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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: Statewide Parking Lot Svc
Vendor Number:
JD Edwards Number
Contract Number: py-lu' 73
This is assigned by City Clerk's Office
Project Name Sealcoating & Striping of Parking Log at KMP
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment X❑ Contract
❑ Other:
Contract Effective Date: 09/01/16 Termination Date: 10/31/16
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Nancy Clary Department: Parks Facilities
Contract Amount: $33,026.93
Approval Authority: (CIRCLE ONE) Department Director Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
As of: 08/27/14
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KENT
PUBLIC WORKS AGREEMENT
between City of Kent and
Statewide Parking Lot Svc.
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Statewide Parking Lot Svc. organized under the laws of the State of
Washington, located and doing business at 33920 2111h PI SE, Auburn, WA 98092, Sarah Long, 253 630-
1956 (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:
Statewide Parking Lot Svc, shall provide labor and materials to provide asphalt and concrete
repair, seal coating, and re-striping of parking lots and walkways at the City of Kent Senior
Center, 600 E. Smith St, Kent 98032, in accordance with Proposal 11527 dated August 2,
2016, 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, the Contractor shall complete the work described in Section I by October 31, 2016.
III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed
$33,026.93, including any applicable Washington State Sales Tax, for the work and services contemplated
in this Agreement. The City shall pay the Contractor fifty percent (50%) of the Contract amount upon
completion and acceptance of the work by the City, or at such earlier time as the City may determine is
appropriate. The City will pay the remaining Contract amount upon fulfillment of the conditions listed
below and throughout this Agreement.
A. No Payment and Performance Bond, Because this contract, including applicable sales
tax, is less than $35,000, and pursuant to Chapter 39.08 RCW, the Contractor, in
lieu of providing the City a payment and performance bond, has elected to have the
City retain the final fifty percent (50%) of the Contract amount for a period of thirty
(30) 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.
PUBLIC WORKS AGREEMENT - 1
(Over$20K, under$35K, and No Performance Bond)
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 f
complete any portion of the work, the City may complete the work by contract or
otherwise, and Contractor shall be liable to the City for any additional costs incurred
by the City. "Additional costs" shall mean all reasonable costs, Including legal costs
and attorney fees, incurred by the City beyond the maximum Contract price specified
above. The City further reserves Its right to deduct the cost to complete the
Contract work, including any Additional Costs, from any and all amounts due or to
become due the Contractor.
C. Final Payment: Waiver of Claims. THE CONTRACTOR'S ACCEPTANCE OF FINAL
PAYMENT (EXCLUDING WITHHELD RETAINAGE) SHALL CONSTITUTE A WAIVER OF
CONTRACTOR'S CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND
IDENTIFIED BY CONTRACTOR AS UNSETTLED AT THE TIME FINAL PAYMENT IS MADE
AND ACCEPTED.
IV. INDEPENDENT CONTRACTOR. The parties Intend that an Independent Contractor-
Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in
accordance with Ch. 51.08 RCW, the parties make the following representations:
A. The Contractor has the ability to control and direct the performance and details of its
work, the City being interested only in the results obtained under this Agreement.
B. The Contractor maintains and pays for Its own place of business from which
Contractor's services under this Agreement will be performed.
C. The Contractor has an established and independent business that is eligible for a
business deduction for federal Income tax purposes that existed before the City
retained Contractor's services and is a service other than that furnished by the City,
or the Contractor Is engaged In an independently established trade, occupation,
profession, or business of the same nature as that involved under this Agreement.
D. The Contractor is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, Including the Internal
Revenue Service and the state Department of Revenue.
E. The Contractor has registered Its business and established an account with the state
Department of Revenue and other state agencies as may be 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.
PUBLIC WORKS AGREEMENT - 2
(Over$20K, under$35K, and No Performance Bond)
B. The Contractor's failure to complete the work within the time specified in this
Agreement.
C. The Contractor's fallure 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 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.
PUBLIC WORKS AGREEMENT - 3
(Over$20K, under$35K, and No Performance Bond)
At a minimum, a Contractor's written claim shall include the information set forth in subsections A,
items 1 through 5 below.
FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN
THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN
ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED
BY THAT DELAY.
A. Notice of Claim. Provide a signed written notice of claim that provides the following
information:
1. The date of the Contractor's claim;
2. The nature and circumstances that caused the claim;
3. The provisions in this Agreement that support the claim;
4. The estimated dollar cost, if any, of the claimed work and how that estimate
was determined; and
5. An analysis of the progress schedule showing the schedule change or
disruption if the Contractor is asserting a schedule change or disruption.
B. Records. The Contractor shall keep complete records of extra costs and time incurred as a
result of the asserted events giving rise to the claim. The City shall have access to any of
the Contractor's records needed for evaluating the protest.
The City will evaluate all claims, provided the procedures in this section are 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 Fallow 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. Contractor warrants that It will faithfully and satisfactorily perform all work
provided under this Agreement in accordance with the provisions of this Agreement. The Contractor shall
promptly correct all defects in workmanship and materials: (1) when Contractor knows or should have
known of the defect, or (2) upon Contractor's receipt of notification from the City of the existence or
discovery of the defect. 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 an additional year beyond the original warranty period applicable
to the overall work. 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.
PUBLIC WORKS AGREEMENT - 4
(Over$20K, under$35K, and No Performance Bond)
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.
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 I5 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
PUBLIC WORKS AGREEMENT - S
(Over$20K, under$35K, and No Performance Bond)
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 bisputes 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.
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. Public Records.Act. The Contractor acknowledges that the City is a public agency subject to
the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents,
notes, emails, and other records prepared or gathered by the Contractor in its performance of this
Agreement may be subject to public review and disclosure, even If those records are not produced to or
possessed by the City of Kent. As such, the Contractor agrees to cooperate fully with the City in satisfying
the City's duties and obligations under the Public Records Act.
J. City Business License Required. Prior to commencing the tasks described in Section I,
Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of
the Kent City Code.
K. Counterparts and Signatures by Fax or Email. 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. Further, upon executing this Agreement, either party may deliver the signature page
to the other by fax or email and that signature shall have the same force and effect as if the Agreement
bearing the original signature was received In person.
PUBLIC WORKS AGREEMENT - 6
(Over$20K, under$35K, and No Performance Bond)
i�
IN WITNESS, the parties below execute this Agreement, which shall become effective on
the last date entered below.
CONTRACTOR: CITY OF KENT:
L ( a re)66," ti (slgnat re)
Print Nam rc li Print Suzette Cooke
Its 4 ,:{ ✓1 Its Mayor
DATE: (1 f DATE: �`'+�>1 �//4
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONTRACTOR: CITY OF KENT:
Chad McGraw Nancy Clary
Statewide Parking Lot Svc. City of Kent
33920 211" PI SE 220 Fourth Avenue South
Auburn, WA 98092 Kent, WA 98032
253 630-1956 (telephone) (253) 856-5084 (telephone)
253 804-8497 (facsimile) (253) 856-6080 (facsimile)
APPROVED AS TO;FORM:
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Kent Law Department
PUBLIC WORKS AGREEMENT - 7
(Over$20K, under$95K, and No Performance Bond)
I
DECLARATION
CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY
The City of Kent is committed to conform to Federal and State laws regarding equal opportunity.
As such all contractors, subcontractors and suppliers who perform work with relation to this
Agreement shall comply with the regulations of the City's equal employment opportunity
policies.
The following questions specifically identify the requirements the City deems necessary for any
contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative
response is required on all of the following questions for this Agreement to be valid and binding.
If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the
directives outlines, it will be considered a breach of contract and it will be at the City's sole
determination regarding suspension or termination for all or part of the Agreement;
The questions are as follows:
i
1. I have read the attached City of {Cent 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.
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For,
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Title:
Date: ( � J
EEO COMPLIANCE DOCUMENTS - 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.
EEO COMPLIANCE DOCUMENTS - 2
i
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 oP � ��
Company, hereby acknowledge and de re }that the before mentioned company was the prime
contractor foq the . reem nt kynown as ` d� ;�i" her i � , that was entered into on
the l (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.
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 3
EXHIBIT
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
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.
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 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.
F
a DATE IMWDDMYY)
CERTIFICATE OF LIABILITY INSURANCE 8/17/2016
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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(fas)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 endarsoment(S).
PRODUCER NAMEA� Terri McDonald
RENTSCHELL & ASSOC INC PHONE (253)272-1151 _ _ PAl( No,,(253)272-1223
One Pacific Building E-MAIL .terrim@henteahell.enm
621 Pacific AVG. , Suite 400 INSURERIBI AFFORDING COVERAGE NAICq
Tacoma WA 98402 INau ERA-Nationwid® Mutual Insurance Z3787
INSURED weURERS Allied Insurance Com an
Statewide Parking Lot Services, Inc. INSURER o.Westchester Su lus Zines Ina
33920 211th Place S L'' INSURER D:
INSURER E
Auburn WA 90092 1 INSURER F:
COVERAGES CERTIFICATE NUMBER:GL/AU/XS/POLL 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 MICH 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.UE INSURANCE ADD a pOLICY NU POLICY EFF POLICY ERP UM1HTa
LTRAm MD.
