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STATEMENT OF QUALIFICATIONSMARCH 12, 2021Financial Planningand Analysis ServicesPACKET B
'''11March 12, 2021Washington State Department of Transportation310 Maple Park Avenue SEOlympia, WA 98504RE: WSDOT Financial Planning and Analysis ServicesDear Members of the Selection Committee:The Washington State Department of Transportation (WSDOT) plans to deliverfive new toll facilities in this decade: the I-405 Renton to Bellevue Express Lanes,the SR 509 and SR 167 Expressways, the I-5 Interstate Bridge Replacement, andthe US 2 Trestle. Collectively, these projects will double the state’s system of tollfacilities. This will entail new challenges for WSDOT, not only in terms offinancial planning, toll implementation, and ongoing operations, but also in howthe agency will address racial equity and income inequality. WSDOT’s culture ofcontinuous improvement, whether focused on customer experiences, financialperformance, or better integration and coordination with other agencies, will betested by these challenges. As it positions itself for the future, the WSDOT TollDivision will need and want a steady partner to help it deliver on its promise toprovide efficient and safe transportation to its toll customers.WSP USA (WSP) brings a trusted advisor in Project Manager Brent Bakerand a team that is familiar with WSDOT's organization and commitments of tollrevenue. Over the past two decades, WSP has supported WSDOT with financialplanning and analysis services on every existing and contemplated toll facility inthe state—from the SR 99 Tunnel, I-405 Express Toll Lanes, and SR 520 FloatingBridge to the US 2 Trestle, Gateway Program, and the I-5 Columbia RiverCrossing Replacement Bridge, now the Interstate Bridge Replacement program.Brent and his team have brought "wins" to the WSDOT team that includeidentifying revenue losses on I-405/SR 167 and proactively identifying revenueand cost risks on net revenue projections. And this team has consistently beenavailable to help Toll Division staff communicate complex information tolegislators and WSDOT leadership.We are positioned to help WSDOT navigate future social, regional, andtechnological challenges. Transportation agencies across the country are beingcalled upon to address equity in their communities. WSP’s recent equity work onWSP USA999 Third Avenue, 32nd FloorSeattle, WA 98104Tel.: 1 206 382-5200wsp.com
regional and national tolling projects includes assisting the Washington StateTransportation Commission to evaluate low-income toll programs for the I405/SR 167 Express Toll Lanes, and we led the work on cost and revenue impactevaluation in San Francisco as part of the Treasure Island development.Transportation and infrastructure projects in the Puget Sound region will continueto impact and influence each other, and WSDOT will need to coordinate withother local agencies. WSP is actively involved on major projects with SoundTransit (ST), King County Metro, Seattle Department of Transportation (SDOT)and has experience coordinating projects across multiple agencies. We willcontinue to leverage this experience to help WSDOT understand the largerfinancial implications of these cross-jurisdictional connections.As vehicle producers transition away from internal combustion engines in favorof electric vehicles, federal and state agencies will need to address the fundingrisk around future fuel tax revenues. WSP brings real-world experience withroad