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Home My WebLink AboutPK12-059 - Original - ProtectionTech - Kent Municipal Court Remodel - Access Control System - 03/27/2012 Records Man—- emery.. KE 0 T �' Document WASHINGTON CONTRACT COVER SHEET a 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: Protection Tech Vendor Number: 184429 JD Edwards Number Contract Number: (< Ia' C� Iq This is assigned by City Clerk's Office Project Name: Kent Municipal Court Remodel Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 3/21 Termination Date: 5/21 Contract Renewal Notice (Days): 90 Days Number of days required notice for termination or renewal or amendment Contract Manager: Alex Ackley Department: Parks/Facilities Detail: (i.e. address, location, parcel number, tax id, etc.): 1220 Central Ave S Kent I S.Publlc\RecordsManagement\Forms\ContractCover\adcc7832 11/08 I a • KENT WASHINGTON PUBLIC WORKS AGREEMENT between City of Kent and PROTECTIONTECH THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Protectiontech organized under the laws of the State of Washington, located and doing business at 2891 152"d Ave NE, Redmond, Wa 98052 425-85t 7778, Wade Brossow (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: Furnish and Install an access control system for at Kent Municipal Court located at 1220 Central Ave S, Kent, in accordance with Proposal dated February 21, 2012, which is attached 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, Contractor shall complete the work described in Section I by June 30, 2012. III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed $34,908.60, including any applicable Washington State Sales Tax, for the work and services contemplated in this Agreement. The Contractor shall invoice the City monthly. The City will pay for the portion of the work described in the invoice that has been completed by the Contractor and approved by the City. The City's payment shall not constitute a waiver of the City's right to final inspection and acceptance of the project. A. Payment and Performance Bond. Pursuant to Chapter 39.08 RCW, the Contractor, shall provide the City a payment and performance bond for the full contract amount. PUBLIC WORKS AGREEMENT - 1 B. Retainaae. The City shall hold back a retainage in the amount of five percent (5%) of any and all payments made to contractor 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, the State Department of Labor & Industries, and the State Employment Security Department, and until settlement of any liens filed under Chapter 60.28 RCW, whichever is later. The amount retained shall be placed in a fund by the City pursuant to RCW 60.28.011(4)(a), unless otherwise instructed by the Contractor within fourteen (14) calendar days of Contractor's signature on the Agreement. C. 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. D. Final Payment: Waiver of Claims. THE CONTRACTOR'S ACCEPTANCE OF 1 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 i representations: A. The Contractor has the ability to control and direct the performance and j 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. PUBLIC WORKS AGREEMENT - 2 //l.mr &lf)! ..nrlor &1ZnV on.4 Da rfnrmanro Rnnr/1 E. The Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be 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. Contractor shall file a "Statement of Intent to Pay Prevailing Wages, with the State of Washington Department of Labor & Industries prior to commencing the Contract work. Contractor shall pay prevailing wages in effect on the date the bid is accepted or executed by Contractor, and comply with Chapter 39.12 of the Revised Code of Washington, as well as any other applicable prevailing wage rate provisions. The latest prevailing wage rate revision issued by the Department of Labor and Industries is attached. 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 Contractor on all equitable adjustments. However, if the parties are unable to agree, the City PUBLIC WORKS AGREEMENT - 3 /n...,.- &lr)V .,,4, &CnV �nrl DarFnrm=m.D Rnnr/l 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: i 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 followed. If the City determines that a claim is valid, the City will adjust payment PUBLIC WORKS AGREEMENT - 4 11 - - _�-_ e- nv -I 0.....11 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. I PUBLIC WORKS AGREEMENT - 5 //laor d1nv ,onrlor (t rzn! nnrl Darfnrmanra Rnnrl) 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. In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Contractor's part. 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 PUBLIC WORKS AGREEMENT - 6 In-- A InV .,...-l-, cf ChV �nr! Darfnrmmmr= Rnnrl) 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 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 shall be sent to the 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 ' i PUBLIC WORKS AGREEMENT - 7 1'nv , &I nV rmr7er &r7ni! onrl Dc rFn i 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: By: l� By. _ �(slgnatuPC)) (signature) Prl ame: 04-P� e �U � �-f j rint Na e S zette Cooke Its n :u a or DATE: I�J I(Q CjCb 111 2012, _ DATE: 3 7�/ y NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Wade Brossow Alex Ackley, Superintendent Parks Facilities ProtectionTech City of Kent 2891 152nd Ave NE 220 Fourth Avenue South I Redmond, Wa. 98052 Kent, WA 98032 425-869-7778 (telephone) (253) 856-5081 (telephone) 425-869-7717 (facsimile) (253) 856-6080 (facsimile) APPR VED AS TO FOR Kent Law Department ever9reentechcmd I I I PUBLIC WORKS AGREEMENT 8 (Over$101(, under t50K, and Performance Bond) f DECLARATION I CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY I I Th opportunity. e City of Kent is committed to conform to Federal and State laws regarding equal tunity. 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. i The following questions specifically identify the requirements the City deems necessary for any i 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 _k5f- day of��1' U O , 20�• By: n For: �" f Title: Date: A CCn rnMDI TA RI(`C nnrl MFNTC - 1 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. I f i i I i EEO COMPLIANCE DOCUMENTS - 2 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 , 20 k By: For: I Title: Date: I i r EEO COMPLIANCE DOCUMENTS - 3 PROTECTIONTECH Parking, Security&Access Controls February 21, 2012 Mr. Alex Ackley Project Coordinator City of Kent 1220 South Central Kent, Washington 98032 Dear Alex. Please be advised that Protection Technologies, Inc , at no time during the past three (3) years, has been disqualified from bidding on any public works contract Protection Technologies, Inc does not have any subsidiary or affiliated companies under majority ownership or under control by the owners of Protection Technologies, Inc Kmd re ards, Wade Brossow Principal WB Iw CITY OF KENT Kent Municipal Court Access Control System Overview The following is PROTECTIONTECH's quotation to