HomeMy WebLinkAboutPK14-036 - Original - Lykken Hardwoods, LLC - Drum Sanding Kent Commons Gym Floor - 03/05/2014 htJ.
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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: Lykken Hardwoods LLC
Vendor Number: 710191
JD�� Edwards Number
Contract Number: FV-) 1/ 1 -67D
CD
This is assigned by City Clerk's Office
Project Name: Drum Sanding Gym Floor at Kent Commons
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract
❑ Other:
Contract Effective Date: 03/07/14 Termination Date: 04/06/14
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Nancy Clary Department: Parks Facilities
Detail: (i.e. address, location, parcel number, tax id, etc.):
S:Publlc\RecordsMa nagement\Forms\ContractCover\adcc7832 1 11/08
KEN T
Wns"iNcTOH
PUBLIC WORKS AGREEMENT"
between City of Kent and
Lykken Hardwoods, LLC
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal
corporation (hereinafter the "City"), and Lykken Hardwoods, LLC organized under the laws of the
State of Washington, located and doing business at 25009 Summit Drive, Black Diamond, WA
98010, Ken Lykken, (253) 632-5017 (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:
Lykken Hardwoods, LLC to sand and prep gym floor at Kent Commons, 525 N 4th
Ave, Kent, In accordance with Estimate #0000027 dated September 9, 2013, which
is attached as Exhibit A. City of Kent custodial crew will apply finish once prep work
Is complete.
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 within 30
days.
III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed
$4,911.08, including any applicable Washington State, Sales Tax, for the work and services
contemplated in this Agreement. The City shall pay the Contractor the following amounts
according to the following schedule:
Invoice upon completion and acceptance of work by City; Net 30
A. No Payment and Performance Bond. Because this contract is under $10,000,
the City has elected to waive both the performance/payment bond and
retainage requirements of Chapter 39.08 RCW.
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 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.
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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
_Conti-actor's'serVices under-this A—gr=eement 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.
PUBLIC WORKS AGREEMENT - 2
(Under$10K - OPTIONAL PROCESS)
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
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.
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C. The Contractor's failure to make full and prompt payment to subcontractors
or for material or labor.
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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—ofthe-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
PUBLIC WORKS AGREEMENT - 3
(Under$IOK - OPTIONAL PROCESS)
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
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 j
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.
PUBLIC WORKS AGREEMENT - 4
(Under$1OK - OPTIONAL PROCESS)
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
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. j
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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 whoFis4qu-aliffed and-avail able to-performthe 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
PUBLIC WORKS AGREEMENT - 5
(Under$IOK - OPTIONAL PROCESS)
connection with the Contractor's performance of this Agreement, except for that portion of the
injuries and damages caused by the City's negligence.
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.
PUBLIC WORKS AGREEMENT - 6
(Under$IOK - OPTIONAL PROCESS)
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
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.
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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.
PUBLIC WORKS AGREEMENT - 7
(Under$10K - OPTIONAL PROCESS)
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: L2 By r`
(signature) (signature)
Print Name -�� Print Name: Alex Ackley
Its ra mot° Its Parks Facilit Superintendent
DATE: 1 "9C I '`- DATE �a a
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PUBLIC WORKS AGREEMENT- 8
(Under$10K OPTIONAL PROCESS)
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONTRACTOR: CITY OF KENT:
Ken Lykken Alex Ackley, Parks Facilities Superintendent
Lykken Hardwoods, LLC City of Kent
25009 Summit Drive 220 Fourth Avenue South
Black Diamond, WA 98010 Kent, WA 98032
(253) 632-5017 (telephone) (253) 856-5081 (telephone)
(facsimile) (253) 856-6080 (facsimile)
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Lykken HBNWwds LLC_ALTERNAT -Underl0k.pdf
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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;
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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.
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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.
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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 CLy, A 1') 20 .
_._By.
y }
For:
Title: Ul�al,dlt
c_. .
Date:
EEO COMPLIANCE DOCUMENTS - 1
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CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
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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:
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1. Provide a written statement to all new employees and subcontractors indicating
commitment as an equal opportunity employer.
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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 j
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.
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EEO COMPLIANCE DOCUMENTS - 2
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CITY OF (CENT
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 .