usage charge (RUC) pilot projects, policy development, and financialprojections. We are an industry leader in evaluating autonomous vehicletechnology, occupancy detection, and electronic toll payment options includingphone-based payment and connected vehicles. We see opportunities forintegrating these measures with WSDOTs existing back office systems andcustomer service operations and can help WSDOT evaluate strategies and plan forthe potential financial and customer account integration of tolling and RUC.In the coming years, WSDOT will need to position itself for the significanteconomical, technological, and social changes ahead. We offer a team of trustedadvisors and collaborators who will provide you with financial planning andanalysis support that helps you get to the right decisions to make your facilitiessustainable, equitable, and economically sound.We are eager to continue our long relationship with WSDOT and the TollDivision and support your efforts as you write the next chapter for toll projects inWashington state. Please contact me at 206 382-5284 or Brent.Baker@wsp.com ifyou have any questions regarding our proposal.Sincerely,Brent BakerSenior Vice PresidentProject ManagerPage 2
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Proposed Billing RatesDate: March 12, 2021Company Name: WSP USA Inc.Address: 999 Third Avenue, Suite 3200City / State / Zip: Seattle, WA 98194Subject: 3URSRVHG /DERU &ODVVL¿FDWLRQV DQG RXUO\ %LOOLQJ 5DWHV IRU Financial Planning and Analysis ServicesAttention: 0DQDJHU &RQWUDFW 6HUYLFHV 2ႈFH%HORZ DUH WKH KLJKHVW DQWLFLSDWHG KRXUO\ ELOOLQJ UDWHV IRU WKH LGHQWL¿HG ODERU FODVVL¿FDWLRQV /DERU &ODVVLILFDWLRQ 1DPHG 6WDII OO ,QFOXVLYH %LOOLQJ 5DWH IRU ) Auden KaehlerDeputy Project Manager / DIRECTOR 13 250.34Bhart SankaranSR. CONSULTANT 10 149.13Brent BakerSR. DIRECTOR 14 352.31Carlos CampoDIRECTOR 13 229.30Chris BergerDIRECTOR 13 244.99Chris WilhelmCONSULTANT 09 119.87David UngemahSR. DIRECTOR 14 310.37Dora WuLEAD CONSULTANT 11 152.22Eric VanhemertSR. LEAD CONSULTANT 12 221.30Gabor DebreczeniSR. LEAD CONSULTANT 12 197.82Kit ChiuSR. CONSULTANT 10 177.13Kit ChiuSR. CONSULTANT 10 142.50Liz Neely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itlePresident, U.S. Advisory ServicesDOT Form 224-011Revised 12/2018
/DERU &ODVVLILFDWLRQ 1DPHG 6WDII OO ,QFOXVLYH %LOOLQJ 5DWH IRU ) Madeleine YiCONSULTANT 09 119.87Markell MoffettLEAD CONSULTANT 11 180.66Matt WoodhouseLEAD CONSULTANT 11 173.81Michael GauntCONSULTANT 09 115.35Mike WarrenSR. DIRECTOR 14 280.09Rosella PicadoSR. DIRECTOR 14 123.05Shanwen LiuSR. CONSULTANT 10 123.05Varad KelkarLEAD CONSULTANT 11 191.02Virginie AmerlynckLEAD CONSULTANT 11 175.87/DERU &ODVVLILFDWLRQ 1HZ 6WDII 3URPRWLRQV OO ,QFOXVLYH %LOOLQJ 5DWH IRU ) ASSISTANT CONSULTANT07 105.00ASSOCIATE CONSULTANT08 115.00CONSULTANT09SR. CONSULTANT 125.0010LEAD CONSULTANT11SR. LEAD CONSULTANTDIRECTOR 150.00 175.001213SR. DIRECTOR 200.00 250.0014PRINCIPAL DIRECTOR 300.0015 360.006XEVHTXHQW FRQWUDFW \HDU ELOOLQJ UDWHV VXEMHFW WR HVFDODWLRQ DW D UDWH RI RU WKH SULRU FDOHQGDU \HDU V UDWH RI FKDQJH LQ WKH 8 6 &3, 8 ZKLFKHYHU LV JUHDWHU 1HZ VWDII DQG SURPRWLRQV WR D QHZ FODVVLILFDWLRQ JUDGH ZLOO XVH WKH JHQHUDO ODERU FODVVLILFDWLRQ UDWHV %\SURSRVLQJ D UDWH VFKHGXOH IRU ) ZLWK DQ HVFDODWLRQ FODXVH WKH :63 WHDP ZLOO SURYLGH :6'27 ZLWK WKH PRVW FRVW HIIHFWLYHVROXWLRQ IRU WKH OLIH RI WKH FRQWUDFW E\ UHPRYLQJ WKH FRQVXOWDQW V SULFLQJ RI IXWXUH LQIODWLRQ ULVN ZLWKLQ D VLQJOH VHW RI ELOOLQJ UDWHV RYHU DQH[WHQGHG VL[ \HDU SHULRG If additional space is needed, you may submit multiSOH FRSLHV RI SDJH DOT Form 224-011Revised 12/2018
