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HomeMy WebLinkAboutPK09-211 - Original - Evergreen Asphalt & Concrete, Inc. - Kiwanis Tot Lot #1 - 06/10/2009 4 e ecords M -ag eme ry KENT W A9XIN GTON Document �I19 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 City Clerk's Office. Vendor Name: rye>r0 ✓.eeen Oyk r rc-E-2 Vendor Number: 7 1 :?,--X, JD Edward's Number Contract Number: PKOg- a This is assigned by City Clerk's Office Q Project Name: �(wS�i. `5 o {- 64 i� I Vwpruyee Gc c pt Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment 9contract ❑ Other: j Contract Effective Date: Termination Date:�J (A h f- Contract Renewal Notice (Days): X� Number of days required notice for termination or renewal or amendment Contract Manager �Or4bD� Department: Detail: (i.e. address, location, parcel number, tax id, etc.): S Public\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08 KEN WASHINGTON PUBLIC WORKS AGREEMENT between City of Kent and Evergreen Asphalt & Concrete, Inc, THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Evergreen Asphalt & Concrete, Inc. organized under the laws of the State of Washington, located and doing business at PO Box 1567, Kent, WA 98035 P: 253-639-3779 F:253-639-3779 (hereinafter the "Contractor"). AGREEMENT The parties agree as follows: I. DESCRIPTION OF WORK. Contractor shall perform the following services for the City in accordance with the following described plans and/or specifications: Install concrete curb around and acrylic surface coat on basketball court and installation of new backboards at the Kiwanis Tot Lot #1 Park in Kent, Washington as described in the contractors bid proposal dated May 13, 2009 attached and incorporated as Exhibit A. Contractor further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time such services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon execution of this Agreement. Upon the effective date of this Agreement, the Contractor shall complete the work described in Section I by June 30, 2009. III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed Thirteen Thousand Dollars ($13,000), plus any applicable Washington State Sales Tax, for the work and services contemplated in this Agreement. The City shall pay the Contractor fifty percent (50%) of the Contract amount upon completion and acceptance of the work by the City, and the remainder upon fulfillment of the conditions listed below and throughout this Agreement. A. No Payment and Performance Bond. Because this contract, including applicable sales tax, is less than $35,000, and pursuant to Chapter 39.08 RCW, the Contractor, in lieu of providing the City a payment and PUBLIC WORKS AGREEMENT - 1 (Over$1OK, under$35K, and No Performance Bond) s performance bond, has elected to have the owner retain the final fifty percent (50%) of the Contract amount for a period of sixty (60) days after the date of final acceptance, or until receipt of all necessary releases from the State Department of Revenue and the State Department of Labor & Industries and until settlement of any liens filed under Chapter 60.28 RCW, whichever is later. B. Defective or Unauthorized Work. The City reserves its right to withhold payment from Contractor for any defective or unauthorized work. Defective or unauthorized work includes, without limitation: work and materials that do not conform to the requirements of this Agreement; and extra work and materials furnished without the City's written approval. If Contractor is unable, for any reason, to satisfactorily complete any portion of the work, the City may complete the work by contract or otherwise, and Contractor shall be liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Contract price specified above. The City further reserves its right to deduct the cost to complete the Contract work, including any Additional Costs, from any and all amounts due or to become due the Contractor. C. Final Payment: Waiver of Claims. THE CONTRACTOR'S ACCEPTANCE OF FINAL PAYMENT (EXCLUDING WITHHELD RETAINAGE) SHALL CONSTITUTE A WAIVER OF CONTRACTOR'S CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY CONTRACTOR AS UNSETTLED AT THE TIME FINAL PAYMENT IS MADE AND ACCEPTED. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Contractor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Contractor maintains and pays for its own place of business from which Contractor's services under this Agreement will be performed. C. The Contractor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Contractor's services and is a service other than that furnished by the City, or the Contractor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Contractor is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be PUBLIC WORKS AGREEMENT - 2 (Over$1OK, under$35K, and No Performance Bond) required by Contractor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Contractor has a valid contractor registration pursuant to Ch. 18.27 RCW or an electrical contractor license pursuant to Ch. 19.28 RCW. G. The Contractor maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. The City may terminate this Agreement for good cause. "Good cause" shall include, without limitation, any one or more of the following events; A. The Contractor's refusal or failure to supply a sufficient number of properly skilled workers or proper materials for completion of the Contract work. B. The Contractor's failure to complete the work within the time specified in this Agreement. C. The Contractor's failure to make full and prompt payment to subcontractors or for material or labor. D. The Contractor's persistent disregard of federal, state or local laws, rules or regulations. E. The Contractor's filing for bankruptcy or becoming adjudged bankrupt. F. The Contractor's breach of any portion of this Agreement. If the City terminates this Agreement for good cause, the Contractor shall not receive any further money due under this Agreement until the Contract work is completed. After termination, the City may take possession of all records and data within the Contractor's possession pertaining to this project which may be used by the City without restriction. VI. PREVAILING WAGES. Because this is a Public Works Agreement, funded by a federal grant, current prevailing state and federal wage rates must be paid to all that work on this project. Contractor must pay higher rate of the two. Contractor is responsible to complete and provide a Statement of Intent to Pay Prevailing Wages and proof of all required releases with the State of Washington Department of Labor and Industries. Washington State Prevailing Wage Rates effective March 4, 2009 for King County are attached and incorporated as Exhibit C; Federal Wage Decision No. WA080001, Modification #25 for Washington Statewide, King County, are attached and incorporated as Exhibit D; Project Wage Rate Sheet is attached and incorporated as Exhibit E; and Federal Labor Standards Provisions (HUD Form 4010) are attached and incorporated as Exhibit F. VII. CHANGES. The City may issue a written change order for any change in the Contract work during the performance of this Agreement. If the Contractor determines, for any reason, that a change order is necessary, Contractor must submit a written change order request to the person listed in the notice provision section of this Agreement, section XV(D), within fourteen (14) calendar days of the date Contractor knew or should have known of the facts and events giving rise to the requested change. If the City determines that the change increases or decreases the Contractor's costs or time for performance, the City will make an equitable adjustment. The City will attempt, in good faith, to reach agreement with the PUBLIC WORKS AGREEMENT - 3 (Over$10K, under$35K, and No Performance Bond) 6 r � Contractor on all equitable adjustments. However, if the parties are unable to agree, the City will determine the equitable adjustment as it deems appropriate. The Contractor shall proceed with the change order work upon receiving either a written change order from the City or an oral order from the City before actually receiving the written change order. If the Contractor fails to require a change order within the time specified in this paragraph, the Contractor waives its right to make any claim or submit subsequent change order requests for that portion of the contract work. If the Contractor disagrees with the equitable adjustment, the Contractor must complete the change order work; however, the Contractor may elect to protest the adjustment as provided in subsections A through E of Section VIII, Claims, below. The Contractor accepts all requirements of a change order by: (1) endorsing it, (2) writing a separate acceptance, or (3) not protesting in the way this section provides. A change order that is accepted by Contractor as provided in this section shall constitute full payment and final settlement of all claims for contract time and for direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected by the change. VIII. CLAIMS. If the Contractor disagrees with anything required by a change order, another written order, or an oral order from the City, including any direction, instruction, interpretation, or determination by the City, the Contractor may file a claim as provided in this section. The Contractor shall give written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events giving rise to the claims, or within fourteen (14) calendar days of