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PK07-281 - Original - Quigg Brothers, Inc. - Lake Meridian Boat Launch - 07/27/2007
Records Management KENT Document 1vA5HINGTON f CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to City Clerks Office. All portions are to be completed, if you have questions, please contact Mary Simmons, City Clerks Office. Vendor Name: r05 Contract Number: ft 7`a.g TWe is a ectn A h.r AAnry 'Z' m^ne Vendor Number: Project Name: L—AYlff Y Y 1C'61 �W(XIJ k 6a+ Lawnck — at4iii Contract Effective Date: Contract Termination Date: Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: 7;V-N\t___ D o n G +i Department: Abstract: ADCL7832 07/02 CONTRACT THIS AGREEMENT, made in triplicate, is entered into between the CITY OF KENT, a Washington municipal corporation ("City"), and Quigg Brothers, Inc., organized under the laws of the State of Washington, located and doing business at PO Box 1707 Aberdeen, WA 98520 ("Contractor"). WITNESS- In consideration of the terms and conditions contained herein and attached and made a part of this Agreement,the parties agree as follows: 1. The Contractor shall do all work and furnish all tools, materials, and equipment for: Lake Meridian Boat Launch Improvements in accordance with and as described in the Contract Documents and shall perform any alterations in or additions to the work provided under the Contract Documents and every part thereof The Contract Documents shall include all project specifications, provisions, and plans, the City's general and special conditions; the 2004 Standard Specifications for Road, Bridge, and Municipal Construction, as prepared by the Washington State Department of Transportation and the Washington State Chapter of the American Public Works Association, including all published amendments issued by those organizations, if applicable ("Standard Specifications"), the City's bid documents, and the Contractor's response to the City's bid Unless otherwise directed by the City, work shall start within ten (10) days after the City issues its Notice to Proceed and be completed within 120 calendar days. I The Contractor shall provide and bear all expense of all equipment, work, and labor of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in the Contract Documents and every part thereof, except as mentioned in the specifications to be furnished by the City. 2. The City hereby promises and agrees with the Contractor to employ, and does employ, the Contractor to provide the materials and to do and cause to be done the above described work and to complete and finish the same according to the Contract Documents and the terms and conditions herein contained and hereby contracts to pay for the same according to the Contract Documents and the schedule of unit or itemized prices provided by Contractor in its response to the City's bid, at the time and in the manner and upon the conditions provided for in the Contract Documents. 3. The Contractor for itself, and for its heirs, executors, administrators, successors, and assigns, does hereby agree to the full performance of all covenants herein contained upon the part of the Contractor. 4. It is further provided that no liability shall attach to the City by reason of entering into this contract, except as expressly provided herein. 5. Contractor shall defend, indemnify, and hold the City, its officers, officials, employees, agents, volunteers and assigns harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or Project Name Lake Meridian Boat Launch Improvements Page 1 in connection with the performance of this contract, except for injuries and damages caused by the sole negligence of the City. The City's inspection or acceptance of any of Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this contract is subject to RCW 4 24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, its officers, officials, employees, agents and volunteers, the Contractor's liability hereunder shall be only to the extent of the Contractor's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONTRACTOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER The provisions of this section shall survive the expiration or termination of this contract 6. Contractor agrees, upon the City's written demand, to make all books and records available to the City for inspection, review, photocopying, and audit in the event of a contract related dispute, claim, modification, or other contract related action at reasonable times (not to exceed three (3) business days) and at places designated by the City. 7. The Contractor shall procure and maintain, during the term of construction and throughout the specified term of maintenance, insurance of the types and in the amounts described in Exhibit A attached and incorporated by this reference. 8. Contractor is responsible for locating any underground utilities affected by the work and is deemed to be an excavator for purposes of RCW Ch. 19 122, as amended. Contractor shall be responsible for compliance with RCW Ch 19.122, including utilization of the "one call" locator service before commencing any excavation activities. 9. Contractor shall fully cover any and all loads of loose construction materials, including but not limited to sand, dirt; gravel, asphalt, excavated materials, construction debris, etc, to protect said materials from air exposure and to minimize emission of airborne particles to the ambient air environment within the City. Project Name Lake Meridian Boat Launch Improvements Page 2 IN WITNESS WHEREOF the parties hereto have caused this agreement to be executed the day and year first hereinabove written. CITY OF KENT BY: S TE COOKE, MAYOR DA ATTEST: BRENDA JACOBER, CITY CLERK APP OVED AS TO F RM: N LAW E RTMENT CONTRACT BY: PRINT NAM : J ui TITLE: President DATE Z 7 Project Name Lake Meridian Boat Launch Improvements Page 3 WITNESS, if INDIVIDUAL OR PARTNERSHIP: STATE OF WASHINGTON ) ) ss COUNTY OF KING ) On this day of 2007, before me personally appeared and to me known to be and of the corporation/individual that executed the within and foregoing instrument, and acknowledged said instrument to be free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that they were authorized to execute said instrument and that the seal affixed is the corporate seal of said corporation. IN WITNESS WHEREOF, I have hereunto set my hand and official seal the day and year first above written NOTARY PUBLIC, in and for the State of Washington, residing at My appointment expires Project Name- Lake Meridian Boat Launch Improvements Paae 4 . PERFORMANCE BOND TO CITY OF KENT Re. Lake Meridian Boat Launch Project Bond No. 104943115 KNOW ALL MEN BY THESE PRESENTS: That we,the undersigned, Quigg Bros. , Inc. as Principal, and Travelers Casualty and Surety Company of America a Corporation organized and existing under the laws of the State of Washington, as a Surety Corporation, and qualified under the laws of the State of Washington to become Surety upon bonds of Contractors with Municipal Corporations, as Surety, are jointly and severally held and firmly bound to the CITY OF KENT in the penal sum of$ 331,841.16 , together with any adjustments, up or down, in the total contract price because of changes in the contract work, for the payment of which sum on demand we bind ourselves and our successors, heirs, administrators or personal representatives, as the case may be. This obligation is entered into in pursuance of the statutes of the State of Washington, and the Codes and Ordinances of the CITY OF KENT. Nevertheless, the conditions of the above obligation are such that: WHEREAS,under and pursuant to a motion, duly made, seconded and passed by the City Council of the City of Kent. King County, Washington, the Mayor of the City of Kent has let or is about to let to the above bounden Principal, a certain contract,the said contract providing for construction of the Project Name/Project Number(which contract is referred to herein and is made a part hereof as though attached hereto), and WHEREAS,the Principal has accepted, or is about to accept,the contract, and undertake to perform the work therein provided for in the mamler and within the time set forth: NOW, THEREFORE, for non-FHWA projects only, if the Principal shall faithfully perform all the provisions of said contract in the manner and within the time herein set forth, or within such extensions of time as may be granted under the said contract, and shall pay all laborers,mechanics, subcontractors and material men, and all persons who shall supply the Principal or subcontractors with provisions and supplies for the carrying on of said work and shall indemnify and hold the CITY OF KENT harmless from any damage or expense by reason of failure of performance as specified in said contract or from defects appearing or developing in the material or workmanship provided or performed under said contract within a period of one year after its acceptance thereof by the CITY OF KENT, then and in that event this obligation shall be void; but otherwise it shall be and remain in full force and effect. IN WITNESS WHEREOF,the above bounden parties have executed this instrument under their separate seals. The name and corporate seal (if required by law) of each corporate party is hereto affixed and duly signed by its undersigned representatives pursuant to authority of its governing body. (SIGNATURES ON FOLLOWING PAGE) PERFORMANCE BOND PAGE TWO TWO WITNESSES: Ouigg Bros. , Inc. P TITLE: r �'tf4 ATE: DATE: &tZ6�U7 1'e.fe r i�cyN CORPORATE SEAL: J0,e,tkC '3V1.,1-tJA4k1 PRINT NAME Travelers Casualty and Surety DATE: June 26, 2007 Company of America SURETY CORPORATESEAL: BY: � "�779 Joan M. Councilman DATE: July 11. 