. Relevance to the project and services included in this solicitation, including descriptions

of how any outstanding issues and project constraints were addressed and resolved. b. Brief description of project type, location, size, duration, and objectives c. Key project staff and their roles d. Tasks performed by the Proposer to fulfill the project’s objectives e. The project budget f. Whether the schedule and budget were met.

2. Project Understanding and Approach 25 a. Describe your understanding of the project. b. Describe your approach for this project to cost effectively meet the required

deliverables/objectives by November 30, 2019. c. Describe what you believe are the most critical elements of this project that the design

team must address for a successful outcome. d. Describe your relevant experience coordinating and incorporating your work and

documents into Lane County’s PS&E package. e. What percentage of the work will be done by the prime versus sub-consultants.

3. Project Schedule 20

Provide a project schedule (in Gant chart or MS Project format). Include proposed tasks and subtasks, brackets to depict sub-consultant’s and key personnel’s time of active involvement. Include task dependencies.


4. Key Personnel 10

Provide an organizational chart of your proposed project team and resumes for the following key personnel:

a. Project Manager b. Structural Engineer c. Roadway Engineer d. Geotechnical Engineer

5. Location 10

Describe proximity to the project of your firm’s staff that will be assigned and knowledge of the locality. Include proximity of any sub-consultants that would be assigned substantial roles under the project. Identify how travel and any required lodging expenses will be minimized for this specific project.

6. Availability of Project Manager and Other Key Personnel 5

Provide a Capacity Summary matrix that shows the current and projected project assignments (include project names and start/end dates) of Project Managers and other key personnel that your firm proposes to work on this project. The matrix must show approximate hours committed for each person for each project(s) they are currently working on or will be assigned to work on during the duration of this project.

D.4 Shortlist Determination. Shortlist Determination. The County may invite up to three proposers to proceed to a further stage of evaluation as identified in A.2 above. The interview score will be added to the proposal score.

D.5 Interview Scoring (if used). The County will score interviews according to the following criteria:

Criterion Points Project Team 20 Project Schedule 30 Project Team Experience 30 Project Team References 20


ATTACHMENT E – SAMPLE CONTRACT AND INSURANCE REQUIRED

The contract and minimum insurance requirements for the work of this RFP are: 1. CONTRACT FORM. The contract resulting from this RFP will be written using the Lane County

Goods/Services Contract form, including its terms and conditions. This form is available on the link labeled "Contract for Goods & Services – Sample" at the County's Procurement and Purchasing webpage: www.lanecounty.org/bids.

2. INSURANCE REQUIREMENTS. The insurance requirements for the contract resulting from this

RFP will be as stated on the following page, "INSURANCE COVERAGES REQUIRED". Contractor shall not commence any work until Contractor obtains, at Contractor's own expense, all required insurance as specified in Attachment F. Such insurance must have the approval of Lane County as to limits, form and amount.

http://www.lanecounty.org/bids

INSURANCE COVERAGES REQUIRED Contractor shall not commence any work until Contractor obtains, at Contractor's own expense, all required insurance as specified below. Such insurance must have the approval of Lane County as to limits, form and amount. The types of insurance Contractor is required to obtain or maintain for the full period of the contract will be:

☐ COMMERCIAL GENERAL LIABILITY WITH ADDITIONAL INSURED ENDORSEMENT shall include:

Policy must include: MINIMUM POLICY LIMITS • Commercial General Liability• Damage to Rented Property ($50,000)• Medical Expenses ($5,000)• Personal and Advertising (Same as per occurrence)• Products/Completed Operations (Same as per occurrence)

☐ $2 million per occurrence*/$4 million aggregate* ☐ $ occurrence / aggregate (Amount pre-approved by

Risk Management or required by contract) ☐ Amount required by funding source

Aggregate limits: ☐Per Policy (most contracts) ☐Per Project (construction contracts) *Umbrella or Excess coverage to increase the policy limits to the required amount is acceptable

All policies must be of the occurrence form with combined single limit for bodily injury and property damage. Any deviation from this must be reviewed by Risk Management. All claims-made forms must be approved by Risk Management in advance and provide tail/continuous coverage for 24 months from the end of the project.