OEHERALLIABILITY EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY OAMACITTiff RENTED
$E & 300,000
R CLAIh1S NMDE ®OCCUR X Y P75o517i389 9/15(2015 9/15/2D36 MED ESP(Any we arson) S 10,000
X Emplc era Liability PERSONAL&AOV INJURY S ,- 1,000,000
IRA Stop Gap) GENERA-AGGREGATE $ - 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPA)P AGO 8 2,000 000
17 POLICY X PRO- IACMCI
$
AUTOMOBILE LIABILITY COMBINED� t SINGLE LIMIT 00 000 I
1'
R JX ANYAUTO BODILY INJURY(For person) $
ALL OMED SCDULED X Y C97505171389 9/15/2015 9/15/2016 BODILY IWURY(Parecdden0 $�
AUTOS NOHENOWNEO PROPERTY DAMAGE $
HIRED AUTOS AUTOS fper..kjaffl
editor a Sole $
X UMBRELLA UAD X OCCUR EACH OCCURRENCE $ 2,00D,000
B EXCESS LIAB -CLAIM-MADE AGGREGATE $ 2,000,000
DED I X I RETENTION 10,ODC X PICKA47505171389 9/15/2015 9/15/2016 1 $
WORKERS COMPENSATION S VVCSTATU- OT11-
AND EMPLOYERS'LIABILITY
ANY PROPRIL70PJPARTNERMXFOUTIVE YIN ashington State Fund E.L EACH ACCIDENT _ S
❑
OFNCERWEMBER EXCLUDEDy NIA '-`
(Mandatory In NH) EA-DISEASE-F.A EMPLOYE $w
If deecdbe under
OESCyea,RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s
C Pollution/Professional 24318060004 9/15/2015 9/15/2016 Aggregate 2,000,000
Occurrence 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS)VEHICLES(Attach ACORD 101,AUmaooal Remarks Schoduln,Irmure space In required)
Re: City of Kent Senior Center - asphalt and concrete repair, seal coating, and re-striping of parking
Sots and walkways
CERTIFICATE HOLDER CANCELLATION
nolary@KentWA.gov SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Kent ACCORDANCE WITH THE POLICY PROVISIONS.
Eacilitie& Management
400 West Go We AUTHORVED REPRESENTATIVE
Kent, 11A 98032
Larry Flynn/TDM -
ACORD 25(2010105) 01908-2010 ACORD CORPORATION. All rights reserved.
INS025 pD om),ot The ACORD name and logo are registered marks of ACORD
COMMENTS/REMARKS
Blanket additional insured applies in favor of any person or organization if called for by
written contract, agreement or permit per policy forms CG7246 09 08, CG7157 08 04 & CG7288
11 11 coverage is primary & noncontributory including completed ops, waiver of subrogation
applies. Blanket 11/I & waiver on auto per AC0102 03 10 & AC2404B 05 04 . L.
OFREMARK COPYRIGHT 2000, AMS SERVICES INC. j
i
ACP7505171389
COMMERCIAL GENERAL LIABILITY
CG 72 46 09 08
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED ENDORSEMENT
COMMERCIAL CONTRACTORS COVERAGE
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. WHO IS AN INSURED (Section II) Is amended c. Any continuation, progression, change
to Include as an insured any person or or resumption of "bodily injury",
organization whom you are required to add as "property damage", or "personal and
an additional insured on this policy under a advertising injury" will be deemed to be
written contract or written agreement. The one occurrence;
written contract or written agreement must be; d. Our limit of liability will not exceed the
1. Valid and legally enforceable; Limits of Insurance for one annual policy
2. Currently in effect or becoming effective period.
during the term of this policy;and 4. The coverage provided to the additional
3. Executed prior to an "occurrence" resulting insured by this endorsement and paragraph
in "bodily injury", "property damage," or f.of the definition of"insured contract"under
"personal and advertising injury." DEFINITIONS (SECTION V)do not apply to
B. The insurance provided to the additional insured "bodily Injury" or "property damage" arising
is further limited provided
follows: out of the products-completed operations
hazard" unless required by the written
1. That person or organization is an additional contract or written agreement. When
insured solely for liability due to your coverage does apply to "bodily injury" or
negligence specifically resulting from "your "property damage" arising out of the
work" for the additional insured which Is the "products-completed operations hazard"
subject of the written contract or written such coverage will not apply beyond the
agreement. No coverage applies for any lesserot:
liability due to negligence attributable to any a. The period of time required by the
person or entity other than the Named written contract or written agreement;or
Insured.
2. The Limits of Insurance applicable to the b. Five years from the completion of"your
additional insured are those specified In the work"on the project which is the subject
written contract or written agreement or in of the written contract or written
the Declarations of this policy, whichever is agreement.
less. These Limits of Insurance are 5. The insurance provided to the additional
Inclusive of, and not In addition, to the Limits insured does not apply to;
of Insurance shown In the Declarations. "Bodily injury", "property damage", or
3. If we insured the Named Insured for more personal and advertising injury" arising out
than one annual policy period: of the rendering of, or failure to render, any
a. Only the policy In effect at the time the professional architectural, engineering or
"bodily injury"," property damage", or surveying services, including:
"personal and advertising injury' first a. The preparing, approving, or failure to
occurs will apply; prepare or approve maps, shop
b. "Bodily injury", "property damage", or drawings, opinions, reports, surveys,
"personal and advertising injury", first field orders, change orders or drawings
occurs when it is initially discovered by and specifications;and
any person;
CG 72 46 09 08 Includes copyrighted material of Insurance Services Office Inc.,with its permission. Page 1 of 2
CG 72 46 09 08
b. Supervisory, inspection, architectural or (1) Give written notice of an occurrence
engineering activities. or an offense to us which may result
c. Defects in design or specifications in a claim or "suit" under this
furnished by the additional Insured or its' insurance;
"employees". (2) Agree to trigger or activate any
6. We have no duty to defend or indemnify an other Insurance which the additional
additional insured under this endorsement: insured has for a loss we cover
a. For any liability due to negligence under this Coverage Part by
tendering the defense t the
attributable to any person or entity other
than the Named Insured. This provision insurers of all such other insurance;
includes any sole negligence or willful 2. With respect to the coverage provided under
misconduct on the part of the additional this endorsement, the following is added to
insured or its'"employees". Paragraph 4.b.(1) of the Other Insurance
b. For any loss which occurs prior to our Condition:
Named Insured commencing operations (c) This insurance is also excess over any
at the location of the loss. other Insurance naming the additional
c. Until we receive written notice of a claim insured as an insured whether primary,
or "suit" from the additional insured as excess, contingent or on any other
required in the Duties In The Event of basis, unless the written contract or
Occurrence, Offense, Claim or Suit
written agreement described in A. above
Condition. specifically requires that this insurance
coverage
C. With respect to the provided under this be provided on either ri primary basis or
P 9 P a primary and noncontributory basis.
endorsement, the COMMERCIAL GENERAL
LIABILITY CONDITIONS (SECTION IV) are
amended as follows:
1. The following is added to the Duties In The
Event of Occurrence, Offense, Claim or Suit
Condition:
An additional insured under this
endorsement will as soon as practicable:
All terms and conditions of this policy apply unless modified by this endorsement.
Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc.,with Its permission. CG 72 46 09 08
P
ACP7505171389
COMMERCIAL GENERAL LIABILITY
CG 72 8811 11
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS ENHANCEMENT ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
LOST KEY COVERAGE "Loss"means unintentional damage or
SECTION I — COVERAGES, COVERAGE A destruction but does not Include disappearance,
BODILY INJURY AND PROPERTY DAMAGE theft,or loss of use.
LIABILITY, coverage is extended to include the NON-OWNED WATERCRAFT
following: SECTION I — COVERAGES, COVERAGE A
If a customer's master or grand key, excluding BODILY INJURY AND PROPERTY DAMAGE
electronic key card, is lost while in your care, LIABILITY,2. Exclusions Is amended as follows:
custody or control we will pay the cost of g. Alrcraft, Auto Or Watercraft (2) (a) is
replacing the keys, including the master lock and replaced with:
all keys used in the same look, the cost of (a) Less than 51 feet long;and
adjusting locks to accept the new keys, or the
cost to replace the locks,whichever is less. EXPANDED PROPERTY DAMAGE COV-
Limit of Insurance - The most we will pay for ERAGE
"loss" arising out of any one "occurrence" Is For the purposes of this endorsement only:
$5,000. SECTION I — COVERAGES, COVERAGE A
SECTION V DEFINITIONS is amended as BODILY INJURY AND PROPERTY DAMAGE
follows: LIABILITY, 2. Exclusions is amended as follows:
The following definition applies to Lost Key a. Exclusions j.(3),j.(5),and j.(s)are
Coverage: deleted in their entirety.