2007 TITLE: Attorney-in-Fact ADDRESS: 505 5th Ave. S. , Suite 200 Seattle, WA 98104 CERTIFICATE AS TO CORPORATE SEAL I hereby certify that I am the (Assistant) Secretary of the Corporation nanied as Principal in the within Bond;that Q�t GCS W110 signed the said bond on behalf of the Principal Of the said Corporation;that I know his signature thereto is genuine, and that said Bond was duly signed, sealed, and attested for and in behalf of said Corporation by authority of its govenung body. r CRETARY OR I AN CRETARY WARNING THIS POWER OF ATTOR14E(IS INVALID WI T fiOUT T I-iE RED BORDER ST PA UL POWER OF ATTORNEY TRAVELERS Farmington Casually Company St.Paul Guardrail Insurance Company Fidelity and Guaranty Insurance Company St.Paul[Mercury Insurance Company Fidelity and Guaranty Insurance Undervtruers,Inc. Ti as elers Caeuaity and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company orAmerica St.Paul Fire and Marine Insurance Company United States Fidehty and Guaranty Company Attorney-In Fact No. 214863 Certificate No. 001228460 KNOW ALL MEN BY THESF.PRESENTS That Seaboard Surety Company is a corporation duly mgamzed mado the laws of the State of New Yolk that St Paul Fire and Marine Inem ante Conipam,St Paul Guardian hxm aoee Company.and St Paul Mercuiy hnurance Company.tie cm-poiations duly orgam�ed under the laws of the State of Minnesota, that Faunurgton Casualty Company Travekts Casualty and Surety Company,and Tiavclu-s Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut,that United Slates Fidelity and Guaranty Company is a corpoiauon duly organized under the laws of the State of Mary land,that Fidelity and Guaianty Insurance Company Is a emporanon duly organized midei the law%of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc is a eorpmation duly organized under the laws of the State of Wrsconsm(herein collectively called the"CompanleC'),and that ' the Companies do hereby male cot sttmte and nppourt John Claeys,Joan M Councilman, Ronald J Lange,and Pamela A Nelson of the City of Seattle State of Washington their true and lawful Attomey(s)-m-Fact, each in their separate capacity if more than one is named above,to sign execute,seal and acknoiuledge any and all bonds,iecogmzances,conditional undertakings and other writings obbgalory m the nature thereof on behalf of the Companies m then business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing of guaranteeing bonds and undeitakmgs required or permitted in any actions or proceedings allowed by law F Y IN WITNESS WHEREOF,the Companies have caused this Instrument to Lit signed and rhea coipaate seals to be hereto affixed,this 3rd day of October 2006 Farmington Casualty Company St Paul Guardian Insurance Company Fidelity and Guaranty Insurance Company St Paul Mercury Insurance Company Fidelity and Guaranty Lisurance Undei writers,Inc. Travelers Casualty aad Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America St Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company GI.SU��j 'oL v,4\PE A�> \P� i 9SL 9 Y IHSUq 011 cbl�'! 91A SEJSL 3 �falYl AN7fi"" I State of Connecticut By City of Hartford ss orge W I ompsor Sen r Vim Pievdent On this the 3rd day of October 2006 before me peisonally appealed George W Thompson,who acknowledged himself to be the Senior `vice President of Farmington Casualty Company, Fidelity and Cuaianty Insurance Company Fidelity and Guaranty Insurance Underwriters.Inc, Seaboard Smety Company, St Paul File and Marme Insurance Company St Paul Guardian Insurance Company, St Pau] 'viercury Insurance Company,Travelers Casualty and Surety Company,Traieiers Casualty and Surety Company of America, and unneo States Fidelity and Guaranty Company, and that he, as such, nemg authonzed so to do,executed the folegomg instrument tot the putposes therein contained by srgmng on behalf of the corporations by hunself as a duly auttior¢ed officer G TEi In Witness Whereof,I hereunto set my hand and official seal UN My Commission expires the 301h day of June,2011 0uelte Mane C Tetreault,Notary Public 58440-6-06 Printed in U S A WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc, Seaboard Surety Company, St Paul Fire and Marine Insurance Company, St Paul Guardian Insurance Company, St Paul Meicury Insuiance Company, Tiavelers Casualty and Surety Company,Travelers Casualty and Suiety Company of America,and United States Fidelity and Guaianty Company,which resolutions aie now in full force and effect,reading as follows RESOLVED, that the Chairman,the President,any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice Piesident, any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attoineys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may presenbe to sign with the Company's name and seal with the Company's seal bonds,recognizances,corn acts of indemnity,and other writings obligatory in the nature of a bond,recognizance,of conditional undertaking,and any of said officer s of the Boaid of DacUois at any time may remove any such appointee and revoke the power given him or her,and it is FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary,and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Tieasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority and it is FURTHER RESOLVED,that the signature of each of the following officers President any Executive Vice President,anv Senior Vice President,any Vice President, i any Assistant Vice Pi esident,any Secretary,any Assistant Secretary,and the seal of the Company may he affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-m-Fact for purposes only of executing and attesting bonds and t undertakings and other writings obligator'in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such tacsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached I,Kon M Johanson,the undersigned,Assistant Secretary of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters, Inc, Seaboard Surety Company St Paul Fire and Marine Insurance Company, St Paul Guardian Insurance Company, St Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,wtuch is in full force and effect and has not been revoked s IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this l l th day of July 20 Q7 V` Kon M Johans Assistant Secretary O�y��IJ j` $IYtE/y ci mEASEAL ii�O a SJ s e1�A� �r To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www stpaultravelersbond com Please refer to the Attorney-In-Fact number, the above-named individuals and the details of the bond to which the power is attached i t t E WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER CITY OF KENT KING COUNTY, WASHINGTON BIDDER'S PACKET FOR LAKE MERIDIAN BOAT LAUNCH IMPROVEMENTS PROJECT NUMBER PR 2007 04 BID DUE: Tuesday June 12, 2007 10:00 A.M. AT KENT CITY HALL CITY CLERK'S OFFICE 220 FOURTH AVENUE SOUTH KENT, WASHINGTON 98032 TO BE PUBLICLY READ ALOUD: Tuesday June 12, 2007 10:15 A.M. JEFF WATLING PARKS, RECREATION &COMMUNITY SERVICES DIRECTOR BIDDER'S NAME: "(t Q4 1-0 5 , , TIC. A pre-bid meeting is scheduled for Wednesday June, 6 beginning at 1:00 p.m. on the project site, Lake Meridian Park, 14800 SE 272nd Street, Kent, Washington. • KENT WASHINGTON BIDDER'S PACKET ORDER OF CONTENTS Location Map and Directions to Site Contractor's Compliance Statement Bid Proposal General Contractor's Request for References General Contractor's Qualification Statement Major Subcontractor List Greater Than 3% Subcontractor List Bid Bond Form Combined Affidavit & Certification Forms: Non-Collusion and Minimum Wage (Non Federal Aid) E.E.O. Policy Declaration City of Kent Administrative Policy No. 1.2 — MWBE Certification of Non-segregated Facilities Proposal Signature Page 2 LAKE MERIDIAN BOAT LAUNCH IMPROVEMENTS 14800 SE 272"d Street Kent, Washington Directions from I-5: (southbound or northbound) Take the Kent-Des Moines exit. Turn onto Kent-Des Moines Road, driving east down the hill. *Go through Meeker Street intersection, Washington intersection and continue until you reach Central Avenue. Take a left onto Central Avenue. Turn right onto Smith Street. Drive east on Smith Street. At the top of the hill after 104th Avenue, the road will "Y". Keep to the right onto Kent-Kangley Road. Continue east on Kent-Kangley Road for approximately 2.5 miles. Lake Meridian Park entrance will be on the left. A pre-bid meeting is scheduled for Wednesday June 6, 2007 beginning at 1:00 p.m. at the park site 14800 SE 272"d Street, Kent, Washington. pRVEST. " y , r S 212th,St - 4i -. ===;1 p�1mi - Se 224th St — S128tfi 5t r •y w 14i St _i )atnes St I k- Se 240th St a it _WMeKent_- zr fD Se256thSt— Lake Meridian Park m - Qlts S 272nd St „� M ;jg 5e.272nd St 1- ;;_ I l ttS 277th St Y _ — : _- 1a covlri ' S 288 St 37th St NJ!k S 2p6th St— - Se 304th St"T , I[, h St Nw15th ' Ne if Ir _ :Se 312th St ) St a, '61th St Nd Ln W foal '! uburn3 a r6111 r 'r It 02007MdapQuest,1nc,i" S,"ate� (I ,T 02007NAVTEQ 3 CONTRACTOR'S COMPLIANCE STATEMENT (President's Executive Order#11246) Date: - ju e— l 2- ', 2007 This statement relates to a proposed contract with the City of Kent named Lake Meridian Boat Launch Improvements. I am the undersigned bidder or prospective contractor. I represent that I (please circle one response) have r have not, participated in a previous contract or subcontract subject to the President's Executive Order #11246 (regarding equal employment opportunity) or a preceding similar Executive Order. c BIDDER: fvs Co By: Contractor r Cont ctor's re t i�a Signature Its: _5 DATE:_ & ADDRESS: l 70 A 6 P A q 43SA-�) For information about your previous contracts or subcontracts, consult http://envirotext.eh.doe.gov/data/eos/)ohnson/196509.24.htmi. 4 BID PROPOSAL To The City Clerk City Hall 220 Fourth Avenue South Kent, Washington 98032 II < The undersigned hereby certifies that has personally examined the job site and construction details of the work as outlined on the Plans and described in the Contract Documents for Lake Meridian Boat Launch Improvements for the City of Kent, Washington, and has read and thoroughly understands the Plans and Contract Documents, specifically including all specifications, governing the work in this project and the method by which payment will be made for said work and hereby proposes to undertake and complete the work embraced in this improvement in accordance with said Plans and all Contract Documents and at the following schedule of rates and prices: NOTE TO BIDDERS: (1) Unit prices for all items, all extensions and total amount of bid must be shown. Show unit prices in both words and figures and, where conflict occurs, the written or typed words shall prevail. * It is the intention of the City to award the entire contract to one contractor. (2) Washington State Department of Revenue Special Rule 170, and its related rules, applies to this contract. Under these rules, the City will automatically add retail sales tax to each payment made to the Contractor. Accordingly, the Contractor should not include retail sales tax in the Unit Bid Item (s) or Lump Sum Prices, subject to certain limited exceptions. See WSDOT Standard Specifications, Section 1- 07.2. 5 A. BASE BID: LAKE MERIDIAN BOAT LAUNCH IMPROVEMENTS I. BOAT LAUNCH RAMP (LUMP SUM): $ ? Lob 004f) 40-a (figures) p4--6 -I iA,o %,umcr D (dollars) (Written in dollars) Boat Launch Ramp bid amount should include all overhead, labor, materials, and equipment necessary to complete all work not described elsewhere. Work noted as "not in contract" abbreviated N.I.C. and work included in Bid Items II, III and IV is not included in Boat Launch Ramp, Item I. II. DREDGING (CY), APPROX 60 CY COST PER C.Y. $CID 100�. o0 TOTAL COST FOR APPROX QUANTITY '3Co,OOo. (figures) nF-tr 'Y s i st- i-tr, v A.