☐

☐

ADDITIONAL INSURED ENDORSEMENT for general liability insurance coverage is required for performance of this contract. Unless otherwise specified below, blanket additional insured is acceptable and is considered a written contract requirement on any insurance policies required herein with respect to Provider's activities being performed under the Contract. The contract MUST include language that the additional insured endorsement is required, and proof of blanket coverage from your policy must be provided either by a copy of your policy or by separate blanket endorsement. When this box is checked, the Additional Insured Endorsement for this contract MUST be by scheduled (or named) endorsement only, and must read: “ Lane County, its officers, agents, employees and volunteers are named as additional insureds” with respect to Provider's activities being performed under the Contract. The additional insureds must be named as an additional insured by separate endorsement, the policy must be endorsed to show cancellation notices to the Lane County department who originated the contract, and the Endorsement must be attached to the COI.

☐ AUTOMOBILE LIABILITY WITH ADDITIONAL INSURED ENDORSEMENT: Insurance with limits as specified below. The coverage shall include owned, hired and non-owned automobiles and include Lane County and its divisions, its commissioners, officers, agent, and employees as additional designated insureds (CA 20 48 02 99 or equivalent). *Umbrella or Excess coverage to increase the policy limits to the required amount is acceptable.

LIMITS* ☐ $2 million combined single limit per accident for bodily injury and property damage ☐ Amount pre-approved by Risk Management and required by contract: $ ☐ Amount required by funding source: $

☐ WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY as statutorily required for persons performing work under this contract. Any subcontractor hired by Contractor shall also carry Workers' Compensation and Employers' Liability coverage. Sole proprietors not subject to Workers’ Compensation coverage must complete, execute, and submit the Workers’ Compensation Coverage Exemption Statement. EMPLOYER'S LIABILITY ☐ Statutory amount (currently $500,000 in Oregon, other states may vary)

☐ Other: minimum of $1,000,000 when not regulated by statute ☐ OTHER: ☐ CYBER coverage in the amount of $2,000,000

☐ PROFESSIONAL LIABILITY coverage: limits not less than $ ($1,000,000/occurrence minimum when required). Policy must provide tail/continuous coverage for 24 months from the end of the project.

☐ POLLUTION LIABILITY coverage: limits not less than $ ($1,000,000/occurrence minimum when required). Coverage must be continuous for 24 months from the end of the project and shall include completed operations.

☐☐

: limits not less than $ ($1,000,000/occurrence minimum unless indicated) : limits not less than $ ($1,000,000/occurrence minimum unless indicated)

☐ CERTIFICATE HOLDER: Lane County, its officers, agents, employees and volunteers, c/o ☐ LANE COUNTY REQUIRES THE COVERAGE TYPES AND AMOUNTS SHOWN ABOVE OR POLICY LIMITS,

WHICHEVER IS GREATER. The policy limits specified above are minimum requirements; Lane County reserves the right to claim up to the policy limits. All coverages are Primary and Non-Contributory with any other insurance and self-insurance. Acceptance of a COI providing less than required coverages does not relieve contractor of the insurance requirements set out above or in the contract. The contractor must notify the County if non-County claims have infringed or impacted the policy. Contractor is required to notify Lane County of any changes to or cancellation of coverage(s) within 24 hours. Contractor is required to provide a copy of the policy to Lane County upon demand.

☐ DIRECT ALL INSURANCE RELATED DOCUMENTS FOR YOUR CONTRACT TO YOUR CONTACT AT LANE COUNTY; DO NOT DIRECT YOUR DOCUMENTS TO RISK MANAGEMENT AS THIS WILL RESULT IN DELAYS.

ATTACHMENT F

Oregon Department of TransportationBridge Inspection Report

District : 5

Fac Crossed : FALL CREEK

Suff Rating : 89.9

AC Depth : 0.50

Bridge Length : 313.00 ft

Structure : Fall Creek,Pengra Rd

Owner : County HwyAgency

County : Lane

Record Type : 1

Insp Freq : 24

Bridge Width : 35.40 ft

Bridge ID : 039C35

Fac Carried : PENGRA ROAD

Mile Point : 0.04 mi

Insp Date : 10/19/2018

Inspector 1 : GARRICK DOLL(C0077)

Inspector 2 :

Signature: _____________________________________________________

Element Condition States (New AASHTO report)