By:
For;
Title;
Date:
EEO COMPLIANCE DOCUMENTS - 3
Estimate: Sheldon Page
EXHIBIT A
Lykken Hardwoods, LLC
25009 Summit Drive
Black Diamond WA 98010
�
United States
F®
City of Kent Estimate# 0000027
Sheldon Page Estimate Date September 9,2013
Kent Commons Estimate Total $4,911,08 USD :.
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Item Description Unit Cost Quantity Line Total
Sand& Finish Sand and Finish gymnasium floor(customer to 1.50 2990 4,485.00
apply finish)
Subtotal 4,485,00
WSST 9.5% 426.08
Estimate Total $4,911.08USD '
Notes
This estimate is for sanding and prepping gymnasium floor.Customer is responsible for applying
coats of polyurethane.
Ken Lykken
Lykken Hardwoods
2536325017
This estimate was sent using r ROIBOtis
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https://Ivldl ctihardwoodsllc.freshbooks.com/menu.php?CB431CBem91dGU9c2hvdOVzdG... 9/25/2013
EXHIBIT B
INSURANCE REQUIREMENTS FOR
SERVICE CONTRACTS
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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.
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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
co.ntra.ctua.l.li.ability 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, products-completed
operations, personal injury and advertising injury, and liability
assumed under an insured contract. The Commercial General Liability
insurance shall be endorsed to provide the Aggregate Per Project
Endorsement ISO form CG 25 03 11 85. 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.
3. Workers' Compensation coverage as required by the Industrial
Insurance laws of the State of Washington.
B. Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
1. Automobile Liability insurance with a minimum combined
single limit for bodily injury and property damage of
$1,000,000 per accident.
2....Commercial General Liability insurance shall be written with
limits no less than $1,000,000 each occurrence, $2,000,000
general aggregate and a $2,000,000 products-completed
operations aggregate limit.
EXHIBIT (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
.ma.intal.n.ed,by,the,.City..shall be-excess of the Contractor's insurance,and j
shall not contribute with it.
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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 A:VII.
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.
7 ® DATE(MM D/YYYY)
A�,® CERTIFICATE OF LIABILITY INSURANCE 02282014
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 endomement(s).
PRODUCER NOAMEAC LauraThe(mer
PHONE FAX
Theimer Insurance AI ac Na
132 E.Main St. ADDRESS:
Auburn,WA 98002 INSURERS AFFORDING COVERAGE NAIC#
INSURER A: Contractors Bonding and Insurance Cornpany 37206
INSURED INSURERS:
Lykken Hardwoods LLC
Lykke Hardwoods
Drive INSURER C: _
Black Diamond,WA S8010 INSURER D:
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 A L POLICY NUMBER MMI�DY EFF MMroD1YYYY LIMITS
LTR
GENERALLIABIUTY EACH OCCURRENCE $ 1000000
x COMMERCLAL GENERAL LIABILITY �� PREMISES Ea dccumance $3000
CLAIMS-MADE ❑ OCCUR
!_..--'IT MED EXP(My we parson) $5000
A C11 SJ8996 04/232013 0412=014 PERSONAL a ADV INJURY s 1000000.
GENERALAGGREGATE S2,000,000
-COMWOPAGG
GEN'L AGGREGATE LMTAPPLIES PER PRODUCTS $200 POLICY jE LOG $
AUTOMOSILEDABILIYY Eaewident ING LIMIT
ANY AUTO BODILY INJURY'(Per Perron) $
A O SCHEDULED BOO RY(Peraccbenl) $
AUTOS-
AUTOS
.PROERTY DAMAGE
HIREDAUTCS ALTOS NON-OWNED
Peramitlant E
$
4`BRELA
LIAB OCCUR E;� EACH OCCURRENCE $
CESSUAB CLAIMSMADE AGGREGATE $
EO RETENTION$ I $
AND
PSOERS'U DIU ER
AND EMPLOYERS'DATNEFJ
ANYPROPRIBER EXCLUDED?