the date the Contractor knew or should have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for damages, additional payment for any reason, or extension of time, whether under this Agreement or otherwise, shall be conclusively deemed to have been waived by the Contractor unless a timely written claim is made in strict accordance with the applicable provisions of this Agreement. At a minimum, a Contractor's written claim shall include the information set forth in subsections A, items 1 through 5 below. FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED BY THAT DELAY. A. Notice of Claim. Provide a signed written notice of claim that provides the following information: 1. The date of the Contractor's claim; 2. The nature and circumstances that caused the claim; 3. The provisions in this Agreement that support the claim; 4. The estimated dollar cost, if any, of the claimed work and how that estimate was determined; and 5. An analysis of the progress schedule showing the schedule change or disruption if the Contractor is asserting a schedule change or disruption. B. Records. The Contractor shall keep complete records of extra costs and time incurred as a result of the asserted events giving rise to the claim. The City shall have access to any of the Contractor's records needed for evaluating the protest. The City will evaluate all claims, provided the procedures in this section are PUBLIC WORKS AGREEMENT - 4 (Over$10K, under$35K, and No Performance Bond) 1 t followed. If the City determines that a claim is valid, the City will adjust payment for work or time by an equitable adjustment. No adjustment will be made for an invalid protest. C. Contractor's Duty to Complete Protested Work. In spite of any claim, the Contractor shall proceed promptly to provide the goods, materials and services required by the City under this Agreement. D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Contractor also waives any additional entitlement and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this section, the Contractor completely waives any claims for protested work and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). IX. LIMITATION OF ACTIONS. CONTRACTOR MUST, IN ANY EVENT, FILE ANY LAWSUIT ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE THE CONTRACT WORK IS COMPLETE OR CONTRACTOR'S ABILITY TO FILE THAT CLAIM OR SUIT SHALL BE FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD. X. WARRANTY. Upon acceptance of the contract work, Contractor must provide the City a one-year warranty bond in a form and amount acceptable to the City. The Contractor shall correct all defects in workmanship and materials within one (1) year from the date of the City's acceptance of the Contract work. In the event any parts are repaired or replaced, only original replacement parts shall be used—rebuilt or used parts will not be acceptable. When defects are corrected, the warranty for that portion of the work shall extend for one (1) year from the date such correction is completed and accepted by the City. The Contractor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect. If the Contractor does not accomplish the corrections within a reasonable time as determined by the City, the City may complete the corrections and the Contractor shall pay all costs incurred by the City in order to accomplish the correction. XI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any sub-contract, the Contractor, its sub-contractors, or any person acting on behalf of the Contractor or sub-contractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. Contractor shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. XII. INDEMNIFICATION. Contractor shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Contractor's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. PUBLIC WORKS AGREEMENT - 5 (Over$10K, under$35K, and No Performance Bond) 1 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 Agreement 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 Agreement. XIII. INSURANCE. The Contractor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. XIV. WORK PERFORMED AT CONTRACTOR'S RISK. Contractor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XV. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award PUBLIC WORKS AGREEMENT - 6 (Over$10K, under$35K, and No Performance Bond) � T provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section XII of this Agreement. D. Written Notice. All communications regarding this Agreement nt shall be sent to the 9 9 9 parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Contractor. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Contractor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I. Counterparts. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. CONTRACTOR: CITY OF KENT: B `�`, Y' By: (signature I (signature) � L &,(h 4 Pri t Na uzette C Print Name: 9ooke Its It Ma or DATE: — ' G DATE: PUBLIC WORKS AGREEMENT - 7 (Over$10K, under$35K, and No Performance Bond) t ± NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Shane Gilbertson Brian Levenhagen Evergreen Asphalt and Concrete City of Kent PO Box 1567 220 Fourth Avenue South Kent, WA 98035 Kent, WA 98032 253-639-3779 (telephone) (253) 856-5116 (telephone) 253-639-3779 (facsimile) (253) 856-6050 (facsimile) APPROVED AS TO FORM: Ke t L epartment Klwanis 1 Park Improvements—Concrete/Basketball Court PUBLIC WORKS AGREEMENT - 8 (Over$10K, under$35K, and No Performance Bond) Y r 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 Agreement 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 Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, 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 Agreement; 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 Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement 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 Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. Dated this day of �""' , 2009. By: For• Ir``-z AP6LJ Title: t`4e ya Date: EEO COMPLIANCE DOCUMENTS - 1 1 1 T 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. EEO COMPLIANCE DOCUMENTS - 2 r CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the_ (date) , between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. Dated this day of 12009. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 11 Kr-WT NA{XIXn�en BASE ezn 1. Concrete Project s 130o 2. Washington State Sales Tax (9.5%) $ o C7 TOTAL LUMP SUM BID Receipt of Addendum No.'s on Two YaS to the plans and/or specifications is hereby acknowledged. Submitted by: (Company) Name: (Please Print). s• u a - Business Address: _ !D 'BOtiLq Phone: [2�3 �_( 3 I- 3_Y? _ FAX: ( 3 1 � q_ .3 7� I Signature: Direct all Inquires to: Kent Parks, Recreation &Community Services Attention: Brian Levenhagen, Project Manager 220 41h Avenue South Kent, Washington 98032-5895 (253) 856-5116; FAX (253) 856-6050 Knvanis*1 Concrete Project 05/13/09 i KENT W r.a n.xoT�x i¢WANIs #1 — CONCRETE PROJECT Request for Bids Bids Due: Monday, May 18, 2009 by 9:00 a,m. Bids must be clearly marked "Bid" with the name of the project on the outside of the envelope, addressed to the City Clerk, 220 41" Avenue South, Kent, WA 98032-5895. Only sealed bids will be accepted in the mail. facsimiles will not be accepted for this project If bid amount Is over$5,000. Project Manager: Brian Levenhagen (253) 856-5116 scope of Work. 1. Pressure wash asphalt basketball court surface. 2. saw cut edge of existing asphalt basketball court, and haul materlal off site and dispose of properly. 3. Set forms and pour new concrete curb/mow strip in area excavated by 1 City of Kent. 3. New concrete curb to be flush with basketball court. 4. Slope concrete curb away from court to meet existing grade of turf. 5. Install 3/8 Inch ezpanslon joints with joint sealer where concrete meets asphalt. 6. Light broom finish all exposed faces of concrete curb. 7. Spread acrylic surface coat on basketball court. s. Remove existing and Install new backboards In accordance with manufacturer's instructions. Backboards are provided by City of Kent. 9. All material or debris needs to be removed off site. 10. Any damage done by contractor Is required to be repaired by the contractor. 11. Work hours: weekdays: 7:30 a.m. to 6:00 p.m. Weekends: 8:00 a.m. to 6:00 p.m. iwwa Ki � [nis Tot Lot#1 South V Avenue&West Crow Street Kent,Washington 98032 Cost Estimate: The estimate for this project Is: Six Thousand Five Hundred Dollars ($6,500.00). References: If you have not worked on a City of Kent project within the last three (3) years please provide three (3) references for projects of similar size and scope. Contract/Time of Completion: Successful bidder will be required to enter into Public Works Agreement with the City of Kent (sample attached), A Notice to Proceed letter will be mailed to you informing you of your start date. All work must be completed by June 30, 2009. Prevailing Wages: Because this is a Public Works Agreementr funded by a federal grant, current prevailing state and federal wage rates must be paid to all that work on this project. Contractor must pay higher rate of the two. Contractor is responsible to complete and provide a Statement of Infant to Pay Preyalling Wages and proof of all required releases with the State of Washington Department of Labor and Industries. Washington State Prevailing Wage Rates effective March 4, 2009 for King County, Federal Wage Decision No. WA080001, Modification *25, and Federal Labor Standards Provisions are attached. Insurance: Successful bidder must provide a Certlflcatejof Insurance for this nroiect and a ggpALqtq_0dorsemept naming the Oty gf Kent as a dltional Insured as described In Exhibit B of the contract documents (sample attached). Kiwanis#1 Concrete Project 05/13109 T • • `�KENT CONTRACTOR'S GgMPLtANGE, STATEMENT (President's Executive Order##11246) Date: 18 - a This statement relates to a proposed contract with the City of Kent named Kiwanis Tot Lot#1 Park Improvements. I am the undersigned bidder or prospective contractor. I represent that I (please circle one response) have or 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. BIDDER: Company Name By: Contractor or Contractor's Representative Signature Its: . Pj�:--`n " DATE: 5 ` 1?2-09 ADDRESS: For information about your previous contracts or subcontracts, consult htto://envirotext eh doe aov/data/eosliohnson/196509.24.htmi. Kiwanis #1 Concrete Protect t]5/08/09 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'Comoensation 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 $1,000,000 per occurrence in excess of both the CGL (combined with Products/Competed Operations coverage) and Auto Liability policies cited above. 