*. D (dollars) (The price includes all labor, materials, and equipment necessary to dredge and dispose of dredge material in accordance with Section 02482 of the Technical Specifications.) III GRAVEL (CY), APPROX 15 CY COST PER C.Y. $ TOTAL COST FOR APPROX QUANTITY '720. c_ (figures) 54yey, Rtrz&yzeD -c' Twin! (dollars) (The price includes all labor, materials, and equipment necessary to provide and place gravel in accordance with Section 02210 of the Technical Specifications.) IV. TRENCH EXCAVATION SAFETY PROVISIONS (LUMP SUM) If the contract contains any work which requires trenching exceeding a depth of four (4) feet, all costs for adequate trench safety systems shall be identified as a separate bid item in compliance with Chapter 39.04 RCW. The purpose of this provision is to ensure that the bidder agrees to comply with all the relevant trench safety requirements of Chapter 49.17 RCW. If trench excavation safety provisions do not pertain to this project, put N/A for dollar amount. Failure to complete this requirement shall be considered as non-responsive to the bid solicitation. 1. Trench Excavation Safety Provisions Lump Sum $ U r7 C l�y (dollars) 6 III. PROJECT TOTAL mo TOTAL BASE BID, ITEMS I, II, III and IV Base Bid $ 3d4, 7Z 7wrjffE- i4cntD«o ; Fwm Tt(OMA-Ayp 5¢ye4 g amyyeDrwaµ7Y crlt'Q'—" (dollars) (Written in dollars) DO NOT INCLUDE SALES TAX B. UNIT PRICE BIDS 1. Import Fill PER C.Y. $ 5-0. ;=I r t `/ J (dollars) (The price includes all labor, materials, and equipment necessary to provide and place on site imported fill in accordance with Section 02210 of the Technical Specifications.) 2. Export Fill PER C.Y. $ 40. (dollars) (The price includes all labor, materials, and equipment necessary to excavate and remove from site unsuitable soil in accordance with Section 02210 of the Technical Specifications) DO NOT INCLUDE SALES TAX 7 The undersigned Bidder hereby verifies that these listed bid prices are true and correct in all respects. BIDDER: ® DATE: ZI (signature) n By: j Akx Qk`k Title: r s i aeVx+ (print name) 40 Company Name: k Address: 00 4, ( 707 City/State/Zip: A (je-rz� ,zev) I r/l{ A v5 Z-) Phone: 3 6 v_ 5 3 3 - [ 5 3v s GENERAL CONTRACTOR'S REFERENCES PROJECT NAME: LAKE MERIDIAN BOAT LAUNCH IMPROVEMENTS PR #2007 04 If you have not worked for the City of Kent in the past three years: Please provide three references for work performed similar in size and scope to the Lake Meridian Boat Launch Improvements Project. At least two of the references should be from a public agency. (- Agency Name 3 b Zoe 5. '7,5 to 54 La W R 1 �6cP Address, city, state, zip 2 zi 3- c)-0Z_- �� 12- Phone Pad Leu J) Contact Name i u a� cr P<v-L G e cLA L u u r,c1 Name of Project P,Zt 00n Z-00G� Amount of Contract(approx.) and Year _WA 0vo �. `, stn `� (�. �� �� Agency Name (o100 %o 12'1+01 Lr ln i Al Ol t,� t r� et ��/��k)l Address, city, state, zip 3&U -eeloZ- 53G0 Phone 1p_Ff_I S,euA f kctr 60s gCcAk ,I rLun_J-) Contact Name cur, tkk oilq Name of Project yoo ZLw 5, Amount of Contract(approx.) and Year PoA of &ceays Agency Name ( 0 (- � y o(,L) ;, 6e'rA-eeii c W A g55-7-o Address, city, state, zip 360-533 — `(5l Phone _' t L/_ C Contact Name �l ► (c t ����nszv') Name of Project !0 4 C%a Z-00k Amount of Contract(approx.) and Year Note: This form must be included with your bid. o I have worked for the City of Kent in 2004, 2005, or 2006. Name of Project: 9 GENERAL CONTRACTOR'S QUALIFICATION STATEMENT ALL BIDDERS MUST COMPLETE THIS STATEMENT AND INCLUDE WITH BID. THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES: CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. The City will use information offered by the Bidder in this Statement as a significant factor in determining whether the Bidder is responsible and able to perform the contract work. The Undersigned certifie oath that the information provided herein is true and sufficiently complete so as not to 6 misle in SUBMITTED BY: NAME: U k ADDRESS: ) 1 P e ( ev) Pr ` g PRINCIPAL OFFICE: P 0 c;r i 707 �A47e rc� f C'� ti v[5 'T95?7 o A. Contractor Qualification Requirements 1. ORGANIZATION 1.1 How many years has your organization been in business as a Contractor? 70 2cL r c-_. 1.2 How many years has your organization been in business under its present business name? `1 to 1.2.1 Under what other or former names has your organization operated u c�cd i�jros - 5� 41� r�l�r. r � dg:c�� -Juc Q,,ac, 1.3 If your organization is a corporation, answer the following: 1.3.1 Date of incorporation: i/ i/ `l`t 1.3.2 State of incorporation: W A � 1.3.3 President's name: 3C,V,n c2c" l 1.3.4 Vice-president's name(s):T, rn � ��,66 c 1.3.5 Secretary's name: rAclttl�cvv e_fi�cVq 1.3.6 Treasurer's name: ,-ka K e w �!t.?etV cA- 1.4 If your organization is a partnership, answer the following: 1.4.1 Date of organization: 1.4.2 Type of partnership (if applicable): 1.4.3 Name(s) of general partner(s): 10 1.5 If your organization is individually owned, answer the following: 1.5.1 Date of organization: 1.5.2 Name of owner: 1.6 If the form of your organization is other than those listed above, describe it and name the principals: 2. LICENSING 2.1 List jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate license numbers, if, a plicable. WA 5 ,�� tvo SPY �A L t�� �e CCA, r ,e s 2.2 List jurisdictions in which your organization's partnership or trade name is filed. W A O f-e vn 3. EXPERIENCE 3.1 List the categories of work that your organization normally performs with its own forces. 4-4co �1C.1� t 1 �� t rS It C�S :✓ T� 411LlV�ft LPL){k ec%(ll�/7 Cltf C'J�P4GL�atJ, 3.2 Claims and Suits. (If the answer to any of the questions below is yes, please attach details.) 3.2.1 Has your organization ever faded to complete any work awarded to it? NO 3.2.2 Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your or its officers? kit, 3.2.3 Has your organization filed any law suits or requested arbitration with regard to construction contracts within the last five years?,lam ;�,rs — 5ee- cA6,c-k1-_a 3.3 Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? (If the answer is yes, please attach details.) jJ p 3.4 On a separate sheet, list major construction projects your organization has in progress, giving the name of project, owner, architect or design engineer, contract amount, percent complete and scheduled completion date. 3.4.1 State total worth of work in progress and under contract: 7 tit � ¢ �U ot)40 3.5 On a separate sheet, list the major projects your organization has completed in the past five years, giving the name of project, owner, architect or design engineer, contract amount, date of completion and percentage of the cost of the work performed with your own forces. 3.5.1 State average annual amount of construction work performed during the past five years: b2o A 3.6 On a separate sheet, list the construction experience and present commitments of the key individuals of your organization. 3.7 On a separate sheet, list your major equipment. 11 c3.2.3 uigg Bros., Inc is currently in the mediation process with Grays Harbor County over a differing site conditions change order 3 4 Major Construction Projects in Progress_ -- -- --- - - - - -- -- Scheduled Contract % Completion Project Title Owner Amount Complete Date Hoh Mainline Bridges 2007 DNR $800,000 5% Sep-07 GH CO Stamper Rd Bridge Grays Harbor County $675,000 _ 15% Sep-07 WSDOT Grass Crk Bridge_ WSDOT-Aberdeen $250,000 95% Jun-07 WA State Parks Connor Crk Bridge WA State Parks & Rec $290,000 _10% Sep-07 Gr Neuman eat Wolf Pools Neuman Pools $1,9_00,000 20% Oct-07 WEYCO Large Log Mill Demo Weyco $1,500,000 95% Jun_-07 Tacoma Parking Lot G Ped_Bndge Tacoma Power $350,000 5% Oct-07 PGH Westport Marina Floats Port_of Grays Harbor $500,000 80% Jun-6-7 Tacoma Power Skokomish Estuary Mason Conservation District $1,306000 20% Aug-07 MWH Tacoma Treatment Plant MWH Constructors $5,500,000 80% Oct-07 PGH TA Fender Piling Port of Grays Harbor $170,000 10% Jul-07 USCG Hood Canal ATONS USCG _ $275,000 0% Sep-07 USCG Grays Harbor ATONS USCG $750,000 15% Jul-07 We co Smith/Nemah Bridges We co $150,000 0% Oct-07 3 5 Completed Projects Total Project Date % of work by Project Title Owner Cost Completed Q_B_I_forces _ PGH Marina Viewing Platform Port of Grays Harbor $53,000 Apr-07 100% WSDOT Hwy 101 Rockcrusher WSDOT-Aberdeen $438,000 Apr-07 70% USCO_E LaPush Dredging US Corps of Engineers $557,000 Mar-07 100% Quileute Tribe Dredging Quileute Tribe $415,000 Apr-07 100% SRI Dolphins Sound Refining $310,000 Mar-07 100% Thurston Co Independence Road Thurston County $171,000 Jan-07 90% Hoq_wamGeoslicing WSDOT-Aberdeen $51,000Jan-07 100% Weyco Bay City Dolphin WSDOT-Aberdeen $104,000 Apr-07 100% Crows Nest Manna Crows Nest Marina $76,000 Jan-07 100% Crows Nest NW Underwater Ballard Diving $40,000 Dec-06 100% Schnitzer Steel Cleanup Schnitzer Steel $12,000 Nov-06 100% Tacoma Alder Lake Cleanup Tacoma Power $283,000 Dec-06 100% Ingman Residence -Paullngman $82,000 Feb-07 100% Meng Hannen Kelso Safeway Coffer Meng-Hannan $82,500 Oct-06 100% WSDOT SR105 Washaway Beach WSDOT- Kelso $1,221,000'Jan-07 100% West Fork Timber Gallup Bridge West Fork Timber $142,000 Oct-06 1000/1 WSDOT Humptulips Scour WSDOT-Aberdeen $210,000 Sep-06 100% Olympia Woodard Crk Culvert City of Olympia $99,000'Oct-06 90% Ducks Unlimited So Bend Dike Ducks Unlimited $444,000'Nov-06 100% Pierce Co Anderson Isl Ferry Termir Pierce County $1,711,000 Jan-07 75% Thurston Co Old Hwy 99 Bridge Thurston County $1,393,000 Mar-07 80% DNR Q3300 Bridges/Culverts DNR $368,000 Sep-06 95% GHCO Brooklyn/Dekay Bridges Grays Harbor County $504,000 Oct-06 90% Jefferson Co Fossil Creek Stream Jefferson County $342,000;Oct-06 100% PGH T-4 Piling Repairs Port of Grays Harbor $435,000 Nov-06 90% Tacoma Power Boat Launch Tacoma Power $82,000,Oct-06 100% DNR Hoh Mainline Bridges DNR $533,000 Nov-06 100% USCG GH/Willapa ATONS USCG $58,100 Jun 06 100% Hancock Kapowsin Bridge Hancock Forest Mgmt $30,000:Jun-06 100% GH Co Boundary Rd Realignment Grays Harbor County $529,000 Oct-06 85% Thurs Co Steilacoom Rd Thurston County $25,000 Mar-06 100% WSDOT MP 62 Repairs WSDOT-Chehalis $586,000 Apr-06 100% Westport Marina Bankline Port of Grays Harbor $350,000 Feb-06 95% SR 105 Road Stabilization WSDOT- Kelso $387,000 Feb-06 100% Pleasant Harbor Marine Access WDFW $290,000 Jun-06 100% Arkema Slope Capping HHCG $450,000 