provide and install an access control system for the City of Kent Municipal Court This installation will expand the existing ProWatch access control system for the other buildings for the City of Kent Card readers will be added to the 15 doors as depicted on the drawings provided by Clark Architects Eight of these doors will receive electric strikes provided by the City of Kent, but installed by PROTECTIONTECH Frame modifications for the installation of the strikes will be completed by the City of Kent The other seven doors will have card readers that will act as an alarm override for people exiting the court room via the door into the back hallway Twenty-five panic buttons will be mounted under the desks throughout the building as shown on the drawings supplied by Clark Architects These buttons will be independently wired into the ProWatch Access Control System via input boards Pricing The total price to provide and install the above quoted is $31,880. Clarifications and Exclusions A� Power supply provided by PROTECTIONTECH is for the electric strikes only. Power supplies for the panic devices were not provided in this proposal 4- Prevailing wages were taken into account in the writing of this proposal 4 Power (120 vac), electric strikes, fire alarm interface, wire, cable and original CAD drawings to be provided by others and is not part of this quotation -46 Prices do not include Washington State Sales Tax 4- This quotation is valid until March 21, 2012 +6 PROTECTIONTECH carries worker's compensation and general liability insurance A copy of our certificate can be requested upon receipt of notice-to-proceed ,46 All work and equipment training is to be performed between the hours of 8 00 a.m. to 4 30 p m , Monday through Friday, under normal working conditions Training is specific to the equipment quoted 4 Any required and/or directed work to bring the existing facility up to code is not included in this quotation 4, Idle time incurred by PROTECTIONTECH's employees due to absence of required escorts, clearances, inability to enter the workspace, or other factors beyond our control, will be considered a change to the contract 46 Acceptance of this quote confirms there is no lead paint or asbestos in the area in which we will be working 4 All workmanship and equipment provided by PROTECTIONTECH are guaranteed against defects in workmanship for a period of one year after date of installation Warranty response will be given on a best-effort basis Monday through Friday, between the hours of 8 00 a m to 4 30 p m , excluding weekends and holidays r CITY OF KENT KING COUNTY,WASHINGTON I I Request for Proposals Dent Municipal Court Electronic Access Control i PROPOSALS ACCEPTED UNTIL i February 21,2012 2:00 P.M. Proposal Opening February 21,2021 2:15 P.M. AT CITY OF KENT CENTENNIAL CENTER IENT,WASHINGTON Alex Aeldey Project Coordinator KEN'T WASHINGTON BIDDER'S NAME��ryC1.t�(Z�l�q(2Sj . = i COMPLETE AND SIGN THIS FORMAS PART OF YOUR BID. FAILURE TO PROPERLY COMPLETE THIS FORM MAY ALSO RESULT IN A DETERMINATION THAT YOUR BID IS NON-RESPONSIVE AND THEREFORE VOID. THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES: CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. i The undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading. = C i SUBMITTED BY: NAME: 'u C ADDRESS: ZE I - P520d hre Ne wi Ia cw-62 PRINCIPAL OFFICE: 4Y1►MP_ ADDRESS: PHONE: FAX: 1. STATUTORY REQUIREMENTS 1.1 Provide a copy of your certificate of registration in compliance with chapter 18.27 RCW. WC(ChM 1.2 Provide your current state unified business identifier number. Q, 1.3 Provide all applicable industrial insurance coverage for your employees working in Washington as required in Title 51 RCW, together with an employment security department number as required in Title 50 RCW, and a state excise tax registration number as required in Title 82 RCW. F5D W Ael6q4 GO eye'sl-m- Ral23'�213 1.4 Provide a statement, signed by a person with authority to act and speak for your company, that your company, including any subsidiary companies or affiliated companies under majority ownership or under control by the owners of the bidder's company, are not and have not been in the past three (3) years, disqualified from bidding on any public works contract under RCW 39.06.010 or 39.12.065 (3). 2. ORGANIZATION 2.1 How many years has your organization been in business as a Contractor? 3 Z 2.2 Now many years has your organization been in business under its present business name? `3=Z 2.2A Under what other or former names has your organization operated? NIA- 2.3 If your organization is a corporation,answer the following: 2.3.1 Date of incorporation: CUre' ZI, ICIRD 2.3.2 State of incorporation:LU& J ir tv 0 2.3.3 President's name:WQf13{ S i 2.3.4 Vice-president's name(s): �(,t> stue4aU�e{'�' 2.3.5 Secretary's name: StP�eJ l C��2 2.3.6 Treasurer's name: Wctje SSv(lJ I 2.4 If your organization is a partnership,answer the following: 2.4.1 Date of organization: 2.4.2 Type of partnership (if applicable): 2.4.3 Name(s) of general partner(s): 2.5 If your organization is individually owned,answer the following: lvj� 2.5.1 Date of organization: 2.5.2 Name of owner: 2.6 If the form of your organization is other than those listed above, describe it and name the principals: 'v 4 3. LICENSING 3.1 List jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate license numbers, if applicable. r4evwal IWi D-M-r icM D3 necfnGKl Wt-57f`( 1 (-E�q CP 3.2 List jurisdictions in which your organization's partnership or trade name is filed. W45h (IOA ,� `1 ) �5en I I�1C 5vaI Nkortkd� I I(,WW I co C)rac 4. EXPERIENCE 4 L 4.1 List the categories of work that your organization normally performs with its own forces. 'Wki(1� , �S ui tl�, Ac c eSS e celt D( , CG Tl� 4.2 Claims and Suits. (If the answer to any of the questions below is yes,please attach details.) 4.2.1 Has your organization ever failed to complete any work awarded to it? No 4.2.2 Are there any judgments, claims,arbitration proceedings or suits pending or outstanding against your organization or its officers? 06 4.2.3 Has your organization filed any law suits or requested arbitration with regard to construction contracts within the last five years? Nb 4.3 Within the last five years,has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract?(If the answer is yes,please attach details.) No i 4.4 On a separate sheet, list major construction projects your organization has in progress,giving the name of project,owner,architect or design engineer, contract amount, percent complete and scheduled completion date. 4.4.1 State total worth of work in progress and under contract: 4.5 On a separate sheet, list the major projects your organization has completed in the past five years,giving the name of project, owner,architect or design engineer, contract amount, date of completion and percentage of the cost of the work performed with your own forces. I 4.5.1 State average annual amount of construction work performed during the past five years: 4.6 On a separate sheet, list the construction experience and present commitments of the key individuals of your organization. 