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 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. Client# 38262 EVERASP ACORi CERTIFICATE OF LIABILITY INSURANCE 06109109i PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bell-Anderson Ins -Kent C/L ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P O Box 887 HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 724 West Smith St. Kent,WA 98035-0887 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA Continental Western Insurance Co. Evergreen Asphalt&Concrete,Inc. INSURERB P.O Box 1567 INSURER C Kent,WA 98035 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 POLICYEFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MMIDO/YY LIMITS A GENERAL LIABILITY CNP2759716 05/03/09 05/03110 EACH OCCURRENCE S1 000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTPREMISES(Ea c.ED 3300000 CLAIMS MADE a OCCUR MED EXP(Any one person) $10 000 X PD Ded 500 PERSONAL B ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2000000 POLICY PRO LOC ECT A AUTOMOBILE LIABILITY CNP2759716 05/03/09 05103/10 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSAJMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ E DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND CNP2759716 05/03/09 05/03/10 TWO STATU- OTH- DRYA I ER EMANY PROPRIETOR/PARTNER/EXECUTIVE PLOYERS'LIABILITY WA Stop Gap EL EACH ACCIDENT $1,000,000 OFFICEPJMEMBER EXCLUDED9 EL DISEASE EA EMPLOYEE $1,000,000 If yes,descnbe under SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE West Hill Skate Park Pressure Wash The certificate holder is additional Insured for general liability, but only if required by written contract or written agreement per the attached endorsement CLCGO020(03107). Completed operations are covered under endorsement#CLCG2015(01/07)to follow from the carrier. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Kent Parks Department DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN c/o Tony Donati NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 220 4th Avenue S IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Kent,WA 98035 REPRESENTATIVES AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 #S224006/M218369 KJW © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(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-S(2001108) 2 of 2 #S224006IM216369 White, Tammy From: Mak, Ellen Sent: Friday, June 05, 2009 12 03 PM To: White, Tammy, Hills, Chris Cc: Levenhagen, Brian, Donati, Tony Subject: RE Insurance Question Hello everyone, I Just spoke with Tony and he indicated that this decision needs to be made today and cannot wait until Monday when Chris returns to work. I can agree to waive the excess liability. Ellen Bradley-Mak, SPHR Senior Human Resource Analyst Risk Management 253-856-5297 ebmak@ci.kent.wa.us Aw Please consider the environment before printing this e-mail. From: White, Tammy Sent: Friday, June 05, 2009 8:52 AM To: Hills, Chris; Mak, Ellen Cc: Levenhagen, Brian; Donati,Tony Subject: Insurance Question Ellen, I know Chris is out of the office on vacation, but I was hoping that in his absence you would consent to a waiver of one of the insurance requirements he required for a small contract Parks is entering into with Evergreen Asphalt & Concrete. Parks would like to contract with Evergreen to install curbing around a basketball court at the Kiwanis Park and to lay an acrylic surface coat over the court. The cost of the contract is $13,000, and the insurance exhibit requires Evergreen have the following amounts of insurance: Automobile Liability--$1 million per accident Comml Genl Liability--$1 million each occurrence, $2 million genl aggregate, and $2 million products completed. Excess Liability--$1 million per occurrence. The insurance documents provided by Evergreen include everything but Excess Liability coverage. Would the limits of Comml Genl Liability be sufficient for this work, or will Risk require that Evergreen obtain the Excess Liability coverage? Could you let me know? Thanks. Tammy Larson-White I Legal Analyst 1 City of Kent Law Department 19 253 856 5774 1 F 253 856 6770 220 Fourth Avenue South I Kent, WA 98032 1 �7 tlwhite()ci.kent wa us This message is private and privileged If you are not the person for whom this message was intended, please delete it and notify me immediately, and please do not copy or send this message to anyone else. 2 White, Tammy From: Hills, Chris Sent: Tuesday, June 09, 2009 8 47 AM To: White, Tammy Cc: Levenhagen, Brian, Donati, Tony, Mak, Ellen Subject: RE AOI -Evergreen Asphalt&Concrete, Inc That's fine in the interim. Thanks, Tammy! -----Original Message----- From: White, Tammy Sent: Tuesday, June 09, 2009 8:45 AM To: Hills, Chris Cc: Levenhagen, Brian; Donati, Tony; Mak, Ellen Subject: FW: AOI -Evergreen Asphalt & Concrete, Inc. Chris, I know Parks would really like to get going on this contact with Evergreen Asphalt for work on the basketball court at the Kiwanis park. Evergreen's insurer is working to issue the endorsement on the products-completed coverage and it was wondering if we would be able to accept a blank version in the interim. What say you? Thanks. Tammy. -----Original Message----- From: Kon White [mailto:koriw@bell-anderson.com] Sent: Tuesday, June 09, 2009 8:05 AM To: White, Tammy Subject: AOI -Evergreen Asphalt & Concrete, Inc. Here is the revised certificate and a blank copy of the completed operations endorsement per our phone conversation. The insurance company will be issuing the completed endorsement and mailing out shortly. I thought in the meantime, this may suffice for my insured to start the project for the City of Kent knowing that the completed form is on its way shortly. Let me know if there are any questions or concerns regarding this matter. Thank you, Kon J. White, CISR Commercial Account Manager Phone: (253) 458-2228 Fax: (253) 239-5028 Email: koriw@bell-anderson.com i te,: 5/19/,2009 ' Time: 5: 14 PM To : @ 12538566050 Bt Anderson Agency Page: 004 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS' COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. MEDICAL PAYMENTS (b) That is Fire, Lightning, Explosion or If SECTION I — COVERAGE C MEDICAL PAY- Sprinkler Leakage insurance for p ccu- MENTS is not otherwise excluded from this pies rented to you or temporarily Coverage Part- pied by you with the permission off the the 9 owner; 1. The Medical Expense Limit provided by this 4. Paragraph 9.a. of SECTION V — DEFINI- policy, subject to the terms of SECTION III - TIONS is deleted and replaced by the follow- LIMITS OF INSURANCE, shall be the greater of: prig. a. $10,D or a. A contract for a lease of premises. However, that portion of the contract for b. The Medical Expense Limit shown in the a lease of premises that indemnifies any Declarations of this Coverage Part. person or organization for damage by B. FIRE, LIGHTNING, EXPLOSION, SMOKE AND fire, lightning, explosion or sprinkler SPRINKLER LEAKAGE DAMAGE TO PREM- leakage premises while rented to you ISES YOU RENT or temporarily occupied by you with permission of the owner is not an "in- If damage to premises rented to you under Cov- sured contract"; erage A. is not otherwise excluded from this pol- C. NON-OWNED WATERCRAFT icy,the following applies: 1. The last paragraph of SECTION I — COW 1. Paragraph g of SECTION I — COVER- 1. A.2. Exclusions is deleted and re- AGE A.2. Exclusions is deleted and re placed by the following: placed by the following Exclusions c. through n. do not apply to A watercraft you do not own that is: damage by fire, lightning, explosion or sprin- (a) Less than 51 feet long; and kler leakage to premises while rented to your or tem orarily occupied by you with permis- (b) Not used to carry persons or property for sion ofpthe owner. A separate limit of insur- a charge. ance applies to this coverage as described D. SUPPLEMENTARY PAYMENTS in SECTION III—LIMITS OF INSURANCE. SECTION I — SUPPLEMENTARY PAYMENTS 2. Paragraph 6. of SECTION III — LIMITS OF — COVERAGES A AND B is amended as fol- INSURANCE is deleted and replaced by the lows. following: 1. The limit of insurance in paragraph 1.b. is 6. Subject to 5.above,the greater of: increased from $250 to$2,500;and a. $300,000;or 2. The limit of insurance in paragraph i.d. is b. the Damage To Premises Rented increased from $250 to$500. To You Limit shown in the Declara- E. AUTOMATIC ADDITIONAL INSURED — tions; SPECIFIED RELATIONSHIPS is the most we will pay under COVER- The following is added to Paragraph 2. of SEC- AGE A for damages because of "prop- TION li-WHO IS AN INSURED erty damage"to any one premises,while e. Any person or organization described in rented to you, or temporarily occupied by paragraph f. below, whom you and such you with the permission of the owner person or organization have agreed in wrd- arising out of any one fire, lightning, ex-or sprinkler leakage incident. mg in a contract or agreement that such per- plosion son or organization be added as an addr- 3. Paragraph 4.b.