Jan-06 100% Washington Crab Dock Washington Crab $825,500 Feb-06 100% Bogachiel Slide Repair WSDOT-Aberdeen $1,774,000 Mar-06 60% Centralia Sawmill Concrete Centralia Sawmill $850,000 Feb-06 100% Sierra Pacific Skagit County Sierra Pacific Industries $4,500,000 Jun-06 100% Sunshine Manna Expansion $85,0 00 Oct-05 100% HHCG Dredging HHCG $3,250,000 Feb-06 100% Ocean Beach Rd Dekay Curve GH County $1,300,000 Jan-06 75% Sadie/Susie Fish Barrier DNR $327,000 Sep-05 90% Swinomish Channel Piling City of Anacortes $215,000 Oct-05 100% Quin Crane Creek Mainline Bridge Quinault Tribe $28,000 Aug-05 100% Vail Bridges 2005 Weyco Vail $78,000 Aug-05 100% Skobob Creek Fish Passage WSDOT Tumwater $1,130,000 Dec-05 90% Rayonier Tubs 2005 Rayomer $27,000 Aug-05 100% Camp Evergreen Bride Girl Scouts $231,000 Au -05 90% North Puget Sound ATONS USCG $465,000 Dec-05 100% Weyco Rapid Creek Bndge Weyco $61,000 Jul-05 100% Stephens Creek Bridge Forest Service $390,000 Oct_05 __90% Cardinal FG Plant Dreicor $8,500,000 Dec-05 100% Ocean Lake/Bass_Ave Bridges City of Ocean Shores $1,795,000 Dec 05 75% South Puget Sound Atons USCG $113,000 Mar-05 100% Hylebos Manna 2nd Tr_avelift Pier Hylebos Marina $215,000 Mar-05 100% Lister Gulch Bndge _ Olson Bros Excavating $3,206,000�Aug-05 % Rayonier Dock Repairs _ Rayonier Timber $287,0001 Dec-04 10000% Warehouse H Port of Grays Harbor $581,589 Feb-05 96% Darrington Kilns Wellons $217,000 Dec-04 100% Bogachiel Slide Repair WSDOT-_Aberdeen $434,000 Jan-05 75% Vail Camp 28' Bridge---- Weyco Vail $30,800 Nov-04 100% Adams St Substation Grays Harbor PUD $220,278 Nov-04 95% Tacoma Narrows Slide Repair St Paul Ins Co $1,917,663 Dec-04 100% Simpson Gridiron 2004 Simpson Timber $11,000 Sep-04 100% Joemma Beach State Park WA State Parks & Rec $195,000 Apr_05 100% Hoquiam Tesoro Cofferdam Evergreen Environmental $63,000 Sep-04 100% Sound Refining Bankline Sound Refining $450,000 Nov-04 100% Heins Crek Fish La-dd-erl PSP Railroad $205,000 Nov-04 100% Cherry Creek Pump Station ,Drainage District#7 $143,000 Sep-04 75% Minter Creek Bndge South Puget Sound $110,000 Aug-04 800/0 DNR Middle Waterway NRC Environmental $558,000 Sep-04 100% QIN 4610 Rd Bridge Quinault Tribe $30,000 Aug--4 100% Trib to Schafer Creek and Save Forest Service $722,000 Jun-04 85% Point Roberts Salvage Ballard Diving $67,000 Jan-04 100% Davidson Rock Light US Coast Guard $465,000 Mar-04 75% Elk/Matheny Creek Bridges Federal HighwayAdmin $1,150,000 Jun-04 75% Aberdeen Gardens Bridge Grays Harbor County $4,500,000 Mar-05 75% LaPush Dredging US Army COE $280,000 Sep-03 100% Evers Bridge Repair Mason Co $304,080 Mar-04 80% T-2 Dock Repairs Port of Grays Harbor $836,000 Ju1-03 100% White Pass Emergency Repairs WSDOT-SW $450,000 Apr-03 75% Quinault Hatchery Fish Barrier WA Dept of FishMildlife $325,000 Nov-02 100% Nisqually Road Bridge Pierce County $6,492,000 Jan-04 75% Wdlapa Bay Buoys to Beacons US Coast Guard $179,000 Jun-02 100% Sierra Pacific Junction City Sierra Pacific Ind $6,272,000_N5v-02 100% Robert Gray School Korsmo $820,000 Jun-02 90% Antic Road, Little North River Bridge Grays Harbor County $462,585',Aug-02 75% Boise WPC Plant Boise $4,500,000iJun-03 100% Cook Creek Bridge Replacement BIA $1,800,00011Jun-02 75% 36 Key Individuals Name Title Experience Commitments John Quigg President 34 years None specific Matthew Ze eda Corp. Secretary 18 years None specific Jack Ecklund Project Manager 26 years Skokomish Estuary Jerry Ambrose Superintendent 37 years Skokomish Estuary CONTACT FRANK SCHERER QUIGG BROS., INC. EQUIPMENT LIST AS OF 5/10107 3.7 Major Equipment Forklifts Model Serial Number 15-201 Hyster 4-Ton Forklift H80XL F005A04254M 15-202 Cat 4-TonForklift V80E 37W08926 Processm2 Equipment Model Serial Number 15-300 Clark 9-Ton Forklift HY1425 CHY200 O1-288 Spomac Batch Plant 15-301 Hyster 10-Ton Forklift 14200HS C007D01562E 01-301 '03 Hogztlla Tub Grinder TCI I II-1564P 589 15-302 Hyster 7-Ton Forklift Lacey H135XL F006A3529K 01-311 CEC Rip Rap Sorter D6xl6 9551D 15-400 '97 Skytrak 4-Ton Forklift 8042 TRK7078 01-399 Norberg Jaw Crusher LT105 1549 15-401 '00 Skytrak 4-Ton Forklift 8042 160664 01-400 Torgeson Crusher AX-HORZ AUSX-3S-101 15-402 '00 Skytrak 4-Ton Forklift 8042 11926 01401 Thunderbird Screen 5x16 3D 10082-2 15-403 '99 Skytrak 4-Ton Forklift 8042 9281 O1-402 Wes Tec Conveyor 36"x 45' WS310 15404 '00 Skytrak 5-Ton Forklift 10054 11914 O1-403 Wes Tee Conveyor 30"x 50' WS126 15-405 '00 Skytrak 5-Ton Forklift 10054 12069 01-404 Wes Tec Conveyor 30"x 50' WS127 01405 Wes Tec Conveyor 30"x 50' WS129 Loaders O1-406 Wes Tec Conveyor 30"x 50' WS132 17-401 '96 Bobcat Loader M753 512725536 01-500 CEC Screen It 6x16 3D 02386-158 17-702 '96 Cat Loader IT28F 3CL01842 O1-502 '02 CEC Incline Conveyor 48"x 22' 07253A 18-037 '79 Cat Loader 980C 63X01600 0I-503 '02 CEC Jump Conveyor 30"x 40' 00224-81 I8-302 '79 Cat Loader 980C 63X01267 O1-504 '02 CEC Radial Conveyor 30"x 60' 2360 I8-303 '77 Cat Loader 966C 76JI 1109 O1-505 '02 CEC Radial Conveyor 30"x 60' 2361 18-304 '91 Komatsu Loader WA500-1L A20674 01-506 '02 CEC Radial Conveyor 30"x 60' 2446 18-305 '91 Michigan Loader L320 811 AC00475 I8-306 '95 JD Loader 544G DW544D541544 Crawler Cranes 08-303 '66 American 40-Ton 599C GS11450 Motor Graders 08-304 '72 American 50-Ton 5299 GSI6514 19-502 '84 Cat Grader 140G 72V08706 08-306 '64 Lima 85-Ton 1250 3427-10 19-503 '78 Cat Grader 120G 87V4158 09-324 '81 P&H 100-Ton 5100 51779 09-325 '77 P&H 150-Ton 5150R 43484 Crawler Tractors 09-326 '70 Manitowoc 135-Ton SC-135 395043 20-105 '95 Cat Dozer D4CXL 6YL01101 09-327 '82 P&H 100-Ton 5100 52140 20-107 '03 JD Dozer 1D700H T0700HX924635 20-302 '78 Cat Dozer(CWR) D6LGP 6X534 Rough Terrain Cranes 20-303 '81 Cal Dozer D6D 4X7247 11-101 '75 P&H Hydraulic 20-Ton R200 37195 20-304 '05 JD Dozer w/Rippers JD850J T0850JX115425 11-103 '76 P&H Hydraulic 20-Ton R200 41989 11-104 '76 P&H Hydraulic 20-Ton R200 41410 Scrapers 11-105 '86 P&H Hydraulic 22-Ton Century122 53901 22-150 '72 Cat Scraper 631C 67M04448 I1-106 '81 P&H Hydraulic 40 Ton Omega 40 5030 22-151 '72 Cat Scraper 631C 67M04301 22-152 '72 Cat Scraper 631C 67M04300 TruckCranes Crane Barges 11-300 '75 P&H Hydraulic 75-Ton T750 41064 25-501 Dredge Skookum 100 x 38 x 6 11-301 '77 P&H Conventional 90-Ton T790 43982 25-620 Holland Barge 75 x 24 x 3 Work Barges Excavators 25-625 Water Driver Barge 55 x 28 x 3 13-501 '06 JD Mini Excavator 50D FF050DX245314 26-804 Aberdeen 120 x 40 x 7 13-504 '00 Case Backhoe 590SL JJG028541 26-806 Montesano 125 x 34 x 9 13-505 '97 Case Backhoe 580L JJG023530 13-701 '93 Komatsu Excavator PC200LC-5 A71154 Tuts 13-710 '95 Cat Excavator 330 ME 8RL00361 27-905 Tug Aires Rental 13-711 '99 Hitachi Excavator EX550LC-5 17HP-007210 27-104 Duetz 13-712 '00 Hitachi Excavator EX 160 13KP-001831 27-105 Boom Boat Lil'Joey 13-713 '00 Hitachi Excavator EX200 AMD 30027C 27-106 Boom Boat Lil'Abbi 13-714 '01 Komatsu Excavator PC228LC-3 20805 27-107 Boom Boat Big Mike 13-715 '04 Komatsu Excavator PC308USLC-3 20068 27-902 Mary Margaret (85,000 Lbs) 266882 13-716 '05 Hitachi Excavator ZX370 LC 34066 27-904 Ironman (80,000 ST-3000 50 x 13 13-717 '06 Hitachi Excavator ZX230LC FFOOARJ410244 27-907 Tug Betty 70'x21'x 7 5' 13-900 Cat Excavator(CWR) 3501 3ML00654 13-901 Bobcat Mmrexcavator(W Anderson) Work Boats&Trailers 28-706 Taffy 28-707 Tug Mac Trailer CUDCAB 28-708 Ez Loader Boat Trailer 25846 3 12 PM SDRIVE/QBIEQUIPMENT/QBIMAINEQUIPLIST 1 6/11/2007 QUIGG BROS., INC. EQUIPMENT LIST AS OF 5/10107 Pile Dnvin2 Equipment Model Serial Number Pickups Model Serial Number 31 10 MKT Sheeting 14amme 963 51-216 '05 Ford Bill Foster F150 4x4 C56180 31-202 Vulcan 41 Pile Hammer 2241 GI1500 51-217 '05 Ford Dan Smith F250 4x4 D B73109 31-203 Vulcan 41 Pile Hammer 17624 51-218 '05 Ford Scott Schoch F250 4x4 D B73110 32-101 APE Vibro Hammer 150 931229 51-219 '05 Ford John Bergerson F550 D C29326 32-102 APE Power Unit 325 941121 51-220 '05 Ford Louie Brogan F550 D C29327 32-103 ICE Pile Hammer IOODPAEKO 107 51-221 '05 Ford Eric Chilson F550 D C37855 34_101- V l an 80A Pile v.n i.,Ext 800 110743 51-222 '07 Ford Brian Rockey F-150 4x4 FA13290 51-223 '07 Ford Jack Ecklund F-150 4x4 FA13291 Pile Leads 51-224 '07 Ford Richard Bland F-250 D EA68109 35-100 8'/<x 20 Swing Leads 51-225 07 Ford Wayne Anderson F-250 4x4 D EA68107 35-103 8 x 21-1/2 Burnham Leads 51-226 '07 Ford Arnie Reynvaan F-250 4x4 D EA68108 35-I04 Wick Drain Leads 51-227 '07 Ford Larry Calkins F-350 4x4 D EA68110 35-105 Flying Leads 51-228 '07 Ford John Davis F-350 4x4 D EA681 11 35-106 8 x 20 Fixed Leads 51-229 '07 Ford Shop w/dump F-550 D EB39829 35-117 8 x 32 ICE Leads 51-230 '07 Ford Bob Tillman F-550 D EB39830 35-108 8 x 26 Swing Leads 51-231 '06 Ford Randy Carlson F-250 4x4 EC 13246 35-109 A&B Hydraulic Leads 51-900 '07 Dodge Rex Angelovich 2500 Pile Accessories Trucks 36-500 Parallelogram Spotter 53-516 '90 Kenworth Dump Truck T800 w. smn 553275 36-501 Telescopic Spotter 53-517 '90 Kenworth Dump Truck T800...os nz 553620 36-502 Kamb Telescopic Spotter 53-518 '04 Kenworth Dump Truck T800 619262 53-519 '94 Kenworth Dump Truck T800 619263 Pickups 53-522 '97 Kenworth DumpTruck T800 739680 51-161 '90 Ford Pressure Washer F450 A81034 53-523 '97 Kenworth Dump Truck T800 739681 51-162 '90 Ford Shop F450 A14173 53-524 '97 Kenworth Dump Truck T800 739682 51-164 '93 Ford Shop F450 A50952 53-525 '00 Kenworth Dump Truck T800 864771 51-170 '94 Ford Shop(sell) F250 A66395 53-526 '00 Kenworth Dump Truck T800 864772 51-175 '94 Ford Mikey Kinsey F450 A09139 53-527 '00 Kenworth Tractor T800 864773 51-176 '94 Ford Shop F450 A16076 53-528 '07 Kenworth Dump Truck T800 212558 51-178 '95 Ford Shop iw wa,>(sell) F250 B27178 53-529 '07 Kenworth Dump Truck T800 212559 51-179 '95 Ford Bob Tillman F450 A13543 53-530 '07 Kenworth Dump Truck T800 211502 31--180 '96-Ford-v--#isomtocwa) F25^z 0 4x4 ^ A5797F 53-531 '07 Kenworht Dump Truck T800 211503 51-181 '96 Ford Shop F250 A40290 53-532 '07 Kenworth Dump Truck T800 211504 51-182 '96 Ford Shop F450 A53591 54-201 '881nternational Svc Truck S1900 JH565752 51-183 '96 Ford Flatbed Shop(sell) F450 A53587 54-202 '07 Kemoorth Service Truck T300 M205449 51 186 46-FBFd-(w.w. SOLD w D.W) G'Q,- 0�^o A63183 55-206 '00 Kenworth w/10-T Boom W900 828238 31-190 '99 Ford (SOLD rosw) €2309 B62029 55-400 '95 Kenworth Tractor W900 8231GL 51-192 '99 Ford John Kelley F150 4x4 B31755 55-401 '07 Kenworth Tractor T800 213684 51 193 1}9Fard µy x leniDtoion.D) F^504m4P D52904 55-728 '93 Kem,orth Tractor T800 na.s55n 593676 51-196 '00 Ford Peter Ewen F150 4x4 B21906 55-729 '99 Kenworth Tractor T800 w..ss 52 826283 51-197 '00 Ford