Proposed Billing RatesDate: 2/23/2021Company Name: Bing Ma LLCAddress: 23205 NE 138th WayCity / State / Zip: Woodinville, WA. 98077Subject: 3URSRVHG /DERU &ODVVL¿FDWLRQV DQG RXUO\ %LOOLQJ 5DWHV IRU WSDOT Financial Planning and AnalysisAttention: 0DQDJHU &RQWUDFW 6HUYLFHV 2ႈFH%HORZ DUH WKH KLJKHVW DQWLFLSDWHG KRXUO\ ELOOLQJ UDWHV IRU WKH LGHQWL¿HG ODERU FODVVL¿FDWLRQV /DERU &ODVVL¿FDWLRQ OO ,QFOXVLYH %LOOLQJ 5DWHOwner/Principal (Bing Ma) - 2021 204.00Owner/Principal (Bing Ma) - 2022 214.20Owner/Principal (Bing Ma) - 2023 224.91Owner/Principal (Bing Ma) - 2024 236.16Owner/Principal (Bing Ma) - 2025 247.96Owner/Principal (Bing Ma) - 2026 260.361RWH 3URSRVHG %LOOLQJ 5DWHV DV VXEPLWWHG VKDOO EH UHYLHZHG DFFHSWHG DQG LQFRUSRUDWHG DV DQ H[KLELW WR WKH DJUHHPHQW 7KH 3URSRVHG %LOOLQJ 5DWHV VKDOO EH HIIHFWLYH WKURXJKRXW WKH OLIH RI WKH DJUHHPHQW LQ DFFRUGDQFH ZLWK WKH DJUHHPHQW SD\PHQW SURYLVLRQ 5HVSHFWIXOO\ 6LJQDWXUH Title Owner/PrincipalDOT Form 224-011Revised 12/2018Bing MaDigitally signed by Bing MaDN: C US, E bing@bingmaconsultant.com, O Bing Ma LLC, OU Bing Ma LLC, CN Bing MaLocation: Woodinville, WAReason: I am the author of this documentContact Info: Bing Ma 4255081767Date: 2021.02.23 18:46:00-08'00'
Proposed Billing RatesDate: 2-24-2021Company Name: Joyce Kirangi, CPA, LLCAddress: P.O Box 6155City / State / Zip: Kent, WA. 98064Subject: Proposed Labor Classifications and Hourly Billing Rates for Financial Planning and Analysis ServicesAttention: Manager, Contract Services OfficeBelow are the highest anticipated hourly billing rates for the identified labor classifications.Labor ClassificationFinancial Reporting and AuditingAll Inclusive Billing Rate 310 per hr.**NOTE: We are proposing the same hourly rate for the entire 6 -year period. We hopethere can be a rate increment within the period**Note: Proposed Billing Rates, as submitted, shall be reviewed, accepted, and incorporated as an exhibit to the agreement. The ProposedBilling Rates shall be effective throughout the life of the agreement in accordance with the agreement payment provision.Respectfully,SignatureTitle Owner/ManagerDOT Form 224-011Revised 12/2018
Proposed Billing RatesDate: 02/24/2021Company Name: Silicon Transportation ConsultantsAddress: 403 Hiller StCity / State / Zip: Belmont, CA 94002Subject: 3URSRVHG /DERU &ODVVL¿FDWLRQV DQG RXUO\ %LOOLQJ 5DWHV IRU 2021 Financial Planning & AnalysisAttention: 0DQDJHU &RQWUDFW 6HUYLFHV 2ႈFH%HORZ DUH WKH KLJKHVW DQWLFLSDWHG KRXUO\ ELOOLQJ UDWHV IRU WKH LGHQWL¿HG ODERU FODVVL¿FDWLRQV /DERU &ODVVL¿FDWLRQ OO ,QFOXVLYH %LOOLQJ 5DWHPartner Year 1 217.44Senior Consultant Year 1 217.44Consultant I Year 1 151.45Consultant II Year 1 169.72Analyst Year 1 143.49Partner Year 2 223.96Senior Consultant Year 2 223.96Consultant I Year 2 156.00Consultant II Year 2 174.81Analyst Year 2 147.79Partner Year 3 230.68Senior Consultant Year 3 230.68Consultant I Year 3 160.68Consultant II Year 3 180.06Analyst Year 3 152.23Partner Year 4 237.601RWH 3URSRVHG %LOOLQJ 5DWHV DV VXEPLWWHG VKDOO EH UHYLHZHG DFFHSWHG DQG LQFRUSRUDWHG DV DQ H[KLELW WR WKH DJUHHPHQW 7KH 3URSRVHG %LOOLQJ 5DWHV VKDOO EH HIIHFWLYH WKURXJKRXW WKH OLIH RI WKH DJUHHPHQW LQ DFFRUGDQFH ZLWK WKH DJUHHPHQW SD\PHQW SURYLVLRQ 5HVSHFWIXOO\ 6LJQDWXUH Title PartnerDOT Form 224-011Revised 12/2018