(1)(b) Other Insurance of tional insured on your policy SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is deleted and re- placed by the following: CL CG 00 20 03 07 Includes copyrighted material of Insurance Seances Page 1 of 6 Office, Inc,with its permission : 5/19/2009 Time: 5 : 14 PM To : a 12538566050 B( ' derson Agency Page : 005 Such person or organization is an insured (c) The ownership, maintenance, or use provided: of any elevators. (1) The written or oral contract or agree- F. ADDITIONAL INSURED—OWNERS, LESSEES ment is: OR CONTRACTORS—AUTOMATIC STATUS (a) Currently in effect or becomes effec- 1. SECTION II — WHO IS AN INSURED is tive during the policy period, and amended to include as an additional insured (b) Executed prior to an "occurrence" or any person or organization for whom you are offense to which this insurance performing operations when you and such would apply. person or organization have agreed in writ- ing in a contract or agreement that such per- (2) They are not specifically designated as son or organization be added as an add!- an additional insured under any other tional insured on your policy. Such person or provision of, or endorsement added to, organization is an additional insured only this policy. with respect to liability for "bodily injury', f. Only the following persons or organizations "property damage" or "personal and adver- are additional insureds under this endorse- using injury' caused, in whole or in part, by ment, and coverage provided to such addi- a. Your acts or omissions;or tional insureds is limited as provided herein: b. The acts or omissions of those acting on (1) The manager or lessor of a premise your behalf, leased to you, but only with respect to li- ability arising from the ownership, main- In the performance of your ongoing opera- tenance or use of that part of the prem- tions for the additional insured. ises leased to you and subject to the fol- A person's or organization's status as an ad- lowing additional exclusions- ditional insured under this policy ends when This insurance does not apply to: your operations for that additional insured (a) Any "occurrence" which takes place are completed. after you cease to be a tenant of that 2. With respect to the insurance afforded to premises. these additional insureds, the following addi- (b) Structural alterations, new construc- tional exclusions apply: lion or demolition operations per- This insurance does not apply to: formed by or on behalf of the man- a. "Bodily injury", "property damage" or ager or lessor. "personal and advertising injury" arising (2) Any person or organization from whom out of the rendering of, or the failure to you lease equipment, but only with re- render, any professional architectural, spec' to liability for "bodily injury", "prop- engineering or surveying services, in- erty damage" or "personal and advertis- cluding- ing injury" caused, in whole or in part, by your maintenance, operation or use of (1) The preparing, approving, or failing equipment leased to you by such per- to prepare or approve, maps, shop son(s) or organization(s). drawings, opinions, reports, surveys, field orders, change orders or draw- However, this insurance does not apply ings and specifications; or to any "occurrence" which takes place after the equipment lease expires. (2) Supervisory, inspection, architec- (3) Any state or political subdivision, subject tural or engineering activities. to the following additional provision: b. "Bodily injury" or "property damage" This insurance applies only with respect occurring after to the following hazards for which the (1) All work, including materials, parts state or political subdivision has issued a or equipment furnished in connec- permit in connection with premises you lion with such work, on the project own, rent, or control and to which this in- (other than service, maintenance or surance applies: repairs) to be performed by or on a) The existence, maintenance, repair, behalf of the additional insured(s) at ( p the location of the covered opera- construction, erection, or removal of tions has been completed;or advertising signs, awnings, cano- pies, cellar entrances, coal holes, (2) That portion of "your work" out of driveways, manholes, marquees, which the injury or damage arises hoist away openings, sidewalk has been put to its intended use by vaults, street banners, or decora- any person or organization other lions and similar exposures;or than another contractor or subcon- (b) The construction, erection, or re- tractor engaged in performing op- The of elevators; or erations for a principal as a part of the same project. CL CG 00 20 03 07 Includes copyrighted material of Insurance Services Page 2 of 6 Office,Inc,owth its permission te: 5%19/2009, Time: 5: 14 PM TO: @ 12538566050 13E Anderson Agency Page : 006 3. The insurance provided by this endorsement c. We may pay any part or all of the de- is primary insurance and we will not seek ductible amount to effect settlement of contribution under any insurance policy un- any claim or suit and, upon notification der which such additional insured is a of the action taken; you shall promptly named insured, if such policy was procured reimburse us for such part of the de- and paid for by such additional insured, or a ductible amount as we have paid. parent or related entity of such additional in- H. BROADENED NAMED INSURED sured. 4. With respect to the insurance afforded to Paragraph 3. of SECTION II - WHO IS AN IN- these additional insureds, SECTION III — SURED is deleted and replaced by the following: LIMITS OF INSURANCE is amended as fol- Any organization, other than a joint venture, over lows: which you maintain ownership or majority inter- est of more than 50%will be a Named Insured if The limits applicable there is no other similar insurance available to sured are those specified in the written con- that organization However: tract or agreement or the limits stated in the Declarations, whichever is less. If no limits a. Coverage under this provision is afforded are specified in the written contract or only until the 180th day after you acquire or agreement, the limits applicable to the addi- form the organization or the end of the policy tional insured are those specified in the Dec- period,whichever is earlier. lrations. The limits of insurance are inclu- b. COVERAGE A does not apply to "bodily in- sive of and not in addition to the limits of in- jury" or"property damage" that occurred be- surance shown in the Declarations fore you acquired or formed the organiza- G. PROPERTY DAMAGE TO BORROWED tion. EQUIPMENT c. COVERAGE B does not apply to "personal 1. Paragraph 2.1. of SECTION 1 - COVER- and advertising injury" arising out of an of- AGES, COVERAGE A BODILY INJURY fense committed before you acquired or AND PROPERTY DAMAGE LIABILITY is formed the organization. amended as follows: 1. CONSTRUCTION PROJECT GENERAL AG- Paragraphs (3) and (4) of this exclusion do GREGATE LIMIT not apply to tools or equipment loaned to 1. For all sums which the insured becomes you, provided they are not being used to per- legally obligated to pay as damages caused corm operations at the time of loss by "occurrences" under COVERAGE A 2. SECTION III — LIMITS OF INSURANCE is (SECTION 1), and for all medical expenses deleted and replaced by the following: caused by accidents under COVERAGE C (SECTION 1), which can be attributed only to The most we will pay in any one "occur- ongoing operations at a single construction rence" for "property damage" to borrowed project away from premises owned by or equipment is $15,000. This limit of insur- rented to the insured ance is the most we will pay regardless of a. A Single Construction Project General the number of: Aggregate Limit applies to each Ion- a. Insureds; struction project away from premises b owned by or rented to the insured, and . Claims made or"suits"brought;or that limit is equal to the amount of the c. Persons or organizations making claims General Aggregate Limit shown in the or bringing "suits" Declarations. 