4.7 On a separate sheet,list your major equipment. 5. REFERENCES 5.1 Trade References: Afk�ckled 5.2 Bank References: MattyA 5.3 Surety: 5.3.1 Name of bonding company: 1('jy-M17 5.3.2 Name and address of agent: klkk- WA 630 (25 6. FINANCING 6.1 Financial Statement. After bid opening,the City may require the following financial information from any of the three apparent low bidders. If so required, the selected bidder(s)must respond with this financial information within 24 hours of the City's request for that information. The City's request for this information shall not be construed as an award or as an intent to award the contract. A bidder's failure or refusal to provide this information may result in rejection of that bidder's bid. 6.1.1 Attach a financial statement,preferably audited, including your organization's latest balance sheet and income statement showing the following items: Current Assets (e.g.,cash,joint venture accounts,accounts receivable,notes receivable,accrued income,deposits,materials inventory and prepaid expenses); Net Fixed Assets; Other Assets; 5. References Trade References Vendor Contact Telephone Number SKIDATA Pat 908-243-0000, ext 227 Group One Daryl 425-454-9900 MAXxess Danielle 714-772-1000 Bank Reference Wells Faro Bank N A Max Larson 425-450-8153 PROPOSAL SIGNATURE PAGE I The undersigned bidder hereby agrees to submit all insurance documents, performance bonds and signed contracts within ten (10) calendar days after City awards the Contract. The City anticipates issuance of the Notice to Proceed on the day of the preconstruction meeting. No bidder may withdraw his/her bid for a period of sixty (60) calendar days after the day of bid opening. Notice of acceptance of this bid or request for additional information shall be I addressed to the undersigned at the address stated below. Receipt of Addendum No.'s l to the plans and/or specifications is hereby acknowledged. Failure to acknowledge receipt of the addenda may be considered an irregularity in this proposal. By signing this Proposal Signature Page, the undersigned bidder agrees to be bound by all terms, requirements and representations listed in the bid documents whether set forth by the City or by the Bidder. DATE: 2t qDt2 ��-�i t�f1'reC�n IrtO�OGte9, �Ylt✓. NAME O DDER i BY: ignature (Print Name and Title) 2M (- 16W , N Address V-4yAw L! nd QA qOC 2L CONTRACTOR COMPLIANCE STATEMENT (President's Executive Order #11246) This statement relates to a proposed contract with the City of Kent named E ,ea4n s ►�hrrsl Kent Municipal Court i I am the undersigned bidder or prospective contractor. I represent that - 1 1. I have, 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. NAME OF BIDDER e--- - BY: Signature/Title Lkk6o- xftoo 2!aq L - [52M Il N L ��4l WA 9 0052 ADDRESS (Note to Bidders: The information required in this Compliance Statement is informational only) I City of Kent Combined Affidavit & Certification Form: Non-Collusion,Minimum Wage (Non-Federal Aid) NON-COLLUSION AFFIDAVIT Being first duly sworn, deposes and says, that he/she is the identical person who submitted the foregoing proposal or bid, and that such bid is genuine and not sham or collusive or made in the interest or on behalf of any person not therein named, and further, that the deponent has not directly induced or solicited any other bidder on the foregoing work equipment to put in a sham bid, or any other person or corporation to refrain from bidding, and that deponent has not in any manner sought by collusion to secure to himself/herself or to any other person any advantage over other bidder or bidders. AND MINIMUM WAGE AFFIDAVIT FORM I I, the undersigned, having duly sworn, deposed, say and certify that in connection with the performance of the work of this project, I will pay each classification of laborer, workman, or mechanic employed in the performance of such work not less than the prevailing rate of wage or not less than the minimum rate of wage as specified in the principal contract; that I have read the above and foregoing statement and certificate, know the contents thereof and the substance as set forth therein is true to my knowledge and belief. FOR; NON-COLLUSION AFFIDAVIT AND MINIMUM WAGE AFFIDAVIT Ke l,9 coun)r,pa�( PAu� oP(finel'C Aafrs ojyd wl NAME OF PROJECT `gym-I'eChon 7ichY1010 1ge,, Inc-, NAYA OF BIDDER'S FIRM SIGNATURE OF AUTHORIZED REPRESENTATIVE OF BIDDER d � Su e oN o to before me this S day of (t 6raixf N ,2012• Q NOTARY PUBLIC ary bY�lic in and for the State of Washington, 6-13 2073 0 residing a t( ync;(4 w 6 °F wASN` SECTION 00221 TECHNICAL QUALIFICATION FORM & LIST OF MATERIALS Bidder: �II �OPIr�1rL ��fl�GI,iPG!iJ��,✓l� , �,yf� /� Address: L 5�Q��IyV �t ctiIrnom 1 '^i 'mil006Z Phone: 425—OGG29-`7-1-7 D Project: Kent Municipal Court This material list must be submitted on the attached page. Modifications to these lists,if awarded the contract,shall be allowed only through written approval of the architect. Submission of the materials list does not relieve the contractor from any contractual responsibility to provide other materials required to complete the project as specified. References&Qualifications: On an additional page,provide three references of similar scope. Include project name, address,phone number and contact name of Owner and Architect/Engineer. These are to be references of the bidder, not the manufacturer. In the event subcontractors are named in this proj ect, like references are required for each subcontractor. Reference Criteria: References must be for systems of$20,000 to $250,000 in proposal value. References must include manufacturer of the equipment proposed. Attach a copy of manufacturer's certification program(s) awarded to your firm. Include a list of your technicians and a copy of the technician's certifications. Attach the itemized material list(see sample below for required information and format). Return this form with authorized signature acknowledging the above criteria with the bid. To the Owner: As requested in the project documents,the following information is being submitted to establish the technical qualifications of this bidder and subcontractors. Included is an itemized material list, showing quantities,manufacturer, and part numbers for all major components utilized within our bid proposal. Authorized Signature: Printed Name: Date: w 1 Z Kent Municipal Court 00221-1 TQF Material List Form On these pages, list the products proposed on this job Please not the submission of the materials list does not relieve the contactor from any contractual responsibility to provide other materials required to complete the project as specified Item Manufacturer Part Number Quantity Rack mount Enclosure Honeywell PW5K2ENC2 2 Power Supply Honeywell PW5K2E2PS 2 