/DERU &ODVVL¿FDWLRQ OO ,QFOXVLYH %LOOLQJ 5DWHSenior Consultant Year 4 237.60Consultant I Year 4 165.50Consultant II Year 4 185.46Analyst Year 3 156.79Partner Year 5 244.73Senior Consultant Year 5 244.73Consultant I Year 5 170.46Consultant II Year 5 191.02Analyst Year 5 161.50Partner Year 6 252.07Senior Consultant Year 6 252.07Consultant I Year 6 175.57Consultant II Year 6 196.75Analyst Year 6 166.34Partner All Years 234.42Senior Consultant All Years 234.42Consultant I All Years 163.28Consultant II All Years 182.97Analyst All Years 154.69If additional space is needed, you may submit multiple copies of page 2.DOT Form 224-011Revised 12/2018
Consultant InformationForms'''I
Consultant Information FormFirm Name:FYE Date:WSP USA Inc.Number of Employees:12/318400Address:999 Third Avenue, Suite 3200City:State:SeattleWAPhone:206-382-5200Zip Code:County:98104Fax:KingCompany Web Site:206-382-5222 www.wsp.com/usaRemit to Address:P.O. Box 732476City:State:DallasZip Code:TXCounty:75373DallasPhone:Fax:Statewide Vendor Number (SWV) for Remit to Address:Federal Tax ID Number or Social Security Number:717-859-7508 or 717-859-7475 Not Applicable0027322 0511-1531569Unified Business Identifier Number (UBI):Date Universal Numbering System (DUNS) Number:600 275 529Year Firm Established:05-666-87008'%( 6%( 069:%( Certification Number::1933N/AProposed Project Manager:NAICS Code & Code Name:541611 Administrative ManagementEmail:Brent Bakerbrent.baker@wsp.com)LQDQFLDO &RQWDFW:Email:Paula Hammondpaula.hammond@wsp.comFirm Type:Sole ProprietorPartnershipC – Corp.Limited PartnershipSubchapter S Corp.Limited Liability CompanyAnnual Gross Receipt: 0 to 1 Million 1 Million to 5 Million 5 Million to 10 Million 10 Million to 15 MillionOver 15 MillionNote:Firm Name: Please do not use: dba’s – doing business as; combination names when two firms are working together, unless the combination name is theformation of a legally registered new company such as a joint venture; derivatives of your legal name; acronyms; etc. The firm name shown must be yourfirm’s legal name.Federal Tax ID Number: Your Federal Tax ID number must be that number registered to your legal firm name. If you do not have a Federal Tax IDnumber, please use your social security number.Unified Business Identifier (UBI) Number: Your firm will be REQUIRED to acquire a UBI Number prior to execution of an agreement and/or beingapproved as a Sub-consultant to an existing agreement. This is a Washington State Business license and can be acquired by contacting the WashingtonState Department of Revenue web site at ZZZ GRU ZD JRY Statewide Vendor (SWV) Number: The Statewide Vendor (SWV) Number is REQUIRED for vendors to receive payments. If your firm doesn’t alreadyhave an SWV number, your firm will be required to acquire a SWV number prior to execution of an agreement. Please contact WSDOT TRAINS HelpDesk at 360-705-7514 for assistance.FYE Date: Your firm’s fiscal year end date.8'%( 6%( 069:%( &HUWLILFDWLRQ ,I \RXU ILUP LV FHUWLILHG DV D 8'%( 6%( 069:%( HQWHU \RXU ILUP V FHUWLILFDWLRQ QXPEHU )HGHUDO &HUWLILFDWLRQV 8QGHUXWLOL]HG 'LVDGYDQWDJHG %XVLQHVV (QWHUSULVH 8'%( 6PDOO %XVLQHVV (QWHUSULVH 6%( 6WDWH &HUWLILFDWLRQV 0LQRULW\ 6PDOO 9HWHUDQ :RPHQ %XVLQHVV (QWHUSULVH )RU DGGLWLRQDO LQIRUPDWLRQ JR WR WKH :DVKLQJWRQ 6WDWH 2IILFH RI 0LQRULW\ :RPHQ V %XVLQHVV (QWHUSULVHV ZHE VLWH DW ZZZ RPZEH ZD JRY It is critical that your firm name is your legal firm name and that it is the same name assigned to your Federal Tax ID number and is the samename utilized for your SWV number.