"Loss" means unintentional physical damage or b. Exclusion j.(4) is deleted in its entirety
destruction to tangible property,including theft or and replaced by the fallowing:
disappearance. Tangible property does not Personal property in the care custody or
include money or securities. control of the insured:
VOLUNTARY PROPERTY DAMAGE 1. for storage or sale at premises you
SECTION I — COVERAGES, COVERAGE A own,rent or occupy;or
BODILY INJURY AND PROPERTY DAMAGE 2. while being transported by any
LIABILITY, coverage is extended to include the aircraft, "auto" or watercraft owned
following: or operated by or rented to or loaned
At your request,we will pay for"property damage"to to any Insured.
property of others caused by you and while in your c. The following exclusions are added:
possession, arising out of your business operations
and occurring during the policy period. 1. The coverage provided by this
endorsement does not apply to
Limit of Insurance-The most we will pay for "property damage" arising out of the
"loss"arising out of any one"occurrence"is disappearance or loss of use of
$500. personal property.
SECTION V—DEFINITIONS is amended as
follows:
The following definition applies to Voluntary
Property Damage coverage:
CO 72 8811 11 Includes copyrighted materlal of Insurance Services Office, Inc., Page 1 of 4 '....
with its permission.
CG 72 88 11 11
2. The coverage provided by this SUPPLEMENTARY PAYMENTS
endorsement does not apply to SECTION I — COVERAGES, SUPPLEMEN-
"property damage" included In the TARY PAYMENTS—COVERAGES A AND B Is
"products-completed operations amended as follows:
hazard". 1" 1. b. replaced with:
Limit of Insurance - The most we will pay b. Up to $2,500 for cost of bail bonds
for "property damage" provided by this required because of accidents or traffic
coverage In any one"occurrence"Is$5,000, law violations arising out of the use of
Deductible - Our obligation to pay for a any vehicle to which the Bodily Injury
covered loss applies only to the amount of Liability Coverage applies. We do not
loss In excess of $250. have to furnish these bonds.
This Insurance is excess over any other valid 2. 1.d.replaced with:
and collectible insurance. d. All reasonable expenses incurred by the
DAMAGE TO PREMISES RENTED TO YOU insured at our request to assist us In the
SECTION I — COVERAGES, COVERAGE A Investigation or defense of the claim or
BODILY INJURY AND PROPERTY DAMAGE "suit", including actual loss of earnings
LIABILITY, the last paragraph of 2. Exclusions up to $500 a day because of time off
of is replaced by the following: from work.
If Damage to Premises Rented to You is NEWLY FORMED AND ACQUIRED
not otherwise excluded, exclusions c. ORGANIZATIONS
through n. do not apply to damage by fire, SECTION II — WHO IS AN INSURED is
lightning, explosion, smoke or sprinkler amended as follows:
leakage to promises while rented to you or
temporarily occupied by you with permission 1. 3.a.is replaced with:
of the owner. A separate limit of insurance a. Coverage under this provision is
applies to this coverage as described in afforded only until the I Be day after you
Section III-Omits of Insurance. acquire or form the organization or the
SECTION III — LIMITS OF INSURANCE, end of the policy period, whichever is
paragraph 6 is replaced with: earlier;
6. Subject to 5. above, the Damage To ADDITIONAL INSURED — WHEN REQUIRED
Promises Rented To You Limit is the most IN AN AGREEMENT OR CONTRACT WITH
we will pay under Coverage A for damages YOU
because of "property damage" to any one The following is added to SECTION II—WHO IS
premises,while rented to you, or in the case AN INSURED
of damage by fire, lightning, explosion, 4. Any person(s) or organization(s) with whom
smoke or sprinkler leakage, while rented to you have agreed In a valid written contract or
you or temporarily occupied by you with written agreement that such person or
permission of the owner. The limit is organization be added as an additional
increased to$300,000. Insured on your policy during the policy
SECTION IV — COMMERCIAL GENERAL period shown in the Declarations. Such
LIABILITY CONDITIONS, 4. Other Insurance, person or organization Is an additional
b. Excess Insurance (1) (a) (11) is replaced insured only with respect to liability for
with: "bodily injury', "property damage" or
"personal and advertising Injury'.
(ii) That is Fire, Lightning, Explosion,
Smoke or Sprinkler leakage insurance The person or organization added as an
insured by this endorsement is an insured
for premises rented to you or temporarily
Occupied by you with permission of the only to the extent you are held liable due to:
owner.
Page 2 of 4 Includes copyrighted material of Insurance Services Office,Inc., CG 72 88 11 11
with its permission.
CG 72 88 11 11
a. Lessors of Leased Equipment in the performance of your ongoing
Maintenance, operation or use of operations performed for that additional
equipment leased to you by such person insured, whether the work is performed by
or organization. This insurance does not you or on your behalf.
apply to any 'occurrence" which takes The Insurance does not apply to:
place after the equipment lease expires. (1) "bodily injury", "property damage", or
However, their status as additional "personal and advertising injury' arising
Insured under this policy ends when their out of the rendering of or the failure to
lease, contract or agreement with you render any professional architectural,
for such leased equipment expires. engineering or survey services,
b. Managers or Lessors of Premises including:
The ownership, maintenance or use of (a) The preparing, approving, or failing
that part of the premises you own, rent, to prepare or approve maps, shop
lease or occupy. drawings, opinions, reports, survey,
field orders, change orders or
This insurance does not apply to:
drawings and specifications:or
(1) Any "occurrence"which takes place (b) Supervisory, Inspection, architec-
atter you cease to be a tenant in that tural or engineering activities.
premises.
(2) "Bodily Injury" or "property damage"
(2) Structural alterations, new con- occurring after:
struciion or demolition operations (a) All work, including materials, parts
performed by or on behalf of the or equipment furnished In
person or organization. connection with such work, on the
However, their status as additional project (other than service,
insured under this policy ends when you maintenance or repairs) to be
cease to be a tenant of such premises. performed by or on behalf of the
c. State or Political Subdivision - additional Insured(s) at the location
Permits of the covered operations has been
Operations performed by you or on your completed;or
behalf for which the state or politicat (b) That portion of "your work" out of
subdivision has issued a permit. which the injury or damage arises
This insurance does not apply too has been put to its intended use by
PP Y any person or organization other
(1) 'Bodily injury" or "property damage" than another contractor or
or 'personal or advertising injary' subcontractor engaged in
arising out of operations performed performing operations for a principal
for the state or municipality;or as a part of the same project.
(2) "Bodily injury' or "property damage" However, a person or organization's
included within the "products- status as additional insured under this
completed operations hazard". policy ends when your operations for
However, such state or political that additional insured are completed.
subdivision's status as additional insured AGGREGATE LIMIT PER PROJECT
under this policy ends when the permit SECTION III — LIMITS OF INSURANCE The
ends, following paragraph is added to paragraph 2:
d. owners, Lessees,or Contractors The General Aggregate Limit under Section
"Bodily injury", "property damage" or III Limits of Insurance applies separately to
'Personal and advertising Injury" caused, In each of your construction projects away from
whole or in part,by: premises awned by or rented to you.
(1) Your acts or omissions;or
(2) The acts or omissions of those acting on
your behalf;
CG 72 88 1111 Includes copyrighted material of Insurance Services Office,Inc., Page 3 of 4 '..
with Its permission.
CG 72 W 11 11
MEDICAL PAYMENTS policy provided such failure to disclose all
SECTION III — LIMITS OF INSURANCE, hazards or prior"occurrences"or offenses is
not intentional. This provision does not
Paragraph 7.is replaced: affect our right to collect additional premium
7. Subject to 5.above,the higher of: or exercise our right of cancellation or non-
a. $10,000;or renewal.
b. The amount shown in the Declarations WAIVER OF SUBROGATION
for Medical Expense Limit is the most SECTION IV — COMMERCIAL GENERAL
we will pay under Coverage C for all LIABILITY CONDITIONS, S.Transfer of Rights
medical expenses because of "bodily of Recovery Against Others to Us is amended
injury"sustained by one person, to include:
This coverage does not apply if Coverage C — If required by a written contract executed
Medical Payments Is excluded either by the prior to loss, we waive any right of
provisions of any coverage forms attached to the subrogation we may have against the
policy or by endorsement. contracting person or organization because
KNOWLEDGE OF AN OCCURRENCE of payments we make for Injury or damage
SECTION IV — COMMERCIAL GENERAL arising out of your ongoing operations or
"your work" done under a contract with that
LIABILITY CONDITIONS, The following is added
to 2. Duties In The Event Of Occurrence, person organization and hazards".
Offense,Claim Or Suit condition: "products-completed operationss h haaza in the
LIBERALIZATION
a. Knowledge of an occurrence, offense, claim
or suit by an agent or employee of any SECTION IV — COMMERCIAL GENERAL
insured shall not In itself constitute LIABILITY CONDITIONS, 10. Liberalization is
knowledge of the Insured unless you, a added as follows:
partner, if you are a partnership; or an If we revise this coverage form to provide more
executive officer or insurance manager, if coverage without additional premium charge,
you are a corporation receives such notice of your policy will automatically provide the
an occurrence, offense, claim or suit from additional coverage as of the day the revision is
the agent or employee. effective in your state.