Daisy Chain Cable Honeywell PW5K1 DCC 2 Intelligent Controller Board Honeywell PW6K1IC 1 Card Reader Board Honeywell PW6K1 R2 8 Input Board Honeywell PW6K1IN 2 Locking Device Power Supply Altronix AX-400ULACCB 1 DigiReader with Tamper Honeywell 92042050100 16 Door Contact Sentrol SR-1078N 15 Request to Exit Device Bosch DS160 14 Request to Exit Device Trim Plate Bosch TP160 14 Locking Device/Request to Exit Altrornx AX-400ULACCB 3 Power Supply Panic Button Amseco AS-HUSK20 25 32 Reader License add-on Software Honeywell PW8RDR32 1 QuadraKey Prox Cards Honeywell 92940025400 50 i SUBCONTRACTOR LIST Prepared in Compliance with RCW 39.30.060 Pursuant to RCW 39.30.060, list each subcontractor that shall perform the following listed subcontract work amounting to more than 10% of the total bid contract price, less applicable sales tax. List each bid item to be performed by each designated subcontractor in numerical sequence. i This subcontractor list must be fully completed, signed and delivered no later than the time for bid opening. If no subcontractors will be performing 10% of the work, indicate this by writing "None" and signing this form. ' PROJECT NAME �� I CONTRACTOR' SIGNATURE Subcontractor Name KII) 0, Item Numbers Subcontractor Name Item Numbers Subcontractor Name Item Numbers Subcontractor Name Item Numbers Subcontractor Name Item Numbers Subcontractor Name Item Numbers Subcontractor Name Item Numbers Wade Brossow Work Experience 1989—Present, Protection Technologies, Inc., Redmond, Washington Principal Successfully increased and maintained annual sales volume in excess of 7 million. Engineering, design, implementation of over 400 security, access, and revenue control systems Oversaw corporate expansion of offices in Salt Lake City, Utah and Spokane, Washington Responsible for hiring and developing company staff. Developed and implemented a daily`Business Plan"which consists of strategies and goals that are reviewed and analyzed on a weekly and monthly basis Oversaw identification of target markets and developing interest through presentations and other marketing strategies A member of BOMA, and the American Society for Industrial Security. Expertise in design and implementation application of new and existing structures for, security, access control, CCTV and parking 1985-1989, United States Navy, San Diego, California Sonar Technician Assigned to the USS Copeland FFG-25 Sonar supervisor qualified, Security Petty Officer, efficient in SQS-56 active/passive sonar Responsible for the M K 309 fire control system in conjunction with the M K 46 torpedoes 1983-1985, Frontier Foods, Seward, Alaska Assistant Night Manager Responsibilities included training cashier and stock crews, cash reconciliation Oversaw ordering and presentation of produce, dairy and frozen food Education Bellevue Community College, Bellevue, Washington, Security Administration Dale Carnegie Elliott Bay Management, BS 101 Solution Selling(Secom International) Fred Pryor, and various Career Track Seminars Accomplishments • Washington State Master Electrician Limited Energy License Acbve Member of American Society for Industrial Security(ASIS) ■ United States Navy and United States Naval Reserve, Secret Security Clearance, Honorable Discharge Steven L. Puckett Work Experience 1992-Present, Protection Technologies, Inc , Redmond, Washington Principal Responsibilities Supervision of technician crew Oversees the coordination of service calls from customers and installation of equipment on new job sites Actively involved in the day-to-day functioning of the organization to increase efficiency, production and profit thereby aiding in sustaining an annual sales volume of 7 million 1991-1992, Tel Data, Seattle, Washington Communications Technician Responsibilities Installed, terminated and tested twisted park 10-BaseT local area networks Completed installation of Toshiba phone systems Installed outside plant cable in harsh environment(fish processing ammonia environment) 1988-1991, Valley Communications, Glendale, California Communications Technician Responsibilities Supervised crews of up to five technicians while completing local area network installations at various client locations, including Northrop, Hughes Aircraft, and ARCO Products Company Torrance Refinery Supervised total re-conversion of seven Southern California branches for Well's Fargo Electronic Banking System, including strapping of modems for the data system Security Pacific Bank World Headquarters, supervised the installation of over 200 stations in a high-rise building utilizing multiple thick and thin Ethernet segments System included twelve 200-pair riser/feeder cables for station distribution Education Principles of(WEB)Well's Fargo Electronic Banking Systems Basic Ethernet Backbone(thin and thick)terminations Fiber Optic cable installation procedures, Cabletron Systems, Inc. IBM Token Ring network installation and termination procedures OSHA Asbestos Abatement Worker Certification, 1990 1987-1988, California State, Chico, California, Industrial Technology 1984-1987, Cuesta College, San Luis Obispo, California, Business 1980-1984, Foothill High School, Tustin, California, Completed academic curriculum David L. Wood, Jr. Work Experience 2010-Present, Protection Technologies, Inc. General Manager Responsibilities Oversee all aspects of the Service and Installation Departments which include but are not limited to customer interface, assigning technicians to service calls and installation jobs, technician performance reviews, assisting and building of quotations and ordering of service-and installation-related parts from multiple vendors 2006-2010, Protection Technologies, Inc Service Department Manager Responsibilities Oversee all aspects of the Service Department which include but are not limited to customer interface, assigning technicians to service calls, technician performance reviews, assisting and building of service-related quotations and ordering of service-related parts from multiple vendors. 