3. Deductible b. The Single Construction Project General Aggregate Limit is the most we will pay a. Our obligation to pay damages on behalf for the sum of all damages under COV- of the insured applies only to the amount ERAGE A, except damages because of of damages in excess of $250 as appli- 'bodily injury' or "property damage" in- cable to "property damage" as the result cluded in the "products-completed op- of any one "occurrence", regardless of erations hazard", and for medical ex- the number of persons or organizations penses under COVERAGE C regardless who sustain damages because of that of the number of: "occurrence". b. The terms of this insurance, including (1) Insureds; those with respect to our right and duty (2) Claims made or"suits"brought;or to defend the insured against any"suits" (3) Persons or organizations making seeking those damages; and your duties claims or bringing"suits". in the event of an "occurrence", claim, or "suit" apply irrespective of the application of the deductible amount. CL CG 00 20 03 07 Includes copyrighted material of Insurance services Page 3 Of 6 Office,Inc,with its permission : 5/19/2009 Time: 5: 14 PM To : a 1253856BO50 . •B( Jerson Agency Page : 007 c. Any payments made under COVERAGE J. KNOWLEDGE OF OCCURRENCE A for damages or under COVERAGE C The following is added to paragraph 2. Duties In for medical expenses shall reduce the The Event Of Occurrence, Offense, Claim Or Single Construction Project General Ag- Suit of SECTION IV — COMMERCIAL GEN- gregate Limit for that construction pro- ERAL LIABILITY CONDITIONS: ject away from premises owned by or rented to the insured Such payments e. A report of an "occurrence", offense, claim shall not reduce the General Aggregate or"suit"to: Limit shown in the Declarations nor shall (t) You, if you are an individual, they reduce any other Single Construc- tion Project General Aggregate Limit for (2) A partner, if you are a partnership, any other separate construction project away from premises owned by or rented (3) An executive officer, if you are a to the insured. corporation,or d. The limits shown in the Declarations for (4) A manager, if you are a limited liability Each Occurrence, Fire Damage and company; Medical Expense continue to apply. is considered knowledge and requires you to However, instead of being subject to the notify us of the "occurrence", offense, claim, General Aggregate Limit shown in the or"suit' as soon as practicable. Declarations, such limits will be subject to the applicable Single Construction f. We are considered on notice of an Project General Aggregate Limit. "occurrence", offense, claim or "suit" that is 2. For all sums which the insured becomes reported to your Workers' Compensation legally obligated hi a as damages caused insurer for an event which later develops into 9 Y 9 pay 9 an "occurrence", offense, claim or "suit" for by "occurrences" under COVERAGE A which there is coverage under this policy (SECTION 1), and for all medical expenses However, we will only be considered on caused by accidents under COVERAGE C notice if you notify us as soon as you know (SECTION 1), which cannot be attributed the claim should be addressed by this policy only to ongoing operations at a single desig- rather than your Workers' Compensation nated construction project away from prem- policy. ises owned by or rented to the insured: a. Any payments made under COVERAGE K. UNINTENTIONAL OMISSIONS A for damages or under COVERAGE C The following is added to paragraph 6. Repre- for medical expenses shall reduce the sentations of SECTION IV - COMMERCIAL amount available under the General Ag- GENERAL LIABILITY CONDITIONS: gregate Limit or the Products-Completed d, If you unintentionally fail to disclose any ex- Operations Aggregate Limit, whichever posures existing at the inception date of your is applicable; and policy, we will not deny coverage under this b. Such payments shall not reduce any Coverage Part solely because of such failure Single Construction Project General Ag- to disclose. However, this provision does gregate Limit. not affect our right to collect additional pre- mium or exercise our right of cancellation or 3. When coverage for liability arising out of the non-renewal "products-completed operations hazard" is This provision does not apply to any known provided, any payments for damages be- injury or damage which is excluded under cause of "bodily injury" or"property damage" any other provision of this policy. included in the "products-completed opera tions hazard" will reduce the Products- L. MENTAL ANGUISH Completed Operations Aggregate Limit, and Para rah 3. of SECTION V — DEFINITIONS is not reduce the General Aggregate Limit nor deleted and replaced by the following: the Single Construction Project General Ag- gregate Limit. 3. "Bodily injury" means bodily injury, sickness 4. If the applicable construction pro away or disease sustained by a person, including from premises owned by or rentO to the in- mental anguish or death resulting from any sured has been abandoned, delayed, or of these at any time abandoned and then restarted, or if the au- M. WAIVER OF TRANSFER OF RIGHTS OF RE- thorized contracting parties deviate from COVERY AGAINST OTHERS plans, blueprints, designs, specifications or Paragraph 8. Transfer Of Rights Of Recovery timetables, the project will still be deemed to Against Others To Us of SECTION IV—COM- be the same construction project. MERCIAL GENERAL LIABILITY CONDITIONS 5. The provisions of Limits Of Insurance is amended by the addition of the following: (SECTION III) not otherwise modified by this endorsement shall continue to apply as stipu lated CL CG 00 20 03 07 Includes copyrighted material of Insurance Services Page 4 of 6 Office,Inc,vAth its permission ta: 5719t2009 Time: 5: 14 PM To : G 12538568050 ]3t Anderson Agency Page: 008 We waive any right of recovery we may have be- the premises, site or loca- cause of payments we make for injury or dam- tion in connection with such age arising out of your ongoing operations or operations by such insured, "your work"done under a contract rec)uiring such contractor or subcontractor waiver with that person or organization and in- Subparagraph (b) does not cluded in the "products-completed operations apply to "bodily Injury" or hazard". "property damage" arising However, our rights may only be waived prior to out of heat, smoke or fumes the "occurrence" giving rise to the injury or dam- from a"hostile fire" age for which we make payment under this Cov- (2) Any loss, cost or expense aris- erage Part The insured must do nothing after a ing out of any: loss to impair our rights. At our request, the in- sured will bring "suit" or transfer those rights to (a) Request, demand, order or us and help us enforce those rights statutory or regulatory re- N. LIMITED JOB SITE POLLUTION quirement issued or made pursuant to any environ- 1. Exclusion f. under Section I — Coverage A mental protection or envi- is replaced by the following ronmental liability statutes or 2. Exclusions regulations that any insured test for, monitor, clean up, This insurance does not ap�Iyto: remove, contain, treat, de- toxify or neutralize, or in any way respond to, or assess (1) "Bodily injury' or "property dam- the effects of, "pollutants"; age" arising out of the actual, al- or leged or threatened discharge, (b) Claim or suit by or on behalf dispersal, seepage, migration, of a governmental authority release or escape of 'pollut- for damages because of ants" testing for, monitoring, (a) At or from any premises, cleaning up, removing, con- site or location on which any taining, treating, detoxifying insured or any contractors or neutralizing or in any way or subcontractors working responding to or assessing directly or indirectly on any the effects of, "pollutants". insured's behalf are per- However, this paragraph does forming operations if the not apply to liability for those operations are to test for, sums the insured becomes le- monitor, clean up, remove, gally obligated to pay as dam- contain, treat, detoxify or ages because of"property dam- neutralize, or in any way re- age" that the insured would spond to, or assess the ef- have in the absence of such re- fects of, "pollutants";or quest, demand, order or statu- (b) At or from a storage tank or tory or regulatory requirement, other container, ducts or or such claim or "suit" by or on piping which is below or par- behalf of a governmental author- tially below the surface of ity the ground or water or 2. With respect to "bodily injury" or "property which, at anytime, has been damage" arising out of the actual, alleged or buried under the surface of threatened discharge, dispersal, seepage, the ground or water and migration, release or escape of"pollutants": then subsequently exposed by erosion, excavation or a. The "Each Occurrence Limit" shown in any other means if the ac- the Declarations does not apply tual, alleged or threatened discharge, dispersal, seep- b. Paragraph 7. of Limits Of Insurance age, migration, release or (Section III) does not apply. escape of"pollutants" arises c. Paragraph 1. of Section III — Limits Of at or from any premises, site Insurance is replaced by the following: or location which any in- sured or any contractors or The Limits Of Insurance shown in this subcontractors working di- endorsement, or in the Declarations and rectly or indirectly on any in- the rules below fix the most we will pay sured's behalf are perform- regardless of the number of: ing operations if the "pollut- (1) Insureds; ants"are brought on or to CL CG 00 20 03 07 Includes copynghted material of Insurance Services Page 5 Of 6 Office, Inc,with its permission 5/19/2009 Time: 5: 14 PM To : 0 12538566050 3e lerson Agency Page: 009 (2) Claims made or"suits"brought;or 9. Subject to 8. above, the Medical 3 Persons or organizations making Expense Limit is the most we will O 9 g pay under Coverage C for all medi- claims or bringing "suits". cal expenses because of "bodily ln- d. The following are added to Section III— jury" sustained by any one person Limits Of Insurance: arising out of the actual, alleged or threatened discharge, dispersal, 8. Subject to 2. or 3. above, whichever seepage, migration, release or es- app�ies, the most we will pay for the cape of"pollutants" sum of: O. OTHER INSURANCE a. Damages under Coverage A; If this policyincludes a Coverage Form or an and Endorsement which provides coverage for loss b. Medical expenses under Cover- or damage covered by one or more of the Ex- age C tensions of this endorsement, the limit and the because of "bodily injury" or "prop- coverage provided by this endorsement are de- erty damage" arising out of the ac- leted and replaced by the limit and coverage ival, alleged or threatened dis prroef ided by that Coverage Form or Endorse- charge, dispersal, seepage, migra- tion, release or escape of 'pollut ants" is $100,000. i II it F r i I I CL CG 00 20 03 07 Includes copyrighted material of Insurance Seances Page 6 of 6 Office, Inc,with its permission THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS - WHEN REQUIRED BY WRITTEN CONTRACT This endorsement modifies Insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization Location And Description of Completed Operations Section II—Who Is An Insured is amended to include as an additional insured the person or organization shown in the schedule, provided you and such person or organization have agreed In writing In a contract or agreement that such person or organization be added as an additional Insured on your policy Such person or organization Is an additional insured only with respect to "bodily Injury" and "property damage" caused, In whole or In part, by "your work" at the location designated and described In the schedule of this endorsement and Included In the"products-completed operations hazard" With respect to the Insurance afforded to this additional Insured, this Insurance does not apply to "bodily injury" or "property damage" that occurs prior to the execution of, or subsequent to the expiration of, the contract or agreement in which you have agreed that such person or organization be added as an additional Insured on your policy CL CG 20 15 0107 Includes copyrighted material of Insurance Services Page 1 of 1 Offices, Inc,with its permission yy 2 U r _- ? >. - - x - - Y Y Y Y R F J� �O N N N N 1'J Ol N CJ 1`9 Ny 10 N 1+1 pp 1yyy O Oyp w w A A {{Yy� fpY yN 10 {!�1 N N 1ppt f'1 yMy N 1y0r N m YN1 O N N h N Y h h��H H g M N N N M h 69 N M N N W N N M y N M N dt if Q �p �j>T NtliNNpNN HN MYIW a 2 �F Y ' 8 u . 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Department of La- are included in this Contract pursuant to the provisions applicable bor,Washington, D C 20210 The Administrator,or an authorized to such Federal assistance. representative,will approve,modify,or disapprove every additional A. 1. (1) Minimum Wages. All laborers and mechanics em- classification action within 30 days of receipt and so advise HUD ployed or working upon the site of the work will be paid uncondi- or its designee or will notify HUD or its designee within the 30-day tionally and not less often than once a week, and without subse- period that additional time is necessary (Approved by the Office quent deduction or rebate on any account (except such payroll of Management and Budget under OMB control number 1215- deductions as are permitted by regulations issued by the Secre- 0140) tary of Labor under the Copeland Act (29 CFR Part 3), the full (c) In the event the contractor, the laborers or mechanics to be amount of wages and bona fide fringe benefits (or cash eguiva- employed in the classification or their representatives, and HUD lents thereof) due at time of payment computed at rates not less or its designee do not agree on the proposed classification and than those contained in the wage determination of the Secretary wage rate (including the amount designated for fringe benefits, of Labor which is attached hereto and made a part hereof, re- where appropriate),HUD or its designee shall refer the questions, gardless of any contractual relationship which may be alleged to including the views of all interested parties and the recommenda- exist between the contractor and such laborers and mechanics. tion of HUD or its designee, to the Administrator for determina- Contributions made or costs reasonably anticipated for bona fide tion The Administrator, or an authorized representative, will is- fringe benefits under Section I(b)(2) of the Davis-Bacon Act on sue a determination within 30 days of receipt and so advise HUD behalf of laborers or mechanics are considered wages paid to or its designee or will notify HUD or its designee within the 30-day such laborers or mechanics, subject to the provisions of 29 CFR period that additional time is necessary (Approved by the Office 55(a)(1)(iv), also, regular contributions made or costs incurred of Management and Budget under OMB Control Number 1215- for more than a weekly period (but not less often than quarterly) 0140 ) under plans,funds,or programs,which cover the particular weekly (d) The wage rate (including fringe benefits where appropriate) period, are deemed to be constructively made or incurred during determined pursuant to subparagraphs(1)(n)(b)or(c)of this para- such weekly period graph, shall be paid to all workers performing work in the classifi- Such laborers and mechanics shall be paid the appropriate wage cation under this contract from the first day on which work is per- rate and fringe benefits on the wage determination for the classi- formed in the classification. fication of work actually performed,without regard to skill, except (in) Whenever the minimum wage rate prescribed in the contract as provided in 29 CFR 5 5(a)(4) Laborers or mechanics per- fora class of laborers or mechanics includes a fringe benefit which forming work in more than one classification may be compensated is not expressed as an hourly rate, the contractor shall either pay at the rate specified for each classification for the time actually the benefit as stated in the wage determination or shall pay an- worked therein Provided, That the employer's payroll records other bona fide fringe benefit or an hourly cash equivalent thereof accurately set forth the time spent in each classification in which work is performed The wage determination (including any addi- (Iv) If the contractor does not make payments to a trustee or tional classification and wage rates conformed under 29 CFR other third person, the contractor may consider as part of the 5 5(a)(1)(n)and the Davis-Bacon poster(WH-1321)shall be posted wages of any laborer or mechanic the amount of any costs rea- at all times by the contractor and its subcontractors at the site of sonably anticipated in providing bona fide fringe benefits under a the work in a prominent and accessible, place where it can be plan or program,Provided,That the Secretary of Labor has found, easily seen by the workers upon the written request of the contractor,that the applicable stan- (ii) (a) Any class of laborers or mechanics which is not listed in dards of the Davis-Bacon Act have been met The Secretary of the wage determination and which is be employed under the Labor may require the contractor to set aside in a separate ac- count assets for the meeting of obligations under the plan or pro- contract shall be classified in conformance with the wage deter- gram (Approved by the Office of Management and Budget under mination HUD shall approve an additional classification and wage OMB Control Number 1215-0140) rate and fringe benefits therefor only when the following criteria have been met 2. Withholding. HUD or its designee shall upon its own action or (1) The work to be performed by the classification requested is upon written request of an authorized representative of the De- partment of Labor withhold or cause to be withheld from the con- not performed by a classification in the wage determination,and tractor under this contract or any other Federal contract with the (2) The classification is utilized in the area by the construction same prime contractor, or any other Federally-assisted contract industry, and subject to Davis-Bacon prevailing wage requirements, which is (3) The proposed wage rate, including any bona fide fringe ben- held by the same prime contractor so much of the accrued pay- efits, bears a reasonable relationship to the wage rates contained ments or advances as may be considered necessary to pay la- in the wage determination borers and mechanics, including apprentices, trainees and help- (b) If the contractor and the laborers and mechanics to be em- ers, employed by the contractor or any subcontractor the full ployed in the classification (if known), or their representatives, amount of wages required by the contract In the event of failure and HUD or its designee agree on the classification and wage to pay any laborer or mechanic, including any apprentice,trainee rate (including the amount designated for fringe benefits where or helper, employed or working on the site of the work, all or part form HUD-4010(07/2003) Previous edition is obsolete Page 1 of 4 ref Handbook 1344 1 i R r a of the wages required by the contract, HUD or its designee may, period has been paid the full weekly wages earned, without re- after written notice to the contractor,sponsor,applicant,or owner, bate,either directly or indirectly,and that no deductions have been take such action as may be necessary to cause the suspension made either directly or indirectly