I. The requirements in Section IV — BROADENED BODILY INJURY DEFINITION
Conditions Paragraph 2.b. will not be (MENTAL ANGUISH)
considered breached unless there is SECTION V — DEFINITIONS is amended as
knowledge of occurrence as outlined in follows:
paragraph e.above. 1. 3."Bodily injury'is deleted and replaced with
UNINTENTIONAL FAILURE TO DISCLOSE the following:
HAZARD "Bodilyinjury' means y' physical injury,
SECTION IV — COMMERCIAL GENERAL sickness or disease to a person and, if
LIABILITY CONDITIONS,6.Representations is arising out of the foregoing, mental anguish,
amended to Include: menial Injury, shock or humiliation, including
d. Your failure to disclose all hazards or prior death at anytime resulting therefrom.
"occurrences" or offenses existing as of the
Inception data of the policy shall not
prejudice the coverage afforded by this
All terms and conditions of this policy apply unless modified by this endorsement.
Page 4 of 4 Includes copyrighted material of Insurance Services Office,Inc., CG 72 8811 11
with Its permission.
ACP7505171389
COMMERCIAL GENERAL LIABILITY
CG 71 57 08 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONALINSURED - OWNERS, LESSEES OR CONTRACTORS
AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION CONTRACT
PRIMARY AND NON-CONTRIBUTORY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II — Who Is An Insured Is amended to 1. "Bodily injury", "property damage"or"personal
include as an additional insured any person or or- and advertising Injury" arising out of the ran
ganization for whom you are performing opera- daring of, or the failure to render, any profes-
tions when you and such person or organization sional architectural, engineering or surveying
have agreed In a written contact that such person services, including:
or organization be added as an additional insured a. The preparing, approving, or failing to pre-
on your policy. Such person or organization is an pare or approve, maps, shop drawings,
additional Insured only with respect to liability for opinions, reports, surveys, field orders,
"bodily injury","property damage"or"personal and change orders or drawings and specifica-
advertising injury"caused, in whole or in part, by: tions;or
1. Your acts or omissions; or b. Supervisory, inspection, architectural or
2. The acts or omissions of those acting on your engineering activities.
behalf; 2. "Bodily injury" or "property damage" occurring
in the performance of your ongoing operations after.
for the additional insured. a. All work, including materials, parts or
A person's or organization's status as an addi- equipment furnished in connection with
tional insured under this endorsement ends such work, on the project (other than ser-
when your operations for that additional in- vice, maintenance or repairs) to be per-
sured are completed. formed by or on behalf of the additional in-
No such person or organization is an add!- sured(s) at the location of the covered
tional insured for liability arising out of the operations has been completed;or
"products-completed operations hazard". b- That portion of"your work" out of which the
Injury or damage arises has been put to its
B.The following is added to SECTION III — LIMITS Intended use by any person or organization
OF INSURANCE: other than another contractor or subcon-
tractor engaged in performing operations
The limits of insurance applicable to the additional for a principal as a part of the same project.
insured are those specified in the written contract D. With respect to the insurance afforded to these
between you and the additional insured, or the Iim- additional insureds, Condition 4. Other Insur-
its available under this policy, whichever are less. ance is replaced by the following:
These limits are part of and not In addition to the
limits of insurance under this policy. 4. Other Insurance
If other valid and collectible insurance Is avail-
C. With respect to the insurance afforded to these Coverages A or B of thisable to the insured for a ) we cover
oss Coverage Part,nder our
additional Insureds, the following additional exclu. obligations are limited as follows:
sions apply:
This Insurance does not apply to:
CG 7157 08 04 Includes copyrighted material of ISO Properties,Inc.,with its permission. Pagel of 2
CG 7157 00 04
a. Primary Insurance When this insurance is excess over other
This insurance is primary except when It is insurance, we will pay only our share of the
excess as provided under part b., below. amount of the loss, if any, that exceeds the
When this insurance is primary, we will not sum of:
seek contribution from other insurance (1) The total amount that all such other in
available to the person or organization surance would pay for the loss in the
shown in the Schedule of this endorsement. absence of this insurance;and
b. Excess Insurance (2) The total of all deductible and self-
This insurance Is excess over: insured amounts under all that other in-
(1) Any of the other Insurance, whether surance.
primary, excess, contingent or on any We will share the remaining loss, if any,with
other basis: any other insurance that is not described in
(a) That is Fire, Extended Coverage, this Excess Insurance provision and was not
Builder's Risk, Installation Risk or bought specifically to apply in excess of the
Declare-
similar cove for"your work"; Limits of Insurance shown in the Declare-
s a
g y tions of this Coverage Part.
(b) That is Fire insurance for premises
rented to you or temporarily occu- c. Method Of Sharing
pied by you with permission of the
owner; If all of the other insurance available to
(c) That is insurance purchased by you the additional insured permits contribu-
to cover your liability as a tenant for ties by equal shares, is will follow this
"property damage" to premises method also. under this approach each
rented to you or temporarily occu- insurer contributes equal amounts until e
pied by you with permission of the has paid its applicable limit of insurance
r
owner;or or mesa of the loss remains, whichever
comes first.
(d) if the loss arises out of the mainte-
nance or use of aircraft, "autos" or If any of dithe other insurance available to
watercraft to the extent not subject the additional insured does not permit
to Exclusion g. of Section I — Cov- contribution n by equal shares, will
erage A — Bodily Injury And Prop- contribute by limits. under this method,
erty Damage Liability each insurer's share Is based ur the ra-
When this insurance is excess,we will have tie of its applicable imitt of insurance to
no du under Coverages A or B to defend the total applicable limits of insurance of
duty 9 all insurers.
the additional insured against any "suit" if
any other insurer has a duty to defend the
additional Insured against that "suit". If no
other insurer defends, we will undertake to
do so, but we will be entitled to the addi-
tional insurer's rights against all those other
insurers.
All terms and conditions of this policy apply unless modified by this endorsement.
of ISO Properties, Inc. with Its permission. CG 7157 08 04
Page 2 of 2 Includes copyrighted material
ACP7505171389
COMMERCIAL AUTO
AC 24 04B 05 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition(Section IV—BUSINESS AUTO
CONDITIONS)is amended by the addition of the following:
We waive any right of recovery we may have against any person or organization to the extent required of you by a
written contract executed prior to any°accident"because of payments we make for damages under this coverage
form.
All terms and conditions of this policy apply unless modified by this endorsement
AC 24 04B 05 04 Page i of 1
ACP7505181389
COMMERCIAL AUTO
AC 01 02 0310
THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO EXTENSION ENDORSEMENT
This endorsement modifies insurance provided underthe following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
A. CHANGES FOR TRAILERS AND FARM rental of a vehicle is an"insured"for Liability
EQUIPMENT Coverage, but only to the extent that person
1. Under the COVERED AUTOS SECTION, or organization qualifies as an "insured' un-
the following are added to Paragraph C. der the Who Is An Insured Provision Certain Trailers, Mobile Equipment and SECTION in the LIABILITY COVERAGE
S
Temporary Substitute Autos: SECT the Coverage Form
4. 'Trailers"designed to be towed by a pn- D. REPLACEDD EXCLUSIONS
vate passenger type "auto" or a pickup, The Expected or Intended Injury Exclusion
panel truck or van if not used for busi- In the LIABILITY COVERAGE SECTION is
ness purposes, other than farming or replaced by the following:
ranching. Expected or Intended Injury
5. Farm wagons or farm Implements while "Bodily injury"or"property damage"which is
being towed by a covered"auto" expected or intended by the "insured". This
B. CHANGES FOR ADDITIONAL NEWLY exclusion applies even If the resulting"bodi-
ACQUIRED VEHICLES ly injury"or"property damage":
2. Paragraph B.2 of the COVERED AUTOS a. is of a different kind, quality or degree
SECTION is replaced by the fallowing: than initially expected or Intended;or
2. If Symbol(s) 7 or 67 is entered next to b, is sustained by a different person,entity,
coverage in Item Two of the Declara- real property, or personal property than
tions, an "auto" you acquire will be a that initially expected or Intended,
covered"auto"for that coverage only if: E. ADDITIONAL EXCLUSIONS
a. We already cover at least one"auto" The following exclusions are added to the
you own for that coverage or it rep- LIABILITY COVERAGE SECTION:
laces an "auto' you previously Damage to Named Insured's Property
owned that had that coverage;and
b. You tell us within 30 days after you Any claim or"suit"for"property damage"acquire it that you want us to cover you or on your behalf against any other per-
r-
itforthatcoverage. son entity that is also a Named Insured
under this policy.