Consultant Information FormFirm Name:FYE Date:Bing Ma LLc12/31Number of Employees:2Address:23205 NE 138th WayCity:State:WoodinvilleZip Code:WAPhone:County:98077KingFax:Company Web Site:425-508-1767N/ARemit to Address:23205 NE 138th WayCity:State:WoodinvilleZip wide Vendor Number (SWV) for Remit to Address:Federal Tax ID Number or Social Security Number:SWV0261126-00814081980Unified Business Identifier Number (UBI):Date Universal Numbering System (DUNS) Number:604-048-405N/AYear Firm Established:8'%( 6%( 069:%( Certification Number::2016D4M0024802/M4M0024802Proposed Project Manager:NAICS Code & Code Name:541611, 514330, 237990, 237310, 236220, 236210Email:Bing Mabing@bingmaconsultant.com)LQDQFLDO &RQWDFW:Email:Bing Mabing@bingmaconsultant.comFirm Type:Sole ProprietorPartnershipC – Corp.Limited PartnershipSubchapter S Corp.Limited Liability CompanyAnnual Gross Receipt: 0 to 1 Million 1 Million to 5 Million 5 Million to 10 Million 10 Million to 15 MillionOver 15 MillionNote:Firm Name: Please do not use: dba’s – doing business as; combination names when two firms are working together, unless the combination name is theformation of a legally registered new company such as a joint venture; derivatives of your legal name; acronyms; etc. The firm name shown must be yourfirm’s legal name.Federal Tax ID Number: Your Federal Tax ID number must be that number registered to your legal firm name. If you do not have a Federal Tax IDnumber, please use your social security number.Unified Business Identifier (UBI) Number: Your firm will be REQUIRED to acquire a UBI Number prior to execution of an agreement and/or beingapproved as a Sub-consultant to an existing agreement. This is a Washington State Business license and can be acquired by contacting the WashingtonState Department of Revenue web site at ZZZ GRU ZD JRY Statewide Vendor (SWV) Number: The Statewide Vendor (SWV) Number is REQUIRED for vendors to receive payments. If your firm doesn’t alreadyhave an SWV number, your firm will be required to acquire a SWV number prior to execution of an agreement. Please contact WSDOT TRAINS HelpDesk at 360-705-7514 for assistance.FYE Date: Your firm’s fiscal year end date.8'%( 6%( 069:%( &HUWLILFDWLRQ ,I \RXU ILUP LV FHUWLILHG DV D 8'%( 6%( 069:%( HQWHU \RXU ILUP V FHUWLILFDWLRQ QXPEHU )HGHUDO &HUWLILFDWLRQV 8QGHUXWLOL]HG 'LVDGYDQWDJHG %XVLQHVV (QWHUSULVH 8'%( 6PDOO %XVLQHVV (QWHUSULVH 6%( 6WDWH &HUWLILFDWLRQV 0LQRULW\ 6PDOO 9HWHUDQ :RPHQ %XVLQHVV (QWHUSULVH )RU DGGLWLRQDO LQIRUPDWLRQ JR WR WKH :DVKLQJWRQ 6WDWH 2IILFH RI 0LQRULW\ :RPHQ V %XVLQHVV (QWHUSULVHV ZHE VLWH DW ZZZ RPZEH ZD JRY It is critical that your firm name is your legal firm name and that it is the same name assigned to your Federal Tax ID number and is the samename utilized for your SWV number.