Element StructureUnit

Environment Quantity Units CS 1 CS 2 CS 3 CS4

Temp

12-Re Concrete Deck 1 3 11100 (SF) 6956 3144 1000 0

1090-Exposed Rebar 1 3 4 (SF) 0 4 0 0

1120-Efflorescence/Rust Staining 1 3 120 (SF) 0 120 0 0

1130-Cracking (RC and Other) 1 3 6000 (SF) 2000 3000 1000 0

1131-Soffit Cracking (RC, PSC) 1 3 20 (SF) 0 20 0 0

512-Thin Wearing Surface 1 3 11100 (SF) 11100 0 0 0

109-Pre Opn Conc Girder/Beam 1 3 1560 (LF) 1551 9 0 0

1090-Exposed Rebar 1 3 4 (LF) 0 4 0 0

1110-Cracking (PSC) 1 3 5 (LF) 0 5 0 0

205-Re Conc Column 1 3 2 (EA) 0 2 0 0

1190-Abrasion(PSC/RC) 1 3 2 (EA) 0 2 0 0

215-Re Conc Abutment 1 3 105 (LF) 100 5 0 0

1080-Delamination/Spall/PatchedArea

1 3 5 (LF) 0 5 0 0

234-Re Conc Pier Cap 1 3 72 (LF) 72 0 0 0

306-Other Joint 1 3 152 (LF) 76 76 0 0

2310-Leakage 1 3 76 (LF) 0 76 0 0

310-Elastomeric Bearing 1 3 10 (EA) 5 5 0 0

2230-Bulging, Splitting orTearing

1 3 10 (EA) 5 5 0 0

331-Re Conc Bridge Railing 1 3 636 (LF) 636 0 0 0

1130-Cracking (RC and Other) 1 3 636 (LF) 636 0 0 0

ATTACHMENT G

980-Approach Roadway Embank 1 3 1 (EA) 0 1 0 0

990-Miscellaneous Elements 1 1 1 (EA) 1 0 0 0

999-Roadway Impact 1 1 1 (EA) 0 1 0 0

Appraisal

Appraisal NBI # Rating

Scour 113 3 SC - Unstable

Bridge Rail 36A 1 Meets Standards

Transitions 36B 0 Substandard

Approach Rail 36C 0 Substandard

Rail Ends 36D 0 Substandard

Structural 67 7 Above Min Criteria

Deck 68 4 Tolerable

Clearance 69 N Not applicable (NBI)

Waterway 71 8 Equal Desirable

Approach Alignment 72 8 Equal Desirable Crit

NBI Category

Category NBI # Rating

Deck Condition 58 5 Fair

Superstructure 59 7 Good

Substructure 60 7 Good

Channel 61 6 Bank Slumping

Culvert/Retaining Walls 62 N N/A (NBI)

Remarks

12-Re Concrete Deck1090-Exposed RebarSPALLS WITH EXPOSED REBAR. SPAN 3, LEFT OVERHANG AND SPAN 2, RIGHT OVERHANG.1120-Efflorescence/Rust StainingLIGHT EFFLORESCENCE AT TRANSVERSE CONSTRUCTION JOINTS.1130-Cracking (RC and Other)DECK IS CRACKED THROUGHOUT WITH SOME MAP CRACKING.1131-Soffit Cracking (RC, PSC)B2,3 MODERATE CRACKS IN OVERHANG AT CAPS.

512-Thin Wearing Surface RECENT EPOXY OVERLAY.

109-Pre Opn Conc Girder/Beam1090-Exposed RebarEXPOSED STIRRUPS GIRDERS 3 AND 4 SPAN 1, BENT 2. EXPOSED REBAR SPAN 1.1110-Cracking (PSC)SPAN 1 EXTERIOR UPSTREAM GIRDER HAS 3' LONG HORIZONTAL LEACHING CRACK IN WEB NEAR TOPFLANGE AT BENT 2.

205-Re Conc Column1190-Abrasion(PSC/RC)ABRASION AT LOWER PART OF COLUMNS.

215-Re Conc Abutment1080-Delamination/Spall/Patched AreaBENT 4 RIGHT WING SPALLED AT CORNER.

ATTACHMENT G

306-Other JointORIGINAL COMP JOINT COVERED WITH POURED SEALANT. ALSO JOINT AT BACKWALL.

2310-LeakageBENTS 1 AND 4 BOND APPEARS TO BE BROKEN AT SEVERAL LOCATIONS. JOINTS LEAKING.