2005-2006, Protection Technologies, Inc Project Lead/Management Responsibilities Oversee technicians during equipment installation, interface with customers, assist Systems Consultants in installation time management for preparing quotations 2001-2005, Protection Technologies, Inc Installation & Repair Technician Responsibilities Installation and repair of closed-circuit surveillance equipment, including monitors, recorders, cameras and audio equipment, access control systems including card readers, keypads, motion detectors and monitoring devices Repair and installation of electronic door equipment including electric strikes, magnetic locks and panic hardware Installation and repair of existing mechanical lock systems 1995-2001, Cascade Electronics Service Manager Responsibilities Installation, service and repair of electronic equipment Inventory equipment and parts to ensure adequate supplies Use of manual and power tools to complete work Customer Service Education Lake Washington Technical College, Kirkland, Washington Inglemoor High School, Juanita,Washington Accomplishments • Open Options, Factory Trained and Certified Technician 0 SKIDATA, Factory Trained and Certified Technician Ian Kilpatrick Experience May 2004—Present, Protection Technologies, Inc. Redmond, Washington CAD Engineer and Project Manager Responsible for system design, presentation and project management of CCTV, parking, access control, intercom, security and networking systems Oversee installations and supervise technicians during equipment installation and interface with customers Also, installation and repair of closed-circuit surveillance equipment, including monitors, recorders, cameras and audio equipment, access control systems including card readers, keypads, motion detectors and monitoring devices Repair and installation of electronic door equipment including electric strikes, magnetic locks and panic hardware Installation and repair of existing mechanical lock systems July 2001 —December 2003, South Seattle Sports Plaza, Federal Way, Washington Motorcycle Salesman Responsible for selling Yamaha motorcycles, ATVs, PWCs, snowmobiles and generators August 2000—January 2001, Chucks Auto Detail, Auburn, Washington Auto Detailer Responsible for detailing automobiles contracted by local dealerships May 2000 to August 2000, Younker Nissan, Renton, Washington Automobile Salesman Responsible for selling new and used vehicles. Education Graduated 1999, Thomas Jefferson High School, Federal Way, Washington Accomplishments • Open Options, Factory Certified Technician • SKIDATA, Factory Trained Technician • MAXxess, Factory Trained Technician 4.4. Major Construction Projects in Progress Name of Project ProCure at Northwest Hospital Owner Northwest Hospital Architect or Design Engineer Simplex/Grinnell Contract Amount $33,481 Percent Complete 10% Scheduled Completion Date 3/2012 Name of Project Kelsey Creek Building B Owner Kelsey Creek Architect or Design Engineer SD Deacon General Contractors Contract Amount $32,531 Percent Complete 95% Scheduled Completion Date 312012 Name of Project Gethsemane Redevelopment Project Owner Compass Housing Alliance Architect or Design Engineer the Integrated Technologies Group, Inc Contract Amount $42,435 Percent Complete 30% Scheduled Completion Date 4/2012 Name of Project Seattle City Light North & South Service Center Owner City of Seattle Architect or Design Engineer Contract Amount $65,144 Percent Complete 30% Scheduled Completion Date 412012 Name of Project Blocks 75 and 76 Pay-on-Foot Machines Owner City Creek Reserve, Inc Architect or Design Engineer Jacobsen Construction Contract Amount $635,158 Percent Complete 15% Scheduled Completion Date 612012 Name of Project City of Boise Parking and Revenue Control System Owner City of Boise Architect or Design Engineer Capitol City Development Corp. Contract Amount $658,205 Percent Complete Hold Scheduled Completion Date Hold Name of Project City Center Surface Lot& Garage Owner Architect or Design Engineer Wasatch Regional Builders, LLC Contract Amount $99,555 Percent Complete 50% Scheduled Completion Date 6/2012 Total Current Major Projects $1,566,509 EXHIBIT B INSURANCE REQUIREMENTS FOR SERVICE CONTRACTS 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 w subcontractors. A. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: 1. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The City shall be named as an insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 2. 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. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. I B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: 1. Commercial General Liability insurance shall be written with limits no less than $2,000,000 each occurrence, $2,000,000 general aggregate and a $2,000,000 products-completed operations aggregate limit. 2. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $2,000,000 per accident. EXHIBIT B (Continued) C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 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. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANII. E. 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 insurance requirements of the Contractor before commencement of the work. F. 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#:46535 PROTTEC ACORD. CERTIFICATE OF LIABILITY INSURANCE DaT 3/0212012 rv) 2/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT.If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed 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) PRODUCER NAMEA Bell-Anderson Ins-Renton CIL PAICOHNENo Ezt 425 291-5200 A/c,No 4252915100 600 SW 39th Street,Suite 200 E-MAIL ADDRESS Renton,WA 98057 INSURERS AFFORDING COVERAGE NAIC N 425 291-5200 INSURER AMutual of Enumclaw Insurance Co INSURED INSURER B Protection Technologies,Inc. INSURER C 2891 152nd Avenue NE INSURER D Redmond,WA 98052 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER. REVISION NUMBER THIS IS TO CERTIFY THAT 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 CONTRACTOR 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICYEXP LIMITS LTR INSR YND POLICY NUMBER MM/DDfYYYY MMICDA'YYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY 9REMISESOEaEreccurtsece $ CLAIMS MADE E OCCUR MED EXP(Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ _ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/CPAGG $ POLICY JECOT- LOC $ A AUTOMOBILE LIABILITY X BAP000207900 11/0112011 11/01/201 Ee aBINEDLSINGLE LIMIT $1,660,000 X ANY AUTO BODILY INJURYIPerperson) $ ALLOWNED SCHEDULED BODILY INJURY(Peraccldenl) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROr PERTntDAMAGE $ AUTOSam $ UMBRELLA LIAR OCCUR EACHOCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WCSTAWORYIjS OTH- AND EMPLOYERS'LIABILITY 'lM YIN EB— ANY PROPRIETORIPARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ NIA (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS beiow EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space Is required) re. Kent Municipal Court Low Voltage/Data/CCTV The certificate holder is additional insured for automobile liability,but only if required by written contract or written agreement per the attached endorsement CA2048 0299 CERTIFICATE HOLDER CANCELLATION City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 220 4th Ave S ACCORDANCE WITH THE POLICY PROVISIONS Kent,WA 98032 AUTHORIZED REPRESENTATIVE O ©1988-2010 ACORD CORPORATION.All rights reserved ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S371956/M353943 KLA 1 ! POLICY NUMBER:BAP 0002079 00 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the Following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies personfe) or organization(s) who are "insureds" under the Who is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 11101/201 1 Countersigned Ry ---- --- Named Insured; PROTECTION TECHNOLOGIES