YY--- NIA E.L_EACH ACCIDENT E
OFFICEIMEMSER E%CWOEDT
(Mandatory In NH) E.L.DISEASE-EA EMPLOYE E
If yes,desrnbe under E.L.DISEASE-POLICY LIMIT E
7iF
DESCRIPTION OF OPERATIONS I LOCATIONS I VEMCLES(Attach ACORD 101,Addidunal Rern-ft Schedule,Ir Mora space Ia requlnd)
Certificate holder is named as additional Insured on the general liability policy per form CG 2010 07 04,
CERTIFICATE HOLDER CANCELLATION
City of Kent SHOTHELD ANY OF EXPIRATION H DABOVE
THER OF, NOTICE BED IEWILL BE CANCELLED
DELIVERED BEFORE
IN
220-4th Ave S ACCORDANCE WITH THE POLICY PROVISIONS.
Kent,WA 98032 AUTHORIZED REPRESENTATIVE
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
POLICYNUMBER. C11SJ8998 COMMERCIAL GENERAL LIABILITY
CG 20 90 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY:
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
Thla endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional insured Parsonfe)
Or O anization s: Locations Of Covered Operations
CRY of Kent
Its officers,officials,agents and employees
220-4th Ave S
Kent,WA 93032
Information required to complete this Schedule 1F not shown above,will be shown in the Declarations.
A 8eotion it— Who Is An Insured is amenaed to B. With respect to the insurance afforded to these
Include sa an additional insurari the parsons) or additional insureds, the following additional exclu-
Aenbmffan(s) sho+rm in the Schedule, but only stons apply.
raspaet to Hablilly Tar"bodflyu5jury°:"property This insurance does not apply to "bodily injury'or
damage" or personal and advardsing injury" °property damage"occurring after
caused,in whole or in part,6y 1. All work, including materials, parts or equip-
9. Your sots oromisalons;or meat furnished in connection with such work,
2 The acts or omiaslans of those acting on your on the project(other than service maintenance
behalf, or repairs) to be performed by or an behalf of
In the performance of your ongoing operations for the additional Insured(s) at the location of the
operations has been completed;or
the additional insured(s) at the location(s) desig- covered
noted 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 other
than another contractor or subcontractor en-
gaged in performing operations for a principal
as a part of the same project
CG 2010 07 04 C ISO Properties,Inc.,2004 Page 9 of 1 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II Who Is An Insured is reports, surveys, field orders,
amended to include as an additional in- change orders or drawings and
sured any person or organization for specifications; or
whom you are performing operations
when you and such person or organiza -
tion have agreed in a written contract or ✓ tectural or engineering activities.
agreement that such person or organi- 2. "Bodily injury" or "property damage"
zation is to be added as an additional occurring after:
insured on your policy. Such person or
organization is an additional insured on- a. All work; including materials,
ly with respect to"bodily injury or"prop- parts or equipment furnished in
connection with such work, on
erty damage" caused by your negli-
gence in the performance of your ongo- the project (other than service,
ing operations performed for that adds- maintenance or repairs) of of be
tional insured. performed by or on behalf the
additional insured(s) at the loca-
A person's or organization's status as tion of the covered operations
an additional insured under this en- has been completed; or
dorsement ends when your operations
for that additional insured are com- b. That portion of"your g' out of
plefed. which the injury or damage aris-
es has been put to its intended
To the extent required under said written use by any person or organiza-
contract or agreement, this policy will tion other than another contras
apply as primary insurance to additional for or subcontractor engaged in
insureds and other insurance which may performing operations for a prin-
be available to such additional insureds cipal as a part of the same
will be non-contributory.We waive our project.
right of recovery against such additional 3. "Bodilyinjury", "property damage" or
insureds. l ry ' p p y g
occurring or commencing before
B. With respect to the insurance afforded to execution of the written contract or
these additional insureds, the following agreement that requires such per-
additional exclusions apply: son or organization be added as an
This insurance does not apply to: additional insured on your policy.
1. "Bodily injury", "property damage" or C. Definitions
arising out of the rendering of, or the "Ongoing operations" means operations
failure to render, any professional not included in the "products-completed
architectural, engineering or survey- operations hazard."
ing services, including but not limited
to:
a. The preparing, approving, or
failing to prepare or approve,
maps, shop drawings, opinions,
CBGL 00 71 05 12 Includes copyrighted material of Page 1 of 1
Insurance Services Office,Inc.,with its permission.