Gib Peterson F150 4x4 B21907 55-730 '01 Kenworth Tractor T800 w..55530 877886 51-198 '00 Ford Harry Anderson F250 4x4 D D64623 55-731 '01 Kenworth Tractor T800 w..5s-531 882518 51-199 '00 Ford Ned Quigg FI50 4x4 A87748 55-732 '01 Kenworth Tractor T800 w..ss-ss: 882519 51-200 '01 Ford Pat Prankard F350 D EB52656 55 823 '80 Te-w�won^^''T'ek-SOLD 33 03B C61-11 51-201 '01 Ford Milwnghts Allen Smith F350 D EB52657 56-102 '82 Ford Water Truck LN8000 A33784 51-202 '01 Ford Erik Hegg F350 D EB52658 51-203 '01 Ford MattZepeda F150 4x4 B37986 51-205 '00 Ford Charlie Quigg F150 4x4 B11277 51-206 '00 Ford Jeff Own F450 39097 51-207 '03 Ford Dan Wolf F350 4x4 D B85731 51-209 V3 Ford John Quigg F150 4x4 B68459 51-210 '03 Ford Tim Quigg F150 4x4 B68460 51-211 '03 Ford Jerry Ambrose F250 4x4 D C03325 51-212 '03 Ford Frank Scherer F250 40 D C03326 51-213 '03 Ford Joe Hughes F550 D C03327 51-214 '03 Ford Matt Scherer F550 D C03328 51-215 '05 Ford Mike Quigg F250 4x4 D EB32595 2 3 12 PM SDRIVE/QBIEQUIPMENT/QBIMAINEQUIPLIST 6/11/2007 QUIGG BROS., INC. EQUIPMENT LIST AS Of 5/10107 Trailers Model Serial Number Buckets Model Serial Number 57-101 '73 Fruehauf 40'Flatbed Trlr 47900 72-105 Erie I '/z Yard Clam 57-102 '76 Fruehauf 40'Flatbed Trlr 366616 72-109 Yaun 2 Yz Yard Clam 57-104 '69 Brown 40'Flatbed Trader 91424C 72-112 Erie I Yard Clam 57-105 '81 Fruehauf 45'Flatbed Trlr 92814 72-113 Williams I Yard Clam HDS 8253 57-106 '90 Tradmobte 47'Flatbed Tlr 1123 72-114 Esco 2 Yard Clam C5-21 10 57-107 '85 Fruehauf 45'Flatbed Trlr 131005 72-805 Owens 3 Yard Rehndl Clam WR2 57-108 '96 Fontaine 48'Flatbed Trader 48'x 102" T1573732 72-807 Erie 2 Yard Rehndl Clam SCX466 19677 57-109 '96 Fontaine 48'Flatbed Trlr 48'x 102" T1573765 72-809 Owen 2 Yard Rehndl Clam 37609 57-I10 '87 Great Dane 45'Flatbed Trl GP 245 JM020501 73-675 Erie 2 Yard Drag ABIXE 57-285 S/A Converter Dolley 73-676 Pettibone 2 Cubic Yard 49442 E3168-200 57-286 '80 Tradmobde 27'Job Trader Tradmobde 27'x 96" 73-677 Henderx 3 %Yard Drag Bucket 57-287 '80 Tradmobhe 27'Job Trader Tradmobde 27'x 96" 57-288 30'Alloy Job Site Trader 860436 Air Compressors,Portable 57-289 '71 Fruehauf 26'Job Trader Van MEN242116 75-100 IR 100 Compressor 100AWD 146060U85911 57-301 '86 Aztec 48'—70'Stretch 17488 75-200 IR 185 Compressor 185 WJD 5719108708 57-302 '75 Fruehauf43'S/Drop Trl PBJ243 694604 75-201 IR 185 Compressor P185CWJD 237147 57-303 '89 General Jeep DAJ607 8101 75-500 IR 600 Comp-out of service IR600 600AR7330 57-304 '89 General 80-Ton Lowboy TAM608 8102 75-501 GD 600 Comp-out of se ice GD600 522105 57-305 '89 General Booster DAB608 8103 75-502 IR 600 Compressor IR600 24480 57-306 '95 General S/A Frt Booster 3AWBS 8002 75.503 Joy 600 Compressor J600 58374 57-308 '00 General 55-Ton Lowboy TAM-686 8005 75-504 Sullivan 750 Compressor D 750Q7CA 560233 57-400 '01 Big Tex Trader 8 x 16 E33115 75-800 Joy 1300 Compressor 1300 112969 57-804 '95 Freeway Trader 10622 123474 57-805 Shop Built Trailer Van Compaction Equipment 57-807 '77 Tradmobde Trader S92499 78-200 Hoepac Plate Compactor 9700 373 57-808 '00 Utility Trailer Patrick Q FW824S 78-201 Indeco Plate Compactor IHC200 20006 57-809 '02 D-CO Tilt Trailer DC-30T 23011 78-800 '97 Sakai Roller SV500D 10334 57-810 '05 Olympic Tilt Trader OM-30 TDT-3 T997535 78-801 '80 Raygo Roller 410A 210593 57-811 '07 Smith Co Side Dump 53 L476350 78-802 '04 DynaPac Roller 262D 67520320 58-100 '77 Trailco Trader 770B 167 78-804 '94 Rosco Sweeper RB48 RB33452 58-101 '76 Trailco Trader 760B266 78-805 '05 Elgin Broom Bear Broom Bear HV02470 58-102 '77 Trailco Trailer FW816S 58.103 '79 Trailco Trailer 790B140 Concrete Equipment 58-111 Lab Trader-Mona 10 x 32 81-600 Bidwell Finisher BR-101 BR79360-2 58-112 Office Trailer ST 4405 688-121 81-601 Finishing Bridge 58-113 Office Trailer 395-116 58-114 '05 Mobil Office Trader 10 x 40 05122 Generat 58-115 '96 Nomad 28'Travel Trailer 2740 ISN20OM25TD000604 83-010 Cat205 KW Gen-Skookum 7W9760 85Z06581 58-794 '78 Office Boy Trader OMS36 83-201 Overlowe Lites 7KWG F4A4DC 761135 67-122 '97 Truckweld Trader PTERS-3 109440 83-202 Overlowe Gen Set 7KWG F4A4DC 761137 67-123 '97 Truckweld Trailer PTERS-3 109450 83-204 IR Light Tower 8 KW L84MH 261903UAG828 67-124 '97 Truckweld Trader PTERS-3 10946 83-207 GM/LMA 30 KW Gen 4271-410 67-125 '00 Truckweld Trailer TSSCPT-4 12458 83-208 '01 Allmand Light Tower 9806NLP-12 67-126 '00 Truckweld Trailer TSSCPT-4 12457 83-209 '01 Allmand Light Tower 9902NLP-69 67-128 '04 Truckweld Trader PSBTT-17 5 04059 83-210 '00 Allmand Light Tower 005NLOPO7 67-129 '04 Truckweld Trailer PSBBT-16 6 04060 83-211 '02 Allmand Light Tower PRO02 0481PR002 67-203 '79 Loadkmg Bellydump 182SG 7368 83-212 '02 Allmand Light Tower PRO02 0484PR002 67-204 '79 Loadkmg Bellydump 182SG 7369 83-213 '00 Magnum Light Tower 4060I-MH YB001102 67-205 '95 Tradking Bellydump 5/3/2027 2 83-300 GM/LMA 20 KW Gen 3166-008 A79084AJ 67-206 '91 Loadkmg Bellydump 116971 83-301 Cat 100 KW Gen Set 3304 4B 13419 67-859 '75 Clough Water Trailer 5400 1336 83-303 GM/Lima 50 KW Gen 67-869 '59 Fruehauf Pull Trailer C40513 83-305 MQ Power 60 KW Gen 3610807 3615771 67-872 '56 General Pull Trailer TW5574 DAL1043 83-309 MQ Power 60 KW Gen DCA60SSI 3616566 68-106 '74 TW Dump Trailer TW5574 A5524 83-310 Skookum Pit Gen Set 30KW M350074 956160A 68-107 '75 Fruehauf Hayrack FRW593701 83-311 Perkins IOOKW Genlc.,arl UC127401 J95059-780 68-108 '74 Stect Dump Trailer 722741429 83-312 MQ 125 KW Generator DCA125SS 7500852 68-109 '91 Travi Dump Trader 3MI247426 Q(BA RGESKOOKUM)S 83-400 Cat 135KW Gen 88DI7396 3 312PM SDRIVE/QBIEQUIPMENT/QBIMAINEQUIPLIST 6/11/2007 QUIGG BROS., INC. EQUIPMENT LIST AS OF 5/10107 Pumps Model Serial Number Special Equipment Model Serial Number 87-306 Barnes 6"Pump 6SP90D 555491175RFIG36A 98-401 Edwards Fire Trader TSD25 TSD4145829LR 87-500 Stang 10"Pump 65484 98-402 Closed Curtain Burner 87-501 Cent 6"Pump CITP0759IJ 98-500 KAMB 130'Launcher 130 87-502 Cent 6"Pump CITP07591H 98-503 Offset Disc-Cottonwood 8 Ft 1877 87-503 Cent 6"Pump CITP07591 B 98-600 Line Winder A&B 26 X 40 88-301 Flygt 6"Sub Pump B2151 RVJ90 98-601 Kent Hydraulic Breaker KHB15G2 3190 88-302 Flygt 4"Sub Pump 2102 950821 98-602 Clyde Triple Drum(Barge 13748 88-303 Flygt 4"Sub Pump 2102 950822 98-700 35'Mantle Portable Scales 10 x 35 24035 IOPV W 88-304 Flygt 4"Sub Pump 2102 950823 98-701 CP 100 LaBounty Pulvensor CP-100 90-101 Cornell 6"Jet Pump 98-702 60"Jewell Hydr Grapple 90-102 Peerless 6"Jet Pump 5TU15 313183 98-703 90'Cardinal Scale 1 OOT hsg 3535 100PS 51288 90-500 Worthington 6"Pump B075311910 98-704 Bedding Box/Gravel Skiff GG W98091392 98-705 70'Skookum Quarry Scales Welding Machines 98-706 Hydraulic Drill A&B 95-100 '99 Miller Welder Bobcat 225D KK067834 98-707 Sweepster sweeper 95-101 '96 Miller Welder Bobcat 225G KG131870 98-708 Efficency Trench Box 820HDXLD 108307 95-102 '98 Miller Welder Trailblazer JJ495065 98-709 GMEManhole Box MBHDW W989081223 95-103 '00 Miller Welder 51-175 Bobcat 225G LA127565 98-710 Milwaukie Coring Drill 4096Mil 798C101 I t6012 95-104 '06 Miller Welder Trailblazer 302D LG041511 98-711 Tow-Tem Hyd Clam Real036 AGC1014 95-105 '06 Miller Welder Trailblazer 302D LG041513 95-106 '06 Miller Welder Trailblazer 302D LG049638 95-107 '06 Miller Welder Bobcat 250G LE455932 95-802 '85 Miller Welder Airpack 400DD JE755919 95-804 '90 Miller Welder Tillman Aupack 400DD KA816999 95-805 '95 Miller Welder Big Blue 251D KE659176 95-806 '99 Miller Welder Hughes Big Blue 251D KK063548 95-807 '99 Miller Welder Big Blue 251D KK063549 95-808 '99 Miller Welder Big Blue 300D KK235157 95-809 '99 Miller Welder BIG 40D JF894152 95-810 '02 Miller Welder Bobcat 250NTG LCO73495 95-811 `02 Miller Welder Bobcat 250NTG LB329891 95-900 '03 Miller Welder XMT304 LC415442 4 3 12 PM SDRIVE/QBIEQUIPMENT/QBIMAINEQUI PME NTLI ST 6111/2007 4. REFERENCES 4.1 Trade References: 4.2 Bank References: 4.3 Surety: 4.3.1 Name of bonding company: See a�Ttic� 4.3.2 Name and address of agent: S. FINANCING 5.1 Financial Statement. After bid opening, the City may require the following financial information from any of the three apparent low bidders. If so required, the selected bidder(s) must respond with this financial information within 24 hours of the City's request for that information. The City's request for this information shall not be construed as an award or as an intent to award the contract. A bidder's failure or refusal to provide this information may result in rejection of that bidder's bid. 5.1.1 Attach a financial statement, preferably audited, including your organization's latest balance sheet and income statement showing the following items: Current Assets (e.g., cash, joint venture accounts, accounts receivable, notes receivable, accrued income, deposits, materials inventory and prepaid expenses); Net Fixed Assets; Other Assets; Current Liabilities (e.g., accounts payable, notes payable, accrued expenses, provision for income taxes, advances, accrued salaries and accrued payroll taxes); Other Liabilities (e.g., capital, capital stock, authorized and outstanding shares par values, earned surplus and retained earnings). 5.1.2 Name and address of firm preparing attached financial statement, and date thereof: 5.1.3 Is the attached financial statement for the identical organization named on page one, Section one? 5.1.4 If not, explain the relationship and financial responsibility of the organization whose financial statement is provided (e.g., parent-subsidiary). 5.2 Will the organization whose financial statement is attached act as guarantor of the contract for construction? 12 Quigg Bros., Inc. PO BOX 1707•ABERDEEN,WA 98520-0281 PHONE 360-533-1530 FAX 360-532-3449 -CREDIT INFORMATION- BANK Columbia Bank 1102 Broadway Plaza, P. 0. Box 2156—Tacoma, WA 98401-2156 Phone: (253) 305-1907/Contact: Brett Willis, Senior Vice President Account#7000067897 OFFICERS: John D. Quigg,President Tim D. Quigg, Vice-President Michael Quigg,Vice-President Matthew Zepeda, Secretary/Treasurer Federal ID Number (EIN Number): 91-0615779 Washington State Resale Number: 144-002-313 INSURANCE COMPANY: Willis of Seattle—P. 0. Box 34201 —Seattle, WA 98124 Contact Person. Donald W. Bacic, (206) 386-7932 BONDING COMPANY: Willis of Seattle—P. 0. Box 34201 —Seattle, WA 98124 Contact Person. Donald W. Bacic, (206) 386-7932 ACCOUNTING FIRM: Bernston Porter& Co —Bellevue, WA Contact Person Bob Bernston, (425) 979-1713 CREDIT REFERENCES: N C.Machinery Co , Inc. P. 0. Box C34936— Seattle, WA 98124 Phone: (425) 251-5800/Fax: (425) 251-6287 L. G. Isaacson Co., Inc. P. 0. Box 127 —Aberdeen, WA 98520 Phone: (360) 532-3363 /Fax: (360)533-4443 Pettit Oil Co., Inc. 820 Myrtle St. —Hoquiam, WA 98550 Phone: (360) 532-7600/Fax: (360) 532-8299 Quigg Bros.,Inc. was established in 1937 Accounts Payable Contact: Dani Davidson Assoc/sleo' AN EQUAL OPPORTUNITY EMPLOYER c niacors CONTRACTOR REGISTRATION#QUIGGBI022RT iwsm yro� 6. SIGNATURE 6.1 Dated at this day of -N ot vA P-- 12007. Name of Organiza ' Z)u 4 vs, 1 �, By: Title: Q f 6.2 Jo'k,n QucGq , being duly sworn, deposes and says that the information provided herein is Re and sufficiently complete so as not to be misleading. Subscribed and sworn before me this 7- day of u,vi -e— Notary Public: ! / rM� '„.92 - � 7Or• � My Commission Expires: A-L 6, 15, 2 y l0 = ? �T f11111111n��� 13 V BID BOND FORM Herewith find deposited to the City of Kent in the form of a cashiers check, cash, or bid bond in the amount of$ an amount equal to five percent of the total bid, BID BOND KNOW AtL PERSONS BY THESE PRESENTS; That we Quigg Bros. , Inc. as Principal, and Travelers Casualty and Surety, f:omn..