The most we will pay for Physical Damage Abuse or Molestation
Coverage for"loss"under this Coverage Ex-
tension is $100,000 per "auto", subject to "Bodily injury" or "property damage" arising
the largest deductible applicable to any "au- out of:
to"for that Coverage. a. The actual or threatened abuse or
C. BLANKET ADDITIONAL INSURED molestation by anyone or any person
Any person or organization which you have while in the care, custody or control of
agreed to name as an additional insured in a any"insured", or
written contract, executed prior to an acci- b. The negligent:
dent, other than a contract for the lease or 1) Employment;
AC 0102 03 10 includes copyrighted material of Insurance Services Office, Inc., Page 1 of 4
with its permission.
AC 0102 0310
2) Investigation; This insurance does not apply to:
3) Supervision; a. "Loss" to the covered "auto's" contents,
4) Reporting to the proper authorities, except equipment usual to trucks or pri-
or failure to so report;or vate passenger"autos".
5) Retention; b. "Loss" to TV antennas, awnings or ca-
af a person for whom any"insured" is or banas.
ever was legally responsible and whose c. "Loss" to equipment designed to create
conduct would be excluded by Para- added living facilities.
graph a.above. However, these exclusions do not apply if
Abuse means an act which Is committed Miscellaneous Personal Property Coverage
with the intent to cause harm. Is provided by endorsement to this policy.
Explosives G. ACCIDENTAL AIRBAG DISCHARGE
"Bodily injury" or"property damage" caused COVERAGE
by the explosion of explosives you make, Under Paragraph B.3.a. of the PHYSICAL
sell or transport. DAMAGE SECTION,the following is added:
Rolling Stores Mechanical breakdown does not Include the ac-
If a covered "auto" is a rolling store, "bodily cidental discharge of an airbag,
injury" or "property damage" resulting from H. PHYSICAL DAMAGE LIMIT OF INSURANCE
the handling, use or condition of any item Under PHYSICAL DAMAGE COVERAGE
the "insured" makes, sells or distributes if SECTION, Paragraph C., Limit of Insurance is
the injury or damage occurs after the "in- replaced by the following:
sured"has given up possession of the Item. C. Limit Of Insurance
Wrong Delivery of Liquid Products 1. The most we will pay for "loss" in any
"Bodily injury" or "property damage" result- one"accident"is the lesser of:
Ing from the delivery of any liquid into the a. The actual cash value of the damaged
wrong receptacle or to the wrong address, or stolen property as of the time of the
or from the delivery of one liquid for another, °lass", or
if the "bodily Injury" or "property damage" b. The cost of repairing or replacing the
occurs after the delivery has been com- damaged or stolen property.
pleted.
Delivery is considered completed even if fur- 2• $1,000 is the most we will pay for "loss" in
ther service or maintenance work,or cc
rrec- any one "accident" to all electronic equip-
then, repair or replacement is required be ment that reproduces, receives or transmits
cause of wrong lce audio, visual or data signals which, at the
time of"loss", is:
Professional Services a. Permanently installed In or upon the
"Bodily Injury": covered "auto" In a housing, opening or
a. Resulting from the providing or the fail- other location that is not normally used
ure to provide any medical or other pro- by the"auto'manufacturer for the instal-
fesslonal services. lation of such equipment.
b. Resulting from food or drink furnished b. Removable from a permanently installed
with these services, housing unit as described in Paragraph
"Bodily injury" or "property damage" result- 2.a. above or is an integral part of that
Ing from the handling of corpses. equipment;or
F. MOTOR HOME CONTENTS COVERAGE c. An integral part of such equipment.
1. For a covered "auto" that is a motor home 3. An adjustment for depreciation and physical
the following exclusions are added to the condition will be made in determining actual
PHYSICAL DAMAGE COVERAGE cash value in the event of a total`loss
SECTION:
Motor Home Contents
Page 2 of 4 Includes copyrighted material of Insurance Services Office, Inc., AC 01 02 0310
with its permission.
i
AC 01 02 0310
4. The cost of repairing or replacing may: 4. A member, if you are a limited liability com-
a. Be based on an estimate which includes pany.
parts furnished by the original equip- K. UNINTENTIONAL FAILURE TO DISCLOSE
ment manufacturer or other sources In- HAZARDS
cluding non-original equipment menu- The BUSINESS AUTO CONDITIONS SECTION
facturers and and MOTOR CARRIER CONDITIONS
b. Include a deduction for betterment for a SECTION-- B.2. are amended by the addition of
part or parts that are normally subject to the following:
repair or replacement during the useful If you unintentionally fall to disclose any hazards
life of the"auto", such as, but not limited existing at the Inception date of your policy, we
to tires and batteries. will not deny coverage under this Coverage
Betterment means the difference be- Form because of such failure. However, this
tween the actual cash value of a part provision does not affect our right to collect addi-
Immediately before the "foss" and the tional premium or exercise our right of cancella-
cost to replace that part with a new part. ticn or nonrenewal.
6. If we offer to pay the actual cash value of L. AUTOS HIRED OR RENTED BY
the damaged or stolen property, we will val- EMPLOYEES
ue auto advertising wraps, paint customize- If hired or rented "autos" are covered"autos" on
tion,and similar business related advertising this policy,the following provisions apply:
modifications, in addition to the actual cash A. Changes In Liability Coverage
value of the property. Auto advertising The following is added to the Who Is An In-
wraps, paint customization, and similar sured Provision in the LIABILITY
business related advertising modifications COVERAGE SECTION:
will be valued at the cost to replace them
with an adjustment made for depreciation An "employee" of yours is an "insured"while
and physical condition. operating an "auto" hired or rented under a
I. GLASS REPAIR—WAIVER OF DEDUCTIBLE contract or agreement in that "employee's"
Under Paragraph D. Deductible of the name, with your permission, while performing
PHYSICAL DAMAGE COVERAGE SECTION, duties related to the conduct of your busi-
ness.
the following Is added:
B. Changes In General Conditions
No deductible applies to glass damage if the
glass is repaired rather than replaced. Paragraph 6.b. of the Other Insurance
J. AMENDED DUTIES IN EVENT OF ACCIDENT, Condition In the Business Auto Coverage
CLAIM,SUIT,OR LOSS Form and Paragraph 5.f.of the Other Insur-
ance Condition in the Motor Carrier Cover-
The requirement in Loss Condition 2.a. Duties In age Form are replaced by the following:
the Event Of Accident, Claim, Suit Or Loss—of For Hired Auto Physical Damage Coverage,
the BUSINESS AUTO CONDITIONS SECTION the fallowing are deemed to be covered"au-
and the MOTOR CARRIER CONDITIONS tos"you own:
SECTION that you must notify us of an "acci-
dent", "claim", "suit", or"loss" applies only when 1. Any covered "auto" you lease, hire, rent
the "accident", "claim", "suit", or"loss" is known or borrow;and
to : 2. Any covered "auto" hired or rented by
1. You,if you are an individual your "employee" under a contract in that
2. A partner, If you are a partnership; individual "employee's" name, with your
permission, while performing duties re-
3. An executive officer or the employee desig- lated to the conduct of your business.
nated by you to give such notice if you are a However, any "auto" that is leased, hired,
corporation;or rented or borrowed with a driver is not a
covered"auto".
AC 0102 03 10 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 4
with its permission.
AC 0102 0310
M. EMERGENCY LOCKOUT PRIVATE 3. Original copies of receipts for services of a
PASSENGER VEHICLES locksmith must be provided before reim-
We will reimburse you up to $50 for reasonable bursa ment is payable.
expense incurred for the services of a locksmith N. LIBERALIZATION
to gain entry into your covered "auto" of the pri- Paragraph 3, of the General Conditions is re-
vats passenger type subject to these provisions: placed by the following:
1. Your door key or key entry pad has been If we adopt any revision that would broaden the
lost, stolen or locked In your covered "auto" coverage under this policy without additional
and you are unable to enter such"auto" , or
premium within BO days prior to or during the
2. Your key or key entry pad has been lost or policy period,the broadened coverage will im-
stolen and you have changed the lock to mediately apply to this policy.
prevent an unauthorized entry;and
All terms and conditions of this policy apply unless modified by this endorsement
Page 4 of 4 Includes copyrighted material of Insurance Services Office, Inc., AC 01 02 03 10
with its permission.
I
I
Page 1 of-4
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage
The PREVAILING WAGES listed here include both the hourly wage
rate and the hourly rate of fringe benefits. On public works
projects, worker's wage and benefit rates must add to not less
than this total. A brief description of overtime calculation
requirements are provided on the Benefit Code Key.
_._-_ .............. ..........._... ---- . . --- -- -. - ........- - _..