INC Authorized Representative SCHEDULE Name of Pereonfo) or Organizatlon(a): REFER TO ENDORSEMENT ME 8802 (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained In Section II of the Coverage Form, I i i CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 OP ID:MD CERTIFICATE OF LIABILITY INSURANCE DA 03101/1TE(MWDD2�) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed 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). PRODUCER 845-735-07( NAMEACT Matt Disparte The Mechanic Group,Inc 845-735-8383 PHONE g47-253.8130 (FAXC.N. 847-253-8135 One Blue Hill Plaza,Suite 530 AIc No E.I P.O Box 1646 E-MAIL Pearl River,NY 10965 ADDRESS mdisparte@mchanicgroup.com PRODUCER pROTE55 Matt DisparteCUSTOMER ST MERID# INSURER(S)AFFORDING COVERAGE NAIC# INSURED Protection Technologies Inc. INSURER Gemini Insurance Company 10833 2891 152nd Ave NE Bldg 12 INSURER B United States Fire Ins Co 21113 Redmond,WA 98052 INSURER C The Hartford 29424 INSURER _Great American Insurance Co. 16691 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADD BR POLICYNUMBEft MMIDOY TR /YYYYI IMMIDD[YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X EGL0000119-05 11101/11 11101112 PREMISES Ea occurrence $ _ 100,00 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 1,00 f X Stop Gap PERSONAL&ADV INJURY $ 1,000,00 X Errors&Omissions GENERAL AGGREGATE $ 3,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 3,000,00 X POLICY PRO LOC $ AUTOMOBILE LIABILITY (Eaa COMBINED SINGLELE LIMIT S 1 (Ea acadenq ANY AUTO BODILY INJURY(Perperson) $ ALL OWNED AUTOS BODILY INJURY IPeraccidenp $ SCHEDULEDAUTOS PROPERTY DAMAGE HIREDAUTOS (Peramident) $ NON OWNED AUTOS $ $ X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 5,000,00 EXCESS LIAB CLAIMS MADE AGGREGATE $ 5,000,00 B 82-100618.6 11101/11 11/01/12 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X WCSTATU- TH- AND EMPLOYERS'LIABILITY T)RY LIMITS I LEE C ANY PROPRIETORPARTNER(EXECUTIVE YIN 16WECEPS433 10/01/11 08/13/12 E L EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) ID,MT,OR EL DISEASE-EA EMPLOYEE S 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE POLICY LIMIT $ 1,000,00 C PROPERTY SECTION MAC615.07-01-02 11/01111 11101/12 BLANKET 1,500,00 LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule.It more space is required) RE:Kent Municipal Court Building 1220 So Central,Kent WA Subject to a signed and dated written contractor written agreement that Includes an additional insured requirement in favor of the certificate holder,certificate holder is an additional insured.In addition should a written contract or agreement exist that requires insurance afforded(CONT) CERTIFICATE HOLDER CANCELLATION CITYKNT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN IY ACCORDANCE WITH THE POLICY PROVISIONS 220 4th Avenue South Kent,WA 98032 AUTHORIZED REPRESENTATIVE s► '71-1 ©1983.2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD NOTEPAD. HOLDER CODE CITYKNT PROTE55 PAGE INSURED'S NAME Protection Technologies Inc OP ID,MD DATE 03101/12 to the additional insure under this Insurance be prima and non-contributory then t insurance shaIII t;e pnmary axd non-contributory to any other insurance a�orded to the atlditlol5al Insured. POLICY NUMBER EGL000011905 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization s : Locations Of Covered Operations City of Kent Kent Municipal Court Building 220 4th Avenue South 1220 South Central Kent,WA 98032 Kent, WA 98032 Item 4 b. of Section IV—commercial liability conditions is amended by the addition of the following (3)any other valid and collectible insurance available to the additional insured, whether primary, excess, contingent, or on any other basis unless a written contract or agreement, execut- ed prior to the date of the loss, specifically requires this insurance to be primary and/or non contributory If a writ- ten contract or agreement does exist that states any insur- ance afforded to the additional insured by this endorsement will be primary and non contributory then this insurance will be primary and non contributory to the additional insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply with respect to liability for "bodily injury", 'property This insurance does not apply to"bodily injury"or damage" or 'personal and advertising injury" 'property damage"occurring after caused, in whole or in part, by 1. Your acts or omissions, or 1. All work, including materials, parts or equip- ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service, maintenance behalf, or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed, or nated above 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same protect CG 20 10 07 04 c O ISO Properties, Inc,2004 Page 1 of 1 G POLICY NUMBER EGL000011905 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Opera- Or Organization s : tions City of Kent Kent Municipal Court Building 2204th Avenue South 1220 South Central Kent,WA 98032 Kent,WA 98032 Information required to complete this Schedule, if not shown above,will be shown in the Declarations, Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard" t i CG 20 37 07 04 0 ISO Properties, Inc, 2004 Page 1 of 1 O Review Statement of Intent Page I of 2 Washington State Department of Labor & Industries Intent Details for Intent Id: 504558 Document Received Date 3/20/2012 Intent Id 504558 Affidavit Id Status,Submitted On 3/20/2012 Company Details PROTECTION TECHNOLOGIES INC UBI# 600387563 2891 152ND AVE NE Reg# PROTET"194D3 REDMOND,WA 98052 E-mail pen ny@protectiontech corn 425-869-7778 Industrial Insurance Account Id 474,086-00 Filed By Callahan, Penny Prime Contractor Company Name PROTECTION TECHNOLOGIES INC Contractor Registration No PROTET•l 94D3 WA UBI Number 600387563 Phone Number 425-869-7778 Project Information Awarding Agency KENT,CITY OF/PARKS&REC 220-4TH AVE S KENT,WA-98032 Awarding Agency Contact Alex Ackley Awarding Agency Contact Phone Number 2S3-856-5080 Contract Number Project Name Kent Municipal Court Low Voltage/Data Bid due date 2/21/2012 Award Date 3/20/2012 Project Site Address or Directions 1220 5 Central Kent,WA 98032 Intent Details Does your company intend to hire subcontractors to perform all work? No Does your company intend to hire any subcontractors? No Will your company have employees perform work on this project? Yes Do you intend to use any apprentices?(apprentices are considered No employees.) Will this project utilize American Recovery and Reinvestment Act No (ARRA)funds? Specifically,will this project utilize any weatherization or energy No efficiency upgrade funds(ARRA or otherwise)? 