�y of m ri ca as Surety, are held and firmly bound unto the CITY OF KENT,asObllgee, in the penal Sum Of five percent (S%) of total amount bidDollars, for the payment of which the Principal and the Surety bond themselves, their heirs, executors, administrators, successors and assigns,Jointly and severally, by these presents. The condition of this obligation is such that If the Obligee shall make any award to the Principal for Lake Meridian Boat Lauri IMprovements According to the terms of the proposal or bid made by the Principal, and the Principal shall duly make and enter Into a contract with the Obligee in accordance with the terms of said proposal or bid and award and shall give bond for the faithful performance thereof, with Surety or Sureties approved by the Obligee; or if the Principal shall in case of failure so to do, pay and forfeit to the obligee the penal amount of the deposit specified In the call for bids, then this obligation shall be null and void; otherwise It shall be and remain in full force and effect and the Surety shall forthwith pay and forfeit to the Obligee, as penalty and liquidated damages,the amount of this bond. SIGNED, SEALED AND DATED THIS 12th DAY OF June ,2007. PRINCI ig nt. by its: SURETY: Travelers Casualty, and Surety Company of America by : --,� ce-cti-Lj t C� �c�ni its; Joan M. Councilman, Attorney-in-Fact 15 WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER STPAUL POWER OF ATTORNEY TRAVELERS Farmington Casualty Company St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Company St Paid Mercury Insurance Company Fidelity and Guaranty[nsurante Underwriters,Inc. Ti avelei s Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America St Paul Fire and Marne Insurance Company United States Fidelity and Guai anty Company Attorney-In Fact No. 214863 Certificate No 001228386 KNOW ALL MEN BY THESE PRESENTS That Seaboard Surety Company is a cotporahon duly organized under the laws of the State of New York,that St Paul Fue and Marine Insurinle Company St Paul Gumdnan Innrance Company and St Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Mnnesota,that Farmington Casualty Company,Travelers Casu,dty mid Surety Company,and Travelus Casualty and Surety Company of Amerca are cotpotations duly oigamzed under the laws of the State of Connecticut, that Untied States Fidelity anti Guaranty Company is a coipoiation duly organved under the laws of the State of Maryland,that Fidelity and Guaranty Lnn ance Company n a cot poration duly niganized under the laws of the State of Iowa and that Fidelity and Guaranty Imuwnce Uodei WIifGS,Inc its a wipowhon duly organized under the laws of the State of WnLonsm(herein collectively called the Companies),and that the Companies do hetehy make constitute and appoint John Claeys,Joan M Councilman, Ronald J Lange,and Pamela A Nelson of the City of Seattle ,State of Washington ,their true and lawful Attorney(s)-m-Fact, each in then separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizance%,conditional undertakings and other wi tings obligatory in the nature thereof on behalf of the Companies in then business of gualanlce ng the fidelity of persons, gumanteemg the performance of contracts and executing of guaranteeing bonds and undertakings requited of peumtted In any actions of proceedings allowed by law •� «?o-�} c �r k ° 3rd IN WITNESS WHEREOF,the Cortlfio ves have caused this instrument to be signed and their corporate seals to be hereto affixed,this day of October ZZ Farmington Casualty Company PF4y 1 St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Company St Paul Mercury Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company ON"'ko w..s /�1'Y�'R 3�MFlY� �8!a as rw rt EAL of SEAS3�7, ze �Sg 4sr Ec 1s`> a1s rPa >y n�i '4r ��P I State of Connecticut By City of Hat fiord es otgc W ompsoa,Scn r Vic Piesident On this the 3rd day of October 2006 y before me personally appeared George W Thompson,who acknowledged himself to be the Sentoi Vice Pievdent of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Gumanty Insurance Underwriters Inc, Seaboard Surety Company, St Paul Fire and M,umc lnsurance Company, St Paul Guardian Insurance Company, St Paul Mercury Insmanee Company, Travelers Casualty anti Surety Company, Travelers Casualty and Surety Company of America,and United States Fidchty and Guaranty Company, and that he, as such being author ved so to do,executed the fotegomg msti ument lot the purposes therein contained by signing on behalf of the corpotahons by hrmsell as a duly authorized officer fop" TIn Witness Whereof,I hereunto set my hand and official sea] fl W w� e' .My Comnuwon expn�s the 30di day of June,2011 �� * MarmC T�ucault NMuir Public 58440-6-06 Printed in U S A WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER City of Kent Combined Affidavit&Certification Form: Non Collusion,Anti-Trust, Minimum Wage (Non Federal Aid) and Certification of Lawful Employment NON-COLLUSION AFFIDAVIT Being first duly sworn, the undersigned deposes and says, that they are the identical person who submitted the foregoing proposal or bid, and that such bid is genuine and not sham or collusive or made in the interest or on behalf of any person not therein named, and further, that the deponent has not directly induced or solicited any other bidder on the foregoing work or equipment to put in a sham bid, or any other person or corporation to refrain from bidding, and that deponent has not in any manner sought by collusion to secure to himself/herself or to any other person any advantage over other bidder or bidders. AND CERTIFICATION RE: ASSIGNMENT OF ANTI-TRUST CLAIMS TO PURCHASER Vendor and purchaser recognize that in actual economic practice overcharges resulting from anti trust violations are in fact usually borne by the purchaser. Therefore, vendor hereby assigns to purchaser any and all claims for such overcharges as to goods and materials purchased in connection with this order or contract, except as to overcharges resulting from anti trust violations commencing after the date of the bid, quotation, or other event establishing the price under this order or contract. In addition, vendor warrants and represents that each of her/his suppliers and subcontractors shall assign any and all such claims to purchaser, subject to the aforementioned exception. AND MINIMUM WAGE AFFIDAVIT FORM I, the undersigned, having been duly sworn, depose, say and certify that in connection with the performance of the work of this project, I will pay each classification of laborer, worker, or mechanic employed in the performance of such work not less than the prevailing rate of wage or not less than the minimum rate of wage as specified in the principal contract; that I have read the above and foregoing statement and certificate, and that I know the contents thereof and the substance as set forth therein is true to my knowledge and belief. AND 16 CERTIFICATION OF LAWFUL EMPLOYMENT The Contractor hereby certifies that he/she has complied with all provisions of the Immigration and Nationality Act, now or as hereafter amended, 8 USC Section 1101 et. seq., and that all employees, including subcontractor employees, are lawfully permitted to perform work in the United States as provided in this agreement with the City of Kent. FOR: NON COLLUSION AFFIDAVIT, ASSIGNMENT OF ANTI-TRUST CLAIMS TO PURCHASER, MINIMUM WAGE AFFIDAVIT AND CERTIFICATION OF LAWFUL EMPLOYMENT NAME OF PROJECT LAKE MERIDIAN BOAT LAUNCH IMPROVEMENTS NAME OF BIDDER'S FIRM VU I 17 Q'UL-??-?UU/ SUP! 11:21 IMOU1GG dKUS rAX NO. 30b323448 P. U1/01 SIGNATURE OF UTH FD REP E ATNE OF BIDDER (Notarization It wire [CORPORATE/PARTNERSHIP ACKNOWLEDGMENT] STATE OF WASHING TON) )55. COUNTY OF K I N G ) I certify that I know or have satisfactory evidence that 4al is the person who appeared before me, and said person acknowledged the he/she signed this instrument, on oath stated that he/she was authorized to execute the instrument, and acknowledged it as the talt� of the Partnership/Corporation to be the free and voluntary act of such partnership/Corporation for the uses and purposes mentioned in the instrument DATED: NOTARY PUBLIC in and for the state of Washington, residing atr fit'Il My commission expires Au ai . ZOI (7 R 5 DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such, all contractors, subcontractors and suppliers who perform work with relation to this contract shall comply with the regulations of the City's Equal Employment Opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific contract to adhere to. An affirmative response is required on all of the following questions for this contract to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlined, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the contract. The questions are as follows: 1. I have read the attached City of Kent Administrative Policy Number 1.2. 2. During the time of this contract I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of any sensory, mental or physical disability. 3. During the time of this contract I, the prime contractor, will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the contract I, the prime contractor, will actively consider the hiring and promoting of women and minorities. 5. Before acceptance of this contract I, the prime contractor, will sign an adherence statement that the requirements as heretofore outlined were complied with. By signing below, I agree to fulfill the five requirements referenced above. Dated thi I Z Ju w IC- 2007. By: Company: VU s Title: 20 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. 