Consultant Information FormFirm Name:FYE Date:Number of Employees:Community Attributes, Inc12/31/2018 12Address:500 Union Street, Suite 200City:State:SeattleWAPhone:Zip Code:County:98101KingFax:206-523-6683Company Web Site:866-726-5717communityattributes.comRemit to Address:500 Union Street, Suite 200City:State:Zip 83866-726-5717Statewide Vendor Number (SWV) for Remit to Address:Federal Tax ID Number or Social Security Number:SWV0137559-0020-2947763Unified Business Identifier Number (UBI):Date Universal Numbering System (DUNS) Number:602-509-182616769878Year Firm Established:8'%( 6%( 069:%( Certification Number::2005NAICS Code & Code Name:541999Proposed Project Manager:Email:Madalina Calenmadalina@communityattributes.com)LQDQFLDO &RQWDFW:Email:Chris Meffordchris@communityattributes.comFirm Type:Sole ProprietorPartnershipC – Corp.Limited PartnershipSubchapter S Corp.Limited Liability CompanyAnnual Gross Receipt: 0 to 1 Million 1 Million to 5 Million 5 Million to 10 Million 10 Million to 15 MillionOver 15 MillionNote:Firm Name: Please do not use: dba’s – doing business as; combination names when two firms are working together, unless the combination name is theformation of a legally registered new company such as a joint venture; derivatives of your legal name; acronyms; etc. The firm name shown must be yourfirm’s legal name.Federal Tax ID Number: Your Federal Tax ID number must be that number registered to your legal firm name. If you do not have a Federal Tax IDnumber, please use your social security number.Unified Business Identifier (UBI) Number: Your firm will be REQUIRED to acquire a UBI Number prior to execution of an agreement and/or beingapproved as a Sub-consultant to an existing agreement. This is a Washington State Business license and can be acquired by contacting the WashingtonState Department of Revenue web site at ZZZ GRU ZD JRY Statewide Vendor (SWV) Number: The Statewide Vendor (SWV) Number is REQUIRED for vendors to receive payments. If your firm doesn’t alreadyhave an SWV number, your firm will be required to acquire a SWV number prior to execution of an agreement. Please contact WSDOT TRAINS HelpDesk at 360-705-7514 for assistance.FYE Date: Your firm’s fiscal year end date.8'%( 6%( 069:%( &HUWLILFDWLRQ ,I \RXU ILUP LV FHUWLILHG DV D 8'%( 6%( 069:%( HQWHU \RXU ILUP V FHUWLILFDWLRQ QXPEHU )HGHUDO &HUWLILFDWLRQV 8QGHUXWLOL]HG 'LVDGYDQWDJHG %XVLQHVV (QWHUSULVH 8'%( 6PDOO %XVLQHVV (QWHUSULVH 6%( 6WDWH &HUWLILFDWLRQV 0LQRULW\ 6PDOO 9HWHUDQ :RPHQ %XVLQHVV (QWHUSULVH )RU DGGLWLRQDO LQIRUPDWLRQ JR WR WKH :DVKLQJWRQ 6WDWH 2IILFH RI 0LQRULW\ :RPHQ V %XVLQHVV (QWHUSULVHV ZHE VLWH DW ZZZ RPZEH ZD JRY It is critical that your firm name is your legal firm name and that it is the same name assigned to your Federal Tax ID number and is the samename utilized for your SWV number.
Consultant Information FormFirm Name:FYE Date:Joyce Kirangi, CPA, LLCNumber of Employees:12-31-XX1Address:10522 SE 206th PlaceCity:State:KentWAPhone:Zip Code:County:98031USAFax:206-665-9102Company Web Site:-www.joycekirangicpa.comRemit to Address:P.O Box 6155City:State:Zip tatewide Vendor Number (SWV) for Remit to Address:Federal Tax ID Number or Social Security Number:-?85-0526775Unified Business Identifier Number (UBI):Date Universal Numbering System (DUNS) Number:604484542122770362Year Firm Established:8'%( 6%( 069:%( Certification Number::7/18/2019D3F0026498,DBE/SBE; M3F0026498/MWBEProposed Project Manager:NAICS Code & Code Name:541211;541611; 561999; 921190Email:Joyce Kirangi,CPAjoyce@joycekirangicpa.com)LQDQFLDO &RQWDFW:Email:Joyce Kirangi,CPAjoyce@joycekirangicpa.comFirm Type:Sole ProprietorPartnershipC – Corp.Limited PartnershipSubchapter S Corp.Limited Liability CompanyAnnual Gross Receipt: 0 to 1 Million 1 Million to 5 Million 5 Million to 10 Million 10 Million to 15 MillionOver 15 MillionNote:Firm Name: Please do not use: dba’s – doing business as; combination names when two firms are working together, unless the combination name is theformation of a legally registered new company such as a joint venture; derivatives of your legal name; acronyms; etc. The firm name shown must be yourfirm’s legal name.Federal Tax ID Number: Your Federal Tax ID number must be