0 https://secuieaccess.wa.gov/lni/pwiaNiewIlitent aspx 3/20/2012 Review Statement of Intent Page 2 of 2 How many owner/operators performing work on the project own 30% or more of the company'+ What is the estimated contract amount?Or is this a time and materials $34,908 60 estimate? Expected project start date (MM-DD-yvyy) 3/27/2012 In what county(or counties)will the project be done? King In what city(or nearest city)will the project be done? Kent Journey Level Wages County Trade Occupation Wage Fringe #Workers King I Electronic Technicians journey Level ( $31 00 15000 (2 l+IShow lH�da Ex Shna Natas Back to Home Print Receipt �iita5 ©Washington State Dept,of Labor&Industries Use of this site is subject to the laws of the state of AWAAVd Alington`t Washington na nl4r a.,vuor•w 5t.h.0 https://secureaccess.wa.gov/lni/pwiaNiewIntent aspx 3/20/2012 Department of Labor and Industries PROTECTION TECHNOLOGIES INC PO Box 44450 Olympia, WA 98504-4450 Reg: CC PROTET*194133 UBI: 600-3 87-563 Registered as provided by Law as: Construction Contractor (CC01) - GENERAL PROTECTION TECHNOLOGIES INC Effective Date: 3/23/1981 2891 152ND AVE NE Expiration Date: 11/1/2013 REDMOND WA 980525514 N DEPARTMENT OF LABOR AND INDUS" 'R- CERTIFIED AS PROVIDED BY LAW AS ' MASTER ELEC LTD ENERGY I CERT.# EXP DATE ME066A BROSSW*978NF 9/5/2012 EFFECTIVE DATE 8/5/2003 I' BROSSOW,WADE 2891 152ND AVE NE ill REDMOND WA 98052-5514 yl 0�5-05?-0UU(8h)7) 1- — Drlach And I.Lplas l eridialc --- r DEPARTMENT OF LABOR AND INDUSTBJES LICENSED AS PROVIDED BY LAW AS I,�I ELEC CONTR LTD ENERGY LICENSE# EXP.DATE EC066A PROTETI159OP 5/3 1120 1 3 EFFECTIVE DATE 9/1 711 9 8 5 PROTECTION TECHNOLOGIES INC 2891 152ND AVE NE � REDMOND WA 98052 P625-0524WO(8197) -\nd Di.pla\ lr1ld11'11i —----- --' ' r� ri State of Washington Office of the Secretary of State Business Licensing Service Corporations Division LEGAL ENTITY REGISTRATION >al Unified Business ID #: 600 387 563 �j' Business ID #: 1 Y Expires: 10-31-2012 I PROTECTION TECHNOLOGIES, INC. 1 2891 152ND AVE NE II j' REDMOND WA 98052 5514 1 lF t J� I 1` Domestic Profit Corporation I Renewed by Authority of Secretary of State i 1 I` �I I, .1 1= REGISTERED TRADE NAMES: PROTECTIONTECH i= .1 J I I. �I fi :I fG ,1 1 i 1 I , f I� I Ij r 1 ri J- I I I' v a 1 {j t li By accepting this document the licensee certifies that information provided on the renewal was complete,true,and accurate to the best of his or her knowledge,and that the company will stay in compliance with all applicable Washington State regulations ctor,Department of Revenue 1 I� Bond Iao. SSB 399444 � PAYMENT AND PERFORMANCE BOND '^✓ 1C�a T TO CITY OF KENT W..0'.aia. KNOW ALL MEN BY THESE PRESENTS: That we, the undersigned, Protection Technologies, Inc. as Principal, and RLI Insurance Company a Corporation organized and existing under the laws of the State of Washington, as a Surety Corporation, and qualified under the laws of the State of Washington to become Surety upon bonds of Contractors with Municipal Corporations, as Surety, are jointly and severally held and firmly bound to the CITY OF KENT In the penal sum of $34,908.60 , together with any adjustments, up or down, In the total contract price because of changes in the contract work, for the payment of which sum on demand we bind ourselves and our successors, heirs, administrators or personal representatives, as the case may be. This obligatlon Is entered Into in pursuance of the statutes of the State of Washington, and the codes and Ordinances of the CITY OF KENT. Nevertheless, the conditions of the above obligation are such that: WHEREAS, under and pursuant to a motion, duly made, seconded and passed by the City Council of the City of Kent, Kling County, Washington, the Mayor of the City of Kent has let or is about to let to the above bounden Principal, a certain contract, the said contract providing for construction of Rent Munlclpal Court Lovr Voltage/Data/CCTV (which contract Is referred to herein and Is made a part hereof as though attached hereto), and WHEREAS, the Principal has accepted, or Is about to accept, the contract, and undertake to perform the work therein provided for In the manner and within the time set forth: NOW, THEREFORE, for non-FHWA projects only, if the Principal shall faithfully perform all the provlslons of said contract In the manner and within the time herein set forth, or within such extensions of time as may be granted under the said contract, and shall pay all laborers, mechanics, subcontractors and material men, and all persons who shall supply the Principal or subcontractors with provisions and supplies for the carrying on of said work and shall indemnify and hold the CITY OF KENT harmless from any damage or expense by reason of failure of performance as specified In said contract or from defects appearing or developing in the material or workmanship provided or performed under said contract, then and In that event this obligatlon shall ne void; but otherwise It shall be and remain in full force and effect, IN WITNESS WHEREOi;, the above bounden parties have executed this Instrument under their separate seals. The name and corporate seal (if required by law) of each corporate party Is hereto affixed and duly signed by its undersigned representatives pursuant to authority of Its governing body. TWO WITNESSES; Protection Technologies, Inc-PRINCIPAL (enter principal's name above) - ` / ��;�� u��; iX-rt _ TITLE: DATE: f,? DATE: By: CORPORATE SIrAL: Cl�i^� 71 PRINT NAME DATE: 3/22/12 RLI Insurance Company SURETY CORPORATE SEAL: BY: LCtir�irp � Richar A. Fix DATE: 3/22/12 TITLE: Attorney-in-Fact c/o CB & MS of WA, INC. ADDRESS: Po Box 75715 Seattle, wA 98175 CERTIFICATE AS TO CORPORATE SEAL I hereby certify that I am the (Assistant) Secretary of the Corporation named as 4 f Principal In the within Bond; that Who signed the said bond on behalf of the Principal Of the said Corporation; that I know his signature thereto is genuine, and ghat said Bond was duly signed, sealed, and attested for and in behalf of said Corporation by authority of its governing body. SECRETARY OR ASSISTANT SECRETARY RLI Safety POWER OF ATTORNEY RU P O Box 3967 1 Peoria,IL 61612-3967 Phone. (800)64i 24C2 I Fax 0,09)689-2036 RLI Insurance Company nww dicurp coin Know All Men by These Presents. That this Power of Attorney is not valid of in effect unless attached to the bond which it authorizes executed,but may be detached by the appro�rng officei if desired That RLI Insurance Company,a(n)Illinois corporation,does hereby inake,constitute and appoint Chirctuie V Fehce% Nicholas B Fix Richaid A Fix Myting S Fix Ch istoophei A F,,N Jointly or severally in the City of Seattle , State of Washington its true and lawful Agent and Attorney in Fact,with fidl power and authority hereby cor_ferred, to seen execute, acknowledge and delver for and or its behalf zs Surely, to Fullowmg described bond Any and all bonds, undertakings,and iecognizances in an amount not to exceed Ten Million Dollars(510,000,000)for any single obligation. The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon this Company as if such bond had been executed and acknowledged by the regularly elected officers of this Company The RLI Insurance Company further certifies that the following is a true and exact copy of the Resolution adopted by the Board of Directors of RLI Insurance Company,and now in force to-t',at All bonds,policies,undertakings,Potters of Attorney or other obligations of the cot poration shall be executed in the corporate name of the Company by the President, Secietary, any Assistant Secretary, Treasurer,or any Vice President,or by such other officers as the Board of Director s may authorize.The President, any Vice President, Secretary,any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents ivho shall have authority to issue bonds, policies or undertalungs in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." IN WITNESS WHEREOF,the RLI Insurance Company has caused these presents to be executed by its Vice President with its corporate seal affrNed this 20th day of June 2011 q,%01I 1111, ,,yjt?'ncEoo.