from the full wages earned,other of any further payment, advance, or guarantee of funds until such than permissible deductions as set forth in 29 CFR Part 3, violations have ceased HUD or its designee may, after written (3) That each laborer or mechanic has been paid not less than notice to the contractor, disburse such amounts withheld for and the applicable wage rates and fringe benefits or cash equivalents on account of the contractor or subcontractor to the respective for the classification of work performed, as specified in the appli- employees to whom they are due The Comptroller General shall cable wage determination incorporated into the contract. make such disbursements in the case of direct Davis-Bacon Act (c) The weekly submission of a properly executed certification contracts set forth on the reverse side of Optional Form WH-347 shall sat- 3. (i) Payrolls and basic records. Payrolls and basic records isfy the requirement for submission of the"Statement of Compli- relating thereto shall be maintained by the contractor during the ance" required by subparagraph A 3 (n)(b). course of the work preserved for a period of three years thereaf- (d) The falsification of any of the above certifications may subject ter for all laborers and mechanics working at the site of the work the contractor or subcontractor to civil or criminal prosecution Such records shall contain the name, address, and social secu- under Section 1001 of Title 18 and Section 231 of Title 31 of the rity number of each such worker, his or her correct classification, United States Code hourly rates of wages paid(including rates of contributions or costs anticipated for bona fide fringe benefits or cash equivalents thereof (III) The contractor or subcontractor shall make the records re- of the types described in Section I(b)(2)(B) of the Davis-bacon quired under subparagraph A 3(1) available for inspection, copy- Act), daily and weekly number of hours worked,deductions made mg, or transcription by authorized representatives of HUD or its and actual wages paid Whenever the Secretary of Labor has designee or the Department of Labor, and shall permit such rep- found under 29 CFR 5 5(a)(1)(iv)that the wages of any laborer or resentatives to interview employees during working hours on the mechanic include the amount of any costs reasonably anticipated job If the contractor or subcontractor fails to submit the required in providing benefits under a plan or program described in Sec- records or to make them available, HUD or its designee may,after tion I(b)(2)(B) of the Davis-Bacon Act, the contractor shall main- written notice to the contractor, sponsor, applicant or owner,take tain records which show that the commitment to provide such such action as may be necessary to cause the suspension of any benefits is enforceable, that the plan or program is financially re- further payment, advance, or guarantee of funds Furthermore, sponsible, and that the plan or program has been communicated failure to submit the required records upon request or to make in writing to the laborers or mechanics affected,and records which such records available may be grounds for debarment action pur- show the costs anticipated or the actual cost incurred in providing suant to 29 CFR 5 12 such benefits Contractors employing apprentices or trainees 4. Apprentices and Trainees. under approved programs shall maintain written evidence of the (i) Apprentices. Apprentices will be permitted to work at less registration of apprenticeship programs and certification of trainee than the predetermined rate for the work they performed when programs, the registration of the apprentices and trainees, and they are employed pursuant to and individually registered in a the ratios and wage rates prescribed in the applicable programs bona fide apprenticeship program registered with the U S De- (Approved by the Office of Management and Budget under OMB partment of Labor, Employment and Training Administration, Of- Control Numbers 1215-0140 and 1215-0017) fice of Apprenticeship Training, Employer and Labor Services, or (ii) (a) The contractor shall submit weekly for each week in which with a State Apprenticeship Agency recognized by the Office,or if any contract work is performed a copy of all payrolls to HUD or its a person is employed in his or her first 90 days of probationary designee if the agency is a party to the contract,but if the agency employment as an apprentice in such an apprenticeship program, is not such a party, the contractor will submit the payrolls to the who is not individually registered in the program, but who has applicant sponsor,or owner, as the case may be,for transmission been certified by the Office of Apprenticeship Training, Employer to HUD or its designee The payrolls submitted shall set out ac- and Labor Services or a State Apprenticeship Agency (where curately and completely all of the information required to be main- appropriate) to be eligible for probationary employment as an tained under 29 CFR 5 5(a)(3)(i) This information may be submit- apprentice The allowable ratio of apprentices to journeymen on ted in any form desired. Optional Form WH-347 is available for the job site in any craft classification shall not be greater than the this purpose and may be purchased from the Superintendent of ratio permitted to the contractor as to the entire work force under Documents (Federal Stock Number 029-005-00014-1), U S Gov- the registered program Any worker listed on a payroll at an ap- ernment Printing Office,Washington, DC 20402 The prime con- prentice wage rate, who is not registered or otherwise employed tractor is responsible for the submission of copies of payrolls by as stated above, shall be paid not less than the applicable wage all subcontractors (Approved by the Office of Management and rate on the wage determination for the classification of work actu- Budget under OMB Control Number 1215-0149) ally performed In addition, any apprentice performing work on (b) Each payroll submitted shall be accompanied by a "State- the job site in excess of the ratio permitted under the registered ment of Compliance;'signed by the contractor or subcontractor or program shall be paid not less than the applicable wage rate on his or her agent who pays or supervises the payment of the per- the wage determination for the work actually performed Where a sons employed under the contract and shall certify the following contractor is performing construction on a project in a locality other than that in which its program is registered, the ratios and wage (1) That the payroll for the payroll period contains the information rates (expressed in percentages of the journeyman's hourly rate) required to be maintained under 29 CFR 5 5 (a)(3)(i) and that specified in the contractor's or subcontractor's registered program such information is correct and complete, shall be observed Every apprentice must be paid at not less (2) That each laborer or mechanic (including each helper, ap- than the rate specified in the registered program for the prentice,and trainee)employed on the contract during the payroll apprentice's level of progress, expressed as a percentage of the form HUD-4010(0712003) ref Handbook 1344 1 Previous edition is obsolete Page 2 of 4 journeymen hourly rate specified in the applicable wage determi- 7. Contract termination; debarment. A breach of the contract nation Apprentices shall be paid fringe benefits in accordance clauses in 29 CFR 5 5 may be grounds for termination of the con- with the provisions of the apprenticeship program If the appren- tract and for debarment as a contractor and a subcontractor as ticeship program does not specify fringe benefits,apprentices must provided in 29 CFR 5 12 be paid the full amount of fringe benefits listed on the wage deter- 8. Compliance with Davis-Bacon and Related Act Requirements. mination for the applicable classification If the Administrator de- All rulings and interpretations of the Davis-Bacon and Related termines that a different practice prevails for the applicable ap- Acts contained in 29 CFR Parts 1, 3, and 5 are herein incorpo- prentice classification, fringes shall be paid in accordance with rated by reference in this contract that determination In the event the Office of Apprenticeship Train- g, Disputes concerning labor standards. Disputes arising out ing, Employer and Labor Services, or a State Apprenticeship of the labor standards provisions of this contract shall not be sub- Agency recognized by the Office, withdraws approval of an ap- ject to the general disputes clause of this contract Such disputes prenticeship program, the contractor will no longer be permitted shall be resolved in accordance with the procedures of the De- to utilize apprentices at less than the applicable predetermined partment of Labor set forth in 29 CFR Parts 5,6, and 7 Disputes rate for the work performed until an acceptable program is ap- within the meaning of this clause include disputes between the proved contractor(or any of its subcontractors)and HUD or its designee, (Ii) Trainees. Except as provided in 29 CFR 5.16, trainees will the U S Department of Labor, or the employees or their repre- not be permitted to work at less than the predetermined rate for sentatives the work performed unless they are employed pursuant to and 10. (i) Certification of Eligibility. By entering into this contract individually registered in a program which has received