21 CITY OF KENT CERTIFICATION OF NONSEGREGATED FACILITIES The undersigned certifies that s/he does not maintain or provide for her/his employees any segregated facilities at any of her/his establishments, and that s/he does not permit her/his employees to perform their services at any locations under her/his control where segregated facilities are maintained. The undersigned certifies further that s/he will not maintain or provide for her/his employees to perform their services at any location under her/his control where segregated facilities are maintained. The undersigned agrees that a breach of this certification will be in violation of the Equal Opportunity Clause set forth in this contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, restrooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation and housing facilities provided for employees which are segregated by explicit directive, or are in fact segregated on the basis or race, color, religion, or national origin, because of habit, local custom, or otherwise. The undersigned agrees that except where s/he has obtained identical certifications from subcontractors prior to the award of subcontracts exceeding $10,000, which are not exempt from the provisions of the Equal Opportunity Clause, that s/he will obtain identical certifications from subcontractors and that s/he will retain such ce5ficatieas in her/his files. Signature: QL42j;vi lezTitle: c S Company: QULM,-A Address: \ City/State/Zip Lg - -eeni WA 91435?0 Date: Z v 22 PROPOSAL SIGNATURE PAGE The undersigned bidder hereby proposes and agrees to start construction work on the Contract, if awarded to him or her, on or before ten (10) calendar days from the date of issuance of the Notice to Proceed, and further agrees to complete the Contract within approximately four months (120 calendar days) days after issuance of the City's Notice to Proceed. No bidder may withdraw her/his bid for a period of sixty 60 days after the day of bid opening. The required bid security consisting of cash, bid bond, or cashier's check in an amount equal to 50/0 of the total amount is included. Notice of acceptance of this bid or request for additional information shall be addressed to the undersigned at the address stated below. Receipt of Addendum No.'s to the plans and/or specifications is hereby acknowledged. By signing this proposal Signature Page, the undersigned bidder agrees to be bound by all terms, requirements and representations listed in the bid documents whether set forth by the City or by the Bidder. c NAME OF BIDDER: L 64 C1 r o G. Const n"- pany Signature: Date: b 6 l Z/0 7 c Printed Name: Titl( : C Address: Po Ey)x 1, 707 A q Or ZD Phone: _ 360 - S 33 -1 530 23 EXHIBIT B INSURANCE REQUIREMENTS FOR CONSTRUCTION PROJECTS Insurance The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, their agents, representatives, employees or subcontractors A. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: 1. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary. the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors and personal injury and advertising injury. The City shall be named as an insured under the Contactor's Commercial General Liability insurance policy with respect to the work performed for the City. 3. Excess Liability insurance covering both the Commercial General Liability and Automobile policies. 4. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident 2. Commercial General Liability insurance shall be written with limits no less than$1,000,000 each occurrence, $2,000,000 general aggregate and a$2,000,000 products-completed operations aggregate limit. 3. Excess Liability insurance shall be written with limits no less than $1,000,060 per occurrence in excess of both the CGL and Auto Liability policies cited above EXHIBIT B (Continued) C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability. 1. The Contractor's insurance coverage shall be primary insurance as respect the City Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Contractor's insurance and shall not contribute with it. 2. The Contractor's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the contractor and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies The Contractor's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability D. Contractor's Insurance For Other Losses The Contractor shall assume full responsibility for all loss or damage from any cause whatsoever to any tools, Contractor's employee owned tools, machinery, equipment, or motor vehicles owned or rented by the Contractor, or the Contractor's agents, suppliers or contractors as well as to any temporary structures, scaffolding and protective fences E. Waiver of Subrogation The Contractor and the City waive all rights against each other any of their Subcontractors, Sub-subcontractors, agents and employees, each of the other, for damages caused by fire or other perils to the extend covered by Builders Risk insurance or other property insurance obtained pursuant to the Insurance Requirements Section of this Contract or other property insurance applicable to the work. The policies shall provide such waivers by endorsement or otherwise. F. Acceptability of Insurers Insurance is to be placed with insurers with a current A M Best rating of not less than ANII. G. Verification of Coverage Contractor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured EXHIBIT B (Continued) endorsement, evidencing the Automobile Liability and Commercial General Liability insurance of the Contractor before commencement of the work. H. Subcontractors Contractor shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Contractor. PERFORMANCE BOND TO CITY OF KENT Re. Lake Meridian Boat Launch Project Bond No. 104943115 KNOW ALL MEN BY THESE PRESENTS: That we,the undersigned, Quigg Bros. , inc. as Principal, and Travelers Casualty and Surety Company of America a Corporation organized and existing under the laws of the State of Washington, as a Surety Corporation, and qualified under the laws of the State of Washington to become Surety upon bonds of Contractors with Municipal Corporations, as Surety, are jointly and severally held and firmly bound to the CITY OF KENT in the penal sum of$ 331,841.16 ,together with any ad)ustments, up or down, in the total contract price because of changes in the contract work, for the payment of which sum on demand we bind ourselves and our successors,heirs, administrators or personal representatives, as the case may be. This obligation is entered into in pursuance of the statutes of the State of Washington, and the Codes and Ordinances of the CITY OF KENT. Nevertheless,the conditions of the above obligation are such that: WHEREAS,under and pursuant to a motion, duly made, seconded and passed by the City Council of the City of Kent,King County, Washington, the Mayor of the City of Kent has let or is about to let to the above bounden Principal, a certain contract, the said contract providing for construction of the Project Name/Project Number(which contract is referred to herein and is made a part hereof as though attached hereto), and WHEREAS,the Principal has accepted. or is about to accept,the contract, and undertake to perform the work therein provided for in the manner and within the time set forth: NOW, THEREFORE, for non-FHWA projects only, if the Principal shall faithfully perform all the provisions of said contract in the manner and within the time herein set forth, or within such extensions of time as may be granted under the said contract, and shall pay all laborers,mechanics, subcontractors and material men, and all persons who shall supply the Principal or subcontractors with provisions and supplies for the carrying on of said work and shall indemnify and hold the CITY OF KENT harmless from any damage or expense by reason of failure of performance as specified in said contract or from defects appearing or developing in the material or workmanship provided or performed under said contract within a period of one year after its acceptance thereof by the CITY OF KENT, then and in that event this obligation shall be void; but otherwise it shall be and remain in full force and effect. IN WITNESS WHEREOF,the above bounden parties have executed this instrument under their separate seals. The name and corporate seal (if required by law) of each corporate party is hereto affixed and duly signed by its undersigned representatives pursuant to authority of its governing body. (SIGNATURES ON FOLLOWING PAGE) PERFORMANCE BOND PAGE TWO TWO WITNESSES: Quigg Bros. , Inc. P BY: rmA)71�z TITLE: ATE: DATE: b�Z6�U7 Pe.+8 r i�-cLcA CORPORATE SEAL: PRINT NAME Travelers Casualty and Surety DATE: June 26, 2007 Company of America SURETY CORPORATE SEAL: BY: Joan M. Councilman DATE: July 11, 2007 TITLE: Attorney-in-Fact ADDRESS: 505 5th Ave. S. , Suite 200 Seattle, WA 98104 CERTIFICATE AS TO CORPORATE SEAL I hereby certify that I am the (Assistant) Secretary of the Corporation rained as Principal i i the within Bond; that Syhh Oj GJt9 ► Who signed the said bond on behalf of the Principal O u i G c g r o Z Of the said Corporation; that I know his signature thereto is genuine, and that said Bond was duly signed, sealed, and attested for and in behalf of said Corporation by authority of its governing body. CRETARY OR I AN CRETARY ' WARNING THIO"OWER OF ATTORNEY IS INVALID WITHOUT THE RED Bo- ER �i STPAUL POWER OF XfTORNEY ri TRAVELERS Farmington Casualty Company St.Paul Goat than Insurance Company Fidelity and Guaranty Insurance Company St.Paul Mercury Insurance Company Fidelity and Guaranty hrsmance Undcnwnlers,Inc. Tiavelci s Casualty and Surety Company Seaboard Surety Compam Travelers Casually and Surety Company of America St Paul Fire and Marine Insuraae Company United States Fidelity and Guaranty Company Attorney-In Fact No. 214863 Certificate No. 001228460 KNOW ALL MEN BY THESE PRESENTS That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,that St Paul Fue.md Mannc hi tjianCL Company St Raul Guatdlan Insmanee Company and St Paul Melcmy bxmance Company ale amponanons duly organized under the laws of the State of Minnesota,that Faimington Casualty Company,Travelets Casualty and Surety Company, and Travelets Casualty and Surety Company of Amcnca are corporations duly organized under the laws of the State of Connecticut, that United StateN Fidelity and Guatanty Company n a cotporation duly oganiz d under the laws of the State of M.uyland,that Fidchty and Guatanty InNwance Company n a uaporauon duly organized under Iheldws of the Stale of Iowa,and that Fidelity and Guaranty