� RLI Insurance Company ,SEAL . �~ State of Illinois Roy C Die Vice President SS �'Oc i,4 LINOt ��' �I�Ilbillf,i1tY County, Peoria CERTIFICATE On this 20th day of Jane 2011 before me, a Notary Public, I, the undersigned officer of RLI Insurance Company, a stock personally appeared Roy C Die , who being by me duly swum, corporation of the State of Illinois,do hereby certify that the attached acknowledged that he signed the above Power of Attorney as the aforesaid Power of Attorney is in fill force anc effect anti is irr,,t,cable and officer of the RLI Insurance Company and acknowledged said iusiniment furtberriore, that the Resotat on of the Company as ,of forth it the to be the voluntary act and deed of said aorporauon Power of Attorney, is no v in force In testimonv whereof, 1 Lave here o t my hand and the seal of the RLI Insurance Company this �n ,day of Marcn 2012 RLI Insurance Company Cherie L Montgcmcry Notary Public jaue�u��uuaaau _ "OFFICIAL S:,A"D Roy C Die Vice President 3 irn ar c win ; CHERIE L MON- s•ica �+xs COMMIS904 EXPIR 466570302n2r2 A005941I REQUEST FOR MAYOR'S SIGNATURE KENT Please Fill In All Applicable Boxes Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE4,AW DEPARTMENT) Reviewed by Parks Director Originator: Rosalie Givens Phone (Originator): 5083 Date Sent: 3/20/2012 Date Required: 3/21/2012 Return Signed Document to: Rosalie CONTRACT TERMINATION DATE: 90 Days Written notice VENDOR NAME: Protection Tech DATE OF COUNCIL APPROVAL: 3/20/2012 Brief Explanation of Document: The City of Kent purchased the Aukeen District Court in December of 2011. Parks Facilities is renovating the building to accommodate housing the Kent Municipal Court Clerical Staff and Probation Staff. This agreement is for the Electronic access control system. Which is the system being used in City buildings now. This agreement is for the Electronic Access Control System at Kent Municipal Court. ProtectionTech was the successful bidder through the Competitive Negotiation RFP process. This contract was approved at Parks Committee on March 15, 2012. ', "h, MS All Contracts Must Be Routed Through The Law Department (This area to be completed by the Law Department) Received: Approval of Law Dept.: RECEIVED Law Dept. Comments: MAR 2 0 2012 na APT ��`i ` '�'� ; iL p Date Forwarded to Mayor: �'� • �' �, J Shaded Areas To Be Completed By Administration a 717 1? .; Received: r vrIR 2 2 12 u Recommendations and Comments: _ CIT'Cr :itiT Ci,T Disposition: z/ ��4��Q_�� U Date Returned: Client# 46535 PROTTEC ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 O 10/27/201/DDIYVVY) 0/271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed 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) PRODUCER CONTACT NAME Bell-Anderson Ins-Renton C/L PHONE 425 291-5200 AJC,No 4252915100 ac,No,Et) 600 SW 39th Street,Suite 200 EMAIL ADDRESS Renton,WA 98057 INSURER(S)AFFORDING COVERAGE NAIC# 425 291-5200 INSURER_A Mutual of Enumclaw Insurance Co INSURED INSURER B Protection Technologies,Inc. 2891 152nd Avenue NE INSURER C INSURER 0 Redmond,WA 98052 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDII ION OF ANY CONTRACTOR 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSft DDL SUBR POLICY EFF POLICY EXP L_TR TYPE OF INSURANCE _ INSR W_VD _ _POLICY NUMBER_ MMIDD/YYYY) MM/DD/Y_VYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea owurrDance $ CLAIMS-MADE D OCCUR _ME_D E_XP(Any one person) $ _ - PERSONALB ADV INJURY $ GENERAL AGGREGATE $ GENE AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY E JEO- F LOC $ A AUTOMOBILE LIABILITY X BAP000207900 11/01/2011 11101/2012 EOMaBINdEEDISINGLE LIMIT 1,000,000 Ix ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULEDAUTOS AUTOSBODILY INJURY(Per accident)HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS (_Per accident/ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE _ $ DED LRETENTION$ _ _ _ _ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS LIABILITY YIN _ 11 Y LIMITS ER ANY PROPRIE TOR,PAH I NEWEXECUTIVE - EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ] N/A (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ If yes descnne under DESCRIPTION OF OPERATIONS below E L DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) The certificate holder is additional insured for automobile liability, but only if required by wri ten contract or written agreement per the attached endorsement CA2048 0299 CERTIFICATE HOLDER CANCELLATION City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 24611 116th Ave SE ACCORDANCE WITH THE POLICY PROVISIONS Kent,WA 98030 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION All rights reserved ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S354208IM353943 KLA POLICY NUMBER: BAP 0002079 00 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form This endorsement does not alter coverage provided in the Coverage Form This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 1 1/01/201 1 Countersigned By: Named Insured- PROTECTION TECHNOLOGIES INC (Authorized Representative) SCHEDULE Name of Person(s) or Organization(s). REFER TO ENDORSEMENT ME 8802 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form CA 20 48 02 99 Copyright, Insurance Services Office, Inc , 1998 Page 1 of 1 Mutual of Enumclaw Insurance Company POLICY NUMBER: SAP 0002079 00 ME 88 02 12 01 Ef-#FECTIVE DATE: 1110112011 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, DESIGNATED INSURED This endorsement modifies insurance provided under the following Coverage Part(®). COMMERCIAL AUTOMOHiLF COVI-HALE ANY PERSON Oft ORGANZAl tON I HAI YOU ARE Rk(10HLD 10 INCLUDE AS AN ij ADDITIONAL INSURED ON THIS COVERAGE "M IN A WHIT I EN CONTRACT OR AGREEMENT THAT IS SIGNED AND kXl:CUI ED BY YOU BEFORE THE "BOWLY INJURY, Oft"PROPERTY DAMAGE, OCCURS AND THAT iS IN EFFECT DURING THE POLICY PERIOD IS AN 'INSURED' FOR LIABIL ifY COVtHAGI:, BU I ONLY FOR DAMAGES TO WHICH 1 HIS INSURANCE APPLIES AND ONLY —0 THE EXTENT THAT PERSON OR ORGANIZATION QUALIFIES AS AN 'INSURED" UNDER TtiE WHO IS AN INSURED PROVISION CONTAINED IN SECTION It ME Ott 03 12 01 Includes cofivrigftroo matvfpi of iniiorano,t Swymos QKfee,Inc.with its pvifnivfiwi, Page 1 of 1