Journey Level Prevailing Wage Rates for the Effective Date: 8/8/2016
,County Trade Job Wa a Holiday Overtime Note:
Classification
'King Laborers Air, Gas Or Electric $43.95 7A 31
Vibrating Screed
;King Laborers Airtrac Drill Operator $45.32 7A 31
'King Laborers Ballast Regular Machine $43.95 7A 31
Xing Laborers Batch Weighman $37.26 7A 31
'..King Laborers Brick Pavers $43.95 7A 31
'King Laborers Brush Cutter $43.95 7A 31
;King Laborers Brush Hog Feeder $43.95 7A 31
King ILaborers Burner $43.95 7A 31
:King Laborers Caisson Worker $45.32 7A 31
King Laborers Carpenter Tender $43.95 7A 31
King Laborers Caulker $43.95 7A 31
King Laborers Cement Dumper-paving $44.76 7A 31
Nng Laborers Cement Finisher Tender $43.95 7A 31
'King Laborers Change House Or Dry $43.95 7A 31
Shack
King Laborers Chipping Gun (under30 $43.95 7A 31
Lbs.)
:King Laborers Chipping Gun(30 Lbs. $44.76 7A 31
And Over)
'King Laborers Choker Setter $43.95 7A 31
King Laborers Chuck Tender $43.95 7A 31
:King Laborers Clary Power Spreader $44.76 7A 31
!King Laborers Clean-up Laborer $43.95 7A 31 Jr
King Laborers $44.76 7A 1 31
https://fortress.wa.gov/lni/wagelook-up/prvWagelookup.aspx 8/8/2016
Page 2 of 4
Concrete Dumper/chute
Operator
King Laborers Concrete Form Stripper $43.95 7A 31
'King Laborers Concrete Placement $44.76 7A 31
Crew
;King Laborers Concrete Saw $44.76 7A 31
Operator/core Driller
King I Laborers Crusher Feeder $37.26 7A 31
King Laborers Curing Laborer $43.95 7A 31
King 'Laborers Demolition: Wrecking It $43.95 7A 31
Moving (incl. Charred
Material)
King Laborers Ditch Digger $43.95 7A 31
'King Laborers Diver $45.32 7A 31
King Laborers Drill Operator $44.76 7A 31
(hydraulic,diamond)
King Laborers Dry Stack Walls $43.95 7A 31
King Laborers Dump Person $43.95 7A 31
King Laborers Epoxy Technician $43.95 7A 31
King Laborers Erosion Control Worker $43.95 7A 31
King Laborers Falter Et Bucker Chain $44.76 7A 31
Saw
King Laborers Fine Graders $43.95 7A 31
'King Laborers Firewatch $37.26 7A 31
'King Laborers Form Setter $43.95 7A 31
'King Laborers Gabian Basket Builders $43.95 7A 31
;King Laborers General Laborer $43.95 7A 31
;King Laborers Grade Checker Et $45.32 7A 31
Transit Person
;King Laborers Grinders $43.95 7A 31
!King Laborers Grout Machine Tender $43.95 7A 31
King (Laborers Groutmen (pressure) $44.76 7A 31
including Post Tension
Beams
(King Laborers Guardrail Erector $43.95 7A 31
King Laborers Hazardous Waste $45.32 L 31
Worker (level A)
King Laborers Hazardous Waste $44.76 7A 31
Worker (level B)
King Laborers Hazardous Waste $43.95 7A I
Worker (level C)
King Laborers High Scaler $45.32 7A 31
King Laborers Jackhammer $44.76 7A 31
King Laborers Laserbeam Operator $44.76 7A 31
King Laborers Maintenance Person $43.95 7A 31
King Laborers Manhole Builder- $44.76 7A 31
mudman
King Laborers Material Yard Person $43.95 7A 31
httDs://fortress.wa.aov/lni/wa�4elookui)/i)rvWagelookup.aspx 8/8/2016
Page 3 of 4
King Laborers Motorman-dinky $44.76 7A 31
Locomotive
;King Laborers Nozzleman (concrete $44.76 7A 31
Pump, Green Cutter
When Using
Combination Of High
Pressure Air a Water On
Concrete Et Rock,
Sandblast, Gunite,
Shotcrete, Water Bla
King Laborers Pavement Breaker $44.76 7A 31
°King Laborers Pilot Car $37.26 7A 31
King Laborers Pipe Layer Lead $45.32 7A 31
,King Laborers Pipe Layer/tailor $44.76 7A 31
King Laborers Pipe Pot Tender $44.76 7A 31
King Laborers Pipe Reliner $44.76 7A 31
King Laborers Pipe Wrapper $44.76 7A 31
;;King Laborers Pot Tender $43.95 7A 31
King Laborers Powderman $45.32 7A 31
'King Laborers Powdermans Helper $43.95 7A 31
King Laborers Power Jacks $44.76 7A 31
King Laborers Railroad Spike Putter- $44.76 7A 31
Power
King Laborers Raker - Asphalt $45.32 7A 31
King Laborers Re-timberman $45.32 7A 31
King Laborers Remote Equipment $44.76 7A 31
Operator
King Laborers Rigger/signal Person $44.76 7A 31
King Laborers Rip Rap Person $43.95 7A 31
King Laborers Rivet Buster $44.76 ZA 31
King Laborers Rodder $44.76 ZA 31
King Laborers Scaffold Erector $43.95 7A 31
King Laborers Scale Person $43.95 7A 31
.King Laborers Sloper (over 20") $44.76 7A 31
King Laborers Sloper Sprayer $43.95 7A 31
King Laborers Spreader (concrete) $44.76 7A 31
King Laborers Stake Hopper $43.95 7A 31
King Laborers Stock Piler $43.95 7A 31
King Laborers Tamper t3 Similar $44.76 7A 31
Electric, Air £t Gas
Operated Toots
.King Laborers Tamper (multiple Fr $44.76 7A 31
Self-propelled)
King Laborers Timber Person - Sewer $44.76 7A 31
(lagger, Shorer @
Cribber)
King Laborers Toolroom Person (at $43.95 7A 31
Jobsite)
King Laborers Topper $43.951 7A 3l
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Page 4 of 4
King Laborers Track Laborer $43.95 7A 31
King Laborers Track Liner (power) $44.76 7A 31
King Laborers Traffic Control Laborer $39.84 7A 31 8R
King Laborers Traffic Control $39.84 7A 31 8R
Supervisor
King Laborers Truck Spotter $43.95 7A 31
King Laborers Tugger Operator $44.76 7A 31
King Laborers Tunnel Work- $74.29 7A 31 8Q
Compressed Air Worker
0-30 psi
King Laborers Tunnel Work- $79.32 7A 31
Compressed Air Worker
30.01.44.00 psi
'King Laborers Tunnel Work- $83.00 7A 31 SS
Compressed Air Worker
44.01-54.00 psi
King Laborers Tunnel Work- $88.70 7A 31
Compressed Air Worker
54.01-60.00 psi
King Laborers Tunnel Work- $90.82 7A 31 8g
Compressed Air Worker
60.01-64.00 psi
King Laborers Tunnel Work- $95.92 7A 31
Compressed Air Worker
64.01-68.00 psi
King Laborers Tunnel Work- $97.82 7A 31 8�(
Compressed Air Worker
68.01-70.00 psi
King Laborers Tunnel Work- $99.82 7A 31 8g
Compressed Air Worker
70.01-72.00 psi
King Laborers Tunnel Work- $101.82 7A 31
Compressed Air Worker
72.01-74.00 psi
!King Laborers Tunnel Work-Guage and $45.42 7A 31 8S
Lock Tender
King Laborers Tunnel Work-Miner $45.42 7A 31 8S
King Laborers Vibrator $44.76 7A 31
King Laborers Vinyl Seamer $43.95 7A 31
King Laborers Watchman $33.86 7A 31
King Laborers Welder $44.76 7A 31
King Laborers Well Point Laborer $44.76 7A 31
King Laborers Window Washer/cleanerl $33.861 7A 3l
littDs://fortress.wa.aov/lni/waaclookUD/prvWaiielookUD.aSDX 8/8/2016
Page 1 of 6
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage
The PREVAILING WAGES listed here include both the hourly wage
rate and the hourly rate of fringe benefits. On public works
projects, worker's wage and benefit rates must add to not less
than this total. A brief description of overtime calculation
requirements are provided on the Benefit Code Key.
....._.... ._ -_-- _ --- -----_
Journey Level Prevailing Wage Rates for the Effective Date: 8/8/2016
Job
CountV Trade Classifi cation Wa a Holiday Overtime Note
`'King Power Equipment Asphalt Plant Operators $56.94 7AIQ SP
Operators
:King Power Equipment Assistant Engineer $53.57 7A 3C 8P
Operators
King Power Equipment Barrier Machine (zipper) $56.44 7A 3C 8P
Operators
;King Power Equipment Batch Plant Operator, $56.44 7A 3C 8P
Operators Concrete
King Power Equipment Bobcat $53.57 7A 3C 8P
Operators '
King Power Equipment Brokk - Remote $53.57 7A 3C 8P
Operators Demolition Equipment
?King Power Equipment Brooms $53.57 7A 3C 8P
Operators
King Power Equipment Bump Cutter $56.44 7A 3C 8P
Operators
'King Power Equipment Cableways $56.94 7A 3C 8P
Operators
,King Power Equipment Chipper $56.44 7A 3C 8P
Operators
King Power Equipment Compressor $53.57 7A 3C 8P
Operators
'King Power Equipment Concrete Pump: Truck $56.94 7A 3C 8P
Operators Mount With Boom
Attachment Over 42 M
King Power Equipment Concrete Finish Machine $53.57 7A 3C 8P
Operators -laser Screed
httns://fortress.wa.aov/lni/waaelookur)/nrvWaaelookun.asnx 8/8/2016
Page 2 of 6
King Power Equipment Concrete Pump - $56.00 7A 3C 8P
Operators Mounted Or Trailer High
Pressure Line Pump,
Pump High Pressure.