that number registered to your legal firm name. If you do not have a Federal Tax IDnumber, please use your social security number.Unified Business Identifier (UBI) Number: Your firm will be REQUIRED to acquire a UBI Number prior to execution of an agreement and/or beingapproved as a Sub-consultant to an existing agreement. This is a Washington State Business license and can be acquired by contacting the WashingtonState Department of Revenue web site at ZZZ GRU ZD JRY Statewide Vendor (SWV) Number: The Statewide Vendor (SWV) Number is REQUIRED for vendors to receive payments. If your firm doesn’t alreadyhave an SWV number, your firm will be required to acquire a SWV number prior to execution of an agreement. Please contact WSDOT TRAINS HelpDesk at 360-705-7514 for assistance.FYE Date: Your firm’s fiscal year end date.8'%( 6%( 069:%( &HUWLILFDWLRQ ,I \RXU ILUP LV FHUWLILHG DV D 8'%( 6%( 069:%( HQWHU \RXU ILUP V FHUWLILFDWLRQ QXPEHU )HGHUDO &HUWLILFDWLRQV 8QGHUXWLOL]HG 'LVDGYDQWDJHG %XVLQHVV (QWHUSULVH 8'%( 6PDOO %XVLQHVV (QWHUSULVH 6%( 6WDWH &HUWLILFDWLRQV 0LQRULW\ 6PDOO 9HWHUDQ :RPHQ %XVLQHVV (QWHUSULVH )RU DGGLWLRQDO LQIRUPDWLRQ JR WR WKH :DVKLQJWRQ 6WDWH 2IILFH RI 0LQRULW\ :RPHQ V %XVLQHVV (QWHUSULVHV ZHE VLWH DW ZZZ RPZEH ZD JRY It is critical that your firm name is your legal firm name and that it is the same name assigned to your Federal Tax ID number and is the samename utilized for your SWV number.
Consultant Information FormFirm Name:FYE Date:Larson Consulting Associates LLCNumber of Employees:December 311Address:3710 N 35th StCity:State:TacomaZip Code:WAPhone:County:98407Fax:206.979.7974USCompany Web Site:N/Awww.larson.consultingRemit to Address:3710 N 35th StCity:State:TacomaZip ewide Vendor Number (SWV) for Remit to Address:SW024499300Federal Tax ID Number or Social Security Number:47-3311464Unified Business Identifier Number (UBI):Date Universal Numbering System (DUNS) Number:603-482-483UDBE/SBE/MSVWBE Certification Number::Year Firm Established:2015W2F0024749Proposed Project Manager:NAICS Code & Code Name:541611Email:Catherine Larsoncatherine@larson.consultingFinancial Contact:Email:Catherine Larsoncatherine@larson.consultingFirm Type:Sole ProprietorPartnershipC – Corp.Limited PartnershipSubchapter S Corp.Limited Liability CompanyAnnual Gross Receipt: 0 to 1 Million 1 Million to 5 Million 5 Million to 10 Million 10 Million to 15 MillionOver 15 MillionNote:Firm Name: Please do not use: dba’s – doing business as; combination names when two firms are working together, unless the combination name is theformation of a legally registered new company such as a joint venture; derivatives of your legal name; acronyms; etc. The firm name shown must be yourfirm’s legal name.Federal Tax ID Number: Your Federal Tax ID number must be that number registered to your legal firm name. If you do not have a Federal Tax IDnumber, please use your social security number.Unified Business Identifier (UBI) Number: Your firm will be REQUIRED to acquire a UBI Number prior to execution of an agreement and/or beingapproved as a Sub-consultant to an existing agreement. This is a Washington State Business license and can be acquired by contacting the WashingtonState Department of Revenue web site at www.dor.wa.gov.Statewide Vendor (SWV) Number: The Statewide Vendor (SWV) Number is REQUIRED for vendors to receive payments. If your firm doesn’t alreadyhave an SWV number, your firm will be required to acquire a SWV number prior to execution of an agreement. Please contact WSDOT TRAINS HelpDesk at 360-705-7514 for assistance.FYE Date: Your firm’s fiscal year end date.UDBE/SBE/MSVWBE Certification: If your firm is certified as a UDBE/SBE/MSVWBE enter your firm's certification number. Federal Certifications:Underutilized Disadvantaged Business Enterprise (UDBE), Small Business Enterprise (SBE). State Certifications: Minority, Small, Veteran, WomenBusiness Enterprise. For additional information go to the Washington State Office of Minority & Women's Business Enterprises web site atwww.omwbe.wa.gov.It is critical that your firm name is your legal firm name and that it is the same name assigned to your Federal Tax ID number and is the samename utilized for your SWV number.