prior ap- the contractor certifies that neither it (nor he or she) nor any per- proval, evidenced by formal certification by the U S Department son or firm who has an interest in the contractor's firm is a person of Labor, Employment and Training Administration The ratio of or firm ineligible to be awarded Government contracts by virtue of trainees to journeymen on the job site shall not be greater than Section 3(a)of the Davis-Bacon Act or 29 CFR 5 12(a)(1)or to be permitted under the plan approved by the Employment and Train- awarded HUD contracts or participate in HUD programs pursuant ing Administration Every trainee must be paid at not less than to 24 CFR Part 24 the rate specified in the approved program for the trainee's level of progress,expressed as a percentage of the journeyman hourly or firm part of this contract shall ov subcontracted ct any person rate specified in the applicable wage determination Trainees shall or firm ineligible for award of a Government contract (1 write of be paid fringe benefits in accordance with the provisions of the Section H of the r Davis-Bacon Actor 29 CFR 5 12ams or to nt trainee program. If the trainee program does not mention fringe awarded HUD contracts or participate in HUD programs pursuant benefits, trainees shall be paid the full amount of fringe benefits to 24 CFR Part 24 listed on the wage determination unless the Administrator of the (ill) The penalty for making false statements is prescribed in the Wage and Hour Division determines that there is an apprentice- U S Criminal Code, 18 U S C 1001. Additionally, U.S. Criminal ship program associated with the corresponding journeyman wage Code, Section 1 01 0,Title 18,U S C ,"Federal Housing Adminis- rate on the wage determination which provides for less than full tration transactions", provides in part "Whoever, for the purpose fringe benefits for apprentices Any employee listed on the pay- of. .influencing in any way the action of such Administration . roll at a trainee rate who is not registered and participating in a makes, utters or publishes any statement knowing the same to be training plan approved by the Employment and Training Adminis- false shall be fined not more than $5,000 or imprisoned not tration shall be paid not less than the applicable wage rate on the more than two years, or both" wage determination for the work actually performed. In addition, 11. Complaints, Proceedings, or Testimony by Employees. any trainee performing work on the job site in excess of the ratio No laborer or mechanic to whom the wage, salary, or other labor permitted under the registered program shall be paid not less than standards provisions of this Contract are applicable shall be dis- the applicable wage rate on the wage determination for the work charged or in any other manner discriminated against by the Con- actually performed In the event the Employment and Training tractor or any subcontractor because such employee has filed any Administration withdraws approval of a training program,the con- complaint or instituted or caused to be instituted any proceeding tractor will no longer be permitted to utilize trainees at less than or has testified or is about to testify in any proceeding under or the applicable predetermined rate for the work performed until an relating to the labor standards applicable under this Contract to acceptable program is approved his employer (hi) Equal employment opportunity. The utilization of appren- tices, trainees and journeymen under 29 CFR Part 5 shall be in B. Contract Work Hours and Safety Standards Act. The prow- conformity with the equal employment opportunity requirements sons of this paragraph B are applicable only where the amount of the prime contract exceeds$100,000 As used in this paragraph,the 5. Compliance with Copeland Act requirements. The contrac- terms"laborers"and"mechanics"include watchmen and guards for shall comply with the requirements of 29 CFR Part 3 which are incorporated by reference in this contract (1) Overtime requirements. No contractor or subcontractor con- tracting for any part of the contract work which may require or involve 6. Subcontracts. The contractor or subcontractor will insert in the employment of laborers or mechanics shall require or permit any any subcontracts the clauses contained in subparagraphs 1 such laborer or mechanic in any workweek in which he or she is through 11 of this paragraph A and such other clauses as HUD or employed on such work to work in excess of 40 hours in such work- its designee may by appropriate instructions require, and a copy week unless such laborer or mechanic receives compensation at a of the applicable prevailing wage decision, and also a clause re- rate not less than one and one-half times the basic rate of pay for all guiring the subcontractors to include these clauses in any lower hours worked in excess of 40 hours in such workweek tier subcontracts The prime contractor shall be responsible for (2) Violation; liability for unpaid wages; liquidated damages. the compliance by any subcontractor or lower tier subcontractor In the event of any violation of the clause set forth in subpara- with all the contract clauses in this paragraph form HUD-4010(07/2003) Previous edition is obsolete Page 3 of 4 ref Handbook 1344 1 11 w• " graph (1)of this paragraph, the contractor and any subcontractor (4) Subcontracts. The contractor or subcontractor shall Insert responsible therefor shall be liable for the unpaid wages In adds- in any subcontracts the clauses set forth in subparagraph (1) tion,such contractor and subcontractor shall be liable to the United through (4)of this paragraph and also a clause requiring the sub- States (in the case of work done under contract for the District of contractors to include these clauses in any lower tier subcontracts Columbia or a territory, to such District or to such territory), for The prime contractor shall be responsible for compliance by any liquidated damages Such liquidated damages shall be computed subcontractor or lower tier subcontractor with the clauses set forth with respect to each Individual laborer or mechanic, including in subparagraphs (1) through (4) of this paragraph watchmen and guards, employed in violation of the clause set C. Health and Safety. The provisions of this paragraph C are ap- forth in subparagraph (1) of this paragraph, in the sum of$10 for plicable only where the amount of the prime contract exceeds each calendar day cn which such Individual was required or permit- $100,000 ted to work in excess of the standard workweek of 40 hours without (1) No laborer or mechanic shall be required to work in surround- payment of the overtime wages required by the clause set forth in ings or under working conditions which are unsanitary, hazard- sub paragraph (1) of this paragraph ous, or dangerous to his health and safety as determined under (3) Withholding for unpaid wages and liquidated damages. construction safety and health standards promulgated by the Sec- HUD or Its designee shall upon Its own action or upon written retary of Labor by regulation request of an authorized representative of the Department of La- (2) The Contractor shall comply with all regulations issued by the bor withhold or cause to be withheld, from any moneys payable Secretary of Labor pursuant to Title 29 Part 1926 and failure to on account of work performed by the contractor or subcontractor comply may result in Imposition of sanctions pursuant to the Con- under any such contract or any other Federal contract with the tract Work Hours and Safety Standards Act,40 USC 3701 at seq same prime contract, or any other Federally-assisted contract subject to the Contract Work Hours and Safety Standards Act (3) The Contractor shall Include the provisions of this para- which is held by the same prime contractor such sums as may be graph in every subcontract so that such provisions will be determined to be necessary to satisfy any liabilities of such con- binding on each subcontractor The Contractor shall take such tractor or subcontractor for unpaid wages and liquidated damages action with respect to any subcontract as the Secretary of as provided in the clause set forth in subparagraph (2) of this Housing and Urban Development or the Secretary of Labor paragraph shall direct as a means of enforcing such provisions form HUD-4010(07/2003) Previous edition is obsolete Page 4 of 4 ref Handbook 13441 REQUEST FOR MAYOR'S SIGNATURE "7 .A�a KENT Please FIII In All Applicable Boxes 'N A S H I.G70. Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) 6 01igmator ll 4'1 �L Cp ou Phone (Oiiginator). �^ l 1 \ '2 4 1 Date Sent ' _ �� Date Required Return Signed Document to �� CONTRACT TERMINATION DATE: Jt4 Of `�n VENDOR NAME: n l� DATE OF COUNCIL APPROVAL: _. 1 � Can c -I.-Z NoT6= C-DB aw�ra w�.r a pram on �u��2 Brief Explanation of Document I SY , �1� C c -h- AN, S ivl c, �ll� � � v� n V::/'vtVA I,�C�, } �cf ����; �( CcLkV- f v� I C S v mac; C ('C c� C v1 ^ , [1C ��et't n TG 0 r✓� � t'e � � l,ve ��°�'v' e�� [l bLI e�- 9Y61vl-f All Contracts Must Be Routed Through the Law Department (This Area to be Compleied Gv the Lair Department) j Received: ( - �(� �! ' �il�l✓ I n Approval of Law Dept }�a?�/������/ �Jll La�v Dept Conui ents Date Fonvaide� to M410, or G � L; �- _ Shaded Areas to Be Completed by Administration Staff Received Recommendations & Comments: Disposition: C,t, .s of Kent h OffiY ce Of the MaYor Date Returned, IageS8-10 • 1 05