King Power Equipment Concrete Pump: Truck $56.44 7A 3C 8P
Operators Mount With Boom
Attachment Up To 42m
King Power Equipment Conveyors $56.00 7A 3C 8P
Operators
King Power Equipment Cranes Friction: 200 $58.67 7A 3C 8P
Operators tons and over
King Power Equipment Cranes: 20 Tons $56.44 7A 3C 8P
Operators Through 44 Tons With
Attachments
King Power Equipment Cranes: 100 Tons $57.51 7A 3C 8P
Operators Through 199 Tons, Or
150' Of Boom (Including
Jib With Attachments)
King Power Equipment Cranes: 200 tons- 299 $58.10 7A 3C 8P
Operators tons, or 250' of boom
including jib with
attachments
King Power Equipment Cranes: 300 tons and $58.67 7A 3C 8P
Operators over or 300' of boom
including jib with
attachments
King Power Equipment Cranes: 45 Tons $56.94 7A 3C 8P
Operators Through 99 Tons, Under
150' Of Boom (including
Jib With Attachments)
King Power Equipment Cranes: A-frame - 10 $53.57 7A 3C 8P
Operators Tons And Under
King Power Equipment Cranes: Friction cranes $58.10 7A 3C 8P
Operators through 199 tons
King Power Equipment Cranes: Through 19 $56.00 7A 3C 8P
Operators Tons With Attachments
A-frame Over 10 Tons
King Power Equipment Crusher $56.44 7A 3C 8P
Operators
King Power Equipment Deck Engineer/deck $56.44 7A 3C 8P
Operators Winches (power)
King Power Equipment Derricks, On Building $56.94 7A 3C 8P
Operators Work
King Power Equipment Dozers D-9 & Under $56.00 7A 3C 8P
Operators
King Power Equipment Drill Oilers: Auger Type, $56.00 7A 3C 8P
Operators Truck Or Crane Mount
King Power_ Equipment Drilling Machine $57.51 7A 3C 8P
Operators
King Power Equipment Elevator And Man-lift: $53.57 7A 3C 8P
Operators Permanent And Shaft
Type
King $56.44 7A 3C 8P
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Page 3 of 6
Power Equipment Finishing Machine,
Operators Bidwell And Gamaco 8
Similar Equipment
!King Power Equipment Forklift: 3000 Lbs And $56.00 7A 3C 8P
Operators Over With Attachments
King Power Equipment Forklifts: Under 3000 $53.57 7A 3C 8P
Operators Lbs. With Attachments
King Power Equipment Grade Engineer: Using $56.44 7A 3C 8P
Operators Blue Prints, Cut Sheets,
Etc
King Power Equipment Gradechecker/stakeman $53.57 7A 3C 8P
Operators
,King Power Equipment Guardrail Punch $56.44 7A 3C 8P
Operators
:King Power Equipment Hard Tail End Dump $56.94 ZA X 8P
Operators Articulating Off- Road
Equipment 45 Yards. Bt
Over
'King Power Equipment Hard Tail End Dump $56.44 7A 3C 8P
Operators Articulating Off-road
Equipment Under 45
Yards
King Power Equipment Horizontal/directional $56.00 7A 3C 8P
Operators Drill Locator
.King Power Equipment Horizontal/directional $56.44 7A 3C 8P
Operators Drill Operator
,King Power Equipment Hydralifts/boom Trucks $56.00 7A 3C 8P
Operators Over 10 Tons
King Power Equipment Hydralifts/boom Trucks, $53.57 7A 3C 8p
Operators 10 Tons And Under
King Power Equipment Loader, Overhead 8 $57.51 7A 3C 8P
Operators Yards. Ft Over
'King Power Equipment Loader, Overhead, 6 $56.94 7A 3C 8P
Operators Yards. But Not Including
8 Yards
King Power Equipment Loaders, Overhead $56.44 7A 3C 8P
Operators Under 6 Yards
King Power Equipment Loaders, Plant Feed $56.44 7A 3C 8P
Operators
:King Power Equipment Loaders: Elevating Type $56.00 7A 3C 8P
Operators Belt
King Power Equipment Locomotives, All $56.44 7A 3C 8P
Operators
.King Power Equipment Material Transfer Device $56.44 ZA 3C 8P
Operators
.King Power Equipment Mechanics, All (leadmen $57.51 7A 3C 8P
Operators - $0.50 Per Hour Over
Mechanic)
;King Power Equipment Motor Patrol Graders $56.94 7A 3C 8P
Operators
King Power Equipment Mucking Machine, Mole, $56.94 7A 3C 8P
Operators Tunnel Drill, Boring,
lions://fortress_wa.gov/lni/waaelookuD/-DrvWa2elookuD.aSDX 8/8/2016
Page 4 of 6
Road Header And/or
Shield
King Power Equipment Oil Distributors, Blower $53.57 7A 3C 8P
Operators Distribution & Mulch
Seeding Operator
King Power Equipment Outside Hoists $56.00 7A 3C 8P
Operators (elevators And
Manlifts), Air
Tuggers,strato
King Power Equipment Overhead, Bridge Type $56.44 7A 3C 8P
Operators Crane: 20 Tons Through
44 Tons
jKing Power Equipment Overhead, Bridge Type: $57.51 7A 3C 8P
Operators 100 Tons And Over
King Power Equipment Overhead, Bridge Type: $56.94 7A 3C 8P
Operators 45 Tons Through 99
Tons
King Power Equipment Pavement Breaker $53.57 7A 3C 8P
Operators
'King Power Equipment Pile Driver (other Than $56.44 7A 3C 8P
Operators Crane Mount)
King Power Equipment Plant Oiler - Asphalt, $56.00 7A 3C 8P
Operators Crusher
King •.Power Equipment Posthole Digger, $53.57 7A 3C 8P
Operators Mechanical
King Power Equipment Power Plant $53.57 7A 3C 8P
Operators
King Power Equipment Pumps - Water $53.57 7A 3C 8P
Operators
King Power Equipment Quad 9, Hd 41, D10 And $56.94 7A 3C 8P
Operators Over
King Power Equipment Quick Tower - No Cab, $53.57 7A 3C 8P
Operators Under 100 Feet In
Height Based To Boom
King Power Equipment Remote Control $56.94 7A 3C 2P
Operators Operator On Rubber
Tired Earth Moving
Equipment
King Power Equipment Rigger And Bellman $53.57 7A 3C 8P
Operators _
King Power Equipment Rigger/Signal Person, $56.00 7A 3C 8P
Operators Bellman (Certified)
King Power Equipment Rollagon $56.94 7A 3C 8P
Operators
King Power Equipment Roller, Other Than Plant $53.57 7A 3C 8P
Operators Mix
;King Power Equipment Roller, Plant Mix Or $56.00 7A 3C 8P
!Operators Multi-[ift Materials
'King Power Equipment Roto-mill, Roto-grinder $56.44 7A 3C 8P
Operators
King Power Equipment Saws - Concrete $56.00 7A 3C 8P
Operators
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Page 5 of 6
King Power Equipment Scraper, Self Propelled $56.44 L 3C 8P
Operators Under 45 Yards
King Power Equipment Scrapers - Concrete & $56.00 7A 3C 8P
Operators Carry All
King Power Equipment Scrapers, Self- $56.94 7A 3C 8P
Operators propelled: 45 Yards And
Over
King Power Equipment Service Engineers - $56.00 7A 3C 8P
Operators Equipment
King Power Equipment Shotcrete/gunite $53.57 7A 3C 8P
Operators Equipment
King Power Equipment Shovel , Excavator, $56.00 7A 3C 8P
Operators Backhoe, Tractors
Under 15 Metric Tons.
!King Power Equipment Shovel, Excavator, $56.94 7A 3C 8P
Operators Backhoe: Over 30 Metric
Tons To 50 Metric Tons
;King Power Equipment Shovel, Excavator, $56.44 7A 3C 8P
Operators Backhoes, Tractors: 15
To 30 Metric Tons
iKing Power Equipment Shovel, Excavator, $57.51 7A 3C 8P
Operators Backhoes: Over 50
Metric Tons To 90
Metric Tons
King Power Equipment Shovel, Excavator, $58.10 7A 3C 8P
Operators Backhoes: Over 90
Metric Tons
King Power Equipment Slipform Pavers $56.94 7A 3C 8P
Operators
King Power Equipment Spreader, Topsider Q $56.94 7A 3C 8P
Operators Screedman
,King Power Equipment Subgrader Trimmer $56.44 7A 3C 8P
Operators
.King Power Equipment Tower Bucket Elevators $56.00 7A 3C 8P
Operators
King Power Equipment Tower Crane Up To 175' $57.51 7A 3C 8P
Operators In Height Base To Boom
King Power Equipment Tower Crane: over 175' $58.10 7A 3C 8P
Onerators through 250' in height,
base to boom
.King Power Equipment Tower Cranes: over 250' $58.67 7A 3C BP.