Consultant Information FormFirm Name:FYE Date:Silicon Transportation ConsultantsNumber of Employees:12/317Address:403 Hiller StCity:State:BelmontZip Code:CAPhone:County:94002San MateoFax:Company Web Site:(617) 448-8611www.silicontc.comRemit to Address:403 Hiller StCity:State:BelmontZip Code:CACounty:94002Phone:San MateoFax:(617) 448-8611Statewide Vendor Number (SWV) for Remit to Address:Federal Tax ID Number or Social Security Number:SWV020253647-4849971Unified Business Identifier Number (UBI):Date Universal Numbering System (DUNS) Number:603583729080147201Year Firm Established:8'%( 6%( 069:%( Certification Number::2015D2F0024264Proposed Project Manager:NAICS Code & Code Name:541614 Transportation Management Consulting ServicesEmail:Patrick Vupvu@silicontc.com)LQDQFLDO &RQWDFW:Email:Sarah Smithssmith@silicontc.comFirm Type:Sole ProprietorPartnershipC – Corp.Limited PartnershipSubchapter S Corp.Limited Liability CompanyAnnual Gross Receipt: 0 to 1 Million 1 Million to 5 Million 5 Million to 10 Million 10 Million to 15 MillionOver 15 MillionNote:Firm Name: Please do not use: dba’s – doing business as; combination names when two firms are working together, unless the combination name is theformation of a legally registered new company such as a joint venture; derivatives of your legal name; acronyms; etc. The firm name shown must be yourfirm’s legal name.Federal Tax ID Number: Your Federal Tax ID number must be that number registered to your legal firm name. If you do not have a Federal Tax IDnumber, please use your social security number.Unified Business Identifier (UBI) Number: Your firm will be REQUIRED to acquire a UBI Number prior to execution of an agreement and/or beingapproved as a Sub-consultant to an existing agreement. This is a Washington State Business license and can be acquired by contacting the WashingtonState Department of Revenue web site at ZZZ GRU ZD JRY Statewide Vendor (SWV) Number: The Statewide Vendor (SWV) Number is REQUIRED for vendors to receive payments. If your firm doesn’t alreadyhave an SWV number, your firm will be required to acquire a SWV number prior to execution of an agreement. Please contact WSDOT TRAINS HelpDesk at 360-705-7514 for assistance.FYE Date: Your firm’s fiscal year end date.8'%( 6%( 069:%( &HUWLILFDWLRQ ,I \RXU ILUP LV FHUWLILHG DV D 8'%( 6%( 069:%( HQWHU \RXU ILUP V FHUWLILFDWLRQ QXPEHU )HGHUDO &HUWLILFDWLRQV 8QGHUXWLOL]HG 'LVDGYDQWDJHG %XVLQHVV (QWHUSULVH 8'%( 6PDOO %XVLQHVV (QWHUSULVH 6%( 6WDWH &HUWLILFDWLRQV 0LQRULW\ 6PDOO 9HWHUDQ :RPHQ %XVLQHVV (QWHUSULVH )RU DGGLWLRQDO LQIRUPDWLRQ JR WR WKH :DVKLQJWRQ 6WDWH 2IILFH RI 0LQRULW\ :RPHQ V %XVLQHVV (QWHUSULVHV ZHE VLWH DW ZZZ RPZEH ZD JRY It is critical that your firm name is your legal firm name and that it is the same name assigned to your Federal Tax ID number and is the samename utilized for your SWV number.
Contractor Certification –Worker’s Rights Forms'''I
APPENDIX ICONTRACTOR CERTIFICATIONEXECUTIVE ORDER 18-03 – WORKERS’ RIGHTSWASHINGTON STATE GOODS & SERVICES CONTRACTSPursuant to the Washington State Governor’s Executive Order 18-03 (dated June 12, 2018), theWashington State Department of Transportaion is seeking to contract with qualified entities andbusiness owners who certify that their employees are not, as a condition of employment, subjectto mandatory individual arbitration clauses and class or collective action waivers.Solicitation No./Title:Financial Planning and Analysis ServicesI hereby certify, on behalf of the firm identified below, as follows (check one): NO MANDATORY INDIVIDUAL ARB
Bridge to the US 2 Trestle, Gateway Program, and the I-5 Columbia River Crossing Replacement Bridge, now the Interstate Bridge Replacement program. Brent and his team have brought "wins" to the WSDOT team that include identifying revenue losses on I-405/SR 167 and proactively identifying revenue and cost risks on net revenue projections.