310-Elastomeric Bearing2230-Bulging, Splitting or TearingB1,4 SLIGHT DISPLACEMENT IN ELASTOMERIC BEARINGS.

331-Re Conc Bridge Railing1130-Cracking (RC and Other)DENSE SHRINKAGE CRACKING ALONG TOP OF RAIL.

980-Approach Roadway EmbankSETTLEMENT/FILL LOSS UNDER BT1 & 4 ABUTMENTS.

990-Miscellaneous ElementsBLACKBERRIES HEAVY AT SPAN 1. RAIL END AT NW CORNER HAS MISSING BOLTS. DIRT IN GUTTERS.

NotesInspection Notes

6/4/2018 Three-span bridge on spread footings. The 500-year scour depth is 7.2 feet and the average velocity is 7.2 fps perthe hydraulic report on file. The footing embedment 1.6 feet at bent 2 and 0.8 feet at bent 2. ODOT Hydraulic Manual10.12.1. and BDDM 3.14.7.1 require the footings be a minimum of 6 feet below the channel bottom. The report evaluatesscour code as a 3. HMW

Bridge Notes

Detour map added and length changed by Erick Cain 12/06/2016.Bridge Hydraulics Notes

Maintenance RecommendationsAs of: 11/6/2018

Priority Crew Wrk Cnd Notes Est.cost Status Rec Date

Routine/Schedule NotAssigned

306 Joints OtherJoint JointReplace

REPLACE JOINTS. 10000 Unknown 10/28/2014

Routine/Schedule LoadRatingCrew

990 Misc ElementOther

LOAD RATE BRIDGE. 10000 Unknown 10/28/2014



REPLACE MISSING BOLTS ATEND PIECE.

200 Unknown 12/09/2010



REMOVE BLACKBERRIES 500 Unknown 10/05/2004

*Completed items not included on default search

Load Rating

Rating Date : 07/16/1991

Design Load : 5 MS 18 (HS 20)

Posting Req : 5 At/Above Legal Loads

Posting Status : A Open, no restriction

ATTACHMENT G

Operating Load : 47 ton

Inventory Rating : 41 ton

OR Method : 2 AS Allowable Stress

IR Method : 2 AS Allowable Stress

Truck RatingFactor

% Below PostingRequired

ControllingMember

ActualPosting

PostingDate

Type 3 1.80 5 At/Above LegalLoads

No GIRDER BENDING

Type 3S-2

1.40 5 At/Above LegalLoads

No GIRDER BENDING

Type 3-3 1.33 5 At/Above LegalLoads

No GIRDER BENDING

SU4

SU5

SU6

SU7

EV2

EV3

Load Rating Notes

Load Rating Condition Comparison Chart

Category NBI # Rating Condition Current Condition

Traffic Impact 0 Failed CS2

Deck Condition 58 0 5

Superstructure 59 0 7

Substructure 60 0 7

Temporary Repairs 103

Wearing Surface Thickness 0.00 0.50

Inspection Schedule

Activity Conducted On Frequency Next Inspection

Routine Inspection 10/19/2018 24 10/01/2020

Underwater 09/19/2014 60 09/19/2019

X-Channel 10/25/2016 48 10/01/2020

Oregon Department of TransportationStructure Inventory and Appraisal Report

ATTACHMENT G

Suff Rating: 89.9 Bridge NO: 039C35 Insp Date: 10/19/2018

(2) Highway District District 5 (42A) Type Service On 1 (75) Type of Work

(3) County Lane (42B) Type ServiceUnder

5 (76) Improvement Length

(4) City 00000 (43) Struct Main 5 PrestressedConcrete 02 Stringer/Girder

(90) Inspection Date 10/19/2018

(5) Inventory Route 141A04620 (44) Struct Appr 0 Not Applicable 00 Not Applicable

(91) Inspection Frequency 24

(6) Feature INT FALL CREEK (45) Number Main Spans 3 (92) Critical Feat Insp (A) Fracture Critical (B) Underwater Insp Y 60 09/19/2014

(7) Facility Carried PENGRA ROAD (46) Number Appr Spans 0 (94) Cost of Improvement

(8) Structure Number 039C35622700004 (47) HorizontalClearance

32.10 ft (95) Roadway Improvement

(9) Location 050 MI W FALL CREEKDAM

(48) Maximum SpanLength

103.00 ft (96) Project Improvement 0

(10) Vert Clearance 99.99 ft (49) Structure Length 313.00 ft (97) Year of Improvement