Operators in height from base to
boom
King Power Equipment Transporters, All Track $56.94 7A 3C 8P
Operators Or Truck Type
King Power Equipment Trenching Machines $56.00 7A 3C 8P
Operators
King Power Equipment Truck Crane $56.44 7A 3C 8P
Operators Oiler/driver - 100 Tons
And Over
King Power Equipment $56.00 7A 3C 8P
Operators
httnsJ/fortress.wa.gov/lni/waiielookun/nrvWaaelookub.asi)x 8/8/2016
Page 6 of 6
Truck Crane
Oiler/driver Under 100
Tons
King Power Equipment Truck Mount Portable $56.44 7A 3C 8P
Operators Conveyor
King Power Equipment Welder $56.94 7A 3C 8P
Operators
King Power Equipment Wheel Tractors, Farman $53.57 7A 3C 8P
Operators Type
King Power Equipment Yo Yo Pay Dozer $56.44 7A 3C 8P
Operators
httDs://fortress.wa.vov/lni/wa2elookuD/t)rvWaaelookuu.asi)x 8/8/2016
Page 1 of 1
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage
The PREVAILING WAGES listed here include both the hourly wage
rate and the hourly rate of fringe benefits. On public works
projects, worker's wage and benefit rates must add to not less
than this total. A brief description of overtime calculation
requirements are provided on the Benefit Code Key.
- - _.. - . -- ... . .... . ..
Journey Level Prevailing Wage Rates for the Effective Date: 8/8/2016
:Count Trade Job Classification Wa eHolidayOvertimeNote�
King Flaeeers Journey Level I 537.26 7A I 31
htfno-Hfortress.wa.gov/lni/wagelookun/nrvWagelookuD.asnx 8/8/2016
Page 1 of 1
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage
The PREVAILING WAGES listed here include both the hourly wage
rate and the hourly rate of fringe benefits. On public works
projects, worker's wage and benefit rates must add to not less
than this total. A brief description of overtime calculation
requirements are provided on the Benefit Code Key.
_ --- - --------- - _-._.. . __._.... .. .. -_-- _.__.
Journey Level Prevailing Wage Rates for the Effective Date: 8/8/2016
Count Trade Job Wa e Holiday Overtime Note;
Classification
:King Traffic Control Stripers Journey Level $43.73 7A 1K
httns°//fortress.wa.gov/lni/waeelookun/nrvWagelool unasnx 8/8/2016
Page 1 of 1
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage
The PREVAILING WAGES listed here include both the hourly wage
rate and the hourly rate of fringe benefits. On public works
projects, worker's wage and benefit rates must add to not less
than this total. A brief description of overtime calculation
requirements are provided on the Benefit Code Key.
.__-...--. ___.__ --_-_--- _.._ _... ._ .___._ ..___ ------
Journey Level Prevailing Wage Rates for the Effective Date: 8/8/2016
County Trade Classiti ation Wa eHolidayOvertimeNote
'King Truck Drivers Asphalt Mix Over 16 $51.25 SD 3A 8L
Yards (W. WA-Joint
Council 28)
:King Truck Drivers Asphalt Mix To 16 Yards $50.41 5D 3A 81-
(W. WA-Joint Council
28)
;King Truck Drivers Dump Truck Et Trailer 1 $51.25 51) 1 A 8L
King Truck Drivers Dump Truck (W. WA- $50.41 5D 3A 8L
Joint Council 28)
King Truck Drivers Other Trucks (W. WA- $51.25 5D 3A 8L
Joint Council 28)
'.King Truck Drivers Transit Mixer $43.23 1
httns°//fortress.wa-gov/lni/wage]ookun/nrvWaprelookun.asnx 9/8/2016
Clary, Nancy
From: Sarah Long with Statewide <statewideparkinglots.office@comcast.net>
Sent: Thursday, August 18, 2016 1:10 PM
To: Clary, Nancy
Subject: RE: Document from Statewide Parking Lot Services, Inc.
Intent is filed! I also filed for city of Kent biz license and will get you a copy when it arrives. You should have insurance
info and just waiting for Chad to sign 2"d Copy of contract to send to you. Do you need 2 copies of all 32 pages or just the
necessary pages signed?
Transaction Date 8/18/2016
Transaction Id 105375146
Project Name kent senior center
Form Filed Intent
Form Id 783405
Payment Type E-Check ************1350
Amount Billed $40.00
From:Clary, Nancy [mailto:NClary@I<entwa.eov]
Sent:Wednesday, August 17, 2016 8:53 AM
To: 'Sarah Long with Statewide' <statewideparking!otsoffice@comcast.net>
Cc: Harper, Nathen<NHarper@kentwa.Rov>
Subject: RE: Document from Statewide Parking Lot Services, Inc.
Sarah,
Thank you for the email. Unfortunately, I cannot accept a scanned copy, we require (2) signed
originals. I will also need the supporting documentation as listed in my email of August 8 (as
follows):
Please sign the agreement in all required areas and provide our office with two signed originals, as well as the
requested insurance documentation which includes the separate endorsement naming the City of Kent as
additional insured, your Intent to Pay Prevailing Wages authorization number,and a copy of your current City
of Kent Business License.
I am assuming the scanned Agreement was a heads-up to let me know we are progressing and
these items are on their way?
Thank you,
Nancy
Nancy Clary, Facilities Assistant
Facilities Management I Parks, Recreation and Community Services
400 West Gowe, Kent, WA 98032
Main 253-856-5080 1 Direct 253-856-5084
nclaryCal KentWA.gov
CITY OF KENT,WASHINGTON
KentWA.gov Facebook Tv tt r YouTube
1
PLEASE CONSIDER THE ENVIRONMENT BEFORE PRINTING THIS E-MAIL
From: Sarah Long with Statewide [mailto:statewideparkinglots.office(@comcast.net]
Sent: Wednesday, August 17, 2016 8:23 AM
To: Clary, Nancy
Subject: FW: Document from Statewide Parking Lot Services, Inc.
From:office@statewideparkinglots.com [mailto:office@statewideparkinglots.com]
Sent:Wednesday,August 17, 2016 8:13 AM
To: off ice@statewideparkinglots.com
Subject: Document from Statewide Parking Lot Services, Inc.
F7Virus-free. www.avast.com
0 Virus-free. www.avast.com
2
REQUEST FOR MAYOR'S SIGNATURE
®NT Please Fill in All Applicable Boxes
Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
Originator: Alex Ackley APPROVALS:
Date Sent: 08/25/2016 DATE OF COUNCIL APPROVAL: N/A
Return Signed Document to: DATE OF CHIEF ADMINISTRATIVE
Nancy Clary OFFICER APPROVAL: N/A
VENDOR NAME: Statewide Parking Lot DATE OF FINANCE DIRECTOR
Svc. APPROVAL: 08/11/2016
Date Required: 08/31/16
Phone (Originator): X5081. BUDGETED: YES X NO ❑
FUND: Facilities Capital Projects
Brief Explanation of Document:
Statewide Parking Lot Svc. will provide labor and material to sealcoat and re-stripe the parking
lots and walkways at the City of Kent Senior Center, 600 E. Smith St, Kent 98032. This work is
being done as a part of our preventative maintenance program and also to address needed
repairs of aging asphalt.
Will be paid out of Sealcoat Parking Lots project, funded through the Facilities Capital account.
All Contracts Must Be Routed Through The Law Department
— ga. � " ) S
'li �a ' .„ec "m eted by the Law Department)g.
14
Received: i -
Approval of Law Dept.:
Law Dept. EN Comments, pF D
Date Forwarded to Mayor:
Shaded Areas To Be Completed By Administration Staff
EReturned:
nd Comments:
Corporations: Registration Detail - WA Secretary of State Page 1 of 1
STATEWIDE PARKING LOT SERVICE INC.
UBI Number 601356352
Category REG
ProfUNonprofit Profit
Active/Inactive Active
State Of Incorporation WA
WA Filing Date 12/13/1991
Expiration Date 12/31/2D16
Inactive Date
Duration
Registered Agent information
Agent Name TODD S RAYAN
Address 114 W MAGNOLIA ',
City CENTRALIA
L State WA 'I
ZIP 985310000
Special Address Information
Address PO BOX 210
City CENTRALIA
State WA '..
Zip 985310000
GwenningPemons
Title Name Address
ALL Officers 'MC GRAW,CHAD 33920211TH PL SE
AUBURN,WA 98405
http://www.sos.wa.gov/corps/search_detaii.aspx?ubi=601356352 8/25/2016