Insmanee Underwriters,lilt is a corporation duly oiganized under the laws of the State of Wtscorimn(heiem collettlVLly called the"Couipamei),and that the Companies do het eby make,constitute and appoint John Claeys,Joan M Councilman, Ronald J. Lange,and Pamela A.Nelson of the City of Seattle ,State of Washington ,their true and lawful Attomey(s)-in-Fact, each in their separate capacity it more than one is named above,to sign,execute,seat and a.knowledge any and all bonds,recogmzances,conditional under takings and other writings obligatory in the nature thereof on behalf of the Compames in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law �gg� 3rd IN WITNESS WHEREOF,the Companies have caused this mstruing!iiii to'�e signed and their corporate seals to be hereto affixed,this day of October 2006 Farmington Casualty Company' ,, 7 N St,Paul Guardian Insurance Company Fidelity and Guaranty Insurance Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc Travelets Casually and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America SI Paul Fire and Mar me Insurance Company United States Fidelity and Guaranty Company I� Or�Hit jl p �tY� J`f1P[6; �PNRY IMSG � pY\MSUq`2�N ,RtiY 9N0` `I"�b� r-v � PZ ♦Ca RPOPN,C�m iW440Pi0A4 Tf Pt n A �` \ [982 0 92] --- n+ : HAPTFeae •' tafiTFaN0.l� �® 9 n: o f W Cgtn GONN Y m ^%®c SEAL?o, ;n�SEAL e' c State of Connecticut By City of Hartford Ns C ot�r W I omPNon Sen r Vic PreNlduil On tin the 3fd October 2006 day of before me personally appeared Geoige W Thompson,who acknowledged himself to be the Senlot Vice President of Rirmington Casualty Company, Fidelity and Gu,nanty Insurance Company, Fidelity and Guaranty Insmanee Unc1L1W11tC1s,Inc, Seaboard Suety Company St Paul Fue and Maine Insurance Company, St Paul Guardian Insurance Company, St Paul Meremy Insurance Company,Travelers Casualty and Surely Company,Travclei s Casualty and Surety Company of Anienta,and United States Fidelity and Guatanty Commpany, and Fiat he, as such,being dulhot wed so to do,executed the foregoing unli umenl for ilic,purposeN HICICl❑contained by signing on behdll of the cotpoi ations by hnnself as a duly authouzed olficcr smum In Witness Whereof,I hereunto set my hand and official Seal 'My Commission expires the 30th day of June,2011 >� Mane C Tureauft,Nolary Public 58440-6-06 Printed in U S A WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER DATE ACORD,M CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 06/26/2007 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED Quygg Bros., Inc. INSURERA Charter Oak Fire Insurance Co any 25615-001 P.O. Box 1707 INSURERS Travelers Indemnity Company of Connecticu 25662-001 Aberdeen, WA 98520 tNSURERC Travelers Property Casualty Compan of Am 25674-002 INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR DD' POLICYEFFECTIVE POLICY EXPIRATION LIMITS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDNY DATE MM/DDIYY A X GENERAL LIABILITY DTC0347K8298COF06 12/31/2006 12/31/2007 EACHOCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Eaoccurence $ 300.000 CLAIMS MADE F&I OCCUR MED EXP(Anyone person) $ 5,000 X WA Stop Gao PERSONAL&ADV INJURY $ 11000,000 GENERALAGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG $ 2 000 000 POLICY I X I JECT 17 LOC B AUTOMOBILE LIABILITY DT810347K8298TCT06 12/31/2006 12/31/2007 COMBINED SINGLE LIMIT $ 1,000,000 X ANYAUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (Per Person) $ HIREDAUTOB BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EAACC $ 1 AUTO ONLY AGG $ C EXCESSIUMBRELLA LIABILITY DTSMCTJP348KO478TIL06 12/31/2006 12/31/2007 EACH OCCURRENCE $ 11000,000 X OCCUR 7 CLAIMSMADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE S X RETENTION $ 10 00 $ WORKERS COMPENSATION AND WCSTATU- OTH- EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACHACCIDENT S OFFICERIMEMBEREXCLUDEDI EL DISEASE-EA EMPLOYEE $ If yes describe under SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Lake Meridian Park Boat Launch Improvements The Certificate Holder is added as Additional Insured as respects operations performed by or on behalf of the Named Insured but only insofar as coverage is provided therefore in the afore captioned policies and as required by written contract. Additional Insured: CXtV of Kent CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 95 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL City of Kent IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Attn: Shane Gilbertson REPRESENTATIVES 220 4th Ave South AUTHORIZED REPRESENTATIVE Kent, WA 98032 ACORD 25(2001108) Coll:2026606 Tpl:584125 Cert:9097934 Q�tc/ ©ACORD CORPORATION 1988 Page 2 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing msurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon ACORD 25(2001108) C011:2026606 Tp1:584125 Cert:9097934 Carrier Charter Oak Fire Insurance Company Policy Number DTC0347K8298COF06 Policy Period 12/31/2006 To 12/31/2007 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1 WHO IS AN INSURED—(Section II)is amended to c) The insurance provided to the additional insured include any person or organization that you agree in a does not apply to"bodily injury" or"property "written contract requiring insurance"to include as an damage" caused by"your work"and included m the additional insured on this Coverage Part, but, "products-completed operations hazard"unless the a) Only with respect to liability for"bodily injury", "written contract requiring insurance"specifically "property damage"or"personal injury", and requires you to provide such coverage for that b) If, and only to the extent that, the injury or damage additional insured, and then the insurance provided is caused by acts or omissions of you or your to the additional insured applies only to such"bodily subcontractor in the performance of"your work"to injury" or"property damage"that occurs before the which the"written contract requiring insurance" end of the period of time for which the"written applies The person or organization does not contract requiring insurance"requires you to provide qualify as an additional insured with respect to the such coverage or the end of the policy period, additional insured with respect to the independent whichever is earlier acts or omissions of such person or organization 3. The insurance provided to the additional insured by this 2. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible endorsement is limited as follows "other insurance", whether primary, excess, contingent a) In the event that the Limits of Insurance of this or on any other basis, that is available to the additional Coverage Part shown in the Declarations exceed insured for a loss we cover under this endorsement the limits of liability required by the"written contract However, if the"written contract requiring insurance" requiring insurance",the insurance provided to the specifically requires that this insurance apply on a additional insured shall be limited to the limits of primary basis or a primary and non-contributory basis, liability required by that"written contract requiring this insurance is primary to'other insurance"available to insurance". This endorsement shall not increase the additional insured which covers that person or the limits of insurance described in Section III — organization as a named insured for such loss, and we Limits Of Insurance. will not share with that"other insurance" But the b) The insurance provided to the additional insured insurance provided to the additional insured by this does not apply to"bodily injury", "property damage" endorsement still is excess over any valid and collectible or"personal injury'arising out of the rendering of, "other insurance", whether primary, excess,contingent or failure to render, any professional architectural, or on any other basis, that is available to the additional engineering or surveying services, including: insured when that person or organization is an additional r. The preparing, approving, or failing to prepare insured under such "other insurance" or approve, maps, show drawings, opinions, 4. As a condition of coverage provided to the additional reports, surveys,field orders or change orders, insured by this endorsement or the preparing, approving, or failing to a) The additional insured must give us written notice as prepare or approve, drawings and soon as practicable of an "occurrence"or an offense specifications,and which may result in a claim To the extent possible, u. Supervisory, inspection, architectural or such notice should include engineering activities CG D2 46 08 05 ©2005 The St Paul Travelers Companies, Inc Page 1 of 2 COMMERCIAL GENERAL LIABILITY i How, when and where the"occurrence"or Any provider of"other insurance"which would cover offense took place, the additional insured for a loss we cover under this ii. The names and addresses of any injured endorsement However,this condition does not persons and witnesses, and affect whether the insurance provided to the iu. The nature and location of any injury or additional insured by this endorsement is primary to damage arising out of the"occurrence"or "other insurance"available to the additional insured offense which covers that person or organization as a b) If a claim is made or"suit" is brought against the named insured as described in paragraph 3 above. additional insured, the additional insured must 5. The following definition is added to SECTION V.— i Immediately record the specifics of the claim or DEFINITIONS "suit" and the date received;and "Written contract requiring insurance" means that part of u Notify us as soon as practicable any written contract or agreement under which you are The additional insured must see to it that we required to include a person or organization as an receive written notice of the claim or"suit" as soon additional insured on this Coverage Part,provided that as practicable the "bodily injury"and"property damage"occurs and the c) The additional insured must immediately send us "personal injury" is caused by an offense committed. copies of all legal papers received in connection a After the signing and execution of the with the claim or"suit", cooperate with us in the contract or agreement by you, investigation or settlement of the claim or defense b. While that part of the contract or agreement against the"suit",and otherwise comply with all is in effect, and policy conditions c. Before the end of the policy period d) The additional insured must tender the defense and indemnity of any claim or"suit"to CG D2 46 08 05 ©2005 The St Paul Travelers Companies, Inc Page 2 of 2