(11) Mile Post 0.04 mi (50A) Sidewalk Width LT 0.00 ft (98) Border BRST-Code

(12) Base HighwayNetwork

0 (50B) Sidewalk Width RT 0.00 ft (100) Defense Highway 0

(13) LRS InventoryRoute

000000000000 (51) Bridge RoadwayWidth

32.10 ft (101) Parallel Structure N

(16) Latitude 43° 57' 53.89" (52) Deck Width 35.40 ft (102) Direction of Traffic 2

(17) Longitude 122° 50' 58.78" (53) Vert Clear OverDeck

99.99 ft (103) Temporary Structure

(19) Bypass Detour 0.26 mi (54) Vert Clear UnderDeck

N 0.00 ft (104) Highway System 0

(20) TOLL 3 On free road (55) Min Lat UnderclearCD

N 0.00 ft (105) Federal Lands HWY 0

(21) Custodian County Highway Agency (56) Min Lat Underclear L 0.00 ft (106) Year Reconstructed

(22) Owner County Highway Agency (58) Deck 5 (107) Deck Structure 1

(26) Func Class 07 Rural Mjr Collector (59) SuperStructure 7 (108) Wearing Surface 500

(27) Year Built 1970 (60) SubStructure 7 (109) Truck ADT 10%

(28) Lanes on: 2 / under: 0 (61) Channel 6 (110) Designated NationalNetwork

0

(29) Average DailyTraffic

2924 (62) Culvert N (111) Pier Protection

(30) Year of ADT 2010 (63) Oper Rating Method 2 (112) NBIS Bridge Length Y

(31) Design Load 5 MS 18 (HS 20) (64) Operating Rating 47.00 ton (113) Scour Critical Bridge 3

(32) ApproachRoadway

35.00 ft (65) Inv Rating Method 2 (114) Future ADT 2622

(33) Bridge Median 0 No median (66) Inventory Rating 41.00 ton (115) Year of Future ADT 2030

(34) Skew 20° (67) StructureCondition

7 (116) Vert-Lift Clearance

(35) Structure Flared 0 No flare (68) Deck Geometry 4 (117) Est Maint Cost

(36) Traffic SafetyFeature

1000 (69) Underclearance N (118) Culvert Length

ATTACHMENT G

(37) HistoricalSignificance

4 (70) Posting 5 (119) Culvert Inside Height

(38) Navigation Control 0 (71) WaterwayAdequacy

8 (120) Inspector GARRICK DOLL(C0077)

(39) Navigation VertClear

0.00 ft (72) APPR RDWYAlignment

8 (122) Highway/CO RD 006227

(40) Navigation HorzClear

0.00 ft (125) Embankment Erosion 5

(41) Open Status A

Quality Assurance:

WS Depth 0.50 (52) Deck Width 35.40 ft (70) Posting 5

(28) Lanes on: 2 / under: 0 (53) Vert Clear OverDeck

99.99 ft (71) Waterway Adequacy 8

(32) ApproachRoadway

35.00 ft (58) Deck 5 (72) APPR RDWY Alignment 8

(41) Open Status A (59) SuperStructure 7 (95) Roadway Improvement

(43) Struct Main 5 Prestressed Concrete (60) SubStructure 7 (103) Temporary Structure

(44) Struct Appr 0 Not Applicable (61) Channel 6 (108) Wearing Surface 500

(46) Number ApprSpans

0 (62) Culvert N (113) Scour Critical Bridge 3

(51) Bridge RoadwayWidth

32.10 ft (125) Embankment Erosion 5

Bridge Clearance Documents: Not Available Bridge Detours Maps: 039C35.tif Bridge Images: IM039C35_A0.JPG IM039C35_A1.JPG Job Hazard Assessment: Not Available Cross Channel Documents: XC039C35.pdf Gusset Plate Documents: Not Available Fracture Critical Inspection Documents: Not Available Fatigue Prone Assessment: Not Available Under Water: UW039C35.pdf Scour Plan Of Action: Not Available Timber Boring: Not Available Pin Hanger: Not Available Deck Surveys: Not Available Draw Bridges: Not Available Supplemental: Not Available Critical Findings: Not Available Tunnel Maps: Not Available Tunnel Access: Not Available

ATTACHMENT G